Evidence map›Paper›PMID 36997963›Full record

ArticleBMC public health2023

A mixed methods study of Aboriginal health workers' and exercise physiologists' experiences of co-designing chronic lung disease 'yarning' education resources.

David P Meharg, Sarah M Dennis, Justin McNab, Kylie G Gwynne, Christine R Jenkins, Graeme P Maguire, Stephen Jan, Tim Shaw, Zoe McKeough, Boe Rambaldini and 7 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Co-Designing Research for Sustainable Food Systems and Diets with Aboriginal Communities: A Study Protocol.International journal of environmental research and public health · 2024
    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

17 authors at 8 institutions in 1 country.

David P MehargFaculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Western Avenue, Camperdown, NSW, 2006, Australia. David.Meharg@sydney.edu.au.
Sarah M DennisFaculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Western Avenue, Camperdown, NSW, 2006, Australia.
Justin McNabFaculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Western Avenue, Camperdown, NSW, 2006, Australia.
Kylie G GwynneFaculty of Medicine, Health and Human Sciences, Macquarie University, North Ryde, NSW, 2109, Australia.
Christine R JenkinsThe George Institute for Global Health, Newtown, NSW, 2042, Australia.
Graeme P MaguireCurtin Medical School, Faculty of Health Sciences, Curtin University, Bentley, WA, 6102, Australia.
Stephen JanThe George Institute for Global Health, Newtown, NSW, 2042, Australia.
Tim ShawFaculty of Medicine and Health, School of Medical Sciences, The University of Sydney, Camperdown, NSW, 2006, Australia.
Zoe McKeoughFaculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Western Avenue, Camperdown, NSW, 2006, Australia.
Boe RambaldiniFaculty of Medicine, Health and Human Sciences, Macquarie University, North Ryde, NSW, 2109, Australia.
Vanessa LeeFaculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Western Avenue, Camperdown, NSW, 2006, Australia.
Debbie McCowenArmajun Aboriginal Health Service, Inverell, NSW, 2360, Australia.
Jamie NewmanOrange Aboriginal Medical Service, Orange, NSW, 2800, Australia.
Scott MonaghanBulgarr Ngaru Medical Aboriginal Corporation, Grafton, NSW, 2460, Australia.
Hayley LongbottomWaminda South Coast Women's Health and Welfare Aboriginal Corporation, Nowra, NSW, 2541, Australia.
Sandra J EadesCurtin Medical School, Faculty of Health Sciences, Curtin University, Bentley, WA, 6102, Australia.
Jennifer A AlisonFaculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Western Avenue, Camperdown, NSW, 2006, Australia.
The University of Sydney · AUCurtin University · AUMacquarie University · AUThe George Institute for Global Health · AUAboriginal Health Council of South Australia · AUBulgarr Ngaru Medical Aboriginal Corporation · AUSouth Western Sydney Local Health District · AUSydney Local Health District · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the high incidence of chronic obstructive pulmonary disease (COPD) in Aboriginal communities in Australia, Aboriginal Health Workers (AHWs) have limited knowledge about effective management.

aimTo evaluate an online education program, co-designed with AHWs and exercise physiologists (EPs) or physiotherapists (PTs), to increase knowledge about COPD and its management.

methodsAHWs and EPs from four Aboriginal Community Controlled Health Services (ACCHS) were recruited. An Aboriginal researcher and a physiotherapist experienced in COPD management and pulmonary rehabilitation (PR) delivered seven online education sessions. These sessions used co-design principles and an Aboriginal pedagogy framework '8 Ways of learning', which incorporates Aboriginal protocols and perspectives to realign teaching techniques and strengthen learning outcomes. Topics covered were: How the lungs work; What is COPD; Medications and how to use inhalers and COPD Action Plans; Why exercise is important; Managing breathlessness; Healthy eating; Managing anxiety and depression. After each session, AHWs with support from EPs, co-designed education 'yarning' resources using Aboriginal ways of learning to ensure topics were culturally safe for the local Aboriginal community and practiced delivering this at the following session. At the end of the program participants completed an anonymous online survey (5-point Likert scale) to assess satisfaction, and a semi-structured interview about their experience of the online education.

resultsOf the 12 participants, 11 completed the survey (7 AHWs, 4 EPs). Most (90%) participants strongly agreed or agreed that the online sessions increased knowledge and skills they needed to support Aboriginal patients with COPD. All (100%) participants felt: their cultural perspectives and opinions were valued and that they were encouraged to include cultural knowledge. Most (91%) reported that delivering their own co-designed yarning scripts during the online sessions improved their understanding of the topics. Eleven participants completed semi-structured interviews about participating in online education to co-design Aboriginal 'yarning' resources. Themes identified were: revealing the Aboriginal lung health landscape; participating in online learning; structuring the online education sessions; co-designing with the facilitators.

conclusionsOnline education using co-design and 8 Ways of learning was rated highly by AHWs and EPs for improving COPD knowledge and valuing cultural perspectives. The use of co-design principles supported the cultural adaptation of COPD resources for Aboriginal people with COPD.

trial registrationPROSPERO (registration number: CRD42019111405).

Indexed as

Health Services, IndigenousLung DiseasesPulmonary Disease, Chronic ObstructiveAustralian Aboriginal and Torres Strait Islander PeoplesHumansPatient Education as TopicAboriginal health workerAboriginal pedagogyChronic obstructive pulmonary diseaseEducation and pulmonary rehabilitation

Identifiers

PMID36997963
PMCPMC10063331
OpenAlexW4362505909

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.