Program 1 Healthy Start, Healthy Life

1. Program 1 Healthy Start, Healthy Life

2. ‘To enhance the effective implementation of evidence-based techniques, tools and resources that support the delivery of primary health care’ Program goal

3. Supporting the delivery of primary care that encourages a healthy start to life, and a long and healthy life, through: • Reducing risk associated with tobacco consumption, obesity and diet • Improved early detection and effective management of chronic diseases • Improved maternal and child health outcomes Scope of work

4. Chronic disease risk reduction (food supply, obesity, nutrition, exercise, tobacco) • Maternal and child health (skin and ear disease, maternal alcohol use, breast-feeding) • Quality chronic illness care including early detection (diabetes, cancer, outreach services, management of co-morbidities). • Mental health, child development and social and emotional wellbeing • Continuous quality improvement models • Quality multi-disciplinary team care in complex service delivery systems • More effective primary health care management and information systems

5. Those who provide care, support or administer Aboriginal and Torres Strait Islander community controlled health services and other primary health or related services and providers Who might use the work of the Program?

6. Service providers who support access to and use of the products of research, including: education providers professional associations health funders commercial providers of a range of services non-government agencies peak bodies online resource banks. Intermediaries

7. From research to widespread application* Widespread implementation and evaluation Research priorities Knowledge generation Trialresearch *Adapted from CRCAH Application to Australian Government Cooperative Research Centres Program, 2009. See also Green et al, 2009, ‘Diffusion theory and knowledge dissemination, utilization and integration in public health’, Ann. Rev. Public Health, 30: 151-74.

8. The journey from research to widespread application Widespread implementation and evaluation Research priorities Knowledge generation Trialresearch • What are the problems that the Indigenous health sector wants research to help address? • Which are the most important problems to address? • In which areas might the use of research have the most impact on Indigenous health?

9. The journey from research to widespread application Widespread implementation and evaluation Research priorities Knowledge generation Trialresearch • Research is used to help find an answer to the problem: • Evaluation of what works, what doesn’t? • Intervention research – what can be done that will produce better results (developing tools, programs, models of practice, etc.) • Biomedical research (developing treatments, medicines, understanding disease)

10. The journey from research to widespread application Widespread implementation and evaluation Research priorities Knowledge generation Trialresearch • Research has developed a possible solution, and it needs to be trialed to see if it works in different settings: • Will the solution work in practice? • Transferability and adaptability in different settings • Randomised control trials

11. The journey from research to widespread application Widespread implementation and evaluation Research priorities Knowledge generation Trialresearch • New treatments, models of practice, tools and processes are able to be applied broadly and sustainably, and produce better care and better health outcomes: • What can be done to help make sure the implementation of improved treatments, tools, practice etc is done effectively and efficiently? • What is the impact of these changes? Do they work?

12. Supporting the use of innovations that have already been developed and tested, e.g. Community based worker training package (Healthy Skin) Supporting innovations with potential for wider application to be adapted or tested Identifying priority problems in the areas within scope Identifying types of research required to address priority problems Using facilitated development approach to ensure robust research projects likely to produce useable results Leveraging traditional research funding (using FDA and/or providing seed funding for developmental work) Working with already funded projects to progress along continuum to implementation What does this mean for Program 1?

13. Early projects (1) • Australian Aboriginal arm of the International Tobacco Control project • A national appraisal of Continuous Quality Improvement (CQI) initiatives. • Increased research capacity to support Indigenous primary health care centres to make improvements in quality of care at the regional and local level, through a National Partnerships project (leveraging NHMRC and industry funding contributions).

14. Early projects (2) • Transition of three successful social and emotional wellbeing projects from research to widespread use in local communities: • Resilience and parenting training developed by the Let’s Start program at the Charles Darwin University in Darwin. • Facilitation training to deliver two empowerment interventions, the Family Wellbeing program and the Men’s Group program, developed by a partnership centred at Townsville’s James Cook University. • Indigenous mental health care planning and other techniques, developed through the AIMHi project.

15. Suggestions for discussion part of session: Questions about this overview of the program? Break for morning tea Look back at slide 4 (list of things in scope) Set up groups around areas that people where people would like to discuss specific problems confronting (or other groups if people feel these do not reflect their priorities) Group discussion for one hour approx depending on morning tea Come back together to report back? Explore other issues as large group? ****Need to present a report back to plenary after lunch**** Depending on the numbers, it may be possible to break into just 2 or 3 larger groups – see next slide for suggestions

16. Some possible discussion groups Primary care service delivery What are the most critical problems confronting the delivery of primary health care to Aboriginal people? How might research help address them? Social and emotional wellbeing What are the major challenges in the provision of services or care that promote social and emotional wellbeing? How might research help address them? Child and maternal health (could break into two groups if sufficient people to warrant it) What are the most critical problems in child/maternal health care? How might research help address them?

17. More ideas for discussion groups Chronic conditions Where might research make a big difference in the prevention or management of chronic conditions? Cancer Aboriginal Australians diagnosed with cancer are less likely to survive than non-Indigenous Australians. Where could research be targeted to help improve rates of cancer survival?