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
Objectives 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 prima...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2021-02-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/2/e040749.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846163731024707584 |
|---|---|
| author | Sarah Larkins Karen Carlisle Nalita Turner Sandra Thompson Simon Deeming Andrew Searles Ross Stewart Bailie Shanthi Ann Ramanathan Roxanne Bainbridge |
| author_facet | Sarah Larkins Karen Carlisle Nalita Turner Sandra Thompson Simon Deeming Andrew Searles Ross Stewart Bailie Shanthi Ann Ramanathan Roxanne Bainbridge |
| author_sort | Sarah Larkins |
| collection | DOAJ |
| description | Objectives 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. |
| format | Article |
| id | doaj-art-f914921fe177452d8d930277b9e1d2a4 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-f914921fe177452d8d930277b9e1d2a42024-11-19T03:20:09ZengBMJ Publishing GroupBMJ Open2044-60552021-02-0111210.1136/bmjopen-2020-040749What 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 BestSarah Larkins0Karen Carlisle1Nalita Turner2Sandra Thompson3Simon Deeming4Andrew Searles5Ross Stewart Bailie6Shanthi Ann Ramanathan7Roxanne Bainbridge82 College of Medicine and Dentistry and Anton Breinl Research Centre for Health Systems Strengthening, James Cook University, Townsville, Queensland, AustraliaCollege of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia1 College of Medicine and Dentistry, James Cook University, Townsville, Queensland, AustraliaUniversity of Western Australia, Western Australian Centre for Rural Health, Geraldton, Western Australia, Australia6 Health Research Economics, Hunter Medical Research Institute, Newcastle, New South Wales, AustraliaSchool of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, AustraliaUniversity Centre for Rural Health, The University of Sydney, Lismore, New South Wales, AustraliaSchool of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, AustraliaPoche Centre for Indigenous Health, The University of Queensland, Brisbane, Queensland, AustraliaObjectives 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.https://bmjopen.bmj.com/content/11/2/e040749.full |
| spellingShingle | Sarah Larkins Karen Carlisle Nalita Turner Sandra Thompson Simon Deeming Andrew Searles Ross Stewart Bailie Shanthi Ann Ramanathan Roxanne Bainbridge 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 BMJ Open |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | https://bmjopen.bmj.com/content/11/2/e040749.full |
| work_keys_str_mv | AT sarahlarkins whatwastheimpactofaparticipatoryresearchprojectinaustralianindigenousprimaryhealthcareservicesapplyingacomprehensiveframeworkforassessingtranslationalhealthresearchtolessonsforthebest AT karencarlisle whatwastheimpactofaparticipatoryresearchprojectinaustralianindigenousprimaryhealthcareservicesapplyingacomprehensiveframeworkforassessingtranslationalhealthresearchtolessonsforthebest AT nalitaturner whatwastheimpactofaparticipatoryresearchprojectinaustralianindigenousprimaryhealthcareservicesapplyingacomprehensiveframeworkforassessingtranslationalhealthresearchtolessonsforthebest AT sandrathompson whatwastheimpactofaparticipatoryresearchprojectinaustralianindigenousprimaryhealthcareservicesapplyingacomprehensiveframeworkforassessingtranslationalhealthresearchtolessonsforthebest AT simondeeming whatwastheimpactofaparticipatoryresearchprojectinaustralianindigenousprimaryhealthcareservicesapplyingacomprehensiveframeworkforassessingtranslationalhealthresearchtolessonsforthebest AT andrewsearles whatwastheimpactofaparticipatoryresearchprojectinaustralianindigenousprimaryhealthcareservicesapplyingacomprehensiveframeworkforassessingtranslationalhealthresearchtolessonsforthebest AT rossstewartbailie whatwastheimpactofaparticipatoryresearchprojectinaustralianindigenousprimaryhealthcareservicesapplyingacomprehensiveframeworkforassessingtranslationalhealthresearchtolessonsforthebest AT shanthiannramanathan whatwastheimpactofaparticipatoryresearchprojectinaustralianindigenousprimaryhealthcareservicesapplyingacomprehensiveframeworkforassessingtranslationalhealthresearchtolessonsforthebest AT roxannebainbridge whatwastheimpactofaparticipatoryresearchprojectinaustralianindigenousprimaryhealthcareservicesapplyingacomprehensiveframeworkforassessingtranslationalhealthresearchtolessonsforthebest |