Community outreach midwifery‐led model improves antenatal access in a disadvantaged population

Reeve, Carole; Banfield, Sally; Thomas, Amanda; Reeve, David; Davis, Stephanie

doi:10.1111/ajr.12249

Cited by 14 publications

(30 citation statements)

References 15 publications

(13 reference statements)

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“…Intervention studies could be any study design that assessed a change of practice, including therapies, diagnostic interventions such as screening, 14 and health system interventions such as Indigenous antenatal programs 13,15 …”

Section: Methodsmentioning

confidence: 99%

Rapid review of five years of Aboriginal and Torres Strait Islander health research in Australia – persisting under‐representation of urban populations

Jennings

Spurling

Shannon

et al. 2021

Australian and New Zealand Journal of Public Health

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Objective: To review how published Aboriginal and Torres Strait Islander health research reflects the geographical distribution of the Indigenous population of Australia. Methods: Rapid review using Lowitja Institute Lit.search tool for PubMed indexed Indigenous health research papers (January 2013 to January 2018). Geographic location, participant age, study type and recruitment site were identified for each paper. Results: A total of 1,258 research papers were identified: 190 (15%) focused exclusively on Indigenous people living in urban areas; 563 (45%) in rural/remote areas; and 505 (40%) spanned urban and rural/remote areas. Despite similar burdens of disease, three times as many papers were published per 1,000 DALYs for rural/remote areas than urban areas. Conclusions: Indigenous health research publications have more than doubled since 2010. However, research focusing on the health needs of urban Indigenous people remains low relative to disease burden and population. Implications for public health: More research to address the health needs of Indigenous people living in urban areas is required although this should not be at the expense of research for rural and remote areas. Increased funding quarantined for Indigenous health research, coupled with self‐determination of the research agenda and reporting on the geographic representativeness of research, may help address geographical inequities in research outputs.

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Section: Methodsmentioning

confidence: 99%

Rapid review of five years of Aboriginal and Torres Strait Islander health research in Australia – persisting under‐representation of urban populations

Jennings

Spurling

Shannon

et al. 2021

Australian and New Zealand Journal of Public Health

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“…Interventional work on potential strategies to address and ameliorate any identified barriers is also warranted and results may provide important evidence to inform health care planning and delivery, which may be particularly impactful in rural and remote communities. Studies of interventional strategies, be their policies that foster better health care access through telemedicine [92–94] and portable diagnostic devices for in-home testing [4, 95–103], or innovative community outreach strategies that potentially increase access, especially among vulnerable and remote populations [104–106], are especially warranted.…”

Section: Discussionmentioning

confidence: 99%

Distance to Specialist Medical Care and Diagnosis of Obstructive Sleep Apnea in Rural Saskatchewan

Spagnuolo

McIsaac

Dosman

et al. 2019

Canadian Respiratory Journal

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Obstructive sleep apnea (OSA) is the most common sleep-disordered breathing condition. Patients with OSA symptoms are often not diagnosed clinically, which is a concern, given the health and safety risks associated with unmanaged OSA. The availability of fewer practicing medical specialists combined with longer travel distances to access health care services results in barriers to diagnosis and treatment in rural communities. This study aimed to (1) determine whether the proportion of adults reporting OSA symptoms in the absence of a sleep apnea diagnosis in rural populations varied by travel distance to specialist medical care and (2) assess whether any distance-related patterns were attributable to differences in the frequency of diagnosis among adults who likely required this specialist medical care. We used a cross-sectional epidemiologic study design, augmented by analysis of follow-up survey data. Our study base included adults who completed a 2010 baseline questionnaire for the Saskatchewan Rural Health Study. Follow-up occurred until 2015. 6525 adults from 3731 households constituted our sample. Statistical models used log-binomial regression. Rural adults who reported the largest travel distances (≥250 km) to specialist medical care were 1.17 (95% CI: 1.07, 1.29) times more likely to report OSA symptoms in the absence of a sleep apnea diagnosis than those who reported the smallest (<100 km; referent) distances. However, the proportion of sleep apnea diagnoses was low and unaffected by reported travel distance among adults who likely required this specialist medical care. Our findings suggest factors other than travel distance may be contributing to the low sleep apnea diagnostic rate. This remains important as undiagnosed and untreated OSA has serious implications on the health of people and populations, but effective treatments are available. Health care access barriers to the diagnosis and treatment of OSA require evaluation to inform health care planning and delivery.

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“…Integrating Indigenous community knowledges and practices into the development and testing of data collection tools by ensuring appropriate language, symbols, and communication can positively influence the validity, reliability, and subsequent success of the associated evaluations (Bouey & Duran, 2000;Larzelere-Hinton et al, 2016;Mohatt et al, 2014;Reeve et al, 2016;Townsend et al, 2015). Indigenous and Euro-Western knowledges and ways of being can be reconciled while maintaining intellectual and theoretical rigor using trustworthy and reliable methods of revealing or generating knowledge that is expected of academic research (Baydala et al, 2014).…”

Section: Principle 1: Adopting Indigenous-led or Co-led Approaches Is Vital To Balance Power Relationships Bymentioning

confidence: 99%

Reviewing Health Service and Program Evaluations in Indigenous Contexts: A Systematic Review

Maddox

Blais

Mashford‐Pringle³

et al. 2021

American Journal of Evaluation

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This study systematically reviewed evidence regarding health program and service evaluations in Indigenous contexts. Following the PRISMA guidelines and combining terms for ‘Indigenous populations’ and ‘health programs and services’. Eight principles emerged: Principle 1: Adopting Indigenous led or co-led approaches is vital to balance power relationships by prioritizing self-determination, Principle 2: Evaluation team should include local Indigenous community members, Principle 3: Indigenous community knowledge and practice should be foundational, Principle 4: Evaluations must be responsive and flexible to meet the needs of the local community, Principle 5: Evaluations should respect and adhere to local Indigenous protocols, culture, wisdom and language, Principle 6: Evaluations should emphasize reciprocity, shared learnings and capacity building, Principle 7: It is important to build strong relationships and trust between and within researcher teams, evaluators and communities, and Principle 8: The evaluation team must acknowledge community capacity and resources by investing in time and relationships.

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Community outreach midwifery‐led model improves antenatal access in a disadvantaged population

Cited by 14 publications

References 15 publications

Rapid review of five years of Aboriginal and Torres Strait Islander health research in Australia – persisting under‐representation of urban populations

Rapid review of five years of Aboriginal and Torres Strait Islander health research in Australia – persisting under‐representation of urban populations

Distance to Specialist Medical Care and Diagnosis of Obstructive Sleep Apnea in Rural Saskatchewan

Reviewing Health Service and Program Evaluations in Indigenous Contexts: A Systematic Review

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