Achieving Diabetes Action and Collaborative Change - A cluster RCT in Aboriginal Health

Aboriginal Community Control Health Organisations (ACCHOs) in the intervention arm will receive a multifactorial, ecologically based collaborative intervention for 24 months. Strategies, including recall registers and reminders, access to specialist advice, and staff training, will be included within a broader ecological approach which will identify and address barriers to change. Representative from each ACCHO will meet with researchers to review data related to screening and managment of Type 2 diabetes, explore the evidence practice gap and discuss potential solutions. Workshops at ACCHOs and inter-organisation meetings will be held throughout the intervention to provide educational material, staff training, and information on effective recall and reminder systems. ACCHOs will be able to access a website that will contain latest information on diabetes care, information tailored for each ACCHO, guidelines and clinical care prompts. Each ACCHO will set short-term and long-term clinical targets. There will be on-going feedback of clinical data to ACCHOs and access to an expert advisory group to help develop systems to providing best practice diabetes care.