Aboriginal and Torres Strait Islander Australians experience high rates of mental illness psychological distress compared to their non-Indigenous counterparts. E-mental health tools offer an opportunity for accessible, effective, acceptable treatment. The AIMhi Stay Strong app the ibobbly suicide prevention are treatment designed combat disproportionately levels stress experienced within community.This study aimed explore community members' experiences using two culturally responsive...

Cross‐cultural considerations and difficulties recruiting retaining skilled workers in rural remote regions may contribute to poorer service use for Aboriginal Torres Strait Islander people. However, electronic resources provide the opportunity workforces deliver structured, evidence‐based, culturally appropriate treatments with limited training burden. The aim was develop determine acceptability, feasibility, appropriateness of a new e‐mental health resource (the Australian Integrated...

Abstract Background The primary cause of Wernicke–Korsakoff syndrome (WKS) is thiamine deficiency, and more than 90% cases are reported in alcohol‐dependent patients. While observational studies show parenteral administration drastically reduced WKS‐related mortality, relevant treatment trials have never been conducted to determine the optimum dose. Methods Two double‐blind, parallel groups, randomized controlled (RCTs) were optimal dose required for (1) prevention Wernicke's encephalopathy...

Culturally responsive, strengths-based early-intervention mental health treatment programs are considered most appropriate to influence the high rates of psychological distress and suicide experienced by Aboriginal Torres Strait Islander youth. Few early intervention services effectively bridge socio-cultural geographic challenges providing sufficient culturally relevant in rural remote Australia. Mental Health apps provide an opportunity current gaps service access if co-designed with youth...

Achieving culturally fair assessments of cognitive functioning for Aboriginal people is difficult due to a scarcity appropriately validated tools use with this group. As result, some impairments may lack and equitable access services. The objective study was examine current clinical practice in the Northern Territory regarding assessment thereby providing guidance clinicians new setting. Qualitative enquiry used describe context, reasons assessment, practices assessing cognition Australians....

Electronic mental health (e-mental health) interventions offer effective, easily accessible, and cost effective treatment support for illness well-being concerns. However, e-mental approaches have not been well utilized by services to date little is known about their implementation in practice, particularly diverse contexts communities.This study aims understand stakeholder perspectives on the requirements implementing regional remote Indigenous Australians.Qualitative interviews were...

Abstract Background End stage kidney disease (ESKD) is associated with many losses, subsequently impacting mental wellbeing. Few studies have investigated the efficacy of psychosocial interventions for people ESKD and none exist Indigenous people, a population in which burden especially high. Methods This three-arm, waitlist, single-blind randomised controlled trial examined Stay Strong App improving psychological distress (Kessler scale; K10), depressive symptoms (adapted Patient Health...

Serial assessment is required in situations where decline or recovery of function anticipated. cognition Indigenous populations, however, can be problematic due to a lack culturally appropriate assessments with psychometric properties suitable for repeated administration. This study assessed non-verbal, neutral, computerised cognitive test battery its test–retest reliability and any practice effects sample 40 healthy adolescents (mean age = 15.25 years). No adequate retest reliabilities were...

To report the impact of Indigenous e-mental health training course 'Yarning about Mental Health using AIMhi Stay Strong App'.

Reliable cognitive assessment for non-western cultures is difficult given that mainstream tests typically rely on western concepts, content and values. Despite recognition of the scarcity appropriate Aboriginal people over many years, limited practical development has occurred. This study aimed to identify barriers clinicians working with in a remote context, evaluate characteristics assessments considered be more or less thereby potential ways forward. Semi-structured interviews 22 health...

Reliable cognitive assessment for Indigenous Australians is difficult given that mainstream tests typically rely on Western concepts, content and values. A test's psychometric properties should therefore be assessed prior to use in other cultures. The aim of this pilot study was examine the reliability acceptability four Australian Aboriginal people.Participants were 40 male 44 female (N = 84) patients from Alice Springs Hospital. Four - Rowland Universal Dementia Assessment Screen (RUDAS)...

