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dc.contributor.authorCarlisle, Karen
dc.contributor.authorFelton-Busch, Catrina
dc.contributor.authorCadet-James, Yvonne
dc.contributor.authorTaylor, Judy
dc.contributor.authorBailie, Ross
dc.contributor.authorFarmer, Jane
dc.contributor.authorPassey, Megan
dc.contributor.authorMatthews, Veronica
dc.contributor.authorCallander, Emily
dc.contributor.authorEvans, Rebecca
dc.contributor.authorKelly, Janet
dc.contributor.authorPreston, Robyn
dc.contributor.authorRedman-MacLaren, Michelle
dc.contributor.authorFox, Haylee
dc.contributor.authorEsterman, Adrian
dc.contributor.authorZwarenstein, Merrick
dc.contributor.authorLarkins, Sarah
dc.date.accessioned2020-05-20T23:49:21Z
dc.date.available2020-05-20T23:49:21Z
dc.date.issued2020
dc.identifier.issn2296-2565
dc.identifier.doi10.3389/fpubh.2020.00073
dc.identifier.urihttp://hdl.handle.net/10072/394085
dc.description.abstractIntroduction: In Australia, there have been improvements in Aboriginal and Torres Strait Islander maternal health, however inequities remain. There is increasing international evidence illustrating the effectiveness of Participatory Women's Groups (PWGs) in improving Maternal and Child Health (MCH) outcomes. Using a non-randomized, cluster stepped-wedge implementation of a complex intervention with mixed methods evaluation, this study aims to test the effectiveness of PWGs in improving MCH within Indigenous primary care settings in Australia and how they operate in various contexts. Methods: This study takes place in ten primary health care services across Australia and involves the recruitment of existing PWGs or the setting up of new PWGs. Services are paired based on geography for practical reasons and two services commence the PWG intervention at three monthly intervals, with the initial four services being those with existing women's groups. Implementation of the PWGs as an intervention involves training local facilitators of PWG groups, supported engagement with local MCH data through workshops, PWGs identifying and prioritizing issues and strengths and co-implementing solutions with health services. Outcomes are measured with yearly MCH audits, a cost-effectiveness study, and process evaluation of community participation and empowerment. Discussion: This study is the first to formally implement and quantitatively, yet with contextual awareness, measure the effect of applying a community participation intervention to improve the quality of Aboriginal and Torres Strait Islander MCH in Australia. Findings from this work, including detailed theory-producing qualitative analysis, will produce new knowledge of how to facilitate improved quality of MCH care in Indigenous PHC settings and how to best engage community in driving health care improvements. Trial registration: Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12618000945224. Web address: http://www.ANZCTR.org.au/ACTRN12618000945224.aspx.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherFrontiers Media SA
dc.relation.ispartofpagefrom73:1
dc.relation.ispartofpageto73:11
dc.relation.ispartofjournalFrontiers in Public Health
dc.relation.ispartofvolume8
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode1117
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsPublic, Environmental & Occupational Health
dc.subject.keywordsindigenous health
dc.subject.keywordscomplex intervention
dc.titleWOmen's Action for Mums and Bubs (WOMB) Trial Protocol: A Non-randomized Stepped Wedge Implementation Trial of Participatory Women's Groups to Improve the Health of Aboriginal and Torres Strait Islander Mothers and Children in Australia
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationCarlisle, K; Felton-Busch, C; Cadet-James, Y; Taylor, J; Bailie, R; Farmer, J; Passey, M; Matthews, V; Callander, E; Evans, R; Kelly, J; Preston, R; Redman-MacLaren, M; Fox, H; et al., WOmen's Action for Mums and Bubs (WOMB) Trial Protocol: A Non-randomized Stepped Wedge Implementation Trial of Participatory Women's Groups to Improve the Health of Aboriginal and Torres Strait Islander Mothers and Children in Australia, Frontiers in Public Health, 2020, 8, pp. 73:1-73:11
dcterms.dateAccepted2020-02-25
dcterms.licensehttps://creativecommons.org/licenses/by/4.0/
dc.date.updated2020-05-20T23:45:11Z
dc.description.versionPublished
gro.rights.copyright© 2020 Carlisle, Felton-Busch, Cadet-James, Taylor, Bailie, Farmer, Passey, Matthews, Callander, Evans, Kelly, Preston, Redman-MacLaren, Fox, Esterman, Zwarenstein and Larkins. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
gro.hasfulltextFull Text
gro.griffith.authorCallander, Emily J.
gro.griffith.authorFox, Haylee


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