Research

Detailed below are the current Research Projects Nunkuwarrin Yunti are involved in as well as a brief overview of some past projects.

The Aboriginal Diabetes Study

PROPHECY is a National Health and Medical Research Council (NHMRC) funded study led by Prof Alex Brown of the Wardliparingga Aboriginal Research Unit, South Australian Health and Medical Research Institute (SAHMRI).

The overarching aim of the study is to explore the relationships between diabetes and diabetes related complications and the existence of social, clinical, psychological and genetic risk markers in South Australian Aboriginal people with and without Type 2 diabetes.

The study is looking to recruit 4000 Aboriginal people aged 15 years and older across South Australia, 2000 of these will be within the Adelaide metropolitan region (1000 with type 2 diabetes and 1000 without)

The study commenced in June 2015 and is due for completion in December 2019.

For more information click here.

Aboriginal Cardiovascular Omega 3 Trial

The Aboriginal Cardiovascular Omega 3 Trial is a NHMRC funded study led by Prof Alex Brown of the Wardliparingga Aboriginal Research Unit, South Australian Health and Medical Research Institute (SAHMRI).

The Aboriginal Cardiovascular Omega 3 Trial is a randomised placebo-controlled double-blind multi-centre clinical trial which aims to find out if Aboriginal patients who have coronary artery disease (CAD) will be better protected from having “heart attacks” by taking an Omega 3 oil supplement. The trial also aims to find out what effect Omega 3 has on some of the factors associated with adverse cardiovascular events.

The project brings together a team of investigators from the University of Adelaide and SAHMRI. Prof Robert Gibson, Prof Prash Sanders, and Dr Scott Willoughby are Chief Investigators on the team which is led by Prof Alex Brown.

Recruitment for this study has finished and we are awaiting the findings. For more information click here .

Evaluation in Health Promotion

The research project will examine the factors that influence how evaluation is conducted and used in health promotion and primary prevention programs, as well as investigating strategies that could be used to build evaluation capacity in the field. This outcomes from this research will hopefully provide information for organisations and policy makers looking to improve evaluation and health promotion practice, and ultimately, improve the health of populations.

Potential benefits to participants are that organisations and individuals will have the opportunity to engage in reflection about their own evaluation practices that may lead to organisational improvements and skill development. Participating organisations and staff will also have the opportunity to attend dissemination workshops to hear and discuss findings of the research first hand.

Proposed Completion Date: This study has been extended, updated proposed completion date to be confirmed.

Tackling Indigenous Smoking (TIS) Programme Evaluation

The evaluation aims to demonstrate the effectiveness of the Tackling Indigenous Smoking Programme activities, and if activities have led to changes in the community. Findings will be used to support internal planning and development.

The main objectives are seeking to measure:

  • Level of change that has occurred through the TIS Programme (effectiveness)
  • Fit between the TIS Programme and the needs of Aboriginal and Torres Strait Islander communities (appropriateness)
  • How well is the TIS Programme progressing towards achieving the long term outcomes

To view the Tackling Indigenous Smoking Program Preliminary Evaluation Report click here.

Proposed Completion Date: June 2018

Testing and positivity rates for sexually transmissible infections (STIs) in South Australian Aboriginal Community Controlled Health Services

This study aims to identify trends in diagnostic testing for sexually transmissible infections (STIs) and STI test positivity rates in SA Aboriginal Community Controlled Health Services (ACCHS) and to evaluate the impact of the AHCSA Sexual Health Program using routinely collected, de-identified STI diagnostic data. The study will be looking at STI testing data from 2008-2016 for chlamydia, gonorrhoea and trichomonas.

Completion Date: 31 July 2017

Nunkuwarrin Yunti’s involvement has been completed and we are awaiting final reports and publications.

A Framework to assist Aboriginal Health Services to develop Best Practice Models of primary healthcare service delivery (CREATE Case Study)

The CREATE study aims to enhance the Aboriginal Community Controlled Health sector capacity to delivery primary health care services to Aboriginal and Torres Strait Islander peoples. This will be achieved by working in partnership with Aboriginal Community Controlled Health Organisations (ACCHOs) and their affiliates to: use existing and new evidence to improve health care services and outcomes for Aboriginal and Torres Strait islander peoples; and strengthen the capacity of staff working within ACCHOs and their affiliates.

