Victorian local government priority for Aboriginal health and wellbeing: a mixed-methods study

The aim of this study is to identify if Victorian local governments prioritise Aboriginal health and wellbeing issues through policy and explore the key factors influencing policy and program development and implementation. A sequential explanatory mixed-methods study design utilised a survey to quantify commitment to Aboriginal health policy followed by in-depth interviews that explored how and why policy or programs were in place. Data were analysed separately and then interpreted together. Representatives from 39 of Victoria’s 79 local governments (49%) responded to the survey and 14 were interviewed. Seventy-four per cent had policy and programs addressing Aboriginal health and wellbeing. The key factors influencing policy and program development were: (i) the process of policy and program development and implementation and the role of other policies; (ii) the influence of Aboriginal community characteristics; and (iii) advocacy for Aboriginal health and wellbeing. Underpinning these factors was that local government is ‘working together (in partnership and through collaboration) towards reconciliation’. Victorian local governments that participated in this study appear to prioritise Aboriginal health and wellbeing, especially where collaboration with the Aboriginal community is strong. The effect of policies and their subsequent programs on the health of Aboriginal peoples warrants further exploration.

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Factors influencing the use of magnesium sulphate in pre-eclampsia/eclampsia management in health facilities in Northern Nigeria: a mixed methods study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-015-0554-8 ◽

2015 ◽

Vol 15 (1) ◽

Cited By ~ 12

Author(s):

Olugbenga Oguntunde ◽

Zulfiya Charyeva ◽

Molly Cannon ◽

William Sambisa ◽

Nosakhare Orobaton ◽

...

Keyword(s):

Mixed Methods ◽

Magnesium Sulphate ◽

Health Facilities ◽

Mixed Methods Study ◽

Northern Nigeria ◽

Factors Influencing

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Factors supporting retention of health and wellbeing staff in Aboriginal health services: a strength-based case study

Human Resources for Health ◽

10.1186/s12960-021-00557-4 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Sara Deroy ◽

Heike Schütze

Keyword(s):

Health Service ◽

Health Services ◽

Aboriginal Health ◽

Social Accountability ◽

Cultural Safety ◽

Staff Retention ◽

Professional Advancement ◽

Aboriginal Community ◽

Health And Wellbeing

Abstract Background Aboriginal Community Controlled Health Services are fundamental to improving the health and welfare of Aboriginal peoples. A key element that contributes to the effectiveness of these services are Aboriginal health and wellbeing staff. However, Aboriginal health and wellbeing staff often suffer high rates of stress and burnout. Current literature focuses on proposed strategies to increase staff retention in Aboriginal Health Services, yet, there is limited information available showcasing what has actually worked. Method This was an intrinsic strengths-based case study of one regional Aboriginal Community Controlled Health Service. Semi-structured research yarning interviews were conducted with past and present staff employed in health and wellbeing roles to highlight the factors that staff felt contributed to their retention. Results Ten interviews were conducted between February and April 2018. Six key themes emerged: social accountability, teamwork and collaboration, cultural safety, supervision, professional advancement, and recognition. We add to the literature by identifying the importance of bi-directional communication, and showing that social accountability, teamwork and collaboration, cultural safety, supervision, professional advancement, and recognition continue to be important factors that contribute to health and wellbeing staff retention in Aboriginal Health Services. Conclusion This exemplar Aboriginal Health Service may provide insights into future strategies to improve staff retention in other health services.

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In the Mayor We Trust? Trust as the Micro-Foundation of Complementary Politico-Administrative Relations in Local Governments

Administration & Society ◽

10.1177/0095399718791541 ◽

2018 ◽

Vol 51 (4) ◽

pp. 581-606 ◽

Cited By ~ 2

Author(s):

Caroline Howard Grøn ◽

Heidi Houlberg Salomonsen

Keyword(s):

Mixed Methods ◽

Local Government ◽

Local Governments ◽

Public Officials ◽

Communication Climate ◽

Number Of Factors ◽

Unstable Environment

This article investigates trust between politicians and public officials in local government. Beginning with Svara’s claim that such relations are characterized by complementarity, we point to the importance of trust as the micro foundation for these relationships. Applying a mixed-methods strategy, we investigate a number of factors we expect to be related to the level of trust between politicians and public officials, as perceived by the latter. We find that the communication climate and a clear distribution of tasks correlate positively with trust, whereas an unstable environment correlates negatively with trust.

