Self-management programs for Aboriginal and Torres Strait Islander Peoples with chronic conditions: A rapid review

    Research output: Contribution to journalReview article

    Abstract

    Objectives: Review the evidence for the effectiveness of chronic condition self-management programs applied to Aboriginal and Torres Strait Islander Peoples. Methods: A rapid review methodology was followed to develop an evidence summary from peer-reviewed and grey literature. Results: Only seven peer-reviewed studies were identified. The evidence indicated that group programs, particularly the Stanford Program, and structured individual chronic condition self-management programs were of good quality for Aboriginal and Torres Strait Islander Peoples, although these need to be integrated into practice in order to see the greatest benefits. The Flinders Program showed promise as a standardised program with content designed specifically with and for these populations. Numerous grey literature sources were identified, many using strong participatory approaches developed locally within Aboriginal and Torres Strait Islander Peoples. However, few of these programs have been subject to rigorous evaluation. Discussion: Despite the significant focus on chronic condition self-management programs to help address the burden of disease for Aboriginal and Torres Strait Islander Peoples, few studies exist that have been properly evaluated. The Closing the Gap Principles developed by the Australian Institute of Health and Welfare offer important guidance for how to proceed to maximise engagement, cultural appropriateness and ownership of program initiatives.

    Original languageEnglish
    Pages (from-to)83-123
    Number of pages41
    JournalChronic Illness
    Volume15
    Issue number2
    DOIs
    Publication statusPublished - 1 Jun 2019

    Keywords

    • Aboriginal and Torres Strait Islander Peoples
    • chronic conditions
    • closing the gap
    • rapid review
    • self-management programs

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