‘Work it out’: evaluation of a chronic condition self-management program for urban Aboriginal and Torres Strait Islander people, with or at risk of cardiovascular disease

Mills, Kyly; Gatton, Michelle L.; Mahoney, Ray; Nelson, Alison

doi:10.1186/s12913-017-2631-3

Cited by 15 publications

(21 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, Askew et al (2016) [32] described the formation of a research advisory group consisting of both Aboriginal community members and experienced researchers who provided research governance and oversight, whereas Treloar et al (2018) [98] described consulting with an Aboriginal advisory group in the program development phase rather than the evaluation process. Consideration of cultural sensitivities was also discussed broadly in some papers, including processes undertaken to build rapport with collaborating Aboriginal communities prior to the conduct of an evaluation [59, 72] and the receipt of cultural guidance or support from a steering group of Aboriginal people or Elders [40, 83].…”

Section: Resultsmentioning

confidence: 99%

Geographical analysis of evaluated chronic disease programs for Aboriginal and Torres Strait Islander people in the Australian primary health care setting: a systematic scoping review

et al. 2019

View full text Add to dashboard Cite

Background Targeted chronic disease programs are vital to improving health outcomes for Indigenous people globally. In Australia it is not known where evaluated chronic disease programs for Aboriginal and Torres Strait Islander people have been implemented. This scoping review geographically examines where evaluated chronic disease programs for Aboriginal people have been implemented in the Australian primary health care setting. Secondary objectives include scoping programs for evidence of partnerships with Aboriginal organisations, and use of ethical protocols. By doing so, geographical gaps in the literature and variations in ethical approaches to conducting program evaluations are highlighted. Methods The objectives, inclusion criteria and methods for this scoping review were specified in advance and documented in a published protocol. This scoping review was undertaken in accordance with the Joanna Briggs Institute (JBI) scoping review methodology. The search included 11 academic databases, clinical trial registries, and the grey literature. Results The search resulted in 6894 citations, with 241 retrieved from the grey literature and targeted organisation websites. Title, abstract, and full-text screening was conducted by two independent reviewers, with 314 citations undergoing full review. Of these, 74 citations evaluating 50 programs met the inclusion criteria. Of the programs included in the geographical analysis ( n = 40), 32.1% were implemented in Major Cities and 29.6% in Very Remote areas of Australia. A smaller proportion of programs were delivered in Inner Regional (12.3%), Outer Regional (18.5%) and Remote areas (7.4%) of Australia. Overall, 90% ( n = 45) of the included programs collaborated with an Aboriginal organisation in the implementation and/or evaluation of the program. Variation in the use of ethical guidelines and protocols in the evaluation process was evident. Conclusions A greater focus on the evaluation of chronic disease programs for Aboriginal people residing in Inner and Outer Regional areas, and Remote areas of Australia is required. Across all geographical areas further efforts should be made to conduct evaluations in partnership with Aboriginal communities residing in the geographical region of program implementation. The need for more scientifically and ethically rigorous approaches to Aboriginal health program evaluations is evident. Electronic supplementary material The online version of this article (10.1186/s12889-019-7463-0) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

Geographical analysis of evaluated chronic disease programs for Aboriginal and Torres Strait Islander people in the Australian primary health care setting: a systematic scoping review

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Programs tailored to young peoples' needs and embedded in communities are required. Primary health care services are a promising setting for diabetes prevention programs (Laatikainen et al 2007), such as the Aboriginal Community Controlled Health Services (ACCHS) sector providing crucial comprehensive care (Panaretto et al 2014) including programs supporting lifestyle changes (Firth et al 2012;Dimer et al 2013;Davey et al 2014;Mills et al 2017).…”

Section: Introductionmentioning

confidence: 99%

Piloting a culturally appropriate, localised diabetes prevention program for young Aboriginal people in a remote town

