Process evaluation of a primary healthcare validation study of a culturally adapted depression screening tool for use by Aboriginal and Torres Strait Islander people: study protocol

Process evaluations are conducted alongside research projects to identify the context, impact and consequences of research, determine whether it was conducted per protocol and to understand how, why and for whom an intervention is effective. We present a process evaluation protocol for the Getting it Right research project, which aims to determine validity of a culturally adapted depression screening tool for use by Aboriginal and Torres Strait Islander people. In this process evaluation, we aim to: (1) explore the context, impact and consequences of conducting Getting It Right, (2) explore primary healthcare staff and community representatives' experiences with the research project, (3) determine if it was conducted per protocol and (4) explore experiences with the depression screening tool, including perceptions about how it could be implemented into practice (if found to be valid). We also describe the partnerships established to conduct this process evaluation and how the national Values and Ethics: Guidelines for Ethical Conduct in Aboriginal and Torres Strait Islander Health Research is met. Realist and grounded theory approaches are used. Qualitative data include semistructured interviews with primary healthcare staff and community representatives involved with Getting it Right. Iterative data collection and analysis will inform a coding framework. Interviews will continue until saturation of themes is reached, or all participants are considered. Data will be triangulated against administrative data and patient feedback. An Aboriginal and Torres Strait Islander Advisory Group guides this research. Researchers will be blinded from validation data outcomes for as long as is feasible. The University of Sydney Human Research Ethics Committee, Aboriginal Health and Medical Research Council of New South Wales and six state ethics committees have approved this research. Findings will be submitted to academic journals and presented at conferences. ACTRN12614000705684. [Abstract copyright: © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

The Grizzly, April 4, 2002

Ursinus Students Seek an International Perspective During Model U.N. • Airband: When Your Lip-syncing Actually Helps Save a Life • Binge Drinking: When College Becomes Equivalent to the Neighborhood Bar • The Class of 2002 gets Ready for the Senior Class Gift Drive • Opinions: Want Easter Vacation? Some Schools Have it • Performer Gives Life to Short Stories of the South • Softball Turning Around for Some Wins • Comparative Pricing Report: Pedicureshttps://digitalcommons.ursinus.edu/grizzlynews/1512/thumbnail.jp

The Grizzly, October 26, 2000

Alleged Sexual Assault Still Under Investigation • Quarter-Million Dollar Check to Aid the Arts • Unwelcome Party-Crashers Cause a Ruckus, Involve Police • Alum Melrose Honored for Foreign Humanitarian Service • Ursinus Students Unite for Collegeville Dam Clean-up • Campus Safety an Issue After Recent Events • Alcohol Awareness Week no Sobering Event • Quinn\u27s Irish Eyes Were Smiling During Study Abroad Trip • Take Back the Night Friday Oct. 27 • Opinions: Students Respond to Issues Surrounding Homecoming\u27s Alleged Sexual Assault; But, is it Timely?; UC in Need of Marching Band; Are Ursinus Students Safe? • Students Want Ursinus to Change Channels • Students to Vote for Favorite Work of Art in Nov. 2nd Pfahler Plaza Sculpture Contest • Volleyball Serves up Huge Win Over Fords • Women\u27s Golf Tees up for Spring Season • Gettysburg invite Prelude to Conference Champs This Week • Former UC Star Athlete Now an Assistant Volleyball Coach with Grit • Health Alert: West Nile Virus Makes it\u27s way to Montgomery County, Ursinus Campus • Relaxation is Key to Staying Sane at College • Study Shows 48% of UC Students Don\u27t Binge Drink • Underdog Men\u27s Soccer Unloads on G-Burg Bullets • Bears Bite Bullets; Steamroll Scots to Improve to 6-1 • Women\u27s Soccer Squad Kicks Into Gear as Season Winds Down • Hockey Ends Albany Win Streak • From Hockey to XC: UC\u27s Glah True Multi-sport Athletehttps://digitalcommons.ursinus.edu/grizzlynews/1476/thumbnail.jp