Nunkuwarrin Yunti is participating in this study by contributing to a case study about Accreditation. This is looking at assessing ways of streamlining the accreditation process through identification of appropriate accreditation systems, and minimising duplication across multiple accreditation standards.

Proposed Completion Date (for the case study): 28 February 2017 (Nunkuwarrin Yunti’s involvement has been completed and are awaiting final reports and publications)

For more information on CREATE – click here.

Supporting Indigenous Primary Care Services to Reduce the Harms of Alcohol

This study aims to develop and evaluate a whole of service approach to increase uptake of evidence-based treatment for unhealthy alcohol use in primary care settings targeting Aboriginal and Torres Strait Islander people. The study will test (using a cluster randomised controlled trial design) whether a collaborative, service-level intervention can result in improved rates of recommended screening and provision of treatment for unhealthy alcohol use (i.e. for drinking above recommended limits, including alcohol use disorders). The research team from the University of Sydney will support implementation of Nunkuwarrin Yunti identified solutions, which could include training, resources and refinement of practice software.

Nunkuwarrin Yunti is one of 11 active sites around Australia involved in this study.

Proposed Completion Date: May 2021

Views of primary health care staff and decision-makers of Indigenous-focused health research teams involving external researchers: The Getting it Right process evaluation

This study aims to explore:

  • The impact from the perspective of Nunkuwarrin Yunti staff of implementing Getting it Right: The validation study and to formally evaluate the processes, lessons learnt and impact of implementing the study on the study’s recruitment sites and staff.
  • The views of staff of the tool (aPHQ-9) acceptability, applicability and potential for use.
  • The experiences, perceptions and preferences of staff and community decision-makers related to Aboriginal and Torres Strait Islander-focused research conducted by research teams.

Nunkuwarrin Yunti had 3 staff primarily involved in the study who were invited to participate in the qualitative interviews.

This study has concluded and we are awaiting final reports and publications.

Related Publications
Process evaluation of a primary healthcare validation study of a culturally adapted depression screening tool for use by Aboriginal and Torres Strait Islander people: study protocol

Aboriginal and Torres Strait Islander Sexual Health Surveillance Network (ATLAS)

The primary objective of the ATLAS project is to establish a national sentinel sexually transmitted infections (STI) and blood borne virus (BBV) surveillance system among Aboriginal primary health care services for surveillance, monitoring and evaluation purposes.

The secondary objectives include:

  • to develop a national agreed set of STI and BBV clinical indicators
  • to monitor trends in STI and BBV testing, positivity, and clinical management as per clinical indicators over time;
  • to monitor trends in STI and BBV knowledge, risk practices and health service access of young people in order to help shape future primary care interventions;
  • to establish a network to enable planners and policy makers to determine where interventions are most needed and how well they are working;
  • and to build the capacity of participating hubs and sites to use data for quality improvement processes

Nunkuwarrin Yunti has previous experience in STI/BBV research and recognizes the importance of best practice care to treat and prevent STI/BBV infections.

Proposed Completion Date: December 2020

For more information on any of the above studies Nunkuwarrin Yunti is involved in, please contact the Aboriginal Health Research Coordinator on 08 8406 1600

Involvement in recently completed research projects

Nunkuwarrin Yunti has also been involved in the below listed projects that have recently come to completion:

  • Getting it right: The Validation Study
  • Rising Spirits – A Community Resilience Project
  • Research Excellence in Aboriginal Community Controlled Health (REACCH)
  • ‘CQI Success Stories’ – Identifying effective strategies for Continuous Quality Improvement (CQI) in Indigenous primary health care
  • Towards the development of Wellbeing model for Aboriginal and Torres Strait Islander peoples living with a chronic disease
  • Next STEPS
  • Aboriginal Women’s Fitness Program
  • Metro-North Tobacco Use Study