Approach to treatment of mental illness and substance dependence in remote Indigenous communities: Results of a mixed methods study

Nagel, Tricia; Robinson, Gary; Condon, John R.; Trauer, Tom

doi:10.1111/j.1440-1584.2009.01060.x

Cited by 93 publications

(159 citation statements)

References 26 publications

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“…Of these Eley et al (2010) detected improved outcomes for Study 1 but not Study 2 or for two subsequent iterations of the program. For eight interventions described in the study, observed improvements were statistically significant (O'Dea 1984; Lee et al 1994;Rowley et al 2001;d'Espaignet et al 2003;Nagel et al 2009;Eley et al 2010;Dimer et al 2013;Sun and Buys 2013). Two studies where statistical analyses were not conducted show positive directions of effects in health and wellbeing outcomes (Nel and Pashen 2003;Preuss and Brown 2006) (Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…One RCT (Nagel et al 2009), one cluster RCT (Kiran and Knights 2010) and two studies with non-randomised controls (Lee et al 1994;d'Espaignet et al 2003) were included. Other papers report case series or serial cross-sectional data.…”

Section: Resultsmentioning

confidence: 99%

“…The program was possible due to the willingness of Elders to care for young people on their land, and was not suited to evaluation though a controlled design. The study design by Nagel et al (2009) was assessed as high, and positive effects of interventions described on mental health and substance use were triangulated with qualitative data.…”

Section: Discussionmentioning

confidence: 99%

“…Conversely, the study by Nagel et al (2009) was assessed as high in design and moderate for Indigenous involvement.…”

Section: Emotional Wellbeingmentioning

confidence: 99%

“…Although this information is sourced from program documents, it is widely corroborated (MacLean and d'Abbs 2002). Nagel et al (2009) reviewed an intervention adapted for people from remote Indigenous communities in the NT that 'engages with the individual's cultural and psychosocial context'. Using mixed methods, including a RCT, they showed significant improvement in wellbeing measures and decreases in substance use for people receiving the intervention over those in the control group.…”

Section: Emotional Wellbeingmentioning

confidence: 99%

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Health and wellbeing outcomes of programs for Indigenous Australians that include strategies to enable the expression of cultural identities: a systematic review

MacLean

Ritte

Thorpe

et al. 2017

Aust. J. Prim. Health

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Abstract. Indigenous people have long maintained that strong cultural identities are critical to health and wellbeing. The purpose of this systematic review is to examine whether interventions that entail strategies to enable expression of cultural identities for Australian Indigenous peoples are associated with measurable improvements in health and wellbeing. Peer-reviewed articles that reported quantitatively expressed health and wellbeing outcomes involving Indigenous Australian participants only were included. The cultural intervention component was defined and assessed by Indigenous researchers on the team. A narrative analysis was conducted. The protocol was registered on PROSPERO (CRD420 15027387). Thirteen articles describing eleven studies were identified, including one randomised control trial (RCT), one cluster RCT and two studies with non-randomised controls. Other studies reported on case series or cross-sectional studies. All except two studies described multiple intervention strategies. Eight studies showed significant improvement in at least one psychosocial, behavioural or clinical measure, with two showing a positive direction of effect and one showing no improvement. Publication bias may discourage researchers to report negative findings of these interventions. Although studies vary in quality, this review provides evidence that interventions that include opportunities for expression of cultural identities can have beneficial effects for Australian Indigenous peoples.

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