Capacity building in Intellectual Disability Health for General Practice

Bridge to Better Health

Join us in revolutionizing healthcare for individuals with intellectual disabilities. Our research aims to bridge gaps and foster better health outcomes.

What is Bridge to Better Health?

The Bridge to Better Health project is dedicated to enhancing the healthcare experience for patients with intellectual disabilities. 

Why are we doing this?

Preventable Deaths

People with intellectual disability experience a mortality rate of up to 26 years earlier than the general population. This is often due to preventable causes, and barriers to care.

Barriers to Care

Barriers to accessing care include such things as: short consultation times, service eligibility, service usability, communication skills, diagnostic overshadowing and more.

Time limitations

Since the introduction of an annual health assessment as a MBS item, general practitioners have reported lacking the time required to complete them effectively.

Lack of Education

Nurses and medical staff receive minimal if any education about supporting patients with intellectual disability in their training. Leading to a lack of confidence supporting this population. 

How do we plan to do this?

Using a three armed approach as follows:

Access to a specialist intellectual disability nurse

Practice nurses and general practices who are receiving the intervention will have access to a specialist intellectual disability nurse. This nurse will provide direct support via monthly check ins, and support the facilitation of an annual health assessment. 

ACCESS TO EDUCATION MODULES

Online education has been specifically developed in conjunction with health professionals, experts in the field and people with lived experience of intellectual disability. The content will aim to fill any gaps in knowledge for practice nurses and other practice staff about providing effective health care to patients with intellectual disability. This education can count towards CPD for practice nurses/staff.

ACCESS TO ONLINE RESOURCES

Online resources have been collated from international sources into an accessible, and easy to manage website page. This webpage will save practice nurses time in searching for appropriate resources.

What we aim to show:

Increase Preventative Health Actions

We hope to show that prevetanable health actions increased in the practices that received our intervention. This means things like hearing checks being completed once noted in a health assessment.

Decrease Potentially Avoidable Hospitalisations

We aim to decrease the amount of people with intellectual disability that go to the hospital for things that could have been avoided if they were checked at the GP. Things like Pneumonia or nutritional deficiencies.

Improve the Knowledge and Confidence of Practice Staff

We are hoping to improve the knowledge, confidence and attitudes of health staff towards patients with intellectual disability. We will measure this by getting them to do surveys before and after completing the education.

Demonstrate Value for Money

We will also be seeing if having practice nurses do more of the health assessment will be cost-effective. We will do this by using QHealth and ABS data to see if expensive procedures have decreased for our participants.

What to expect from the intervention:

As a general practice

Role of General Practice and General Practitioners

General practices will be expected to:

  • Check how many patients have intellectual disability
  • Share project consent forms with participants with intellectual disability (if recruited from GP)

Benefits

  • Upskilling practice staff
  • Accomodations for time poorness in practitioners
  • Access to specialist support for all staff
  • More efficient for the practice
  • Improves health of patients with intellectual disability
  • Gives a clear health action guide
  • Connects the patient with intellectual disability to your practice nurse

As a practice nurse or practice staff

Role of Practice Nurses and Practice Staff

  • Complete more of the health assessment where applicable
  • Support patients with ID to complete the health assessment
  • COmplete pre and post surveys
  • Complete the education omodules
  • Optional interviews

Benefits

  • Meeting diversity and inclusion requirements
  • Gaining transferable skills
  • Improved knowledge of comunication and reasonable adjustments
  • Education as part of CPD

As a patient with intellectual disability

Role of Patients with Intellectual Disability

  • Complete one health assessment over 1 year
  • Consent to access to medical records
  • Optional interviews
  • Demographic survey

Benefits

  • Improved health outcomes
  • More throoughout health assessment
  • Specialised support
  • Improve the way a health assessment is delivered in the future
  • Improved healthcare measures
  • Improved knowledge of healthcare providers

What happens if you don't receive the intervention?

You will go about as normal for the length of the intervention

Once the intervention has ended we will be in contact

You will receive access to the education and online resources used in the intervention 

How to take part?

Have a practice nurse who is willing to participate

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Have at least three patients with intellectual disability who are willing to participate

Next steps

Let us know you're interested by sending us an email

We will then give you a call and send through relevant documents

We will gain consent from patients with intellectual disability in yourpractice

We will randomise your practice, and get you started

Project Timeline

2023

NHMRC Grant Approval and Project Initiation

Bridge to Better Health was funded by NHMRC towork towards improving health outcomes for people with intellectual disability.

2024

Education Development and Recruitment

We worked with people with intellectual disability, their supports and experts in the field to develop and review education, resources and project plans. With this developed we started recruitment. 

2025

12-month Intervention Period

In this period we will be giving general practices, and practice nurses education, specialsied support and acccess to resources. We will also be collecting patient data once they have completed the 12 months.

2026

Data Collection and Analysis

We will collect QHealth, ABS and medical data from participatns who have completed the intervention. This will be from the time period of 1 year pre, during and 1 year post intervention. We will then compare to see if the intervention had any changes. 

2027

Project Write-up and Dissemination

We will conduct a comprehensive evaluation of the project’s impact, making necessary adjustments based on the data collected and feedback from participating GPs.

Frequently Asked Questions

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What is the Bridge to Better Health project?

The Bridge to Better Health project is a research proejct aimed at improving health outcomes for patients with intellectual disabilities through education, resources and specialist support to practice nurses.

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How long is the project duration?

The project will run for four years, with a 12-month intervention period. We will be collecting data from 12-months pre, during and post intervention.

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What kind of education will be provided?

The education provided will consist of reasonable adjustments, communication strategies, tips and tricks for completing a health assessment and more.

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What data will be collected?

Queensland Health, ABS and medical data will be collected as part of this project. This is outlined in the participant information sheet, and consent form. It will be handled by data experts in secure servers. 

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Are there any costs involved for participating practices?

No, there are no costs for general practices to participate in the Bridge to Better Health project. All training and resources are provided free of charge by QCEIDAH.

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What are the expected outcomes of the project?

We expect that when we compare the amount of avoidable hospilitsations pre and post intereention, that this number will decrease. We also expect that the number of health actions (like screening) that are identified, then completed increases. 

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How will patient data be handled?

All patient data will be handled with strict confidentiality and in accordance with relevant privacy laws and regulations. Data will be used solely for the purpose of improving patient care and project outcomes.

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Can practices opt out of the project?

Yes, practices and/or patients can opt out of the project at any time by notifying the project coordinators. 

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What support is available for participating practices?

All participating practices will be able to contact the Bridge to Better Health team throughout the project. Depending on the contact need it may be appropriate to speak with the specialsit intellectual disability nurse or the lead researcher.

Tips and Tricks for Effective Engagement

1. Establish a welcoming environment: Ensure your practice is accessible and welcoming to patients with intellectual disabilities. This includes clear signage, comfortable waiting areas, and staff trained in disability awareness.
2. Use clear communication: Simplify medical jargon and use visual aids to help patients understand their health conditions and treatment plans. Encourage the use of communication tools that cater to individual patient needs.
3. Schedule regular follow-ups: Consistent follow-up appointments help monitor patient progress and adjust care plans as needed. Use reminders and follow-up calls to ensure patients attend their appointments.

Get in touch

We invite you to be a part of the Bridge to Better Health project. By joining us, you can help improve the health outcomes for patients with intellectual disabilities. Enter your details below and we will be in touch.

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Send us an email at:

b2bhealth@uq.edu.au

Call us on:

3163 2412

(ask to talk to the research team)