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A Randomized Controlled Trial To Evaluate The Impact Of A Geo-Specific Poster Compared To A General Poster For Effecting Change In Perceived Threat And Intention To Avoid Drowning 'Hotspots' Among Children Of Migrant Workers: Evidence From Ningbo, China, Yinchao Zhu, Xiaoqi Feng, Hui Li, Yaqin Huang, Jieping Chen, Guozhang Xu

Faculty of Social Sciences - Papers (Archive)

Background

Drowning among children of migrant workers is a major, though neglected public health issue in China.

Methods

A randomised controlled trial was used to examine the potential impact of viewing a preventive health poster with/without geo-located drowning events on perceptions of drowning risk among Chinese migrant children. A total of 752 children from three schools in Jiangbei district were selected by multi-stage sampling and randomly assigned to the intervention (n = 380) or control (n = 372). Multilevel models were used to analyse changes in responses to the following questions after viewing the assigned poster for 10 …

Patient, Oncologist And Gp Views About Cancer Follow-Up Care In General Practice, Heike Schutze, Melvin Chin, David Weller, Sue Suchy, Mark Fort Harris

Faculty of Social Sciences - Papers (Archive)

Abstract presented at the 2nd International Conference on General Practice & Primary Care, 18-19 September 2017, Zurich, Switzerland

What Factors Contribute To The Continued Low Rates Of Indigenous Status Identification In Urban General Practice? - A Mixed-Methods Multiple Site Case Study, Heike Schutze, Lisa Jackson Pulver, Mark Fort Harris

Faculty of Social Sciences - Papers (Archive)

Background Indigenous peoples experience worse health and die at younger ages than their non-indigenous counterparts. Ethnicity data enables health services to identify inequalities experienced by minority populations and to implement and monitor services specifically targeting them. Despite significant Government intervention, Australia's Indigenous peoples, the Aboriginal and Torres Strait Islander peoples, continue to be under identified in data sets. We explored the barriers to Indigenous status identification in urban general practice in two areas in Sydney. Methods A mixed-methods multiple-site case study was used, set in urban general practice. Data collection included semi-structured interviews and self-complete questionnaires with 31 general practice …

Patient, General Practitioner And Oncologist Views Regarding Long-Term Cancer Shared Care, Heike Schutze, Melvin Chin, David Weller, Mark Fort Harris

Faculty of Social Sciences - Papers (Archive)

Background The rising incidence of cancer and increasing number of cancer survivors place competing demands on specialist oncology clinics. This has led to a need to consider collaborative care between primary and secondary care for the long-term post-treatment care of cancer survivors. Objective To explore the views of breast and colorectal cancer survivors, their oncologist and GP about GPs taking a more active role in long-term cancer follow-up care. Methods Semi-structured interviews using a thematic analysis framework. Respondents were asked their views on the specialist hospital-based model for cancer follow-up care and their views on their GP taking a greater …

Loneliness And Schizotypy Are Distinct Constructs, Separate From General Psychopathology, Johanna C. Badcock, Emma Barkus, Alex S. Cohen, Romola Bucks, David R. Badcock

Faculty of Social Sciences - Papers (Archive)

Loneliness is common in youth and associated with a significantly increased risk of psychological disorders. Although loneliness is strongly associated with psychosis, its relationship with psychosis proneness is unclear. Our aim in this paper was to test the hypothesis that loneliness and schizotypal traits, conveying risk for schizophrenia spectrum disorders, are similar but separate constructs. Pooling data from two non-clinical student samples (N = 551) we modeled the structure of the relationship between loneliness and trait schizotypy. Loneliness was assessed with the University of California, Los Angeles Loneliness Scale (UCLA-3), whilst negative (Social Anhedonia) and positive (Perceptual Aberrations) schizotypal traits …

Evaluation Of A Sexually Transmissible Infections Education Program: Lessons For General Practice Learning, Jenny Reath, Penny Abbott, Ann Dadich, Hassan Hosseinzadeh, Wendy Hu, Melissa Kang, Tim Usherwood, Carolyn Murray, Chris Bourne

Faculty of Social Sciences - Papers (Archive)

Background: The New South Wales (NSW) Sexually Transmissible Infections Program Unit (STIPU) produced nine resources to support the diagnosis and management of sexually transmissible infections (STIs) in general practice. Objective: In this study, we explored the processes of developing the resources and outcomes achieved. Methods: We analysed project documents and undertook a focus group interview with the STIPU Working Group to evaluate resource development and dissemination. Interviews with general practitioners (GPs) and practice nurses (PNs), combined with previously reported survey findings, provided an outcomes evaluation. Results: STIPU used a rigorous, multimodal approach to develop evidence-based clinical resources. GPs and PNs …

A Virtual Community Of Practice For General Practice Training: A Preimplementation Survey, Stephen Barnett, Sandra C. Jones, Sue Bennett, Donald C. Iverson, Laura Robinson

Faculty of Social Sciences - Papers (Archive)

Background: Professional isolation is an important factor in low rural health workforce retention.

