Digital Commons Network^™

Gwas Meta-Analysis Provides New Insights Into Uveal Melanoma Risk, Matthew D’Mellow, Huanwei Wang, Jane M. Palmer, Kari Hemminki, Colleen M. Cebulla, Aaron B. Beasley, Nikolaos E. Bechrakis, Antonia L. Pritchard, Karin W. Wadt, Peter A. Johansson, Lenha Mobuchon, Samantha Barlow, Kelly Brooks, Timothy Beckman, Catherine M. Olsen, Sunil K. Warrier, Lindsey Byrne, Helen Kalirai, Colette Mustard, Nathan Ingold, Asta Försti, Timothy Isaacs

Research outputs 2022 to 2026

Objective: The aim of this research is to identify germline genetic variants that predispose to uveal melanoma (UM) using data from nine studies involving 5839 individuals with UM (3853 novel) and 349,863 healthy controls. Methods: Five novel UM genome-wide association studies (GWAS) were performed and included for meta-analysis with four previously published UM GWAS. A fixed-effects inverse-variance weighted (IVW) meta-analysis was performed by combining data from these nine UM case-control cohorts. A follow-up transcriptome-wide association study (TWAS) was conducted to identify candidate target genes at UM risk loci. Genetic correlations with melanoma-related phenotypes were measured to elucidate UM’s genetic architecture. …

Is A Fear Of Death Keeping You Awake At Night? Death Anxiety Predicts Insomnia Through Nightmare Severity, Rachel E. Menzies, Jessie Brown, Mitchell Turner, David Cunnington, Malisa Burge, Ian C. Dunican, Hailey Meaklim

Research outputs 2022 to 2026

The fear of death (death anxiety) is a risk factor for various mental health conditions. Death anxiety has been theorized to elicit physiological arousal and worry and is empirically associated with attachment insecurity, each of which has been linked to disrupted sleep. However, limited research has explored the relationship between death anxiety, nightmares and insomnia. We examined the relationship between death anxiety and insomnia, as well as attachment style as a potential moderator, and nightmare severity as a possible mediator. Five hundred and fifteen adults completed an online survey; 70% were female, and 89% resided in Australia. Regression analyses revealed …

Kinship Care And Aboriginal Children With Disabilities In Out-Of-Home Care: “My Boy, I Was His Voice”, Jocelyn Jones, Juliet Brook, Sasha Moodie, Richard Chenhall, Robyn Williams, Cathy Garlett, Katiska Davis, Alison Gibberd, Ben Harrap, Bridgette Mcnamara, Melissa O'Donnell, Sandra Eades

Research outputs 2022 to 2026

Background: Aboriginal and Torres Strait Islander children with a disability are over-represented in child welfare systems worldwide. Despite this, little is known about their involvement with the Australian child protection system or their lived experiences. Method: Led by Indigenous researchers and methodologies, qualitative findings from yarning sessions with 46 kinship carers across Western Australia informed this research. This research is part of the Indigenous Child Removals WA (I-CaRe WA) project. Results: Difficulty accessing disability assessments and diagnoses for children resulted in a lack of access to disability support services and missed opportunities for early intervention. Priority areas for improvement included …

Leading With Purpose: Uncovering The Impact Of Inclusive Leadership And Meaningful Work On Work Passion, Azadeh Shafaei, Mehran Nejati

Research outputs 2022 to 2026

Work passion is a critical driver of employee wellbeing, engagement, and performance; however, organisations often struggle to cultivate it effectively. Understanding what fosters work passion is essential because it not only deepens insight into employee motivation but also enables organisations to enhance passion and its positive outcomes. Despite growing interest, research has primarily focused on individual traits, leaving the role of organisational and leadership factors under-explored. To bridge this gap, we extend the Employee Work Passion Appraisal (EWPA) framework by examining how inclusive leadership and meaningful work influence employees’ work passion and whether the psychological authenticity climate mediates these relationships. …

