Validated and culturally specific screening tools and early response programs for the detection and prevention of eating disorders among First Nations peoples in Australia: a scoping review

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Publicado en:Journal of Eating Disorders vol. 13, no. 1 (Dec 2025), p. 167
Autor principal: Castro, Mark John
Otros Autores: Gall, Zyana, Gall, Alana, Smith, Hilary, Kunaratnam, Kanita
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Springer Nature B.V.
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024 7 |a 10.1186/s40337-025-01334-7  |2 doi 
035 |a 3292195072 
045 2 |b d20251201  |b d20251231 
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100 1 |a Castro, Mark John  |u Edith Cowan University, School of Medical and Health Sciences, Perth, Australia (GRID:grid.1038.a) (ISNI:0000 0004 0389 4302) 
245 1 |a Validated and culturally specific screening tools and early response programs for the detection and prevention of eating disorders among First Nations peoples in Australia: a scoping review 
260 |b Springer Nature B.V.  |c Dec 2025 
513 |a Journal Article 
520 3 |a BackgroundEating disorders (EDs) are complex mental health conditions that can have severe health consequences, exacerbating the overall disease burden and causing significant economic impacts on healthcare systems. Globally, cultural and societal factors influence the presentation and management of these disorders, necessitating culturally specific approaches to screening and prevention. Among First Nations peoples in Australia, the intersection of historical, cultural, and social factors offers both context and strength in addressing EDs, while also presenting distinct challenges in identification and prevention.ObjectiveThis scoping review seeks to map and evaluate existing research on culturally specific and validated screening tools and early response programs tailored for the prevention and detection of EDs among the First Nations population in Australia. The goal is to acquire relevant information and identify gaps that need to be addressed in the literature to develop standardised screening tools and early response programs that are validated, effective, and culturally sensitive.DesignA literature search was conducted through seven online academic databases (PubMed, MEDLINE, PsycINFO, Scopus, Web of Science, CINAHL, and Informit) and included publications from 2009 to 2024. The search strategy focused on ED prevention strategies among First Nations peoples in Australia, with emphasis on screening tools and early response programs.ResultsThe scoping review found no culturally specific and validated screening tools and early response programs exist that have been specifically developed for First Nations peoples in Australia. After removing the cultural specificity criterion, seven studies were found that utilised six different screening tools and one early response program. Participant demographics across these studies were predominantly Caucasians or non-Indigenous, with First Nations individuals being underrepresented in sample sizes.ConclusionThe findings reveal significant gaps in literature on culturally specific screening tools and early response programs for eating disorders among First Nations peoples in Australia. Existing studies often underrepresent these populations and rely on tools designed for non-Indigenous groups, questioning the generalisability of the effectiveness to First Nations peoples in Australia. This review emphasises the need for future research to adopt culturally competent methodologies led by First Nations peoples. Developing culturally specific tools and programs is crucial for improving health outcomes and achieving equitable mental health within Australian healthcare systems, ensuring that resources are justly distributed.Plain English SummaryEating disorders (EDs) are serious mental health conditions that affect people differently based on their cultural background. This research looked at how First Nations peoples in Australia are supported in detecting and preventing eating disorders. We found that most tools and programs used today were designed for non-Indigenous communities and do not consider the unique cultural needs, histories, and strengths of First Nations peoples. Our team reviewed existing studies and found no tools or programs specifically created for First Nations communities. Even when we included general tools, very few First Nations peoples were part of the research - on average, only 6% of participants. This makes it hard to know if these tools or programs work well for their needs. This gap in culturally safe resources can lead to unequal health outcomes. We urge researchers and healthcare systems to partner with First Nations communities to develop tools and programs that respect their cultural values. By centring First Nations voices and leadership, we can create better solutions that truly meet their needs. Together, we can work toward fairer mental health care for all. 
651 4 |a Australia 
651 4 |a Torres Strait 
653 |a Self image 
653 |a Native peoples 
653 |a Grey literature 
653 |a Prevention programs 
653 |a Mental health 
653 |a Eating disorders 
653 |a Body image 
653 |a Stigma 
700 1 |a Gall, Zyana  |u Southern Cross University, National Centre for Naturopathic Medicine, East Lismore, Australia (GRID:grid.1031.3) (ISNI:0000 0001 2153 2610) 
700 1 |a Gall, Alana  |u Southern Cross University, National Centre for Naturopathic Medicine, East Lismore, Australia (GRID:grid.1031.3) (ISNI:0000 0001 2153 2610) 
700 1 |a Smith, Hilary  |u National Eating Disorders Collaboration, Brunswick, Australia (GRID:grid.1031.3) 
700 1 |a Kunaratnam, Kanita  |u Edith Cowan University, School of Medical and Health Sciences, Perth, Australia (GRID:grid.1038.a) (ISNI:0000 0004 0389 4302) 
773 0 |t Journal of Eating Disorders  |g vol. 13, no. 1 (Dec 2025), p. 167 
786 0 |d ProQuest  |t Healthcare Administration Database 
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