{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T20:56:44Z","timestamp":1763499404535,"version":"build-2065373602"},"reference-count":31,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2018,1,29]],"date-time":"2018-01-29T00:00:00Z","timestamp":1517184000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Cooperative Research Centre for Aboriginal Health","award":["CRCAH - HS 331"],"award-info":[{"award-number":["CRCAH - HS 331"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["TropicalMed"],"abstract":"<jats:p>Background: Education for health literacy of Australian Aboriginal people living remotely is challenging as their languages and worldviews are quite different from English language and Western worldviews. Becoming health literate depends on receiving comprehensible information in a culturally acceptable manner. Methods: The study objective was to facilitate oral health literacy through community education about scabies and strongyloidiasis, including their transmission and control, preceding an ivermectin mass drug administration (MDA) for these diseases. A discovery education approach where health concepts are connected to cultural knowledge in the local language was used. Aboriginal and non-Aboriginal educators worked collaboratively to produce an in-depth flip-chart of the relevant stories in the local language and to share them with clan elders and 27% of the population. Results: The community health education was well received. Feedback indicated that the stories were being discussed in the community and that the mode of transmission of strongyloidiasis was understood. Two-thirds of the population participated in the MDA. This study documents the principles and practice of a method of making important Western health knowledge comprehensible to Aboriginal people. This method would be applicable wherever language and culture of the people differ from language and culture of health professionals.<\/jats:p>","DOI":"10.3390\/tropicalmed3010015","type":"journal-article","created":{"date-parts":[[2018,1,29]],"date-time":"2018-01-29T07:46:20Z","timestamp":1517211980000},"page":"15","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Cross-Cultural, Aboriginal Language, Discovery Education for Health Literacy and Informed Consent in a Remote Aboriginal Community in the Northern Territory, Australia"],"prefix":"10.3390","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0849-0855","authenticated-orcid":false,"given":"Jennifer","family":"Shield","sequence":"first","affiliation":[{"name":"ARDS Aboriginal Corporation, Winnellie, NT 0821, Australia"},{"name":"Department of Pharmacy and Applied Science, La Trobe University, Bendigo, VIC 3552, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0862-7572","authenticated-orcid":false,"given":"Th\u00e9r\u00e8se","family":"Kearns","sequence":"additional","affiliation":[{"name":"Menzies School of Health Research, Charles Darwin University, Darwin, NT 0811, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"Gar\u014bgulkpuy","sequence":"additional","affiliation":[{"name":"Yalu\u2019 Mar\u014bgithinyaraw, Galiwin\u2019ku, NT 0822, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Walpulay","sequence":"additional","affiliation":[{"name":"Menzies School of Health Research, Charles Darwin University, Darwin, NT 0811, Australia"},{"name":"Yalu\u2019 Mar\u014bgithinyaraw, Galiwin\u2019ku, NT 0822, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roslyn","family":"Gundjirryirr","sequence":"additional","affiliation":[{"name":"Menzies School of Health Research, Charles Darwin University, Darwin, NT 0811, Australia"},{"name":"Yalu\u2019 Mar\u014bgithinyaraw, Galiwin\u2019ku, NT 0822, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leanne","family":"Bundhala","sequence":"additional","affiliation":[{"name":"Menzies School of Health Research, Charles Darwin University, Darwin, NT 0811, Australia"},{"name":"Yalu\u2019 Mar\u014bgithinyaraw, Galiwin\u2019ku, NT 0822, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronica","family":"Djarpanbuluwuy","sequence":"additional","affiliation":[{"name":"Menzies School of Health Research, Charles Darwin University, Darwin, NT 0811, Australia"},{"name":"Yalu\u2019 Mar\u014bgithinyaraw, Galiwin\u2019ku, NT 0822, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ross","family":"Andrews","sequence":"additional","affiliation":[{"name":"Menzies School of Health Research, Charles Darwin University, Darwin, NT 0811, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8441-5008","authenticated-orcid":false,"given":"Jenni","family":"Judd","sequence":"additional","affiliation":[{"name":"School of Health, Medical and Applied Sciences, Central Queensland University, Bundaberg, QLD 4670, Australia"},{"name":"College of Medicine and Dentistry, Anton Breinl Research Centre for Health Systems Strengthening, James Cook University, Townsville, QLD 4811, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2018,1,29]]},"reference":[{"key":"ref_1","unstructured":"Zhao, Y., You, J., and Guthridge, S. (2009). Burden of Disease and Injury in the Northern Territory 1999\u20132003."},{"key":"ref_2","unstructured":"Devitt, J., Hall, G., and Tsey, K. (2001). An Introduction to the Social Determinants of Health in Relation to the Northern Territory Indigenous Population, Cooperative Research Centre for Aboriginal & Tropical Health."},{"key":"ref_3","unstructured":"Joint Commission on Accreditation of Healthcare Organizations (2007). \u201cWhat Did the Doctor Say?\u201d Improving Health Literacy to Protect Patient Safety, HCAHO."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"13","DOI":"10.5694\/mja17.00042","article-title":"Recognising the communication gap in Indigenous health care","volume":"207","author":"Amery","year":"2017","journal-title":"Med. J. Aust."},{"key":"ref_5","first-page":"A5581","article-title":"Low health literacy in ethnic minority patients: Understandable language is the beginning of good healthcare","volume":"157","author":"Fransen","year":"2013","journal-title":"Ned. Tijdschr. Geneeskd."