Machine Learning Derived Abdominal Aortic Calcification Is Associated With Physical Frailty In Community-Dwelling Adults: The Uk Biobank Imaging Study, Abadi K. Gebre, Marion Mundt, Elsa Dent, James Webster, Afsah Saleem, Syed Zulqarnain Gilani, Yuandan Zhang, Cassandra Smith, Parminder Raina, John P. Kemp, William D. Leslie, John T. Schousboe, Nicholas C. Harvey, Joshua R. Lewis, Marc Sim

Research outputs 2022 to 2026

Clinical cardiovascular disease (CVD) is often present in frail individuals. However, it remains unclear whether subclinical CVD, e.g., abdominal aortic calcification (AAC), is associated with frailty. This study investigated the cross-sectional relationship between AAC scored using a validated machine learning model (ML-AAC24) and physical frailty. 49,081 participants from the UK Biobank Imaging Study without atherosclerotic CVD (ASCVD) diagnosis were included. ML-AAC24 extent was categorised as low, moderate and high, based on established severity categories. Physical frailty was based on a modified Fried’s frailty phenotype comprising weak hand grip strength, slow walking speed, weight loss, exhaustion, and physical inactivity. Individuals with …

Maternal Prebiotic Supplementation Modifies Associations Between Intrapartum Antibiotics And Infant Allergy, Summer V.M. Walker, Thomas R. Sullivan, Rachelle A, Pretorius, Nina D'Vaz, Johnny Lo, Johan Garssen, Jeffrey A. Keelan, Desiree Silva, Susan L. Prescott, Claus T. Christophersen, Debra J. Palmer

Research outputs 2022 to 2026

Background: Prebiotics promote growth of beneficial gut bacteria, whereas antibiotics can disrupt the microbial balance, reduce diversity, and potentially cause gut dysbiosis. This investigation aimed to determine whether antibiotic use before, during, or after birth altered the risk of infant allergic disease outcomes within a maternal prebiotic dietary supplementation trial. Methods: Maternal participants were allocated to consume daily prebiotics (galacto-oligosaccharides and fructo-oligosaccharides) or placebo (maltodextrin) powder from 18 to 20 weeks' gestation until 6 months postnatal. All infants had a family history of allergic disease. Maternal and infant antibiotic use was prospectively collected monthly throughout the trial intervention period, and …

Measuring Mental Health Promoting Behaviours: Development And Psychometric Properties Of A Danish Act Belong Commit-Mental Health Promoting Behaviours (Abc-Mhpb) Scale, Line Nielsen, Ziggi Ivan Santini, Malene Kubstrup Nelausen, Carsten Hinrichsen, Frederik Schou-Juul, Vibeke Jenny Koushede, Robert J. Donovan, Charlotte Bjerre Meilstrup

Research outputs 2022 to 2026

Background: The Act Belong Commit-ABCs of Mental Health campaign is the world’s first comprehensive, population-wide, community-based initiative to promote mental health. In response to a growing demand for valid tools to monitor mental health promoting behaviours, this study presents the development and psychometric evaluation of the ABC-Mental Health Promoting Behaviours (ABC-MHPB) scale in a Danish population-based sample. Methods: A 10-item scale was developed, based on the ABC framework, to assess mental health promoting behaviours. A total of 119,221 randomly selected participants aged 18+ filled out an electronic survey, including the scale to measure the underlying construct of mental health promoting …

Negotiating Relationships With Food, The Body, And Physical Activity: Who Is The Healthiest Of Them All?, Valeria Varea, Victoria Evans, Dawn Penney, Eibhlish O'Hara

Research outputs 2022 to 2026

Healthy eating and regular exercise are things that many people aspire to, mainly for health reasons. However, these practices can be complex given broader societal discourses. This paper aims to critically interrogate the social conditions and discursive formations that underpin everyday exercisers’ relationships with food, the body, and physical activity by using biopower and biopedagogies as a theoretical approach, and healthism as a set of discourses. Photo elicitation interviews with vignettes were conducted with nine participants who were regular exercisers. We constructed three different scenarios from the interview data and the theoretical approach: 1. Anna: A performance-driven, health compliant, private …

