Improving outcomes for marginalised rural families through an care navigator program

Kirby, S; Edwards, K; Yu, S; van Gool, K; Powell-Davies, G; Harris-Roxas, B; Gresham, E; Harris, M; Hall, J

Improving outcomes for marginalised rural families through an care navigator program

Kirby, S Edwards, K Yu, S

van Gool, K Powell-Davies, G Harris-Roxas, B Gresham, E Harris, M Hall, J

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Publisher:: CSIRO Publishing
Publication Type:: Journal Article
Citation:: Health Promotion Journal of Australia, 2020
Issue Date:: 2020-04-22

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Field	Value	Language
dc.contributor.author	Kirby, S
dc.contributor.author	Edwards, K
dc.contributor.author	Yu, S https://orcid.org/0000-0002-1070-113X
dc.contributor.author	van Gool, K
dc.contributor.author	Powell-Davies, G
dc.contributor.author	Harris-Roxas, B
dc.contributor.author	Gresham, E
dc.contributor.author	Harris, M
dc.contributor.author	Hall, J https://orcid.org/0000-0002-2191-0543
dc.date.accessioned	2021-02-04T02:01:28Z
dc.date.available	2020-04-16
dc.date.available	2021-02-04T02:01:28Z
dc.date.issued	2020-04-22
dc.identifier.citation	Health Promotion Journal of Australia, 2020
dc.identifier.issn	1036-1073
dc.identifier.issn	2201-1617
dc.identifier.uri	http://hdl.handle.net/10453/145796
dc.description.abstract	ISSUES ADDRESSED:Health promotion programs are based on the premise that health and well-being is impacted by a person's living circumstances, not just factors within the health arena. Chronic health issues require integrated services from health and social services. Navigator positions are effective in assisting chronic disease patients to access services. This family program in a small rural town in Western New South Wales targeted marginalised families with children under five years of age with a chronic health issue. The navigator developed a cross sectoral care plan to provide services to address family issues. The study aimed to identify navigator factors supporting improved family outcomes. METHODS:Participants included parent/clients (n=4) and the cross sectoral professional team (n=9) involved in the program. During the interview, participants were asked about their perspective of the program. Interview transcripts were thematically analysed informed by the Chronic Care Model underpinned by Health Promotion Theory. RESULTS:The program improved client family's lives in relation to children's health and other family health and social issues. Trust in the care navigator was the most important factor for parents to join engage with the program. The care navigator role was essential to maintaining client engagement and supporting cooperation between services to support families. CONCLUSION:Essential care navigator skills were commitment, ability to persuade and empower parents and other professionals. SO WHAT?: This descriptive study demonstrated the positive influence of the care navigator and the program on high risk families in a small isolated community. It can be adopted by other community to improve life for families at risk.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	CSIRO Publishing
dc.relation.ispartof	Health Promotion Journal of Australia
dc.relation.isbasedon	10.1002/hpja.348
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	1117 Public Health and Health Services
dc.subject.classification	Public Health
dc.title	Improving outcomes for marginalised rural families through an care navigator program
dc.type	Journal Article
utslib.location.activity	Australia
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2021-02-04T02:01:23Z
pubs.publication-status	Published

Abstract:

ISSUES ADDRESSED:Health promotion programs are based on the premise that health and well-being is impacted by a person's living circumstances, not just factors within the health arena. Chronic health issues require integrated services from health and social services. Navigator positions are effective in assisting chronic disease patients to access services. This family program in a small rural town in Western New South Wales targeted marginalised families with children under five years of age with a chronic health issue. The navigator developed a cross sectoral care plan to provide services to address family issues. The study aimed to identify navigator factors supporting improved family outcomes. METHODS:Participants included parent/clients (n=4) and the cross sectoral professional team (n=9) involved in the program. During the interview, participants were asked about their perspective of the program. Interview transcripts were thematically analysed informed by the Chronic Care Model underpinned by Health Promotion Theory. RESULTS:The program improved client family's lives in relation to children's health and other family health and social issues. Trust in the care navigator was the most important factor for parents to join engage with the program. The care navigator role was essential to maintaining client engagement and supporting cooperation between services to support families. CONCLUSION:Essential care navigator skills were commitment, ability to persuade and empower parents and other professionals. SO WHAT?: This descriptive study demonstrated the positive influence of the care navigator and the program on high risk families in a small isolated community. It can be adopted by other community to improve life for families at risk.

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http://hdl.handle.net/10453/145796