Strategies for and Problems Associated with Maximising and Monitoring Compliance with Antibiotic Treatment for Otitis Media with Effusion in a Remote Aboriginal Community

Kemp, K.; Nienhuys, Terry G.; Boswell, Judith; Leach, Amanda J.; Kantilla, Colleen; Tipuamantamirri, Maureen; Mathews, John D.

doi:10.1111/j.1440-1584.1994.tb00128.x

Cited by 5 publications

(3 citation statements)

References 2 publications

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“…7 In addition, treatment adherence is higher with shorter duration of oral treatments. 19 There were 1715 children screened by research nurses for skin sores at either the school, local health center, or at home and details recorded on the case report form. Participation in the skin sore trial was permitted every 90 days, as skin sores recur and many children present for treatment of sores several times a year.…”

Section: Setting and Populationmentioning

confidence: 99%

The Importance of Scabies Coinfection in the Treatment Considerations for Impetigo

Tasani

Tong

Andrews

et al. 2016

Pediatric Infectious Disease Journal

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Section: Setting and Populationmentioning

confidence: 99%

The Importance of Scabies Coinfection in the Treatment Considerations for Impetigo

Tasani

Tong

Andrews

et al. 2016

Pediatric Infectious Disease Journal

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“…21,22 The AHW' s ability to communicate effectively with Aboriginal patients also helped clarify procedures and demystify the hospital experience:…”

Section: Impacts Of the Aboriginal Health Worker Positionmentioning

confidence: 99%

Exploring the impact of an Aboriginal Health Worker on hospitalised Aboriginal experiences: lessons from cardiology

Taylor

Thompson

Smith³

et al. 2009

Aust. Health Review

112

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To enhance Aboriginal inpatient care and improve outpatient cardiac rehabilitation utilisation, a tertiary hospital in Western Australia recruited an Aboriginal Health Worker (AHW). Interviews were undertaken with the cardiology AHW, other hospital staff including another AHW, and recent Aboriginal cardiac patients to assess the impact of this position. The impact of the AHW included facilitating culturally appropriate care, bridging communication divides, reducing discharges against medical advice, providing cultural education, increasing inpatient contact time, improving follow-up practices and enhancing patient referral linkages. Challenges included poor job role definition, clinical restrictions and limitations in AHW training for hospital settings. This study demonstrates that AHWs can have significant impacts on Aboriginal cardiac inpatient experiences and outpatient care. Although this study was undertaken in cardiology, the lessons are transferable CARDIOVASCULAR DISEASE (CVD) is the leading cause of mortality in Aboriginal Australians,* and is responsible for contributing to high rates of Aboriginal hospitalisation. 1,2 Compared with other Australians, Aboriginal people have three times the rate of coronary events and more than twice the inhospital coronary heart disease death rate. 2 Cardiac rehabilitation (CR) is an organised approach to secondary prevention and cardiac care involving exercise, risk reduction, behavioural modification and education.

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“…Other intervention studies testing adherence support strategies for Indigenous Australians have been published [ 62 – 65 ] or are being undertaken [ 66 ]; they provide relevant insights such as the value of directly-observed treatment, but did not meet the selection criteria for this review.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of adherence in Indigenous Australians: an opportunity to improve chronic condition management

Dassel

Ralph

Cass

2017

BMC Health Serv Res

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BackgroundIndigenous Australians experience high rates of chronic conditions. It is often asserted Indigenous Australians have low adherence to medication; however there has not been a comprehensive examination of the evidence. This systematic literature review presents data from studies of Indigenous Australians on adherence rates and identifies supporting factors and impediments from the perspective of health professionals and patients.MethodsSearch strategies were used to identify literature in electronic databases and websites. The following databases were searched: Scopus, Medline, CINAHL Plus, PsycINFO, Academic Search Premier, Cochrane Library, Trove, Indigenous Health infonet and Grey Lit.org. Articles in English, reporting original data on adherence to long-term, self-administered medicines in Australia’s Indigenous populations were included.Data were extracted into a standard template and a quality assessment was undertaken.ResultsForty-seven articles met inclusion criteria. Varied study methodologies prevented the use of meta-analysis. Key findings: health professionals believe adherence is a significant problem for Indigenous Australians; however, adherence rates are rarely measured. Health professionals and patients often reported the same barriers and facilitators, providing a framework for improvement.ConclusionsThere is no evidence that medication adherence amongst Indigenous Australians is lower than for the general population. Nevertheless, the heavy burden of morbidity and mortality faced by Indigenous Australians with chronic conditions could be alleviated by enhancing medication adherence. Some evidence supports strategies to improve adherence, including the use of dose administration aids. This evidence should be used by clinicians when prescribing, and to implement and evaluate programs using standard measures to quantify adherence, to drive improvement in health outcomes.Electronic supplementary materialThe online version of this article (10.1186/s12913-017-2794-y) contains supplementary material, which is available to authorized users.

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Strategies for and Problems Associated with Maximising and Monitoring Compliance with Antibiotic Treatment for Otitis Media with Effusion in a Remote Aboriginal Community

Cited by 5 publications

References 2 publications

The Importance of Scabies Coinfection in the Treatment Considerations for Impetigo

The Importance of Scabies Coinfection in the Treatment Considerations for Impetigo

Exploring the impact of an Aboriginal Health Worker on hospitalised Aboriginal experiences: lessons from cardiology

A systematic review of adherence in Indigenous Australians: an opportunity to improve chronic condition management

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