Trish Levett - Academia.edu (original) (raw)

Papers by Trish Levett

Research paper thumbnail of Home to health care to hospital: Evaluation of a cancer care team based in Australian Aboriginal primary care

Australian Journal of Rural Health, Jan 29, 2019

Objective: To evaluate the acceptability of a cancer care team based at an Australian Aboriginal ... more Objective: To evaluate the acceptability of a cancer care team based at an Australian Aboriginal medical service in supporting patients' cancer journeys and to assess improvements in access to cancer care. Design: The cancer care team consisted of an Australian Aboriginal health worker, counsellor and enrolled nurse employed for 2 days a week, supported by a general practitioner. The cancer care team supported patients from prediagnosis while investigations were being undertaken, at diagnosis and through treatment, such as surgery, chemotherapy and radiotherapy, and follow-up, including to palliative care and grief support where these were required. They coordinated preventive programs, such as cervical smear and mammogram recall registers, and coordinated health promotion activities to promote prevention and early detection of other cancers, such as bowel cancer, skin cancer, liver cancer and prostate cancer. The program was evaluated qualitatively using semistructured interviews with current clients of the cancer care team and stakeholders, using grounded theory to analyse emerging themes. Setting: An Australian Aboriginal communitycontrolled health service in New South Wales. Participants: The cancer care team provided care for 79 clients. Main outcome measures: Acceptability and accessibility of cancer care services. Results: The evaluation involved recruitment of eight Australian Aboriginal clients of the cancer care team and eight stakeholders. The main themes to emerge included improved accessibility of cancer care services, including availability of home visits, transport and accompaniment to tertiary settings. The service was viewed as being culturally safe. Conclusion: A primary care-based cancer care team in an Australian Aboriginal medical service provided a culturally safe and accessible service for clients.

Research paper thumbnail of Barriers and facilitators to adherence to Optimal Care Pathways for diagnosis and treatment of cancer for Aboriginal and Torres Strait Islander people

Australian Journal of Primary Health

Research paper thumbnail of Cervical Screening Reminders for Aboriginal and Torres Strait Islander Women in Primary Care—Randomised Controlled Trial of Letter vs. Phone/SMS Reminders

International Journal of Environmental Research and Public Health

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

Research paper thumbnail of Home to health care to hospital: Evaluation of a cancer care team based in Australian Aboriginal primary care

Australian Journal of Rural Health, 2019

ObjectiveTo evaluate the acceptability of a cancer care team based at an Australian Aboriginal me... more ObjectiveTo evaluate the acceptability of a cancer care team based at an Australian Aboriginal medical service in supporting patients’ cancer journeys and to assess improvements in access to cancer care.DesignThe cancer care team consisted of an Australian Aboriginal health worker, counsellor and enrolled nurse employed for 2 days a week, supported by a general practitioner. The cancer care team supported patients from prediagnosis while investigations were being undertaken, at diagnosis and through treatment, such as surgery, chemotherapy and radiotherapy, and follow‐up, including to palliative care and grief support where these were required. They coordinated preventive programs, such as cervical smear and mammogram recall registers, and coordinated health promotion activities to promote prevention and early detection of other cancers, such as bowel cancer, skin cancer, liver cancer and prostate cancer. The program was evaluated qualitatively using semistructured interviews with c...

Research paper thumbnail of Ngununggula: The story of a cancer care team for aboriginal people

The International Journal of Whole Person Care

In Dharawal Country in regional New South Wales, a small and powerful team provides cancer preven... more In Dharawal Country in regional New South Wales, a small and powerful team provides cancer prevention, screening, support and care for Australian Aboriginal people, their families and communities. In keeping with Aboriginal practices and values, their uniquely holistic approach encompasses everything from food security and finding childcare, to support at diagnosis, surgical, radiation or chemo treatment, through to holding funerals, facilitating yarning groups, and Ceremony for survivors of cancer and their carers. The team created a manual for Aboriginal Health Workers, and other staff of Aboriginal Community Controlled Health Services, together with training webinars, and modules. The program is also designed for Aboriginal Liaison Officers and Palliative Care Workers who work in hospitals. The book and the training modules are called Ngununggula. The name, from the Gundungurra language, means working and walking together. “We’ll make ourselves available to anyone that wants to t...

