Current Attitudes Research Articles

P-569 Unraveling parenthood intentions of 1700 adolescents in 2022, Flanders (Belgium)

Abstract Study question What are the current attitudes in Flemish adolescents aged 15-19 towards having children? Summary answer While the majority of adolescents want to have children, 25% have ambiguous feelings about having children and 10% indicate a wish to remain childless. What is known already In the past decades, a very positive attitude towards having children has been reported in young people. In the adult population, most people desire to have children or are already parents, but the group of people who choose to remain childfree is increasingly visible and vocal. The current generation of adolescents is more concerned about environmental impacts than previous generations. Study design, size, duration An anonymous online survey of multiple choice and open-ended questions was offered to adolescents in Flanders (Belgium). Forty – four schools in Flanders participated and 1700 adolescents completed the questionnaire from February 2022 to June 2022. We performed a qualitative analysis of answers in open ended questions. Participants/materials, setting, methods Adolescents aged 15 – 19 years old, attending the last two years of secondary school in Flanders (Belgium). Most pupils had the opportunity to complete the questionnaire during class, others chose to complete the questionnaire in their own free time. Main results and the role of chance The majority of pupils would like to have children (60.2%), a considerable proportion is still undecided (24.7%) and 10.8% report they do not want children. Significantly more boys than girls would like to have children (67% versus 61.7%, p < 0.01). Having a positive representation of children and the desire to build a family in the future are the most important reasons for wanting children. Adolescents who have ambiguous feelings or who do not want children are rather pragmatic in their decision-making. They may consider factors such as financial stability, career goals and personal development before deciding to have children. Other reasons for having an ambiguous or negative attitude towards parenthood reflect the sense of uncertainty in association with the current global situation and socio-political situation. Our data do not allow us to conclude whether the observed decline in the desire for parenthood is a temporary phenomenon closely linked to current events, or a more permanent one. Limitations, reasons for caution Participants were predominantly girls and attended general secondary education. The questionnaire has only been distributed in schools in Flanders and not in the entire country of Belgium due to administrative constraints. Pupils with a positive attitude towards having children may have been more likely to participate in the study. Wider implications of the findings Although reproductive intentions can change over the course of a lifetime, our results suggest that the future fertility rate may decline due to an increasing segment of voluntarily childfree people. A balance may be necessary between removing practical barriers toward parenthood, while acknowledging the legitimacy of other life plans. Trial registration number not applicable

Digital Rectal Examination: Perspectives on Current Attitudes, Enablers, and Barriers to Its Performance by Doctors-in-Training.

Background Digital rectal examination (DRE) is a valuable diagnostic tool for diagnosing multiple conditions, but its use has declined in practice. This study sought to provide perspectives on current attitudes, enablers, and barriers to performing DRE for doctors-in-training (DiTs) and explore strategies to improve and facilitate consistent, efficient, and effective execution of DRE.​​​​​​​ Methodology Self-reported DRE practice among DiTs (n = 1,652) across three metropolitan health service regions in Western Australia was surveyed using a de-identified multiple-response ranking, dichotomous quantitative and qualitative survey. Data were analyzed using SPSS version 27 (IBM Corp., Armonk, NY, USA). Results A total of 452 (27%) DiTs responded to the survey, with an even distribution of key demographics between regions and specialties. The median post-graduate year was 2. Half of DiTs reported being comfortable with performing DRE. Most had training in medical school (71%), while 9.7% had no training in DRE. Chaperone availability, perceived invasiveness, and lack of confidence were key barriers; key enablers were formal training and senior colleague/departmental support. The multivariate logistic regression showed that DiTs who reported being comfortable in performing DRE were significantly and independently associated with being a high-volume practitioner (p < 0.001), confident in diagnosing benign (p < 0.001) or malignant pathology (p < 0.001), perceived adequate DRE training (p < 0.001), prior formal DRE training (p = 0.007), and surgical subspeciality interest (p = 0.030). Conclusions Low levels of confidence and comfort in the performance of DRE among DiTs have resulted in the underutilization of a critical diagnostic tool. Future curriculum and departmental clinical practice interventions should address barriers while promoting enablers.

Palliative Care Education in US Physical Medicine and Rehabilitation Residency Programs: Current Practices, Perceived Needs, and Barriers.

