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McGuffog R, Chamberlain C, Hughes J, Kong K, Wenitong M, Bryant J, Brown A, Eades SJ, Griffiths KE, Collis F, Hobden B, O'Mara P, Ridgeway T, Walter M, Kennedy M. Murru Minya-informing the development of practical recommendations to support ethical conduct in Aboriginal and Torres Strait Islander health research: a protocol for a national mixed-methods study. BMJ Open 2023; 13:e067054. [PMID: 36764710 PMCID: PMC9923310 DOI: 10.1136/bmjopen-2022-067054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/12/2023] Open
Abstract
INTRODUCTION Conducting ethical and high-quality health research is crucial for informing public health policy and service delivery to reduce the high and inequitable burden of disease experienced by Aboriginal and Torres Strait Islander people. Ethical guidelines and principles specifically for health research with Aboriginal and Torres Strait Islander people have been developed for use since 1987. However, there has been limited examination of how these are being applied to the conduct of research. METHODS AND ANALYSIS Murru Minya will be a large-scale national study to examine the implementation of ethical processes in Aboriginal and Torres Strait Islander health research. A mixed-methods design will be used in four baarra (steps). The first three baarra will collect knowledge, experiences and wisdom from three key groups: Aboriginal and Torres Strait Islander communities, research academics, and Human Research Ethics Committees using online surveys, yarning, and semistructured interviews. This knowledge will inform the final baarra of developing a set of practical recommendations to support ethical conduct in Aboriginal and Torres Strait Islander health research into the future. ETHICS AND DISSEMINATION Ethical approval for this research project has been granted by National, State and Territory Human Research Ethics Committees. This research has been developed in collaboration with Aboriginal and Torres Strait Islander researchers, Aboriginal Community Controlled Health Organisation representatives, Aboriginal community members, the National Health Leadership Forum, and Aboriginal and Torres Strait Islander research team. The knowledge translation plan will be integrated and revised throughout the project as partnerships and engagement with Aboriginal and Torres Strait Islander communities continue. All findings will be shared with peak Aboriginal research bodies and Aboriginal and Torres Strait Islander communities in ways that are meaningful to them.
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Affiliation(s)
- Romany McGuffog
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, The University of Newcastle, New Lambton, New South Wales, Australia
| | - Catherine Chamberlain
- Judith Lumley Centre, School of Nursery and Midwifery, La Trobe University, Melbourne, Victoria, Australia
- Centre for Health Equity, School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia
| | - Jaqui Hughes
- Rural and Remote Health, College of Medicine and Public Health, Flinders University, Nhulunbuy, Northern Territory, Australia
| | - Kelvin Kong
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- ENT Department, Hunter Valley Private Hospital, Newcastle, New South Wales, Australia
| | | | - Jamie Bryant
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, The University of Newcastle, New Lambton, New South Wales, Australia
| | - Alex Brown
- Indigenous Genomics, Australian National University, Canberra, Australian Capital Territory, Australia
- Telethon Kids Institute, Nedlands, Western Australia, Australia
| | - Sandra J Eades
- Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia
| | - Kalinda E Griffiths
- Centre for Big Data Research, University of New South Wales, Sydney, New South Wales, Australia
| | - Felicity Collis
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, The University of Newcastle, New Lambton, New South Wales, Australia
| | - Breanne Hobden
- Hunter Medical Research Institute, The University of Newcastle, New Lambton, New South Wales, Australia
- Health Behaviour Research Collaborative, School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Peter O'Mara
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Tanika Ridgeway
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Maggie Walter
- School of Social Sciences, University of Tasmania, Hobart, Tasmania, Australia
| | - Michelle Kennedy
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, The University of Newcastle, New Lambton, New South Wales, Australia
