Assessing the quality of health research from an Indigenous perspective: the Aboriginal and Torres Strait Islander quality appraisal tool

Abstract Background The lack of attention to Indigenous epistemologies and, more broadly, Indigenous values in primary research, is mirrored in the standardised critical appraisal tools used to guide evidence-based practice and systematic reviews and meta-syntheses. These critical appraisal tools of...

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Main Authors: Stephen Harfield, Odette Pearson, Kim Morey, Elaine Kite, Karla Canuto, Karen Glover, Judith Streak Gomersall, Drew Carter, Carol Davy, Edoardo Aromataris, Annette Braunack-Mayer
Format: Article
Language:English
Published: BMC 2020-04-01
Series:BMC Medical Research Methodology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12874-020-00959-3
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spelling doaj-62d45bd4638e438db50730be754354132020-11-25T01:47:55ZengBMCBMC Medical Research Methodology1471-22882020-04-012011910.1186/s12874-020-00959-3Assessing the quality of health research from an Indigenous perspective: the Aboriginal and Torres Strait Islander quality appraisal toolStephen Harfield0Odette Pearson1Kim Morey2Elaine Kite3Karla Canuto4Karen Glover5Judith Streak Gomersall6Drew Carter7Carol Davy8Edoardo Aromataris9Annette Braunack-Mayer10Wardliparingga Aboriginal Health Research Unit, South Australian Health and Medical Research InstituteWardliparingga Aboriginal Health Research Unit, South Australian Health and Medical Research InstituteWardliparingga Aboriginal Health Research Unit, South Australian Health and Medical Research InstituteWardliparingga Aboriginal Health Research Unit, South Australian Health and Medical Research InstituteWardliparingga Aboriginal Health Research Unit, South Australian Health and Medical Research InstituteWardliparingga Aboriginal Health Research Unit, South Australian Health and Medical Research InstituteSchool of Public Health, The University of AdelaideSchool of Public Health, The University of AdelaideWardliparingga Aboriginal Health Research Unit, South Australian Health and Medical Research InstituteJoanna Brigg Institute, The University of AdelaideWardliparingga Aboriginal Health Research Unit, South Australian Health and Medical Research InstituteAbstract Background The lack of attention to Indigenous epistemologies and, more broadly, Indigenous values in primary research, is mirrored in the standardised critical appraisal tools used to guide evidence-based practice and systematic reviews and meta-syntheses. These critical appraisal tools offer no guidance on how validity or contextual relevance should be assessed for Indigenous populations and cultural contexts. Failure to tailor the research questions, design, analysis, dissemination and knowledge translation to capture understandings that are specific to Indigenous peoples results in research of limited acceptability and benefit and potentially harms Indigenous peoples. A specific Aboriginal and Torres Strait Islander Quality Appraisal Tool is needed to address this gap. Method The Aboriginal and Torres Strait Islander Quality Appraisal Tool (QAT) was developed using a modified Nominal Group and Delphi Techniques and the tool’s validity, reliability, and feasibility were assessed over three stages of independent piloting. National and international research guidelines were used as points of reference. Piloting of the Aboriginal and Torres Strait Islander QAT with Aboriginal and Torres Strait Islander and non-Indigenous experts led to refinement of the tool. Results The Aboriginal and Torres Strait Islander QAT consists of 14 questions that assess the quality of health research from an Aboriginal and Torres Strait Islander perspective. The questions encompass setting appropriate research questions; community engagement and consultation; research leadership and governance; community protocols; intellectual and cultural property rights; the collection and management of research material; Indigenous research paradigms; a strength-based approach to research; the translation of findings into policy and practice; benefits to participants and communities involved; and capacity strengthening and two-way learning. Outcomes from the assessment of the tool’s validity, reliability, and feasibility were overall positive. Conclusion This is the first tool to appraise research quality from the perspective of Indigenous peoples. Through the uptake of the Aboriginal and Torres Strait Islander QAT we hope to improve the quality and transparency of research with Aboriginal and Torres Strait Islander peoples, with the potential for greater improvements in Aboriginal and Torres Strait Islander health and wellbeing.http://link.springer.com/article/10.1186/s12874-020-00959-3Aboriginal and Torres Strait Islander peopleIndigenousAustraliaIndigenous epistemologiesQuality appraisalSystematic reviews
