Medicine and Health Sciences Commons^™

Linking Primary Health Care Researchers In South Australia: A Network Strategy, Sarnet, Raechel L. Waters, Kathryn M. Weston, Elizabeth Farmer

Elizabeth Farmer

In response to the changing definitions of primary care delivery there is a growing need for research to be practitioner-driven and multidisciplinary. This paper addresses the strategies used to enhance multidisciplinary participation and capacity building in research in the South Australian Primary Health Care Research Network (SARNet). This network has 198 members currently. Membership is strongly multidisciplinary and spans all levels of research expertise. The services offered by the network are member-driven and include competitive bursary funding for research and evaluation skills development, writing groups, training events, access to web-based resources and information, special interest groups, and email alerts. Potential …

A Comparison Of Asynchronous And Synchronous Arm Cranking During The Wingate Test, Dale Lovell, Dale Mason, Elias Delphinus, Christopher Mclellan

Chris McLellan

Purpose: The aim of this study was to compare asynchronous (ASY) arm cranking (cranks at 180° relative to each other) with synchronous (SYN) arm cranking (parallel crank setting) during the 30 s Wingate anaerobic test.

Methods: Thirty-two physically active men (aged 22.1 ± 2.4 y) completed two Wingate tests (one ASY and one SYN) separated by 4 d in a randomized counterbalanced order. The Wingate tests were completed on a modified electromagnetically braked cycle ergometer. Performance measures assessed during the two tests include peak power, mean power, minimum power, time to peak power, rate to fatigue and maximum …

Protocol For A Randomized Controlled Trial Evaluating The Effect Of Physical Activity On Delaying The Progression Of White Matter Changes On Mri In Older Adults With Memory Complaints And Mild Cognitive Impairment: The Aibl Active Trial, E V Cyarto, N T Lautenschlager, P M Desmond, D Ames, C Szoeke, O Salvado, Matthew Sharman, Kathryn A Ellis, P M Phal, C L Masters, C C Rowe, Ralph Martins, Kay L Cox

Research outputs 2012

Background: Older adults free of dementia but with subjective memory complaints (SMC) or mild cognitive impairment (MCI) are considered at increased risk of cognitive decline. Vascular risk factors (VRF), including hypertension, heart disease, smoking, hypercholesterolemia and lack of physical activity (PA) have been identified as modifiable risk factors contributing to cognitive decline, and white matter hyperintensities (WMH) are associated with VRF, SMC and cognitive impairment. Findings from a growing number of clinical trials with older adults are providing strong evidence for the benefits of physical activity for maintaining cognitive function, but few studies are investigating these benefits in high-risk populations. …

The Context Of Clinical Teaching And Learning In Australia: Towards A Reconstruction Of The Relationship Between Medical Schools And Health Services, Julie Ash, Lucie Walters, David Prideaux, Ian Wilson

Ian G Wilson

• Gaining clinical experience for an extended period of time in teaching hospitals is one of the enduring strengths of medical education. • Teaching hospitals have recently faced significant challenges, with increasing specialisation of services and workload pressures reducing clinical learning opportunities. • New clinical teaching environments have been established in Australia, particularly in rural and regional areas; these are proving to be ideal contexts for student learning. • The new clinical teaching environments have shown the importance of developing symbiotic relationships between universities and health services. Symbiotic clinical learning is built around longitudinal, patientbased learning emphasising priority health concerns. …

Only The Best: Medical Student Selection In Australia, Ian Wilson, Chris Roberts, Eleanor Flynn, Barbara Griffin

Ian G Wilson

Over the past two decades there has been a significant change in the way Australian medical schools select their students. Where once a school leaver’s matriculation score was the predominant criterion,1 there is now a range of selection procedures for entry into school-leaver, graduate-entry and mixed-entry medical school programs. The change in selection procedures has in part been driven by a desire to assess broader suitability than just academic performance, and the need for medical schools to be socially accountable and reduce discrimination in selection procedures.2 We provide an overview of medical student selection in Australia, including the aims and …

The Paradoxical Food Buying Behaviour Of Parents: Insights From The Uk And Australia, Gary I. Noble, Sandra C. Jones, Danielle Mcvie, Laura Mcdermott, Martine Stead

Gary Noble

AbstractPurpose - This article aims to explore the apparent paradox between the nutritional knowledge ofparents of pre-school children and their actual food purchase and preparation behaviour.Design/methodology/approach - Two separate qualitative data collection exercises wereconducted, an exploratory focus group study in the UK and a projective technique study in Australia.Findings - The UK study found that, despite believing that vegetables were good for children'shealth, mothers also perceived that it was extremely difficult to encourage children to eat them. Theresults of Australian study suggest that the purchase of unhealthy "treats" or "bribes" is explainedthrough the concept of "expediency" whereas what this study …