Meta-Analysis Of Dna Methylation Aging Signatures In 17 Human Tissues, Macsue Jacques, Kirsten Seale, Sarah Voisin, Anna Lysenko, Robin Grolaux, Bernadette Jones-Freeman, Severine Lamon, Mandhri Abeysooriya, Itamar Levinger, Carlie Bauer, Adam P. Sharples, Aino Heikkinen, Elina Sillanpaa, Miina Ollikainen, Cassandra Smith, James R. Broatch, Navabeh Zarekookandeh, Linn Gillberg, Ida Blom, Jesse R. Poganik, Mahdi Moqri, Vadim N. Gladyshev, Matthew Taper, Cassandra Malecki, Sean Lal, Nathalie Saurat, Steve Horvath, Andrew Teschendorff, Nir Eynon

Research outputs 2022 to 2026

Epigenetic changes, in particular DNA methylation, accumulate with age across different tissues, but whether these changes follow consistent patterns across different organs remains poorly understood. Here we show, through a meta-analysis of more than 15,000 human methylation profiles spanning 17 tissues, that aging produces both conserved and tissue-specific epigenetic signatures. We identify systemic shifts in methylation levels, increases in methylation variability, and growing molecular disorder across tissues. Network analysis revealed tightly connected gene clusters that are not modified by beneficial interventions, alongside a more modifiable cluster linked to NAD⁺ metabolism, supporting NAD⁺ as a potential therapeutic target in …

Precarity On The Move: The Relative Economic Precarity Of Mobile Youth Moving To Australia, Lara Mckenzie, Anita Harris, Loretta Baldassar

Research outputs 2022 to 2026

Analyses of precarity often focus on how insecure employment, careers, finances, and geographies influence people’s lives for the worse, with young people understood as especially precarious in their economic stability and transitions to adulthood. This article analyses accounts of precarity amongst middling transnationally mobile youth, drawing from 24 semi-structured interviews incoming to Australia, and longitudinal survey data. We show that experiences of economic precarity are impacted by their access to work, government support, ability to access or sustain visas, and access to support from family and partners. By drawing on migration scholars’ observations that transnational mobility can be privileged and …

Reduced Physical Activity During Submarine Deployment: Health And Performance Consequences And Feasible Countermeasures—A Narrative Review, Benjamin J.C. Kirk, Georgios Mavropalias, Anthony J. Blazevich, Jodie L. Cochrane Wilkie, Aus Molan, Kazunori Nosaka

Research outputs 2022 to 2026

Objectives: Submarine environments pose unique challenges to maintaining physical activity due to space constraints, operational demands, and prolonged confinement. This review aims to synthesize existing literature on the health and performance consequences of reduced physical activity in submarine personnel and to examine feasible strategies to mitigate these effects during deployment. Methods: A narrative overview methodology was adopted, with peer-reviewed studies identified from PubMed, Scopus, and Google Scholar. Articles examining physical activity patterns, health outcomes, and exercise or movement-based interventions in submarine environments and comparable confined operational settings were included. Results: Submarine deployments are consistently associated with reduced physical activity, low …

Supporting Displaced Students With Disabilities In Post-Secondary Education: An International Scoping Review, Tetiana Bogachenko, Jia Xu, Larysa Klymanska, Nadia Chubko

Research outputs 2022 to 2026

Students with disabilities who are forced to leave their homes due to armed conflict, persecution, environmental crises, or other forms of involuntary displacement, within their country or internationally, face compounded barriers to accessing and succeeding in post-secondary education. Yet, their experiences, educational trajectories, and the supports available to them remain underexplored. This scoping review examines existing empirical research on the experiences of students with disabilities in post-secondary education who come from forced migration backgrounds. By addressing the intersection of disability, displacement, and post-secondary education, this review highlights the unique challenges faced by this population as well as supports identified as …