Objective: The aim of this study was to gain insights to inform the development of an implementation plan for a virtual community of practice (VCoP) for general practice (GP) training in regional Australia. The study also aimed to assess the applicability of the findings of an existing framework in developing this plan. This included ascertaining the main drivers of usage, or usefulness, of the VCoP for users and establishing the different priorities between user groups.

Methods: A survey study, based on the seven-step health VCoP framework, was …

General Practitioners' Experiences Of, And Responses To, Uncertainty In Prostate Cancer Screening: Insights From A Qualitative Study, Kristen Pickles, Stacy M. Carter, Lucie Rychetnik, Kirsten Mccaffery, Vikki A. Entwistle

Faculty of Social Sciences - Papers (Archive)

Background Prostate-specific antigen (PSA) testing for prostate cancer is controversial. There are unresolved tensions and disagreements amongst experts, and clinical guidelines conflict. This both reflects and generates significant uncertainty about the appropriateness of screening. Little is known about general practitioners' (GPs') perspectives and experiences in relation to PSA testing of asymptomatic men. In this paper we asked the following questions: (1) What are the primary sources of uncertainty as described by GPs in the context of PSA testing? (2) How do GPs experience and respond to different sources of uncertainty? Methods This was a qualitative study that explored general practitioners' …

Practice Nurses And Sexual Health Care: Enhancing Team Care Within General Practice, Penny Abbott, Ann Dadich, Hassan Hosseinzadeh, Melissa Kang, Wendy Hu, Chris Bourne, Carolyn Murray, Jenny Reath

Faculty of Social Sciences - Papers (Archive)

Background: Collaboration between general practitioners (GPs) and practice nurses (PNs) can enhance health care delivery. However, despite evidenced shortfalls in general practice-based sexual health care, the PN role in sexual health appears underdeveloped. Evaluation of New South Wales Sexually Transmissible Infections Programs Unit GP Project provided an opportunity to canvass views of GPs and PNs regarding PNs and sexual health care. Methods: A purposively sampled group of 10 PNs and nine GPs were interviewed. Interviews were transcribed and analysed thematically. Results: The extent and nature of PN-GP teamwork in sexual health care was variable, influenced largely by GP recognition and …

Practice Nurses And Sexual Health Care - Enhancing Team Care Within General Practice, Penny Abbott, Ann Dadich, Hassan Hosseinzadeh, Melissa Kang, Wendy Hu, Chris Bourne, Carolyn Murray, Jenny Reath

Faculty of Social Sciences - Papers (Archive)

Aims & rationale/Objectives Despite a high prevalence of sexually transmissible infections (STIs) and evidenced shortfalls in Australian general practice STI screening, practice nurse (PN) roles in sexual healthcare appear underdeveloped. The evaluation of the NSW STI Programs Unit (STIPU) GP Project provided opportunity to canvass the views of general practitioners (GPs) and PNs regarding PN roles in sexual healthcare. Methods As part of a broader evaluation of resources developed through the STIPU GP project, survey respondents were invited to participate in interviews exploring their views on how to support and increase the delivery of sexual health care in general practice. …

Promoting Sexual Healthcare Within General Practice, Ann Dadich, Hassan Hosseinzadeh, Penny Abbott, Jenny Reath, Wendy Hu, Tim Usherwood, Melissa Kang, Carolyn Murray

Faculty of Social Sciences - Papers (Archive)

Poster presented at the 2012 Primary Health Care Research Conference, 18-20 July 2012, Canberra, Australia

Enhancing Sexual Healthcare Within General Practice, Ann Dadich, Hassan Hosseinzadeh, Penny Abbott, Jenny Reath, Wendy Hu, Tim Usherwood, Melissa Kang, Carolyn Murray, K Reakes

Faculty of Social Sciences - Papers (Archive)

Poster abstract presented at IUSTI World Congress, 15-17 October 2012, Melbourne, Australia

How Feasible Are Lifestyle Modification Programs For Disease Prevention In General Practice?, Heike Schutze, Elizabeth F. Rix, Rachel A. Laws, Megan Passey, Mahnaz Fanaian, Mark F. Harris

Faculty of Social Sciences - Papers (Archive)

