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Clinical practice guidelines for Indigenous peoples with middle ear disease in Australia: a systematic scoping review.

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Τίτλος: Clinical practice guidelines for Indigenous peoples with middle ear disease in Australia: a systematic scoping review.
Συγγραφείς: Nash K; HEAR Centre, Macquarie University Hearing, Department of Linguistics, Macquarie University, 16 University Avenue, Sydney, NSW, Australia.; The Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Heart Research Institute, Sydney, NSW, Australia., Macniven R; UNSW Sydney, School of Population Health, Faculty of Medicine & Health, Level 5, Health Translation Hub, Sydney, NSW, Australia., Parter C; The Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Heart Research Institute, Sydney, NSW, Australia.; UNSW Sydney, Indigenous Studies, Nura Gili, Sydney, NSW, Australia.; Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW, Australia., Fono MA; UNSW Sydney, Nura Gili, Electrical Engineering Building, Kensington, Sydney, NSW, Australia., Dimitropoulos Y; HEAR Centre, Macquarie University Hearing, Department of Linguistics, Macquarie University, 16 University Avenue, Sydney, NSW, Australia., McMahon C; HEAR Centre, Macquarie University Hearing, Department of Linguistics, Macquarie University, 16 University Avenue, Sydney, NSW, Australia.
Πηγή: Australian health review : a publication of the Australian Hospital Association [Aust Health Rev] 2025 Dec 04; Vol. 49 (6).
Τύπος έκδοσης: Journal Article; Scoping Review
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: CSIRO Pub Country of Publication: Australia NLM ID: 8214381 Publication Model: Print Cited Medium: Internet ISSN: 1449-8944 (Electronic) Linking ISSN: 01565788 NLM ISO Abbreviation: Aust Health Rev Subsets: MEDLINE
Imprint Name(s): Publication: 2010- : Collingwood, Victoria : CSIRO Pub.
Original Publication: [Sydney, Australia] : The Association.
Ιατρικοί όροι (MeSH): Otitis Media*/therapy , Otitis Media*/ethnology , Otitis Media*/drug therapy , Guideline Adherence*/statistics & numerical data , Health Services, Indigenous*/standards , Practice Guidelines as Topic*, Anti-Bacterial Agents/therapeutic use ; Humans ; Australia ; Indigenous Peoples
Περίληψη: Objective: This study aimed to identify practitioner awareness of and adherence to clinical practice guidelines for Indigenous peoples with otitis media in Australia.
Methods: Database searches were conducted in Medline, Embase, APA PsychInfo, Scopus, Web of Science Core Collection, Academic Search Premier, and CINAHL. Studies were eligible for inclusion if they reported on practitioner awareness of or adherence to clinical practice guidelines for otitis media management for Indigenous peoples in Australia. Search terms included 'Indigenous peoples', 'otitis media', and 'guidelines'.
Results: Four peer-reviewed studies published between 2007 and 2020 met eligibility for inclusion. This review identified three key concepts: (1) practitioner awareness rates for the Therapeutic Guidelines were significantly higher than for the 2001 OM Guidelines, (2) practitioners self-reported higher adherence to the Therapeutic Guidelines compared with the 2001 OM Guidelines, and (3) antibiotic prescriptions for Indigenous children varied, possibly due to use of different guidelines and adherence criteria, as well as variations in geographical areas and settings.
Conclusions: Practitioner adherence to clinical practice guidelines specific for Indigenous peoples with otitis media is critical to ensuring a consistent impact and, by extension, closing the gap in related life outcomes for Indigenous peoples in Australia. It is important to evaluate guideline impact through establishing current practitioner adherence rates. Furthermore, increasing awareness of culturally appropriate research approaches and availability of evaluation tools, such as the Aboriginal and Torres Strait Islander Quality Appraisal Tool, should improve the conduct of future Indigenous research.
(© 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.)
Contributed Indexing: Keywords: Aboriginal and Torres Strait Islander peoples; Australia; Indigenous peoples; clinical practice guidelines; guideline adherence; guideline awareness; healthcare; hearing loss; middle ear disease; otitis media; primary care
Substance Nomenclature: 0 (Anti-Bacterial Agents)
Entry Date(s): Date Created: 20251111 Date Completed: 20251113 Latest Revision: 20260603
Update Code: 20260604
DOI: 10.1071/AH25092
PMID: 41215473
Βάση Δεδομένων: MEDLINE
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  Data: Clinical practice guidelines for Indigenous peoples with middle ear disease in Australia: a systematic scoping review.
