# Addressing Commercial Health determinants: Indigenous Empowerment and Voices for Equity (ACHIEVE)—protocol for a multiphase study

## TL;DR

This study aims to include Indigenous voices in understanding how commercial factors affect health, focusing on empowering Aboriginal and Torres Strait Islander communities in Australia.

## Contribution

The study introduces a novel, Indigenous-led approach combining multiple methods to address commercial health determinants and empower Indigenous communities.

## Key findings

- The study will use Indigenous yarning methodology to conceptualize commercial health determinants.
- It will evaluate policies to reduce harmful marketing exposure and assess commercial entities' impacts on Indigenous health.
- Findings will be used to co-create strategies with Aboriginal health organizations to address these determinants.

## Abstract

The commercial determinants of health (CDoH) are a rapidly growing field of research and global health priority. Despite being disproportionately affected, Indigenous Peoples’ voices and perspectives are conspicuously absent from CDoH research and policy. This article outlines the protocol for Addressing Commercial Health determinants: Indigenous Empowerment and Voices for Equity (ACHIEVE), an Aboriginal and Torres Strait Islander-led project in Australia.

ACHIEVE integrates four research streams, using a novel combination of methods. The first three streams will (i) conceptualise the CDoH using Indigenous yarning methodology, (ii) evaluate the effectiveness and cost-effectiveness of policies to reduce exposure to harmful marketing and (iii) assess the impacts of specific commercial entities on Aboriginal and Torres Strait Islander health using case studies. The final stream will consolidate findings from streams 1–3 and work with Aboriginal Community Controlled Health Organisations (ACCHOs) to co-create strategies for addressing the commercial determinants of Aboriginal and Torres Strait Islander health.

Ethical approval for streams 1–3 has been granted by Deakin University Human Research Ethics Committee. ACHIEVE is guided by a governance model that prioritises Indigenous data sovereignty, community and ACCHO partnerships, capacity building and knowledge translation. Findings will be shared with participants, ACCHOs and policymakers to maximise research impact.