Evidence map›Paper›PMID 41131785›Full record

Trial reportThe Australian journal of rural health2025

Healing Right Way: A Stepped Wedge Cluster Randomised Controlled Trial Aiming to Enhance Quality of Life for Aboriginal Australian Survivors of Stroke and Traumatic Brain Injury.

Elizabeth Armstrong, Tapan Rai, Judith M Katzenellenbogen, Sandra J Thompson, Meaghan McAllister, Natalie Ciccone, Deborah Hersh, Leon Flicker, Dominique A Cadilhac, Erin Godecke and 9 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The Australian journal of rural health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

19 authors.

Elizabeth ArmstrongUniversity Department of Rural Health South West, Edith Cowan University, Perth, Western Australia, Australia.ORCID 0000-0003-4469-1117
Tapan RaiSchool of Mathematical and Physical Sciences, University of Technology Sydney, Sydney, New South Wales, Australia.
Judith M KatzenellenbogenCardiovascular Epidemiology Research Centre, School of Population and Global Health, University of Western Australia, Perth, Western Australia, Australia.
Sandra J ThompsonWestern Australian Centre for Rural Health, University of Western Australia, Perth, Western Australia, Australia.ORCID 0000-0003-0327-7155
Meaghan McAllisterSchool of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia.
Natalie CicconeSchool of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia.
Deborah HershCurtin School of Allied Health, Curtin University, Perth, Western Australia, Australia.
Leon FlickerMedical School, University of Western Australia, Perth, Western Australia, Australia.ORCID 0000-0002-3650-0475
Dominique A CadilhacSchool of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia.
Erin GodeckeSchool of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia.
Graeme J HankeyCentre for Neuromuscular and Neurological Disorders, Medical School, University of Western Australia, Perth, Western Australia, Australia.
Neil DrewAustralian Indigenous HealthInfoNet, Kurongkurl Katitjin, Edith Cowan University, Perth, Western Australia, Australia.
Colleen HaywardKurongkurl Katitjin, Edith Cowan University, Perth, Western Australia, Australia.
Deborah WoodsGeraldton Regional Aboriginal Medical Service, Geraldton, Western Australia, Australia.
Mel RobinsonNgangk Yira Institute for Change, Murdoch University, Murdoch, Western Australia, Australia.
Ivan LinWestern Australian Centre for Rural Health, University of Western Australia, Perth, Western Australia, Australia.
Sanita KratinaSchool of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia.
Jane WhiteSchool of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia.
Juli CoffinNgangk Yira Institute for Change, Murdoch University, Murdoch, Western Australia, Australia.

Funding

National Health and Medical Research Council 1132468Royal Perth Hospital Medical Research FoundationWestern Australian Department of Health
6 · The paper itself

Abstract

objectiveTo determine the effect of cultural security training (CST) for health professionals and access to an Aboriginal Brain Injury Coordinator (ABIC) for Aboriginal Australians with stroke or traumatic brain injury (TBI).

designA stepped wedge cluster randomised controlled trial; the intervention package consisted of CST for hospital professionals and 6-month access to ABICs providing education, support, liaison and advocacy; the commencement order of the intervention phase was randomised.

settingFour urban and four rural hospitals in Western Australia, 2018-2022.

participantsAboriginal adults ≥ 18 years hospitalised with stroke or TBI.

main outcome measuresPrimary outcome was quality of life (Euro QOL-5D-3L Visual Analogue Scale (EQ-VAS)) score at 26 weeks post-injury. Secondary outcomes were modified Rankin Scale, Functional Independence Measure, Hospital Anxiety and Depression Scale, Modified Caregiver Strain Index at 12 and 26 weeks, rehabilitation occasions of service, hospital compliance with minimum processes of care (MPC), acceptability of interventions, feasibility of ABIC role and costs.

resultsIn total, 108 participants recruited (target 312), 75% rural residents; 26-week outcomes assessment completed for 78% of participants. The adjusted mean QoL showed no significant difference (p = 0.83). The MPC outcome favored the intervention group, adjusted difference in means 6.8% at 26 weeks, 95% CI (0.40%, 13.26%). There were no significant differences between control and intervention groups for other secondary outcomes.

conclusionsCST and implementation of an ABIC were feasible, acceptable and improved care processes for a predominantly rural population. Health outcomes did not differ. The effects of the COVID-19 context are discussed.

trial registrationACTRN12618000139279.

Indexed as

Brain Injuries, TraumaticQuality of LifeStrokeSurvivorsAdultAgedAustraliaFemaleHumansMaleMiddle AgedWestern Australiaaboriginalclinical trialindigenousrehabilitationstroketraumatic brain injury

Identifiers

PMID41131785
PMCPMC12550218

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.