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Judicial Indigenous Cross-Cultural Training: What Is Available, How Good Is It And Can It Be Improved?, Vanessa I. Cavanagh, Elena Marchetti

Faculty of Social Sciences - Papers (Archive)

Australian Indigenous focused cross-cultural professional development for the judiciary is an evolving area. In other professional service sectors, such as health and education, cultural safety is becoming the benchmark. However, for the Australian justice sector cultural awareness, and to a lesser extent cultural competency, dominate discussion, and cultural safety is only an emerging discourse. Most judicial officers (indeed most Australian public servants and legal practitioners) would be familiar with the concept of Indigenous cultural awareness as part of their standard professional development training, however, the significance of cultural competency, and the application of cultural safety principles are less well recognised. …

A Brief Proposition Toward A Sonic Geo-Politics: Rajarhat New Town, Anja M. Kanngieser

Faculty of Social Sciences - Papers (Archive)

The sounds of a place can reveal what it is made up of: the infrastructures, lines of power and governance, bodies, and ideologies of a place, and how they move in relation to one another, all make audible conditions of social, political, economic and cultural production. By listening to these relations, it is possible to get a sense of the multiple terrains that comprise such places and the atmospheres they engender (Thibaud 2011); sounds can help in understanding how place is made, unmade and remade. Through careful listening it is possible to encounter sounding as a way of "knowing," as …

Cultural Relativism, Emergent Technology And Aboriginal Health Discourse, Kishan A. Kariippanon

Faculty of Social Sciences - Papers (Archive)

The incorporation of mobile phones and social media by Indigenous youth (Senior and Chenhall, 2016; Carlson, Farelli, Frazer & Brothwick, 2015; Kral, 2014) has prompted a migration of online engagement and social marketing interventions in health promotion programs according to Brusse, Gardner, MacAulley & Dowden (2014). According to Kral (2014 p. 4) “the rapid development of new information and communication technologies, an increase in affordable, small mobile technologies” including research by Taylor (2012) on the increase in Telstra’s Internet enabled ‘Next G’ connections over the vast remote regions in the Northern Territory of Australia, has created “an explosion of new …

Too Much Medicine In Older People? Deprescribing Through Shared Decision Making, Jesse Jansen, Vasi Naganathan, Stacy M. Carter, Andrew J. Mclachlan, Brooke Nickel, Les Irwig, Carissa Bonner, Jenny Doust, Jim Colvin, Aine Heaney, Robin Turner, Kirsten Mccaffery

Faculty of Social Sciences - Papers (Archive)

Too much medicine is an increasingly recognised problem, and one manifestation is inappropriate polypharmacy in older people. Polypharmacy is usually defined as taking more than five regular prescribed medicines. It can be appropriate (when potential benefits outweigh potential harms) but increases the risk of older people experiencing adverse drug reactions, impaired physical and cognitive function, and hospital admission. There is limited evidence to inform polypharmacy in older people, especially those with multimorbidity, cognitive impairment, or frailty. Systematic reviews of medication withdrawal trials (deprescribing) show that reducing specific classes of medicines may decrease adverse events and improve quality of life. Two …

All Care, But Whose Responsibility? Community Juries Reason About Expert And Patient Responsibilities In Prostate-Specific Antigen Screening For Prostate Cancer, Chris Degeling, Stacy M. Carter, Lucie Rychetnik

Faculty of Social Sciences - Papers (Archive)

General practitioners have implicitly been given responsibility for guiding men's decisions about prostate-specific antigen-based screening for prostate cancer, but patients' expectations of the bounds of this responsibility remain unclear. We sought to explore how well-informed members of the public allocate responsibilities in prostate-specific antigen screening decision-making. In 2014, we convened two Community juries in Sydney, Australia, to address questions related to the content and timing of information provision and respective roles of patients and general practitioners in screening decisions. Participants in the first jury were of mixed gender and of all ages (n = 15); the participants in the second …