Tall Orders: A Comparison Of Resident Food Behaviours By Dwelling Type And Apartment Characteristics In Australia, Joelie Mandzufas, Siobhan Hickling, Kevin Murray, Sarah Foster, Gina S.A. Trapp

Research outputs 2022 to 2026

To accommodate population growth, Australian cities are becoming denser, with more Australians living in apartments. However, there is little understanding of whether this shift towards apartment living raises any potential short- and long-term implications for dietary health. Using an Australian nationally representative household survey, this cross-sectional study compared meal-purchasing frequency and fruit and vegetable intake by dwelling type, apartment block height, and number of bedrooms in the apartment. Adjusted mean differences were derived from linear regressions, adjusting for socio-demographic characteristics. Apartment residents purchased 0.72 more meals out each week than house residents (p < 0.001, 95% CI [0.599,0.831]) and consumed 0.10 fewer daily serves of vegetables (p = 0.002, 95% CI [0.038,0.163]). Among apartment residents, those in high-rise blocks purchased 0.80 more meals out each week than low-rise residents (p = 0.012, 95% CI [0.250,1.348]), and residents of one-bedroom or studio apartments ate 0.25 fewer serves of fruit per day than residents in apartments with at least three bedrooms (p = 0.003, 95% CI [0.038,0.163]). These findings provide important evidence to inform policy and targeted interventions that promote healthy food behaviours in apartment-living populations.

Text Messaging Programs To Support Family Literacy Practices: A Scoping Review, Lennie Barblett, Leanne Lavina, Nicola Johnson, Caroline Barratt-Pugh

Research outputs 2022 to 2026

Using bulk digital text messaging has been shown to be effective in many different fields such as health program interventions and supporting parents/carers. Evaluations of these interventions indicate positive changes in practice; however, it appears the potential of digital messaging through short message services (SMS) have not been fully taken advantage of in early childhood education. This scoping review using Arksey and O’Malley’s (2005) approach investigates the current practices of text messaging programs to support families in the development of preschool aged children’s language and literacy learning. Searches of five databases identified 16 articles that fitted our criteria. Results indicate: …

The Basis For Recommending The Selection Of Samplers In Determining Occupational Exposures To Aerosols, Martin Harper, Pieter Bertier, Marcus Cattani, Karen Galea, Darrah Sleeth, Steven Verpaele

Research outputs 2022 to 2026

Measurements are considered to be the basis of exposure assessments used to determine risks to workers. Inhalation exposure poses the greatest risk for most airborne chemicals, and measurements are based on collecting (sampling) and analyzing air samples. Samplers have been developed for more than 120 years. Each new design has been intended to address flaws perceived in earlier designs. Users are faced with a varied array of samplers from which to choose. Comparisons are difficult to make because tests of sampler performance were not standardized until recently and have not been applied consistently. The existing large body of work does …

The Challenges Of International Travel Insurance For Leisure Travellers With Pre-Existing Mental Health Conditions, Alison Mcintosh, Gregory Willson, Dhananjana Madushani Morayes Gajaweera Marthinna Moraslage

Research outputs 2022 to 2026

International leisure travel is deemed therapeutic for reducing stress and improving mental health and wellbeing, although unfamiliar environments can exacerbate pre-existing mental health conditions. Travel insurance plays a crucial role in mitigating risks for travellers. There is a lack of critical evaluation regarding how insurers assess risk, determine coverage eligibility and communicate exclusions. International travel insurance policies may contain restrictive clauses, ambiguous wording and outright exclusions that may disproportionately disadvantage travellers with pre-existing conditions, including mental health conditions. This paper evaluates whether New Zealand’s international travel insurance policies adequately accommodate travellers with pre-existing mental health conditions. Analysis of 23 international …

The Complex And Multifaceted Nature Of Social Media: Perspectives From Young Adolescents, Parents And Experts, Cindy Branch-Smith, Diarmuid Hurley, Nasim Salehi

