Education Commons^™

Infusing Physical Activities Into The Classroom: Effects On Preschool Children's Geography Learning, Myrto F. Mavilidi, Anthony D. Okely, Paul A. Chandler, Fred Paas

Faculty of Social Sciences - Papers (Archive)

In this intervention study, we investigated the effects of physical activities that were integrated into a geography task on preschool children's learning performance and enjoyment. Eight childcare centers with 87 four-to-five-year-old children were randomly assigned across an integrated physical activity condition, an unintegrated physical activity condition, and a control condition without physical activity. Children learned the names and a typical animal from each of the six continents using a floor-mounted world map with soft toy animals. Both learning conditions with physical activities showed higher performance than the learning condition without physical activities on an immediate retention test, and on a …

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

Faculty of Social Sciences - Papers (Archive)

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

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

Faculty of Social Sciences - Papers (Archive)

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

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

Faculty of Social Sciences - Papers (Archive)

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

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

Faculty of Social Sciences - Papers (Archive)

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

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

Faculty of Social Sciences - Papers (Archive)

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

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

Faculty of Social Sciences - Papers (Archive)

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

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

Faculty of Social Sciences - Papers (Archive)

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

Interactional Research In Pbl: Another Piece Of The 'Silence In Pbl' Puzzle: Students' Explanations Of Dominance And Quietness As Complementary Group Roles, Vicki Skinner, Annette J. Braunack-Mayer, Tracey J. Winning

Faculty of Social Sciences - Papers (Archive)

A problem-based learning (PBL) assumption is that silence is incompatible with collaborative learning. Although sociocultural studies have reinterpreted silence as collaborative, we must understand how silence occurs in PBL groups. This essay presents students’ explanations of dominance, leadership, and silence as PBL group roles. An ethnographic investigation of PBL groups, informed by social constructionism, was conducted at two dental schools (in Australia and Ireland). The methods used were observation, interviews, and focus groups. The participants were volunteer first-year undergraduates. Students attributed dominance, silence, and members’ group roles to personal attributes. Consequently, they assumed that groups divided naturally into dominant leaders …

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

Faculty of Social Sciences - Papers (Archive)

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

Systematic Review To Inform Prevention And Management Of Chronic Disease For Indigenous Australians: Overview And Priorities, Judith Streak Gomersall, Karla Canuto, Edoardo Aromataris, Annette J. Braunack-Mayer, Alex Brown

Faculty of Social Sciences - Papers (Archive)

Objective: To describe the main characteristics of systematic reviews addressing questions of chronic disease and related risk factors for Indigenous Australians.

Methods: We searched databases for systematic reviews meeting inclusion criteria. Two reviewers assessed quality and extracted characteristics using pre‐defined tools.

Results: We identified 14 systematic reviews. Seven synthesised evidence about health intervention effectiveness; four addressed chronic disease or risk factor prevalence; and six conducted critical appraisal as per current best practice. Only three reported steps to align the review with standards for ethical research with Indigenous Australians and/or capture Indigenous‐specific knowledge. Most called for more high‐quality research.

Conclusion: Systematic …

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

Faculty of Social Sciences - Papers (Archive)

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

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

Faculty of Social Sciences - Papers (Archive)

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

Habitus And Responsible Dog-Ownership: Reconsidering The Health Promotion Implications Of 'Dog-Shaped' Holes In People's Lives, Christopher J. Degeling, Melanie Rock, Wendy Rogers, Therese Riley

Faculty of Social Sciences - Papers (Archive)

Responsible dog ownership has been identified as a point of intervention to promote physical activity, based upon an expectation of dog walking in public space. Nevertheless, quantitative research has found variability among owners in their dog walking. In this study, we explore the implications for health promotion of such variability. We do so by drawing on the concepts of habitus and social capital to analyse qualitative interviews. Participants were recruited from a social network in a cosmopolitan city with a policy framework intended to ensure equitable access to public space for dog walkers. The analysis confirms dog ownership can promote …

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

Faculty of Social Sciences - Papers (Archive)

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

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

Faculty of Social Sciences - Papers (Archive)

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

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

Faculty of Social Sciences - Papers (Archive)

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

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

Faculty of Social Sciences - Papers (Archive)

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

Routine Screening Of Indigenous Cancer Patients' Unmet Support Needs: A Qualitative Study Of Patient And Clinician Attitudes, Belinda Thewes, Esther L. Davis, Afaf Girgis, Patricia C. Valery, K Giam, Alison Hocking, J Jackson, Vincent He, Desmond Yip, Gail Garvey

Faculty of Social Sciences - Papers (Archive)

Indigenous Australians have poorer cancer outcomes in terms of incidence mortality and survival compared with non-Indigenous Australians. The factors contributing to this disparity are complex. Identifying and addressing the psychosocial factors and support needs of Indigenous cancer patients may help reduce this disparity. The Supportive Care Needs Assessment Tool for Indigenous People (SCNAT-IP) is a validated 26-item questionnaire developed to assess their unmet supportive care needs. This qualitative study reports on patient and clinician attitudes towards feasibility and acceptability of SCNAT-IP in routine care.

