What factors do health professionals view as influencing the success of otitis media detection programs for First Nations children? A scoping review and synthesis of qualitative research.

Abstract

Objective: Targeted early detection programs for otitis media exist for First Nations populations across several countries, with variable success reported. Health professionals are in a unique position to evaluate factors that may impact on programme success. This research therefore aims to understand: "What factors do health professionals view as influencing the success of otitis media detection programs for First Nations children?"

Design: A scoping review, including a systematic search and synthesis of qualitative research on this topic, was conducted using adapted PRISMA and JBI guidelines. Articles were critically appraised using tools to assess their methodological quality and cultural safety.

Study sample: Seven sources published between 2003 and 2022 met the review inclusion criteria.

Results: Two major themes of Health Resource Access and Person and Family Centred Care were identified. Health Resource Access was further explored through three sub-themes examining Client, Practitioner and Service access. Subthemes related to Person and Family Centred Care included Cultural Safety, Health Service Collaboration, Health Education and Consumer Partnerships.

Conclusions: The voices of health professionals are largely missing from conversations on otitis media detection for First Nations children. Health professionals can provide unique insights into service delivery that compliment those of parents and care-givers.