Register      Login
Health Promotion Journal of Australia Health Promotion Journal of Australia Society
Journal of the Australian Health Promotion Association
RESEARCH ARTICLE

Culturally appropriate flipcharts improve the knowledge of common respiratory conditions among Northern Territory Indigenous families

Clare C. Mckay A , Anne B. Chang A B , Lesley A. Versteegh A and Gabrielle B. McCallum A C
+ Author Affiliations
- Author Affiliations

A Child Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory.

B Queensland Children’s Respiratory Centre, Royal Children’s Hospital, Brisbane, Queensland.

C Corresponding author. Email: Gabrielle.McCallum@menzies.edu.au

Health Promotion Journal of Australia 26(2) 150-153 https://doi.org/10.1071/HE14100
Submitted: 30 October 2014  Accepted: 17 March 2015   Published: 28 April 2015

Abstract

Issue addressed: Flipcharts are widely used as education tools in Indigenous health but there is no published quantitative data on their use. As respiratory illness is the most frequent reason for hospitalisation of young children, we developed culturally sensitive flipcharts to educate carers of children on the 3 most common serious respiratory illness (bronchiolitis, pneumonia and bronchiectasis) affecting Indigenous children in the Northern Territory. In this study, we aimed to determine if use of these flipcharts improved the knowledge of these respiratory conditions among carers of Indigenous children admitted to the Royal Darwin Hospital.

Methods: We assessed the knowledge of 60 carers pre- and post-flipchart education using a questionnaire. Pre- and post- flipchart education scores for the three illnesses were combined and were compared using non-parametric analyses.

Results: Most carers were mothers (n = 43, 72%) aged between 20–40 years (n = 54, 90%) and lived in a remote community (n = 53, 88%). Knowledge of all respiratory conditions improved post education: median scores pre = 8 (Interquartile range 6, 10); post = 12 (10, 14), P = <0.0001.

Conclusions: The use of culturally appropriate educational flipcharts improves the knowledge of respiratory conditions among carers of Indigenous children hospitalised with common serious respiratory illness.

So what?: In the first paediatric quantitative study on the use of flipcharts as a means of providing health education to Indigenous Australians, we have shown that the use of culturally-appropriate flipcharts is an effective method of providing health education.

Key words: educational resources, evaluation, flipchart, health promotion, health resources, Indigenous.


References

[1]  Gracey M, King M (2009) Indigenous Health Part 1: Determinants and disease patterns. Lancet 374, 65–75.
Indigenous Health Part 1: Determinants and disease patterns.Crossref | GoogleScholarGoogle Scholar | 19577695PubMed |

[2]  Li SQ, Guthridge SL, d’Espaignet ET, Paterson BA. From infancy to young adulthood: Health status in the Northern Territory 2006. 2007. Available from: http://digitallibrary.health.nt.gov.au/dspace/bitstream/10137/84/1/infancy_to_young_adulthood_2006.pdf [Verified 8 April 2015].

[3]  Stewart M, King M, Blood R, Letourneau N, Masuda JR, Anderson S, et al (2013) Health inequities experienced by Aboriginal children with respiratory conditions and their parents. Can J Nurs Res 45, 6–27.

[4]  Chang AB, Marsh RL, Upham JW, Hoffman LR, Smith-Vaughan H, Holt D, et al (2015) Toward making inroads in reducing the disparity of lung health in Australian Indigenous and New Zealand Maori children Front Pediatr 3, 9
Toward making inroads in reducing the disparity of lung health in Australian Indigenous and New Zealand Maori childrenCrossref | GoogleScholarGoogle Scholar | 25741502PubMed |

[5]  Roblin DW, Ntekop E, Becker ER (2007) Improved intermediate clinical outcomes from participation in a diabetes health education program. J Ambul Care Manage 30, 64–73.
Improved intermediate clinical outcomes from participation in a diabetes health education program.Crossref | GoogleScholarGoogle Scholar | 17170639PubMed |

[6]  Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B, et al (2011) National standards for diabetes self-management education. Diabetes Care 34, S89–96.
National standards for diabetes self-management education.Crossref | GoogleScholarGoogle Scholar | 21193633PubMed |

[7]  O’Grady KA, Revell A, Maguire GP, Millonig R, Newman MA, Reid DW, et al (2011) Lung health care for Aboriginal and Torres Strait Islander Queenslanders: breathing easy is not so easy. Aust Health Rev 35, 512–9.

[8]  Caniza MA, Maron G, Moore EJ, Quintana Y, Liu T (2007) Effective hand hygiene education with the use of flipcharts in a hospital in El Salvador. J Hosp Infect 65, 58–64.
Effective hand hygiene education with the use of flipcharts in a hospital in El Salvador.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD28jltVansA%3D%3D&md5=80ebd7340575daeb09f6f964463b5879CAS | 17147972PubMed |

[9]  Christou A, Thompson SC. How could the National Bowel Cancer Screening Program for Aboriginal people in Western Australia be improved? Perth: West Australian Department of Health; 2010.

[10]  Mikhailovich K, Morrison P, Arabena K (2007) Evaluating Australian Indigenous community health promotion initiatives: a selective review. Rural Remote Health 7, 746

[11]  Nagel T, Thompson C, Spencer N, Judd J, Williams R (2009) Two way approaches to Indigenous mental health training: brief training in brief interventions AeJAMH 8, 135–41.
Two way approaches to Indigenous mental health training: brief training in brief interventionsCrossref | GoogleScholarGoogle Scholar |

[12]  Turner KM, Richards M, Sanders MR (2007) Randomised clinical trial of a group parent education programme for Australian indigenous families. J Paediatr Child Health 43, 429–37.
Randomised clinical trial of a group parent education programme for Australian indigenous families.Crossref | GoogleScholarGoogle Scholar | 17535171PubMed |

[13]  Australian Bureau of Statistics. Health and Welfare of Aboriginal and Torres Strait Islander people. Canberra: AIHW; 2011.