Research outputs 2022 to 2026

Purpose: This study explores the complex and multifaceted nature of social media use among young adolescents, drawing on the perspectives of young adolescents, parents and experts. It examines both the benefits and risks of social media and associated implications for adolescent mental health, self-development and social relationships. Methodology: A qualitative, interpretive design was utilised, using interviews across three stakeholder groups, with data analysed using reflexive thematic analysis. Findings: The analysis identified a range of perceived opportunities, benefits and challenges associated with adolescent social media engagement. Participants highlighted its role in fostering connection, education and self-expression, alongside significant risks, including cyberbullying, …

The Impact Of A Vancomycin Intervention On Vancomycin-Associated Nephrotoxicity In Children: A Quality Improvement Initiative, Megan R. Nettleton, Hwi Eun Mary Shim, Joanne Abbotsford, Zoy Goff, Briony Hazelton, Matthew O'Brien, Tenielle Porter, Thomas Snelling, Daniel K. Yeoh, Asha C. Bowen, Christopher C. Blyth, Anita J. Campbell

Research outputs 2022 to 2026

Background: Vancomycin is first-line treatment for methicillin-resistant Staphylococcus aureus (MRSA) infections. However, despite guideline recommendations, there is no evidence that targeting vancomycin trough concentrations of ≥15 mg/L in children confers clinical benefit and is associated with vancomycin-associated nephrotoxicity (VAN). Aim: This study aimed to evaluate the impact of a vancomycin safety bundle on VAN and vancomycin utilisation in hospitalised paediatric inpatients. Method: A pre–post-intervention study was conducted in a tertiary paediatric hospital comparing January–December 2018 (pre-intervention) to May 2019–April 2020 (post-intervention). Hospitalised children, aged 30 days to <18 years, that received intravenous vancomycin with at least one trough concentration were included. The intervention bundle comprised: (1) lowered empiric vancomycin trough targets (5–15 mg/L), (2) enhanced creatinine monitoring (concomitant serum creatinine with vancomycin trough), (3) guideline modification (reduced pre-authorised indications for empiric vancomycin use), and (4) prescriber education initiatives. Ethical approval was granted by the WA Child and Adolescent Health Service Research Ethics Committee, Governance Evidence Knowledge Outcomes Program (Reference no: 41830) and the study conforms with the National Health and Medical Research Council's Ethical considerations in quality assistance and evaluation activities. Results: A total of 314 vancomycin prescriptions were analysed (n = 204 pre-intervention; n = 110 post-intervention). Post-intervention, VAN incidence decreased almost twofold from 0.46 to 0.25 episodes per 1000 patient bed days (p ≤ 0.01), and vancomycin prescription days decreased by 19%. Total hospital drug costs for vancomycin decreased by AUD $16 033. Overall, and for paediatric invasive MRSA, no significant difference in clinical outcomes or 30-day mortality was observed between study periods. Conclusion: This study demonstrated the implementation of a vancomycin safety bundle significantly reduced paediatric VAN and vancomycin utilisation without compromising clinical outcomes. These data support antimicrobial stewardship interventions to improve medication safety for children.

The Best Practice Guide For Early Childhood Education And Care Food Environment: Module 6: Quality, Leadership And Governance (Version 1.0), Helen Alexiou, Lochie Clark, Amanda Devine, Audrey Elford, Connie N. Ihlein, Peter D’Cress, Kasie Jackson, Karen Hunter, Stacey Mckenzie, Avalon O’Dowd, Asha Rojahn, Ros Sambell, Blake Stewart, Henry Tan

Research outputs 2022 to 2026

Quality, Leadership and Governance are central pillars in the role early learning settings play in children’s growth, development and wellbeing. By meeting regulatory requirements and quality standards through stringent business procedures and continuous improvement practices, services can provide high-quality food environments for all children – shaping their thoughts, feelings, and practices around food and eating.

This Quality, Leadership and Governance (QLG) module aims to:

- Provide critical context for how the Early Childhood Education and Care (ECEC) food environment is intertwined with National Law and Regulations.

- Support services to meet regulatory requirements, through specific resources and guidance.