Vascular disease is a leading cause of death and disability. While it is preventable, little is known about the feasibility or acceptability of implementing interventions to prevent vascular disease in Australian primary health care. We conducted a cluster randomised controlled trial assessing prevention of vascular disease in patients aged 40-65 by providing a lifestyle modification program in general practice. Interviews with 13 general practices in the intervention arm of this trial examined their views on implementing the lifestyle modification program in general practice settings. Qualitative study, involving thematic analysis of semi-structured interviews with 11 general practitioners, four practice nurses and …

What's On The Menu For The 75+ Health Assessment?: An Opportunity For Nutrition Screening Of Older Patients In General Practice, A H. Hamirudin, K E. Charlton, K L. Walton, A Bonney, J. Potter, Marianna Milosavljevic, G Albert, A Hodgkins, A Dalley

Faculty of Social Sciences - Papers (Archive)

Abstract presented at the Annual Scientific Meeting of the Nutrition Society of Australia, 27-30 November 2012, Wollongong, Australia

Preschool Programs For The General Population, Edward Melhuish, Jacqueline Barnes

Faculty of Social Sciences - Papers (Archive)

There are several small-scale randomized controlled trial (RCT) studies in the United States documenting the benefits of curriculum-led experimental preschool programs and "pre-kindergarten" education for long-term educational, occupational and social outcomes for disadvantaged children. In addition a larger-scale quasi-experimental study in Chicago found similar benefits up to age 28 of sustained, publicly-funded early education to subsequent education, socio-economic status, health and crime for a disadvantaged population. Such programs are cost-effective with disadvantaged groups, at risk for poor outcomes, in that the savings outweigh any costs. Besides benefits for disadvantaged groups, there is strong evidence that preschool education, whether or not …

Evaluation Of Physical Activity Programmes For The Elderly - Exploring The Lessons From Other Sectors And Examining The General Characteristics Of The Programmes, Ana I. Marques, Pedro Soares, Luisa Soares-Miranda, Carla Moreira, Antonio Oliveira-Tavares, Paula Clara-Santos, Susana Vale, Rute Santos, Joana Carvalho

Faculty of Social Sciences - Papers (Archive)

Background

In Portugal, there are several physical activity (PA) programmes for elderly people developed by the local government. The importance of these programmes has been increasing since the evidence has shown that this type of health promotion interventions may reduce the deleterious effects of the ageing process. However, no study has already identified the general characteristics of these programmes nor if they use any scheme to assess the quality of the service provided. A widely-used scheme is the EFQM Excellence Model, which will be in the core of our present work. Thus, the main aims of this preliminary study were …

Conflicts Of Interest In Divisions Of General Practice, N Palmer, Annette J. Braunack-Mayer, Wendy Rogers, C Provis, G Cullity

Faculty of Social Sciences - Papers (Archive)

Community-based healthcare organisations manage competing, and often conflicting, priorities. These conflicts can arise from the multiple roles these organisations take up, and from the diverse range of stakeholders to whom they must be responsive. Often such conflicts may be titled conflicts of interest; however, what precisely constitutes such conflicts and what should be done about them is not always clear. Clarity about the duties owed by organisations and the roles they assume can help identify and manage some of these conflicts. Taking divisions of general practice in Australia as an example, this paper sets out to distinguish two main types …

What Makes A Good Gp? An Empirical Perspective On Virtue In General Practice, Annette J. Braunack-Mayer

Faculty of Social Sciences - Papers (Archive)

This paper takes a virtuist approach to medical ethics to explore, from an empirical angle, ideas about settled ways of living a good life. Qualitative research methods were used to analyse the ways in which a group of 15 general practitioners (GPs) articulated notions of good doctoring and the virtues in their work. I argue that the GPs, whose talk is analysed here, defined good general practice in terms of the ideals of accessibility, comprehensiveness, and continuity. They regarded these ideals significant both for the way they dealt with morally problematic situations and for how they conducted their professional lives …

What Makes A Problem An Ethical Problem? An Empirical Perspective On The Nature Of Ethical Problems In General Practice, Annette J. Braunack-Mayer

Faculty of Social Sciences - Papers (Archive)

Whilst there has been considerable debate about the fit between moral theory and moral reasoning in everyday life, the way in which moral problems are defined has rarely been questioned. This paper presents a qualitative analysis of interviews conducted with 15 general practitioners (GPs) in South Australia to argue that the way in which the bioethics literature defines an ethical dilemma captures only some of the range of lay views about the nature of ethical problems. The bioethics literature has defined ethical dilemmas in terms of conflict and choice between values, beliefs and options for action. While some of the …