Cjcheck Stage 1: Development And Testing Of A Checklist For Reporting Community Juries - Delphi Process And Analysis Of Studies Published In 1996-2015, Rae Thomas, Rebecca Sims, Christopher J. Degeling, Jackie M. Street, Stacy M. Carter, Lucie Rychetnik, Jenny Whitty, Andrew Wilson, Paul Ward, Paul Glasziou

Faculty of Social Sciences - Papers (Archive)

Background Opportunities for community members to actively participate in policy development are increasing. Community/citizen's juries (CJs) are a deliberative democratic process aimed to illicit informed community perspectives on difficult topics. But how comprehensive these processes are reported in peer‐reviewed literature is unknown. Adequate reporting of methodology enables others to judge process quality, compare outcomes, facilitate critical reflection and potentially repeat a process. We aimed to identify important elements for reporting CJs, to develop an initial checklist and to review published health and health policy CJs to examine reporting standards. Design Using the literature and expertise from CJ researchers and policy …

A Definition And Ethical Evaluation Of Overdiagnosis, Stacy M. Carter, Christopher J. Degeling, Jenny Doust, Alexandra Barratt

Faculty of Social Sciences - Papers (Archive)

Overdiagnosis is an emerging problem in health policy and practice: we address its definition and ethical implications. We argue that the definition of overdiagnosis should be expressed at the level of populations. Consider a condition prevalent in a population, customarily labelled with diagnosis A. We propose that overdiagnosis is occurring in respect of that condition in that population when (1) the condition is being identified and labelled with diagnosis A in that population (consequent interventions may also be offered); (2) this identification and labelling would be accepted as correct in a relevant professional community; but (3) the resulting label and/or …

Targeting Population Nutrition Through Municipal Health And Food Policy: Implications Of New York City's Experiences In Regulatory Obesity Prevention, Jana Sisnowski, Jackie M. Street, Annette J. Braunack-Mayer

Faculty of Social Sciences - Papers (Archive)

Obesity remains a major public health challenge across OECD countries and policy-makers globally require successful policy precedents. This paper analyzes New York City’s innovative experiences in regulatory approaches to nutrition. We combined a systematic documentary review and key informant interviews (n = 9) with individuals directly involved in nutrition policy development and decision-making. Thematic analysis was guided by Kingdon’s three-streams-model and the International Obesity Task Force’s evidence-based decision-making framework. Our findings indicate that decisive mayoral leadership spearheaded initial agenda-change and built executive capacity to support evidence-driven policy. Policy-makers in the executive branch recognized the dearth of evidence for concrete …

Why Is Pain Still Under-Treated In The Emergency Department? Two New Hypotheses, Drew Carter, Paul Sendzuik, Jaklin Eliott, Annette J. Braunack-Mayer

Faculty of Social Sciences - Papers (Archive)

Across the world, pain is under‐treated in emergency departments (EDs). We canvass the literature testifying to this problem, the reasons why this problem is so important, and then some of the main hypotheses that have been advanced in explanation of the problem. We then argue for the plausibility of two new hypotheses: pain's under‐treatment in the ED is due partly to (1) an epistemic preference for signs over symptoms on the part of some practitioners, and (2) some ED practices that themselves worsen pain by increasing patients' anxiety and fear. Our argument includes the following logic. Some ED practitioners depart …

The Cat's Cradle Of Responsibility: Assigning And Taking Responsibility For Companion Animals In Natural Disasters, Cheryl Travers, Christopher J. Degeling, Melanie Rock

Faculty of Social Sciences - Papers (Archive)

Responsibility is often regarded as a unified concept. However in everyday language, the term refers to a cat's cradle of related ideas and perceptions. Although there might be consensus that individuals should be ultimately responsible for their own animals during crises, individuals and groups may disagree about the norms and obligations we ought to adopt and what we owe to animals that are dependent on our care. A coherent account of responsibility for companion animals, or pets, in disasters is yet to be articulated. At the same time, there is good evidence showing that individuals and communities cope better during …

