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EXPLORING CULTURAL VARIABLES AFFECTING SPORT AND PHYSICAL ACTIVITY BEHAVIOURS OF KAREN REFUGEES IN AUSTRALIA: APPLYING A CULTURALLY SPECIFIC APPROACH TO ACTIVE LIFESTYLES TÉA O’DRISCOLL THESIS SUBMITTED IN FULFILMENT OF THE REQUIREMENTS OF THE DEGREE OF DOCTOR OF PHILOSOPHY 4th February, 2016 COLLEGE OF SPORT AND EXERCISE SCIENCE VICTORIA UNIVERSITY ABSTRACT Culturally and linguistically diverse (CALD) communities; refugees in particular, have complex health concerns and may be at increased risks of developing lifestyle diseases such as type II diabetes. Yet, in Australia, these groups are not participating in the recommended amount of regular sport and physical activity (PA) to obtain important health benefits. Researchers have suggested that this may be due to various factors, some of which are synonymous with the general population (e.g., cost, time). However, the influence of cultural variables and the process of resettlement on refugees’ participation in sport and PA in Australia is relatively unexplored. This project aims to investigate such variables amongst recently arrived Karen refugees, whose cultural and ethnic background is distant from traditional Australian’s backgrounds. The Karen have been arriving to Australia in significant numbers over the last few years, and thus local service providers commonly work with the group. In-depth interviews, PA diaries and a family PA intervention were undertaken as part of this PhD project. The thesis argues that cultural background and the process of acculturation in a culturally distant country significantly impact on PA participation for the Karen. Concepts of identity, values, and differences in lifestyles between ‘back home’ and Australia are important considerations for service providers working with the Karen. The culturally specific PA pilot program was implemented effectively, suggesting that participation may be encouraged in this group through similar programs, if they are appropriate and meaningful for the participants. This PhD project suggests 2 that obtaining an in-depth understanding of a target group’s culture and social context is important in developing and implementing effective culturally specific PA programs for CALD communities. 3 DECLARATION “I, Téa O’Driscoll, declare that the PhD thesis entitled ‘Exploring Cultural Variables Affecting Sport and Physical Activity Behaviours of Karen Refugees in Australia: Applying a Culturally Specific Approach to Active Lifestyles’ is no more than 100,000 words in length including quotes and exclusive of tables, figures, appendices, bibliography, references and footnotes. This thesis contains no material that has been submitted previously, in whole or in part, for the award of any other academic degree or diploma. Except where otherwise indicated, this thesis is my own work.” Signature Date: 04/02/2016 4 Table of Contents LIST OF TABLES ......................................................................................................... 11 LIST OF FIGURES ........................................................................................................ 12 LIST OF APPENDICES ................................................................................................ 13 DEDICATION ................................................................................................................ 14 ACKNOWLEDGEMENTS ............................................................................................. 15 PEER REVIEWED PUBLICATIONS FROM THESIS .................................................... 17 CONFERENCE PRESENTATIONS FROM THESIS ..................................................... 18 EXTERNAL FUNDING AWARDED DURING CANDIDATURE ..................................... 20 DEFINITION OF TERMS............................................................................................... 21 PREFACE ..................................................................................................................... 23 CHAPTER 1: INTRODUCTION ................................................................................ 26 1.1 Introduction ................................................................................................................... 27 1.1.1 Rationale .................................................................................................................. 27 1.1.2 Introduction .............................................................................................................. 30 1.2 Karen Refugees ........................................................................................................... 33 1.3 Overall Purpose and Research Objectives .................................................................. 37 1.4 Study 1 Description ...................................................................................................... 40 1.5 Study 2 Description ...................................................................................................... 41 1.6 Study 3 Description ...................................................................................................... 43 1.7 Theoretical underpinnings and frameworks ................................................................. 45 1.7.1 Acculturation ............................................................................................................ 45 1.7.2 Phenomenology and IPA ......................................................................................... 47 5 CHAPTER 2: REVIEW OF LITERATURE ................................................................ 50 2.1 Introduction: Culturally and Linguistically Diverse groups and participation in sport and physical activity ......................................................................................................................... 51 2.2 Methods ........................................................................................................................ 57 2.2.1 Literature search ...................................................................................................... 57 2.2.2 Selection of literature ............................................................................................... 58 Phase I ............................................................................................................................................ 58 Phase II ........................................................................................................................................... 62 Phase III .......................................................................................................................................... 62 2.3 Results ......................................................................................................................... 63 2.3.1 Samples ................................................................................................................... 77 2.3.2 Measures ................................................................................................................. 78 2.3.3 Correlates................................................................................................................. 80 2.3.3.1 Acculturation ................................................................................................................. 80 2.3.3.2 Demographic ................................................................................................................ 83 2.3.3.3 Psychosocial ................................................................................................................. 85 2.3.3.4 Environmental / Organisational ..................................................................................... 90 2.4 Discussion .................................................................................................................... 92 2.4.1 Strengths and Limitations of the Literature .............................................................. 95 2.5 Future Directions .......................................................................................................... 97 2.6 Conclusions ................................................................................................................ 100 CHAPTER 3: CONTEXT TO METHODOLOGICAL PROCEDURES ..................... 101 3.1 GENERAL METHODOLOGICAL CONSIDERATIONS ............................................. 102 3.1.1.1 Employing a Community Development approach ....................................................... 110 3.1.2 Participants ............................................................................................................ 113 3.1.3 Sampling and Recruitment..................................................................................... 114 3.2 COMMUNITY LEADERS AS INTERPRETERS AND RESEARCH PARTNERS: METHODOLOGICAL ISSUES ................................................................................................ 116 6 3.3 Background to Cross-Cultural and Cross-Language Research ................................. 117 3.3.1 Studies 1 and 2 in a Cross-Language and Cross-Cultural Landscape ................. 120 3.4 Community-Leaders as Interpreters ........................................................................... 122 3.4.1 The Co-Researcher Role and Overcoming Issues of Power................................. 124 3.4.2 Challenges of the Co-Researcher Partnership ...................................................... 128 3.4.3 Rewards of the Co-Researcher Partnership .........................................................