Evidence map›Paper›PMID 37076841›Full record

ArticleBMC health services research2023

Ear and hearing care programs for First Nations children: a scoping review.

Kai Nash, Rona Macniven, Liesa Clague, Harvey Coates, Mark Fitzpatrick, Hasantha Gunasekera, Kylie Gwynne, Luke Halvorsen, Samantha Harkus, Leanne Holt and 6 more

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2023. 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.

  1. Article
  2. Article
  3. Article
  4. Review
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

16 authors.

Kai NashThe Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Sydney, Australia. kai.nash@mq.edu.au.
Rona MacnivenSchool of Population Health, University of New South Wales, Sydney, Australia.
Liesa ClagueThurru Indigenous Unit, College of Medicine, Health and Wellbeing, University of Newcastle, Newcastle, Australia.
Harvey CoatesThe University of Western Australia, Perth, Australia.
Mark FitzpatrickTelethon Speech and Hearing, Perth, Australia.
Hasantha GunasekeraThe University of Sydney, Sydney, Australia.
Kylie GwynneThe Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Sydney, Australia.
Luke HalvorsenThe Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Sydney, Australia.
Samantha HarkusNational Acoustic Laboratories, Sydney, Australia.
Leanne HoltDepartment of Indigenous Studies, Macquarie University, Sydney, Australia.
Noeleen LumbyThe Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Sydney, Australia.
Katie NealThe Shepherd Centre, Newtown, Australia.
Neil OrrThe Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Sydney, Australia.
Elizabeth PellicanoUniversity College London, London, UK.
Boe RambaldiniThe Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Sydney, Australia.
Catherine McMahonThe Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEar and hearing care programs are critical to early detection and management of otitis media (or middle ear disease). Otitis media and associated hearing loss disproportionately impacts First Nations children. This affects speech and language development, social and cognitive development and, in turn, education and life outcomes. This scoping review aimed to better understand how ear and hearing care programs for First Nations children in high-income colonial-settler countries aimed to reduce the burden of otitis media and increase equitable access to care. Specifically, the review aimed to chart program strategies, map the focus of each program against 4 parts of a care pathway (prevention, detection, diagnosis/management, rehabilitation), and to identify the factors that indicated the longer-term sustainability and success of programs.

methodA database search was conducted in March 2021 using Medline, Embase, Global Health, APA PsycInfo, CINAHL, Web of Science Core Collection, Scopus, and Academic Search Premier. Programs were eligible or inclusion if they had either been developed or run at any time between January 2010 to March 2021. Search terms encompassed terms such as First Nations children, ear and hearing care, and health programs, initiatives, campaigns, and services.

resultsTwenty-seven articles met the criteria to be included in the review and described a total of twenty-one ear and hearing care programs. Programs employed strategies to: (i) connect patients to specialist services, (ii) improve cultural safety of services, and (iii) increase access to ear and hearing care services. However, program evaluation measures were limited to outputs or the evaluation of service-level outcome, rather than patient-based outcomes. Factors which contributed to program sustainability included funding and community involvement although these were limited in many cases.

conclusionThe result of this study highlighted that programs primarily operate at two points along the care pathway-detection and diagnosis/management, presumably where the greatest need lies. Targeted strategies were used to address these, some which were limited in their approach. The success of many programs are evaluated as outputs, and many programs rely on funding sources which can potentially limit longer-term sustainability. Finally, the involvement of First Nations people and communities typically only occurred during implementation rather than across the development of the program. Future programs should be embedded within a connected system of care and tied to existing policies and funding streams to ensure long term viability. Programs should be governed and evaluated by First Nations communities to further ensure programs are sustainable and are designed to meet community needs.

Indexed as

Culturally Competent CareHearing LossIndigenous PeoplesOtitis MediaChildDeveloped CountriesHealthcare DisparitiesHealth Services AccessibilityHumansTime FactorsAboriginalHealthcareHearingIndigenousInuitMāoriMetisMiddle ear disease

Identifiers

PMID37076841
PMCPMC10116763

What OpenQuestion holds

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Registered trials

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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.