Indigenous healthcare worker involvement for Indigenous adults and children with asthma

Chang, Anne B.; Taylor, Brett; Laifoo, Yancy; Brown, Alex

doi:10.1002/14651858.cd006344.pub2

Cited by 19 publications

(23 citation statements)

References 26 publications

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“… 5 of 9 studies found statistical improvements in asthma symptoms compared to control. Chang 2010 [ 29 ]** 1 RCT 113 participants R-AMSTAR 40 RCT 2010 Education by IHWs vs. education no IHW. FU: 12 mo Impact: Target: Ethnic groups Initial clinical consultation, reinforced by home visits from a trained IHW.…”

Section: Methodsmentioning

confidence: 99%

Systematic meta-review of supported self-management for asthma: a healthcare perspective

Pinnock

Parke

Panagioti

et al. 2017

BMC Med

226

230

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BackgroundSupported self-management has been recommended by asthma guidelines for three decades; improving current suboptimal implementation will require commitment from professionals, patients and healthcare organisations. The Practical Systematic Review of Self-Management Support (PRISMS) meta-review and Reducing Care Utilisation through Self-management Interventions (RECURSIVE) health economic review were commissioned to provide a systematic overview of supported self-management to inform implementation. We sought to investigate if supported asthma self-management reduces use of healthcare resources and improves asthma control; for which target groups it works; and which components and contextual factors contribute to effectiveness. Finally, we investigated the costs to healthcare services of providing supported self-management.MethodsWe undertook a meta-review (systematic overview) of systematic reviews updated with randomised controlled trials (RCTs) published since the review search dates, and health economic meta-analysis of RCTs. Twelve electronic databases were searched in 2012 (updated in 2015; pre-publication update January 2017) for systematic reviews reporting RCTs (and update RCTs) evaluating supported asthma self-management. We assessed the quality of included studies and undertook a meta-analysis and narrative synthesis.ResultsA total of 27 systematic reviews (n = 244 RCTs) and 13 update RCTs revealed that supported self-management can reduce hospitalisations, accident and emergency attendances and unscheduled consultations, and improve markers of control and quality of life for people with asthma across a range of cultural, demographic and healthcare settings. Core components are patient education, provision of an action plan and regular professional review. Self-management is most effective when delivered in the context of proactive long-term condition management. The total cost (n = 24 RCTs) of providing self-management support is offset by a reduction in hospitalisations and accident and emergency visits (standard mean difference 0.13, 95% confidence interval −0.09 to 0.34).ConclusionsEvidence from a total of 270 RCTs confirms that supported self-management for asthma can reduce unscheduled care and improve asthma control, can be delivered effectively for diverse demographic and cultural groups, is applicable in a broad range of clinical settings, and does not significantly increase total healthcare costs. Informed by this comprehensive synthesis of the literature, clinicians, patient-interest groups, policy-makers and providers of healthcare services should prioritise provision of supported self-management for people with asthma as a core component of routine care.Systematic review registrationRECURSIVE: PROSPERO CRD42012002694; PRISMS: PROSPERO does not register meta-reviewsElectronic supplementary materialThe online version of this article (doi:10.1186/s12916-017-0823-7) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Systematic meta-review of supported self-management for asthma: a healthcare perspective

Pinnock

Parke

Panagioti

et al. 2017

BMC Med

226

230

View full text Add to dashboard Cite

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“…This was created by hand searching a selected set of journals. Informed by two published search strategies 19,20 , authors Sladek and Tyndall constructed a search strategy for Australian Indigenous health, limiting results to a publication year of 2006 ( Table 1). Citations were downloaded into an End-Note file and ordered by journal title.…”

Section: Methodsmentioning

confidence: 99%

Searching MEDLINE for Aboriginal and Torres Strait Islander health literature: questionable sensitivity

