Co-designing a culturally informed digital onboarding and patient engagement platform for Aboriginal and Torres Strait Islander peoples living with chronic conditions is no small feat. We sit down with Lockie Cooke, CEO of iyarn, to discuss an exciting new initiative that hopes to address the low trust, poor usability and lack of cultural alignment that often leaves many First Nations peoples excluded from digital health practices. They're currently engaged in a project funded by the Digital Health Cooperative Research Centre (DHCRC) and in collaboration with the University of Technology Sydney (UTS), indigenous-owned digital agency NGNY and the Heart Research Institute's Djurali Centre. By listening to communities and working with them, embedding their voices into the experience, they're hoping to build technology that is genuinely useful and sustainable. For clinicians, it means ensuring First Nations patients feel culturally safe first, allowing for patient-reported outcomes and experiences (PREMs & PROMs) to support continuity of care with more meaningful insights.