Implementing health promotion tools in Australian Indigenous primary health care

Nikki A. Percival, Janya McCalman, Christine Armit, Lynette O'Donoghue, Roxanne Bainbridge, Kevin Rowley, Joyce Doyle, Komla Tsey

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Background: In Australia, significant resources have been invested in producing health promotion best practice guidelines, frameworks and tools (herein referred to as health promotion tools) as a strategy to improve Indigenous health promotion programmes. Yet, there has been very little rigorous implementation research about whether or how health promotion tools are implemented. This paper theorizes the complex processes of health promotion tool implementation in Indigenous comprehensive primary healthcare services. 

    Methods: Data were derived from published and grey literature about the development and the implementation of four Indigenous health promotion tools. Tools were theoretically sampled to account for the key implementation types described in the literature. Data were analysed using the grounded-theory methods of coding and constant comparison with construct a theoretical implementation model. 

    Results An Indigenous Health Promotion Tool Implementation Model was developed. Implementation is a social process, whereby researchers, practitioners and community members collectively interacted in creating culturally responsive health promotion to the common purpose of facilitating empowerment. The implementation of health promotion tools was influenced by the presence of change agents; a commitment to reciprocity and organizational governance and resourcing. 

    Conclusion The Indigenous Health Promotion Tool Implementation Model assists in explaining how health promotion tools are implemented and the conditions that influence these actions. Rather than simply developing more health promotion tools, our study suggests that continuous investment in developing conditions that support empowering implementation processes are required to maximize the beneficial impacts and effectiveness of health promotion tools.

    Original languageEnglish
    Pages (from-to)92-106
    Number of pages15
    JournalHealth Promotion International
    Volume33
    Issue number1
    DOIs
    Publication statusPublished - Feb 2018

    Fingerprint

    Health Promotion
    health promotion
    Primary Health Care
    health care
    Practice Guidelines
    Comprehensive Health Care
    research implementation
    Literature
    gray literature
    reciprocity
    social process
    grounded theory
    best practice
    empowerment
    coding
    Theoretical Models
    Research Personnel
    commitment
    governance

    Cite this

    Percival, N. A., McCalman, J., Armit, C., O'Donoghue, L., Bainbridge, R., Rowley, K., ... Tsey, K. (2018). Implementing health promotion tools in Australian Indigenous primary health care. Health Promotion International, 33(1), 92-106. https://doi.org/10.1093/heapro/daw049
    Percival, Nikki A. ; McCalman, Janya ; Armit, Christine ; O'Donoghue, Lynette ; Bainbridge, Roxanne ; Rowley, Kevin ; Doyle, Joyce ; Tsey, Komla. / Implementing health promotion tools in Australian Indigenous primary health care. In: Health Promotion International. 2018 ; Vol. 33, No. 1. pp. 92-106.
    @article{4ea8fe10880d4fa9afba71e7ae1fc5e1,
    title = "Implementing health promotion tools in Australian Indigenous primary health care",
    abstract = "Background: In Australia, significant resources have been invested in producing health promotion best practice guidelines, frameworks and tools (herein referred to as health promotion tools) as a strategy to improve Indigenous health promotion programmes. Yet, there has been very little rigorous implementation research about whether or how health promotion tools are implemented. This paper theorizes the complex processes of health promotion tool implementation in Indigenous comprehensive primary healthcare services. Methods: Data were derived from published and grey literature about the development and the implementation of four Indigenous health promotion tools. Tools were theoretically sampled to account for the key implementation types described in the literature. Data were analysed using the grounded-theory methods of coding and constant comparison with construct a theoretical implementation model. Results An Indigenous Health Promotion Tool Implementation Model was developed. Implementation is a social process, whereby researchers, practitioners and community members collectively interacted in creating culturally responsive health promotion to the common purpose of facilitating empowerment. The implementation of health promotion tools was influenced by the presence of change agents; a commitment to reciprocity and organizational governance and resourcing. Conclusion The Indigenous Health Promotion Tool Implementation Model assists in explaining how health promotion tools are implemented and the conditions that influence these actions. Rather than simply developing more health promotion tools, our study suggests that continuous investment in developing conditions that support empowering implementation processes are required to maximize the beneficial impacts and effectiveness of health promotion tools.",
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    author = "Percival, {Nikki A.} and Janya McCalman and Christine Armit and Lynette O'Donoghue and Roxanne Bainbridge and Kevin Rowley and Joyce Doyle and Komla Tsey",
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    Percival, NA, McCalman, J, Armit, C, O'Donoghue, L, Bainbridge, R, Rowley, K, Doyle, J & Tsey, K 2018, 'Implementing health promotion tools in Australian Indigenous primary health care', Health Promotion International, vol. 33, no. 1, pp. 92-106. https://doi.org/10.1093/heapro/daw049

    Implementing health promotion tools in Australian Indigenous primary health care. / Percival, Nikki A.; McCalman, Janya; Armit, Christine; O'Donoghue, Lynette; Bainbridge, Roxanne; Rowley, Kevin; Doyle, Joyce; Tsey, Komla.

