Table 2 Characteristics of included program evaluations
Program name | Citation | Years of program | Type of program | Targeted chronic disease(s)/risk factor(s) | Evaluation study design | Aboriginal participant sample size | Evaluation outcome measures |
|---|---|---|---|---|---|---|---|
Cooking Classes for Diabetes Program | Aboriginal Health & Medical Research Council 2009 [28] Abbott, Davison, Moore & Rubinstein 2010 [29] Abbott, Davison, Moore & Rubinstein 2012 [30] | 2002–2007 | Health promotion | Diabetes, Poor nutrition | Qualitative - post program semi-structured interviews | 73 program participants, 23 interview participants (4 m, 19 f) | Participant experience |
Health Lifestyle and Weight Management Program | Aboriginal Health & Medical Research Council 2009 [28] | 2005–2008 | Health promotion and chronic disease prevention | Poor nutrition, physical inactivity | Mixed methods -pre, interim and post program quantitative and qualitative measures | Not reported | Clinical measures: BMI, height, weight, blood pressure, blood sugar level, waist, chest and hip ratio Participant experience |
Healthy Food Awareness Program | Aboriginal Health & Medical Research Council 2009 [28] | 2008 | Chronic disease prevention and management | Poor nutrition, physical inactivity, smoking, obesity, renal disease, diabetes and other chronic diseases | Not reported | Not reported | Not reported |
‘No More Dhonga’ Short Course | Adams et al. 2006 [31] | 2004 | Health promotion and chronic disease prevention | Smoking | Mixed methods-interim and post program measures | 32 participants | Stakeholder feedback Course attendance and smoking quit rate |
Home-Based, Outreach case Management of chronic disease Exploratory (HOME) Study program | Askew et al. 2016 [32] | Not reported | Chronic disease management | Diabetes type 2, cardiovascular disease, respiratory disease, kidney disease | Mixed methods-post program semi-structured interviews, pre, interim and post program quantitative measures | 41 participants, data collected from 37 participants (32 m, 68% f) | Feasibility, acceptability and appropriateness of model |
Renal Treatment Program | Bailie et al. 2006 [33] | 1995–1999 | Chronic disease management | End state renal disease | Quantitative-interrupted time series of pre/post quantitative measures | 266 participants, data collected from 98 participants | Clinical measure: blood pressure |
Moorditj Djena program | Ballestas et al. 2014 [34] | 2011-ongoing | Chronic disease management | Diabetes type 2, peripheral arterial disease, peripheral neuropathy | Mixed methods- interim program focus groups, interviews and review of quantitative data | Data collected from 702 participants (majority Aboriginal – not specified) Participation not reported for qualitative data | Program delivery, quality of implementation and organizational context |
Nurse-led practitioner project for chronic kidney disease | Barrett et al. 2015 [35] | 2012-ongoing | Chronic disease management | Chronic kidney disease | Quantitative-clinical audit | 187 participants | Rates of detection and improvement in chronic disease management |
Flinders self-management model (CCSM) | Battersby et al. 2008 [36] | 2001–2002 | Chronic disease management | Diabetes | Mixed methods-pilot study with pre, interim and post quantitative data, post program focus group | 60 participants (28 m, 32 f) | Program acceptability and clinical outcomes (HbA1c, Diabetes Assessment Form, SF-12) |
Polycystic Ovarian Syndrome clinic program | Boyle et al. 2017 [37] | 2012–2013 | Chronic disease management | Polycystic Ovarian Syndrome (PCOS) | Mixed methods-post implementation evaluation using clinical audit, semi-structured interviews and focus groups | Clinical audit involved 36 f participants, interviews with 8 clinicians and focus group with 8 f participants | Process evaluation of program fidelity, barriers and enablers and whether the program met community needs |