},{"key":"ref_6","unstructured":"Australian Commission on Safety and Quality in HealthCare (2014). Health Literacy: Taking Action to Improve Safety and Quality."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"S\u00f8rensen, K., Van den Brouche, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., and Brand, H. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12.","DOI":"10.1186\/1471-2458-12-80"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1093\/heapro\/15.3.259","article-title":"Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century","volume":"15","author":"Nutbeam","year":"2000","journal-title":"Health Promot. Int."},{"key":"ref_9","unstructured":"Freire, P. (1972). Pedagogy of the Oppressed, The Continuum Publishing Company."},{"key":"ref_10","first-page":"878","article-title":"The meaning and the measure of health literacy","volume":"21","author":"Baker","year":"2006","journal-title":"J. Intern. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1071\/HE11033","article-title":"Health literacy and Australian Indigenous peoples: An analysis of the role of language and worldview","volume":"22","author":"Vass","year":"2011","journal-title":"Health Promot. J. Aust."},{"key":"ref_12","first-page":"4","article-title":"Do you speak my language?","volume":"26","author":"Mapleson","year":"2014","journal-title":"Chronicle"},{"key":"ref_13","unstructured":"Harris, S. (1990). Two-Way Aboriginal Schooling. Education and Cultural Survival, Aboriginal Studies Press."},{"key":"ref_14","unstructured":"Trudgen, R.T. (2000). Why Warriors Lie Down and Die. Djambatj Mala, Aboriginal Resource and Development Services."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"200","DOI":"10.3109\/17549507.2012.663791","article-title":"\u201cHiding the story\u201d: Indigenous consumer concerns about communication related to chronic disease in one remote region of Australia","volume":"14","author":"Lowell","year":"2012","journal-title":"Int. J. Speech-Lang. Path."},{"key":"ref_16","unstructured":"Trudgen, R.T. Personal communication."},{"key":"ref_17","first-page":"2","article-title":"Improving health literacy in the NT: Allowing language to empower","volume":"26","author":"Mitchell","year":"2014","journal-title":"Chronicle"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Kearns, T.M., Speare, R., Cheng, A.C., McCarthy, J., Carapetis, J.R., Holt, D.C., Currie, B.J., Page, W., Shield, J., and Gundjirryirr, R. (2015). Impact of an ivermectin mass drug administration on scabies prevalence in a remote Australian Aboriginal community. PLoS Negl. Trop. Dis., 9.","DOI":"10.1371\/journal.pntd.0004151"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Kearns, T.M., Speare, R., Cheng, A.C., McCarthy, J., Carapetis, J.R., Holt, D.C., Currie, B.J., Page, W., Shield, J., and Gundjirryirr, R. (2017). Strongyloides seroprevalence before and after an ivermectin mass drug administration in a remote Australian Aboriginal community. PLoS Negl. Trop. Dis., 11.","DOI":"10.1371\/journal.pntd.0005607"},{"key":"ref_20","unstructured":"Page, W. (2001). Strongyloides Story, Miwatj Health. Flipchart in Plain English."},{"key":"ref_21","unstructured":"Aboriginal Resource and Development Services (2008). Scabiespuy Dh\u00e4wu, Scabies Story, Aboriginal Resource and Development Services. DVD in Djambarrpuy\u014bu Language with English Subtitles."},{"key":"ref_22","unstructured":"Aboriginal Resource and Development Services (2009). Strongyloidespuy Dh\u00e4wu, Strongyloides Story, Aboriginal Resource and Development Services. DVD in Djambarrpuy\u014bu Language with English Subtitles."},{"key":"ref_23","unstructured":"Aboriginal Resource and Development Services (2009). Foundations in Health Literacy: A Train the Trainer Resource in English, Aboriginal Resource and Development Services. DVD."},{"key":"ref_24","unstructured":"Menzies School of Health Research (2009). Healthy Skin Story: Scabies, Skin Sores, Tinea, Menzies School of Health Research."},{"key":"ref_25","unstructured":"Menzies School of Health Research (2009). Recognising and Treating Skin Conditions, Menzies School of Health Research."},{"key":"ref_26","unstructured":"Qpzm LocalStats Australia (2016, May 18). Galiwinku Population Summary. Available online: http:\/\/galiwinku.localstats.com.au\/population\/nt\/northern-territory\/darwin\/galiwinku."},{"key":"ref_27","unstructured":"Christie, M. (2002). Yolngu Languages and Culture: Gupapuyngu, Teaching & Learning Support Division, Northern Territory University."},{"key":"ref_28","unstructured":"Health Promotion Strategy Unit (2007). The Public Health Bush Book Vol. 1. Strategies and Resources."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"209","DOI":"10.5694\/mja16.00009","article-title":"Improving health outcomes for linguistically diverse patients","volume":"204","author":"Phillips","year":"2016","journal-title":"Med. J. Aust."},{"key":"ref_30","unstructured":"Office of the Commissioner for Public Employment (2013). Cross Cultural Training Framework: An Implementation Guide."},{"key":"ref_31","unstructured":"Department of Health (2013). Northern Territory Health Promotion Framework."}],"container-title":["Tropical Medicine and Infectious Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2414-6366\/3\/1\/15\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T14:52:54Z","timestamp":1760194374000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2414-6366\/3\/1\/15"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,29]]},"references-count":31,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,3]]}},"alternative-id":["tropicalmed3010015"],"URL":"https:\/\/doi.org\/10.3390\/tropicalmed3010015","relation":{},"ISSN":["2414-6366"],"issn-type":[{"type":"electronic","value":"2414-6366"}],"subject":[],"published":{"date-parts":[[2018,1,29]]}}}