Medicine and Health Sciences Commons^™

Using Interviews And Peer Pairs To Better Understand How School Environments Affect Young Children's Playground Physical Activity Levels: A Qualitative Study, Anne-Maree Parrish, Heather Yeatman, Donald Iverson, Ken Russell

Faculty of Health and Behavioural Sciences - Papers (Archive)

School break times provide a daily opportunity for children to be active; however, research indicates this time is underutilized. Reasons for low children’s playground activity levels have primarily focused on physical barriers. This research aimed to contribute to physical environmental findings affecting children’s playground physical activity levels by identifying additional variables through the interview process. Thirteen public schools were included in the sample (total 2946 children). Physical activity and environmental data were collected over 3 days. Environmental variables were manually assessed at each of the 13 schools. Observational data were used to determine which three schools were the most and …

Circumventing The Who Code? An Observational Study, Nina J. Berry, Sandra C. Jones, Donald C. Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background This study compares the formula milk advertisements that appeared in parenting magazines published in two countries that have enacted measures to restrict the advertising of infant formula products in response to the international code with two that have not. Methods Content analysis was used to compare the type and frequency of formula milk advertisements that appeared in parenting magazines collected from the USA, Canada, the UK and Australia during 2007, and to examine whether there was a relationship between these frequencies and advertising regulations. Findings Advertisements that promoted formula products or brands occurred in all of the magazines sampled …

Healthy Beginnings Trial Phase 2 Study: Follow-Up And Cost-Effectiveness Analysis, Li Ming Wen, Louise A. Baur, Chris Rissel, Vicki Flood, Judy M. Simpson, Alison Hayes, Louise L. Hardy, Karen Wardle

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background: In 2007, we commenced the Healthy Beginnings Trial (HBT) Phase 1 study, which is the first randomised controlled trial (RCT) to test the effectiveness of an early childhood obesity intervention in children aged up to 2 years. The results were promising with significant improvements in infant feeding practices and a lower mean body mass index (BMI). The aims of this proposed Phase 2 study are to determine if the early intervention will lead to a lower mean BMI, lower screen time, improved dietary behaviours and demonstrated costeffectiveness of the intervention, in children aged 3½ and 5 years. Methods/design: In …

The Effect Of Dairy Consumption On Blood Pressure In Mid-Childhood: Caps Cohort Study, A M. Rangan, V L. Flood, G Denyer, J G. Ayer, K L. Webb, G B. Marks, D S. Celermajer, Tim Gill

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background/objectives: It has been postulated that higher dairy consumption may affect blood pressure regulation. The aim of this study was to examine the association between dairy consumption and blood pressure in mid-childhood. Methods: Subjects (n=335) were participants of a birth cohort at high risk of asthma withinformation on diet at 18 months and blood pressure at 8 years. Multivariate analyses were used to assess the association of dairy consumption (serves) and micronutrient intakes (mg) at 18 m with blood pressure at 8 y. In a subgroup of children (n=201), dietary intake was measured at age 18 m and 9 y …

Why (Not) Alcohol Energy Drinks? A Qualitative Study With Australian University Students, Sandra C. Jones, Lance R. Barrie, Nina J. Berry

Faculty of Health and Behavioural Sciences - Papers (Archive)

Introduction and Aims. Alcohol energy drinks (AEDs) are a recent entry to the ready-to-drink market, but there is an absence of research into the reasons young people consume these products and their consumption-related experiences.The aim of the current study was to investigate university students’ perceptions of, and experiences with, pre-mixed AEDs.

Design and Methods. Four focus groups with undergraduate university students in a large regional city in New South Wales; with transcripts coded for key themes.

