{"id":"https://openalex.org/W2998301489","doi":null,"title":"Implementing Interventions in Indigenous Primary Health Care: A Realist Evaluation","display_name":"Implementing Interventions in Indigenous Primary Health Care: A Realist Evaluation","publication_year":2017,"publication_date":"2017-01-01","ids":{"openalex":"https://openalex.org/W2998301489","mag":"2998301489"},"language":"en","primary_location":{"id":"pmh:oai:digital.library.adelaide.edu.au:2440/119764","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/2440/119764","pdf_url":null,"source":{"id":"https://openalex.org/S4306401835","display_name":"Adelaide Research & Scholarship (AR&S) (University of Adelaide)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I5681781","host_organization_name":"The University of Adelaide","host_organization_lineage":["https://openalex.org/I5681781"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5102860474","display_name":"Louise Ann Clark","orcid":"https://orcid.org/0009-0009-1766-1781","observed_orcids":["https://orcid.org/0009-0009-1766-1781"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Louise Clark","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0009-0009-1766-1781","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5102860474"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.9839000105857849,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.9839000105857849,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10348","display_name":"Indigenous Health, Education, and Rights","score":0.013700000010430813,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11744","display_name":"Health Sciences Research and Education","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/implementation-of-evidence-based-interventions","display_name":"implementation of evidence-based interventions","score":0.7889999747276306},{"id":"https://openalex.org/keywords/aboriginal-and-torres-strait-islander-health","display_name":"Aboriginal and Torres Strait Islander health","score":0.9710000157356262},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.8240000009536743},{"id":"https://openalex.org/keywords/parihs-framework","display_name":"PARIHS framework","score":0.8690000176429749},{"id":"https://openalex.org/keywords/implementation-mechanisms","display_name":"implementation mechanisms","score":0.7310000061988831},{"id":"https://openalex.org/keywords/health-worker-motivation","display_name":"health worker motivation","score":0.6259999871253967},{"id":"https://openalex.org/keywords/facilitation","display_name":"facilitation","score":0.7680000066757202},{"id":"https://openalex.org/keywords/workforce-stability","display_name":"workforce stability","score":0.8410000205039978},{"id":"https://openalex.org/keywords/knowledge-translation","display_name":"knowledge translation","score":0.7509999871253967},{"id":"https://openalex.org/keywords/continuous-quality-improvement","display_name":"continuous quality improvement","score":0.7289999723434448},{"id":"https://openalex.org/keywords/capacity-building","display_name":"capacity building","score":0.6589999794960022},{"id":"https://openalex.org/keywords/indigenous-health-professionals","display_name":"Indigenous health professionals","score":0.6060000061988831},{"id":"https://openalex.org/keywords/community-engagement","display_name":"community participation","score":0.5450000166893005}],"concepts":[{"id":"https://openalex.org/C55958113","wikidata":"https://www.wikidata.org/wiki/Q169480","display_name":"Indigenous","level":2,"score":0.727034866809845},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5868532657623291},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.5107648372650146},{"id":"https://openalex.org/C163432668","wikidata":"https://www.wikidata.org/wiki/Q623543","display_name":"Primary health care","level":3,"score":0.4462093114852905},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4224089980125427},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.39295315742492676},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.3252256214618683},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.2345559298992157},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.2252802550792694},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.14981770515441895},{"id":"https://openalex.org/C18903297","wikidata":"https://www.wikidata.org/wiki/Q7150","display_name":"Ecology","level":1,"score":0.14789077639579773},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:digital.library.adelaide.edu.au:2440/119764","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/2440/119764","pdf_url":null,"source":{"id":"https://openalex.org/S4306401835","display_name":"Adelaide Research & Scholarship (AR&S) (University of Adelaide)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I5681781","host_organization_name":"The University of Adelaide","host_organization_lineage":["https://openalex.org/I5681781"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},{"id":"mag:2998301489","doi":null,"is_oa":false,"landing_page_url":"https://digital.library.adelaide.edu.au/dspace/bitstream/2440/119764/1/Clark2017_PhD.