In:
Injury Prevention, BMJ, Vol. 27, No. 3 ( 2021-06), p. 293-298
Abstract:
Process evaluations examining programme implementation are often
conducted in conjunction with effectiveness studies. Their inclusion in studies with Aboriginal participants can give an understanding of
programme delivery in Aboriginal community contexts. The Ironbark: Standing Strong and Tall programme was codesigned with Aboriginal communities and includes
exercise and facilitated ‘yarning’ discussion about fall risk and prevention strategies. The programme pilot showed favourable outcomes
and acceptability for Aboriginal people aged 45 years and over. The Ironbark: Standing Strong and Tall programme is now being compared with a ‘ Healthy
Community ’ programme in a cluster randomised
controlled trial within Aboriginal health and community services. An embedded process evaluation aims to explore relationships between
participation and programme outcomes and the quality of programme implementation. Methods and analysis The process evaluation will use a mixed methods design, guided by
Indigenous research methodology. It will evaluate quantitative data (number of completed sessions, site coaching checklist tool, participant
and facilitator questionnaire data and a participant habit formation scale), as well as qualitative data (open-ended responses from project
and site staff and semistructured interviews using yarning with study participants and site managers). A programme logic model was developed
to explain the intended inputs, activities, outputs and outcomes, which guided this process evaluation design. Conclusion This process evaluation of a fall prevention programme for older
Aboriginal people using a mixed methods design and data triangulation will allow for a comprehensive understanding of study findings. Multiple
study sites allow for generalisability of findings and exploration of variation across sites. Trial registration number ACTRN12619000349145.
Type of Medium:
Online Resource
ISSN:
1353-8047
,
1475-5785
DOI:
10.1136/injuryprev-2020-043980
Language:
English
Publisher:
BMJ
Publication Date:
2021
detail.hit.zdb_id:
2077803-X
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