Evidence map›Paper›PMID 41916637›Full record

ArticleBMJ open2026

Proactive anti-racism training for healthcare: study protocol for the development and evaluation of an Australian cognitive-behavioural therapy-informed racism reduction programme.

Rachel Reilly, Kim Morey, Libby Hammond, Matt Pedler, Ngara Keeler, Trish Laccos, Anna Chur-Hansen, Michael Larkin, Elissa Elvidge, Katina D'Onise and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Rachel ReillyWardliparingga Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia Rachel.Reilly@sahmri.com.ORCID http://orcid.org/0000-0003-2107-9187
Kim MoreyWardliparingga Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Libby HammondWardliparingga Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Matt PedlerWardliparingga Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Ngara KeelerAboriginal and Torres Strait Islander Health and Wellbeing Hub, Central Adelaide Local Health Network, Adelaide, South Australia, Australia.
Trish LaccosAboriginal and Torres Strait Islander Health and Wellbeing Hub, Central Adelaide Local Health Network, Adelaide, South Australia, Australia.
Anna Chur-HansenSchool of Psychology, College of Education, Behavioural and Social Sciences, Adelaide University, Adelaide, South Australia, Australia.
Michael LarkinSchool of Medicine, College of Health, Adelaide University, Adelaide, South Australia, Australia.
Elissa ElvidgeSchool of Medicine and Public Health, The University of Newcastle Australia, Callaghan, New South Wales, Australia.ORCID http://orcid.org/0000-0002-1729-731X
Katina D'OnisePublic Health Programs, Aboriginal Health Council of South Australia, Adelaide, South Australia, Australia.
Leda SivakSchool of Applied Psychology, Griffith University, Brisbane, Queensland, Australia.
Tina BrodieWardliparingga Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Steve LarkinAdelaide University, Adelaide, South Australia, Australia.
Lou TurnerWardliparingga Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Yvonne ClarkAboriginal Communities and Families Health Research Alliance, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Kate KwendaWardliparingga Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Judith LovegroveDepartment of Child Protection, Government of South Australia, Adelaide, South Australia, Australia.
Odette PearsonWardliparingga Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0001-9877-6509

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRacism in healthcare remains a barrier to health equity for Aboriginal and Torres Strait Islander people in Australia. This study protocol outlines the development and evaluation of a novel programme for racism reduction, drawing on aspects of cognitive behavioural therapy, motivational interviewing and the transtheoretical model of behaviour change. The project is led and governed by Aboriginal and Torres Strait Islander people and responds to the lived experience of Aboriginal and Torres Strait Islander people within the health system. METHODS AND ANALYSIS: An interactive educational programme has been developed, with seven modules designed to move people from 'precontemplation' through to identifying unhelpful beliefs and moving towards healthy relationships with themselves and others. An iterative developmental evaluation methodology will enable adaptation and improvement of the programme over three phases of implementation. Phase 1 will involve programme refinement and development of in-person and eLearning modules, informed by qualitative interviews with Aboriginal and Torres Strait Islander and non-Indigenous staff and students, and a cross-sectional survey of racist attitudes and beliefs among non-Indigenous people. In phase 2, an initial pilot to assess acceptability and feasibility will be carried out both in person (n=20) and online (n=30). Following further refinement, phase 3 will involve a larger pilot study with health professionals (n=50) and university students (n=50). The evaluation will incorporate pre-programme and postprogramme surveys and per-module evaluations, alongside qualitative interviews at key points during the project. The experiences of Aboriginal and Torres Strait Islander staff, patients and visitors will be monitored via an established patient experience measure (Yarn-Up Survey) already included in routine practice. ETHICS AND DISSEMINATION: The study has been approved by the Central Adelaide Local Health Network Human Research Ethics Committee (2024/HRE0057) and the Aboriginal Health Council of South Australia Aboriginal Health Research Ethics Committee (04-24-1130). Research dissemination will occur through presentations to stakeholders, academic journals and conference presentations. Refining the model at each phase will maximise its readiness for scalability across multiple health, medical education and potentially broader sectors in the future.

Indexed as

Cognitive Behavioral TherapyHealth Services, IndigenousRacismAntiracismAustraliaAustralian Aboriginal and Torres Strait Islander PeoplesCross-Sectional StudiesHumansMotivational InterviewingPilot ProjectsProgram DevelopmentProgram EvaluationAustralian Aboriginal and Torres Strait Islander PeoplesEDUCATION & TRAINING (see Medical Education & Training)Health EducationHealth EquityPsychosocial Intervention

Identifiers

PMID41916637
PMCPMC13052700

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.