The Grizzly, March 28, 2002

Six Months after 9/11: Has America Really Changed? • The Ursinus Hillel Celebrates Passover • Valedictorian and Salutatorian Announced for 2002 • Room Lottery Returns to Ursinus • Omega Chi Blood Drive a Huge Success • First Ursinus Watson Fellow: Aaron Ranck to Study Agrarian Life • Post Traumatic Stress Disorder on the Rise • Opinions: Do Greek Organizations Foster Group Think ?; Educational Philosophy of Ursinus College • Women\u27s Lacrosse Continues to Tear Through their Schedule • Gymnastics Brings Home Fourth at the NCGA • Performance Enhancing Drugs Back in the Spotlight • Gymnastics Results • Bears Split with Red Devils in First Game of Conferencehttps://digitalcommons.ursinus.edu/grizzlynews/1511/thumbnail.jp

The Grizzly, February 28, 2002

Doug Farah Pays a Visit to Ursinus • Ursinus Students in Who\u27s Who List • Mysterious Rash Hits School Children Across the Country • Welcome to the Real World • Xanax Abuse • Controversy in the World of Figure Skating • Opinions: Spring Break; Sprinklers: Where are They?; Italy for a Semester • Experience the Beauty of Spring at the Philadelphia Flower Show • Marisol: A Different but Successful Performance at Ursinus College • Some Hot Tips for an Exciting and Safe Spring Break in Sunny Mexico • Track Team\u27s Results from Haverford • Men\u27s Basketball Falls Short at F&M • Men\u27s Rugby Team Admitted to Eastern Pennsylvania Rugby Union • Kings of the Court • Aivazian says Bye, Bye, Bye to the Division I Competition at UPenn • UC Swimmers Turn Up the Heat in the Water at the 2002 CC Championship Meethttps://digitalcommons.ursinus.edu/grizzlynews/1509/thumbnail.jp

The Grizzly, April 4, 2000

Future Changes in Store for UC • Phi Beta Kappa Speaker Set to Arrive on April 6th • International Round Table Important for Student Input • Mail Boxes, Etc. the Place for all Your Copying Needs • Valedictorian and Salutatorian Announced • Letters to the Editor: Debate Disappointment; Bringing Culture to the Grizzly • Design Versus Darwinism, a New Twist on an Old Debate • Problems With Housing? Maybe it\u27s Something in the Air • Music Review: Jimmy Thackery and the Drivers • Softball Improves to 16-4 • UC Baseball Begins Defense of CC Title • Rocky Start for Ursinus Tennis • UC Lax: Prepared to Take the Challenge • Wrestling with the Books: A Full Pin • CC Honors • UC Tumblers Top Off Season at NCAA Championships • Ursinus Track Tackles Widener • Sports Profile: Matt Wiatrakhttps://digitalcommons.ursinus.edu/grizzlynews/1464/thumbnail.jp

The Grizzly, February 15, 2000

UC Students Debate Pros, Cons of Pledging On Campus • Feelings of Brotherhood, Sisterhood Prevalent During Pledging Process • Employment Available for Graduating Seniors • True Love: Sorrow and Devotion • Hackers, Hijackers, and the Wide World of Sports • The Greeks Agree: Pledges Have no Free Will • Pledging: What\u27s the Big Deal Anyway? • muMs Schemes at Ursinus • Pat McGee to Jam at Ursinus • Music Review: The Alligator Blues Band • Gymnastics Tops RIC with Season High Score • Intramural 3 on 3 Action: Brains vs. Brute • Indoor Track Steps Up to Eight Way Challenge • Ursinus Wrestling Battles for 4-1 • Sports Profile: Shana Goanehttps://digitalcommons.ursinus.edu/grizzlynews/1459/thumbnail.jp

The Grizzly, February 14, 2002

Salt Lake City Says Hello to the 2002 Winter Olympics • Black History Month at Ursinus: How Diverse is the Campus? • Lorelei: Blast or Bust? • All About Enron: Latest in the Scandal • Parking on Campus: Will There be Enough? • Opinions: Is the Bookstore Slighting Us?; New Dance Studio Missing One Thing: Dancers; Women Drinking While Pregnant: Is That Acceptable? • Exclusive Interview with Jamie Kennedy, Host of The Jamie Kennedy Experiment • The Silver-Brown Dance Company Stomps the Night Away • Is Digital TV Coming to Your House? • Introducing the Wellness Center • Black History Month at Ursinus: The Truth • What the Class of 2002 can Expect in the Real World • UC Women\u27s B-Ball Chops Down Washington on Friday, but Kneels to Swarthmore on Sunday • Ursinus Seeks Women\u27s Golf Coach and Prospective Players • UC Invitational Huge Success for Bears • Men\u27s Basketball Clinches Play-off Berth With Two Dominating Wins! • UC Bears Make a Splash in the Pool, Being Out-Touched by a Strong Bryn Mawr Teamhttps://digitalcommons.ursinus.edu/grizzlynews/1507/thumbnail.jp