Background: Physical medicine and rehabilitation (PM&R) clinicians commonly care for patients with serious illness/injury and would benefit from primary palliative care (PC) training. Objective: To assess current practices, attitudes, and barriers toward PC education among U.S. PM&R residencies. Design: This is a cross-sectional study utilizing an electronic 23-question survey. Setting/Subjects: Subjects were program leaders from U.S. PM&R residency programs. Results: Twenty-one programs responded (23% response). Only 14 (67%) offered PC education through lectures, elective rotations, or self-directed reading. Pain management, communication, and nonpain symptom management were identified as the most important PC domains for residents. Nineteen respondents (91%) felt residents would benefit from more PC education, but only five (24%) reported undergoing curricular change. Lack of faculty availability/expertise and teaching time were the most endorsed barriers. Conclusion: PC education is heterogeneous across PM&R programs despite its perceived value. PC and PM&R educators can collaborate to build faculty expertise and integrate PC principles into existing curricula.

AN INVESTIGATION OF TYPES OF FEEDBACK IN TEACHING ENGLISH LANGUAGE

The purpose of this study is to examine the efficacy of teachers' error feedback on improving writing accuracy among English language students and non-English language students. The current attitude to error being one of tolerance and expectation. The teachers should expect error on the part of learners while using second language. This naturally makes the teacher prepare his own techniques to correct the learner. This makes Error Analysis an in dispensable component of English Language Teaching (ELT).

What are Chinese University students’ Views on The LGBT Community and The Responsibility of Educational Leaders to Teach LGBT Issues in Schools?

As a subculture, the LGBT community is characterized by its independence from mainstream culture (Ye, 2018). The existence of the LGBT community as a phenomenon has a long history. However, due to the influence of religious beliefs and mainstream culture, LGBT groups are consciously screened and marginalized in China (Tang &amp; Sun, 2014). The topic of LGBT groups on campus has brought many obstacles to the existing higher education management in China (Qu, 2015). The purpose of this study is to understand the cognition and attitude of Chinese college students towards the LGBT community, understand the characteristics and rules of the LGBT community, and enhance the pertinence and scientific nature of the guidance and management of university leaders. In this paper, the researcher will report on the exploratory research to better understand the current attitudes of Chinese college students toward the LGBT community and highlight the responsibility of school leaders when dealing with people who identify with LGBT issues. The setting for this research will be Chinese universities. Therefore, all participants will be Chinese university students. The first data will be collected through interviews. This study aims to improve the educational environment for LGBT people in Chinese universities and explore the responsibilities that Chinese school leaders should assume.

Attitudes and Beliefs of Parents About HPV Vaccination in Their Daughters During COVID-19 Pandemic: A Cross Sectional Study

Objective: This study aimed to determine parents’ current attitudes and beliefs using a standardised scale towards Human Papilloma Virus and its vaccine during COVID-19 Pandemic. Material and Methods: This is a descriptive cross sectional study including a total of 303 parents who applied to a training and research hospital pediatric clinic with a daughter aged 9-18 years old. A demographic variable questionnaire and The Turkish version of the Carolina Human Papilloma Virus Immunization Attitudes Scale (CHIAS) were assessed. Results: The Turkish version of the Carolina Human Papilloma Virus Immunization Attitudes Scale mean± SD scores of harms/barriers/effectiveness/uncertainty factors subgroup were calculated as 2.2±0.6, 2.5±0.7, 2.3±0.7, 2.9±0.8, respectively. 19.8% of parents were aware of Human Papilloma Virus and 22.5% of them declared to be willing to vaccinate their daughters against the infection. Human Papilloma Virus acceptance rate was still modest and lower than for vaccines in general during COVID-19 Pandemic. Conclusion: According to the result of this study, during COVID-19 Pandemic, the both female and male awareness and intention to vaccinate their daughters against Human Papilloma Virus is low. This is the first study analyzing parents’ current attitudes and beliefs using a standardised scale towards Human Papilloma Virus in Turkey and also is the first analyzing this subject during COVID-19 pandemic in the literature. Health education programs given by family doctors, pediatricians and community health professionals to parents is critically important in accepting this vaccine.

