Evidence map›Paper›PMID 28707268›Full record

ArticleJournal of racial and ethnic health disparities2018

'Hey, We Are the Best Ones at Dealing with Our Own': Embedding a Culturally Competent Program for Māori and Pacific Island Children into a Mainstream Health Service in Queensland, Australia.

Lisa Vaughan, Lisa Schubert, Helen Mavoa, Nicola Fa'avale

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Article in Journal of racial and ethnic health disparities, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Lisa VaughanSchool of Public Health, Faculty of Medicine and Biomedical Sciences, The University of Queensland, 4th Floor, Public Health Building, Herston Road, Herston, QLD, 4006, Australia. l.vaughan1@uq.edu.au.ORCID 0000-0002-1653-0124
Lisa SchubertSchool of Public Health, Faculty of Medicine and Biomedical Sciences, The University of Queensland, 4th Floor, Public Health Building, Herston Road, Herston, QLD, 4006, Australia.
Helen MavoaSchool of Public Health, Faculty of Medicine and Biomedical Sciences, The University of Queensland, 4th Floor, Public Health Building, Herston Road, Herston, QLD, 4006, Australia.
Nicola Fa'avaleSchool of Public Health, Faculty of Medicine and Biomedical Sciences, The University of Queensland, 4th Floor, Public Health Building, Herston Road, Herston, QLD, 4006, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe present the results of one component of an external evaluation of Good Start Program (GSP), a community-based program for the prevention of chronic disease among Maori and Pacific Island (MPI) communities living in the state of Queensland, Australia.

designAn evaluation of the GSP was undertaken using a mixed methods approach. This paper reports on the qualitative component where interview and focus group data was collected, using Talanoa, a culturally tailored research methodology. Respondents included school students, community groups, teachers and parents, as well as the Good Start implementation team. RESULT(S): The five broad themes that emerged from this evaluation related to (i) components of cultural-competence and (ii) perceived impact of the program. The views of all participants reinforced the importance of culturally appropriate programs and highlighted how the multicultural health workers (MHWs) contributed to the program's perceived success. The challenges in understanding restrictions of the mainstream health service framework were noted indicating the need for it to be flexible in incorporating culturally appropriate components if a program was to be embraced.

conclusionThe qualitative evaluation of the GSP suggests that culturally tailored programs, delivered by MHWs, have the potential to impact positively on community-level behavioural changes that improve health. These findings, supported by studies from other countries, contribute to the evidence that cultural-tailoring of programs is critical for ensuring that culturally appropriate initiatives are embedded in health care systems that support multicultural communities. Embedding includes the development of culturally appropriate policies, a culturally competent workforce and long-term funding to support culturally competent initiatives.

Indexed as

Culturally Competent CareDelivery of Health CareHealth PromotionHealth Services, IndigenousChronic DiseaseCommunity Health WorkersHumansObesityQualitative ResearchQueenslandCommunityCulturally competentEvaluationMāoriPacific IslanderStrength-based approaches

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.