{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T04:17:54Z","timestamp":1790914674314,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1132468"],"award-info":[{"award-number":["1132468"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012505","name":"Royal Perth Hospital Medical Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the effect of cultural security training (CST) for health professionals and access to an Aboriginal Brain Injury Coordinator (ABIC) for Aboriginal Australians with stroke or traumatic brain injury (TBI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A stepped wedge cluster randomised controlled trial; the intervention package consisted of CST for hospital professionals and 6\u2010month access to ABICs providing education, support, liaison and advocacy; the commencement order of the intervention phase was randomised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Four urban and four rural hospitals in Western Australia, 2018\u20132022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Aboriginal adults \u2265\u200918\u2009years hospitalised with stroke or TBI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Primary outcome was quality of life (Euro QOL\u20135D\u20103L Visual Analogue Scale (EQ\u2010VAS)) score at 26\u2009weeks post\u2010injury. Secondary outcomes were modified Rankin Scale, Functional Independence Measure, Hospital Anxiety and Depression Scale, Modified Caregiver Strain Index at 12 and 26\u2009weeks, rehabilitation occasions of service, hospital compliance with minimum processes of care (MPC), acceptability of interventions, feasibility of ABIC role and costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 108 participants recruited (target 312), 75% rural residents; 26\u2010week outcomes assessment completed for 78% of participants. The adjusted mean QoL showed no significant difference (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.83). The MPC outcome favored the intervention group, adjusted difference in means 6.8% at 26\u2009weeks, 95% CI (0.40%, 13.26%). There were no significant differences between control and intervention groups for other secondary outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>CST and implementation of an ABIC were feasible, acceptable and improved care processes for a predominantly rural population. Health outcomes did not differ. The effects of the COVID\u201019 context are discussed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>ACTRN12618000139279<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajr.70106","type":"journal-article","created":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T05:01:47Z","timestamp":1761282107000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Healing Right Way: A Stepped Wedge Cluster Randomised Controlled Trial Aiming to Enhance Quality of Life for Aboriginal Australian Survivors of Stroke and Traumatic Brain Injury"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4469-1117","authenticated-orcid":false,"given":"Elizabeth","family":"Armstrong","sequence":"first","affiliation":[{"name":"University Department of Rural Health South West Edith Cowan University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tapan","family":"Rai","sequence":"additional","affiliation":[{"name":"School of Mathematical and Physical Sciences University of Technology Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith M.","family":"Katzenellenbogen","sequence":"additional","affiliation":[{"name":"Cardiovascular Epidemiology Research Centre, School of Population and Global Health University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0327-7155","authenticated-orcid":false,"given":"Sandra J.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Western Australian Centre for Rural Health University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meaghan","family":"McAllister","sequence":"additional","affiliation":[{"name":"School of Medical and Health Sciences Edith Cowan University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Ciccone","sequence":"additional","affiliation":[{"name":"School of Medical and Health Sciences Edith Cowan University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Hersh","sequence":"additional","affiliation":[{"name":"Curtin School of Allied Health Curtin University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3650-0475","authenticated-orcid":false,"given":"Leon","family":"Flicker","sequence":"additional","affiliation":[{"name":"Medical School University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique A.","family":"Cadilhac","sequence":"additional","affiliation":[{"name":"School of Clinical Sciences at Monash Health Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Godecke","sequence":"additional","affiliation":[{"name":"School of Medical and Health Sciences Edith Cowan University  Perth Western Australia Australia"},{"name":"Sir Charles Gairdner and Osborne Park Healthcare Group  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graeme J.","family":"Hankey","sequence":"additional","affiliation":[{"name":"Centre for Neuromuscular and Neurological Disorders, Medical School University of Western Australia  Perth Western Australia Australia"},{"name":"Perron Institute for Neurological and Translational Science  Perth Western Australia 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