Preoperative assessment and optimisation prior to planned aortic aneurysm repair: a UK survey examining current practice and attitudes of vascular surgeons and vascular anaesthetists

BackgroundThe majority of those diagnosed with aortic aneurysm in the UK are older, multi-morbid patients. Decision-making as to who may benefit from intervention (open or endovascular aneurysm repair) is highly variable across the NHS (as is the mode of intervention), in part because there are no detailed guidelines or consensus on preoperative assessment. Thus, there is likely to be significant variation in the pre-operative assessment and optimisation of these patients.MethodsA survey was designed to understand current practice and attitudes of vascular surgeons and vascular anaesthetists in the UK regarding preoperative assessment and optimisation of patients undergoing elective aortic aneurysm repair. The survey was reviewed and validated by an expert panel, then distributed electronically to all vascular surgical and vascular anaesthetic leads in the UK.ResultsOverall, the response rate was 68%. The responses were varied between surgeons and anaesthetists, with differences reported in the preoperative assessment and optimisation of patients, the approach to shared decision-making, and the perioperative pathway.ConclusionsDespite initiatives such as Getting It Right First Time (GIRFT) and National Institute for Health and Care Excellence (NICE) guidelines, variation still exists between centres with some differences in opinion observed between surgeons and anaesthetists. These differences may be leading to duplication of work in the perioperative pathway, inconsistencies in how risk is assessed and communicated with consequent variation in patient care. Addressing these issues requires awareness and implementation of existing guidelines, transdisciplinary working, efficient data-driven pathways, and structured aortic aneurysm multi-disciplinary team to promote meaningful shared decision-making.

Is legislation to prevent genetic discrimination necessary in Japan? An overview of the current policies and public attitudes

Genetic discrimination (GD) has not been discussed in East Asia as extensively as in Europe and North America. Influenced by UNESCO’s universal declaration in 1997, the Japanese government took a stringent approach toward GD by releasing the Basic Principles on Human Genome Research in 2000. However, Japanese society has mostly been ignoring the prevention of GD for decades, and the principle of prohibiting GD was never adhered to in any of the Japanese laws. We conducted anonymous surveys among the general adult population in 2017 and 2022 to explore their experiences of GD and attitudes toward laws carrying penalties to prevent GD in Japan. In both years, approximately 3% of the respondents had experienced some unfavorable treatment regarding their genetic information. They showed higher recognition of the benefits of using genetic information and lower recognition of concerns about using genetic information and GD in 2022 than in 2017. However, the awareness regarding the need for legislation with penalties on GD had increased over the five-year period. In 2022, the framework of a bill to promote genomic medicine and prevent GD without any relevant penalties was released by the Bipartisan Diet Members Caucus. Considering that the absence of regulations may be a barrier to obtaining genomic medicine, as the initial step toward making the prohibition of GD more effective, legislation that no form of GD will be tolerated may stimulate education and awareness regarding respect for the human genome and its diversity.

With or without Wikipedia? Integrating Wikipedia into the Teaching Process in Estonian General Education Schools

Today’s education has been shaped by the rapid development of digital technologies and easy accessibility to a large number of electronic sources. This has instigated a genuine need to change current teaching attitudes and practices. Wikipedia, as a multilingual online platform open to all, is a source of information that is used on a daily basis and therefore cannot be ignored in the teaching process. The aim of this study is to explore the possibilities of using the Estonian Wikipedia for teaching purposes in general education schools. The study is based on semi-structured interviews with 49 teachers from 11 general education schools in Estonia. The results of the qualitative content analysis of the interviews indicate that teachers consider the use of Wikipedia to be a suitable for teaching, alongside other information sources and environments. However, teachers acknowledge some uncertainty and caution towards Wikipedia, as they do not consider it a very reliable teaching tool: an attitude largely inherited from the early days of Wikipedia. While teachers themselves are active and frequent Wikipedia users, and allow students to search for information, they do not assign Wikipedia-based text-creation tasks to students. The results of this study provide a basis for discussion about integrating Wikipedia into teaching in a way that is accessible, engaging, and inclusive for students.

Analisis Penataan Kamar Home Stay di Kota Pagar Alam, Sumatera Selatan

Tourists who are on vacation and are looking for different sensation, not just enjoying the beauty and pleasure of tourist attractions, staying at a homestay is a difficult experience compared to choosing to stay at a hotel. In addition to offering cheaper prices, homestays also provide tourists with the opportunity to get to know more local culture, local lifestyle, habits of residents living around the destination, can interact with fellow guests and residents. The research conducted in Pagar Alam, South Sumatra Province uses a qualitative research methodology with a descriptive approach that starts from an idea to obtain a complete and comprehensive picture in revealing the facts, situations, phenomena, variables and condition that occur when the research is ongoing and present. This research interprets and presents the data related to the current situation, attitude and knowledge in the community, conflict with the situation, relationship between variables, differences between facts, influence on a condition and others for the sustainability of tourism in Pagar Alam, South Sumatra Province.