Diabetic retinopathy screening program | Brazionis et al. 2018 [38] | 2014–2016 | Chronic disease prevention and management | Diabetes | Quantitative- cross-sectional study design | 301 participants (33% m, 67% f) | Clinical effectiveness: diabetic retinopathy prevalence rates and severity compared to other screening programs |
Primary Health Care Outreach program of Aboriginal Health Checks | Burgess et al. 2011 [39] | 2005 | Chronic disease management | Cardiovascular disease and other chronic diseases | Quantitative- interrupted time series study with pre/post measures | 64 participants (43 m, 21 f) | Clinical measures (absolute cardiovascular risk, blood pressure, BMI), follow up appointments and outcomes |
12 week exercise and nutrition program | Canuto et al. 2012 [40] Canuto 2013 [41] Canuto et al. 2013 [42] | 2010–2011 | Health promotion | Poor nutrition, physical inactivity | Mixed methods-pragmatic randomised trial with mixed methods process evaluation | 100 f participants at baseline, 41 lost to follow up. Not reported how many participated in interviews | Program effectiveness on waist circumference, weigh and biomedical metabolic markers Factors influencing program attendance |
Healthy Lifestyle Programme (HELP) | Chan et al. 2007 [43] | Not reported | Chronic disease management | Diabetes, cardiovascular risk factors | Quantitative- pre and post study | 101 participants | Effectiveness of a lifestyle intervention on clinical measures |
Cardiac failure education program | Clark et al. 2014 [44] Clark et al. 2015 [45] | Not reported | Chronic disease management | Cardiovascular disease | Mixed methods-pilot study with pre and post data | 5 participants (3 m, 2 f) | Feasibility and acceptability of resource |
Drug and alcohol screening intervention | Clifford et al. 2013 [46] | Not reported | Chronic disease prevention | Drug and alcohol misuse | Quantitative- pre and post study | 314 participants | Proportion of clients with alcohol screening |
Health literacy intervention | Crengle et al. 2017 [47] | 2013 | Chronic disease management | Cardiovascular disease | Quantitative-multi-site pre and post study | 171 participants, 11 lost to follow up | Effect of intervention on medication knowledge |
Grog mob | D’Abbs et al. 2013 [48] | 2008–2009 | Chronic disease prevention | Risky alcohol behaviour | Mixed methods-descriptive analysis of post program data | 49 participants | Examine whether program met its objectives, document implementation processes and gauge the impact on client outcomes |
Cardiac and pulmonary secondary prevention program | Davey et al. 2014 [49] | 2011–2013 | Chronic disease prevention and management | Cardiovascular and pulmonary disease | Mixed methods-pre and post study | 92 participants (36 m, 56 f), qualitative feedback from 51 participants | Program uptake and effectiveness |
Smoking cessation program | DiGiacomo et al. 2007 [50] | 2005–2006 | Chronic disease prevention | Smoking | Quantitative- case review | 37 participants (10 m, 27 f) | Screening rates and quit attempts |
‘Heart health’ program cardiac secondary prevention | Dimer et al. 2010 [51] Dimer et al. 2012 [52] Dimer et al. 2013 [53] Maiorana et al. 2012 [54] Maiorana et al. 2015 [55] | 2009–2010 | Chronic disease prevention and management | Cardiovascular disease | Mixed methods-pre and post data, interviews, yarning sessions and questionnaires | 98 participants (35 m, 63 f) | Uptake and effectiveness of program on lifestyle and cardiovascular risk factors |
Intensive quit smoking intervention | Eades et al. 2012 [56] | 2005–2009 | Health promotion and chronic disease prevention | Smoking | Quantitative-randomised controlled trial | 263 f participants | Effectiveness of intervention on smoking rates |
Give up the smokes program | Gould, McGechan & Zwan 2010 [57] | 2007–2008 | Health promotion and chronic disease prevention | Smoking | Quantitative- pre and post study | 10 participants | Cultural appropriateness of program |
