Chronic disease, medications and lifestyle: perceptions from a regional Victorian Aboriginal community

Background: Poor medication management may contribute to the increased morbidity and mortality of Aboriginal people in Australia. Yet while there is extensive literature about the perceptions of healthcare providers on this issue, there is limited information on the perceptions of Aboriginal people...

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Main Authors: Deacon-Crouch M, Skinner I, Connelly M, Tucci J.
Format: Article
Language:English
Published: Centro de Investigaciones y Publicaciones Farmaceuticas 2016-09-01
Series:Pharmacy Practice
Subjects:
Online Access:http://www.pharmacypractice.org/journal/index.php/pp/article/view/798/457
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author Deacon-Crouch M
Skinner I
Connelly M
Tucci J.
author_facet Deacon-Crouch M
Skinner I
Connelly M
Tucci J.
author_sort Deacon-Crouch M
collection DOAJ
description Background: Poor medication management may contribute to the increased morbidity and mortality of Aboriginal people in Australia. Yet while there is extensive literature about the perceptions of healthcare providers on this issue, there is limited information on the perceptions of Aboriginal people themselves. Objectives: To investigate the perceptions of a group of Aboriginal people attending a Victorian regional Aboriginal Health Service (AHS) with diagnosed medical conditions requiring medications, of their lifestyle, disease management and medication usage. Methods: Data was collected through one to one in depth interviews using a semi-structured ‘yarning’ process. Twenty patients were invited to participate in the study and were interviewed by Aboriginal Health Workers in a culturally appropriate manner. The interviews were recorded and transcribed verbatim. The data were analysed using descriptive statistics. Results: Our results show that the majority of participants perceived that changes in lifestyle factors such as diet, exercise, and smoking cessation would help improve their health. Most patients reported having been counselled on their medicines, and while the majority reported adherence and acknowledgement of the efficacy of their medicines, there was a lack of clarity regarding long term maintenance on regimens. Finally, while the majority reported taking over the counter products, some did not see the need to inform their doctor about this, or chose not to. Conclusion: Chronic illness was perceived as common in families and community. Patients relied mostly on their health care professionals as sources for their drug information. Patients may have benefited from further counselling in the area of complementary and other over the counter medicines, as well as on the necessity of maintenance of regimes for chronic disease management. Finally, lifestyle changes such as dietary improvements and smoking cessation were identified as areas that may assist in improving health outcomes.
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spelling doaj.art-422add2c6a784ecfa397ea416930d8492022-12-22T00:53:29ZengCentro de Investigaciones y Publicaciones FarmaceuticasPharmacy Practice1885-642X1886-36552016-09-0114379810.18549/PharmPract.2016.03.798Chronic disease, medications and lifestyle: perceptions from a regional Victorian Aboriginal communityDeacon-Crouch MSkinner IConnelly MTucci J. Background: Poor medication management may contribute to the increased morbidity and mortality of Aboriginal people in Australia. Yet while there is extensive literature about the perceptions of healthcare providers on this issue, there is limited information on the perceptions of Aboriginal people themselves. Objectives: To investigate the perceptions of a group of Aboriginal people attending a Victorian regional Aboriginal Health Service (AHS) with diagnosed medical conditions requiring medications, of their lifestyle, disease management and medication usage. Methods: Data was collected through one to one in depth interviews using a semi-structured ‘yarning’ process. Twenty patients were invited to participate in the study and were interviewed by Aboriginal Health Workers in a culturally appropriate manner. The interviews were recorded and transcribed verbatim. The data were analysed using descriptive statistics. Results: Our results show that the majority of participants perceived that changes in lifestyle factors such as diet, exercise, and smoking cessation would help improve their health. Most patients reported having been counselled on their medicines, and while the majority reported adherence and acknowledgement of the efficacy of their medicines, there was a lack of clarity regarding long term maintenance on regimens. Finally, while the majority reported taking over the counter products, some did not see the need to inform their doctor about this, or chose not to. Conclusion: Chronic illness was perceived as common in families and community. Patients relied mostly on their health care professionals as sources for their drug information. Patients may have benefited from further counselling in the area of complementary and other over the counter medicines, as well as on the necessity of maintenance of regimes for chronic disease management. Finally, lifestyle changes such as dietary improvements and smoking cessation were identified as areas that may assist in improving health outcomes.http://www.pharmacypractice.org/journal/index.php/pp/article/view/798/457Oceanic Ancestry GroupHealth Services IndigenousHealth Knowledge Attitudes PracticeChronic DiseaseMedication AdherenceLife StylePatient Education as TopicAustralia
spellingShingle Deacon-Crouch M
Skinner I
Connelly M
Tucci J.
Chronic disease, medications and lifestyle: perceptions from a regional Victorian Aboriginal community
Pharmacy Practice
Oceanic Ancestry Group
Health Services Indigenous
Health Knowledge Attitudes Practice
Chronic Disease
Medication Adherence
Life Style
Patient Education as Topic
Australia
title Chronic disease, medications and lifestyle: perceptions from a regional Victorian Aboriginal community
title_full Chronic disease, medications and lifestyle: perceptions from a regional Victorian Aboriginal community
title_fullStr Chronic disease, medications and lifestyle: perceptions from a regional Victorian Aboriginal community
title_full_unstemmed Chronic disease, medications and lifestyle: perceptions from a regional Victorian Aboriginal community
title_short Chronic disease, medications and lifestyle: perceptions from a regional Victorian Aboriginal community
title_sort chronic disease medications and lifestyle perceptions from a regional victorian aboriginal community
topic Oceanic Ancestry Group
Health Services Indigenous
Health Knowledge Attitudes Practice
Chronic Disease
Medication Adherence
Life Style
Patient Education as Topic
Australia
url http://www.pharmacypractice.org/journal/index.php/pp/article/view/798/457
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AT skinneri chronicdiseasemedicationsandlifestyleperceptionsfromaregionalvictorianaboriginalcommunity
AT connellym chronicdiseasemedicationsandlifestyleperceptionsfromaregionalvictorianaboriginalcommunity
AT tuccij chronicdiseasemedicationsandlifestyleperceptionsfromaregionalvictorianaboriginalcommunity