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      Study protocol: Clinical yarning, a communication training program for clinicians supporting aboriginal and Torres Strait Islander patients with persistent pain: A multicentre intervention feasibility study using mixed methods


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          Ineffective communication between healthcare clinicians and Aboriginal and Torres Strait Islander patients with persistent pain is a significant barrier to optimal pain management. This manuscript is a study protocol and describes the development and evaluation methods of a tailored, culturally-informed training program, to improve clinicians’ communication with patients.

          Study design

          This is a single-arm, multicentre (2 metropolitan and 1 regional persistent pain service) intervention feasibility study that will be evaluated using mixed methods.


          A communication training program will be developed informed by qualitative interviews with key stakeholders, and adapt the patient-centred ‘clinical yarning’ framework for the Queensland context. Evaluation of the effectiveness of the training will involve the analysis of quantitative data collected at three study sites over a 12-month period. At the patient level, communication experience will be rated at differing times of the training rollout to reflect participants' experience of communication either prior to or following the treating clinician attending the communication training. At the clinician level, evaluation of the training program will be based on changes of ratings in the importance of training, knowledge, ability and confidence to communicate with Aboriginal and Torres Strait Islander patients; satisfaction, acceptance and relevance to their clinical practice. This study will be grounded in the needs and preferences of communication of Aboriginal and Torres Strait Islander people living with pain.


          It is hypothesized that the patient-centred intervention will have immediate benefits for patients, improving patient experience of care. This research will focus on an area of unmet need in addressing persistent pain.

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          Most cited references19

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          Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation Research.

          Purposeful sampling is widely used in qualitative research for the identification and selection of information-rich cases related to the phenomenon of interest. Although there are several different purposeful sampling strategies, criterion sampling appears to be used most commonly in implementation research. However, combining sampling strategies may be more appropriate to the aims of implementation research and more consistent with recent developments in quantitative methods. This paper reviews the principles and practice of purposeful sampling in implementation research, summarizes types and categories of purposeful sampling strategies and provides a set of recommendations for use of single strategy or multistage strategy designs, particularly for state implementation research.
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            Doing a Thematic Analysis: A Practical, Step-By-Step Guide for Learning and Teaching Scholars

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              Effective training strategies for teaching communication skills to physicians: an overview of systematic reviews.

              Physicians need good communication skills to communicate effectively with patients. The objective of this review was to identify effective training strategies for teaching communication skills to qualified physicians. PubMED, PsycINFO, CINAHL, and COCHRANE were searched in October 2008 and in March 2009. Two authors independently selected relevant reviews and assessed their methodological quality with AMSTAR. Summary tables were constructed for data-synthesis, and results were linked to outcome measures. As a result, conclusions about the effectiveness of communication skills training strategies for physicians could be drawn. Twelve systematic reviews on communication skills training programmes for physicians were identified. Some focused on specific training strategies, whereas others emphasized a more general approach with mixed strategies. Training programmes were effective if they lasted for at least one day, were learner-centred, and focused on practising skills. The best training strategies within the programmes included role-play, feedback, and small group discussions. Training programmes should include active, practice-oriented strategies. Oral presentations on communication skills, modelling, and written information should only be used as supportive strategies. To be able to compare the effectiveness of training programmes more easily in the future, general agreement on outcome measures has to be established. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

                Author and article information

                Public Health Pract (Oxf)
                Public Health Pract (Oxf)
                Public Health in Practice
                11 December 2021
                June 2022
                11 December 2021
                : 3
                : 100221
                [a ]Aboriginal and Torres Strait Islander Health Research Program, QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia
                [b ]Western Australian Centre for Rural Health (WACRH), The University of Western Australia, Geraldton, Western Australia, Australia
                [c ]Centre for the Business and Economics of Health, The University of Queensland, Brisbane, Queensland, Australia
                [d ]School of Psychology & Counselling, Queensland University of Technology, Brisbane, Queensland, Australia
                [e ]Tess Cramond Pain and Research Centre, Metro North Hospital and Health Service, Brisbane, Queensland, Australia
                [f ]North Queensland Persistent Pain Management Service, Townsville Hospital and Health Service, Townsville, Queensland, Australia
                [g ]Aboriginal & Torres Strait Islander Health Division, Cultural Capability Services, Queensland Health, Brisbane, Queensland, Australia
                [h ]Persistent Pain Clinic, Metro South Hospital and Health Service, Brisbane, Queensland, Australia
                Author notes
                []Corresponding author. QIMR Berghofer Medical Research Institute, 300 Herston Road, Herston, 4006, Brisbane, Queensland, Australia. Christina.bernardes@ 123456qimrberghofer.edu.au

                SE and GP contributed equally.

                S2666-5352(21)00146-4 100221
                © 2021 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                : 12 October 2021
                : 7 November 2021
                : 26 November 2021
                Original Research

                communication,training,clinicians,study protocol,aboriginal,torres strait islander


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