Defining the educational needs for a community-based hematology/oncology career: A national needs assessment.

11011 Background: Fellowship training is largely rooted in academic medical centers, though many graduates will ultimately pursue careers in community-based settings. We initiated a national survey of hematologists/oncologists practicing in community or academic-community hybrid settings to understand providers’ educational needs. We hypothesized that the current model of fellowship training is not optimized for those pursuing community-based hematology/oncology careers. Methods: An electronic questionnaire was developed surveying current attitudes and practices of community-based hematologists/oncologists. Survey participants from across the United States were contacted via professional organizations. We primarily assessed whether survey participants received any specific training during fellowship for community-based practice. Participants were also surveyed regarding whether such training may have affected their preparation. Relative risk (RR) and 95% confidence intervals (CI) were calculated using modified Poisson regression with robust error variance adjusted for: time in clinical practice ( &lt; 10 years), size of graduating fellowship training program ( &gt; 5), board certification (hematology and oncology vs. either), and training program geographic location (by region) to identify factors associated with receiving community oncology-specific training. Results: Of the preliminary cohort of 120 participants from across 25 states, 66% were male, 69% identified as White, and 69% had been in practice for &gt; 10 years. Less than half (43.2%, binomial 95% CI 34.6%-52.2%) received any training for a career in a community-based setting. Participants identified rotations in community settings (48%), direct mentorship from community-based physicians (41%), and longitudinal clinic in a community setting (39%) as experiences that would have been valuable. Specific curricula of interest included: medical operations and administration (67%), health policy (38%), and quality improvement (30%). Respondents in clinical practice for &lt; 10 years were more likely to have received any community oncology-specific training (RR 2.02, 95% CI 1.10–3.72); other factors were not significantly associated with the primary outcome (P &gt; 0.05). Conclusions: National trends indicate a growing need for hematology/oncology graduates in community-based settings. Our study demonstrates substantial unmet needs as they relate to training fellows destined for careers in community-based practice. Prospective design of clinical training and curricula emphasizing longitudinal exposures to and key aspects of health care delivery in the community setting are paramount to achieving optimal, goal-concordant hematology and oncology training.

Evaluating the attitudes of Japanese society towards the hydrogen economy: A comparative study of recent and past community surveys

The Japanese government has long supported efforts to achieve a hydrogen society, but it is yet to be seen if hydrogen can achieve large-scale deployment. This study aims to analyse the current attitudes of Japanese society towards the realization of a hydrogen economy through a community survey and compare the results from a previous survey in 2015 to understanding of changing attitudes over time. The results show a gap in public understanding of hydrogen, with actual knowledge lower than self-reported. The Japanese community is divided on green vs. grey hydrogen production, with cost and environment being key factors. Public perception is mostly neutral with more positive than negative responses. However, there is a difference between public understanding of hydrogen production and utilization and the reality. Acceptance for hydrogen applications varies, with transportation receiving the most support. This study serves as basic information in establishing an operational and inclusive hydrogen economy that aligns with the collective desires and needs of all stakeholders.

Research on adaptive normalization method for attitude measurement of rotating projectile based on four-axis infrared

In view of the problems that the current attitude measurement method of rotating projectile based on three-axis infrared needs to normalize the sensor according to the surrounding environment in advance, resulting in the troublesome application of infrared attitude measurement method and insufficient environmental adaptability, an adaptive normalization method for attitude measurement of rotating projectile based on four-axis infrared is proposed. Based on the mathematical relationship between four-axis infrared sensors, an adaptive algorithm for the output amplitude and offset of infrared sensors is designed, which can realize the adaptive normalization of the environment of infrared sensors at any time. By building the semi-physical experiment and changing the surrounding environment, it is proved that the adaptive normalization method of rotating projectile attitude measurement based on four-axis infrared is effective, which provides convenience for the use of infrared attitude measurement method and further improves the infrared attitude measurement theory.

Attitude of healthcare professionals toward the use of complementary and alternative medication during anti-cancer therapy.

