The Alcohol Awareness project: community education and brief intervention in an urban Aboriginal setting

Conigrave, Katherine M.; Freeman, Brian C.; Caroll, Therese; Simpson, Lynette; Lee, K.S. Kylie; Wade, Vicki; Kiel, Keren A.; Ella, Steve; Becker, Karen; Freeburn, Bradley

doi:10.1071/he12219

Cited by 41 publications

(78 citation statements)

References 29 publications

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“…One study was conducted in various urban, rural and remote locations across Australian states and territories [29]. The majority of studies were conducted in Primary Health Care settings (PHC) [10,11,21,22,43,49], followed by community settings [42,44,47,48] and tertiary care [13,14]. One study was conducted over multiple settings [29].…”

Section: Interventions Typementioning

confidence: 99%

“…Qualitative data were collected using the following methods; individual (n=6) and group (n=3) semi-structured interviews; participant observation (n=2); focus groups (n=2); descriptive surveys (n=3); and questionnaires (n=3). Setting and participants: Studies were conducted in: urban [22,42,47] and rural [43,44] (and both) [10,11,29] geographical regions across Australia, including in New South Wales [10,11,21,22,[42][43][44]47] the Australian Capital Territory [45], Western Australia [48], and the Northern Territory (NT) [13,14]. One study was conducted in various urban, rural and remote locations across Australian states and territories [29].…”

Section: Interventions Typementioning

confidence: 99%

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The Dissemination of Alcohol Interventions for Indigenous Australians: A Mixed Studies Review Using Narrative Synthesis

Whitty¹,

Clifford²

2017

J Alcohol Drug Depend

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Issues: Indigenous Australians experience disproportionately high rates of alcohol related harms. The implementation of best evidence alcohol interventions to reduce these harms is therefore a priority. This review synthesises evidence from the peer reviewed literature on factors influencing implementation. Approach:A systematic appraisal of journal articles based on alcohol-related harm reduction interventions for Indigenous Australians with scope for dissemination. This involved a systematic database search, categorisation, data extraction, quality appraisal, and preliminary analysis. A thorough textual analysis of identified papers was carried out using narrative synthesis. Key findings:Thirteen publications met the inclusion criteria. Included studies assessed either: (a) Acceptability/ feasibility of alcohol interventions for implementation in Indigenous-specific healthcare settings and/or delivery to Indigenous Australians (n=7); (b) The effectiveness of strategies designed to improve the uptake/delivery of an alcohol intervention (n=4); or (c) The process of implementing an alcohol intervention with Indigenous Australians (n=2).Implications: Flexibility in study implementation, an emphasis on capacity building and prioritising the reporting of implementation evidence is needed. Conclusion:Overall, the number of dissemination studies focusing on alcohol interventions for Indigenous peoples is low, and their quality varied. Evidence detailing the circumstances for optimal implementation of such interventions is thin, despite the value of this information to future research. This review presents knowledge gained to date on the alcohol interventions considered appropriate and practicable for Indigenous people. Future efforts should reflect greater researcher reflexivity and implementation transparency, and extend measurement of outcomes to health considerations determined to be meaningful by the affected Indigenous people themselves.

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Section: Interventions Typementioning

confidence: 99%

Section: Interventions Typementioning

confidence: 99%

The Dissemination of Alcohol Interventions for Indigenous Australians: A Mixed Studies Review Using Narrative Synthesis

Whitty¹,

Clifford²

2017

J Alcohol Drug Depend

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“…Models have typically included daily clinic or (occasionally) home visits (Blondell, 2005;Brett, Lawrence, Ivers, & Conigrave, 2014;Carlebach, Wake, & Hamilton, 2011). However, there is limited understanding of the Aboriginal community's preferences for detox (Conigrave et al, 2012), and there are no studies detailing how a culturally appropriate model of care could be established and evaluated.…”

Section: Introductionmentioning

confidence: 99%

“…Aboriginal and Torres Strait Islander Australians (here described as Aboriginal Australians) experience 3-8 times the prevalence of alcohol-related illness, injury, and death than the general population (Calabria, Doran, Vos, Shakeshaft, & Hall, 2010). But their barriers to treatment access for alcohol dependence include transport difficulties, fear of discrimination, and lack of culturally secure services (Brett et al, 2016;Conigrave et al, 2012;Gray, Stearne, et al, 2010;Teasdale et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Full Issue

Manager¹

2017

IJIH

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Section: Introductionmentioning

confidence: 99%

Healing at home: Developing a model for ambulatory alcohol "detox" in an Aboriginal community controlled health service

Brett¹,

Dawson²,

Ivers³

et al. 2017

IJIH

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Introduction: Indigenous Peoples who have been colonized face a higher burden of harm from alcohol and increased risk of alcohol use disorders. Yet they often also have limited access to alcohol treatment. Limited access to withdrawal management ("detox" in particular) can be a barrier to recovery. Ambulatory or "outpatient" alcohol detox can offer improved treatment access, but no research has examined its feasibility and acceptability in Indigenous populations. Aim: To develop a model for outpatient detox delivered by an Australian Aboriginal community controlled health service (ACCHS), and to describe its feasibility and acceptability. Methods: This report describes a framework for alcohol treatment service development within an ACCHS through community, staff, and client consultation. Thematic analysis of focus groups and phone interviews were used to gain insight into the views and experiences of Aboriginal community stakeholders, service clients, and staff regarding alcohol detox services and the pilot of the outpatient detox program service model. Results: Individual, family, and community support was regarded as key to recovery from alcohol dependence. Outpatient detox was seen as a way of keeping the individual near this support. Reported positive aspects include satisfaction with the approach to care that was considered accessible, holistic, and integrated. Challenges and suggested improvements were identified. Discussion: Outpatient detox within an ACCHS was assessed as feasible and acceptable for carefully selected clients and was reported to aid access to treatment. More clinical experience is needed to fully delineate effectiveness and safety.

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The Alcohol Awareness project: community education and brief intervention in an urban Aboriginal setting

Abstract: Interactive group education and feedback of AUDIT score is labour intensive but promoted thoughtful discussion on drinking. Methods to empower and support urban Aboriginal communities to tackle drinking problems need further exploration.

Cited by 41 publications

References 29 publications

The Dissemination of Alcohol Interventions for Indigenous Australians: A Mixed Studies Review Using Narrative Synthesis

The Dissemination of Alcohol Interventions for Indigenous Australians: A Mixed Studies Review Using Narrative Synthesis

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Healing at home: Developing a model for ambulatory alcohol "detox" in an Aboriginal community controlled health service

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