Realist evaluation for programs designed to reduce demand and harms of substance misuse at the community level in Australian remote Indigenous community settings

Graham, Veronica Elizabeth Lorraine (2022) Realist evaluation for programs designed to reduce demand and harms of substance misuse at the community level in Australian remote Indigenous community settings. PhD thesis, James Cook University.

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View at Publisher Website: https://doi.org/10.25903/wrpg-hf51
 
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Abstract

This thesis reviewed NHMRC-funded, community-level substance misuse interventions, documenting: outcomes; study designs; implicit program theory; and assumptions. Data from one intervention project, targeting cannabis misuse in Cape York, exemplified common evaluation constraints, and informed hypothetical context-mechanism-outcome clusters for a plausible program theory and proposed theory-driven evaluation.

Item ID: 76271
Item Type: Thesis (PhD)
Keywords: cannabis abstinence, cannabis cessation, cannabis, Indigenous Australians, indigenous population, intervention study, marijuana, program evaluation, remote communities, social support, substance abuse, substance use prevalence, vulnerable populations
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Copyright Information: Copyright © 2022 Veronica Elizabeth Lorraine Graham.
Additional Information:

Three publications arising from this thesis are stored in ResearchOnline@JCU, at the time of processing. Please see the Related URLs. The publications are:

Chapter 3: Graham, Veronica E., Campbell, Sandra, West, Caryn, and Clough, Alan R. (2017) Substance misuse intervention research in remote Indigenous Australian communities since the NHMRC 'Roadmap'. Australian and New Zealand Journal of Public Health, 41 (4). pp. 424-431.

Chapter 4: Graham, Veronica E., and Clough, Alan R. (2018) Cannabis use among remote Indigenous Australians: opportunities to support change identified in two waves of sampling. Frontiers in Public Health, 6. 310.

Chapter 5: Graham, Veronica E., and Clough, Alan R. (2019) "Need Everyone Helping to Keep Off Because Everyone Helping to Keep On" – reducing harms from cannabis use in remote Indigenous Australian communities involves more than just users. Substance Use & Misuse, 52 (5). pp. 699-712.

Date Deposited: 12 Oct 2022 02:37
FoR Codes: 45 INDIGENOUS STUDIES > 4504 Aboriginal and Torres Strait Islander health and wellbeing > 450417 Aboriginal and Torres Strait Islander public health and wellbeing @ 35%
45 INDIGENOUS STUDIES > 4504 Aboriginal and Torres Strait Islander health and wellbeing > 450408 Aboriginal and Torres Strait Islander health promotion @ 30%
45 INDIGENOUS STUDIES > 4504 Aboriginal and Torres Strait Islander health and wellbeing > 450418 Aboriginal and Torres Strait Islander remote health @ 35%
SEO Codes: 21 INDIGENOUS > 2103 Aboriginal and Torres Strait Islander health > 210301 Aboriginal and Torres Strait Islander determinants of health @ 50%
20 HEALTH > 2004 Public health (excl. specific population health) > 200413 Substance abuse @ 50%
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