Cited by 320Indigenous Health, Education, and RightsHealth Sciences Research and EducationMeta-analysis and systematic reviews

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

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Harfield, Stephen, Pearson, Odette, Morey, Kim, Kite, Elaine, Canuto, Karla, Glover, Karen, Gomersall, Judith Streak, Carter, Drew, Davy, Carol, Aromataris, Edoardo, Braunack-Mayer, Annette·2020·BMC Medical Research Methodology

DOI 10.1186/s12874-020-00959-3PMC PMC7147059

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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.

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Fig. 1 Process of the Development of the Aboriginal and Torres Strait Islander QATCC BY · PubMed Central

Fig. 2 The Aboriginal and Torres Strait Islander Quality Appraisal ToolCC BY · PubMed Central

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Authors: Harfield, S., Pearson, O., Morey, K., Kite, E., Canuto, K., Glover, K., Gomersall, J. S., Carter, D., Davy, C., Aromataris, E., & Braunack-Mayer, A.
Affiliations: South Australian Health and Medical Research Institute (AU)
The University of Adelaide (AU)
Corresponding author: Harfield, Stephen
ORCID: Harfield, Stephen
Pearson, Odette
Morey, Kim
Canuto, Karla
Glover, Karen
Gomersall, Judith Streak
Carter, Drew
Davy, Carol
Aromataris, Edoardo
Venue: BMC Medical Research Methodology
Publisher: Springer Science and Business Media LLC
Published: 2020-04-10
Volume: 20
Issue: 1
Pages: 79-79
ISSN: 1471-2288 (ISSN-L)
DOI: 10.1186/s12874-020-00959-3
PMC: PMC7147059
OpenAlex: W3015992259
Cited by: 313
References: 27
Citations by year: 2026: 40 · 2025: 56 · 2024: 70 · 2023: 56 · 2022: 50 · 2021: 33 · 2020: 7
FWCI: 20.21
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0 (tdm)
creativecommons.org/licenses/by/4.0 (vor)
Locations: BMC Medical Research Methodology (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
ResearchOnline - JCU (James Cook University) (submittedVersion)
Research Online (University of Wollongong) (submittedVersion)
Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion, cc-by)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Figshare (submittedVersion)
Funders: National Health and Medical Research Council (NHMRC No 1061242)
Topics: Social Sciences › Health › Indigenous Health, Education, and Rights
Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
Keywords: Aboriginal and Torres Strait Islander health, Indigenous research paradigm, critical appraisal tools, research quality assessment, Indigenous epistemologies, community participation, community protocols, knowledge translation, capacity building, two-way learning
MeSH terms: Australian Aboriginal and Torres Strait Islander Peoples, Australia, Chronic Disease, Health Services Research, Health Services, Indigenous, Humans, Reproducibility of Results, Native Hawaiian or Other Pacific Islander

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

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