Musical Melanesianism: Imagining And Expressing Regional Identity And Solidarity In Popular Song And Video, Michael Webb, Camellia B. Webb-Gannon

Faculty of Social Sciences - Papers (Archive)

This article identifies and explores an emerging tendency among Melanesians to reenvision their region for the present time. It examines a corpus of popular songs and accompanying videos produced over the last decade that promote regional identity, a phenomenon driven by four factors: diasporic experience as well as a general increase in mobility and global awareness; dissatisfaction with the ruling class; desire to counter negative portrayals of the region abroad; and deep concern over the deprivation of fellow Melanesians' rights to political autonomy. The article demonstrates that this reenvisioning of Melanesianism reiterates key themes of the region's seminal postcolonial thinkers, …

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

Faculty of Social Sciences - Papers (Archive)

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

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

Faculty of Social Sciences - Papers (Archive)

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

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

Faculty of Social Sciences - Papers (Archive)

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

Same-Day Use Of Opioids And Other Central Nervous System Depressants Amongst People Who Tamper With Pharmaceutical Opioids: A Retrospective 7-Day Diary Study, Amy Peacock, Raimondo Bruno, Briony K. Larance, Nicholas Lintzeris, Suzanne Nielsen, Robert Ali, Timothy Dobbins, Louisa Degenhardt

Faculty of Social Sciences - Papers (Archive)

Objective The aims were to determine: (i) quantity and frequency of same-day use of opioids with benzodiazepines and/or alcohol amongst people who regularly tamper with pharmaceutical opioids; and (ii) socio-demographic, mental health, harms and treatment profile associated with same-day use of high doses. Method The cohort (n = 437) completed a retrospective 7-day diary detailing opioid, benzodiazepine, and alcohol intake. Oral morphine equivalent (OME) units and diazepam equivalent units (DEU) were calculated, with >200 mg OME, >40 mg DEU and >4 standard alcoholic drinks (each 10 g alcohol) considered a "high dose". Results One-half (47%) exclusively consumed opioids without benzodiazepines/alcohol; …

Geographic Variation In Health Service Use And Perceived Access Barriers For Australian Adults With Chronic Non-Cancer Pain Receiving Opioid Therapy, Amy Peacock, Suzanne Nielsen, Raimondo Bruno, Gabrielle Campbell, Briony K. Larance, Louisa Degenhardt

Faculty of Social Sciences - Papers (Archive)

Objective. Rates of chronic non-cancer pain are increasing worldwide, with concerns regarding poorer access to specialist treatment services in remote areas. The current study comprised the first in-depth examination of use and barriers to access of health services in Australia according to remoteness. Methods. A cohort of Australian adults prescribed pharmaceutical opioids for chronic non-cancer pain (n = 1,235) were interviewed between August 2012 and April 2014, and grouped into 'major city' (49%), 'inner regional' (37%), and 'outer regional/remote' (14%) according to the Australian Standard Geographical Classification based on postcode. Multinomial logistic regression analyses were conducted to determine geographical differences …

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

Faculty of Social Sciences - Papers (Archive)

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

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

Faculty of Social Sciences - Papers (Archive)

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

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

Faculty of Social Sciences - Papers (Archive)

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

Defining Problematic Pharmaceutical Opioid Use Among People Prescribed Opioids For Chronic Noncancer Pain: Do Different Measures Identify The Same Patients?, Gabrielle Campbell, Raimondo Bruno, Nicholas Lintzeris, Milton Cohen, Suzanne Nielsen, Wayne Hall, Briony K. Larance, Richard P. Mattick, Fiona Blyth, Michael P. Farrell, Louisa Degenhardt

Faculty of Social Sciences - Papers (Archive)

The International Classification of Diseases (ICD) and the Diagnostic and Statistical Manual (DSM) are routinely used in diagnosing illicit substance use disorders, but for people taking prescribed opioids they remain controversial. In pain medicine, the concept of "Addiction" is preferred with reduced emphasis on tolerance and withdrawal. This article examines the prevalence and characteristics of pharmaceutical opioid dependence/disorder according to ICD, DSM, and the pain medicine concept of "Addiction," among chronic noncancer pain (CNCP) patients prescribed opioids. In the current study, we used data from a national sample of 1134 people prescribed opioids for CNCP. Past 12-month "Addiction" (based on …

‘Students That Just Hate School Wouldn’T Go’: Educationally Disengaged And Disadvantaged Young People’S Talk About University, Samantha Mcmahon, Valerie Harwood, Anna Hickey-Moody

Faculty of Social Sciences - Papers (Archive)

This paper contributes to a growing body of literature on widening university participation and brings a focus on the classed and embodied nature of young people’s imagination to existing discussions. We interviewed 250 young people living in disadvantaged communities across five Australian states who had experienced disengagement from compulsory primary and secondary schooling. We asked them about their education and their educational futures, specifically how they imagined universities and university participation. For these young people, universities were imagined as ‘big’, ‘massive’ alienating schools. The paper explores how the elements of schooling from which these young people disengaged became tangible barriers …