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Exploring the health promotion needs of refugees in a regional town in NSW, Australia: protocol for a two-phase participatory co-designed qualitative research study
Journal article   Open access   Peer reviewed

Exploring the health promotion needs of refugees in a regional town in NSW, Australia: protocol for a two-phase participatory co-designed qualitative research study

Masum Billah, Ratika Kumar, Gail Moloney, Michele Greenwood and Gillian Gould
BMJ Open, Vol.15(11), pp.1-8
11/2025
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Published (Version of record)CC BY-NC V4.0 Open Access
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#3 Good Health and Well-Being

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Abstract

Health Education Refugees Smoking Reduction Physical Fitness NUTRITION & DIETETICS Health Equity
Introduction: Refugees experience significant health needs and well-being inequities. Smoking tobacco, nutrition disorders, alcohol use and physical inactivity are potential contributors to developing non-communicable diseases and mental health conditions. This study aims to explore refugees’ health promotion needs in a regional town in New South Wales (NSW), Australia, suggest appropriate health promotion methods, and co-design a health promotion intervention. Privileging refugees’ voices and experiences is central to co-designing appropriate health promotion interventions. Methods: We will employ a two-phase participatory qualitative co-design method. As there is a lack of knowledge about refugees’ health needs, a participatory research design has the potential to explore the topics holistically. The social–ecological model and the behaviour change wheel model will guide this study. During Phase 1, a semistructured interview guide will be used for in-depth interviews and focus group discussions with refugees. A deductive reflexive thematic analysis will be applied to analyse data using NVivo. In Phase 2, two workshops will be conducted with refugees and health professionals. A reflexive thematic analysis will be performed to identify the top health promotion strategies. Ethics and dissemination: Ethical approval was obtained from the Human Research Ethics Committee (HREC) of the North Coast NSW Local Health District (HREA370 2023/ETH00444). The Human Research Ethics Committee approved a minimisation of duplication at a regional university in Australia (SCU HREC 2024/106). Study findings will be disseminated through embedding chapters in the PhD thesis, publishing high-quality papers and presenting at conferences, lay reports, newsletters and media.

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