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B.strong – rolling out the brief intervention training program for Queensland Aboriginal and Torres Strait
Islander Health Workers
Be strong together respecting our next generation
1
Proudly funded by theCheck-Up Forum 2018 Brisbane, Queensland
Friday, 14 September 2018
Dr Frances Cunningham,1 Dr Majella Murphy,1 Grace Ward,1 Royden Fagan1 and Dr Simone Nalatu2
1. Menzies School of Health Research 2. Queensland Health
In the spirit of respect, Menzies School of Health Research
acknowledges the people and the Elders of the Aboriginal and
Torres Strait Islander Nations who are the Traditional Owners of
the land and seas of Australia.
Acknowledgements2
Artwork and design by Ingeous Studios, Cairns
1. Aboriginal & Torres Strait Islander health status and risk factors– Demography and risk factors– Need to reduce chronic disease burden and ‘Close the Gap’– Need for address multiple behavioural risks
2. What is B.strong?– One day Workshop, 6 e-Modules, client resources– Building capacity of Aboriginal and Torres Strait Islander Health
Workers and other health/community professionals to help their clients change unhealthy lifestyle behaviours
– Benefits for staff – CPD points– Implementation - alignment with current practice
3. Update on B.strong implementation and evaluation findings
Outline3
Population
4
Queensland Aboriginal & Torres Strait Islander Population: by HHS
Source: Queensland Health, The health of Queenslanders 2016. Report of the Chief Health Officer Queensland. Key Facts: Indigenous Queenslanders. (Note: ABS estimates the 2011 Census did not count 17% of Aboriginal and Torres Strait Islander Australians (ABS 2012))
28% of Australia’s Aboriginal and Torres Strait Islander population live in Queensland
5
Males Females
Aboriginal & Torres Strait Islander Average life expectancy at birth
68.7 74.4
Non-IndigenousAverage life expectancy at birth
79.4 83.0
Gap between Aboriginal and Torres Strait Islander and Non-Indigenous life expectancies
Source: ABS, 2014
10.8 8.6
There is still a 10 year gap in life expectancy…
Life Expectancy: Queensland, 2010-20126
Risk factors
7
Over one-third of the total burden of disease and
injury for Indigenous Australians in 2011 was due to
the combination of 13 modifiable risk factors
Source: AIHW. Impact and causes of illness and death in Aboriginal and Torres Strait Islander people 2011. Cat. No. BOD 8. AIHW: Canberra; 2016
Risk Factors8
These are risk factors that can be changed through
living a healthier lifestyle
– Quitting smoking
– Reducing alcohol consumption
– Eating healthier
– Increasing physical activity
– Reducing body weight
Modifiable Risk Factors9
Sources: 1. Department of Health. 2015. Preventive health indicators for Aboriginal and Torres Strait Islander people in Queensland and Australia 2012-13. Queensland Government: Brisbane. 2. Australian Bureau of Statistics. 2014. 2012-13 Australian Aboriginal and Torres Strait Islander health survey: customised report. Cat. No. 4727.0.55.001. ABS: Canberra.
10
1. Queensland Health. 2016. The health of Queenslanders 2016.
11
Source: 1. ABS. 2014. 2012—13 Australian Aboriginal and Torres Strait Islander health survey: customised report. Cat. No. 4727.0.55.001. ABS. Canberra.2. ABS. Australian Aboriginal and Torres Strait Islander health survey: physical activity 2012-13- Australia. Cat. No. 4727.0.55.004. ABS: Canberra.
About 3 in 5 (56%) Indigenous Queenslander children exceeded the recommended maximum screen time in the previous 3 days in 2012-13 (similar to non-Indigenous rate)2
12
What is B.strong?
