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Community-based dementia risk management and prevention program for Aboriginal Australians (DAMPAA): a randomised controlled trial study protocol.
Lalovic, Alex; Dowden, Glennette; Markey, Lesley; Bynder, Michael; Yappo, Lynette; Cox, Kay L; Mateo-Arriero, Irene; Flicker, Leon; Bessarab, Dawn; Thompson, Sandra; Kickett, Carmel; Woods, Deborah; Pestell, Carmela F; Edgill, Paula; Hill, Keith; Etherton-Beer, Christopher; LoGiudice, Dina; Almeida, Osvaldo P; Lin, Ivan; Milte, Rachel; Ratcliffe, Julie; Hyde, Zoë; Smith, Kate.
Affiliation
  • Lalovic A; Centre for Aboriginal Medical and Dental Health, The University of Western Australia, Perth, Western Australia, Australia alex.lalovic@uwa.edu.au kate.smith@uwa.edu.au.
  • Dowden G; Centre for Aboriginal Medical and Dental Health, The University of Western Australia, Perth, Western Australia, Australia.
  • Markey L; Centre for Aboriginal Medical and Dental Health, The University of Western Australia, Perth, Western Australia, Australia.
  • Bynder M; Centre for Aboriginal Medical and Dental Health, The University of Western Australia, Perth, Western Australia, Australia.
  • Yappo L; Centre for Aboriginal Medical and Dental Health, The University of Western Australia, Perth, Western Australia, Australia.
  • Cox KL; Centre for Aboriginal Medical and Dental Health, The University of Western Australia, Perth, Western Australia, Australia.
  • Mateo-Arriero I; Western Australian Centre for Health and Ageing, The University of Western Australia, Perth, Western Australia, Australia.
  • Flicker L; Centre for Aboriginal Medical and Dental Health, The University of Western Australia, Perth, Western Australia, Australia.
  • Bessarab D; Western Australian Centre for Health and Ageing, The University of Western Australia, Perth, Western Australia, Australia.
  • Thompson S; Centre for Aboriginal Medical and Dental Health, The University of Western Australia, Perth, Western Australia, Australia.
  • Kickett C; Western Australian Centre for Rural Health, The University of Western Australia, Geraldton, Western Australia, Australia.
  • Woods D; Moorditj Koort Aboriginal Corporation, Perth, Western Australia, Australia.
  • Pestell CF; Geraldton Regional Aboriginal Medical Service, Geraldton, Western Australia, Australia.
  • Edgill P; School of Psychological Science, University of Western Australia, Perth, Western Australia, Australia.
  • Hill K; Derbarl Yerrigan Health Service Aboriginal Corporation, Perth, Western Australia, Australia.
  • Etherton-Beer C; Rehabilitation Ageing and Independent Living Research Centre, Monash University, Melbourne, Victoria, Australia.
  • LoGiudice D; Western Australian Centre for Health and Ageing, The University of Western Australia, Perth, Western Australia, Australia.
  • Almeida OP; Department of Medicine - Royal Melbourne Hospital, The University of Melbourne, Melbourne, Victoria, Australia.
  • Lin I; Institute for Health Research, The University of Notre Dame Australia, Perth, Western Australia, Australia.
  • Milte R; Western Australian Centre for Rural Health, The University of Western Australia, Geraldton, Western Australia, Australia.
  • Ratcliffe J; Health and Social Care Economics Group, Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
  • Hyde Z; Health and Social Care Economics Group, Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
  • Smith K; Centre for Aboriginal Medical and Dental Health, The University of Western Australia, Perth, Western Australia, Australia.
BMJ Open ; 14(9): e088281, 2024 Sep 13.
Article in En | MEDLINE | ID: mdl-39277208
ABSTRACT

INTRODUCTION:

Aboriginal and Torres Strait Islander peoples are the First Peoples of Australia. Up to 45% of dementia in these populations is due to potentially modifiable risk factors. The Dementia Prevention and Risk Management Program for Aboriginal Australians (DAMPAA) is an Aboriginal Health Practitioner led programme that aims to reduce cognitive decline and functional impairment in older Aboriginal people.

METHODS:

Design:

DAMPAA is a multisite, randomised controlled trial aiming to deliver and evaluate a culturally appropriate risk factor management programme. POPULATION Community-dwelling Aboriginal people aged 45-90 years. INTERVENTION Participants will be randomly assigned to either usual care (control) or to a group programme comprising exercise and health education yarning sessions and pharmacist-delivered medication reviews delivered over a 12-month period. PRIMARY

OUTCOME:

Cognitive function (Kimberley Indigenous Cognitive Assessment (KICA)-Cog score), daily function (KICA-Activities of Daily Living (ADL) score) and quality of life (Good Spirit, Good Life and EQ-5D-5L scores). SECONDARY

OUTCOMES:

Process evaluation interviews, cardiovascular risk factors, falls and death. Process evaluation will be conducted with qualitative methods. Quantitative outcomes will be analysed with generalised linear mixed models. ETHICS AND DISSEMINATION The study was approved by the Western Australian Aboriginal Health Ethics Committee and the University of Western Australia Human Research Ethics Committee. Study results will be published in peer-reviewed journals and presented at scientific meetings. We will also develop and disseminate a comprehensive DAMPAA toolkit for health services. The study's findings will guide future prevention strategies and outline a comprehensive process evaluation that may be useful in other Aboriginal health research to contextualise findings.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Dementia / Australian Aboriginal and Torres Strait Islander Peoples Limits: Aged / Aged80 / Female / Humans / Male / Middle aged Country/Region as subject: Oceania Language: En Journal: BMJ Open / BMJ open Year: 2024 Document type: Article Country of publication: United kingdom
Fulltext
Add to My VHL
Print
XML
PubMed Links
Search on Google

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Dementia / Australian Aboriginal and Torres Strait Islander Peoples Limits: Aged / Aged80 / Female / Humans / Male / Middle aged Country/Region as subject: Oceania Language: En Journal: BMJ Open / BMJ open Year: 2024 Document type: Article Country of publication: United kingdom