Codesigning enhanced models of care for Northern Australian Aboriginal and Torres Strait Islander youth with type 2 diabetes: study protocol
Introduction Premature onset of type 2 diabetes and excess mortality are critical issues internationally, particularly in Indigenous populations. There is an urgent need for developmentally appropriate and culturally safe models of care. We describe the methods for the codesign, implementation and e...
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BMJ Publishing Group
2024-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/3/e080328.full |
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| author | Louise Maple-Brown Alex Brown Peter Azzopardi Natasha Freeman Jonathan E Shaw Vicki O'Donnell Christine Connors Elizabeth Davis Angela Titmuss Renae Kirkham John Boffa Elna Ellis Sian Graham Stefanie Puszka Emma Weaver Jade Morris Shiree Mack James Dowler Sumaria Corpus Lydia Scott Ashim K Sinha Brandy Wicklow |
| author_facet | Louise Maple-Brown Alex Brown Peter Azzopardi Natasha Freeman Jonathan E Shaw Vicki O'Donnell Christine Connors Elizabeth Davis Angela Titmuss Renae Kirkham John Boffa Elna Ellis Sian Graham Stefanie Puszka Emma Weaver Jade Morris Shiree Mack James Dowler Sumaria Corpus Lydia Scott Ashim K Sinha Brandy Wicklow |
| author_sort | Louise Maple-Brown |
| collection | DOAJ |
| description | Introduction Premature onset of type 2 diabetes and excess mortality are critical issues internationally, particularly in Indigenous populations. There is an urgent need for developmentally appropriate and culturally safe models of care. We describe the methods for the codesign, implementation and evaluation of enhanced models of care with Aboriginal and Torres Strait Islander youth living with type 2 diabetes across Northern Australia.Methods and analysis Our mixed-methods approach is informed by the principles of codesign. Across eight sites in four regions, the project brings together the lived experience of Aboriginal and Torres Strait Islander young people (aged 10–25) with type 2 diabetes, their families and communities, and health professionals providing diabetes care through a structured yet flexible codesign process. Participants will help identify and collaborate in the development of a range of multifaceted improvements to current models of care. These may include addressing needs identified in our formative work such as the development of screening and management guidelines, referral pathways, peer support networks, diabetes information resources and training for health professionals in youth type 2 diabetes management. The codesign process will adopt a range of methods including qualitative interviews, focus group discussions, art-based methods and healthcare systems assessments. A developmental evaluation approach will be used to create and refine the components and principles of enhanced models of care. We anticipate that this codesign study will produce new theoretical insights and practice frameworks, resources and approaches for age-appropriate, culturally safe models of care.Ethics and dissemination The study design was developed in collaboration with Aboriginal and Torres Strait Islander and non-Indigenous researchers, health professionals and health service managers and has received ethical approval across all sites. A range of outputs will be produced to disseminate findings to participants, other stakeholders and the scholarly community using creative and traditional formats. |
| format | Article |
| id | doaj-art-0114df07c8194a36a13da9df1f4dd6f9 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-0114df07c8194a36a13da9df1f4dd6f92025-08-20T02:13:40ZengBMJ Publishing GroupBMJ Open2044-60552024-03-0114310.1136/bmjopen-2023-080328Codesigning enhanced models of care for Northern Australian Aboriginal and Torres Strait Islander youth with type 2 diabetes: study protocolLouise Maple-Brown0Alex Brown1Peter Azzopardi2Natasha Freeman3Jonathan E Shaw4Vicki O'Donnell5Christine Connors6Elizabeth Davis7Angela Titmuss8Renae Kirkham9John Boffa10Elna Ellis11Sian Graham12Stefanie Puszka13Emma Weaver14Jade Morris15Shiree Mack16James Dowler17Sumaria Corpus18Lydia Scott19Ashim K Sinha20Brandy Wicklow21Endocrine Department, Royal Darwin Hospital, Casuarina, Northern Territory, AustraliaIndigenous Genomics, Australian National University, Canberra, ACT, AustraliaCentre for Adolescent Health, Murdoch Children`s Research Institute, Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, Northern Territory, AustraliaDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaKimberley Aboriginal Medical Services, Broome, Western Australia, AustraliaTop End Health Services, Northern Territory Department of Health, Casuarina, Northern Territory, AustraliaTelethon Kids Institute, The University of Western Australia, Perth, Western