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Article ; Online: Co-design effective health-literacy videos.

Kerrigan, Vicki / Park, Deanna / Ross, Cheryl / Davies, Jane / Ralph, Anna P

2023 Volume 401, Issue 10374, Page(s) 343

Language	English
Publishing date	2023-02-02
Publishing country	England
Document type	Letter ; Comment
ZDB-ID	3306-6
ISSN	1474-547X ; 0023-7507 ; 0140-6736
ISSN (online)	1474-547X
ISSN	0023-7507 ; 0140-6736
DOI	10.1016/S0140-6736(23)00010-7
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Article: Stay Strong: Aboriginal leaders deliver COVID-19 health messages.

Kerrigan, Vicki / Lee, Anne Marie / Ralph, Anna P / Lawton, Paul D

Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals

2020 Volume 32 Suppl 1, Page(s) 203–204

MeSH term(s)	Australia/epidemiology ; COVID-19/ethnology ; Consumer Health Information ; Health Promotion/organization & administration ; Humans ; Leadership ; Native Hawaiian or Other Pacific Islander ; Pandemics ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-05-30
Publishing country	Australia
Document type	Letter
ZDB-ID	2250864-8
ISSN	2201-1617 ; 1036-1073
ISSN (online)	2201-1617
ISSN	1036-1073
DOI	10.1002/hpja.364
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Article ; Online: Evaluating the impact of 'Ask the Specialist Plus': a training program for improving cultural safety and communication in hospital-based healthcare.

Kerrigan, Vicki / McGrath, Stuart Yiwarr / Doig, Cassandra / Herdman, Rarrtjiwuy Melanie / Daly, Shannon / Puruntatameri, Pirrawayingi / Lee, Bilawara / Hefler, Marita / Ralph, Anna P

BMC health services research

2024 Volume 24, Issue 1, Page(s) 119

Abstract: Background: First Nations peoples in colonised countries often feel culturally unsafe in hospitals, leading to high self-discharge rates, psychological distress and premature death. To address racism in healthcare, institutions have promised to deliver ... ...

Abstract	Background: First Nations peoples in colonised countries often feel culturally unsafe in hospitals, leading to high self-discharge rates, psychological distress and premature death. To address racism in healthcare, institutions have promised to deliver cultural safety training but there is limited evidence on how to teach cultural safety. To that end, we created Ask the Specialist Plus: a training program that focuses on improving healthcare providers intercultural communication skills to improve cultural safety. Our aim is to describe training implementation and to evaluate the training according to participants. Methods: Inspired by cultural safety, Critical Race Theory and Freirean pedagogy, Ask the Specialist Plus was piloted at Royal Darwin Hospital in Australia's Northern Territory in 2021. The format combined listening to an episode of a podcast called Ask the Specialist with weekly, one-hour face-to-face discussions with First Nations Specialists outside the clinical environment over 7 to 8 weeks. Weekly surveys evaluated teaching domains using five-point Likert scales and via free text comments. Quantitative data were collated in Excel and comments were collated in NVivo12. Results were presented following Kirkpatrick's evaluation model. Results: Fifteen sessions of Ask the Specialist Plus training were delivered. 90% of participants found the training valuable. Attendees enjoyed the unique format including use of the podcast as a catalyst for discussions. Delivery over two months allowed for flexibility to accommodate clinical demands and shift work. Students through to senior staff learnt new skills, discussed institutionally racist systems and committed to behaviour change. Considering racism is commonly denied in healthcare, the receptiveness of staff to discussing racism was noteworthy. The pilot also contributed to evidence that cultural safety should be co-taught by educators who represent racial and gender differences. Conclusion: The Ask the Specialist Plus training program provides an effective model for cultural safety training with high potential to achieve behaviour change among diverse healthcare providers. The training provided practical information on how to improve communication and fostered critical consciousness among healthcare providers. The program demonstrated that training delivered weekly over two months to clinical departments can lead to positive changes through cycles of learning, action, and reflection.
MeSH term(s)	Humans ; Health Facilities ; Hospitals ; Communication ; Learning ; Students
Language	English
Publishing date	2024-01-22
Publishing country	England
Document type	Journal Article
ZDB-ID	2050434-2
ISSN	1472-6963 ; 1472-6963
ISSN (online)	1472-6963
ISSN	1472-6963
DOI	10.1186/s12913-024-10565-4
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Article: Evaluation of 'Ask the Specialist': a cultural education podcast to inspire improved healthcare for Aboriginal peoples in Northern Australia.

