RT Journal Article
SR Electronic
T1 Understanding implementation factors and participant experiences of a cluster randomised controlled trial to prevent falls among older Aboriginal people: a process evaluation protocol
JF Injury Prevention
JO Inj Prev
FD BMJ Publishing Group Ltd
SP 293
OP 298
DO 10.1136/injuryprev-2020-043980
VO 27
IS 3
A1 Rona Macniven
A1 Julieann Coombes
A1 Roland Wilson
A1 Aaron Simon
A1 Tamara Mackean
A1 Kate Hunter
A1 Tracey Ma
A1 Josephine Gwynn
A1 Catherine Sherrington
A1 Anne Tiedemann
A1 Anne-Marie Hill
A1 Kim Delbaere
A1 Carolyn Lewis
A1 Keziah Bennett-Brook
A1 Adam Howie
A1 Georgia Stewart
A1 Madison Shakespeare
A1 Kris Rogers
A1 Rebecca Q Ivers
A1 Kathleen Clapham
YR 2021
UL http://injuryprevention.bmj.com/content/27/3/293.abstract
AB Introduction Process evaluations examining programme implementation are often conducted in conjunction with effectiveness studies. Their inclusion in studies with Aboriginal participants can give an understanding of programme delivery in Aboriginal community contexts. The Ironbark: Standing Strong and Tall programme was codesigned with Aboriginal communities and includes exercise and facilitated ‘yarning’ discussion about fall risk and prevention strategies. The programme pilot showed favourable outcomes and acceptability for Aboriginal people aged 45 years and over. The Ironbark: Standing Strong and Tall programme is now being compared with a ‘Healthy Community’ programme in a cluster randomised controlled trial within Aboriginal health and community services. An embedded process evaluation aims to explore relationships between participation and programme outcomes and the quality of programme implementation.Methods and analysis The process evaluation will use a mixed methods design, guided by Indigenous research methodology. It will evaluate quantitative data (number of completed sessions, site coaching checklist tool, participant and facilitator questionnaire data and a participant habit formation scale), as well as qualitative data (open-ended responses from project and site staff and semistructured interviews using yarning with study participants and site managers). A programme logic model was developed to explain the intended inputs, activities, outputs and outcomes, which guided this process evaluation design.Conclusion This process evaluation of a fall prevention programme for older Aboriginal people using a mixed methods design and data triangulation will allow for a comprehensive understanding of study findings. Multiple study sites allow for generalisability of findings and exploration of variation across sites.Trial registration number ACTRN12619000349145.There are no additional data in this protocol.