PDF(Pubmed)
Abstract：
BACKGROUND: Indigenous populations globally have significantly high rates of type 2 diabetes compared to their non-Indigenous counterparts. This study aims to implement and evaluate the effectiveness of a culturally and contextually informed Aboriginal Diabetes Workforce Training Program on Aboriginal primary health care workforce knowledge, attitude, confidence, skill and practice relating to diabetes care.
METHODS: A Cluster Randomised Crossover Control Trial with two arms (Group A and Group B) will be conducted with Aboriginal primary health care services in South Australia. These services primarily provide primary health care to Aboriginal and Torres Strait Islander people. All healthcare service sites will be randomised into groups A and B to receive the training program. The training program consists of three components: 1) Peer support network, 2) E-Learning modules and 3) onsite support. Aboriginal Health Workers of participating sites will be invited to participate in the monthly online peer support network and all chronic disease staff are eligible to participate in the E-Learning modules and onsite support. The Peer Support Network runs for the entirety of the study, 17 months. Training components 2 and 3 occur simultaneously and are 2.5 months in length, with a six-month washout period between the two randomised groups undertaking the training. All primary outcomes of the study relate to diabetes management in a primary health care settings and measure participants\' knowledge, attitude, confidence, practice and skills. These will be collected at seven time points across the entire study. Secondary outcomes measure satisfaction of the peer support network using a survey, interviews to understand enablers and barriers to participation, health service systems characteristics through focus groups, and medical record review to ascertain diabetes patients\' care received and their clinical outcomes up to 12 months post training intervention.
CONCLUSIONS: The findings will explore the effectiveness of the training program on Aboriginal primary health care provider knowledge, attitude, confidence, skill and practice relating to diabetes care. The final findings will be published in 2027.
BACKGROUND: The study was prospectively registered in The Australian New Zealand Clinical Trials Registry (ANZCTR), with registration number ACTRN12623000749606 at ANZCTR - Registration. Universal Trial Number (UTN) U1111-1283-5257.
METHODS: A Cluster Randomised Crossover Control Trial with two arms (Group A and Group B) will be conducted with Aboriginal primary health care services in South Australia. These services primarily provide primary health care to Aboriginal and Torres Strait Islander people. All healthcare service sites will be randomised into groups A and B to receive the training program. The training program consists of three components: 1) Peer support network, 2) E-Learning modules and 3) onsite support. Aboriginal Health Workers of participating sites will be invited to participate in the monthly online peer support network and all chronic disease staff are eligible to participate in the E-Learning modules and onsite support. The Peer Support Network runs for the entirety of the study, 17 months. Training components 2 and 3 occur simultaneously and are 2.5 months in length, with a six-month washout period between the two randomised groups undertaking the training. All primary outcomes of the study relate to diabetes management in a primary health care settings and measure participants\' knowledge, attitude, confidence, practice and skills. These will be collected at seven time points across the entire study. Secondary outcomes measure satisfaction of the peer support network using a survey, interviews to understand enablers and barriers to participation, health service systems characteristics through focus groups, and medical record review to ascertain diabetes patients\' care received and their clinical outcomes up to 12 months post training intervention.
CONCLUSIONS: The findings will explore the effectiveness of the training program on Aboriginal primary health care provider knowledge, attitude, confidence, skill and practice relating to diabetes care. The final findings will be published in 2027.
BACKGROUND: The study was prospectively registered in The Australian New Zealand Clinical Trials Registry (ANZCTR), with registration number ACTRN12623000749606 at ANZCTR - Registration. Universal Trial Number (UTN) U1111-1283-5257.
摘要：
背景：与非土著人口相比，全球土著人口的2型糖尿病发病率明显较高。本研究旨在实施和评估文化和背景知情的土著糖尿病劳动力培训计划对土著初级卫生保健劳动力知识的有效性，态度,信心,与糖尿病护理相关的技能和实践。
方法：将在南澳大利亚的原住民初级卫生保健服务机构中进行一项具有两个组（A组和B组）的集群随机交叉对照试验。这些服务主要为土著和托雷斯海峡岛民提供初级保健。所有医疗服务站点将随机分为A组和B组，以接受培训计划。培训计划由三个部分组成：1）对等支持网络，2）电子学习模块和3）现场支持。参与站点的土著卫生工作者将被邀请参加每月在线同伴支持网络，所有慢性病工作人员都有资格参加电子学习模块和现场支持。同行支持网络在整个研究中运行，17个月.训练组件2和3同时发生，长度为2.5个月，在进行培训的两个随机小组之间有六个月的淘汰期。该研究的所有主要结果都与初级卫生保健机构中的糖尿病管理有关，并测量参与者的知识，态度,信心,实践和技能。这些将在整个研究的七个时间点收集。次要结果使用调查来衡量同伴支持网络的满意度，访谈以了解参与的推动者和障碍，通过焦点小组的卫生服务系统特征，和医疗记录审查，以确定糖尿病患者接受的护理和他们在培训干预后12个月的临床结果。
结论：研究结果将探讨土著初级卫生保健提供者知识培训计划的有效性，态度,信心,与糖尿病护理相关的技能和实践。最终调查结果将于2027年公布。
背景：该研究在澳大利亚新西兰临床试验注册中心（ANZCTR）进行了前瞻性注册，注册号码ACTRN12623000749606在ANZCTR-注册。通用试验编号(UTN)U1111-1283-5257。
方法：将在南澳大利亚的原住民初级卫生保健服务机构中进行一项具有两个组（A组和B组）的集群随机交叉对照试验。这些服务主要为土著和托雷斯海峡岛民提供初级保健。所有医疗服务站点将随机分为A组和B组，以接受培训计划。培训计划由三个部分组成：1）对等支持网络，2）电子学习模块和3）现场支持。参与站点的土著卫生工作者将被邀请参加每月在线同伴支持网络，所有慢性病工作人员都有资格参加电子学习模块和现场支持。同行支持网络在整个研究中运行，17个月.训练组件2和3同时发生，长度为2.5个月，在进行培训的两个随机小组之间有六个月的淘汰期。该研究的所有主要结果都与初级卫生保健机构中的糖尿病管理有关，并测量参与者的知识，态度,信心,实践和技能。这些将在整个研究的七个时间点收集。次要结果使用调查来衡量同伴支持网络的满意度，访谈以了解参与的推动者和障碍，通过焦点小组的卫生服务系统特征，和医疗记录审查，以确定糖尿病患者接受的护理和他们在培训干预后12个月的临床结果。
结论：研究结果将探讨土著初级卫生保健提供者知识培训计划的有效性，态度,信心,与糖尿病护理相关的技能和实践。最终调查结果将于2027年公布。
背景：该研究在澳大利亚新西兰临床试验注册中心（ANZCTR）进行了前瞻性注册，注册号码ACTRN12623000749606在ANZCTR-注册。通用试验编号(UTN)U1111-1283-5257。