Brief Intervention Program for Aboriginal and Torres
Strait Islander clients (2017-2019) targeting:
Smoking cessation
Nutrition
Physical activity
13
What does B.strong include?Brief Intervention Training Program
₋ One day face-to-face Workshop
₋ Six Online E-Modules
₋ Trainee Kit including BI client tools
Client resources for use in the client consultation process₋ QUIT for HEALTH
₋ EAT for HEALTH
₋ MOVE for HEALTH
Trainee and organisational support
Monitoring and evaluation
14
Project aimsDeliver B.strong in all Qld Hospital & Health Service areas
(government, non-government health and community
services (including ACCHS, other PHC)
Secondary target areas: Education and Corrective Services
Build capacity of frontline health and community workers
Over next 2-3 years (from June 2017 to July 2019)– 1,100 trained in Face-to-face Workshops
– 725 participants in online modules
15
Brief Intervention Program Training Pathway16
http://www.menzies.edu.au/
Training Options
Option 1 (preferred)
– 1 day F2F Workshop and 6 x E-Modules (20 hours CPD)
Option 2
– 1 day F2F Workshop (8 hours CPD)
Option 3
– 6 x E-Modules (12 hours CPD)
17
E-modules x 6
B.strong introduction
B.strong essentials
QUIT for health
EAT for health
MOVE for health
B.strong in practice
18
Who can attend the Training Program?Aboriginal and Torres Strait Islander Health Practitioners/Workers and Community Workers
All Qld staff working with Aboriginal and Torres Strait Islander clients who would benefit from healthy lifestyle change
Government and non-government health and community services
Education and Corrections
Other services whose professionals could use B.strong with clients
19
Using brief interventions (BI) in the client pathway with
adult health checks (Medicare Item 715 …), and
Every client contact is an opportunity for a brief
intervention
Recording of BI details in the patient record information
systems
Monitoring and reviewing use of BIs – health services
Aligning B.strong with current practice20
Example of ‘Unsure’ stage21
B.Strong Client Resources
KeyTraining completeTraining bookedEngagedPilot sites
B.strong Training Delivery across
Queensland
To date:• 46 Workshops across
Queensland• 618 participants trained
B.Strong Brief Intervention Workshops
Mulungu Health Service, Mareeba
Indigenous Wellbeing Centre (IWC), Bundaberg Brisbane Bayside State College – Wynnum
Balonne Skill Centre, St George
Evaluation findings125
Source: Menzies School of Health Research. 2018. Aboriginal and Torres Strait Islander Brief Intervention Training Program, Mid-Term Evaluation Report. 30 April 2018
B.Strong delivery Finding
Take-up of training Highest take-up in north and central Qld, eg, Cairns & Hinterland, Torres & Cape, Townsville, Central Qld, Wide Bay HHSs
Workshop participants 72 % are Aboriginal and/or Torres Strait Islander staff
Professional roles 43% of participants had roles as Indigenous Health Practitioners, Indigenous Health workers or Indigenous Liaison Officers
Health services Highest workshop uptake from ACCHOs (33%), community care centres (32%) and Hospital and Health Services (22.2%)
Evaluation findings226
B.Strong training impact Finding
Knowledge of health risks associated with smoking, nutrition and physical activity
Significant increase from pre-to post-workshop
Attitudes to providing BIs for smoking, nutrition and physical activity
Significant increase from pre-to post-workshop in proportion of participants who agreed asking clients about these health behaviours would help identify clients needing support to improve their health behaviour
Level of confidence across all three health behaviours in speaking with their clients
Increased significantly from pre- to post workshop
Satisfaction All items rated above 93% positive rating
2. Kirkpatrick New World Evaluation Model
Quitline data for Aboriginal and Torres Strait Islander clients from
2016 to 2017 shows an increase of 14.3 per cent in self-referrals
and of 15.7 per cent for third party referrals.
Increase in referrals is likely partly due to the impact of B.strong, in
addition to other associated impacts on Quitline.
Creating healthier communities27
Contact B.strong for a briefing for your service
Ensure your managers/supervisors of Aboriginal & Torres Strait Islander Health Workers know about B.strong
Promote B.strong across your service and through community links and networks
Contact B.strong to book training
Support staff time to do B.strong training
Recognise and showcase efforts of staff and managers in B.strong training
How can you help B.strong?28
Participant Quotes “The training has
provided incentive to speak to
managers about Health Practitioners
to do more Brief Interventions with
clients.” Roma
“I’d model my whole procedural
practice on the “Menzies”
methodology for stages of change”
South Brisbane
“I was fortunate enough to participate in B.strong
intervention training today. I work for youth
justice and found it beneficial to add to the
contact I have with young people. I highly
recommend this training.” Toowoomba
“Video content was amazing!” South Brisbane
Questions?
Contact the B.strong Team…
Dr Frances Cunningham – Project Lead
Dr Majella Murphy – Program Manager
Brian Arley – Communication and Engagement
Further Information31
mailto:[email protected]:[email protected]:[email protected]
Thank youEmail: [email protected]
Phone: (07) 3169 4208 Website: www.bstrong.org.au
Be strong together respecting our next generation
32
Proudly funded by the
B.strong – rolling out the brief intervention training program for Queensland Aboriginal and Torres Strait Islander Health WorkersAcknowledgements�Outline�Slide Number 4Queensland Aboriginal & Torres Strait Islander Population: by HHSSlide Number 6Slide Number 7Slide Number 8Slide Number 9Slide Number 10Slide Number 11Slide Number 12What is B.strong?What does B.strong include?Project aimsBrief Intervention Program Training PathwayTraining OptionsE-modules x 6Who can attend the Training Program?Aligning B.strong with current practiceSlide Number 21Slide Number 22Slide Number 23B.Strong Brief Intervention WorkshopsEvaluation findings1Evaluation findings2Creating healthier communitiesHow can you help B.strong?Slide Number 29Questions?Further InformationThank you