Kerrigan, Vicki / McGrath, Stuart Yiwarr / Herdman, Rarrtjiwuy Melanie / Puruntatameri, Pirrawayingi / Lee, Bilawara / Cass, Alan / Ralph, Anna P / Hefler, Marita

Health sociology review : the journal of the Health Section of the Australian Sociological Association

2022 Volume 31, Issue 2, Page(s) 139–157

Abstract: In Australia's Northern Territory (NT) most people who access health services are Aboriginal and most healthcare providers are non-Indigenous; many providers struggle to deliver culturally competent care. Cultural awareness training is offered however, ... ...

Abstract	In Australia's Northern Territory (NT) most people who access health services are Aboriginal and most healthcare providers are non-Indigenous; many providers struggle to deliver culturally competent care. Cultural awareness training is offered however, dissatisfaction exists with the limited scope of training and the face-to-face or online delivery format. Therefore, we developed and evaluated
MeSH term(s)	Culturally Competent Care ; Delivery of Health Care ; Humans ; Indigenous Peoples ; Native Hawaiian or Other Pacific Islander ; Northern Territory
Language	English
Publishing date	2022-04-03
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2146435-2
ISSN	1839-3551 ; 1446-1242
ISSN (online)	1839-3551
ISSN	1446-1242
DOI	10.1080/14461242.2022.2055484
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Article ; Online: Mindfulness instruction for medication adherence among adolescents and young adults living with HIV: a randomized controlled trial.

Sibinga, Erica M S / Webb, Lindsey / Perin, Jamie / Tepper, Vicki / Kerrigan, Deanna / Grieb, Suzanne / Denison, Julie / Ellen, Jonathan

AIDS care

2022 Volume 34, Issue 12, Page(s) 1619–1627

Abstract: Adolescents and young adults (AYA) 13-24 years old make up a disproportionate 21% of new HIV diagnoses. Unfortunately, they are less likely to treat HIV effectively, with only 30% achieving viral suppression, limiting efforts to interrupt HIV ... ...

Abstract	Adolescents and young adults (AYA) 13-24 years old make up a disproportionate 21% of new HIV diagnoses. Unfortunately, they are less likely to treat HIV effectively, with only 30% achieving viral suppression, limiting efforts to interrupt HIV transmission. Previous work with mindfulness-based stress reduction (MBSR) has shown promise for improving treatment in AYA living with HIV (AYALH). This randomized controlled trial compared MBSR with general health education (HT). Seventy-four 13-24-year-old AYALH conducted baseline data collection and were randomized to nine sessions of MBSR or HT. Data were collected at baseline, post-program (3 months), 6 and 12 months on mindfulness and HIV management [medication adherence (MA), HIV viral load (HIV VL), and CD4]. Longitudinal analyses were conducted. The MBSR arm reported higher mindfulness at baseline. Participants were average 20.5 years old, 92% non-Hispanic Black, 51% male, 46% female, and 3% transgender. Post-program, MBSR participants had greater increases than HT in MA (
MeSH term(s)	Adolescent ; Young Adult ; Male ; Female ; Humans ; Adult ; Mindfulness ; Stress, Psychological/therapy ; HIV Infections/drug therapy ; HIV Infections/epidemiology ; Medication Adherence ; Educational Status
Language	English
Publishing date	2022-08-01
Publishing country	England
Document type	Randomized Controlled Trial ; Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	1012651-x
ISSN	1360-0451 ; 0954-0121
ISSN (online)	1360-0451
ISSN	0954-0121
DOI	10.1080/09540121.2022.2105796
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Article: Stay Strong: Aboriginal leaders deliver COVID-19 health messages

Kerrigan, Vicki / Lee, Anne Marie / Ralph, Anna P / Lawton, Paul D

Health promotion journal of Australia :official journal of Australian Association of Health Promotion Professionals

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #306098
Database	COVID19

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Article ; Online: Improving outcomes for hospitalised First Nations peoples though greater cultural safety and better communication: the Communicate Study Partnership study protocol.

