Evidence map›Paper›PMID 33926983›Full record

ArticleBMJ open2021

Enablers and barriers to primary healthcare for Aboriginal and Torres Strait Islander adolescents: study protocol for participatory mixed-methods research that builds on WHO global standards.

Tirritpa Ritchie, Tara Purcell, Seth Westhead, Mark Wenitong, Yvonne Cadet-James, Alex Brown, Renae Kirkham, Johanna Neville, Clara Saleh, Ngiare Brown and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

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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 5 institutions in 2 countries.

Tirritpa RitchieWardliparingga Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Tara PurcellGlobal Adolescent Health Group, Maternal Child and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia.
Seth WestheadWardliparingga Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Mark WenitongApunipima Cape York Health Council, Cairns, Queensland, Australia.
Yvonne Cadet-JamesApunipima Cape York Health Council, Cairns, Queensland, Australia.
Alex BrownWardliparingga Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Renae KirkhamMenzies School of Health Research, Casuarina, Northern Territory, Australia.
Johanna NevilleApunipima Cape York Health Council, Cairns, Queensland, Australia.
Clara SalehApunipima Cape York Health Council, Cairns, Queensland, Australia.
Ngiare BrownNgaoara Aboriginal Child and Adolescent Wellbeing, Wollongong, New South Wales, Australia.
Elissa C KennedyGlobal Adolescent Health Group, Maternal Child and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia.
Julie HenneganGlobal Adolescent Health Group, Maternal Child and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia.
Odette PearsonWardliparingga Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Peter S AzzopardiWardliparingga Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia peter.azzopardi@sahmri.com.ORCID 0000-0002-9280-6997
Burnet Institute · AUSouth Australian Health and Medical Research Institute · AUJames Cook University · AUMenzies School of Health Research · AUTharawal Aboriginal · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOne-third of Australia's Aboriginal and Torres Strait Islander population are adolescents. Recent data highlight their health needs are substantial and poorly met by existing services. To design effective models of primary healthcare, we need to understand the enablers and barriers to care for Aboriginal and Torres Strait Islander adolescents, the focus of this study. METHODS AND ANALYSIS: This protocol was codesigned with Apunipima Cape York Health Council that supports the delivery of primary healthcare for 11 communities in Far North Queensland. We framed our study around the WHO global standards for high-quality health services for adolescents, adding an additional standard around culturally safe care. The study is participatory and mixed methods in design and builds on the recommended WHO assessment tools. Formative qualitative research with young people and their communities (exploring concepts in the WHO recommended quantitative surveys) seeks to understand demand-side enablers and barriers to care, as well as preferences for an enhanced response. Supply-side enablers and barriers will be explored through: a retrospective audit of clinic data (to identify current reasons for access and what can be strengthened); an objective assessment of the adolescent friendliness of clinical spaces; anonymous feedback from adolescent clients around quality of care received and what can be improved; and surveys and qualitative interviews with health providers to understand their perspectives and needs to provide enhanced care. This codesigned project has been approved by Apunipima Cape York Health Council and Far North Queensland Human Research Ethics Committee. DISSEMINATION AND IMPLICATIONS: The findings from this project will inform a codesigned accessible and responsive model of primary healthcare for Aboriginal and Torres Strait Islander adolescents.

Indexed as

Health Services, IndigenousAdolescentAustralian Aboriginal and Torres Strait Islander PeoplesHumansPrimary Health CareQueenslandRetrospective StudiesWorld Health Organizationhealth policyprimary carepublic health

Identifiers

PMID33926983
PMCPMC8094354
OpenAlexW3159094171

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.