Practical Strategies for Establishing a Physical Activity Program for Older Aboriginal People - Reflections About Decolonising Practice

BackgroundPhysical activity (PA) is a vital component of healthy ageing. However, there are few culturally appropriate PA programs available for older Aboriginal and Torres Strait Islander people. The objectives of this review were to i) assist health professionals to gain understanding about working with older Aboriginal people, ii) provide practical strategies that guide a decolonising approach when delivering PA programs. MethodsA review of PA program delivery was undertaken by two researchers, one of whom was a Noongar Wadjak woman. The researchers conducted a weekly PA program for older Aboriginal people on Noongar Boodja (Country). The researchers took a “Nih Waangkiny Kaadatjiny” (listening, learning and knowing) approach to reflect on their practice. Practical strategies based on reflections about barriers and enablers to successful program delivery were identified. ResultsKey learnings identified that rather than seeking to lead PA programs for older Aboriginal people, health professionals who apply a decolonising approach recognise that program decisions are shared between older Aboriginal people and the team. A key priority is building relationships with Elders and their communities. Working collaboratively assists to develop understanding about Aboriginal ways of working. Practical strategies that support a decolonising approach to PA program development include regular consultation and debriefing with Elders, using yarning circles and addressing safety and security. Conclusion Decolonising practice when delivering PA programs removes barriers and facilitates strong, working partnerships with older Aboriginal people. This assists to build and sustain effective PA programs.