Transformation of Indigenous Primary Healthcare Delivery: Enhancement and Adaptation of Community-driven Innovations and Scale-up Toolkits
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 4
- 试验地点
- 1
- 主要终点
- Understand the influence of community context on the implementation of the QI Strategy as assessed by the Consolidated Framework for Implementation Research
研究概览
简要总结
The PATHWAYS for Health Equity research program builds on the 5-year FORGE AHEAD Indigenous diabetes quality improvement research program (2013 - 2017).
PATHWAYS for Health Equity, a 3-year research program (2017 - 2019), is a great opportunity to continue our important collaborative diabetes quality improvement research with an increasing number of Indigenous partnering communities and researchers and key stakeholders (collaborators, policymakers and knowledge-users). Four partnering First Nations communities will join the Pathways program to develop community-driven quality improvement initiatives championed by a Community Facilitator and supported by a Community Data Coordinator.
详细描述
GOAL
To improve the health and health equity of Indigenous peoples by strengthening the effectiveness, sustainability and scalability of a promising community-driven and culturally-relevant quality improvement strategy through meaningful conversations and engagement with our community partners.
OBJECTIVES
- Engage community partners and key stakeholders to support meaningful participation and leadership
- Review, improve and adapt the diabetes quality improvement strategy with community partners
- Evaluate the effectiveness of the adapted diabetes quality improvement strategy
- Develop community-driven plans for sustainability and scale-up for the adapted diabetes quality improvement strategy
WHY IS PATHWAYS IMPORTANT?
研究设计
- 研究类型
- Observational
- 观察模型
- Ecologic Or Community
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Indigenous Communities in Canada:
- •On-reserve community
- •Community Band Council approval to participate and collaboration
- •Community healthcare facility approval or willingness to participate including both prevention and management/treatment arms if separate
- •Signed Community Research Agreement (including Financial Agreement) by the custodian of community medical charts, health leadership, and community leadership (if required). Access to community medical charts is required for FNDSS
- •Patient Chart Inclusion Criteria for chart audit component:
- •Age 18 or older.
- •Diagnosed with type 2 diabetes
排除标准
- •Indigenous Communities:
- •Communities that are unlikely to comply with the protocol (uncooperative attitude, unlikelihood of completing the program)
- •Healthcare facility unwilling to participate or uncooperative.
- •Patient Chart Exclusion Criteria for chart audit component:
- •Less than 18 years old
- •Diagnosed with type 1 or gestational diabetes
- •Life expectancy is less than 6 months
- •Inactive patient (no clinic visit in the last 12 months)
结局指标
主要结局
Understand the influence of community context on the implementation of the QI Strategy as assessed by the Consolidated Framework for Implementation Research
时间窗: November 2017 - April 2019
Qualitative information will be collected by interviews or focus groups to understand how context influences the implementation of the QI strategy. Questions on the interview are guided by the Consolidated Framework for Implementation Research, which includes questions on intervention characteristics, outer community setting, inner community setting, characteristics of individuals/teams, and implementation processes.
次要结局
- Glycated hemoglobin (A1C)(November 2017 - April 2019)
研究者
Stewart Harris
Principal Investigator
Western University, Canada