How and when health‐care practitioners in Aboriginal Community Controlled Health Services deliver alcohol screening and brief intervention, and why they don't: A qualitative study

Clifford, Anton; Shakeshaft, Anthony; Deans, Catherine

doi:10.1111/j.1465-3362.2011.00305.x

Cited by 22 publications

(58 citation statements)

References 20 publications

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“…• SEWB (nine studies) 19,20,[25][26][27][28][29][30][31][32][33][34] • Alcohol misuse (five studies) 21,22,[35][36][37][38] • Smoking cessation (four studies) 23,24,[39][40][41] • Dual diagnosis -SEWB and drug or alcohol misuse (three studies) 17,18,42,43 • Depression 44,45 , depression or anxiety 46 , or a mental health worker program (four studies). 15,16 Nineteen studies were conducted in AMSs , six of which used mixed methods [17][18][19][20]30,31,37 and one of which was a quasiexperimental design.…”

Section: Resultsmentioning

confidence: 99%

“…In 12 studies, the risk of bias was judged to be high 19,20,27,28,30,[33][34][35]37,46 or unclear 21,22,36,40,45 , four were at moderate risk of bias 19,20,25,26,41,42,44 and five were at a low risk of bias. 23,24,29,31,39,43 AIMhi 1 was assessed using the qualitative 19 and randomised controlled trial 20 risk-of-bias tools, because these methods were reported separately.…”

Section: -183238mentioning

confidence: 99%

“…Using the qualitative risk-of-bias tool, most studies were deemed to have a moderate 25,26,41,42,44 or high 19,20,30,35,37,46 risk of bias. These ratings were because of missing or unclear reporting of many of the criteria used to assess bias.…”

Section: -183238mentioning

confidence: 99%

“…AMS staff coordinated the studies' activities and participants were AMS patients. Three related studies used qualitative, mixed-methods and quantitative designs to examine staff practices 35 and experiences…”

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confidence: 99%

“…32 Voices United for Harmony involved community leaders during study design and implementation. 27,28,33,34 Study initiation process Seven studies appeared to be initiated by researchers external to the primary health care service 23,24,27,28,[33][34][35][36][37] , seven arose from research partnerships 15,16,19,20,[30][31][32]38,46 and three appeared to be jointly initiated. 25,26,40,42 A community also invited a researcher from outside the community to evaluate a SEWB service.…”

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confidence: 99%

See 4 more Smart Citations

The quality of Australian Indigenous primary health care research focusing on social and emotional wellbeing: a systematic review

Eades¹,

Fernando²,

Gwynn³

et al. 2017

Public Health Res Pr

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Objectives and importance of the study: Primary health care research focused on Aboriginal and Torres Strait Islander (Indigenous) people is needed to ensure that key frontline services provide evidence based and culturally appropriate care. We systematically reviewed the published primary health care literature to identify research designs, processes and outcomes, and assess the scientific quality of research focused on social and emotional wellbeing. This will inform future research to improve evidence based, culturally appropriate primary health care.Study type: Systematic review in accordance with PRISMA and MOOSE guidelines.Methods: Four databases and one Indigenous-specific project website were searched for qualitative, quantitative and mixed-method published research. Studies that were conducted in primary health care services and focused on the social and emotional wellbeing of Indigenous people were included. Scientific quality was assessed using risk-of-bias assessment tools that were modified to meet our aims. We assessed community acceptance by identifying the involvement of community governance structures and representation during research development, conduct and reporting. Data were extracted using standard forms developed for this review.Results: We included 32 articles, which reported on 25 studies. Qualitative and mixed methods were used in 18 studies. Twelve articles were judged as high or unclear risk of bias, four as moderate and five as low risk of bias. Another four studies were not able to be assessed as they did not align with the risk-of-bias tools. Of the five articles judged as low risk of bias, two also had high community acceptance and both of these were qualitative. One used a phenomenological approach and the other combined participatory action research with a social-ecological perspective and incorporated 'two-

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Section: Resultsmentioning

confidence: 99%

Section: -183238mentioning

confidence: 99%

Section: -183238mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

The quality of Australian Indigenous primary health care research focusing on social and emotional wellbeing: a systematic review

Eades¹,

Fernando²,

Gwynn³

et al. 2017

Public Health Res Pr

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Prevention and Early Intervention

d’Abbs,

Hewlett

2023

Learning From 50 Years of Aboriginal Alcohol Programs

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This chapter focuses on primary prevention—programs designed to prevent or delay the commencement of harmful alcohol use—and secondary prevention, also called early intervention, namely programs targeting those who are already engaging in harmful alcohol use or considered at risk of doing so. Historically, programs addressing alcohol problems among Aboriginal people have emphasised primary prevention, especially through media campaignsand healthpromotion initiatives, and residentialtreatment, at the expense of early intervention. Primary prevention initiatives are reviewed. The evidence base for program effectiveness is sparse, although it is difficult to distinguish the effects of poor program quality from that of poor (or non-existent) evaluations. The limited evidence available suggests that a high level of communityinvolvement, multi-component programs, promotion of cultural connectivity and skills developmentLife skills; Skills training are all factors conducive to effective primary prevention. Initiatives in screeningand early intervention are also reviewed. The chapter describes efforts to embed screeningand early interventions in primary healthcare settings, and the barriers encountered in these efforts. The chapter also examines recent initiatives aimed at surmounting these barriers.

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Yarning about health checks: barriers and enablers in an urban Aboriginal medical service

Jennings

Spurling

Askew

2014

Aust. J. Prim. Health

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The annual health check for Aboriginal and Torres Strait Islander People has been welcomed as a means of conducting a comprehensive assessment to address preventive health care delivery, identify new diagnoses and initiate new treatments. Rates of health check uptake across Australia have been poor with less than 12% of the eligible population receiving one during 2009/10. This qualitative study sought to identify barriers and enablers to undertaking health checks in an urban Aboriginal Medical Service through semistructured interviews with 25 clinical staff (doctors, nurses and Aboriginal and Torres Strait Islander health workers). Clinical systems for conducting health checks were unclear to staff, with barriers relating to time pressures for both patients and clinic staff, and lack of clarity about staff responsibilities for initiating and conducting the health check. Additionally some staff perceived some content as sensitive, invasive, culturally inappropriate and of questionable value. Other barriers included concerns about community health literacy, disengagement with preventative health care, and suspicion about confidentiality and privacy. The development of clear service-wide systems that support the conduct of health checks are required to increase uptake, combined with supportive local clinical leadership and audit and feedback systems. Staff training, consideration of culture and roles, and critical review of health check content may improve staff confidence and community acceptance. Community-based health education and promotion is strongly supported by staff to increase client engagement, knowledge and acceptance of the health check.

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How and when health‐care practitioners in Aboriginal Community Controlled Health Services deliver alcohol screening and brief intervention, and why they don't: A qualitative study

Abstract: Introduction. Indigenous Australians experience a disproportionately high burden of alcohol-related harm. Alcohol screening and brief intervention (SBI) offers the potential to reduce this harm if barriers to its delivery in Aboriginal Community

Cited by 22 publications

References 20 publications

The quality of Australian Indigenous primary health care research focusing on social and emotional wellbeing: a systematic review

The quality of Australian Indigenous primary health care research focusing on social and emotional wellbeing: a systematic review

Prevention and Early Intervention

Yarning about health checks: barriers and enablers in an urban Aboriginal medical service

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