Incidence of end stage kidney disease (ESKD) for Indigenous Australians is especially high in remote and very areas Australia (18 20 times the rate comparable non-Indigenous people). Relocating away from family country treatment, adjusting to life with a chronic condition time lost dialysis cause grief sadness which have immense impact on quality challenges treatment adherence. We describe first randomised controlled trial address both mental health people ESKD, test effectiveness culturally...

Despite young First Nations Australians being typically healthy, happy, and connected to family culture, high rates of emotional distress, suicide, self-harm are also observed. Differing worldviews service providers people regarding illness treatment practices, language differences, culturally inappropriate models, geographical remoteness, stigma can all inhibit access appropriate mental health support. Mental treatments delivered digitally (digital health; dMH) offer flexible...

Background: Chronic petrol inhalation can be associated with significant cognitive impairment. While rehabilitation programs rely on such skills to educate clients and achieve treatment outcomes, function is rarely assessed admission. This particularly true for Indigenous populations where standard assessments are not appropriate. paper describes a process assessing cognition in Australians. Two studies investigate firstly the demographic factors impacting healthy Australians secondly...

Abstract Aims In a previous study, neurological and cognitive deficits reflecting central nervous system ( CNS) disruption from chronic inhalant abuse showed substantial recovery after 2 years' abstinence. Functional was progressive, with rates dependent on the degree of impairment prior to abstinence, severity duration initial abuse. Persistent occurred in those ‘lead encephalopathy’ leaded petrol The current study examined same cohort 15 years baseline. Design Prospective design. Setting...

Introduction and Aims. Substance misuse psychological comorbidities can be common may impact negatively on treatment outcomes. However, without appropriate tools, detecting symptoms for Indigenous people difficult. This study assessed the appropriateness of an eight-item screening tool (based Strong Souls) measuring any relationships between substance use psychiatric Australians. Design Methods. Australians attending secondary or tertiary education institutions rehabilitation facilities in...

Abstract Introduction and Aims Alcohol rapidly reduces thiamine among alcohol‐dependent individuals. Poor diet alcohol's impact on absorption, storage, activation excretion of are thought to be the mechanisms. Previous literature identifies magnesium as an important cofactor in utilisation, which might also compromised alcohol dependent patients. The aim was describe status clinical profile for a sample heavy users entering A lice S prings H ospital N orthern T erritory ustralia examine...

Chronic kidney disease is an increasingly common health problem for Aboriginal and Torres Strait Islander people. It associated with multiple concurrent psychosocial stressors frequently resulting in negative impacts on emotional social wellbeing. There need well-designed intervention studies to provide evidence of effective treatment comorbid depression or other mental illness this setting. Attention early phase piloting development work recommended when testing complex interventions. This...

Digital mental health tools can promote access to culturally safe early intervention services for Aboriginal and Torres Strait Islander young people. Participatory design methodology facilitates user engagement in the co-design of digital resources. However, several challenges have been identified that limit methodological rigor this approach.This paper aims present an in-depth account second phase participatory development Mental Health Initiative Youth (AIMhi-Y) app.A first idea...

The assessment of cognition in Indigenous populations is often complicated by cultural and language differences unfamiliarity with the process. Cognitive tasks are being developed that reduce impact these factors. These processes need to be evaluated different ethnic groups determine whether they appropriate. Such an was recently used two studies 237 Australian adolescents (age: M = 16.06 ± 2.16 years). were completed appropriately, response times error rates increasing for difficult tasks....

Obstructive sleep apnea (OSA) is often associated with other disorders, which are usually treated medications. Little known about the extent to medications used in OSA population or effects of common prescription on architecture patients OSA. The aim this study was describe frequency use by untreated and examine potential associations between specific, frequently medication types indexes assessed through laboratory-based polysomnography.This a retrospective design analyses archival clinical...