Risk Of Road Traffic Accidents In Patients Discharged Following Treatment For Psychotropic Drug Overdose: A Self-Controlled Case Series Study In Australia, Tharaka L. Dassanayake, Alison L. Jones, Patricia Michie, Gregory Carter, Patrick Mcelduff, Barrie J. Stokes, Ian Whyte

Alison L Jones

Background: Use of psychotropic drugs is known to impair driving and increase the risk of road traffic accidents. They are also the most common drugs taken in overdose in hospital-treated episodes of self-poisoning. Most patients who take psychotropic drug overdoses are discharged within 48 hours, while they still have possible subclinical drug effects. Objective: Using a self-controlled case series design, we aimed to determine whether patients with psychotropic drug overdose are at a higher risk of a traffic accident in the period following discharge compared with a control period not associated with hospital-treated drug overdose. Methodology: Using the New South …

Alert But Less Alarmed: A Pooled Analysis Of Terrorism Threat Perception In Australia, Garry Stevens, Kingsley Agho, Melanie Taylor, Alison L. Jones, Jennifer Jacobs, Margo Barr, Beverley Raphael

Alison L Jones

Background: Previous Australian research has highlighted disparities in community perceptions of the threat posed by terrorism. A study with a large sample size is needed to examine reported concerns and anticipated responses of community sub-groups and to determine their consistency with existing Australian and international findings. Methods: Representative samples of New South Wales (NSW) adults completed terrorism perception questions as part of computer assisted telephone interviews (CATI) in 2007 (N = 2081) and 2010 (N = 2038). Responses were weighted against the NSW population. Data sets from the two surveys were pooled and multivariate multilevel analyses conducted to identify health …

A Tale Of Two Towns: Observations On Risk Perception Of Environmental Lead Exposure In Port Pirie And Esperance, Australia, Jane Heyworth, Chris Reynolds, Alison Jones

Alison L Jones

Environmental lead exposure in Port Pire, South Australia and Esperance, Western Australia led to differing perceptions of risk among these communities. This paper describes our observations of the social and economic context of these cases of environmental lead exposure and how this influenced responses among the community. Lead had been transported out of the Esperance Port since 2005. However, much of the community was unaware of this until it became public as part of the investigation into bird deaths in the local environment. Esperance saw itself as an idyllic rural community, with a sound economic basis, but removed from the …

Responses To Pandemic (H1n1) 2009, Australia, Keith Eastwood, David N. Durrheim, Michelle Butler, Alison L. Jones

Alison L Jones

In 2007, adults in Australia were interviewed about their willingness to comply with potential health interventions during a hypothetical influenza outbreak. After the first wave of pandemic (H1 N1) 2009 in Australia, many of the same respondents were interviewed about behavior and protection measures they actually adopted. Of the original 1,155 respondents, follow-up interviews were conducted for 830 (71.9%), Overall, 20.4% of respondents in 2009 had recently experienced influenza-like illness, 77.7% perceived pandemic (H1 N1) 2009 to be mild, and 77.8% reported low anxiety. Only 14.5% could correctly answer 4 questions about influenza virus transmission, symptoms, and infection control. Some …

Competency Assessment Using A Standardised Tool Across Nursing Programmes In Australia, Roy A. Brown, Patrick A. Crookes

Professor Patrick Crookes

No abstract provided.

Food And Nutrition Security In The Australia-New Zealand Region: Impact Of Climate Change, Linda C. Tapsell, Yasmine Probst, Mark Lawrence, Sharon Friel, Victoria M. Flood, Anne Therese Mcmahon, Rosalind Butler

L. C. Tapsell

No abstract provided.

