Cracks in the Ice resources for Aboriginal and Torres Strait Islander peoples: Development of a culturally appropriate evidence-based online community toolkit about crystal methamphetamine (Preprint)
Notice bibliographique
Résumé
Background: Crystal methamphetamine ("ice") is a drug of significant concern across Australia; however, access to culturally appropriate, community-led, and co-developed resources is limited for Aboriginal and Torres Strait Islander communities. Objective: To meet this need, the Cracks in the Ice Resources for Aboriginal and Torres Strait Islander peoples web-based toolkit was developed to support Aboriginal and Torres Strait Islander peoples, families, and communities affected by crystal methamphetamine. Methods: The community-led development of the toolkit was overseen by an expert advisory group and involved a broad-reaching, inclusive, and iterative process, with three phases over a 6-year period (from funding in 2016 to launch in 2021). The development phases with, and for, Aboriginal and Torres Strait Islander communities involved (1) initial focus groups (30-45 min, n=15) conducted by an Aboriginal researcher across 6 locations including metropolitan cities, rural regional towns, and towns servicing remote Aboriginal communities across Australia; (2) content and web development in collaboration with First Nations digital agencies; and (3) beta-testing of the web-based toolkit via a 15-25 minute online survey to evaluate the toolkit's acceptability, relevance, and usability. Results: Phase 1 community consultations (n=166) highlighted the need for culturally appropriate information and resources about methamphetamine use harms, impacts, and support options. This guided phase 2, where resources were developed to address knowledge gaps (eg, drug effects) and practical needs of communities (eg, yarning about drugs), along with content-specific meaningful First Nations artwork, interactive features, and other resources. Phase 3 beta-testing results were positive, with Aboriginal and Torres Strait Islander end users (n=73) reporting that the toolkit was easy to navigate and provided appropriate and relevant information. The majority (67/73, 91.8%) of participants reported that it was clear what information the toolkit provided, and most (54/73, 73.9%) were "very likely" to recommend it to others. Areas for improvement were identified (eg, explanation of artwork development and improving the clarity of text) and addressed before launch. The web-based toolkit was officially launched on July 21, 2021 (reach as of June 2025: >2.74M page views, >1.44M unique website users, and >366K hard copy resources distributed to >1793 organizations across Australia). Conclusions: It is critical that First Nations health resources are community-led and iteratively co-developed with experts and health workers supporting communities. Conducted over 6 years and involving >240 Aboriginal and Torres Strait Islander community members, Elders, experts, and health workers, such a process was used to develop this culturally appropriate, relevant, and acceptable web-based toolkit about crystal methamphetamine for Aboriginal and Torres Strait Islander peoples. While focused on an area of high need within Australia, this process provides an effective and strengths-focused roadmap to achieve this in other areas of health and in other countries working with First Nations peoples.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,025 | 0,039 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,004 | 0,002 |
| Communication savante | 0,003 | 0,004 |
| Science ouverte | 0,003 | 0,013 |
| Intégrité de la recherche | 0,002 | 0,004 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,022 | 0,004 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».