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

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2026

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Cubillo Larrakia/Wadjigan, B.J.
Browne, J.
Sherriff, S.
Walker Yorta Yorta, T.
Hill, K.
Crocetti, A.
Mitchell, F.
Backholer, K.
Maddox, R.
Brown, A.

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BMJ Open, 2026; 16(1):e101735-1-e101735-9

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Beau Jayde Cubillo, Larrakia, Wadjigan, Jennifer Brown, Simone Sherriff, Troy Walker, Yorta Yorta, Karen Hill, Alessandro Crocetti, Fiona Mitchell, Kathryn Backholer, Raglan Maddox, Andrew Brown, Steven Allender, Cassandra J C Wright, Jennifer Lacy-Nichols, Catherine Chamberlain, Abe Ropitini, Ngāti Kahungunu, Ngāti Maniapoto iwi, Trawlwoolway, Nathan Taylor, Nadine Blair, Gregory Richards, Rachel R Huxley, Jaithri Ananthapavan, Joanne Hedges, Brianna Poirier, Anna Peeters, Phuong Nguyen, Boyd Swinburn, Sharon Atkinson-Briggs, Lee Yeomans, Yin Paradies

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Abstract

Introduction 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. Methods and analysis 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. Ethics and dissemination 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. Data availability statement No data are available. Protocol paper with no current data available.

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© Author(s) (or their employer(s)) 2026. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

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