Chronic condition management and self-management in Aboriginal communities in South Australia : outcomes of a longitudinal study

Harvey, Peter W., Petkov, John, Kowanko, Inge, Helps, Yvonne and Battersby, Malcolm 2013, Chronic condition management and self-management in Aboriginal communities in South Australia : outcomes of a longitudinal study, Australian health review, vol. 37, no. 2, pp. 246-250, doi: 10.1071/AH12165.

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Title Chronic condition management and self-management in Aboriginal communities in South Australia : outcomes of a longitudinal study
Author(s) Harvey, Peter W.ORCID iD for Harvey, Peter W.
Petkov, John
Kowanko, Inge
Helps, Yvonne
Battersby, Malcolm
Journal name Australian health review
Volume number 37
Issue number 2
Start page 246
End page 250
Total pages 5
Publisher CSIRO Publishing
Place of publication Clayton, Vic.
Publication date 2013
ISSN 0156-5788
Summary OBJECTIVES: This paper describes the longitudinal component of a larger mixed methods study into the processes and outcomes of chronic condition management and self-management strategies implemented in three Aboriginal communities in South Australia. The study was designed to document the connection between the application of structured systems of care for Aboriginal people and their longer-term health status. METHODS: The study concentrated on three diverse Aboriginal communities in South Australia; the Port Lincoln Aboriginal Health Service, the Riverland community, and Nunkuwarrin Yunti Aboriginal Health Service in the Adelaide metropolitan area. Repeated-measure clinical data were collected for individual participants using a range of clinical indicators for diabetes (type 1 and 2) and related chronic conditions. Clinical data were analysed using random effects modelling techniques with changes in key clinical indicators being modelled at both the individual and group levels. RESULTS: Where care planning has been in place longer than in other sites overall improvements were noted in BMI, cholesterol (high density and low density lipids) and HbA1c. These results indicate that for Aboriginal patients with complex chronic conditions, participation in and adherence to structured care planning and self-management strategies can contribute to improved overall health status and health outcomes. CONCLUSIONS: The outcomes reported here represent an initial and important step in quantifying the health benefits that can accrue for Aboriginal people living with complex chronic conditions such as diabetes, heart disease and respiratory disease. The study highlights the benefits of developing long-term working relationships with Aboriginal communities as a basis for conducting effective collaborative health research programs.
Language eng
DOI 10.1071/AH12165
Indigenous content on
Field of Research 111799 Public Health and Health Services not elsewhere classified
1117 Public Health And Health Services
1605 Policy And Administration
1110 Nursing
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, Australian Healthcare & Hospitals Association
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