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What was the impact of a participatory research project in Australian Indigenous primary healthcare services Applying a comprehensive framework for assessing translational health research to Lessons for the Best

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dc.contributor.authorRamanathan, S.A.
dc.contributor.authorLarkins, S.
dc.contributor.authorCarlisle, K.
dc.contributor.authorTurner, N.
dc.contributor.authorBailie, R.S.
dc.contributor.authorThompson, S.
dc.contributor.authorBainbridge, R.
dc.contributor.authorDeeming, S.
dc.contributor.authorSearles, A.
dc.date.issued2021
dc.description.abstractObjectives To (1) apply the Framework to Assess the Impact from Translational health research (FAIT) to Lessons from the Best to Better the Rest (LFTB), (2) report on impacts from LFTB and (3) assess the feasibility and outcomes from a retrospective application of FAIT. Setting Three Indigenous primary healthcare (PHC) centres in the Northern Territory, Australia; project coordinating centre distributed between Townsville, Darwin and Cairns and the broader LFTB learning community across Australia. Participants LFTB research team and one representative from each PHC centre. Primary and secondary outcome measures Impact reported as (1) quantitative metrics within domains of benefit using a modified Payback Framework, (2) a cost-consequence analysis given a return on investment was not appropriate and (3) a narrative incorporating qualitative evidence of impact. Data were gathered through in-depth stakeholder interviews and a review of project documentation, outputs and relevant websites. Results LFTB contributed to knowledge advancement in Indigenous PHC service delivery; enhanced existing capacity of health centre staff, researchers and health service users; enhanced supportive networks for quality improvement; and used a strengths-based approach highly valued by health centres. LFTB also leveraged between $A1.4 and $A1.6 million for the subsequent Leveraging Effective Ambulatory Practice (LEAP) Project to apply LFTB learnings to resource development and creation of a learning community to empower striving PHC centres. Conclusion Retrospective application of FAIT to LFTB, although not ideal, was feasible. Prospective application would have allowed Indigenous community perspectives to be included. Greater appreciation of the full benefit of LFTB including a measure of return on investment will be possible when LEAP is complete. Future assessments of impact need to account for the limitations of fully capturing impact when intermediate/final impacts have not yet been realised and captured.
dc.description.statementofresponsibilityShanthi Ann Ramanathan, Sarah Larkins, Karen Carlisle, Nalita Turner, Ross Stewart Bailie, Sandra Thompson ... et al.
dc.identifier.citationBMJ Open, 2021; 11(2):e040749-1-e040749-12
dc.identifier.doi10.1136/bmjopen-2020-040749
dc.identifier.issn2044-6055
dc.identifier.issn2044-6055
dc.identifier.orcidThompson, S. [0000-0003-0327-7155]
dc.identifier.urihttp://hdl.handle.net/2440/130986
dc.language.isoen
dc.publisherBMJ
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1078927
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1062377
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1148660
dc.rights© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
dc.source.urihttps://doi.org/10.1136/bmjopen-2020-040749
dc.subjectHumans
dc.subjectRetrospective Studies
dc.subjectProspective Studies
dc.subjectHealth Services, Indigenous
dc.subjectPrimary Health Care
dc.subjectNorthern Territory
dc.subjectCommunity-Based Participatory Research
dc.subjectNative Hawaiian or Other Pacific Islander
dc.titleWhat was the impact of a participatory research project in Australian Indigenous primary healthcare services Applying a comprehensive framework for assessing translational health research to Lessons for the Best
dc.typeJournal article
pubs.publication-statusPublished

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