Kennedy, Michelle

Booth, Kade

Bryant, Jamie

Collis, Felicity

Chamberlain, Catherine

Hughes Wagadagam , Jaquelyne

Hobden, Breanne

Griffiths, Kalinda E

Wenitong, Mark

O'Mara, Peter

Brown, Alex

Eades, Sandra J

Kong, Kelvin M

Lovett, Raymond W

2025-02-02

Describe perceptions of how well researchers conducting Aboriginal and Torres Strait Islander health and medical research apply ethical research practices.Cross-sectional online survey.Researchers who included Aboriginal and Torres Strait Islander people or their data in their projects, and current or past members (previous 5 years) of a human research ethics committee that assessed Aboriginal and Torres Strait Islander research.Researchers' engagement with 15 ethical research practices (on a 5-point Likert scale, poor to excellent).561 participants (382 researchers [68.1%] and 179 human research ethics committee members [31.9%]) completed the survey. Across all research practices, a rating of excellent was least frequently endorsed, with the highest frequency being for employing Aboriginal and Torres Strait Islander team members (38 participants [6.8%]). A rating of poor was most common for enacting Indigenous data sovereignty and governance principles (156 participants [27.8%]). Aboriginal and Torres Strait Islander respondents had significantly lower odds of perceiving high levels of adherence to ethical principles than non-Aboriginal and Torres Strait Islander respondents for all ethical principles, except employing Aboriginal and Torres Strait Islander team members. In particular, Aboriginal and Torres Strait Islander participants had 65% lower odds of perceiving that researchers have high rates of adhering to disseminating results back to the community (odds ratio [OR], 0.35; 95% CI, 0.22-0.57), 56% lower odds of perceiving that researchers have high rates of adhering to engaging Aboriginal community in research implementation (OR, 0.44; 95% CI, 0.27-0.73), and 54% lower odds of perceiving that researchers have high rates of adhering to engaging Aboriginal community in developing research questions (OR, 0.46; 95% CI, 0.28-0.75).Researchers are not consistently implementing all ethical practices outlined in guidelines for research involving Aboriginal and Torres Strait Islander people. We call for commitment from researchers, institutions and funding bodies to address shortfalls, embed processes, and hold researchers accountable to Aboriginal and Torres Strait Islander people, communities and the principles and guidelines they have established.

University of Newcastle, Newcastle, NSW.

Hunter Medical Research Institute, Newcastle, NSW.

University of Newcastle, Newcastle, NSW.

Hunter Medical Research Institute, Newcastle, NSW.

University of Newcastle, Newcastle, NSW.

Hunter Medical Research Institute, Newcastle, NSW.

University of Newcastle, Newcastle, NSW.

Hunter Medical Research Institute, Newcastle, NSW.

University of Melbourne, Melbourne, VIC.

Onemda, University of Melbourne, VIC.

Flinders University, Darwin, NT.

Royal Darwin Hospital, Darwin, NT.

University of Newcastle, Newcastle, NSW.

Hunter Medical Research Institute, Newcastle, NSW.

Menzies School of Health Research, Darwin, NT.

University of New South Wales, Sydney, NSW.

The University of Queensland, Brisbane, QLD.

University of Newcastle, Newcastle, NSW.

The Kids Institute Australia, Adelaide, SA.

South Australian Health and Medical Research Institute, Adelaide, SA.

University of Melbourne, Melbourne, VIC.

University of Newcastle, Newcastle, NSW.

Hunter Medical Research Institute, Newcastle, NSW.

Yardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Reesarch, Australian National University, Canberra, ACT.

Australian Institute of Aboriginal and Torres Strait Islander Studies, Canberra, ACT.

Med J Aust . 2025 Feb 3:222 Suppl 2:S49-S56. doi: 10.5694/mja2.52572.

1326-5377

0000-0001-9691-068X

0009-0001-8197-9382

https://pubmed.ncbi.nlm.nih.gov/39893589/?otool=iaurydwlib

https://hdl.handle.net/10137/13958

Ethics

Indigenous health

research

Humans

Cross-Sectional Studies

Native Hawaiian or Pacific Islander

Australia

Biomedical Research

Research Personnel

Male

Female

Health Services, Indigenous

Ethics, Research

Adult

Surveys and Questionnaires

Middle Aged

Ethics Committees, Research

Australian Aboriginal and Torres Strait Islander Peoples

How well are researchers applying ethical principles and practices in Aboriginal and Torres Strait Islander health and medical research? A cross-sectional study.

Journal Article

Publication