Be strong together respecting our next generation · Royden Fagan 1 and Dr Simone Nalatu 2. 1. Menzies School of Health Research 2. Queensland Health. In the spirit of respect, Menzies

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

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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

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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

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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

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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.

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1. Queensland Health. 2016. The health of Queenslanders 2016.

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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

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What is B.strong?

Brief Intervention Program for Aboriginal and Torres

Strait Islander clients (2017-2019) targeting:

Smoking cessation

Nutrition

Physical activity

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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

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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

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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)

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E-modules x 6

B.strong introduction

B.strong essentials

QUIT for health

EAT for health

MOVE for health

B.strong in practice

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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

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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

[email protected]

Dr Majella Murphy – Program Manager

[email protected]

Brian Arley – Communication and Engagement

[email protected]

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

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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