Australia, AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, Northern Territory, AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, Northern Territory, AustraliaCentral Australian Aboriginal Congress, Alice Springs, Northern Territory, AustraliaDepartment of Medicine, Alice Springs Hospital, Alice Springs, Northern Territory, AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, Northern Territory, AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, Northern Territory, AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, Northern Territory, AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, Northern Territory, AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, Northern Territory, AustraliaDepartment of Paediatrics, Alice Springs Hospital, Alice Springs, Northern Territory, AustraliaEndocrine Department, Royal Darwin Hospital, Casuarina, Northern Territory, AustraliaWA Country Health Service - Kimberley, Broome, Western Australia, AustraliaEndocrinology Department, Cairns Hospital, Cairns, Queensland, AustraliaChildren`s Hospital Research Institute of Manitoba, Winnipeg, Manitoba, CanadaIntroduction Premature onset of type 2 diabetes and excess mortality are critical issues internationally, particularly in Indigenous populations. There is an urgent need for developmentally appropriate and culturally safe models of care. We describe the methods for the codesign, implementation and evaluation of enhanced models of care with Aboriginal and Torres Strait Islander youth living with type 2 diabetes across Northern Australia.Methods and analysis Our mixed-methods approach is informed by the principles of codesign. Across eight sites in four regions, the project brings together the lived experience of Aboriginal and Torres Strait Islander young people (aged 10–25) with type 2 diabetes, their families and communities, and health professionals providing diabetes care through a structured yet flexible codesign process. Participants will help identify and collaborate in the development of a range of multifaceted improvements to current models of care. These may include addressing needs identified in our formative work such as the development of screening and management guidelines, referral pathways, peer support networks, diabetes information resources and training for health professionals in youth type 2 diabetes management. The codesign process will adopt a range of methods including qualitative interviews, focus group discussions, art-based methods and healthcare systems assessments. A developmental evaluation approach will be used to create and refine the components and principles of enhanced models of care. We anticipate that this codesign study will produce new theoretical insights and practice frameworks, resources and approaches for age-appropriate, culturally safe models of care.Ethics and dissemination The study design was developed in collaboration with Aboriginal and Torres Strait Islander and non-Indigenous researchers, health professionals and health service managers and has received ethical approval across all sites. A range of outputs will be produced to disseminate findings to participants, other stakeholders and the scholarly community using creative and traditional formats.https://bmjopen.bmj.com/content/14/3/e080328.full |
| spellingShingle | Louise Maple-Brown Alex Brown Peter Azzopardi Natasha Freeman Jonathan E Shaw Vicki O'Donnell Christine Connors Elizabeth Davis Angela Titmuss Renae Kirkham John Boffa Elna Ellis Sian Graham Stefanie Puszka Emma Weaver Jade Morris Shiree Mack James Dowler Sumaria Corpus Lydia Scott Ashim K Sinha Brandy Wicklow Codesigning enhanced models of care for Northern Australian Aboriginal and Torres Strait Islander youth with type 2 diabetes: study protocol BMJ Open |
| title | Codesigning enhanced models of care for Northern Australian Aboriginal and Torres Strait Islander youth with type 2 diabetes: study protocol |
| title_full | Codesigning enhanced models of care for Northern Australian Aboriginal and Torres Strait Islander youth with type 2 diabetes: study protocol |
| title_fullStr | Codesigning enhanced models of care for Northern Australian Aboriginal and Torres Strait Islander youth with type 2 diabetes: study protocol |
| title_full_unstemmed | Codesigning enhanced models of care for Northern Australian Aboriginal and Torres Strait Islander youth with type 2 diabetes: study protocol |
| title_short | Codesigning enhanced models of care for Northern Australian Aboriginal and Torres Strait Islander youth with type 2 diabetes: study protocol |
| title_sort | codesigning enhanced models of care for northern australian aboriginal and torres strait islander youth with type 2 diabetes study protocol |
| url | https://bmjopen.bmj.com/content/14/3/e080328.full |
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