Results.Participants reported a number of benefits of AED consumption,many of which were similar to other ready-to-drinks, such as taste and image. However, the primary …

Translation Of Tobacco Policy Into Practice In Disadvantaged And Marginalized Subpopulations: A Study Of Challenges And Opportunities In Remote Australian Indigenous Communities, Jan A. Robertson, Katherine M. Conigrave, Rowena Ivers, Kim Usher, Alan R. Clough

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background: In Australia generally, smoking prevalence more than halved after 1980 and recently commenced to decline among Australia's disadvantaged Indigenous peoples. However, in some remote Indigenous Australian communities in the Northern Territory (NT), extremely high rates of up to 83% have not changed over the past 25 years. The World Health Organisation has called for public health and political leadership to address a global tobacco epidemic. For Indigenous Australians, unprecedented policies aim to overcome disadvantage and close the 'health gap' with reducing tobacco use the top priority. This study identifies challenges and opportunities to implementing these important new tobacco initiatives …

Study Protocol For A Randomized Controlled Trial Of Humor Therapy In Residential Care: The Sydney Multisite Intervention Of Laughterbosses And Elderclowns (Smile), Belinda Goodenough, Lee-Fay Low, Anne-Nicole Casey, Lynn Chenoweth, Richard Fleming, Peter Spitzer, Jean-Paul Bell, Henry Brodaty

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background: Humor therapy is a non-pharmacological intervention with potential to improve mood and quality of life for institutionalized older persons, including those with dementia. The primary aims of the Sydney Multisite Intervention of LaughterBosses and ElderClowns (SMILE) are to examine the effects of humor therapy on residents' mood, quality of life, social engagement, and agitation. Methods: SMILE is a single-blinded cluster-randomized controlled trial where 398 consented residents in 35 residential aged care facilities will be allocated to receive humor therapy or usual care. Residents allocated to the intervention group will engage in humor therapy with professional performers (ElderClowns) and trained …

Study Protocol: A Randomized Controlled Trial Of A Computer-Based Depression And Substance Abuse Intervention For People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Frances Kay-Lambkin, Amanda Baker, Frank P. Deane, Adam C. Brooks, Alexandra Mitchell, Sarah Marshall, Meredith Whittington, Genevieve A. Dingle

Faculty of Health and Behavioural Sciences - Papers (Archive)

"Background: A large proportion of people attending residential alcohol and other substance abuse treatment have a co-occurring mental illness. Empirical evidence suggests that it is important to treat both the substance abuse problem and co-occurring mental illness concurrently and in an integrated fashion. However, the majority of residential alcohol and other substance abuse services do not address mental illness in a systematic way. It is likely that computer delivered interventions could improve the ability of substance abuse services to address co-occurring mental illness. This protocol describes a study in which we will assess the effectiveness of adding a computer delivered …

Consumers' Salient Beliefs Regarding Dairy Products In The Functional Food Era: A Qualitative Study Using Concepts From The Theory Of Planned Behaviour, Deborah Nolan, Elizabeth Neale, Yasmine Probst, Karen E. Charlton, Linda C. Tapsell

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background Inadequate consumption of dairy products without appropriate dietary substitution may have deleterious health consequences. Social research reveals the factors that may impede compliance with dietary recommendations. This is particularly important given the recent introduction of functional dairy products. One of the challenges for public health professionals is to demonstrate the efficacy of nutrition education in improving attitudes toward nutrient rich foods. The aim of this study was to explore the salient beliefs of adult weight loss trial participants regarding both traditional and functional dairy products and to compare these with a control group not exposed to nutrition education Methods …

Using The Theory Of Planned Behavior And Barriers To Treatment To Predict Intention To Enter Further Treatment Following Residential Drug And Alcohol Detoxification: A Pilot Study, Peter J. Kelly, Frank P. Deane, Zoe Mccarthy, Trevor P. Crowe

Faculty of Health and Behavioural Sciences - Papers (Archive)

There has been limited research examining the impact of clients’ behavioural beliefs on whether they intend to access further treatment following residential drug and alcohol detoxification. Treatment post-detoxification is generally recommended to reduce relapse and for more sustained positive outcomes. The present pilot study examined the extent to which (1) primary components of the Theory of Planned Behaviour (TPB), (2) perceived barriers to accessing treatment and (3) the participants’ previous involvement in substance abuse treatment predicted intentions to enter further treatment following residential detoxification. One hundred and sixty eight participants accessing Salvation Army detoxification units in Australia completed a survey …

Cognitive Ability, Right-Wing Authoritarianism, And Social Dominance Orientation: A Five-Year Longitudinal Study Amongst Adolescents, Patrick C. L. Heaven, Joseph Ciarrochi, Peter Leeson

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.