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Codeveloping a multibehavioural mobile phone app to enhance social and emotional well-being and reduce health risks among Aboriginal and Torres Strait Islander women during preconception and pregnancy: a three-phased mixed-methods study

BMJ Open ◽

10.1136/bmjopen-2021-052545 ◽

2021 ◽

Vol 11 (11) ◽

pp. e052545

Author(s):

Michelle Kennedy ◽

Ratika Kumar ◽

Nicole M Ryan ◽

Jessica Bennett ◽

Gina La Hera Fuentes ◽

...

Keyword(s):

Mixed Methods ◽

Mobile Phone ◽

Phase 1 ◽

Qualitative Interviews ◽

Mixed Methods Study ◽

Phase 2 ◽

Community Members ◽

Phase 3 ◽

Aboriginal Community ◽

Aboriginal Women

ObjectiveDescribe the development and pretest of a prototype multibehavioural change app MAMA-EMPOWER.DesignMixed-methods study reporting three phases: (1) contextual enquiry included stakeholder engagement and qualitative interviews with Aboriginal women, (2) value specification included user-workshop with an Aboriginal researcher, community members and experts, (3) codesign with Aboriginal researchers and community members, followed by a pretest of the app with Aboriginal women, and feedback from qualitative interviews and the user-Mobile Application Rating Scale (U-MARS) survey tool.SettingsAboriginal women and communities in urban and regional New South Wales, Australia.ParticipantsPhase 1: interviews, 8 Aboriginal women. Phase 2: workshop, 6 Aboriginal women. Phase 3: app trial, 16 Aboriginal women. U-MARS, 5 Aboriginal women.ResultsPhase 1 interviews revealed three themes: current app use, desired app characteristics and implementation. Phase 2 workshop provided guidance for the user experience. Phase 3 app trial assessed all content areas. The highest ratings were for information (mean score of 3.80 out of 5, SD=0.77) and aesthetics (mean score of 3.87 with SD of 0.74), while functionality, engagement and subjective quality had lower scores. Qualitative interviews revealed the acceptability of the app, however, functionality was problematic.ConclusionsDeveloping a mobile phone app, particularly in an Aboriginal community setting, requires extensive consultation, negotiation and design work. Using a strong theoretical foundation of behavioural change technique’s coupled with the consultative approach has added rigour to this process. Using phone apps to implement behavioural interventions in Aboriginal community settings remains a new area for investigation. In the next iteration of the app, we aim to find better ways to personalise the content to women’s needs, then ensure full functionality before conducting a larger trial. We predict the process of development will be of interest to other health researchers and practitioners.

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A Mixed-Methods Study of Multi-Level Factors Influencing Mammography Overuse: Implications for De-implementation.

10.21203/rs.3.rs-506568/v2 ◽

2021 ◽

Author(s):

Jessica D. Austin ◽

Parisa Tehranifar ◽

Carmen B. Rodriguez ◽

Laura Brotzman ◽

Mariangela Agovino ◽

...

Keyword(s):

