TY  - JOUR
PY  - 2021//
TI  - Understanding implementation factors and participant experiences of a cluster randomised controlled trial to prevent falls among older Aboriginal people: a  process evaluation protocol
JO  - Injury prevention
A1  - Hunter, Kate
A1  - Mackean, Tamara
A1  - Simon, Aaron
A1  - Clapham, Kathleen
A1  - Ivers, Rebecca Q.
A1  - Rogers, Kris
A1  - Tiedemann, Anne
A1  - Sherrington, Catherine
A1  - Shakespeare, Madison
A1  - Stewart, Georgia
A1  - Howie, Adam
A1  - Bennett-Brook, Keziah
A1  - Wilson, Roland
A1  - Lewis, Carolyn
A1  - Delbaere, Kim
A1  - Hill, Anne-Marie
A1  - Gwynn, Josephine
A1  - Ma, Tracey
A1  - Coombes, Julieann
A1  - Macniven, Rona
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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. <br><br>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. <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 1353-8047
UR  - http://dx.doi.org/10.1136/injuryprev-2020-043980
ID  - ref1
ER  -