Case Study In Academic And Industry Collaboration: The Development Of An Adolescent Targeted Sun Protection Intervention In Nsw, Melinda Williams, Sandra Jones, Donald Iverson, Peter Caputi, Sofia Potente

Faculty of Health and Behavioural Sciences - Papers (Archive)

Academic and industry collaboration is increasingly identified as a critical element in the future health of Australians through linking theory and practice, with the major priority for academic institutions being the identification of new knowledge and the transfer of this knowledge into changes in policy and health services. Collaborations between academia and industry are increasingly encouraged in Australia by research funding schemes such as ARCLinkage and, more recently, NHMRC Partnerships. While a recent US study suggests that such schemes have a moderate effect on academics’ propensity to work with industry (Bozeman and Gaughan, 2007), industry groups have recognised the value …

When Does Alcohol Sponsorship Of Sport Become Sports Sponsorship Of Alcohol? A Case Study Of Developments In Sport In Australia, Sandra C. Jones

Faculty of Health and Behavioural Sciences - Papers (Archive)

Alcohol sponsorship of sport is common in Australia, with much debate about the appropriateness of linking sport with alcohol advertising and promotion. This paper provides examples of such sponsorships to appreciate the extent and nature of complex relationship between sport and alcohol sponsors. The public health and policy implications of alcohol sponsorship of sport extending to creating a sporting competition purely to promote an alcohol brand are considered.

Older Patients' Attitudes To General Practice Registrars: A Qualitative Study, Andrew D. Bonney, Lyn Phillipson, Sandra C. Jones, Donald Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background Research suggests that older patients may be reluctant to engage general practice registrars (GPRs) in their care. The authors undertook a qualitative study of the attitudes of older patients to GPRs to investigate this issue. Method Thirty-eight patients aged 60 years and over from three training practices participated in semistructured telephone interviews, which explored patients responses to GPRs. The interviews were recorded, transcribed and analysed using a template analysis approach. Results Analysis of the interviews produced five major themes concerning patient attitudes to GPRs: desire for continuity, desire for access, openness, trust and a desire for meaningful communication. Discussion …

Decreased Density Of Serotonin 2a Receptors In The Superior Temporal Gyrus In Schizophrenia - A Postmortem Study, Xu-Feng Huang, Chao Deng, Qing Wang, Kai Kang

Faculty of Health and Behavioural Sciences - Papers (Archive)

The superior temporal gyrus (STG) is strongly implicated in the pathophysiology of schizophrenia,particularly with regards to auditory hallucinations. In this study, using in situ quantitative autoradiography in postmortem tissue, we investigated the binding of the [3H]ketanserin to 5-HT2A receptors and [3H] mesulergine to 5-HT2C receptors in the left STG of 8 male schizophrenic patients compared to 8 control subjects. A strong [3H]ketanserin binding was observed in the STG, however there was a very weak [3H] mesulergine binding in the STG. A significant decrease in binding of [3H]ketanserin was clearly observed in schizophrenia patients in comparison with control subjects. There were …

Stroke And Plasma Markers Of Milk Fat Intake - A Prospective Nested Case-Control Study, Bengt Vessby, Eva M. Warensjo, Goran Hallmans, Lars Weinehall, Ingegerd Johansson, Birgitta Stegmayr, Annika Smedman

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background

Dairy products are high in saturated fat and are traditionally a risk factor for vascular diseases. The fatty acids 15:0 and 17:0 of plasma lipids are biomarkers of milk fat intake. The aim of the present study was to evaluate the risk of a first-ever stroke in relation to the plasma milk fat biomarkers.