Patients with cancer often use complementary and alternative medication (CAM). This research aims to study the current attitude of healthcare professionals toward the use of CAM to improve current care. A questionnaire on both the current practice and opinions about CAM use was sent to healthcare professionals in Amsterdam UMC, who work for the department of hematology or oncology. Oncologists, hematologists, residents, (specialized) nurses, dieticians, (hospital)pharmacists, and pharmacy technicians were asked to participate in this study. Among eligible healthcare professionals, 77 responded to the questionnaire (34%). Overall, 87% of healthcare professionals indicate it is important to be aware of their patient's CAM use, and all find the potential of drug-herb interactions important. However, more than half of the healthcare professionals inquire about the patient's CAM use infrequently. In addition, only 15% of the healthcare professionals stated they had sufficient knowledge of CAM to advise patients on their use of CAM. Healthcare professionals are aware of the potential risks of CAM use in combination with anti-cancer treatment. However, CAM use is not yet discussed with every patient. This may be due to healthcare professionals' lack of knowledge about CAM.

Reproductive endocrinologist and infertility specialists’ knowledge, skills, behaviors, and attitudes regarding the care for transgender and gender-diverse individuals

To investigate associations between reproductive endocrinology and infertility (REI) providers' prior training and current knowledge, skills, attitudes, and behaviors regarding fertility preservation and family building for transgender and gender-diverse (T/GD) patients. The survey was distributed to members of the Society for Reproductive Endocrinology and Infertility, the REI-physician-focused professional body within the American Society for Reproductive Medicine, with additional participants recruited through snowball sampling. Participants (n = 206) reported on training in T/GD care; 51% endorsed prior training. Most participants (93%) believed T/GD individuals were as fit for parenthood as cisgender individuals. Prior training was associated with an increased likelihood of offering T/GD health resources and more frequent consultations with specialist colleagues.Common barriers to providing care indicated by respondents included cost, delays in gender-affirming care, and lack of knowledge of the potential impact of hormonal interventions. Common facilitators included education and training, prior experience, and affordability of services. Most REI providers believed T/GD individuals are fit for parenthood and agreed that prior training facilitates care for T/GD patients. The lack of provider knowledge emerged as a barrier to care. Although training helped facilitate some components of care, systemic barriers such as the cost and variability of patient population characteristics/experiences are important considerations when serving T/GD individuals.

University campus breastfeeding, knowledge, and perceptions of support: An exploratory study.

Breastfeeding is often considered principally a biological issue but success is impacted by the socio-ecological environment of the lactating parent. Identifying current attitudes towards breastfeeding is essential in the effort toward normalizing breastfeeding in communities, including university campuses. The study explored campus community knowledge, awareness, and attitudes about breastfeeding, including available resources and applicable laws on two university campuses in the southern United States. This cross-sectional, self-reporting study utilized the Iowa Infant Feeding Attitude Scale and an adaptation of the Breastfeeding Behavior Questionnaire to survey a convenience sample. Results revealed decreased awareness of protective laws, availability of private lactation space, and insufficient public appreciation of breastfeeding's unique advantages to both lactating parent and infant as barriers to breastfeeding. These findings will help develop additional breastfeeding strategies to improve university campus community breastfeeding initiatives.

Nephrologists’ Perspectives on Home Dialysis Utilization: A National Survey From Israel

Nephrologists’ Perspectives on Home Dialysis Utilization: A National Survey From Israel

Evaluation of health care professionals' knowledge, attitudes, practices and barriers to pharmacovigilance and adverse drug reaction reporting: A cross-sectional multicentral study.

Healthcare professionals' involvement and reporting of adverse drug reactions are essential for the success of a pharmacovigilance program. The aim of this study was to assess healthcare professionals (medical doctors, pharmacists, nurses, dentists, midwives, and paramedics) current knowledge, attitude, practices, and barriers regarding pharmacovigilance and adverse drug reactions reporting in multicentral healthcare settings. A cross-sectional face-to-face survey was conducted among currently working healthcare professionals in various hospitals in ten districts of Adana province, Türkiye from March to October 2022. A self-administered, pretested questionnaire (Cronbach's alpha = 0.894 for knowledge, attitudes and practices variables) was used for data collection. The questionnaire's final draft included five sections (sociodemographic/general information, knowledge, attitude, practices, and barriers) with 58 questions. The collected data was analyzed in SPSS (version 25) using descriptive statistics, the chi-square test, and logistic regression. Of the total 435 distributed questionnaires, 412 completed the entire questionnaire, yielding a 94% response rate. The majority of healthcare professionals (60.4%; n = 249) had never received pharmacovigilance training. Among healthcare professionals 51.9% (n = 214), 71.1% (n = 293) and 92.5% (n = 381) had poor knowledge, positive attitudes and poor practices, respectively. Only 32.5% of healthcare professionals kept the record of an adverse drug reaction and only 13.1% reported adverse drug reactions. The profession (medical doctors, pharmacists, nurses, dentists, midwives, and paramedics) of healthcare professionals and a lack of training were predictors of poor adverse drug reaction reporting (p < 0.05). A statistically significant difference in healthcare professionals and knowledge, attitude and practices scores was also observed (p < 0.05). The main barriers which were supposed to discourage adverse drug reactions reporting by the healthcare professionals were higher workload (63.8%) followed by thinking that a single adverse drug reaction report makes no impact (63.6%) and lack of a professional atmosphere (51.9%). In the current study, most healthcare professionals had poor knowledge and practice, but they had a positive attitude toward pharmacovigilance and adverse drug reactions reporting. Barriers to under-reporting of adverse drug reactions were also highlighted. Periodic training programs, educational interventions, systematic follow-up of healthcare professionals by local healthcare authorities, interprofessional links between all healthcare professionals, and the implementation of mandatory reporting policies are critical for improving healthcare professionals knowledge, practices, patient safety and pharmacovigilance activities.