The Grizzly, November 2, 2000

Students Rally to End Sexual Assault, Violence • Homecoming Case Closed, all Charges Dropped • Scuffle at Duryea Still Being Investigated • UC House of Horrors: Children Enjoy Ghoulish Experience • Operation Christmas Child • Goldstein Appointed Hillel Director • Study Abroad in London, Florence Next Fall • Annual Halloween Decorating Contest Winners Announced • Opinions: Where\u27s the Rush? Shortening of Rushing Activities has Some Greeks Angry, Upset; Up in Smoke: Non-smokers Fed up with UC Students Lighting up; Gore Does More to Combat Hate Crimes; Are we too old for Halloween?; A Vote for Al Gore is a Vote for our Future; Don\u27t Waste Your Vote on Majority Party Candidates, Elect Nader Nov. 7; Amidst Campus Safety Concerns, are IDs the Answer?; Rewards of Mideast Outweigh Risks for one UC Student • Students Make MTV Debut on \u27Total Request Live\u27 • Gone with the Wind: Bears Drop Heartbreaker to Mules on Blustery Day • It\u27s Madness!: Hoops Squad Scores Big with Annual Slam-dunk, Kick-off Festivities • Volleyball Drops Season Finale to Conference Rival • Men\u27s Soccer Falls to Fords • Men\u27s Lacrosse Gears up for Spring Season • Breast Cancer: What College Students Need to Know • Annual Health Fair Acquires new Name, Attitude • Tips for Female Lifters to Make it big in the Weight Room • Bears Field Hockey Rocks Rider, Finishes Season with Patriot League Win • XC Takes on WMC Course at Conference Champshttps://digitalcommons.ursinus.edu/grizzlynews/1477/thumbnail.jp

'We're here to listen and help them as well': a qualitative study of staff and Indigenous patient perceptions about participating in social and emotional wellbeing research at primary healthcare services

Research can inform culturally-appropriate care to strengthen social and emotional wellbeing (SEWB) among Aboriginal and Torres Strait Islander (hereafter, the term 'Indigenous Peoples' is respectfully used and refers to all Aboriginal and/or Torres Strait Islander Peoples of Australia). We acknowledge the cultural diversity of Australia's Indigenous First Peoples and they do not represent a homogenous group.) (hereafter Indigenous) Peoples. We explore the perspectives of primary healthcare staff and Indigenous patients about their willingness to and experiences participating in SEWB research. Process evaluation using grounded theory approaches of Getting it Right: The validation study, a national validation designed Indigenous SEWB research project (N = 500). Primary healthcare staff (n = 36) and community members (n = 4) from nine of ten primary healthcare services involved with the research project completed qualitative semi-structured interviews. Interview data were triangulated with participant feedback (responses to structured questions and free-text feedback collected during Getting it Right), study administrative data (participant screening logs, communication logs, study protocol, deviation logs and ethics correspondence) and interviewer field notes. Three themes about staff, patient and community perspectives concerning research participation developed: (1) considering the needs, risk, preferences and impact of participation in research for staff, patients and community; (2) building staff confidence speaking to patients about research and SEWB problems and (3) patients speaking openly about their SEWB. Some staff described pressure to ensure patients had a positive experience with the research, to respond appropriately if patients became upset or SEWB problems were identified during interviews, or due to their dual role as community member and researcher. Patients and staff reported that patients were more likely to participate if they knew the staff outside of the service, especially staff with a shared cultural background, and they perceived SEWB as a community priority. Staff reported their skills speaking to patients about the research and SEWB improved during the research, which built their confidence. Contrary to staff preconceptions, staff and patients reported that many patients appreciated the opportunity to speak about their SEWB and contributing to research that may eventually enhance SEWB in their community. Our research project was considered acceptable by most staff and patients. The positive outcomes reported by staff and feedback from patients highlights the importance of providing opportunities for people to speak about their SEWB and for research-informed SEWB PHC care. Getting it Right is registered on ANZCTR12614000705684