Evidence map›Paper›PMID 33407873›Full record

ArticleAddiction science & clinical practice2021

A Delphi yarn: applying Indigenous knowledges to enhance the cultural utility of SMART Recovery Australia.

Elizabeth Dale, Katherine M Conigrave, Peter J Kelly, Rowena Ivers, Kathleen Clapham, K S Kylie Lee

Abstract read
In one paragraph

Article in Addiction science & clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

6 authors.

Elizabeth DaleIllawarra Health and Medical Research Institute, Wollongong, NSW, Australia. egd80@uowmail.edu.au.ORCID 0000-0002-0778-5571
Katherine M ConigraveRoyal Prince Alfred Hospital, Drug Health Services, Camperdown, NSW, Australia.
Peter J KellyIllawarra Health and Medical Research Institute, Wollongong, NSW, Australia.
Rowena IversGradute School of Medicine, The University of Wollongong, Wollongong, NSW, Australia.
Kathleen ClaphamNgarruwan Ngadju First Peoples Health and Wellbeing Research Centre, Australian Health Services Research Institute, Faculty of Business, University of Wollongong, Wollongong, NSW, Australia.
K S Kylie LeeRoyal Prince Alfred Hospital, Drug Health Services, Camperdown, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMutual support groups are a popular treatment for substance use and other addictive behaviours. However, little is known about the cultural utility of these programmes for Indigenous peoples.

methodsA three-round Delphi study, utilising Indigenous research yarning methods was conducted to: (1) Obtain expert opinion regarding the cultural utility of an Indigenous SMART Recovery handbook; (2) Gain consensus on areas within the SMART Recovery programme that require cultural modification and; (3) Seek advice on how modifications could be implemented in future programme design and delivery. The panellists were 11 culturally, geographically, and professionally diverse Indigenous Australian health and wellbeing experts. A group consensus level of 80% was set prior to each survey round.

resultsThere was 100% participant retention across all three Delphi rounds. The panel reached consensus on five key programme modifications (composition of a separate facilitator and group member handbook; culturally appropriate language, terminology, and literacy level; culturally meaningful programme activities; supplementary storytelling resources; and customisation for diverse community contexts). The panel also developed a series of practical implementation strategies to guide SMART Recovery through a modification process.

conclusionThe findings highlight the importance of involving Indigenous peoples in the design, delivery and validation of mainstream mutual support programmes. Indigenous-led programme modifications could help improve accessibility and usefulness of mutual support groups for Indigenous peoples worldwide. This study is an example of how Indigenous research methods can be used alongside the Delphi technique. This approach demonstrated a way that Indigenous peoples from culturally and geographically diverse locations can participate in research anonymously, autonomously and without added burden on personal, community or professional obligations.

Indexed as

Delphi TechniqueIndigenous PeoplesSelf-Help GroupsAdultAustraliaBehavior, AddictiveCultural DiversityFemaleHumansMaleManuals as TopicMiddle AgedProgram DevelopmentSubstance-Related DisordersAddictionIndigenousMutual support groupSMART recoverySubstance use

Identifiers

PMID33407873
PMCPMC7787604

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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.