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Public Health Ethics: Informing Better Public Health Practice, Stacy M. Carter, Ian Kerridge, Peter Sainsbury, Julie K. Letts

Faculty of Social Sciences - Papers (Archive)

Public health ethics has emerged and grown as an independent discipline over the last decade. It involves using ethical theory and empirical analyses to determine and justify the right thing to do in public health. In this paper, we distinguish public health ethics from clinical ethics, research ethics, public health law and politics. We then discuss issues in public health ethics including: how to weigh up the benefits, harms and costs of intervening; how to ensure that public health interventions produce fair outcomes; the potential for public health to undermine or promote the rights of citizens; and the significance of …

The Ethical Commitments Of Health Promotion Practitioners: An Empirical Study From New South Wales, Australia, Stacy M. Carter, Christiane Klinner, Ian Kerridge, Lucie Rychetnik, Vincy Li, Denise Fry

Faculty of Social Sciences - Papers (Archive)

In this article, we provide a description of the good in health promotion based on an empirical study of health promotion practices in New South Wales, the most populous state in Australia. We found that practitioners were unified by a vision of the good in health promotion that had substantive and procedural dimensions. Substantively, the good in health promotion was teleological: it inhered in meliorism, an intention to promote health, which was understood holistically and situated in places and environments, a commitment to primary rather than secondary prevention and engagement with communities more than individuals. Procedurally, the good in health …

Editorial - What Is Health Promotion Ethics?, Stacy M. Carter

Faculty of Social Sciences - Papers (Archive)

What does it mean to think about the ethics of health promotion? When most of us think 'ethics' we think of the Human Research Ethics Committee applications required for research projects. But I'm thinking of something quite different here: the ethics of health promotion practice. Health promotion ethics is an attempt to answer questions such as: Can we provide a moral justification for what we are doing in health promotion? or What is the right thing to do in health promotion, and how can we tell? As other authors have argued, sometimes these questions are ignored in health promotion in …

Routine Outcome Monitoring And Feedback On Physical Or Mental Health Status: Evidence And Theory, Ingrid V. Carlier, Denise Meuldijk, Irene M. Van Vliet, Esther M. Van Fenema, Nic J. Van Der Wee, Frans G. Zitman

Faculty of Social Sciences - Papers (Archive)

Objectives: Routine Outcome Monitoring (ROM) is an important quality tool for measuring outcome of treatment in health care. The objective of this article is to summarize the evidence base that supports the provision of feedback on ROM results to (mental) health care professionals and patients. Also, some relevant theoretical aspects are considered. Methods: Literature study (Pubmed, Medline, PsychINFO, Embase Psychiatry, 1975-2009) concerning randomized controlled trials (RTC's) of ROM and feedback on physical or mental health status of patients of all ages. Main search terms were routine outcome monitoring/measurement, feedback, health status measurement, patient reported outcome measures. Results: Included were 52 …

Participant Experiences From Chronic Administration Of A Multivitamin Versus Placebo On Subjective Health And Wellbeing: A Double-Blind Qualitative Analysis Of A Randomised Controlled Trial, Jerome Sarris, Katherine H M Cox, David A. Camfield, Andrew Scholey, Con Stough, Erin Fogg, Marni Kras, David J. White, Avni Sali, Andrew Pipingas

Faculty of Social Sciences - Papers (Archive)

Background While many randomised controlled trials have been conducted on multivitamins, to our knowledge no qualitative research exploring the subjective experience of taking a multivitamin during a clinical trial has been reported. Methods Semi-structured and open-ended written questions were incorporated into a 16-week double-blind, randomised, placebo-controlled, parallel groups trial of once-daily multivitamin administration. At the final study visit (week 16), three open-ended questions were posed to elucidate any positive, negative or unusual experiences from taking either the multivitamin or matched placebo. Qualitative thematic analysis was undertaken by researchers who were blind as to treatment condition of participants, and triangulation (independent …

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

The Health And Development Of Children Born To Older Mothers In The United Kingdom: Observational Study Using Longitudinal Cohort Data, Alastair G. Sutcliffe, Jacqueline Barnes, Jay Belsky, Julian Gardiner, Edward Melhuish

Faculty of Social Sciences - Papers (Archive)

Objective To assess relations between children's health and development and maternal age. Design Observational study of longitudinal cohorts. Setting Millennium Cohort Study (a random sample of UK children) and the National Evaluation of Sure Start study (a random sample of children in deprived areas in England), 2001 to 2007. Participants 31 257 children at age 9 months, 24 781 children at age 3 years, and 22 504 at age 5 years. Main outcome measures Childhood unintentional injuries and hospital admissions (aged 9 months, 3 years, and 5 years), immunisations (aged 9 months and 3 years), body mass index, language development, …

