Abstract
Background: This report provides the theory, method and practice of culturally secure translation and knowledge exchange in the Healing Right Way Clinical Trial (2017–2022), outlining activities to date. Healing Right Way was a stepped wedge cluster randomised controlled trial conducted in Western Australia, aimed at enhancing rehabilitation services and quality of life for Aboriginal Australians following acquired brain injury. The trial translation plan was aspirational and action-oriented, with its implementation iterative and ongoing. Translational activities aimed to inform service and research planning for Aboriginal people with brain injury. Situated in the intercultural space, the work guards against undertaking activities that are monocultural, colonial and appropriating in favour of work that is authentically viewed through the dual lens of whiteness and Aboriginal and Torres Strait Islander ways of knowing, being and doing, and is strengths-based. Methods. Three translational and knowledge exchange components were identified, relating to the role of Aboriginal Brain Injury Coordinators, cultural training of hospital staff and the research process itself. Knowledge plans were developed for key audiences, with potential translation products to be monitored for ongoing impact.
Results: Results demonstrate that translational and knowledge exchange were iteratively embedded throughout the trial life cycle. Data sources included community engagement, partnership meetings and interviews. Activities involved presentations to diverse audiences including bureaucrats, community and participants.
Conclusions: This report provides a snapshot of the first translation knowledge exchange plan and activities constructed in relation to brain injury rehabilitation services for Aboriginal people. Challenges encountered, as well as successes to date, are discussed.
Keywords
Aboriginal, brain injury, implementation science, Indigenous, rehabilitation, stroke, translation and knowledge exchange, traumatic brain injury
Document Type
Journal Article
Date of Publication
4-19-2024
Volume
25
Issue
2
Publication Title
Brain Impairment
Publisher
CSIRO
School
Kurongkurl Katitjin / School of Medical and Health Sciences
Funding Information
This work was supported by the National Health and Medical Research Council (# 1132468), Western Australian Department of Health and the Royal Perth Hospital Medical Research Foundation, with the in-kind support of the Neurological Council of Western Australia, Bega Garnbirringu Health Services, Geraldton Regional Aboriginal Medical Service, Warrika Maya Health Service Aboriginal Corporation, Kimberley Aboriginal Medical Services Council, Broome Regional Aboriginal Medical Service and the Stroke Foundation.
Funding received from the National Health and Medical Research Council (NHMRC)
1132468
Administering Institution
Edith Cowan University
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Recommended Citation
Drew, N., McAllister, M., Coffin, J., Robinson, M., Katzenellenbogen, J., & Armstrong, E. (2024). Healing Right Way randomised control trial enhancing rehabilitation services for Aboriginal people with brain injury in Western Australia: translation principles and activities. Brain Impairment, 25(2). https://doi.org/10.1071/IB23109
Comments
Drew, N., McAllister, M., Coffin, J., Robinson, M., Katzenellenbogen, J., & Armstrong, E. (2024). Healing Right Way randomised control trial enhancing rehabilitation services for Aboriginal people with brain injury in Western Australia: translation principles and activities. Brain Impairment, 25(2). https://doi.org/10.1071/IB23109