Ralph, Anna P / McGrath, Stuart Yiwarr / Armstrong, Emily / Herdman, Rarrtjiwuy Melanie / Ginnivan, Leah / Lowell, Anne / Lee, Bilawara / Gorham, Gillian / Taylor, Sean / Hefler, Marita / Kerrigan, Vicki

Implementation science : IS

2023 Volume 18, Issue 1, Page(s) 23

Abstract: Background: The Communicate Study is a partnership project which aims to transform the culture of healthcare systems to achieve excellence in culturally safe care for First Nations people. It responds to the ongoing impact of colonisation which results ... ...

Abstract	Background: The Communicate Study is a partnership project which aims to transform the culture of healthcare systems to achieve excellence in culturally safe care for First Nations people. It responds to the ongoing impact of colonisation which results in First Nations peoples experiencing adverse outcomes of hospitalisation in Australia's Northern Territory. In this setting, the majority of healthcare users are First Nations peoples, but the majority of healthcare providers are not. Our hypotheses are that strategies to ensure cultural safety can be effectively taught, systems can become culturally safe and that the provision of culturally safe healthcare in first languages will improve experiences and outcomes of hospitalisation. Methods: We will implement a multicomponent intervention at three hospitals over 4 years. The main intervention components are as follows: cultural safety training called 'Ask the Specialist Plus' which incorporates a locally developed, purpose-built podcast, developing a community of practice in cultural safety and improving access to and uptake of Aboriginal language interpreters. Intervention components are informed by the 'behaviour change wheel' and address a supply-demand model for interpreters. The philosophical underpinnings are critical race theory, Freirean pedagogy and cultural safety. There are co-primary qualitative and quantitative outcome measures: cultural safety, as experienced by First Nations peoples at participating hospitals, and proportion of admitted First Nations patients who self-discharge. Qualitative measures of patient and provider experience, and patient-provider interactions, will be examined through interviews and observational data. Quantitative outcomes (documentation of language, uptake of interpreters (booked and completed), proportion of admissions ending in self-discharge, unplanned readmission, hospital length of stay, costs and cost benefits of interpreter use) will be measured using time-series analysis. Continuous quality improvement will use data in a participatory way to motivate change. Programme evaluation will assess Reach, Effectiveness, Adoption, Implementation and Maintenance ('RE-AIM'). Discussion: The intervention components are innovative, sustainable and have been successfully piloted. Refinement and scale-up through this project have the potential to transform First Nations patients' experiences of care and health outcomes. Trial registration: Registered with ClinicalTrials.gov Protocol Record 2008644.
MeSH term(s)	Humans ; Allied Health Personnel ; Communication ; Delivery of Health Care ; Health Personnel ; Hospitals ; Multicenter Studies as Topic
Language	English
Publishing date	2023-06-22
Publishing country	England
Document type	Clinical Trial Protocol ; Journal Article
ZDB-ID	2225822-X
ISSN	1748-5908 ; 1748-5908
ISSN (online)	1748-5908
ISSN	1748-5908
DOI	10.1186/s13012-023-01276-1
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Article ; Online: 'I still remember your post about buying smokes': a case study of a remote Aboriginal community-controlled health service using Facebook for tobacco control.

Kerrigan, Vicki / Herdman, Rarrtjiwuy Melanie / Thomas, David P / Hefler, Marita

Australian journal of primary health

2019 Volume 25, Issue 5, Page(s) 443–448

Abstract: Many Aboriginal Community Controlled Health Services (ACCHS) embrace Facebook as an organisational tool to share positive stories, which counter the negative narrative surrounding Aboriginal issues. However, the Facebook algorithm prioritises posts on ... ...