Using Health Risk Assessments To Target And Tailor: An Innovative Social Marketing Program In Aged Care Facilities., Sandra C. Jones, Keryn M. Johnson, Lyn Phillipson, Danika Hall, Laura Robinson, Andrew D. Bonney, Joanne Telenta

Faculty of Social Sciences - Papers (Archive)

The number of Australians over the age of 65 years is expected to double by 2021. Many older Australians suffer from one or more chronic diseases - including cancer, coronary heart disease, respiratory diseases (AIHW, 2009) resulting in increased morbidity and mortality, lower quality of life and a higher need for health care (Hickey and Stilwell, 1991). There is increasing evidence that the adoption of healthy lifestyles can have significant benefits even into older age (Haveman-Nies et al, 2002). This project utilized a social marketing framework to support aged residents of retirement homes to adopt healthy lifestyle behaviours to improve …

Frequency Of Smoking Cessation Interventions From Health Care Providers In Minnesota, Megan N. Whittet, Raymond G. Boyle, Jeong Kyu Lee, Ann W.St Claire, Joanne D'Silva, Peter Rode, Ann M. Kinney

Faculty of Social Sciences - Papers (Archive)

Objective: There is strong evidence supporting the impact of health care provider advice on patients' smoking behavior. This paper examines adult smoker reports of health care provider smoking cessation interventions. Design: The 2010 Minnesota Adult Tobacco Survey (MATS) is a random digit dial telephone survey with 7057 Minnesota adults. Both landline and mobile telephone samples were included. These samples were combined and weighted to represent the population of adults in Minnesota. Results: Among adult Minnesotans, 16.1% were current smokers, 80.9% reported seeing a health care provider in the past 12 months and 80.2% of those adults were asked if they …

How To Think About Health Promotion Ethics, Stacy M. Carter, Alan Cribb, John P. Allegrante

Faculty of Social Sciences - Papers (Archive)

Health promotion ethics is moral deliberation about health promotion and its practice. Although academics and practitioners have been writing about ethics, and especially values, in health promotion for decades, health promotion ethics is now regaining attention within the broader literature on public health ethics. Health promotion is difficult to define, and this has implications for health promotion ethics. Health promotion can be approached in two complementary ways: as a normative ideal, and as a practice. We consider the normative ideal of health promotion to be that aspect of public health practice that is particularly concerned with the equity of social …

The Astute Health Study Protocol: Deliberative Stakeholder Engagements To Inform Implementation Approaches To Healthcare Disinvestment, Amber M. Watt, Janet E. Hiller, Annette J. Braunack-Mayer, John R. Moss, Heather Buchan, Janet Wale, Dagmara E. Riitano, Katherine Hodgetts, Jackie M. Street, Adam Elshaug

Faculty of Social Sciences - Papers (Archive)

Background

Governments and other payers are yet to determine optimal processes by which to review the safety, effectiveness, and cost-effectiveness of technologies and procedures that are in active use within health systems, and rescind funding (partially or fully) from those that display poor profiles against these parameters. To further progress a disinvestment agenda, a model is required to support payers in implementing disinvestment in a transparent manner that may withstand challenge from vested interests and concerned citizens. Combining approaches from health technology assessment and deliberative democratic theory, this project seeks to determine if and how wide stakeholder engagement can contribute …

Sports Sponsorship And Kids' Health: Who Are The Real Winners?, Rona Macniven, Bridget Kelly

Faculty of Social Sciences - Papers (Archive)

Over the weekend, Australian children and their parents witnessed some of the country's finest sportsmen display feats of strength, skill and endurance in the Australian Football League (AFL) and National Rugby League (NRL) grand finals. I'm sure many young people would have been inspired to emulate the actions and successes of their heroes.

What spectators and viewers would also have seen was the paradoxical promotion of Carlton breweries and McDonalds in commercial advertisements during the games. The websites of the NRL, AFL reveal a similar picture of sponsorship and marketing by unhealthy food and drink companies such as Coca-Cola and …

Peer Support In A Mental Health Service Context, Lindsay G. Oades, Frank P. Deane, Julie Anderson

Faculty of Social Sciences - Papers (Archive)

This chapter will first summarise the range of definitions that have been provided for peer support, in a mental health context. Clarifications of the different aims of peer support initiatives aud the potential psychological processes that underpin them are then provided. Three key forms that peer support groups may take are then described and we track Sam as he experiences peer support in the context of job seeking. A summary of existing empirical evidence for peer support groups is provided before examining some of the necessary tensions that may exist between the alternative views of those coming from inside the …