- Provide …

The Best Practice Guide For Early Childhood Education And Care Food Environment: Module 5: Sustainable Food Practices (Version 1.0), Helen Alexiou, Lennie Barblett, Caterina Benati, Fiona Champion, Bek Clancy, Penelope Clark, Lochie Clark, Kathy Cologon, Wendy Cook, Amanda Devine, Katie Dix, Kirsty Elliott, Audrey Elford, Leanne Elliston, Amanda Ferguson, Ricky Gelman, Jodie Gray, Natalie Gulberti, Lorraine Hingston, Connie N. Ihlein, Karen Krist, Deana Leahy, Rebecca Lindberg, Stacey Mckenzie, Merryn Netting, Ciara O’Flaherty, Asha Rojahn, Ros Sambell, Blake Stewart, Leah Stuart-Douglas, Aimee Sullivan, Suzanne Tamone, Henry Tan, Sandra Vale, Jill Whelan

Research outputs 2022 to 2026

ECEC food environments are uniquely positioned to support sustainability by implementing practices that can reduce environmental impacts while creating meaningful opportunities for children to experience and explore the interconnections between people, animals, plants, lands and water through food.

The Early Years Learning Framework (EYLF) (Version 2.0) recognises sustainability as an important consideration for children’s learning and development and that educators and children have active roles to play in contributing to more sustainable communities.1 Through the food provided, mealtimes, and food education, ECEC services can provide meaningful opportunities for children to experience and engage with sustainable food practices.

This Sustainable Food …

The Best Practice Guide For Early Childhood Education And Care Food Environment: Module 4: Staff And Family Engagement (Version 1.0), Helen Helen Alexiou, Lennie Barblett, Fiona Champion, Penelope Clark, Lochie Clark, Kathy Cologon, Wendy Cook, Amanda Devine, Katie Dix, Kirsty Elliott, Audrey Elford, Leanne Elliston, Amanda Ferguson, Yuna Ribeiro Ferreira Alves, Ricky Gelman, Jodie Gray, Natalie Gulberti, Lena Harle, Connie N. Ihlein, Jill Whelan, Karen Krist, Ashton Leach, Deana Leahy, Stacey Mckenzie, Lauren Moore, Merryn Netting, Ciara O’Flaherty, Asha Rojahn, Ros Sambell, Blake Stewart, Aimee Sullivan, Suzanne Tamone, Henry Tan, Courtney Trezona, Sandra Vale, Kathy Cologon

Research outputs 2022 to 2026

Engaging with families is a core responsibility of ECEC services and staff. By building positive, personal relationships with families, ECEC staff are able to share concerns or queries about the children in their care in a sensitive way.

One of the more sensitive topics that can come up is food – what they are eating, how much they are eating, their eating behaviours and skills, and everything in between. Through quick conversations at drop-off or via formal communication platforms, services can share a range of information about a child’s eating patterns and behaviours, and also gather information from families to …

The Best Practice Guide For Early Childhood Education And Care Food Environment: Module 3: Food Education (Version 1.0), Helen Alexiou, Lennie Barblett, Fiona Champion, Penelope Clark, Lochie Clark, Kathy Cologon, Wendy Cook, Amanda Devine, Katie Dix, Audrey Elford, Leanne Elliston, Amanda Ferguson, Ricky Gelman, Jodie Gray, Natalie Gulberti, Connie N. Ihlein, Debbie Jordan, Karen Krist, Deana Leahy, Stacey Mckenzie, Sandra Murphy, Merryn Netting, Ciara O’Flaherty, Asha Rojahn, Ros Sambell, Blake Stewart, Aimee Sullivan, Suzanne Tamone, Henry Tan, Sandra Vale, Danielle Waterson, Jill Whelan

Research outputs 2022 to 2026

Food education (FE) in early learning settings is more than cooking – it is an opportunity to experience food in ways that include cooking but go far beyond. Food education gives children the opportunity for exploration, experimentation, learning, teamwork, skill building and much more. At the same time, services must balance safety, regulatory requirements, diverse developmental and cultural needs, family expectations and practical constraints such as time and staffing.