Perspectives On A 'Sit Less, Move More' Intervention In Australian Emergency Call Centres, Josephine Chau, Lina Engelen, Sarah Burks-Young, Michelle Daley, Jen-Kui Maxwell, Karen Milton, Adrian E. Bauman

Faculty of Social Sciences - Papers (Archive)

Background: Prolonged sitting is associated with increased risk of chronic diseases. Workplace programs that aim to reduce sitting time (sit less) and increase physical activity (move more) have targeted desk-based workers in corporate and university settings with promising results. However, little is known about 'move more, sit less' programs for workers in other types of jobs and industries, such as shift workers. This formative research examines the perceptions of a 'sit less, move more' program in an Australian Emergency Call Centre that operates 24 hours per day, 7 days per week. Methods: Participants were employees (N = 39, 72% female, …

Creating Culturally Relevant Approaches To Social Work Across Oceania, Jioji Ravulo

Faculty of Social Sciences - Papers (Archive)

As guest editor, I've been greatly encouraged by the shared vision to support the evolving professionalism of social work, alongside the need to promote inclusive discourses characterised by cultural differences across Oceania.

Pacific Islands Field Education - Promoting Pacific Social Work Education & Practice Across Oceania, Jioji Ravulo

Faculty of Social Sciences - Papers (Archive)

The Pacific Islands Field Education (PIFE) initiative started in 2012 and has developed into an innovative project combining various stakeholders. Over the last 4 years, it has seen 20 Western Sydney University (WSU) students successfully complete a 3-month field education placement in either Fiji, Samoa or Tonga; in an array of agencies working with women, children, families and adult offenders. Apart from mobilising students to undertake international learning opportunities, the initiative strives to support the development of social work education, teaching and learning outcomes with the University of the South Pacific (USP); who has an active MOU arrangement with Western …

Colorectal Cancer Screening: Barriers To The Faecal Occult Blood Test (Fobt) And Colonoscopy In Singapore, Sook Kwin Yong, Whee Sze Ong, Gerald Choon Huat Koh, Richard Ming Chert Yeo, Tam C. Ha

Faculty of Social Sciences - Papers (Archive)

Introduction: This study aims to identify the barriers to adopting faecal occult blood test (FOBT) and colonoscopy as colorectal cancer (CRC) screening methods among the eligible target population of Singapore. Materials and methods: This study was previously part of a randomised controlled trial reported elsewhere. Data was collected from Singapore residents aged 50 and above, via a household sample survey. The study recruited subjects who were aware of CRC screening methods, and interviewed them about the barriers to screening that they faced. Collected results on barriers to each screening method were analysed separately. Results: Out of the 343 subjects, 85 …

Visual Evidence From Above: Assessing The Value Of Earth Observation Satellites For Supporting Human Rights, Tanya Notley, Camellia B. Webb-Gannon

Faculty of Social Sciences - Papers (Archive)

Public access to data collected by remote sensing Earth Observation Satellites has, until recently, been very limited. Now, citizens and rights advocacy groups are increasingly utilising satellite-collected images to interrogate justice issues; to document, prevent and verify rights abuses; and to imagine and propose social change. Yet while other communication technologies have received substantial critical analysis regarding their value as tools of social justice, activism and resistance, satellites have received comparatively scant attention. This article examines the uses of satellite-collected images in human rights contexts including the opportunities, challenges and risks they pose. We conclude this examination by arguing that …

The Aboriginal Riverkeeper Team Project - Building Indigenous Knowledge And Skills To Improve Urban Waterways In Sydney's Georges River Catchment, Vanessa I. Cavanagh

Faculty of Social Sciences - Papers (Archive)

Indigenous Ranger programs, which are predominantly located in regional and remote areas, are commendable for their jobs creation, for strengthening of livelihoods of individuals and communities, and for the cultural and environmental outcomes they engender. However, can similar outcomes be attained in a highly urban setting? This paper is a case study of a current project, the Aboriginal Riverkeeper Team in the Georges River in Sydney's south-west. Through the narrative of the Aboriginal trainees who have been members of the Aboriginal Riverkeeper Team ('the Team'), this paper will illustrate how an environmental project has been successful in delivering significant cultural …