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.4000000059604645,"id":"https://metadata.un.org/sdg/10"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":95,"referenced_works":["https://openalex.org/W25454230","https://openalex.org/W122749476","https://openalex.org/W563096618","https://openalex.org/W563963535","https://openalex.org/W1484454948","https://openalex.org/W1488260213","https://openalex.org/W1540926462","https://openalex.org/W1556808170","https://openalex.org/W1589185784","https://openalex.org/W1635118023","https://openalex.org/W1636908449","https://openalex.org/W1753116963","https://openalex.org/W1796833281","https://openalex.org/W1820895509","https://openalex.org/W1891802603","https://openalex.org/W1920444023","https://openalex.org/W1943521353","https://openalex.org/W1966542905","https://openalex.org/W1969941930","https://openalex.org/W1972360849","https://openalex.org/W1975391969","https://openalex.org/W1980112898","https://openalex.org/W1989529511","https://openalex.org/W1999461147","https://openalex.org/W2002565835","https://openalex.org/W2005195223","https://openalex.org/W2005911172","https://openalex.org/W2014027066","https://openalex.org/W2018133191","https://openalex.org/W2020155291","https://openalex.org/W2022378368","https://openalex.org/W2026405971","https://openalex.org/W2027367308","https://openalex.org/W2035970549","https://openalex.org/W2036397229","https://openalex.org/W2039996805","https://openalex.org/W2040296282","https://openalex.org/W2046339686","https://openalex.org/W2051066739","https://openalex.org/W2053416869","https://openalex.org/W2059374648","https://openalex.org/W2069068805","https://openalex.org/W2069121850","https://openalex.org/W2077109464","https://openalex.org/W2077589521","https://openalex.org/W2077723564","https://openalex.org/W2078868555","https://openalex.org/W2088665759","https://openalex.org/W2093915928","https://openalex.org/W2097730860","https://openalex.org/W2101013417","https://openalex.org/W2112383195","https://openalex.org/W2112604521","https://openalex.org/W2113891626","https://openalex.org/W2116210871","https://openalex.org/W2116379682","https://openalex.org/W2117218646","https://openalex.org/W2119652992","https://openalex.org/W2120029743","https://openalex.org/W2120466193","https://openalex.org/W2121328407","https://openalex.org/W2123098798","https://openalex.org/W2123266892","https://openalex.org/W2125320527","https://openalex.org/W2127138402","https://openalex.org/W2129650884","https://openalex.org/W2131575393","https://openalex.org/W2132177288","https://openalex.org/W2133490696","https://openalex.org/W2136944462","https://openalex.org/W2137286012","https://openalex.org/W2139041794","https://openalex.org/W2139074866","https://openalex.org/W2139148003","https://openalex.org/W2141003342","https://openalex.org/W2141566744","https://openalex.org/W2145892273","https://openalex.org/W2150334411","https://openalex.org/W2153192114","https://openalex.org/W2154961895","https://openalex.org/W2158241381","https://openalex.org/W2158978855","https://openalex.org/W2159957678","https://openalex.org/W2161939724","https://openalex.org/W2167379646","https://openalex.org/W2170798011","https://openalex.org/W2198408614","https://openalex.org/W2306592406","https://openalex.org/W2527928017","https://openalex.org/W2590143404","https://openalex.org/W2604629196","https://openalex.org/W2611319929","https://openalex.org/W2737216817","https://openalex.org/W2763247689","https://openalex.org/W2775203195"],"related_works":["https://openalex.org/W1981965762","https://openalex.org/W2293295257","https://openalex.org/W1506314815","https://openalex.org/W7097225128","https://openalex.org/W2902334357","https://openalex.org/W2495276612","https://openalex.org/W1769953522","https://openalex.org/W2881260724","https://openalex.org/W4402