Abstract
Background: Aboriginal Australians experiencing stroke and traumatic brain injury remain underrepresented in rehabilitation programs. Remoteness, comorbidities, cultural and access issues influence this situation. Our previous study, Missing Voices (NHMRC#1046228), provided the first comprehensive information on the extent and impact of these issues for Aboriginal Australians in Western Australia (WA), and gave voice to what ‘healing right way’ after brain injury entails for Aboriginal Australians.
Aims: To report on the preparation for, and progress of, the first randomised controlled trial (RCT) for Aboriginal Australians with acquired brain injury, investigating the effect of a two-component culturally secure program and incorporating a costing model.
Methods: The multidisciplinary Aboriginal and non-Aboriginal research team established partnerships with key WA-wide stakeholders including the WA Department of Health, the WA Country Health Service, Aboriginal Community Controlled Health Organisations, the Neurological Council of WA, and the Stroke Foundation. These partnerships will roll out the intervention over four years in this stepped wedge cluster RCT (N¼312) for Aboriginal participants with traumatic brain injury or stroke, 18 years and over.
Results: In 2017, protocols were finalised, an electronic data entry system established, and multiple ethics approvals obtained. By 2018 Healthcare Governance from all sites was achieved. Four rural and four metropolitan WA healthcare sites completed site preparation training; partnership roles were clarified and operationalised. Recruitment commenced in 2018.
Conclusion: This landmark study has established cross-sector partnerships and provides a novel, integrated and complex intervention in an under-represented population. The trial will provide vital information for future service improvements and research.