Evidence map›Paper›PMID 34952874›Full record

Trial reportBMJ open2021

Randomised clinical trial research within Aboriginal and Torres Strait Islander primary health services: a qualitative study.

Penelope Abbott, Deborah Askew, Chelsea Watego, Wendy Cy Hu, Letitia Campbell, Claudette Tyson, Robyn Walsh, Sylvia Hussey, Kerrie Doyle, Hasantha Gunasekera and 4 more

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 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
0.8field-weighted citation impact, top 25% 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, 6 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Engaging with the All My Relations Advisory Board in a healthy food incentive randomized controlled trial: a qualitative process evaluation.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  4. 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

14 authors at 8 institutions in 3 countries.

Penelope AbbottSchool of Medicine, Western Sydney University, Campbelltown, New South Wales, Australia p.abbott@westernsydney.edu.au.ORCID 0000-0003-4865-4823
Deborah AskewPrimary Care Clinical Unit, University of Queensland, Brisbane, Queensland, Australia.
Chelsea WategoSchool of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia.
Wendy Cy HuSchool of Medicine, Western Sydney University, Campbelltown, New South Wales, Australia.
Letitia CampbellKalwun Development Corporation, Gold Coast, Queensland, Australia.
Claudette TysonSouthern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Brisbane, Queensland, Australia.
Robyn WalshSchool of Medicine, Western Sydney University, Campbelltown, New South Wales, Australia.
Sylvia HusseyTownsville Aboriginal and Islander Health Service, Townsville, Queensland, Australia.
Kerrie DoyleSchool of Medicine, Western Sydney University, Campbelltown, New South Wales, Australia.
Hasantha GunasekeraUniversity of Sydney, Sydney, New South Wales, Australia.
Amanda Jane LeachChild Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia.ORCID 0000-0002-4638-8392
Tim UsherwoodUniversity of Sydney, Sydney, New South Wales, Australia.
Jessica Armstrong-KearnsSchool of Medicine, Western Sydney University, Campbelltown, New South Wales, Australia.
Jennifer ReathSchool of Medicine, Western Sydney University, Campbelltown, New South Wales, Australia.ORCID 0000-0002-0676-4402
Camden and Campbelltown Hospitals · AUThe University of Sydney · AUKalwun (Australia) · AUMenzies School of Health Research · AUPrimary HealthCare · MTQueensland University of Technology · AUThe University of Queensland · AUTownsville Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo better understand how to undertake valuable, ethical and sustainable randomised controlled clinical trial (RCT) research within Aboriginal and Torres Strait Islander primary health services.

designIn a qualitative approach, we utilised data collected between 2013 and 2020 during the planning and implementation of two RCTs. The data comprised agreed records of research meetings, and semistructured interviews with clinical trial stakeholders. The stakeholders were parents/carers of child participants, and site-based research officers, healthcare providers and community advisory groups. Our thematic analysis was informed by constructivist grounded theory.

settingThe RCTs investigated the management of otitis media in Aboriginal and Torres Strait Islander children, with the first RCT commencing recruitment in 2014 and the second in 2017. They took place in Aboriginal Medical Services (AMSs), large primary health services for Aboriginal and Torres Strait Islander people, based in urban and regional communities across two Australian states and one territory.

resultsWe analysed data from 56 meetings and 67 interviews, generating themes on making research valuable and undertaking ethical and sustainable RCTs. Aboriginal and Torres Strait Islander leadership, and support of AMSs in their service delivery function were critical. The broad benefits of the trials were considered important to sustainability, including workforce development, enhanced ear healthcare and multidirectional research capacity building. Participants emphasised the long-term responsibility of research teams to deliver benefits to AMSs and communities regardless of RCT outcomes, and to focus on relationships, reciprocity and creating positive experiences of research.

conclusionWe identify principles and strategies to assist in undertaking ethical and sustainable RCTs within Aboriginal and Torres Strait Islander primary health services. Maintaining relationships with AMSs and focusing on mutual workforce development and capacity building creates opportunities for long-term benefits so that health research and RCTs work for Aboriginal and Torres Strait Islander peoples, services, communities and researchers. TRIAL REGISTRATION NUMBER: ACTRN12613001068752 (Pre-results); ACTRN12617001652369 (Pre-results).

Indexed as

Health Services, IndigenousAustraliaChildHealth Services ResearchHumansQualitative Researchprimary carequalitative research

Identifiers

PMID34952874
PMCPMC8710871
OpenAlexW4200230500

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.