{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T16:54:24Z","timestamp":1790960064405,"version":"4.1.0"},"reference-count":57,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T00:00:00Z","timestamp":1721433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000923","name":"Australian Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000923","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Indigenous women experience high rates of family violence\u2010related head injuries. At present, lived experience accounts from Indigenous women are absent, which results in incomplete understandings and inadequate responses that have detrimental impacts on\u00a0them and their families. The aim of this study was to gain insight into Indigenous women's personal and family perspectives regarding violence\u2010related traumatic brain injury (TBI), including impacts on life, as well as decision\u2010making processes about healthcare access and engagement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Purposeful sampling was used to complete semi\u2010structured interviews with 18 Indigenous women living in regional and remote Australia who had experienced TBI from family violence. The data from these interviews were augmented by data from interviews and focus groups with 28 community members, including family members or carers of Indigenous women living with TBI from family violence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three themes were conceptualised based on the data and research aims: interweaving of the past and the present\u2014ways women experience brain injury; factors that inform decision\u2010making to access healthcare; and managing everyday changes that result from TBI from family violence. Indigenous women described living with a range of symptoms following repeated head injuries including problems with memory, cognition and concentration. A range of strategies to manage long\u2010term symptoms of TBI were used by Indigenous women and when they did seek healthcare, Indigenous women were required to navigate a range of barriers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings identify a range of gaps in healthcare and housing supports for Indigenous women with TBI from violence, highlighting the significant investment needed to develop responsive and appropriate pathways of care in regional and remote areas. A range of suggestions are discussed including development of a specialised workforce who can provide apppropriate follow\u2010up support, co\u2010designed concussion clinics and educational resources. TBI must also be a key aspect of policy and practice for services working with Indigenous women who have experienced violence to ensure appropriate responses are provided.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public or Patient Contribution<\/jats:title><jats:p>Indigenous\u00a0women shared their views and experiences of TBI from family violence as well as decision\u2010making about accessing healthcare and managing TBI symptoms. As such, study participants provided public contributions to the research.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.14125","type":"journal-article","created":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T08:29:27Z","timestamp":1721464167000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Listening to the Voices of Aboriginal\u00a0and Torres Strait Islander Women in Regional and Remote Australia About Traumatic Brain Injury From Family Violence: A Qualitative Study"],"prefix":"10.1111","volume":"27","author":[{"given":"Elaine","family":"Wills","sequence":"first","affiliation":[{"name":"Institute for Culture and Society Western Sydney University Parramatta New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2839-5430","authenticated-orcid":false,"given":"Michelle","family":"Fitts","sequence":"additional","affiliation":[{"name":"Institute for Culture and Society Western Sydney University Parramatta New South Wales Australia"},{"name":"Menzies School of Health Research Charles Darwin University Alice Springs Northern Territory Australia"},{"name":"Australian Institute of Tropical Health and Medicine James Cook University Townsville Queensland Australia"},{"name":"Centre for Alcohol Policy Research La Trobe University Victoria Bundoora Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,20]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Violence Against Women Prevalence Estimates, 2018: Global, Regional and National Prevalence Estimates for Intimate Partner Violence Against Women and Global and Regional Prevalence Estimates for Non\u2010Partner Sexual Violence Against Women","author":"World Health Organization","year":"2021"},{"key":"e_1_2_11_3_1","volume-title":"Family, Domestic and Sexual Violence in Australia 2018","author":"Australian Institute of Health and Welfare (AIHW),\u00a0","year":"2018"},{"key":"e_1_2_11_4_1","volume-title":"What Works? 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