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OBJECTIVE To examine the trends in processes of diabetes care and in participant outcomes after an intervention in two remote regions of Australia. DESIGN Follow-up study over 3 years. SETTING Seven health centres in the Tiwi Islands and the Katherine West region of the Northern Territory. PARTICIPANTS 137 Aboriginal people with type 2 diabetes. (More)
BACKGROUND Indigenous Australians experience disproportionately high prevalence of, and morbidity and mortality from diabetes. There is an urgent need to understand how Indigenous primary care systems are organised to deliver diabetes services to those most in need, to monitor the quality of diabetes care received by Indigenous people, and to improve(More)
OBJECTIVE To develop and evaluate a culturally adapted brief intervention for Indigenous people with chronic mental illness. DESIGN A mixed methods design in which an exploratory phase of qualitative research was followed by a nested randomised controlled trial. SETTING Psycho-education resources and a brief intervention, motivational care planning(More)
BACKGROUND Aboriginal people in Australia experience the highest prevalence of diabetes in the country, an excess of preventable complications and early death. There is increasing evidence demonstrating the importance of healthcare systems for improvement of chronic illness care. The aims of this study were to assess the status of systems for chronic(More)
BACKGROUND Poor housing conditions in remote Indigenous communities in Australia are a major underlying factor in poor child health, including high rates of skin infections. The aim of this study is to test approaches to data collection, analysis and feedback for a follow-up study of the impact of housing conditions on child health. METHODS Participation(More)
BACKGROUND Indigenous Australians experience disproportionately high prevalence of, and morbidity and mortality from chronic illness such as diabetes, renal disease and cardiovascular disease. Improving the understanding of how Indigenous primary care systems are organised to deliver chronic illness care will inform efforts to improve the quality of care(More)
A key challenge to providing quality developmental care in remote Aboriginal primary health care (PHC) centers has been the absence of culturally appropriate developmental screening instruments. This study focused on the cross-cultural adaptation of the Ages and Stages Questionnaires, 3rd edition (ASQ-3), with careful attention to language and culture. We(More)
OBJECTIVE To describe changes in delivery of preventive services among adults in Aboriginal communities that occurred in association with a systems-oriented intervention. DESIGN, SETTING AND PARTICIPANTS A quality improvement intervention with a 2-year follow-up was undertaken at 12 Aboriginal community health centres in the Northern Territory between(More)