    In: Health Promotion International, Vol. 33, No. 1, 02.2018, p. 92-106.

    Research output: Contribution to journalArticleResearchpeer-review

    TY - JOUR

    T1 - Implementing health promotion tools in Australian Indigenous primary health care

    AU - Percival, Nikki A.

    AU - McCalman, Janya

    AU - Armit, Christine

    AU - O'Donoghue, Lynette

    AU - Bainbridge, Roxanne

    AU - Rowley, Kevin

    AU - Doyle, Joyce

    AU - Tsey, Komla

    PY - 2018/2

    Y1 - 2018/2

    N2 - Background: In Australia, significant resources have been invested in producing health promotion best practice guidelines, frameworks and tools (herein referred to as health promotion tools) as a strategy to improve Indigenous health promotion programmes. Yet, there has been very little rigorous implementation research about whether or how health promotion tools are implemented. This paper theorizes the complex processes of health promotion tool implementation in Indigenous comprehensive primary healthcare services. Methods: Data were derived from published and grey literature about the development and the implementation of four Indigenous health promotion tools. Tools were theoretically sampled to account for the key implementation types described in the literature. Data were analysed using the grounded-theory methods of coding and constant comparison with construct a theoretical implementation model. Results An Indigenous Health Promotion Tool Implementation Model was developed. Implementation is a social process, whereby researchers, practitioners and community members collectively interacted in creating culturally responsive health promotion to the common purpose of facilitating empowerment. The implementation of health promotion tools was influenced by the presence of change agents; a commitment to reciprocity and organizational governance and resourcing. Conclusion The Indigenous Health Promotion Tool Implementation Model assists in explaining how health promotion tools are implemented and the conditions that influence these actions. Rather than simply developing more health promotion tools, our study suggests that continuous investment in developing conditions that support empowering implementation processes are required to maximize the beneficial impacts and effectiveness of health promotion tools.

    AB - Background: In Australia, significant resources have been invested in producing health promotion best practice guidelines, frameworks and tools (herein referred to as health promotion tools) as a strategy to improve Indigenous health promotion programmes. Yet, there has been very little rigorous implementation research about whether or how health promotion tools are implemented. This paper theorizes the complex processes of health promotion tool implementation in Indigenous comprehensive primary healthcare services. Methods: Data were derived from published and grey literature about the development and the implementation of four Indigenous health promotion tools. Tools were theoretically sampled to account for the key implementation types described in the literature. Data were analysed using the grounded-theory methods of coding and constant comparison with construct a theoretical implementation model. Results An Indigenous Health Promotion Tool Implementation Model was developed. Implementation is a social process, whereby researchers, practitioners and community members collectively interacted in creating culturally responsive health promotion to the common purpose of facilitating empowerment. The implementation of health promotion tools was influenced by the presence of change agents; a commitment to reciprocity and organizational governance and resourcing. Conclusion The Indigenous Health Promotion Tool Implementation Model assists in explaining how health promotion tools are implemented and the conditions that influence these actions. Rather than simply developing more health promotion tools, our study suggests that continuous investment in developing conditions that support empowering implementation processes are required to maximize the beneficial impacts and effectiveness of health promotion tools.

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    KW - primary health care

    KW - spread

    KW - transfer

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    U2 - 10.1093/heapro/daw049

    DO - 10.1093/heapro/daw049

    M3 - Article

    VL - 33

    SP - 92

    EP - 106

    JO - Health Promotion International

    JF - Health Promotion International

    SN - 0957-4824

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    Percival NA, McCalman J, Armit C, O'Donoghue L, Bainbridge R, Rowley K et al. Implementing health promotion tools in Australian Indigenous primary health care. Health Promotion International. 2018 Feb;33(1):92-106. https://doi.org/10.1093/heapro/daw049