Diabetes Management and Care program | Gracey et al. 2006 [58] | 2002 | Chronic disease prevention and management | Diabetes, poor nutrition, physical inactivity | Quantitative- pre and post study | 418 participants (181 m, 237 f) | Impact of program on clinical measures |
Koorie Men’s health day | Isaacs & Lampitt 2014 [59] | Not reported | Health promotion and chronic disease prevention | Mental illness | Mixed methods-descriptive study | 20 m participants (data available for 17) | Model outcomes |
Oral health literacy program | Ju et al. 2017 [60] | Not reported | Health promotion | Oral health | Quantitative-randomised controlled trial | 400 participants at baseline, 106 lost to follow up | Oral health literacy |
Oral health periodontal program | Kapellas et al. 2013 [61] Kapellas et al. 2014a [62] Kapellas et al. 2014b [63] Kapellas et al. 2017 [64] | 2010–2012 | Chronic disease prevention and management | Oral health | Quantitative-randomised controlled trial | 273 participants, follow up data available for 169 | Improvements in clinical outcomes |
Structured chronic disease care planning program | Kowanko et al. 2012 [65] | 2008–2011 | Chronic disease management | All chronic diseases | Mixed methods-Participatory Action Research framework | 36 participants involved in longitudinal study, otherwise not reported | Impact of chronic disease self-management strategies on health outcomes |
Nurse-led Chronic Kidney Disease program | Lawton et al. 2016 [66] | 2007-ongoing | Chronic disease management | Chronic kidney disease | Quantitative-interrupted time series | Not reported | Improvement in rate of chronic kidney disease detection and clinical markers |
Walk about Together Program (WAT) | Longstreet et al. 2008 [67] | 2003–2005 | Health promotion | Unhealthy weight, poor nutrition | Quantitative-pre and post study | 100 participants (12% m, 88% f). | Nutrient intake of program participants |
Be Our Ally Beat Smoking (BOABS) program | Marley et al. 2014a [68] Marley et al. 2014b [18] | 2009–2012 | Health promotion | Smoking | Mixed methods-randomised controlled trial with qualitative component | 168 randomised, 19 lost to follow up | Efficacy of smoking cessation program at 12 months follow up |
Getting better at chronic care program | McDermott et al. 2015 [69] Schmidt, Campbell & McDermott 2016 [70] Segal et al. 2016 [71] | 2011–2013 | Chronic disease management | Diabetes and other chronic diseases | Mixed methods-pragmatic cluster randomised controlled trial with qualitative component and economic analysis | 213 participants randomised (38% m, 62% female), 24 lost to follow up, 21 interview participants | Program effectiveness in improving care of participants with diabetes Experience of health workers implementing program Program cost-effectiveness |
Work it out program | Mills et al. 2017 [72] | 2012–2014 | Chronic disease prevention and management | Cardiovascular disease | Quantitative- quasi-experimental with pre and post data | 85 participants | Impact on clinical outcomes at 12 weeks post implementation |
Mental illness brief intervention program | Nagel & Thompson 2008 [73] Nagel et al. 2008 [74] | 2004–2007 | Chronic disease management | Mental illness | Mixed methods-randomised controlled trial with qualitative component | 49 participants | Program effectiveness on clinical outcomes |
Get Healthy Service program | Quinn et al. 2017 [75] | 2009–2015 | Health promotion | All chronic diseases | Mixed methods-pre and post study with qualitative component | 30 participants interviewed (5 m, 25 f), quantitative data collection involved 1462 participants | Program reach and impact on lifestyle risk factors |
Antiviral therapy Hepatitis C program | Read et al. 2017 [76] | 2016-ongoing | Chronic disease prevention and management | Hepatitis C | Quantitative-observational cohort study | 23 participants | Efficacy of program |