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  Data: <searchLink fieldCode="AU" term="%22Nash+K%22">Nash K</searchLink>; HEAR Centre, Macquarie University Hearing, Department of Linguistics, Macquarie University, 16 University Avenue, Sydney, NSW, Australia.; The Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Heart Research Institute, Sydney, NSW, Australia.<br /><searchLink fieldCode="AU" term="%22Macniven+R%22">Macniven R</searchLink>; UNSW Sydney, School of Population Health, Faculty of Medicine & Health, Level 5, Health Translation Hub, Sydney, NSW, Australia.<br /><searchLink fieldCode="AU" term="%22Parter+C%22">Parter C</searchLink>; The Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Heart Research Institute, Sydney, NSW, Australia.; UNSW Sydney, Indigenous Studies, Nura Gili, Sydney, NSW, Australia.; Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW, Australia.<br /><searchLink fieldCode="AU" term="%22Fono+MA%22">Fono MA</searchLink>; UNSW Sydney, Nura Gili, Electrical Engineering Building, Kensington, Sydney, NSW, Australia.<br /><searchLink fieldCode="AU" term="%22Dimitropoulos+Y%22">Dimitropoulos Y</searchLink>; HEAR Centre, Macquarie University Hearing, Department of Linguistics, Macquarie University, 16 University Avenue, Sydney, NSW, Australia.<br /><searchLink fieldCode="AU" term="%22McMahon+C%22">McMahon C</searchLink>; HEAR Centre, Macquarie University Hearing, Department of Linguistics, Macquarie University, 16 University Avenue, Sydney, NSW, Australia.
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  Data: <searchLink fieldCode="JN" term="%228214381%22">Australian health review : a publication of the Australian Hospital Association</searchLink> [Aust Health Rev] 2025 Dec 04; Vol. 49 (6).
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22CSIRO+Pub%22">CSIRO Pub </searchLink><i>Country of Publication: </i>Australia <i>NLM ID: </i>8214381 <i>Publication Model: </i>Print <i>Cited Medium: </i>Internet <i>ISSN: </i>1449-8944 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2201565788%22">01565788 </searchLink><i>NLM ISO Abbreviation: </i>Aust Health Rev <i>Subsets: </i>MEDLINE
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  Data: <i>Publication</i>: 2010- : Collingwood, Victoria : CSIRO Pub.<br /><i>Original Publication</i>: [Sydney, Australia] : The Association.
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  Data: <searchLink fieldCode="MM" term="%22Otitis+Media%22">Otitis Media*</searchLink>/<searchLink fieldCode="MM" term="%22Otitis+Media+therapy%22">therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Otitis+Media%22">Otitis Media*</searchLink>/<searchLink fieldCode="MM" term="%22Otitis+Media+ethnology%22">ethnology</searchLink> <br /><searchLink fieldCode="MM" term="%22Otitis+Media%22">Otitis Media*</searchLink>/<searchLink fieldCode="MM" term="%22Otitis+Media+drug+therapy%22">drug therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Guideline+Adherence%22">Guideline Adherence*</searchLink>/<searchLink fieldCode="MM" term="%22Guideline+Adherence+statistics+%26+numerical+data%22">statistics & numerical data</searchLink> <br /><searchLink fieldCode="MM" term="%22Health+Services%2C+Indigenous%22">Health Services, Indigenous*</searchLink>/<searchLink fieldCode="MM" term="%22Health+Services%2C+Indigenous+standards%22">standards</searchLink> <br /><searchLink fieldCode="MM" term="%22Practice+Guidelines+as+Topic%22">Practice Guidelines as Topic*</searchLink><br /><searchLink fieldCode="MH" term="%22Anti-Bacterial+Agents%22">Anti-Bacterial Agents</searchLink>/<searchLink fieldCode="MH" term="%22Anti-Bacterial+Agents+therapeutic+use%22">therapeutic use</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Australia%22">Australia</searchLink> ; <searchLink fieldCode="MH" term="%22Indigenous+Peoples%22">Indigenous Peoples</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objective: This study aimed to identify practitioner awareness of and adherence to clinical practice guidelines for Indigenous peoples with otitis media in Australia.<br />Methods: Database searches were conducted in Medline, Embase, APA PsychInfo, Scopus, Web of Science Core Collection, Academic Search Premier, and CINAHL. Studies were eligible for inclusion if they reported on practitioner awareness of or adherence to clinical practice guidelines for otitis media management for Indigenous peoples in Australia. Search terms included 'Indigenous peoples', 'otitis media', and 'guidelines'.<br />Results: Four peer-reviewed studies published between 2007 and 2020 met eligibility for inclusion. This review identified three key concepts: (1) practitioner awareness rates for the Therapeutic Guidelines were significantly higher than for the 2001 OM Guidelines, (2) practitioners self-reported higher adherence to the Therapeutic Guidelines compared with the 2001 OM Guidelines, and (3) antibiotic prescriptions for Indigenous children varied, possibly due to use of different guidelines and adherence criteria, as well as variations in geographical areas and settings.<br />Conclusions: Practitioner adherence to clinical practice guidelines specific for Indigenous peoples with otitis media is critical to ensuring a consistent impact and, by extension, closing the gap in related life outcomes for Indigenous peoples in Australia. It is important to evaluate guideline impact through establishing current practitioner adherence rates. Furthermore, increasing awareness of culturally appropriate research approaches and availability of evaluation tools, such as the Aboriginal and Torres Strait Islander Quality Appraisal Tool, should improve the conduct of future Indigenous research.<br /> (© 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.)
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  Data: <i>Keywords: </i>Aboriginal and Torres Strait Islander peoples; Australia; Indigenous peoples; clinical practice guidelines; guideline adherence; guideline awareness; healthcare; hearing loss; middle ear disease; otitis media; primary care
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        Text: English
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