Involving Patients In Health Technology Funding Decisions: Stakeholder Perspectives On Processes Used In Australia, Edilene Lopes, Jacqueline M. Street, Drew Carter, Tracy Merlin

Faculty of Social Sciences - Papers (Archive)

Background: Governments use a variety of processes to incorporate public perspectives into policymaking, but few studies have evaluated these processes from participants' point of view. Objective: The objective of this study was twofold: to understand the perspectives of selected stakeholders with regard to involvement processes used by Australian Advisory Committees to engage the public and patients; and to identify barriers and facilitators to participation. Design: Twelve semi-structured interviews were conducted with representatives of different stakeholder groups involved in health technology funding decisions in Australia. Data were collected and analysed using a theoretical framework created by Rowe and Frewer, but adapted …

Alprazolam Use And Related Harm Among Opioid Substitution Treatment Clients - 12 Months Follow Up After Regulatory Rescheduling, Rachel M. Deacon, Suzanne Nielsen, Stefanie Leung, Gonzalo Rivas, Tim Cubitt, Lauren A. Monds, Nadine Ezard, Briony K. Larance, Nicholas Lintzeris

Faculty of Social Sciences - Papers (Archive)

Background Alprazolam, has been associated with disproportionate harms compared to other benzodiazepines, especially among people in opioid substitution treatment (OST). We examine the effect of the rescheduling of alprazolam in Australia, from Schedule 4 to Schedule 8 in February 2014 amongst a high-risk population of clients in OST. Methods OST participants who reported recent (last month) alprazolam use were recruited from three Sydney clinics. Participants (n = 57) were interviewed immediately prior to rescheduling and again three months and 12 months after rescheduling. We examined self-reported patterns of drug use, drug availability, mental and physical health. A linear mixed models …

Opioid Agonist Treatment For Pharmaceutical Opioid Dependent People (Review), Suzanne Nielsen, Briony K. Larance, Louisa Degenhardt, Linda Gowing, Chyanne Kehler, Nicholas Lintzeris

Faculty of Social Sciences - Papers (Archive)

Background There are increasing concerns regarding pharmaceutical opioid harms including overdose and dependence, with an associated increase in treatment demand. People dependent on pharmaceutical opioids appear to differ in important ways from people who use heroin, yet most opioid agonist treatment research has been conducted in people who use heroin. Objectives To assess the effects of maintenance agonist pharmacotherapy for the treatment of pharmaceutical opioid dependence. Search methods The search included the Cochrane Drugs and Alcohol Group's Specialised Register of Trials; the Cochrane Central Register of Controlled Trials (CENTRAL, 2015, Issue 5); PubMed (January 1966 to May 2015); EMBASE (Ovid) …

A Typology Of Predictive Risk Factors For Non-Adherent Medication-Related Behaviors Among Chronic Non-Cancer Pain Patients Prescribed Opioids: A Cohort Study, Amy Peacock, Louisa Degenhardt, Gabrielle Campbell, Briony K. Larance, Suzanne Nielsen, Wayne Hall, Richard P. Mattick, Raimondo Bruno

Faculty of Social Sciences - Papers (Archive)

BACKGROUND: There has been no previous prospective examination of the homogeneity of chronic non-cancer pain (CNCP) patients in risk factors for non-adherent opioid use. OBJECTIVES: To identify whether latent risk classes exist among people with CNCP that predict non-adherence with prescribed opioids. STUDY DESIGN: Prospective cohort study. METHODS: The Pain and Opioids IN Treatment prospective cohort comprises 1,514 people in Australia prescribed pharmaceutical opioids for CNCP interviewed 3 months apart. Risk factors were assessed in wave 1, and non-adherent behaviors in the 3 months prior to wave 1 and wave 2. Latent class analysis was used to examine groups with …

