Search

Previous literature has applied system-focused structures to understand the success of First Nations Peoples' nutrition and exercise group programmes. Existing system-focused measures have included biomedical outcomes, access and service utilization. By broadening the focus of programme success beyond the system, we can evaluate programmes from a First Nations Peoples' lifeworld perspective. Critical hermeneutics and yarning using a lens of Habermas' Theory of Communicative Action to the literature has the potential to transform understandings of "success" in First Nations Peoples' nutrition and exercise group programmes. In this literature interpretation, we explored the critical success factors from a lifeworld perspective, giving scope to go beyond a system perspective to include a cultural, social or personal perspective. Our yarning led us to understand that there is a communicative relationship between explicit system structures and implicit lifeworld concepts that are critical success factors for First Nations nutrition and exercise group programmes. We have developed a set of reflective questions to guide others in considering a lifeworld perspective. Our findings represent a shift away from success measured by the dominant power structure to respect the lifeworld culture, knowledges and values of First Nations Peoples towards shared understanding and mutual decision-making. [ABSTRACT FROM AUTHOR]

We investigated whether the context of first-time intercourse (FTI) was associated with internal consent feelings and external consent communication at FTI. College students (n = 1020) from universities in Canada and the United States retrospectively reported on their FTI. Using structural equation modeling, we found that the context of participants' FTI (e.g. age, contraceptive use) predicted their internal consent, which in turn predicted their external consent communication. Sexual health education should highlight these contextual correlates of sexual consent at FTI. Despite the cultural primacy of FTI, consent should also be prioritized for other early sexual experiences. [ABSTRACT FROM AUTHOR]