'We are not just participants--we are in charge': the NACCHO ear trial and the process for Aboriginal community-controlled health research.
OBJECTIVE
Methodological criteria that characterise ethically sound community-based studies are often described in overviews but are rarely documented in clinical studies. Research investigating the health of Aboriginal Australians is often small-scale, descriptive and largely driven by non-Indigenous people. The 'community-controlled' model of research relating to Aboriginal peoples health is a form of 'participatory' research that shifts the balance of control towards those being researched. This paper describes the methodological issues and principles that underpin community-controlled health research; their practical application; and encourages their adoption in research involving Indigenous populations.


METHODS
Descriptive report of the methods used to conduct the landmark Aboriginal community-controlled multi-centre double-blind randomised controlled clinical ear trial investigating ototopical treatments for chronic suppurative otitis media.


RESULTS
The characteristics of the community-controlled research model are illustrated under the headings of: setting the research agenda; research project planning and approval; conduct of research; and analysis, dissemination and application of findings.


CONCLUSIONS
The 22 methodological elements which defined the community-controlled design of the ear trial may assist community groups, external research bodies and funding agencies to improve the acceptability, quality and scope of research involving Indigenous peoples. Aboriginal community-controlled organisations are well placed to lead research, which can be interventional and of a high scientific standard without compromising the values and principles of those being researched. With over 120 Aboriginal community-controlled health services (ACCHSs) across Australia, the potential exists for these services to engage in multi-centre research to realise solutions to health problems faced by Indigenous Australians.
Couzos
Sophie
S
National Aboriginal Community Controlled Health Organisation, Western Australia. scouzos@tpgi.com.au
Lea
Traven
T
Murray
Richard
R
Culbong
Margaret
M
D000890:Anti-Infective Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001315:Australia; D002908:Chronic Disease; D003256:Community Participation; D005260:Female; D006801:Humans; D008297:Male; D010035:Otitis Media, Suppurative / Q000188:drug therapy* / Q000208:ethnology; D012107:Research Design
D000890:Anti-Infective Agents