The FE module has been developed to support Early Childhood Education and Care settings (ECEC), for children from birth to 5 years, to create food experiences that are safe, engaging, inclusive …

The Best Practice Guide For Early Childhood Education And Care Food Environment: Module 2: Menu And Meal Quality (Version 1.0), Helen Alexiou, Lennie Barblett, Caterina Benati, Fiona Champion, Bek Clancy, Penelope Clark, Lochie Clark, Kathy Cologon, Wendy Cook, Amanda Devine, Katie Dix, Kirsty Elliott, Audrey Elford, Leanne Elliston, Amanda Ferguson, Ricky Gelman, Jodie Gray, Natalie Gulberti, Lorraine Hingston, Connie N. Ihlein, Karen Krist, Deana Leahy, Penny Love, Stacey Mckenzie, Tamia Matthews, Merryn Netting, Ciara O’Flaherty, Asha Rojahn, Ros Sambell, Blake Stewart, Aimee Sullivan, Suzanne Tamone, Henry Tan, Sandra Vale, Jill Whelan, Erin Wild

Research outputs 2022 to 2026

Menu and meal quality is central to the role early learning settings play in children’s growth, development and wellbeing. The food provided across the day shapes children’s nutrient intake, their developing relationship with food, and the eating patterns they carry into later life. At the same time, services must balance nutritional quality with food safety, food allergen management and dietary needs, cultural diversity, family expectations, and practical constraints such as budgets, time and access to supplies.

This Menu and Meal Quality (MMQ) module aims to:

- Support ECEC services to provide menus and meals that align with the Australian Dietary …

The Best Practice Guide For Early Childhood Education And Care Food Environment: Module 1: Mealtime Environment And Practices (Version 1.0), Helen Alexiou, Lennie Barblett, Rebecca Byrne, Fiona Champion, Laine Chilman, Penelope Clark, Lochie Clark, Kathy Cologon, Wendy Cook, Amanda Devine, Kirsty Elliott, Audrey Elford, Leanne Elliston, Amanda Ferguson, Ricky Gelman, Jodie Gray, Natalie Gulberti, Shae Haylen, Judith Howard, Connie N. Ihlein, Karen Krist, Deana Leahy, Eloise Litterbach, Jodie Mcgough, Stacey Mckenzie, Merryn Netting, Ciara O’Flaherty, Gabrielle Orr, Asha Rojahn, Ros Sambell, Hilary Smith, Aimee Sullivan, Suzanne Tamone, Henry Tan, Sandra Vale, Jill Whelan, Sally Whitaker

Research outputs 2022 to 2026

Mealtimes in early learning settings are more than a routine to help children eat. They are important opportunities for connection, learning and development, and for supporting children’s confidence and comfort around food and eating. At the same time, services must balance safety, regulatory requirements, diverse developmental and cultural needs, family expectations and practical constraints such as time and staffing.

The Mealtime Environment and Practices (MEP) module has been developed to support Early Childhood Education and Care settings (ECEC), for children from birth to 5 years, to create mealtimes that are safe, calm, inclusive and responsive to each child, while reflecting …

When Caring Depletes: The Paradox Of Leading Employee Wellbeing During A Prolonged Crisis – Evidence From The Australian Resources Sector, Michael Mayom Ajith, Andrei Alexander Lux, Michelle Striepe, Tim Andrew Bentley

Research outputs 2022 to 2026

Purpose: The protracted COVID-19 crisis placed substantial demands on managers in the Australian resources industry. While workers' wellbeing received increased attention during this period, much less is known about how managers sustained their own wellbeing while providing care, reassurance, and operational continuity. Drawing on the JD–R model, paradox theory, and moral strain perspectives, we examine wellbeing-oriented leadership during a sustained crisis. We focus on how leadership behaviour operated as both a resource for employees and a demand on managers, shaping their own wellbeing experiences and leadership identity.