Seear

Atkinson

LeLievre

et al. 2019

Aust. J. Prim. Health

View full text Add to dashboard Cite

Lifestyle changes are central to preventing type 2 diabetes. Embarking upon and sustaining change is challenging, and translation of prevention approaches into a wider range of real-world settings is needed. In this study, a locally adapted community-led diabetes prevention program with local young Aboriginal facilitators was created and trialled through the Derby Aboriginal Health Service (DAHS). The 8-week program highlighted causes and consequences of diabetes, incorporated physical activity and healthy eating topics with a focus on practical activities, and included stress management to support healthy lifestyles. Ten Aboriginal women and men aged 18–38 years participated in the pilot program. The program was found to be acceptable and appropriate, and other community members and organisations expressed interest in future participation. Participants reported that they gained important new knowledge and made changes in behaviours including shopping choices, portioning and soft drink consumption. Limitations included participant recruitment and attendance difficulties, which were attributed to program timing and competing demands. While this program was designed to be sustainable, and there were indications of feasibility, resource constraints impeded its integration into routine primary health care. Prevention of diabetes is a high priority for DAHS, and this program, with appropriate resources, provides a basis for ongoing practical prevention strategies.

show abstract

“…Five studies met the inclusion criteria and were included in this review. These included one step-wedged randomised trial with longitudinal sub-study [ 41 , 42 ], one pragmatic randomised trial [ 43 ], one randomised controlled trial [ 44 ], and two pre-post longitudinal quasi-experimental studies [ 45 , 46 ]. The included studies were published between 2012 and 2018 and were written in English language.…”

Section: Resultsmentioning

confidence: 99%

“…The studies took place in a range of locations with widely varied demographic characteristics including: communities in the very remote regions of the Northern Territory [ 41 , 42 ]; urban and regional areas of Western Australia [ 46 ]; as well as metropolitan and rural areas of South Australia [ 43 , 44 ] and south east Queensland [ 45 ]. Three studies reported consultation and collaboration with the communities/populations of interest during the development of projects, and the employment of Indigenous staff in their implementation [ 42 , 44 , 45 ]. Loss to follow-up and poor attendance were a significant issue for several studies ( n = 3) [ 41 , 43 , 45 ].…”

Section: Resultsmentioning

confidence: 99%

Interventions to improve health literacy among Aboriginal and Torres Strait Islander Peoples: a systematic review

Nash

Arora

2021

BMC Public Health

View full text Add to dashboard Cite

Background Aboriginal and Torres Strait Islander peoples continue to experience poorer health outcomes than other population groups. While data specific to Indigenous Australians are scarce, a known social health literacy gradient exists linking low health literacy and poor health outcomes within many minority populations. Improving health literacy among Indigenous Australians is an important way to support self-determination and autonomy in both individuals and communities, by enhancing knowledge and improving health outcomes. This review aims to rigorously examine the effectiveness of health literacy interventions targeting Aboriginal and Torres Strait Islander peoples. Methods A systematic review across six databases (The Cochrane Library, PubMed, Embase, SCOPUS, ProQuest Dissertation and Thesis and Web of Science) was performed for publications evaluating interventions to improve health literacy among Indigenous Australian adults using search terms identifying a range of related outcomes. Results Of 824 articles retrieved, a total of five studies met the eligibility criteria and were included in this review. The included studies evaluated the implementation of workshops, structured exercise classes and the provision of discounted fruit and vegetables to improve nutrition, modify risk factors for chronic diseases, and improve oral health literacy. All interventions reported statistically significant improvement in at least one measured outcome. However, there was limited involvement of the Aboriginal and Torres Strait Islander community members in the research process and participant retention rates were sub-optimal. Conclusion There is limited evidence on interventions to improve health literacy in Indigenous Australian adults. Participation in interventions was often suboptimal and loss to follow-up was high. Future studies co-designed with Aboriginal and Torres Strait Islander community members are needed to improve health literacy in this population.

show abstract

‘Work it out’: evaluation of a chronic condition self-management program for urban Aboriginal and Torres Strait Islander people, with or at risk of cardiovascular disease

Cited by 15 publications

References 32 publications

Geographical analysis of evaluated chronic disease programs for Aboriginal and Torres Strait Islander people in the Australian primary health care setting: a systematic scoping review

Geographical analysis of evaluated chronic disease programs for Aboriginal and Torres Strait Islander people in the Australian primary health care setting: a systematic scoping review

Piloting a culturally appropriate, localised diabetes prevention program for young Aboriginal people in a remote town

Interventions to improve health literacy among Aboriginal and Torres Strait Islander Peoples: a systematic review

Contact Info

Product

Resources

About