1 Deadly Step
The 1 Deadly Step program promotes screening, early detection and follow up of chronic disease in Aboriginal communities in NSW. The unique component of 1 Deadly Step is the involvement of sport and its ability to engage Aboriginal people that would not normally be screened for chronic disease. Piloting the program across selected communities in NSW will enable NSW to refine the delivery model before a statewide implementation is developed.
The 1 Deadly Step project is an initiative of the Chronic Care for Aboriginal People Program (CCAP). This project demonstrates how the CCAP Model of Care can be used as a framework for designing chronic disease programs targeting Aboriginal people and communities.
1 Deadly Step provides an ideal platform on which to establish committed partnerships between local major health service providers such as the Local Health District, Aboriginal Medical Service and Medicare Locals, to improve health outcomes for Aboriginal people and to adopt a coordinated service to follow up after the event.
1 Deadly Step has high level of acceptability within Aboriginal communities and has demonstrated great success in being able to engage Aboriginal people. High rates of Aboriginal men have participated in 1 Deadly Step.
- 1 Deadly Step works best when it’s part of a bigger community event where the focus is on getting together and having fun.
- The event consists of screening stages for albumin creatinine ratio, HbA1c, cholesterol, blood pressure, blood glucose, body mass, waist circumference, drinking and smoking.
- A local organising committee is formed between staff from the local ACCHS, Local Health District and Primary Health Networks which will plan an event for their community to be screened for chronic disease.
- Any participant with concerning results will be identified for follow up with their GP or another health professional.
- 1 Deadly Step has a partnership with NSW Country Rugby League who are able to support events with current and past NRL players and providing games and activities for kids.
- Data is collected using an iPad app which produces a summary of participant’s chronic disease risk status. GP’s are able to download reports for their patients via the 1 Deadly Step web portal to support efficient and targeted follow up.
Local Health Districts; Aboriginal Community Controlled Health Services; Primary Health Networks; and NSW Country Rugby League.
1 Deadly Step has completed the second round of its pilot phase. In 2015, pilot programs were delivered in Campbelltown, Newcastle, Orange and Tamworth. In 2016, pilot programs were delivered in Coffs Harbour, Wagga Wagga, Casino, Moruya and Armidale. Pilot sites are selected based on consultation with community stakeholders.
Implementation will be determined after the evaluation of the second phase pilot period.
Key Date (location) Pilot Site Implementation Site
An independent evaluation of the pilot program indicated a number of factors that supported the 1 Deadly Step model as a successful engagement strategy targeting Aboriginal people. The evaluation also provided an analysis of the data collected from the 5 sites to support components of the program that have potential in further development.
The 2012 pilot identified opportunities to enhance two components of the 1 Deadly Step model for the next phase of the pilot, namely increasing education around risk factors and link to chronic disease prevention and management; and having a more structured approach to follow up of screening results from 1 Deadly step events. Download the Full 2012 evaluation report
1 Deadly Step was implemented in nine communities in 2015-2016 and successfully assessed the chronic disease risks for a substantial number of Aboriginal people. The clinical data strongly supports the justification for such a program given the high levels of risk factors encountered, often including people who would otherwise have had no knowledge of these issues prior to the events. Overall the event implementation was highly successful and demonstrated high satisfaction by participants and staff alike. Several challenges, however, were highlighted particularly in relation to resource constraints and follow-up processes. Several opportunities were identified to enhance the program to address these issues. Download the full 2015 -2016 evaluation report
1 Deadly Step provides medical equipment and consumables required for testing; incentives for community participation; and support to plan and deliver a screening event. Host sites are required to establish a working party who will have ultimate responsibility for delivery of the community event; provide staff for 1 Deadly Step stages; and commit to a plan for following-up participants from the day. Check out https://www.facebook.com/OneDeadlyStep.
Manager, Chronic Care for Aboriginal People
02 9464 4686
Director, Primary Care and Chronic Services
02 9464 4603
Page Top | Added: 7 February 2014 | Last modified: 4 January 2016