Quality Assurance for Aboriginal & Torres Strait Islander Medical Services (QAAMS) program | Shephard 2006 [77] Shephard et al. 2017 [78] Spaeth, Shephard & Schatz 2014 [79] | 1999-ongoing | Chronic disease management | Diabetes | Mixed methods-key stakeholder and client questionnaire with open questions, case studies, comparison of baseline and post implementation data, longitudinal quality assurance data, before and after study design | 161 participants completed client questionnaire, 907 program participants | Program satisfaction Quality assurance and imprecision Clinical and operational efficiency |
Point-of-Care in Aboriginal Hands | Shepherd et al. 2006 [80] | 2001-ongoing | Chronic disease management | All chronic diseases | Mixed methods-interviews, comparison of baseline and post implementation data | Data collected from 626 participants | Community acceptability of program |
Western Desert Kidney Health Screening program | Sinclair et al. 2016 [81] | 2012 | Chronic disease prevention and management | Chronic kidney disease, diabetes | Qualitative-interviews | 26 participants (11 m, 15 f) | Community acceptability of program |
COACH programme | Ski et al. 2017 [82] | Not reported | Chronic disease prevention and management | Cardiovascular disease | Quantitative-longitudinal outcomes in participants | Not reported | Program effectiveness in reducing cardiovascular risk |
Diabetic retinopathy screening program | Spurling et al. 2010 [83] | 2007–2009 | Chronic disease management | Diabetes | Mixed methods-semi-structured interviews, descriptive analysis of demographic data and screening rates | 132 participants (60 m, 72 f) | Program impact and accessibility |
Indigenous adult health checks program | Spurling, Hayman & Cooney 2009 [84] | 2007–2008 | Chronic disease prevention and management | All chronic diseases | Quantitative- cross-sectional study | 413 participants | Evaluate role of program |
Shared medical appointment program | Stevens et al. 2016 [85] | Not reported | Chronic disease prevention and management | All chronic diseases | Mixed methods-post program questionnaires, interviews and field notes | 14 m participants | Program acceptability and appropriateness |
Community singing program | Sun & Buys 2012 [86] Sun & Buys 2013a [87] Sun & Buys 2013b [88] Sun & Buys 2013c [89] Sun & Buys 2013d [90] Sun & Buys 2013e [91] Sun & Buys 2013f [92] Sun & Buys 2016 [93] | 2010–2012 | Chronic disease management | Cardiovascular disease, diabetes, cancer, depression, psychosis | Mixed methods-pre and post study design with numerous outcome measures, questionnaires, focus group sessions | 45 participants | Program effectiveness and impact |
Home Medicines Review program | Swain 2016 [94] Swain & Barclay 2015 [95] | 2001-ongoing | Chronic disease management | All chronic diseases | Mixed methods-focus group sessions with indigenous consumers, interviews with health workers, cross-sectional survey with pharmacists | 102 participants | Usefulness of program for Indigenous people Facilitators and barriers to program uptake |
‘Yaka Narali’ Tackling Indigenous Smoking program | Tane et al. 2016 [96] | 2009-ongoing | Health promotion | Smoking | Qualitative-interviews | 30 participants | Program effectiveness |
Ngangkari Program | Togni 2017 [97] | Not reported | Chronic disease management | Mental illness, Social and Emotional Wellbeing | Qualitative-interviews and focus group sessions | 18 participants | Developmental evaluation of program model |
Deadly Liver Mob program | Treloar et al. 2018 [98] | 2013-ongoing | Health promotion and chronic disease prevention | Hepatitis C | Mixed methods-pre and post study with qualitative component | Quantitative data collected from 710 participants, 19 participant interviews | Program acceptability |
Music therapy program | Truasheim 2014 [99] | 2012 | Chronic disease management | All chronic diseases | Mixed methods-survey data and some clinical measures | 13 participants (4 m, 9 f) | Examine cultural safety of program |
Perinatal mental health program | Verrier et al. 2013 [100] | Not reported | Chronic disease prevention and management | Mental illness, Social and Emotional Wellbeing | Mixed methods-pre and post study with quantitative and qualitative data | Not reported | Program impact |