Evidence map›Paper›PMID 42816900›Full record

ArticleThe Australian journal of rural health2026

Improving Clinician-Patient Communication in Aboriginal Health Care: Barriers and Enablers to Implementing Culturally Informed Communication Training (Clinical Yarning).

Ivan Lin, Deborah G Balmer, Charmaine Green Smith, Di Franklin, Kelsie Crowe, Peter O'Sullivan, Jonathan Bullen, Dawn Bessarab

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Australian journal of rural health, 2026. 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. 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

8 authors.

Ivan LinWestern Australian Centre for Rural Health, University of Western Australia, Geraldton, Western Australia, Australia.ORCID 0000-0001-6901-2569
Deborah G BalmerWestern Australian Centre for Rural Health, University of Western Australia, Geraldton, Western Australia, Australia.ORCID 0000-0001-8296-5022
Charmaine Green SmithWestern Australian Centre for Rural Health, University of Western Australia, Geraldton, Western Australia, Australia.
Di FranklinWA Country Health, Geraldton, Western Australia, Australia.
Kelsie CroweWestern Australian Centre for Rural Health, University of Western Australia, Geraldton, Western Australia, Australia.ORCID 0009-0004-8025-6707
Peter O'SullivanCurtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
Jonathan BullenOffice of the Deputy Vice-Chancellor, Indigenous, Curtin University, Perth, Western Australia, Australia.
Dawn BessarabCentre for Aboriginal Medical and Dental Health, School of Medicine, University of Western Australia, Perth, Western Australia, Australia.

Funding

Government of Western Australia ISF2021-LIN
6 · The paper itself

Abstract

objectiveThis study examines barriers and enablers to implementing Clinical Yarning into health care from the perspective of health care staff.

settingThe Midwest Region (> 60,000 km

designSemi-structured interviews with health care practitioners across four regional, rural and remote centers. Interview schedule was drawn from the Theoretical Domains Framework (TDF). Interviews were transcribed verbatim and analysed using inductive and framework analysis, informed by the TDF and Mechanisms of Action.

resultsInterviews with 53 health care practitioners (17% Aboriginal, 83% non-Aboriginal) ranged from 14 to 60 min in length. Barriers and enablers coalesced around three main themes: knowledge/perceptions of Clinical Yarning, training practices in general and Clinical Yarning specifically, and environmental conditions including general cultural safety and executive support. The barriers and enablers found in each of the domains lead to implementation strategies which use program champions and executive support, build on the positivity towards Clinical Yarning, pay attention to training delivery modes like including local cultural experts where able and acknowledge the larger cultural safety/security barriers within the health service. The barriers presented by workforce challenges are important key variables in any success of the Clinical Yarning intervention.

conclusionThe documented enablers and barriers to implementing Clinical Yarning in the Midwest when viewed through a TDF/MoA framework provide a way to create a systematic implementation strategy to address the identified barriers and enablers. The findings have implications for other health services wishing to implement Clinical Yarning as well as culturally secure health care more broadly.

Indexed as

CommunicationCultural CompetencyHealth Services, IndigenousPhysician-Patient RelationsRural Health ServicesFemaleHumansInterviews as TopicMaleWestern Australia

Identifiers

PMID42816900
PMCPMC13627743

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.