Project Details
Project Description
First Nations people in remote Australia are experiencing an intergenerational diabetes epidemic. The Diabetes across the Lifecourse: Northern Australia Partnership is a collaboration of health services, policy makers and researchers. Our key priority is to pursue a lifecourse approach to diabetes and obesity prevention and management, with a focus on preconception, pregnancy and childhood. Our research identified that First Nations communities in the Northern Territory (NT) have the highest type 2 diabetes (T2D) rates globally, including among youth and pregnant women. T2D in pregnancy has increased ten-fold in 30 years and gestational diabetes rates have also grown, contributing to persistent inequities in maternal and neonatal pregnancy complications, childhood development, and rates of diabetes and obesity in the next generation.
This study will implement and evaluate a multi-component intervention to improve care for women with diabetes in pregnancy and their children from conception through to early childhood in remote East Arnhem Land. It is informed by our extensive qualitative research with multidisciplinary health professionals and First Nations women with lived experience. The proposed intervention includes four components:
1. Strengthen workforce capacity, including employment of First Nations community-based workers;
2. Improve integration and coordination of care across primary, secondary and tertiary services;
3. Develop culturally and linguistically appropriate consumer education videos; and
4. Provide access to continuous glucose monitoring technology.
The implementation strategy and video resources will be co-designed, with implementation supported by a developmental evaluation. A mixed-methods outcome evaluation will assess the acceptability, feasibility, effectiveness and cost-effectiveness of the intervention. Broad reach is ensured by our strong collaborations and track record of impacting service delivery and relevant NT and national policies
This study will implement and evaluate a multi-component intervention to improve care for women with diabetes in pregnancy and their children from conception through to early childhood in remote East Arnhem Land. It is informed by our extensive qualitative research with multidisciplinary health professionals and First Nations women with lived experience. The proposed intervention includes four components:
1. Strengthen workforce capacity, including employment of First Nations community-based workers;
2. Improve integration and coordination of care across primary, secondary and tertiary services;
3. Develop culturally and linguistically appropriate consumer education videos; and
4. Provide access to continuous glucose monitoring technology.
The implementation strategy and video resources will be co-designed, with implementation supported by a developmental evaluation. A mixed-methods outcome evaluation will assess the acceptability, feasibility, effectiveness and cost-effectiveness of the intervention. Broad reach is ensured by our strong collaborations and track record of impacting service delivery and relevant NT and national policies
| Acronym | iCARE |
|---|---|
| Status | Active |
| Effective start/end date | 1/04/25 → 31/03/30 |
Keywords
- gestational diabetes
- type 2 diabetes mellitus (non-insulin dependent diabetes mellitus)
- Aboriginal health
- pregnancy
- health services research