Toddler Milk Advertising In Australia: Infant Formula Advertising In Disguise?, Nina Berry, Sandra Jones, Donald Iverson

Don C. Iverson

The Marketing in Australia of Infant Formula: Manufacturers' and Importers' Agreement prevents manufacturers and importers from advertising infant formula. However, toddler milks, which share brand identities with infant formula, are advertised freely; and recent research suggests consumers fail to distinguish between advertising for infant formula and for toddler milk. This study examined whether Australian parents recalled having seen advertisements for 'formula'. Most respondents (66.8%) reported seeing an advertisement for infant formula, with those who had only seen non-retail advertising more than twice as likely to believe that they had seen such an advertisement as those who had only seen retail …

Defining Research Priorities For Pancreatic Cancer In Australia: Results Of A Consensus Development Process, Monica Robotin, Sandra Jones, Andrew Biankin, Louise Waters, Donald Iverson, Helen Gooden, Bruce Barraclough, Andrew Penman

Don C. Iverson

Introduction: Pancreatic cancer (PC) is the sixth leading cause of cancer death in Australia and the fourth in the United States, yet research in PC is lagging behind that in other cancers associated with a high disease burden. In the absence of agreed processes to reliably identify research areas which can deliver significant advances in PC research, the Cancer Council NSW established a strategic partnership with the NSW Pancreatic Cancer Network to define critical research issues and opportunities that could accelerate progress in this field in Australia. Materials and methods: The process consisted of five distinct stages: a literature review …

Toddler Milk Advertising In Australia: The Infant Formula Ads We Have When We Don’T Have Infant Formula Ads, Nina J. Berry, Sandra Jones, Donald Iverson

Don C. Iverson

The Marketing in Australia of Infant Formula: Manufacturers’ and Importers’ Agreement (MAIF) prevents manufacturers and importers from advertising infant formula. However, toddler milks, which share brand identities with infant formula, are advertised freely; and recent research suggests consumers fail to distinguish between advertising for infant formula and for toddler milk. This study examined whether Australian parents recalled having seen advertisements for ‘formula’. Most respondents (66.8%) reported seeing an advertisement for infant formula, with those who had only seen non-retail advertising more than twice as likely to believe that they had seen such an advertisement as those who had only seen …

Modus Vivendi Of E-Business, Joze Kuzic, Julie Fisher, Angela Scollary, Linda Dawson, Milan Kuzic, Rod Turner

Associate Professor Linda Dawson

This paper reports on an investigation into relationships between challenges and success factors in e-business, from the perspective of the acknowledged benefits achieved by large organizations operating within the Australian context. To enable organisations to achieve benefits from e-business, it is imperative for companies to recognise challenges before them as well as to identify critical success factors necessary for their success. The outcome of the research reported in this paper is a key set of critical success factors, challenges and benefits that can be used as a modus vivendi to overcome problems by applying appropriate solutions in order to achieve …

Mental Health Of Indigenous Australians: A Review Of Findings From Community Surveys, Anthony F. Jorm, Sarah J. Bourchier, Stefan Cvetkovski, Gavin Stewart

Aboriginal Policy Research Consortium International (APRCi)

Objective: To assemble what is known about the mental health of Indigenous Australians from community surveys. Data sources: A systematic search was carried out of publications and data sources since 2000 using PubMed, PsycINFO, Australian Medical Index, the National Library of Australia and datasets known to the authors.

Study selection: Surveys had to involve representative sampling of a population, identify Aboriginal and Torres Strait Islander people and include a measure of mental health.

Data extraction: 11 surveys were found. Data were extracted on prevalence rates for Indigenous people by age and sex, along with comparison data from the general population, …

A Cross-Sectional Survey Of Prevalence And Correlates Of Suicidal Ideation And Suicide Attempts Among Prisoners In New South Wales, Australia, Sarah Larney, Libby Topp, Devon Indig, ColmáN O'Driscoll, David Greenberg

Aboriginal Policy Research Consortium International (APRCi)

Background: We aimed to estimate the prevalence of suicidal ideation and suicide attempt among prisoners in New South Wales, Australia; and, among prisoners reporting suicidal ideation, to identify factors associated with suicide attempt.

Methods: A cross-sectional design was used. Participants were a random, stratified sample of 996 inmates who completed a telephone survey. The estimated population prevalence of suicidal ideation and suicide attempt were calculated and differences by sex and Aboriginality were tested using c2 tests. Correlates of suicidal ideation and suicide attempt were tested using logistic regression.