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Wagner B, Fitzpatrick JP, Mazzucchelli TG, Symons M, Carmichael Olson H, Jirikowic T, Cross D, Wright E, Adams E, Carter M, Bruce K, Latimer J. Study protocol for a self-controlled cluster randomised trial of the Alert Program to improve self-regulation and executive function in Australian Aboriginal children with fetal alcohol spectrum disorder. BMJ Open 2018; 8:e021462. [PMID: 29581212 PMCID: PMC5875644 DOI: 10.1136/bmjopen-2017-021462] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2018] [Accepted: 02/02/2018] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION While research highlights the benefits of early diagnosis and intervention for children with fetal alcohol spectrum disorders (FASD), there are limited data documenting effective interventions for Australian children living in remote communities. METHODS AND ANALYSIS This self-controlled cluster randomised trial is evaluating the effectiveness of an 8-week Alert Program school curriculum for improving self-regulation and executive function in children living in remote Australian Aboriginal communities. Children in grades 1-6 attending any of the eight participating schools across the Fitzroy Valley in remote North-West Australia (N ≈ 363) were invited to participate. Each school was assigned to one of four clusters with clusters randomly assigned to receive the intervention at one of four time points. Clusters two, three and four had extended control conditions where students received regular schooling before later receiving the intervention. Trained classroom teachers delivered the Alert Program to students in discrete, weekly, 1-hour lessons. Student outcomes were assessed at three time points. For the intervention condition, data collection occurred 2 weeks immediately before and after the intervention, with a follow-up 8 weeks later. For control conditions in clusters two to four, the control data collection matched that of the data collection for the intervention condition in the preceding cluster. The primary outcome is change in self-regulation. FASD diagnoses will be determined via medical record review after the completion of data collection. The results will be analysed using generalised linear mixed modelling and reported in accordance with Consolidated Standards of Reporting Trials (CONSORT) guidelines. ETHICS AND DISSEMINATION Ethical approval was obtained from the University of Western Australia (WA) (RA/4/1/7234), WA Aboriginal Health Ethics Committee (601) and WA Country Health Service (2015:04). The Kimberley Aboriginal Health Planning Forum Research Sub-Committee and WA Department of Education also provided approval. The results will be disseminated through peer-reviewed journals, conference presentations, the media and at forums. TRIAL REGISTRATION NUMBER ACTRN12615000733572; Pre-results.
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Affiliation(s)
- Bree Wagner
- Alcohol and Pregnancy and FASD Research Team, Telethon Kids Institute, The University of Western Australia, Perth, Australia
| | - James P Fitzpatrick
- Alcohol and Pregnancy and FASD Research Team, Telethon Kids Institute, The University of Western Australia, Perth, Australia
| | - Trevor G Mazzucchelli
- Child and Family Research Group and Brain, Behaviour and Mental Health Research Group, School of Psychology and Speech Pathology, Curtin University, Perth, Australia
| | - Martyn Symons
- FASD Research Australia Centre for Research Excellence, Telethon Kids Institute, The University of Western Australia, Perth, Australia
| | - Heather Carmichael Olson
- Seattle Children's Research Institute, University of Washington School of Medicine, Seattle, Washington, USA
| | - Tracy Jirikowic
- Division of Occupational Therapy, University of Washington School of Medicine, Children's Research Institute, Seattle, Washington, USA
| | - Donna Cross
- Telethon Kids Institute, The University of Western Australia, Perth, Australia
| | - Edie Wright
- Western Australian Department of Education, Kimberley Education Region, Broome, Australia
| | - Emma Adams
- Alcohol and Pregnancy and FASD Research Team, Telethon Kids Institute, The University of Western Australia, Perth, Australia
| | - Maureen Carter
- Nindilingarri Cultural Health Services, Fitzroy Crossing, Australia
| | - Kaashifah Bruce
- Alcohol and Pregnancy and FASD Research Team, Telethon Kids Institute, The University of Western Australia, Perth, Australia
| | - Jane Latimer
- Musculoskeletal Health Sydney, Sydney School of Public Health, Sydney Medical School, The University of Sydney, Sydney, Australia
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