Exploring the practice of nutritional support during hospitalization across physicians, dietitians, and pharmacists based in Saudi Arabia.

Nutritional support has a pivotal role in preventing and treating malnutrition. Recognizing the gaps in nutritional support practice can aid the development of tailored nutritional protocols. Therefore, this study aimed to assess the current practices, attitudes, and perceptions related to nutritional support for hospitalized patients in one of the largest Middle Eastern countries. A cross-sectional study was conducted among different healthcare professionals currently working in hospitals in Saudi Arabia and involved in nutritional support practice. Data were collected using convenient sample via a self-administered web-based questionnaire. A total of 114 participants were included in this study. The majority were dietitians (54%), followed by physicians (33%) and pharmacists (12%), and were from the western region (71.9%). Various attitudes in many practices were observed among the participants. Only 44.7% of the participants had a formal nutritional support team. The mean confidence level of all respondents was significantly higher for enteral nutrition practice (7.7 ± 2.3) than for parenteral nutrition practice (6.1 ± 2.5) (p < 0.01). The confidence level for enteral nutrition practice was significantly influenced by nutritional qualification (β = 0.202, p < 0.05), type of healthcare facility (β = 0.210, p < 0.05), profession (β = -0.308, p < 0.01), and years of experience (β = 0.220, p < 0.05). This study comprehensively assessed various aspects of nutritional support practice in Saudi Arabia. Healthcare practice of nutritional support should be guided by evidence-based guidelines. Professional qualification and training in nutritional support are essential for promoting practice in hospitals.

Aboriginal Community Views about a Native Plant-Based Enterprise Development in Northern Australia

As global populations rapidly increase, there is a need to maintain sustainable landscapes through innovative agricultural systems and practices that continue to work towards addressing Sustainable Development Goal 2, Zero Hunger. Indigenous people around the world seek culturally appropriate and sustainable livelihood opportunities to improve their socioeconomic status, and there is a rich diversity of existing globally important agricultural heritage systems that have been developed by Indigenous cultures over millennia. Wild harvest of plant products is an innovative agricultural practice which has been conducted by Aboriginal Australians for thousands of years and is a more acceptable form of agriculture on Aboriginal land than more intensive forms, such as horticulture. Wild harvest is typically more culturally appropriate, less intensive, and involves less impact. However, enterprise development programs in Aboriginal communities across Northern Australia have historically had very limited economic success. Such communities often experience high welfare dependency and few economic development opportunities. This research takes a case study approach to explore community views about the development of an Aboriginal plant-based enterprise in the Northern Territory, Australia. We used qualitative methods to engage with community members about their experiences, current attitudes, and future aspirations towards the Enterprise. We found that there was broad support from across all sectors of the community for the Enterprise and clear understanding of its monetary and non-monetary benefits. However, there was limited knowledge of, and involvement in, the business beyond the role of provider and producer, and of the governance aspects of the Enterprise. Using this case study as our focus, we advocate for deeper understanding and stronger inclusion of community aspirations, realities, and perspectives on Aboriginal economic development. Cultural values and knowledge need to inform business development. Additionally, there is a need to invest in basic infrastructure to account for the low base of private asset ownership in this context. A holistic, multifunctional landscape approach is required to support sustainable agricultural practices on Aboriginal lands across Northern Australia.