Results: One-third of inmates reported lifetime suicidal ideation and one-fifth had attempted …

A Bibliometric Analysis Of Research On Indigenous Health In Australia, 1972-2008, Gemma E. Derrick, Andrew Hayen, Simon Chapman, Abby S. Haynes, Berenika M. Webster, Ian Anderson

Aboriginal Policy Research Consortium International (APRCi)

Objective: To determine the growth patterns and citation volume of research publications referring to Indigenous health in Australia from 1972 to 2008 compared to seven selected health fields. Methods: Web of Science was used to identify all publications (n=820) referring to the health of Indigenous Australians authored by Australian researchers, 1972 to 2008. Citations for each publication were also captured. Growth was compared with selected health fields as well as with overall Australian research publications. Results: Research publications referring to Indigenous health, while remaining relatively small in number, grew at an average annual rate of 14.1%, compared with 8.2% across …

Evaluation Of A Culturally Adapted Training In Indigenous Mental Health And Wellbeing For The Alcohol And Other Drug Workforce, Racheal Hinton, Tricia Nagel

Aboriginal Policy Research Consortium International (APRCi)

Indigenous Australians have high rates of mental illness comorbid with substance misuse. The complex needs of this client group create challenges for the alcohol and other drug (AOD) workforce. This paper describes the outcomes of an Indigenous-specific “Yarning about Mental Health” training for the AOD workforce to strengthen knowledge and skills in mental health approaches and in their engagement with Indigenous clients. The training provides culturally adapted strategies and tools for understanding mental health, promoting wellbeing, and delivering brief interventions in the substance misuse setting. A nonexperimental evaluation which incorporated pre-post questionnaires was conducted with workshop participants attending one of …

Growing Up Our Way : The First Year Of Life In Remote Aboriginal Australia, Sue Kruske, Suzanne Belton, Molly Wardaguga, Conceptual Narjic

Aboriginal Policy Research Consortium International (APRCi)

In this study, we attempted to explore the experiences and beliefs of Aboriginal families as they cared for their children in the first year of life. We collected family stories concerning child rearing, development, behavior, health, and wellbeing between each infant’s birth and first birthday. We found significant differences in parenting behaviors and childrearing practices between Aboriginal groups and mainstream Australians. Aboriginal parents perceived their children to be autonomous individuals with responsibilities toward a large family group. The children were active agents in determining their own needs, highly prized, and included in all aspects of community life. Concurrent with poverty, …

Physical Activity Of Remote Indigenous Australian Women: A Postcolonial Analysis Of Lifestyle, Doug Macdonald, Rebecca Abbott, David Jenkins

Aboriginal Policy Research Consortium International (APRCi)

In the context of rising chronic diseases amongst Indigenous peoples, there are calls for the adoption of more healthy “lifestyles.” In this context, this paper explores thoughts about physical activity from 21 Indigenous families through the voices of women and girls living in remote rural communities in the Torres Strait and Northern Peninsula Area, Australia. Speaking back to physical activity as a lifestyle “choice,” three consistent themes emerged: shame, gendered positioning, and welfarism. In conclusion, the perspectives of Torres Strait islanders and Northern Peninsula Area communities suggest that there are deeply embedded ways of thinking about the body, familial obligations, …

Social And Emotional Outcomes Of Australian Children From Indigenous And Culturally And Linguistically Diverse Backgrounds, Naomi Priest, Jennifer Baxter, Linda Hayes

Aboriginal Policy Research Consortium International (APRCi)

Objectives: 1) profile the living environments and 2) examine the social and emotional outcomes of Australian children from Indigenous and cultural and linguistically diverse (CALD) backgrounds at school entry. Method: Secondary analysis of cross- sectional data collected in Wave 1 of the Longitudinal Study of Australian Children (n=4,735). Child mental-health outcomes were measured using parent report of the Strengths and Difficulties Questionnaire (SDQ). Results: Significant differences in family and neighbourhood characteristics, including parental income, maternal education, maternal parenting quality and neighbourhood safety, were found in children of Indigenous and CALD backgrounds compared to the reference group of Australian-born, English-speaking children. …

Socioeconomic Disparities In Physical Health Among Aboriginal And Torres Strait Islander Children In Western Australia, Carrington C.J. Sheperd, Jianghong Li, Stephen R. Zubrick

Aboriginal Policy Research Consortium International (APRCi)

Objective. Few empirical studies have specifically examined the relationship between socio-economic status (SES) and health in Indigenous populations of Australia. We sought to provide insights into the nature of this relationship by examining socio-economic disparities in physical health outcomes among Aboriginal and Torres Strait Islander children in Western Australia.

Design. We used a diverse set of health and SES indicators from a representative survey conducted in 2000􏰣2002 on the health and development of 5289 Indigenous children aged 0􏰣17 years in Western Australia. Analysis was conducted using multivariate logistic regression within a multilevel framework. Results. After controlling for age and sex, …

Do Indigenous Australians Age Prematurely? The Implications Of Life Expectancy And Health Conditions Of Older Indigenous People For Health And Aged Care Policy, Philippa R. Cotter, John R. Condon, Tony Barnes, Ian P.S. Anderson, Leonard R. Smith, Teresa Cunningham

Aboriginal Policy Research Consortium International (APRCi)

Objective. To assess whether Indigenous Australians age prematurely compared with other Australians, as implied by Australian Government aged care policy, which uses age 50 years and over for population-based planning for Indigenous people compared with 70 years for non-indigenous people.