collection DOAJ
language English
format Article
sources DOAJ
author Stephen Harfield
Odette Pearson
Kim Morey
Elaine Kite
Karla Canuto
Karen Glover
Judith Streak Gomersall
Drew Carter
Carol Davy
Edoardo Aromataris
Annette Braunack-Mayer
spellingShingle Stephen Harfield
Odette Pearson
Kim Morey
Elaine Kite
Karla Canuto
Karen Glover
Judith Streak Gomersall
Drew Carter
Carol Davy
Edoardo Aromataris
Annette Braunack-Mayer
Assessing the quality of health research from an Indigenous perspective: the Aboriginal and Torres Strait Islander quality appraisal tool
BMC Medical Research Methodology
Aboriginal and Torres Strait Islander people
Indigenous
Australia
Indigenous epistemologies
Quality appraisal
Systematic reviews
author_facet Stephen Harfield
Odette Pearson
Kim Morey
Elaine Kite
Karla Canuto
Karen Glover
Judith Streak Gomersall
Drew Carter
Carol Davy
Edoardo Aromataris
Annette Braunack-Mayer
author_sort Stephen Harfield
title Assessing the quality of health research from an Indigenous perspective: the Aboriginal and Torres Strait Islander quality appraisal tool
title_short Assessing the quality of health research from an Indigenous perspective: the Aboriginal and Torres Strait Islander quality appraisal tool
title_full Assessing the quality of health research from an Indigenous perspective: the Aboriginal and Torres Strait Islander quality appraisal tool
title_fullStr Assessing the quality of health research from an Indigenous perspective: the Aboriginal and Torres Strait Islander quality appraisal tool
title_full_unstemmed Assessing the quality of health research from an Indigenous perspective: the Aboriginal and Torres Strait Islander quality appraisal tool
title_sort assessing the quality of health research from an indigenous perspective: the aboriginal and torres strait islander quality appraisal tool
publisher BMC
series BMC Medical Research Methodology
issn 1471-2288
publishDate 2020-04-01
description Abstract Background The lack of attention to Indigenous epistemologies and, more broadly, Indigenous values in primary research, is mirrored in the standardised critical appraisal tools used to guide evidence-based practice and systematic reviews and meta-syntheses. These critical appraisal tools offer no guidance on how validity or contextual relevance should be assessed for Indigenous populations and cultural contexts. Failure to tailor the research questions, design, analysis, dissemination and knowledge translation to capture understandings that are specific to Indigenous peoples results in research of limited acceptability and benefit and potentially harms Indigenous peoples. A specific Aboriginal and Torres Strait Islander Quality Appraisal Tool is needed to address this gap. Method The Aboriginal and Torres Strait Islander Quality Appraisal Tool (QAT) was developed using a modified Nominal Group and Delphi Techniques and the tool’s validity, reliability, and feasibility were assessed over three stages of independent piloting. National and international research guidelines were used as points of reference. Piloting of the Aboriginal and Torres Strait Islander QAT with Aboriginal and Torres Strait Islander and non-Indigenous experts led to refinement of the tool. Results The Aboriginal and Torres Strait Islander QAT consists of 14 questions that assess the quality of health research from an Aboriginal and Torres Strait Islander perspective. The questions encompass setting appropriate research questions; community engagement and consultation; research leadership and governance; community protocols; intellectual and cultural property rights; the collection and management of research material; Indigenous research paradigms; a strength-based approach to research; the translation of findings into policy and practice; benefits to participants and communities involved; and capacity strengthening and two-way learning. Outcomes from the assessment of the tool’s validity, reliability, and feasibility were overall positive. Conclusion This is the first tool to appraise research quality from the perspective of Indigenous peoples. Through the uptake of the Aboriginal and Torres Strait Islander QAT we hope to improve the quality and transparency of research with Aboriginal and Torres Strait Islander peoples, with the potential for greater improvements in Aboriginal and Torres Strait Islander health and wellbeing.
topic Aboriginal and Torres Strait Islander people
Indigenous
Australia
Indigenous epistemologies
Quality appraisal
Systematic reviews
url http://link.springer.com/article/10.1186/s12874-020-00959-3
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