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The demise of a planned randomised controlled trial in an urban Aboriginal Medical Service

Sibthorpe, Beverly; Bailie, Ross; Brady, Margaret; Ball, S; Sumnerdodd, Polly; Hall, Wayne

Description

To fill a gap in knowledge about the effectiveness of brief intervention for hazardous alcohol use among Indigenous Australians, we attempted to implement a randomised controlled trial in an urban Aboriginal Medical Service (AMS) as a joint AMS-university partnership. Because of low numbers of potential participants being screened, the RCT was abandoned in favour of a two-part "demonstration project". Only 16 clients were recruited for follow-up in six-months, and the trial was terminated....[Show more]

dc.contributor.authorSibthorpe, Beverly
dc.contributor.authorBailie, Ross
dc.contributor.authorBrady, Margaret
dc.contributor.authorBall, S
dc.contributor.authorSumnerdodd, Polly
dc.contributor.authorHall, Wayne
dc.date.accessioned2015-12-10T23:27:11Z
dc.date.available2015-12-10T23:27:11Z
dc.identifier.issn0025-729X
dc.identifier.urihttp://hdl.handle.net/1885/68104
dc.description.abstractTo fill a gap in knowledge about the effectiveness of brief intervention for hazardous alcohol use among Indigenous Australians, we attempted to implement a randomised controlled trial in an urban Aboriginal Medical Service (AMS) as a joint AMS-university partnership. Because of low numbers of potential participants being screened, the RCT was abandoned in favour of a two-part "demonstration project". Only 16 clients were recruited for follow-up in six-months, and the trial was terminated. Clinic, patient, Aboriginal health worker, and GP factors, interacting with study design factors, all contributed to our inability to implement the trial as designed. The key points to emerge from the study are that alcohol misuse is a difficult issue to manage in an Indigenous primary health care setting; RCTs involving inevitably complex study protocols may not be acceptable or sufficiently adaptable to make them viable in busy, Indigenous primary health care settings; and "gold-standard" RCT-derived evidence for the effectiveness of many public health interventions in Indigenous primary health care settings may never be available, and decisions about appropriate interventions will often have to be based on qualitative assessment of appropriateness and evidence from other populations and other settings.
dc.publisherAustralasian Medical Association
dc.sourceMedical Journal of Australia
dc.subjectKeywords: alcohol; aborigine; alcohol abuse; alcohol consumption; article; Australia; clinical protocol; clinical trial; controlled clinical trial; evidence based medicine; follow up; general practitioner; health care personnel; health service; human; mass screenin
dc.titleThe demise of a planned randomised controlled trial in an urban Aboriginal Medical Service
dc.typeJournal article
local.description.notesImported from ARIES
local.description.refereedYes
local.identifier.citationvolume176
dc.date.issued2002
local.identifier.absfor111715 - Pacific Peoples Health
local.identifier.absfor111712 - Health Promotion
local.identifier.ariespublicationMigratedxPub1621
local.type.statusPublished Version
local.contributor.affiliationSibthorpe, Beverly, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationBailie, Ross, Charles Darwin University
local.contributor.affiliationBrady, Margaret , College of Arts and Social Sciences, ANU
local.contributor.affiliationBall, S, Yale University
local.contributor.affiliationSumnerdodd, Polly, NunkuwarrinYunti Inc
local.contributor.affiliationHall, Wayne, University of New South Wales
local.bibliographicCitation.startpage273
local.bibliographicCitation.lastpage76
dc.date.updated2015-12-10T11:04:42Z
local.identifier.scopusID2-s2.0-0037128412
CollectionsANU Research Publications

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