Mixed Methods ◽

Older Women ◽

Survey Data ◽

Mammography Screening ◽

Care Delivery ◽

Interview Data ◽

Mixed Methods Study ◽

Spanish Speaking ◽

Factors Influencing ◽

Multi Level

Abstract Background There is growing concern that routine mammography screening is overused among older women. Successful and equitable de-implementation of mammography will require a multi-level understanding of the factors contributing to mammography overuse. Methods This explanatory, sequential, mixed-methods study collected survey data (n = 52, 73.1% Hispanic, 73.1% Spanish-speaking) from women ≥ 70 years of age at the time of screening mammography, followed by semi-structured interviews with a subset of older women completing the survey (n = 19, 63.2% Hispanic, 63.2% Spanish-speaking) and providers (n = 5, 4 primary care, 1 obstetrics and gynecology) to better understand multi-level factors influencing mammography overuse and inform potential de-implementation strategies. We conducted descriptive analysis of survey data and content analysis of qualitative interview data. Survey and interview data were examined separately, compared, integrated, and organized according to Norton and Chambers Continuum of Factors Influencing De-Implementation Process. Results Survey findings show that 87.2% of older women believe it is important to plan for an annual mammogram, 80.8% received a provider recommendation, and 78.9% received a reminder in the last 12 months to schedule a mammogram. Per interviews with older women, the majority were unaware of or did not experience overuse and intended to continue mammography screening. Findings from interviews with older women and providers suggest that there are multiple opportunities for older women to obtain a mammogram. Per provider interviews, almost all reported that overuse was not viewed as a priority by the system or other providers. Providers also discussed that variation in mammography screening practices across providers, fear of malpractice, and monetary incentives may be reasons for overuse. Providers identified potential strategies including patient and provider education around harms of screening, leveraging the electronic health record to identify women who may no longer benefit from screening, customizing system-generated reminder letters, and organizing workgroups to develop a standard process of care around mammography screening. Conclusions Multi-level factors contributing to mammography overuse are dynamic and reinforced. To ensure equitable de-implementation, there is a need for more refined theories, models, and frameworks for de-implementation with a strong patient-level component that considers the interplay between multilevel factors and the larger care delivery process.

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Exploration of Factors Influencing Adolescent Sexual Abuse and Service Utilization Using a Mixed-Methods Study

10.4135/9781526449856 ◽

2018 ◽

Author(s):

Ezinwanne Christiana Az’Fredrick

Keyword(s):

Sexual Abuse ◽

Mixed Methods ◽

Service Utilization ◽

Mixed Methods Study ◽

Factors Influencing ◽

Adolescent Sexual Abuse

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Exploring Factors Influencing Immunization Utilization in Nigeria—A Mixed Methods Study

Frontiers in Public Health ◽

10.3389/fpubh.2019.00392 ◽

2019 ◽

Vol 7 ◽

Cited By ~ 1

Author(s):

Ngozi N. Akwataghibe ◽

Elijah A. Ogunsola ◽

Jacqueline E. W. Broerse ◽

Oluwafemi A. Popoola ◽

Adanna I. Agbo ◽

...

Keyword(s):

Mixed Methods ◽

Mixed Methods Study ◽

Factors Influencing

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Engagement with and delivery of the ‘parkrun practice initiative’ in general practice: a mixed methods study

British Journal of General Practice ◽

10.3399/bjgp20x710453 ◽

2020 ◽

Vol 70 (697) ◽

pp. e573-e580

Author(s):

Joanna Fleming ◽

Carol Bryce ◽

Joanne Parsons ◽

Chrissie Wellington ◽

Jeremy Dale

Keyword(s):

General Practice ◽

Mixed Methods ◽

Focus Group ◽

Online Survey ◽

Mixed Methods Study ◽

Structured Interviews ◽

Practice Staff ◽

Health And Wellbeing ◽

Positive Effects ◽

Improve Patient

BackgroundThe parkrun practice initiative, a joint collaboration between parkrun and the Royal College of General Practitioners, was launched to encourage general practices to improve the health and wellbeing of patients and staff through participating in local 5 km parkrun events. Why and how practices engage with the initiative is unknown.AimTo investigate engagement with and delivery of the parkrun practice initiative in general practice.Design and settingMixed methods study conducted from April–July 2019 comprising an online survey of all registered parkrun practices, and interviews and a focus group with practice staff in the West Midlands.MethodThe designated contacts at 780 registered parkrun practices were invited to complete an online survey. A purposive sample of parkrun practice staff and non-registered practice staff took part either in semi-structured interviews or a focus group, with transcripts analysed thematically.ResultsOf the total number of parkrun practices, 306 (39.2%) completed the survey. Sixteen practice staff (from nine parkrun practices and four non-registered practices) took part in either semi-structured interviews (n = 12) or a focus group (n = 4). Key motivators for becoming a parkrun practice were: to improve patient and staff health and wellbeing, and to become more engaged with the community and enhance practice image. Practices most commonly encouraged patients, carers, and staff to take part in parkrun and displayed parkrun flyers and posters. Challenges in implementing activities included lack of time (both personal and during consultations) and getting staff involved. Where staff did engage there were positive effects on morale and participation. Non-registered practices were receptive to the initiative, but had apprehensions about the commitment involved.ConclusionPractices were keen to improve patient and staff health. Addressing time constraints and staff support needs to be considered when implementing the initiative.

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