RNQualitativeThe Australian journal of rural health2025

Co-creating an Indigenous-led virtual health services model for Indigenous Australians living with chronic disease.

Bushra Farah Nasir, William MacAskill, Floyd Leedie and 5 others

PMID 39686600

WHAT IT FOUND

Indigenous consumers valued a virtual chronic disease service when they could control their own readings and when support came from local, culturally connected health coaches.

More welcoming, less clinical technology and fewer device steps may help uptake.

Key findings

01Consumers described autonomous use of digital monitoring as empowering and culturally responsive when it supported their own health decisions.

02Participants described local Indigenous health coaches as central to making the model culturally appropriate.

03Participants suggested less clinical, culturally inclusive design and simpler device routines.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

All participants came from one MM4 community, so the themes may not apply to other rural or remote Indigenous communities. The study reports experiences and design preferences, not measured health outcomes, so it cannot show that the model improves disease control or safety. The service includes several components at once, including a tablet or phone app, pulse oximeter, blood glucose monitor, blood pressure monitor, wireless scale, training, dashboard monitoring, video calls, phone calls, and in-person visits. The study cannot identify which component participants valued. Recruitment was by word-of-mouth at community events, and only one community contributed, so other consumers may not have been represented. Some consumers also worked as health coaches, which may affect how they describe the service.

The easy way to misread this

Do not read the themes as proof that this virtual health model improves clinical outcomes. The study reports consumer experiences and design preferences, not measured effectiveness.

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