Challenges to uptake of cancer education resources by rural Aboriginal Health Workers: the Cancer Healing Messages flipchart experience
Challenges to uptake of cancer education resources by rural Aboriginal Health Workers: the Cancer Healing Messages flipchart experience
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DOI：
10.22605/rrh4199
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发表时间：
2017-01-01
影响因子：
2.1
通讯作者：
Corsini, Nadia
中科院分区：
文献类型：
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作者：
Bierbaum, Mia;Plueckhahn, Tania;Corsini, Nadia
澳大利亚土著和托雷斯海峡岛民（土著）人口的年龄标准化癌症死亡率高于非土著人口，所有癌症的5年生存率明显低于非土著人口。来自偏远的南澳大利亚和北领地的土著居民经常被要求前往阿德莱德接受专业的癌症治疗服务。与交通和住宿有关的负担和费用以及文化和语言因素已被确定为获得医疗和保健服务的障碍。南澳大利亚癌症委员会与社区和利益相关者合作，领导了癌症治疗信息展板和患者传单的开发，以协助卫生专业人员向土著癌症患者及其家属解释癌症和癌症之旅。这项研究调查了资源的使用、可接受性和感知有用性、吸收的障碍以及改善其利用和可持续性的战略。方法：对南澳大利亚的土著卫生工作者（ahw）和其他与土著客户打交道的卫生专业人员进行评估调查（n=18）。参与者表明他们是否同意这些资源是有价值的，在文化上是适当的，有助于向土著癌症患者解释癌症的各个方面，并对患者的预后有用，他们使用或将使用这些资源获取信息的频率，以及他们在实践中如何使用这些资源。参与者还被要求报告任何使用障碍。结果：几乎所有参与者都认为这些资源是有用的、有价值的和文化上合适的；但是，在使用资源的意图和实际吸收之间存在差异，这一差异很低。最常见的障碍与某些患者的适宜性和某些情况下资源的缺乏有关。结论：癌症治疗信息挂图和患者传单被认为是ahw合适的、有价值的和有用的工具。需要一个长期的策略和明确的实施计划，包括教育，培训和推广材料，以实现广泛的覆盖和可持续的利用癌症治疗信息展板和病人传单。
Introduction: The Australian Aboriginal and Torres Strait Islander (Aboriginal) population has a higher age-standardised cancer mortality rate and a significantly lower 5-year survival rate for all cancers than the non-Aboriginal population. Aboriginal people from regional and remote South Australia and the Northern Territory, are often required to travel to Adelaide to access specialist cancer care services. The burden and expenses associated with transport and accommodation and cultural and linguistic factors have been identified as barriers to accessing medical treatment and health services. In collaboration with community and stakeholders, Cancer Council South Australia led the development of the Cancer Healing Messages flipchart and patient flyer to assist health professionals in explaining cancer and the cancer journey to Aboriginal cancer patients and their families. This study examined the usage, acceptability and perceived usefulness of the resources, barriers to uptake, and strategies to improve their utilisation and sustainability.Methods: An evaluation survey was conducted among Aboriginal Health Workers (AHWs) and other health professionals working with Aboriginal clients in South Australia (n=18). Participants indicated whether they agreed that the resources are valuable, culturally appropriate, helpful for explaining aspects of cancer to Aboriginal cancer patients, and useful with regard patient outcomes, how frequently they used or would use the resources for information, and how they use the flipchart in practice. Participants were also asked to report any usage barriers.Results: The resources were considered useful, valuable and culturally appropriate by almost all participants; however, there was a discrepancy between intentions to use the resources and actual uptake, which was low. The most commonly reported barriers related to appropriateness for certain patients and lack of availability of resources in some contexts.Conclusion: The Cancer Healing Messages flipchart and patient flyer are perceived as appropriate, valuable, and useful tools for AHWs. A long-term strategy and clear implementation plan involving education, training and promotion of the materials, is required to achieve broad reach and sustainable utilisation of the Cancer Healing Messages flipchart and patient flyer.