title: Assessment of applicability and transferability of evidence-based antenatal interventions to the Australian indigenous setting.
abstract: There is a need for public health interventions to be based on the best available evidence. Unfortunately, well-conducted studies from settings similar to that in which an intervention is to be implemented are often not available. Therefore, health practitioners are forced to make judgements about proven effective interventions in one setting and their suitability to make a difference in their own setting. The framework of Wang et al. has been proposed to help with this process. This paper provides a case study on the application of the framework to a decision-making process regarding antenatal care in Aboriginal and Torres Strait Islander communities in Queensland. This method involved undertaking a systematic search of the current available evidence, then conducting a second literature search to determine factors that may affect the applicability and transferability of these interventions into these communities. Finally, in consideration of these factors, clinical judgement decisions on the applicability and transferability of these interventions were made. This method identified several interventions or strategies for which there was evidence of improving antenatal care or outcomes. By using the framework, we concluded that several of these effective interventions would be feasible in Aboriginal and Torres Strait Islander communities within Queensland.
authors.affiliation: School of Public Health, Queensland University of Technology, Kelvin Grove, Queensland, Australia. Philip_Baker@health.qld.gov.au
authors.forename: Philip R A
authors.initials: PR
authors.lastname: Baker
authors.forename: Jessica J
authors.initials: JJ
authors.lastname: Shipp
authors.forename: Susan H
authors.initials: SH
authors.lastname: Wellings
authors.forename: Naomi
authors.initials: N
authors.lastname: Priest
authors.forename: Daniel P
authors.initials: DP
authors.lastname: Francis
mesh_terms: D003657:Decision Making; D055317:Evidence-Based Practice / Q000458:organization & administration*; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D033181:Information Dissemination; D010353:Patient Education as Topic / Q000458:organization & administration; D011247:Pregnancy; D011256:Pregnancy Outcome; D011295:Prenatal Care / Q000458:organization & administration*; D011793:Queensland; D012307:Risk Factors; D012944:Social Support; D057170:Translational Research, Biomedical / Q000458:organization & administration