Evidence map›Paper›PMID 33748978›Full record

SynthesisHealth services research2021

Outcomes reported in evaluations of programs designed to improve health in Indigenous people.

Shingisai Chando, Martin Howell, Christian Young, Jonathan C Craig, Sandra J Eades, Michelle Dickson, Kirsten Howard

Open access · greenAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Stakeholder perspectives on the implementation and impact of Indigenous health interventions: A systematic review of qualitative studies.Health expectations : an international journal of public participation in health care and health policy · 2021
    Pooled it
  3. Delivering health programs for Aboriginal and Torres Strait Islander children: Carer and staff views on what's important.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2022
    Article
  4. The socioemotional challenges and consequences for caregivers of Aboriginal and Torres Strait Islander children with otitis media: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2022
    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

7 authors at 4 institutions in 1 country.

Shingisai ChandoUniversity of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0003-4521-3491
Martin HowellUniversity of Sydney, Sydney, New South Wales, Australia.
Christian YoungThe Sax Institute, Sydney, New South Wales, Australia.
Jonathan C CraigCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Sandra J EadesCurtin University, Perth, Western Australia, Australia.
Michelle DicksonUniversity of Sydney, Sydney, New South Wales, Australia.
Kirsten HowardUniversity of Sydney, Sydney, New South Wales, Australia.
The University of Sydney · AUCurtin University · AUFlinders University · AUSax Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the outcomes reported and measured in evaluations of complex health interventions in Indigenous communities. DATA SOURCES: We searched all publications indexed in MEDLINE, PreMEDLINE, EMBASE, PsycINFO, EconLit, and CINAHL until January 2020 and reference lists from included papers were hand-searched for additional articles. STUDY

designSystematic review. DATA COLLECTION/EXTRACTION

methodsWe included all primary studies, published in peer-reviewed journals, where the main objective was to evaluate a complex health intervention developed specifically for an Indigenous community residing in a high-income country. Only studies published in English were included. Quantitative and qualitative data were extracted and summarized. PRINCIPAL

findingsOf the 3523 publications retrieved, 62 evaluation studies were included from Australia, the United States, Canada, and New Zealand. Most studies involved less than 100 participants and were mainly adults. We identified outcomes across 13 domains: clinical, behavioral, process-related, economic, quality of life, knowledge/awareness, social, empowerment, access, environmental, attitude, trust, and community. Evaluations using quantitative methods primarily measured outcomes from the clinical and behavioral domains, while the outcomes reported in the qualitative studies were mostly from the process-related and empowerment domains.

conclusionThe outcomes from qualitative evaluations, which better reflect the impact of the intervention on participant health, remain different from the outcomes routinely measured in quantitative evaluations. Measuring the outcomes from qualitative evaluations alongside outcomes from quantitative evaluations could result in more relevant evaluations to inform decision making in Indigenous health.

Indexed as

Health StatusIndigenous PeoplesOutcome Assessment, Health CareProgram EvaluationAustraliaCanadaHumansQuality of LifeUnited Statescomplex health interventionsevaluationIndigenous healthoutcomespolicy

Identifiers

PMID33748978
PMCPMC8586489
OpenAlexW3136456521

What OpenQuestion holds

Textmetadata
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.