Garden-Related Environmental Behavior And Weed Management: An Australian Case Study, Ren Hu, Nicholas J. Gill

Faculty of Social Sciences - Papers (Archive)

This study aims to identify the key drivers of two garden-related environmental behaviors (GEBs): plant choice and bush-friendly behavior. This is important for biodiversity conservation threatened by weed invasion from domestic gardens. The effects of self-control, time pressure, and knowledge of weed-control initiatives were examined. A mail survey was sent to suburban residents living adjacent to native bushland in Wollongong, New South Wales. Regression analysis and structural equation modeling (SEM) were used. The path models for SEM were based on the theory of reasoned action. The results indicate that attitude, perceived harm, and knowledge of weed-control initiatives exert an effect …

Protocol For A Systematic Review Of Evaluation Research For Adults Who Have Participated In The 'Smart Recovery' Mutual Support Programme, Alison K. Beck, Amanda Baker, Peter James Kelly, Frank P. Deane, Anthony Shakeshaft, David Hunt, Erin Forbes, John F. Kelly

Faculty of Social Sciences - Papers (Archive)

Introduction Self-Management and Recovery Training (SMART Recovery) offers an alternative to predominant 12-step approaches to mutual aid (eg, alcoholics anonymous). Although the principles (eg, self-efficacy) and therapeutic approaches (eg, motivational interviewing and cognitive behavioural therapy) of SMART Recovery are evidence based, further clarity regarding the direct evidence of its effectiveness as a mutual aid package is needed. Relative to methodologically rigorous reviews supporting the efficacy of 12-step approaches, to date, reviews of SMART Recovery have been descriptive. We aim to address this gap by providing a comprehensive overview of the evidence for SMART Recovery in adults with problematic alcohol, substance …

The Role Of Personalised Choice In Decision Support: A Randomized Controlled Trial Of An Online Decision Aid For Prostate Cancer Screening, Glenn P. Salkeld, Michelle Cunich, Jack Dowie, Kirsten Howard, Manish I. Patel, Graham Mann, Wendy Lipworth

Faculty of Social Sciences - Papers (Archive)

Importance Decision support tools can assist people to apply population-based evidence on benefits and harms to individual health decisions. A key question is whether "personalising" choice within decisions aids leads to better decision quality. Objective To assess the effect of personalising the content of a decision aid for prostate cancer screening using the Prostate Specific Antigen (PSA) test. Design Randomized controlled trial. Setting Australia. Participants 1,970 men aged 40-69 years were approached to participate in the trial. Intervention 1,447 men were randomly allocated to either a standard decision aid with a fixed set of five attributes or a personalised decision …

A Nutrient Profiling Assessment Of Packaged Foods Using Two Star-Based Front-Of-Pack Labels, Amy Carrad, Jimmy Chun Yu Louie, Heather Yeatman, Elizabeth K. Dunford, Bruce Neal, Victoria M. Flood

Faculty of Social Sciences - Papers (Archive)

Objective: To compare two front-of-pack nutrition labelling systems for the assessment of packaged foods and drinks with Australian Dietary Guidelines. Design: A cross-sectional nutrient profiling assessment. Food and drink products (n 20 225) were categorised into scoring levels using criteria for the Institute of Medicine (IOM) three-star system and the five-star Australian Health Star Rating (HSR). The effectiveness of these systems to categorise foods in accordance with Australian Dietary Guidelines was explored. Setting: The study was conducted in Australia, using a comprehensive food database. Subjects: Packaged food and drink products (n 20 225) available in Australia. Results: Using the IOM …

Length Of Stay As A Predictor Of Reliable Change In Psychological Recovery And Well Being Following Residential Substance Abuse Treatment, Brie Turner, Frank P. Deane

Faculty of Social Sciences - Papers (Archive)

