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The characteristics, implementation and effects of Aboriginal and Torres Strait Islander health promotion tools: a systematic literature search

McCalman, Janya, Tsey, Komla, Bainbridge, Roxanne, Rowley, Kevin, Percival, Nicole, O'Donoghue, Lynette, Brands, Jenny, Whiteside, Mary and Judd, Jenni (2014). The characteristics, implementation and effects of Aboriginal and Torres Strait Islander health promotion tools: a systematic literature search. BMC Public Health,14(Article No. 712).

Document type: Journal Article
Citation counts: Altmetric Score Altmetric Score is 12
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Title The characteristics, implementation and effects of Aboriginal and Torres Strait Islander health promotion tools: a systematic literature search
Author McCalman, Janya
Tsey, Komla
Bainbridge, Roxanne
Rowley, Kevin
Percival, Nicole
O'Donoghue, Lynette
Brands, Jenny
Whiteside, Mary
Judd, Jenni
Journal Name BMC Public Health
Publication Date 2014
Volume Number 14
Issue Number Article No. 712
ISSN 1471-2458   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84904078234
Total Pages 12
Place of Publication United Kingdom
Publisher BioMed Central Ltd.
HERDC Category C1 - Journal Article (DIISR)
Abstract Background
Health promotion by and with Aboriginal and Torres Strait Islander (hereafter Indigenous) Australians is critically important given a wide gap in health parity compared to other Australians. The development and implementation of step-by-step guides, instruments, packages, frameworks or resources has provided a feasible and low-resource strategy for strengthening evidence-informed health promotion practice. Yet there has been little assessment of where and how these tools are implemented or their effectiveness. This paper reviews the characteristics, implementation and effects of Indigenous health promotion tools.

Methods

Indigenous health promotion tools were identified through a systematic literature search including a prior scoping study, eight databases, references of other reviews and the authors’ knowledge (n = 1494). Documents in the peer reviewed and grey literature were included if they described or evaluated tools designed, recommended or used for strengthening Indigenous Australian health promotion. Eligible publications were entered into an Excel spreadsheet and documented tools classified according to their characteristics, implementation and effects. Quality was appraised using the Dictionary for Effective Public Health Practice Project (EPHPP) and Critical Appraisal Skills Program (CASP) tools for quantitative and qualitative studies respectively.

Results

The review found that Indigenous health promotion tools were widely available. Of 74 publications that met inclusion criteria, sixty (81%) documented tools developed specifically for the Indigenous Australian population. All tools had been developed in reference to evidence; but only 22/74 (30%) publications specified intended or actual implementation, and only 11/74 (15%) publications evaluated impacts of the implemented tools. Impacts included health, environmental, community, organisational and health care improvements. The quality of impact evaluations was strong for only five (7%) studies.

Conclusions

The small number and generally moderate quality of implementation and evaluation studies means that little is known about how tools work to strengthen Indigenous health promotion practice. The findings suggest that rather than continuing to invest in tool development, practitioners, policy makers and researchers could evaluate the implementation and effects of existing tools and publish the results. There is a need for long-term investment in research to review the current use of health promotion tools and the factors that are likely to enhance their implementation.
Keywords Health promotion
Indigenous
Tools
Guides
Instruments
Packages
Frameworks
Resources
Implementation
Evaluation
DOI http://dx.doi.org/10.1186/1471-2458-14-712   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes This is an Open Access article distributed under the terms of the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Description for Link Link to CC Attribution 4.0 License
URL https://creativecommons.org/licenses/by/4.0/au


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