Sladek

Tieman

Tyndall

et al. 2013

Health Info Libraries J

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Objective: The extent to which existing and future research can impact on reducing health disparities relates not only to the evidence available, but the ability to find that evidence. Our objective is to quantify experts' literature searching effectiveness with respect to Aboriginal and Torres Strait Islander people's health. Methods: Nine journals were dual reviewed, and a 'gold standard' set of relevant articles was identified. Health librarians (n = 25) completed a standardised searching task using OVID MEDLINE, and results were compared with the gold standard. Sensitivity, specificity and precision rates were calculated. Results: The gold standard comprised 136 of 1469 (9.3%) records from nine journals. Searches achieved a mean sensitivity of 53.2% (median = 64.7%, range 0.0-93.4%), specificity of 97.4% (median = 99.4%, range 52.6-100%) and precision of 83.3% (median = 91.0%, range 16.7-100%). Self-estimates of search sensitivity (post hoc) were significantly higher than observed (M = 78.9%, t = 4.812, P < 0.001). Conclusions: Even expert searchers struggle to find the relevant peer-reviewed literature in MEDLINE. Implications: A search filter may improve searching effectiveness for Aboriginal and Torres Strait Islander health literature. Assessment of health librarians' searching competencies warrants further professional debate and consideration.Keywords: Aboriginal and Torres Strait Islanders, Australia, information storage and retrieval, MEDLINE, oceanic ancestry group, professional competence Key Messages• Health library and information professionals should develop strategies to assess and develop their individual MEDLINE searching competencies, as confidence is not necessarily associated with competence.• Continuing professional development programmes for health library and information. Professionals should target MEDLINE searching skills, given MEDLINE is a primary database of significance.• Academic and researchers should invest in developing and validating objective measures of assessing searching competencies.

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“…By expanding the patients' access to a language concordant physician, the risk of a misperception of the patients' symptom will be reduced. [ 25 26 27 30 31 ] Our findings suggest that Swedish speaking emergency patients' less frequent healthcare visits could relate to discordant communication difficulties. The bilingual Swedish speakers might not have words in Finnish for expressing health problems and consequently avoid complicated discussions.…”

Section: Discussionmentioning

confidence: 87%

Health behaviour among bilingual Swedish speaking patients in the Finnish healthcare setting

Mustajoki

Eriksson

Forsén

2020

J Family Med Prim Care

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Objective: We assessed the prevalence and consequences of discordant language communication between bilingual Swedish speaking emergency patients and general practitioners (GPs) in Finnish healthcare. We compared the results with Finnish speaking emergency patients provided with language concordant healthcare. Materials and Methods: A researcher-designed questionnaire was used to collect data about both Swedish and Finnish speaking emergency patients' health and socioeconomic status, reason for emergency visits and use of healthcare. Furthermore, the Swedish speakers' nonnative language proficiency and preferred communication language were examined. The study was performed in 16 healthcare centers and outpatient departments in bilingual regions in Finland. Results: The Swedish speakers ( n = 139) visited healthcare centers less than the Finnish speakers ( n = 736) ( P = 0.001) and communicated less frequently with the GP in their native language ( P < 0.001). The Swedish speakers more often planned to revisit their assigned GP ( P < 0.001) after the emergency visit. No differences in health conditions and socioeconomic status between the language groups were observed. Conclusion: Although Swedish and Finnish speaking emergency patients report a similar prevalence of chronic noncommunicable diseases, Swedish speakers make fewer annual visits to a physician. We suggest that discordant language communication might relate to decreased healthcare visits among bilingual Swedish speaking emergency patients.

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Indigenous healthcare worker involvement for Indigenous adults and children with asthma

Cited by 19 publications

References 26 publications

Systematic meta-review of supported self-management for asthma: a healthcare perspective

Systematic meta-review of supported self-management for asthma: a healthcare perspective

Searching MEDLINE for Aboriginal and Torres Strait Islander health literature: questionable sensitivity

Health behaviour among bilingual Swedish speaking patients in the Finnish healthcare setting

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