Evidence map›Paper›PMID 32164678›Full record

ArticleBMC health services research2020

Let's CHAT (community health approaches to) dementia in Aboriginal and Torres Strait Islander communities: protocol for a stepped wedge cluster randomised controlled trial.

Kate Bradley, Robyn Smith, Jo-Anne Hughson, David Atkinson, Dawn Bessarab, Leon Flicker, Kylie Radford, Kate Smith, Edward Strivens, Sandra Thompson and 2 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% of its field
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Advancing brain health equity with Indigenous peoples: A critical imperative.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  10. Co-design of dementia prevention program for Aboriginal Australians (DAMPAA).Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
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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

12 authors at 5 institutions in 1 country.

Kate BradleyThe University of Melbourne, Faculty of Medicine, Dentistry and Health Sciences, Royal Melbourne Hospital, Royal Park Campus, Administration Building 21, 34 -54 Poplar Road, Melbourne, Victoria, 3052, Australia. kate.bradley@unimelb.edu.au.ORCID http://orcid.org/0000-0001-8526-8935
Robyn SmithThe University of Melbourne, Faculty of Medicine, Dentistry and Health Sciences, Royal Melbourne Hospital, Royal Park Campus, Administration Building 21, 34 -54 Poplar Road, Melbourne, Victoria, 3052, Australia.
Jo-Anne HughsonThe University of Melbourne, Faculty of Medicine, Dentistry and Health Sciences, Royal Melbourne Hospital, Royal Park Campus, Administration Building 21, 34 -54 Poplar Road, Melbourne, Victoria, 3052, Australia.
David AtkinsonThe University of Western Australia, Rural Clinical School of Western Australia , PO Box 1377, Broome, 6725, Australia.
Dawn BessarabThe University of Western Australia, M303, 35 Stirling Highway, Perth, 6009, Australia.
Leon FlickerThe University of Western Australia, Rural Clinical School of Western Australia , PO Box 1377, Broome, 6725, Australia.
Kylie RadfordNeuroscience Research Australia, 139 Barker Street, Sydney, NSW, 2031, Australia.
Kate SmithUniversity of Western Australia, 35 Stirling Highway, Perth, 6009, Australia.
Edward StrivensQueensland Government, Brisbane, Australia.
Sandra ThompsonThe University of Western Australia, 167 Fitzgerald St, Geraldton, WA, 6530, Australia.
Irene BlackberryLaTrobe University, PO box 821, Wodonga, VIC, 3689, Australia.
Dina LoGiudiceThe University of Melbourne, Faculty of Medicine, Dentistry and Health Sciences, Royal Melbourne Hospital, Royal Park Campus, Administration Building 21, 34 -54 Poplar Road, Melbourne, Victoria, 3052, Australia.
The University of Western Australia · AUThe Royal Melbourne Hospital · AULa Trobe University · AUQueensland Government · AUThe University of Sydney · AU

Funding

National Health and Medical Research Council 1137425National Health and Medical Research Council 1150337
6 · The paper itself

Abstract

backgroundDocumented rates of dementia and cognitive impairment not dementia (CIND) in older Aboriginal and Torres Strait Islander Peoples is 3-5 times higher than the rest of the population, and current evidence suggests this condition is under-diagnosed and under-managed in a clinical primary care setting. This study aims to implement and evaluate a culturally responsive best practice model of care to optimise the detection and management of people with cognitive impairment and/or dementia, and to improve the quality of life of carers and older Aboriginal and Torres Islander Peoples with cognitive impairment. METHODS/

designThe prospective study will use a stepped-wedge cluster randomised controlled trial design working with 12 Aboriginal Community Controlled Health Services (ACCHSs) across four states of Australia. Utilising a co-design approach, health system adaptations will be implemented including (i) development of a best practice guide for cognitive impairment and dementia in Aboriginal and Torres Strait Islander communities (ii) education programs for health professionals supported by local champions and (iii) development of decision support systems for local medical software. In addition, the study will utilise a knowledge translation framework, the Integrated Promoting Action on Research Implementation in Health Services (iPARIHS) Framework, to promote long-term sustainable practice change. Process evaluation will also be undertaken to measure the quality, fidelity and contextual influences on the outcomes of the implementation. The primary outcome measures will be rates of documentation of dementia and CIND, and evidence of improved management of dementia and CIND among older Indigenous peoples attending Aboriginal and Torres Strait Islander primary care services through health system changes. The secondary outcomes will be improvements to the quality of life of older Indigenous peoples with dementia and CIND, as well as that of their carers and families. DISCUSSION: The Let's CHAT Dementia project will co-design, implement and evaluate a culturally responsive best practice model of care embedded within current Indigenous primary health care. The best practice model of care has the potential to optimise the timely detection (especially in the early stages) and improve the ongoing management of people with dementia or cognitive impairment.

trial registrationACTRN12618001485224. Date of registration: 04 of September 2019.

Indexed as

Community Health ServicesDementiaHealth Services, IndigenousPrimary Health CareAustraliaAustralian Aboriginal and Torres Strait Islander PeoplesCultural CompetencyHealth Services ResearchHumansModels, OrganizationalProspective StudiesRandomized Controlled Trials as TopicAboriginal and Torres Strait islanderAboriginal community controlled health servicesAlzheimer’s diseaseCognitive impairment not dementiaDementia

Identifiers

PMID32164678
PMCPMC7069169
OpenAlexW3011808014

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.