The chronic disease self-management project at Katherine West Health Board Aboriginal Corporation in the Northern Territory: A report of the first year

Abstract

Katherine West Health Board Aboriginal Corporation (KWHB) at Katherine in the Northern Territory is an Aboriginal health service delivery organization directed by the Indigenous Board. The Chronic Disease Self-Management Demonstration Project (CDSM) commenced in April, 2002 at KWHB with funding from the Commonwealth Department of Health and Ageing Sharing Health Care initiative, as one of eight demonstration projects across the country. The project is under the direction of the KWHB Board, which is made up of 18 members elected by their own communities that lie within the KWHB service sector. The full Board or the Board Executive meet routinely throughout each year and members are actively involved with the project at both community and Board levels. The project governance structure also includes a Steering Committee and the Project Management Group that meets monthly. The project is well supported by the various management and administrative sections of KWHB. In the communities, the project reports to the local health committees that have been established by KWHB with community support, and to the local CDSM committees made up of members of the target group.

A scoping review of Aboriginal and Torres Strait Islander health promotion programs focused on modifying chronic disease risk factors

“…This scoping review located 83 published articles 18‐100 that met our inclusion criteria from which we identified 71 unique health promotion programs (Figure 1). The extensive search of websites yielded no additional papers that met our inclusion criteria.…”

“…Of the programs identified by this review, most were based in Queensland (n = 24) 21,22,26,31,40,43,49,53,59,61,62,67‐71,80,81,85‐89,91‐93,97‐101 or New South Wales (n = 21) 18,19,24,25,34,39,46,54,58,63,72,76,85 . Ten of the programs were based in Western Australia, 32,33,38,40,51,52,64‐66,77,78,84,102 nine in the Northern Territory, 30,36,44,45,50,55‐57,60,68,71,73,75,94‐96 six in South Australia, 20,23,27‐29,41,42,79,85 five in Victoria 74,82,83,85,87,98,99,103 and one in Tasmania 35 . One program did not identify the community in which it was run 47 .…”

“…Four programs were implemented in more than one state or territory 40,68,71,85,87,98,99 . About 18 of the identified programs were based in a major city (RA 1), 18,27‐29,31,38,40,49,53,54,58,61‐63,74,76,85,89,101,104‐106 14 in an inner regional centre (RA 2), 24,25,35,39,46,63,78,80,82,83,85,90,103,107‐109 12 in an outer regional centre (RA 3), 24,25,34,41,42,59,67,69,81,85,86,90,107,110,111 13 in a remote area (RA 4) 20‐24,31,32,64‐66,80,85,88,94‐96,112 and 21 in a very remote area (RA 5) 20,21,23,26,30,31,41‐43,50‐52,55‐57,64‐66,70,75,77,79,84,97,100,102 . The communities for six programs could not be identified therefore no remote area classification was allocated 22,36,44,45,47,60,72,73,87,91‐93,98,99 …”

“…Of those delivered in just one setting, the community setting was most common (n = 20), 24,25,27‐29,31,33,43,46,47,49,63,67‐69,71,72,74,77,78,81‐84,88,102,110 then the PHC setting (n = 11) 18,37,38,40,54,70,89,105‐107,109,112 or a school (n = 8) 22,39,52,61,62,86,97,100,108 . Programs were also delivered across multiple settings such as the community and PHC settings (n = 16), 20,23,30,34,36,44,45,51,53,56,57,59,60,64‐66,75,76,91‐93,101,104,106,111 community and school (n = 9), 32,50,55,73,79,80,85,94‐96,103 community, PHC and school (n = 2), 26,41,42 PHC and school (n = 1),21 PHC and outpatients (n = 1) 58 community, PHC and physiotherapist practice (n = 1) 35 and one was delivered via telephone and postal service 87,98,99 …”

“…Thirty of the programs focused on more than one of the SNAPS risk factors 20,27‐30,32‐37,41‐46,51‐54,60‐62,70,74,75,81‐85,87,88,98,99,101,107,109,111,112 . Forty‐one of the programs focused on modifying only one behavioural risk factor; of these, seven focused on smoking (see Table 1), 26,40,50,55,63‐66,89 seventeen on nutrition (see Table 2), 18,21, 23‐25,31,49,56,57,59,76,78,100,102‐106,108,110 five focused solely on alcohol prevention and/or management (see Table 3), 22,47,58,73,86 four on physical activity (see Table 4) 72,80,106,110 and eight on social and emotional wellbeing (see Table 5).…”