610480","https://openalex.org/W2946472342"],"abstract_inverted_index":{"Implementation":[0,68,382],"of":[1,116,125,150,155,178,200,206,221,228,238,244,272,288,301,321,329,352,374,381],"evidence-based":[2],"health":[3,8,16,35,94,106,239,260,263,283,347],"interventions":[4,31],"in":[5,32,48,69,91,103,280],"Indigenous":[6,33,92,104,259,281],"primary":[7,34,93,105,282],"care":[9,36,107,284],"is":[10,108,187,309,324,361],"a":[11,58,159,175,286,330],"significant":[12],"strategy":[13],"to":[14,77,110,122,132,140,152,189,277,356,363,367,369],"improve":[15,357],"equity":[17],"for":[18,80,161,164,203,251,268,305,343],"Aboriginal":[19,266],"and":[20,82,157,163,166,184,211,231,233,235,257,265,316,346,365,376],"Torres":[21],"Strait":[22],"Islander":[23],"people.":[24],"However,":[25],"the":[26,45,63,123,126,147,182,193,198,224,236,252,269,299,327,337,350,370,379],"outcomes":[27],"achieved":[28],"when":[29],"implementing":[30,49],"services":[37],"are":[38,173,248],"variable.":[39],"Improving":[40],"implementation":[41,101,271,291,307,358],"depends":[42],"on":[43,66],"understanding":[44],"complexities":[46],"involved":[47],"research":[50],"evidence":[51,220],"within":[52,181],"this":[53,56,242,322],"context.":[54],"Against":[55],"background,":[57],"realist":[59,97,331],"evaluation,":[60],"framed":[61],"by":[62,113],"Promoting":[64],"Action":[65],"Research":[67],"Health":[70,143],"Services":[71],"(PARIHS)":[72],"conceptual":[73],"framework,":[74],"was":[75],"designed":[76],"explore":[78],"how,":[79],"whom,":[81],"under":[83],"what":[84],"circumstances":[85],"does":[86],"new":[87],"knowledge":[88,278],"get":[89],"implemented":[90],"care.":[95],"This":[96],"evaluation":[98,332],"found":[99,218],"that":[100,120,130,138,293,311,334,341,360],"success":[102,308,359],"likely":[109,188],"be":[111,190],"mediated":[112],"three":[114],"types":[115],"mechanisms:":[117],"Firstly,":[118],"mechanisms":[119,129,137,149,180,227,247,295],"related":[121],"nature":[124],"interventions.":[127,273],"Secondly,":[128],"relate":[131,139],"motivational":[133],"theories.":[134],"And":[135],"thirdly,":[136],"facilitation":[141],"processes.":[142],"professionals\u2019":[144],"narratives":[145],"supported":[146],"proposed":[148,225],"\u2018trusting":[151],"follow\u2019,":[153],"\u2018sense":[154],"direction\u2019":[156],"\u2018seeing":[158],"use":[160,328],"it\u2019,":[162],"managers":[165],"Continuous":[167],"Quality":[168],"Improvement":[169],"facilitators,":[170],"\u2018believing":[171],"they":[172],"making":[174],"difference\u2019.":[176],"Activation":[177],"these":[179,275],"local":[183],"organisational":[185,201],"context":[186,300],"contingent":[191],"upon":[192],"main":[194],"contextual":[195],"influences":[196],"of:":[197],"level":[199],"support":[202],"change;":[204],"leadership":[205],"cross-cultural":[207],"teams;":[208],"workforce":[209],"stability":[210],"synergies":[212],"with":[213,256,298],"rival":[214],"programs.":[215],"The":[216,319],"study":[217,323],"no":[219],"congruence":[222],"between":[223,258],"facilitation-related":[226,246],"\u2018feeling":[229],"valued\u2019,":[230],"\u2018connecting":[232],"relating\u2019":[234],"experiences":[237],"professionals.":[240],"Despite":[241],"lack":[243],"congruence,":[245],"considered":[249],"fundamental":[250],"effective":[253],"engagement":[254],"needed":[255],"professionals,":[261],"non-Indigenous":[262],"professionals":[264],"communities":[267],"successful":[270],"Applying":[274],"findings":[276],"translation":[279],"requires":[285],"shift":[287],"focus":[289],"toward":[290],"strategies":[292],"trigger":[294],"\u2018in":[296],"tune\u2019":[297],"implementation.":[302],"A":[303],"path":[304],"improving":[306],"presented":[310],"integrates":[312],"collaboration,":[313],"engagement,":[314],"facilitation,":[315],"capacity":[317],"building.":[318],"strength":[320],"threefold:":[325],"firstly,":[326],"design":[333],"made":[335],"explicit":[336],"Context-Mechanism-Outcome":[338],"(CMO)":[339],"configurations":[340],"resonate":[342],"both":[344],"researchers":[345],"professionals;":[348],"secondly,":[349],"presentation":[351],"an":[353],"integrated":[354],"approach":[355],"responsive":[362],"context;":[364],"thirdly":[366],"contribute":[368],"PARIHS":[371],"mid-range":[372],"theory":[373],"implementation,":[375],"more":[377],"generally":[378],"field":[380],"science.":[383]},"counts_by_year":[{"year":2025,"cited_by_count":1}],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2020-01-10T00:00:00"}
