Disseminating best-evidence health-care to Indigenous health-care settings and programs in Australia: identifying the gaps

Clifford, Anton, Jackson-Pulver, Lisa, Richmond, Robyn, Shakeshaft, Anthony and Ivers, Rowena (2009) Disseminating best-evidence health-care to Indigenous health-care settings and programs in Australia: identifying the gaps. Health Promotion International, 24 4: 404-415. doi:10.1093/heapro/dap039


Author Clifford, Anton
Jackson-Pulver, Lisa
Richmond, Robyn
Shakeshaft, Anthony
Ivers, Rowena
Title Disseminating best-evidence health-care to Indigenous health-care settings and programs in Australia: identifying the gaps
Journal name Health Promotion International   Check publisher's open access policy
ISSN 0957-4824
1460-2245
Publication date 2009-12-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1093/heapro/dap039
Volume 24
Issue 4
Start page 404
End page 415
Total pages 12
Place of publication Oxford, United Kingdom
Publisher Oxford University Press
Language eng
Abstract Indigenous Australians experience a disproportionately greater burden of harm from smoking, poor nutrition, alcohol misuse and physical inactivity (SNAP risk factors) than the general Australian population. A critical step in further improving efforts to reduce this harm is to review existing efforts aimed at increasing the uptake of evidence-based interventions in Indigenous-specific health-care settings and programs. This study systematically identifies and reviews published Indigenous-specific dissemination studies targeting SNAP interventions. An electronic search of eight databases and a manual search of reference lists of previous literature reviews were undertaken. Eleven dissemination studies were identified for review: six for nutrition and physical activity as a component of diabetes care, three for alcohol and two for smoking. The majority of studies employed continuing medical education (n = 9 studies), suggesting that improving health-care providers’ knowledge and skills is a focus of current efforts to disseminate best-evidence SNAP interventions in Indigenous health-care settings. Only two studies evaluated reminder systems, despite their widespread use in Indigenous-specific health-care services, and only one study employed academic detailing, despite its cost-effectiveness at modifying health-care provider behavior. There is a clear need for more Indigenous-specific dissemination research targeting the uptake of secondary prevention and to establish reliable and valid measures of Indigenous-specific health-care delivery, in order to determine which dissemination strategies are most likely to be effective in Indigenous health-care settings and programs.
Keyword Aboriginal health
Dissemination
Intervention
Risk factors
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Also known as "Disseminating best-evidence health care for delivery to Indigenous Australians: identifying the gaps".

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Public Health Publications
 
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Created: Fri, 10 Jan 2014, 04:05:09 EST by Anton Clifford on behalf of School of Public Health