Methods

A prospective case-control study was nested within two population based health surveys in Northern Sweden. Among 129 stroke cases and 257 matched controls, plasma samples for fatty acid analyses were available in 108 cases and 216 control subjects. Proportions of 15:0 and 17:0 of …

Assembling A Nutrient Database For A Large Cohort Study: Blue Mountains Eye Study, Victoria M. Flood, W Smith, E Rochtchina, Jie J. Wang, Paul Mitchell

Faculty of Health and Behavioural Sciences - Papers (Archive)

To construct a nutrient database for use with a large population-based cohort study, the Blue Mountains Eye Study, dietary intakes were estimated using the Australian electronic food composition nutrient databases to which values for additional nutrients were added, including folate, vitamin B12, carotenoids and fatty acids. The addition of nutrient data from alternative, overseas, database sources may be useful in relation to the assessment of outcome measures, however the data obtained from these sources need to be interpreted with care, especially in relation to absolute quantities of intake.

A Food-Based Dietary Strategy Lowers Blood Pressure In A Low Socio-Economic Setting: A Randomised Study In South Africa, Karen E. Charlton, Naomi Levitt, Krisela Steyn, Deborah Jonathan, Nomonde Gwebushe, Nasheeta Peer, Katja Rossouw, Theresa Gogela, Carl J. Lombard

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective To assess the impact of a food-based intervention on blood pressure (BP) in free-living South African men and women aged 50–75 years, with drug-treated mild-to-moderate hypertension.

Methods A double-blind controlled trial was undertaken in eighty drug-treated mild-to-moderate hypertensive subjects randomised to an intervention (n 40) or control (n 40) arm. The intervention was 8-week provision of six food items with a modified cation content (salt replacement (SOLO™), bread, margarine, stock cubes, soup mix and a flavour enhancer) and 500 ml of maas (fermented milk)/d. The control diet provided the same quantities of the targeted foods but of …

A Pilot Study On The Impact Of Occupational Therapy Home Programming For Young Children With Cerebral Palsy, Iona Novak, Anne Cusick, Kevin Lowe

Faculty of Health and Behavioural Sciences - Papers (Archive)

Occupational therapy home programs are a common approach used to provide interventions for children with cerebral palsy, but there is little evidence to demonstrate the effectiveness of such programs. This singlegroup pretest–posttest design pilot study evaluated the impact of an occupational therapy home program implemented with 20 children who had spastic hemiplegic cerebral palsy (ages 2–7 years, mean 3.8). We measured impact using Goal Attainment Scaling (GAS), the Pediatric Evaluation of Disability Inventory (PEDI), and the Quality of Upper Extremity Skills Test (QUEST). We measured participation amount through a parent self-report log. Significant changes following intervention occured in scores on …

A Pilot Study Investigating Of The Nature Of Point-Of-Sale Alcohol Promotions In Bottle Shops In A Large Australian Regional City, Sandra C. Jones, Melissa Lynch

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: The promotion of alcohol by retailers and media can contribute to a culture of excessive alcohol consumption, but the effect of non-advertising alcohol promotions has largely been neglected. This study sought to gather initial data on this important area.Method: An observational study of alcohol point-of-sale promotions in the Wollongong CBD area, conducted in July-August 2005.Results: We identified 17 different promotions in three categories: gift with purchase; competitions; and buy some, get some free.Conclusions: Given previous research demonstrating the relationship between increased alcohol consumption and both ownership of alcohol-related merchandise and reduced per unit price, it appears that point-of-sale promotions …

Qualitative Study Into Quality Of Life Issues Surrounding Insulin Pump Use In Type 1 Diabetes, Katharine D. Barnard, Timothy Chas Skinner

Faculty of Health and Behavioural Sciences - Papers (Archive)

Currently, there is a need for qualitative research about how insulin pump therapy changes quality of life, which is significant to people with type 1 diabetes. This study aimed to elicit the experiences of current insulin pump users in order to discover the therapy's benefits, downsides and effect on their quality of life. A qualitative approach was taken in order to reveal subjective experiences. This research will inform future research and assist with policy and guideline development by health care providers about pump therapy.