Abstract	Many Aboriginal Community Controlled Health Services (ACCHS) embrace Facebook as an organisational tool to share positive stories, which counter the negative narrative surrounding Aboriginal issues. However, the Facebook algorithm prioritises posts on personal pages over organisations. To take advantage of the algorithm, this project paid three Yolŋu employees of a north-east Arnhem Land ACCHS to share quit smoking messages on their personal Facebook pages. Smoking prevalence among Aboriginal and Torres Strait Islander Australians is nearly three-fold higher than non-Indigenous Australians, and previous research has identified the need for culturally appropriate communication approaches to accelerate the decline in Indigenous smoking. This research found Yolŋu participants nurtured healthy behaviours through compassionate non-coercive communications, in contrast to fear-inducing health warnings prevalent in tobacco control. Cultural tailoring of tobacco control messages was achieved by having trusted local health staff sharing, and endorsing, messages regardless of whether the content was Indigenous specific. This research also revealed online Facebook activity does not reflect the reach of posts, which may extend beyond social media users to individuals who do not have a Facebook profile.
MeSH term(s)	Adult ; Australia ; Female ; Humans ; Oceanic Ancestry Group/psychology ; Smoking Cessation/ethnology ; Smoking Cessation/methods ; Social Media
Language	English
Publishing date	2019-10-08
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2566332-X
ISSN	1836-7399 ; 1448-7527
ISSN (online)	1836-7399
ISSN	1448-7527
DOI	10.1071/PY19008
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Article ; Online: Stay Strong

Kerrigan, Vicki / Lee, Anne Marie / Ralph, Anna P. / Lawton, Paul D.

Health Promotion Journal of Australia ; ISSN 1036-1073 2201-1617

Aboriginal leaders deliver COVID‐19 health messages

2020

Keywords	Public Health, Environmental and Occupational Health ; Community and Home Care ; covid19
Language	English
Publisher	Wiley
Publishing country	us
Document type	Article ; Online
DOI	10.1002/hpja.364
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Facebook-Based Social Marketing to Reduce Smoking in Australia's First Nations Communities: An Analysis of Reach, Shares, and Likes.

Hefler, Marita / Kerrigan, Vicki / Grunseit, Anne / Freeman, Becky / Kite, James / Thomas, David P

Journal of medical Internet research

2020 Volume 22, Issue 12, Page(s) e16927

Abstract: Background: Facebook is widely used by Australia's First Nations people and has significant potential to promote health. However, evidence-based guidelines for its use in health promotion are lacking. Smoking prevalence among Australia's First Nations ... ...

Abstract	Background: Facebook is widely used by Australia's First Nations people and has significant potential to promote health. However, evidence-based guidelines for its use in health promotion are lacking. Smoking prevalence among Australia's First Nations people is nearly 3 times higher than other Australians. Locally designed programs in Aboriginal Community Controlled Health Services (ACCHOs) to reduce smoking often use Facebook. Objective: This study reports on an analysis of the reach and engagement of Facebook posts with smoking prevention and cessation messages posted by ACCHOs in the Northern Territory, Australia. Methods: Each service posted tobacco control content at least weekly for approximately 6 months. Posts were coded for the following variables: service posted, tailored First Nations Australian content, local or nonlocally produced content, video or nonvideo, communication technique, and emotional appeal. The overall reach, shares, and reactions were calculated. Results: Compared with posts developed by the health services, posts with content created by other sources had greater reach (adjusted incident rate ratio [IRR] 1.92, 95% CI 1.03-3.59). Similarly, reactions to posts (IRR 1.89, 95% CI 1.40-2.56) and shared posts (IRR 2.17, 95% CI 1.31-3.61) with content created by other sources also had more reactions, after controlling for reach, as did posts with local First Nations content compared with posts with no First Nations content (IRR 1.71, 95% CI 1.21-2.34). Conclusions: Facebook posts with nonlocally produced content can be an important component of a social media campaign run by local health organizations. With the exception of nonlocally produced content, we did not find a definitive set of characteristics that were clearly associated with reach, shares, and reactions. Beyond reach, shares, and likes, further research is needed to understand the extent that social media content can influence health behavior.
MeSH term(s)	Australia ; Female ; Health Promotion/methods ; Humans ; Male ; Minority Groups ; Smoking Prevention/methods ; Social Marketing ; Social Media/standards
Language	English
Publishing date	2020-12-10
Publishing country	Canada
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2028830-X
ISSN	1438-8871 ; 1439-4456
ISSN (online)	1438-8871
ISSN	1439-4456
DOI	10.2196/16927
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