Design/methodology/approach: An interpretative phenomenological approach (IPA) was employed. Semi-structured interviews were conducted with …

Barriers To Adherence To Standard Precautions Among Community Health Workers: A Scoping Review, Margaret D. Adejumo, Melanie Baker, Davina Porock

Research outputs 2022 to 2026

Aim: This review aims to map available evidence on the adherence level and barriers to standard precautions among home-based community health workers. Methods: A scoping review using the JBI protocol searched multiple databases (Medline, CINAHL, PsycINFO and Web of Science) as well as Google Scholar for published articles on standard precaution practices of community health workers during home visits. Search terms included “standard precautions”, “guideline adherence”, “community health” and “home care”. Two-stage screening (title/abstract and full-text) was conducted to select relevant articles. Results: Eight eligible studies yielded three major themes: home environment context, individual factors and organisational factors. Findings indicated …

Cancer Survivor Preferences For Breast Cancer Follow-Up Care: A Discrete Choice Experiment, Sameera Senanayake, Sanjeewa Kularatna, Fiona Crawford-Williams, David Brain, Michelle Allen, Ruvini M. Hettiarachchi, Nicolas H. Hart, Bogda Koczwara, Carolyn Ee, Raymond J. Chan

Research outputs 2022 to 2026

Purpose: To identify the key attributes of breast cancer follow-up care models preferred by cancer survivors in Australia. Methods: A discrete choice experiment (DCE) was conducted to elicit preferences for attributes of breast cancer follow-up care. Respondents were presented with two hypothetical scenarios, known as choice sets, and asked to select a preference. Respondents were individuals living in Australia who were diagnosed with breast cancer within the past five years prior to survey completion and were recruited through the Breast Cancer Network of Australia and other community or consumer networks. Latent class modelling (LCM) approach under a random utility framework …

A Proposed Conceptual Framework For Assessing Quality Of Life In The United Arab Emirates: Application To Ras Al Khaimah Emirate, Aaesha Saif Al Shehhi

Dissertations

Quality of Life (QoL) has become a central concern in urban planning and sustainable development, particularly in rapidly transforming contexts such as the United Arab Emirates. This dissertation proposes and empirically validates a comprehensive framework for assessing urban QoL, with a focused application to the Emirate of Ras Al Khaimah. A mixed-methods approach integrates objective indicators and residents' subjective perceptions, aligned with national strategies including UAE Vision 2030, the National Strategy for Wellbeing 2031, and UAE Centennial 2071.

The methodology combines Geographic Information Systems (GIS), the Analytic Hierarchy Process (AHP), and statistical analyses to evaluate seven key sectors: environment, infrastructure …

Human Vaccine Hesitancy Spillover In The Field Of Veterinary Medicine: A Systematic Narrative Review Of Impacts And Veterinary Responses, Allison Schimpf

HEAL Project Outputs

Human vaccine hesitancy spillover in the veterinary field is a relatively new concept that has gained traction since the COVID-19 pandemic. Concerns about vaccine safety have increased among pet owners leading to questions about the potential impacts of reduced vaccination and how veterinarians can address these attitudes. A systematic search strategy following PRISMA 2020 guidelines was used with 3 different databases to collect peer-reviewed research articles from 2022 until now. The initial search yielded 376 articles for review and 11 were included after screening. Articles were analyzed using a narrative review format. Results showed that pet owners are more vaccine …

Health Empowerment And Learning (Heal) Data Needs And Assets Assessment, Kayla Gurganus, Amelia Hartley

HEAL Project Outputs

From October 2025 through March 2026, HEAL conducted interviews with health organization and local health department (LHD) staff to learn about the data environment and activities involving data. This report summarizes the project process and results, focusing on common challenges and needed skills identified by interviewees. The primary challenges identified by LHDs and health organizations relate to coordination and navigation, timely access and data sharing, communicating data, and staffing and funding. The necessary skills and resources interviewees shared relate to technical assistance, skills and capacity building, and staffing. The report concludes with a menu of services that the HEAL team …