Participants were briefly interviewed by telephone about their experiences of living with an insulin pump. Four …

Counterfactual Thinking In Response To Hypothetical Breast Cancer Scenarios: A Pilot Study, Amy Y. Chan, Sandra C. Jones, Karen T. Rich

Faculty of Health and Behavioural Sciences - Papers (Archive)

This paper examined womens counterfactualthoughts in response to hypothetical scenarios aboutearly versus late breast cancer diagnoses.Womenaged 50 and over (N=29) read hypotheticalscenarios about the experience of fictitious womenof mammography screening age and completedcounterfactual statements from the protagonistsperspective.In two scenarios, the protagonist failedto attend mammography screening regularly andwas diagnosed with advanced breast cancer; thethird scenario depicted a woman who hadmammograms biennially and received an early-stagebreast cancer diagnosis.Consistent with pastliterature on counterfactual thinking, participantsgenerated exclusively upward counterfactuals fromthe two late-diagnosis scenarios, and predominantlydownward counterfactuals from the early-diagnosisscenario.Furthermore, participants primarilyfocussed on what the protagonist could personallyhave done differently to lead to a differentoutcome.Hence …

An Evaluation Of A Life-Coaching Group Program: Initial Findings From A Waitlist Control Study, Suzy Green, Lindsay G. Oades, Anthony M Grant

Faculty of Health and Behavioural Sciences - Papers (Archive)

Life coaching has grown substantially in the last few years and received considerable media coverage worldwide (Rock, 2001). However, there have been few empirical investigations into its efficacy (Grant, 2003). The study outlined in this chapter aims to add to this limited empirical base.

The Relationship Between Self-Esteem And Academic Achievement In High Ability Students: Evidence From The Wollongong Youth Study., Wilma Vialle, Patrick C. L. Heaven, Joseph Ciarrochi

Faculty of Health and Behavioural Sciences - Papers (Archive)

The relationship between self-esteem and academic achievement is one that is regarded by many educators as a well-established fact. This belief has been often invoked in order to argue against the provision of ability grouping for gifted students. Refuting that commonly-held belief, this research examined the relationship between self-esteem and academic achievement in 65 high-ability secondary students, a sample drawn from a longitudinal study of over 900 students. The research demonstrated that there were no differences in measured selfesteem between the gifted and non-gifted students. More contentiously, though, the research found no correlation between self-esteem and academic achievement for the …

Predictors Of Men's Acceptance Of Modern Contraceptive Practice: Study In Rural Vietnam, Bui Thi Thu Ha, Rohan Jayasuriya, Neville Owen

Faculty of Health and Behavioural Sciences - Papers (Archive)

Studies have shown family planning adoption is likely to be more effective for women when men are actively involved. The transtheoretical model of behavior change was used to examine mens involvement in general contraception and intrauterine device (IUD) use by their wives. The study was carried out in rural Vietnam with 651 eligible participants. Cons of IUD use for men in precontemplation and contemplation/preparation were significantly higher than those in the action/maintenance stages, whereas the reverse was true for pros of IUD. The self-efficacy for convincing wife to have IUD in precontemplation was significantly lower than for those in higher …

A Study Of Headache In North American Primary Care: Report For The Ambulatory Sentinel Practice Network, L A. Becker, Donald C. Iverson, F M. Read, N Calogne, R S. Miller, W L. Freeman

Faculty of Health and Behavioural Sciences - Papers (Archive)

Headache is a common symptom in primary care about which surprisingly little is known. Over a 14-month period 3847 patients making 4940 consecutive visits for headache to 38 primary care practices in the USA and Canada were studied. The clinical characteristics of patients, as well as the diagnostic and therapeutic strategies employed by their doctors, were examined. Visits for headache represented 1.5% of all visits during this period. Most patients (72.0%) made only one visit, and nearly half of the headaches reported were new. Only a small number of patients (3.0%) received a computerized tomographic scan; other investigations were used …