Evidence map›Paper›PMID 38266007›Full record

ArticlePloS one2024

"Putting the power back into community": A mixed methods evaluation of a chronic hepatitis B training course for the Aboriginal health workforce of Australia's Northern Territory.

Kelly Hosking, Teresa De Santis, Emily Vintour-Cesar, Phillip Merrdi Wilson, Linda Bunn, George Garambaka Gurruwiwi, Shiraline Wurrawilya, Sarah Mariyalawuy Bukulatjpi, Sandra Nelson, Cheryl Ross and 12 more

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

Article in PloS one, 2024. 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
3.9field-weighted citation impact, top 6% 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, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

22 authors at 6 institutions in 1 country.

Kelly HoskingPublic Health Directorate, Office of the Chief Health Officer, Northern Territory Health, Northern Territory, Australia.ORCID 0000-0002-6775-7089
Teresa De SantisPopulation and Primary Health Care Branch, Top End Health Service, Northern Territory Health, Northern Territory, Australia.
Emily Vintour-CesarPublic Health Directorate, Office of the Chief Health Officer, Northern Territory Health, Northern Territory, Australia.
Phillip Merrdi WilsonPopulation and Primary Health Care Branch, Top End Health Service, Northern Territory Health, Northern Territory, Australia.
Linda BunnPopulation and Primary Health Care Branch, Top End Health Service, Northern Territory Health, Northern Territory, Australia.
George Garambaka GurruwiwiGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
Shiraline WurrawilyaPopulation and Primary Health Care Branch, Top End Health Service, Northern Territory Health, Northern Territory, Australia.
Sarah Mariyalawuy BukulatjpiMiwatj Aboriginal Health Corporation, Nhulunbuy, East Arnhem Land, Northern Territory, Australia.
Sandra NelsonPopulation and Primary Health Care Branch, Top End Health Service, Northern Territory Health, Northern Territory, Australia.
Cheryl RossGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
Kelly-Anne Stuart-CarterCentre for Disease Control, Northern Territory Health, Alice Springs, Northern Territory, Australia.
Terese NgurruwuthunMiwatj Aboriginal Health Corporation, Nhulunbuy, East Arnhem Land, Northern Territory, Australia.
Amanda DhagapanMiwatj Aboriginal Health Corporation, Nhulunbuy, East Arnhem Land, Northern Territory, Australia.
Paula BinksGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.ORCID 0000-0003-4844-9408
Richard SullivanGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
Linda WardGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
Phoebe SchroderAustralasian Society for HIV, Viral Hepatitis and Sexual Health Medicine, Sydney, NSW, Australia.
Jaclyn Tate-BakerDepartment of Infectious Diseases, Royal Darwin and Palmerston Hospital, Northern Territory Health, Darwin, Northern Territory, Australia.
Joshua S DavisGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
Christine ConnorsPublic Health Directorate, Office of the Chief Health Officer, Northern Territory Health, Northern Territory, Australia.
Jane DaviesGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
Hep B PAST partnership
Charles Darwin University · AUNorthern Territory Health Services · AUMaari Ma Health · AUAustralasian Society for HIV, Viral Hepatitis and Sexual Health Medicine · AURoyal Darwin Hospital · AUSutherland Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic hepatitis B (CHB) is endemic in the Aboriginal and Torres Strait Islander population of Australia's Northern Territory. Progression to liver disease can be prevented if holistic care is provided. Low health literacy amongst health professionals is a known barrier to caring for people living with CHB. We co-designed and delivered a culturally safe "Managing hepatitis B" training course for the Aboriginal health workforce. Here, we present an evaluation of the course.

objectives1. To improve course participants CHB-related knowledge, attitudes, and clinical practice. 2. To evaluate the "Managing hepatitis B" training course. 3. To enable participants to have the skills and confidence to be part of the care team.

methodsWe used participatory action research and culturally safe principles. We used purpose-built quantitative and qualitative evaluation tools to evaluate our "Managing hepatitis B" training course. We integrated the two forms of data, deductively analysing codes, grouped into categories, and assessed pedagogical outcomes against Kirkpatrick's training evaluation framework.

resultsEight courses were delivered between 2019 and 2023, with 130 participants from 32 communities. Pre- and post-course questionnaires demonstrated statistically significant improvements in all domains, p<0.001 on 93 matched pairs. Thematic network analysis demonstrated high levels of course acceptability and significant knowledge acquisition. Other themes identified include cultural safety, shame, previous misinformation, and misconceptions about transmission. Observations demonstrate improvements in post-course engagement, a deep understanding of CHB as well as increased participation in clinical care teams.

conclusionsThe "Managing hepatitis B" training course led to a sustained improvement in the knowledge and attitudes of the Aboriginal health workforce, resulting in improved care and treatment uptake for people living with CHB. Important non-clinical outcomes included strengthening teaching and leadership skills, and empowerment.

Indexed as

Education, Medical, ContinuingHealth Services, IndigenousHepatitis B, ChronicAustralian Aboriginal and Torres Strait Islander PeoplesHealth WorkforceHumansNorthern Territory

Identifiers

PMID38266007
PMCPMC10807824
OpenAlexW4391166239

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.