Digital nutrition model of care to improve Chronic Kidney Disease management in Northern Australia

Industry
Health
Strategic policy development
Reference number
H.5.2223002
CRCNA funding
$624,000
Total project value
$1,383,018
Project length
4 years
Finish date
Project Status
Current
Project Manager
Sarah Docherty

Participants

  • Health Management Pty Ltd (Sophus Nutrition)
  • The University of Queensland (UQ)
  • Gurriny Yealamucka (Good Healing) Health Services Aboriginal Corporation
  • Cairns and Hinterland Hospital and Health Service

Summary

Australians who identify as Aboriginal and Torres Strait Islander and those living in rural and remote communities continue to be at risk of not benefitting from digital health services, with 9 in 10 rural patients never having experienced digital health care or telehealth in general, and over 40% of clinicians being concerned about their capability to do so.

There is genuine value in providing nutrition care in these community health setting, as it can be provided in a familiar environment, via a local health worker and allows for more holistic and culturally appropriate care. However, it is vital that these services are culturally appropriate, evidence-based programs and can communicate nutrition care advice in consultation with Aboriginal and Torres Strait Islander dietitians, Aboriginal Health Workers, and people with Chronic Kidney Disease (CKD)

Project leaders, Sophus Nutrition and their research partners will seek to co-design and implement a digital health model of care which is culturally appropriate and delivered by Aboriginal and Torres Strait Islander Health workers/professionals in primary care adjunct to routine care in Northern Australia.

Specifically, this project aims to:

  1. To optimise existing culturally appropriate and evidence-based programs to deliver and communicate nutrition care advice in consultation with Aboriginal and Torres Strait Islander dietitians, Aboriginal Health Workers, and people with CKD.
     
  2. To determine whether a digital health model of care which is culturally sensitive and delivered by Aboriginal Health workers in primary care adjunct to routine care is feasible, acceptable and effective at improving nutrition care delivery and quality of life in people with CKD.

Expected outcomes

  • Development, delivery and implementation of a culturally appropriate digital health solution that is acceptable to stakeholders (First Nations Health workers, dietitians, renal physicians, renal nurses) and end-users (patients at-risk of or who live with Chronic Kidney Disease).
     
  • Workforce development of First Nation health workers to be able to work within scope, but still provide expert support for advice and services provided by a digital health solution supported with technology and input from some of the worlds leading experts in Chronic Kidney Disease and mobile health. 
     
  • Transferability of model to other health modalities including diabetes education, physiotherapy, cardiac rehab, exercise physiology and mental health, leading to improved health access and equity across regional and remote Australia.
     
  • An evidence-base around the value, efficacy and efficiency of mobile health applications in First Nations people and communities to further inform future funding and planning.