Methods. Cross-sectional analysis of aged care assessment, hospital and health survey data comparing Indigenous and non-indigenous age-specific prevalence of health conditions. Analysis of life tables for Indigenous and non-indigenous populations comparing life expectancy at different ages.

Results. At age 63 for women and age 65 for men, Indigenous people had the same life expectancy as non-indigenous people at age 70. …

Are Parents' Working Patterns Associated With Their Child's Sleep? An Analysis Of Dual-Parent Families In Australia, Christopher A. Magee, Peter Caputi, Don C. Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

Insufficient sleep in children predicts emotional and behavioral problems, poorer school performance, and health problems. Child sleep durations have declined in recent decades, suggesting a need to identify and understand predictors of short sleep. The present study investigated whether aspects of parental employment (i.e. parental work hours, and non-standard work hours) were associated with sleep in children. Data collected from 2477 children aged 6–7 years as part of the Longitudinal Study of Australian Children were used in this paper. Child sleep duration, bedtimes, and wake times were determined from parent self-report using time-use diaries. Parents completed a survey assessing their …

Using A Social Functionalist Framework To Understand Responses To Projected Sea Level Rise And Managed Retreat Policies In Australia, Kim Alexander, Anthony Ryan

Illawarra Health and Medical Research Institute

Managed retreat is one of the few policy options available to the Australian government to mitigate the risk of sea level rise for coastal communities. A structured withdrawal from areas inundated by rising sea levels may be the only viable option for some jurisdictions and in many cases may be the most cost effective defensive approach. At present, little is known about community opinions on managed retreat options. The authors present a social functionalist framework to analyse the range of personal concerns and understand more about how people may respond to predicted changes to coastal shorelines. The meta-theoretical social functionalist …

Risk Of Road Traffic Accidents In Patients Discharged Following Treatment For Psychotropic Drug Overdose: A Self-Controlled Case Series Study In Australia, Tharaka L. Dassanayake, Alison L. Jones, Patricia Michie, Gregory Carter, Patrick Mcelduff, Barrie J. Stokes, Ian Whyte

Graduate School of Medicine - Papers (Archive)

Background: Use of psychotropic drugs is known to impair driving and increase the risk of road traffic accidents. They are also the most common drugs taken in overdose in hospital-treated episodes of self-poisoning. Most patients who take psychotropic drug overdoses are discharged within 48 hours, while they still have possible subclinical drug effects. Objective: Using a self-controlled case series design, we aimed to determine whether patients with psychotropic drug overdose are at a higher risk of a traffic accident in the period following discharge compared with a control period not associated with hospital-treated drug overdose. Methodology: Using the New South …

Prevalence Prescription: Prescribing Practices Of Clozapine In Australia Between 2005 2010, Shae-Leigh C. Vella, Nagesh Brahmavar Pai

Graduate School of Medicine - Papers (Archive)

Clozapine is an anti-psychotic used to treat refractory schizophrenia. This study reviews the rates of clozapine prescription for refractory schizophrenia in a region of Australia and compares the prescribing patterns to the estimated prevalence rates of refractory schizophrenia in the region. Utilising a pharmacoepidemiological approach; the results indicated that only 8.4% of the individuals estimated to be suffering from refractory schizophrenia in the region were prescribed clozapine between 2005 and 2010, with only 4.1% continuing clozapine to the conclusion of the study. In conclusion it is evident that clozapine is widely under-prescribed in this area of Australia.

Rural Placements Are Effective For Teaching Medicine In Australia: Evaluation Of A Cohort Of Students Studying In Rural Placements, H H. Birden, I Wilson

Faculty of Science, Medicine and Health - Papers: part A

Introduction: Medical education in Australia is increasingly delivered through longitudinal placements in general practice and other community settings. Early meaningful exposure to patients has been shown to improve the transition from medical student to junior doctor. This study examines the experience of the first year cohort of the University of Western Sydney (UWS) Medical School long-term rural placement students. Results have been placed in the context of other published results for rural training schemes, comparing and contrasting the present results to those of others. Methods: Students undertaking a rural placement in their final year of the UWS medical program (n=21) …