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First Peoples

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Chronic condition management strategies in Aboriginal communities

Public health Aboriginal Australians Disability Well-being Indigenous health Australia

This is the final report of a project intended to evaluate, and where possible develop and demonstrate effective and transferable chronic condition management strategies, and to generate research evidence about their processes, impacts and health outcomes.

Clinical data from the health service records of 36 clients involved in chronic condition management, collected over 1-10 years, were analysed retrospectively. The random effects modelling method was used to explore changes over time in key health indicators for the group as a whole. Individual clinical data were mapped against information from interviews and case notes to produce individual client graphs showing change in health indicators over time in relation to introduction of chronic condition management interventions, eg care plans, and other life events.

Semi-structured interviews with 18 clients and 12 staff explored how they approached and managed chronic conditions, and their experiences and ideas about what works, what doesn’t and why. Thematic and grounded theory analysis of the qualitative data identified benefits, barriers and enablers of chronic condition management strategies.

Authored by Inge Kowanko, Yvonne Helps, Peter Harvey, Malcolm Battersby, Bev McCurry, Russell Carbine, Jenny Boyd, Oscar Abdulla

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