Purpose Longer length of stay (LOS) in residential drug and alcohol treatment has been associated with more favourable outcomes, but the optimal duration has yet to be determined for reliable change indices. Optimal durations are likely a function of participant and problem characteristics. The current study aims to determine whether LOS in a residential therapeutic drug and alcohol treatment community independently predicts reliable change across a range of psychological recovery and well being measures.. Design/methodology/approach Three hundred and eighty clients from Australian Salvation Army residential drug and alcohol treatment facilities were assessed at intake and three months post-discharge using the …

Gesturing During Mental Problem Solving Reduces Eye Movements, Especially For Individuals With Lower Visual Working Memory Capacity, Wim T. Pouw, Myrto F. Mavilidi, Tamara Van Gog, Fred Paas

Faculty of Social Sciences - Papers (Archive)

Non-communicative hand gestures have been found to benefit problem-solving performance. These gestures seem to compensate for limited internal cognitive capacities, such as visual working memory capacity. Yet, it is not clear how gestures might perform this cognitive function. One hypothesis is that gesturing is a means to spatially index mental simulations, thereby reducing the need for visually projecting the mental simulation onto the visual presentation of the task. If that hypothesis is correct, less eye movements should be made when participants gesture during problem solving than when they do not gesture. We therefore used mobile eye tracking to investigate the …

Dynamic Facial Expressions Are Processed Holistically, But Not More Holistically Than Static Facial Expressions, Alanna Tobin, Simone K. Favelle, Romina Palermo

Faculty of Social Sciences - Papers (Archive)

There is evidence that facial expressions are perceived holistically and featurally. The composite task is a direct measure of holistic processing (although the absence of a composite effect implies the use of other types of processing). Most composite task studies have used static images, despite the fact that movement is an important aspect of facial expressions and there is some evidence that movement may facilitate recognition. We created static and dynamic composites, in which emotions were reliably identified from each half of the face. The magnitude of the composite effect was similar for static and dynamic expressions identified from the …

An Integrated Model Of Staff Education And Service Support To Strengthen The Efficacy Of Technology-Based Crisis Services, Taneile Kitchingman, Peter Caputi, Ian G. Wilson, Alan Woodward

Faculty of Social Sciences - Papers (Archive)

Paper presented at the National Suicide Prevention Conference, 24-27 July 2016, Canberra, Australia.

Within Australia, non-clinical telephone and online crisis support services provide readily accessible support without the requirement of referral. Research shows that up to one third of callers to crisis lines and half of all visitors to crisis chat services may be suicidal at the time of contact. Research also shows that contact with these services reduces caller suicidality and facilitates engagement with necessary intervention. The number of contacts to crisis support services in Australia is increasing. An increase in contacts to technology-based crisis services highlights the need …

Navigating The Knowledge Sets Of Older Learners: Exploring The Concept Of Experiential Capital Amongst First-In-Family Mature Age Students, Sarah Elizabeth O'Shea

Faculty of Social Sciences - Papers (Archive)

This paper is based upon research with university students who were first in their family to come to university. The studies sought to explore how attending university impacted upon both the learners and their families, particularly the intergenerational implications of this attendance. Drawing on in-depth interviews conducted with older university students, this paper will focus on how this mature cohort articulated the ways in which they drew upon life and work experiences in their transition to university. The research indicates that these learners had access to additional capitals in the higher education environment including what has been termed as 'experiential …

Children Talking About Writing: Investigating Metalinguistic Understanding, Honglin Chen, Debra Myhill

Faculty of Social Sciences - Papers (Archive)

Much of the literature on explicit teaching about language has suggested that equipping students with metalinguistic knowledge is as an important means of enhancing students' participation in learning. Yet in the context of international jurisdictions which are placing a renewed emphasis on knowledge about language, there is a notable lack of research into the nature of learners' metalinguistic understanding about writing, as evident in their ability to reflect on written language. Using an analytical framework shaped by Vygotsky's and Hallidayan theories of concept formation and language learning, this paper provides insights into the nature of metalinguistic understanding as manifested in …