Evidence map›Paper›PMID 33246445›Full record

ArticleBMC public health2020

Systems integration to promote the mental health of Aboriginal and Torres Strait Islander children: protocol for a community-driven continuous quality improvement approach.

Janya McCalman, Roxanne Bainbridge, Yvonne Cadet James, Ross Bailie, Komla Tsey, Veronica Matthews, Michael Ungar, Deborah Askew, Ruth Fagan, Hannah Visser and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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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

14 authors at 9 institutions in 2 countries.

Janya McCalmanCentre for Indigenous Health Equity Research, Central Queensland University, cnr Abbott and Shield St, Cairns, QLD, 4870, Australia. j.mccalman@cqu.edu.au.ORCID http://orcid.org/0000-0002-3022-3980
Roxanne BainbridgeSchool of Health, Medical and Applied Sciences, Central Queensland University, cnr Abbott and Shield St, Cairns, QLD, 4870, Australia.
Yvonne Cadet JamesApunipima Cape York Health Council, 186 McCoombe St, Cairns, QLD, 4870, Australia.
Ross BailieUniversity Centre for Rural Health, The University of Sydney, 61 Uralba St, Lismore, NSW, 2480, Australia.
Komla TseyThe Cairns Institute, James Cook University, McGregor Rd, Cairns, QLD, 4878, Australia.
Veronica MatthewsUniversity Centre for Rural Health, The University of Sydney, 61 Uralba St, Lismore, NSW, 2480, Australia.
Michael UngarResilience Research Centre, Dalhousie University, 6420 Coburg Rd, Halifax, NS, B3H 4R2, Canada.
Deborah AskewPrimary Care Clinical Unit, The University of Queensland, Brisbane, Qld, 4072, Australia.
Ruth FaganGurriny Yealamucka Health Service, Bukki Rd, Yarrabah, QLD, 4871, Australia.
Hannah VisserBulgarr Ngaru Medical Aboriginal Corporation, 153 Canterbury St, Casino, NSW, 2470, Australia.
Geoffrey SpurlingPrimary Care Clinical Unit, The University of Queensland, Brisbane, Qld, 4072, Australia.
Nikki PercivalAustralian Centre for Public and Population Health Research, Faculty of Health, University of Technology Sydney, 235 Jones St, Ultimo, NSW, 2007, Australia.
Ilse BlignaultTranslational Health Research Institute, University of Western Sydney, School of Medicine, Campbelltown Campus, NSW, 2560, Australia.
Chris DoranCentre for Indigenous Health Equity Research, Central Queensland University, cnr Abbott and Shield St, Cairns, QLD, 4870, Australia.
Central Queensland University · AUAustralian Institute of Aboriginal and Torres Strait Islander Studies · AUThe University of Sydney · AUBulgarr Ngaru Medical Aboriginal Corporation · AUDalhousie University · CAJames Cook University · AUNgaanyatjarra Health Service · AUTranslational Research Institute · AUUniversity of Technology Sydney · AU

Funding

National Health and Medical Research Council 1164251
6 · The paper itself

Abstract

backgroundSystems integration to promote the mental health of Aboriginal and Torres Strait Islander children works towards developing a spectrum of effective, community-based services and supports. These services and supports are organised into a coordinated network, build meaningful partnerships with families and address their cultural and linguistic needs, to help children to function better at home, in school, in the community, and throughout life. This study is conducted in partnership with primary healthcare (PHC) and other services in three diverse Indigenous Australian communities. It entails conceptualising, co-designing, implementing, and evaluating the effectiveness of systems integration to promote the mental health and wellbeing of Indigenous school-aged children (4-17 years). This paper outlines a protocol for implementing such complex community-driven research. METHODS/

designUsing continuous quality improvement processes, community co-designed strategies for improved systems integration will be informed by narratives from yarning circles with Indigenous children and service providers, and quantitative data from surveys of service providers and audits of PHC client records and intersectoral systems. Agreed strategies to improve the integration of community-based services and supports will be modelled using microsimulation software, with a preferred model implemented in each community. The evaluation will investigate changes in the: 1) availability of services that are community-driven, youth-informed and culturally competent; 2) extent of collaborative service networks; 3) identification by PHC services of children's social and emotional wellbeing concerns; and 4) ratio of children receiving services to identified need. Costs and benefits of improvements to systems integration will also be calculated. DISCUSSION: The study will provide evidence-informed, community-driven, and tested models that can be used for implementing systems integration to promote the mental health and wellbeing of Indigenous children. It will identify the situational enablers and barriers that impact systems integration and determine the extent to which systems integration improves service availability, systems and child outcomes. Evidence for the cost effectiveness of systems-level integration will contribute to national mental health policy reform.

Indexed as

Health Services, IndigenousQuality ImprovementAdolescentAustraliaChildHumansMental HealthSystems Integrationchildren’s healthIndigenous healthIntegrated careMental health

Identifiers

PMID33246445
PMCPMC7694265
OpenAlexW3109812301

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.