Research paper thumbnail of Home to health care to hospital: Evaluation of a cancer care team based in Australian Aboriginal primary care

Australian Journal of Rural Health, Jan 29, 2019

Objective: To evaluate the acceptability of a cancer care team based at an Australian Aboriginal ... more Objective: To evaluate the acceptability of a cancer care team based at an Australian Aboriginal medical service in supporting patients' cancer journeys and to assess improvements in access to cancer care. Design: The cancer care team consisted of an Australian Aboriginal health worker, counsellor and enrolled nurse employed for 2 days a week, supported by a general practitioner. The cancer care team supported patients from prediagnosis while investigations were being undertaken, at diagnosis and through treatment, such as surgery, chemotherapy and radiotherapy, and follow-up, including to palliative care and grief support where these were required. They coordinated preventive programs, such as cervical smear and mammogram recall registers, and coordinated health promotion activities to promote prevention and early detection of other cancers, such as bowel cancer, skin cancer, liver cancer and prostate cancer. The program was evaluated qualitatively using semistructured interviews with current clients of the cancer care team and stakeholders, using grounded theory to analyse emerging themes. Setting: An Australian Aboriginal communitycontrolled health service in New South Wales. Participants: The cancer care team provided care for 79 clients. Main outcome measures: Acceptability and accessibility of cancer care services. Results: The evaluation involved recruitment of eight Australian Aboriginal clients of the cancer care team and eight stakeholders. The main themes to emerge included improved accessibility of cancer care services, including availability of home visits, transport and accompaniment to tertiary settings. The service was viewed as being culturally safe. Conclusion: A primary care-based cancer care team in an Australian Aboriginal medical service provided a culturally safe and accessible service for clients.

Research paper thumbnail of Barriers and facilitators to adherence to Optimal Care Pathways for diagnosis and treatment of cancer for Aboriginal and Torres Strait Islander people

Australian Journal of Primary Health

Research paper thumbnail of Cervical Screening Reminders for Aboriginal and Torres Strait Islander Women in Primary Care—Randomised Controlled Trial of Letter vs. Phone/SMS Reminders

International Journal of Environmental Research and Public Health

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

Research paper thumbnail of Home to health care to hospital: Evaluation of a cancer care team based in Australian Aboriginal primary care

Australian Journal of Rural Health, 2019

ObjectiveTo evaluate the acceptability of a cancer care team based at an Australian Aboriginal me... more ObjectiveTo evaluate the acceptability of a cancer care team based at an Australian Aboriginal medical service in supporting patients’ cancer journeys and to assess improvements in access to cancer care.DesignThe cancer care team consisted of an Australian Aboriginal health worker, counsellor and enrolled nurse employed for 2 days a week, supported by a general practitioner. The cancer care team supported patients from prediagnosis while investigations were being undertaken, at diagnosis and through treatment, such as surgery, chemotherapy and radiotherapy, and follow‐up, including to palliative care and grief support where these were required. They coordinated preventive programs, such as cervical smear and mammogram recall registers, and coordinated health promotion activities to promote prevention and early detection of other cancers, such as bowel cancer, skin cancer, liver cancer and prostate cancer. The program was evaluated qualitatively using semistructured interviews with c...

Research paper thumbnail of Ngununggula: The story of a cancer care team for aboriginal people

The International Journal of Whole Person Care

In Dharawal Country in regional New South Wales, a small and powerful team provides cancer preven... more In Dharawal Country in regional New South Wales, a small and powerful team provides cancer prevention, screening, support and care for Australian Aboriginal people, their families and communities. In keeping with Aboriginal practices and values, their uniquely holistic approach encompasses everything from food security and finding childcare, to support at diagnosis, surgical, radiation or chemo treatment, through to holding funerals, facilitating yarning groups, and Ceremony for survivors of cancer and their carers. The team created a manual for Aboriginal Health Workers, and other staff of Aboriginal Community Controlled Health Services, together with training webinars, and modules. The program is also designed for Aboriginal Liaison Officers and Palliative Care Workers who work in hospitals. The book and the training modules are called Ngununggula. The name, from the Gundungurra language, means working and walking together. “We’ll make ourselves available to anyone that wants to t...