Medicine and Health Sciences Commons^™

Does Providing Pill Testing At Festivals Increase Intention To Use Ecstasy?, Sherri Lee Murphy

Theses : Honours

Calls to provide sanctioned pill testing (drug checking) at music festivals has met with resistance from most Australian governments due to a concern that such services would increase use of ecstasy and other drugs. To address an important gap in current knowledge, I investigated how a pill testing service might influence intention to use ecstasy. I also drew from the Theory of Planned Behaviour to examine what determinants of behaviour predict intention to use a pill testing service. Music festival attendees (N = 247) were presented with three hypothetical pill testing scenarios: The current legal circumstance where consumers only …

Identifying The Enablers And Barriers To Community Participation Amongst Older Adults, Nicole Papageorgiou

Theses : Honours

The older adult population in Western Australia (WA) has significantly increased over the last decade and continues to grow, highlighting the importance of maintaining their health, wellbeing and independence. This may be achieved by facilitating active ageing, enabling older adults to continue to live meaningful and fulfilling lives, contribute positively to society, and lower the demand on costly health and human services. Conversely, a lack of social engagement and community participation may hinder healthy ageing and lead to social isolation, which is adversely related to the quality of life and health status of older adults. Occupational participation is critical to …

Early Maladaptive Schemas In An Australian Adult Alcohol Dependent Clinical Sample: Differences Between Men And Women, Diana Lanie Janson

Theses : Honours

Recent literature suggests that there are widespread differences between men and women’s Early Maladaptive Schemas (EMSs) and that EMSs are highly prevalent in alcohol dependent populations. The present study examined differences between men and women’s EMSs in an Australian clinical sample who had sought treatment specifically for alcohol dependence. A total of 111 men and 114 women completed the Young Schema Questionnaire – Long Form (YSQ-L3) between 2012 and 2015 in order to assess them on 18 EMSs. Despite previous findings suggesting that women report higher levels on a number of EMSs the present study found that women only scored …

Accidental Opioid Overdose Fatalities In Western Australia, 2008-2012: A Case For More Targeted Intervention, Natalie J. Castalanelli

Theses : Honours

While there are current opioid overdose prevention strategies in Western Australia, these strategies are targeted at illicit opioid users and rely on bystander presence to intervene. The aim of the current study was to identify disparities between current overdose prevention strategies and the actual circumstances surrounding opioid related fatalities, to inform the development of best-practice opioid overdose prevention strategies for Western Australia. To do this, coronial files were drawn from the National Coronial Information System for accidental illicit opioid related fatalities (N = 329) and accidental prescription opioid related fatalities (N = 126) for the years 2008 to 2012. Each …

The Feasibility Of Implementing A Novel Electrical Stimulation Device In The Self-Management Of Hand Burn Pain, Katrina Liddiard

Theses : Honours

Burns are widely acknowledged as one of the most painful injuries experienced, and poorly controlled pain following burn injury has been linked to reduced psychological adjustment, lower quality of life, and increased risk of developing a chronic pain state. Transcutaneous electrical nerve stimulation has been used for pain relief in a range of medical conditions, and may have the potential to reduce pain and analgesic consumption for burns patients. The burn care environment presents unique challenges to the introduction of new interventions, and the feasibility of introducing a novel form of electrical stimulation into this environment has not been tested. …

Construct Validity Of The Developmental Test Of Visual-Perception Third Edition (Dtvp-3) In Western Australian Primary School Children, Kirsten Clarke

Theses : Honours

Visual perception is the ability to identify, organise, make meaning of and provide sense to what is seen in the world in which we live. Visual perceptual skills continuously develop in primary school children as seen in academic performance. If visual perceptual difficulties are unaddressed, the cumulative academic result can be detrimental throughout life. Thus, visual perceptual difficulties must be identified using tests that possess sound measurement properties to allow for early intervention. The purpose of the research was to determine the construct validity of the Developmental Test of Visual Perception Third Edition (DTVP-3). The DTVP-3 was designed and standardised …

Enablers And Barriers Experienced By Grandparents Who Become Primary Caregivers Of Grandchildren: An Occupational Perspective, Janice Du Preez

Theses : Honours

Aim: The aim of this review was to identify current issues affecting grandparents who are raising their grandchildren in Australia.

Method: The study systematically reviewed twelve studies that evaluated supports for grandparents. The Checklist Analysis of Research for Systematic Review and the Quantitative and Qualitative Checklist were used to evaluate the studies.

Findings: Five support issues affecting grandparent-headed families were evidenced in the literature as being of priority. These include stress, intergenerational conflict, community support, legal and financial aspects, policies and service frameworks.

Conclusions: The paucity of research implies that further funding for large-scale research is required. Implications for informal …

Letter Reversal Assessments: A Systematic Review Of Measurement Properties, Administration Guidelines And Reversal Content And Richmond Reversal Rating: Construct Validity In Relation To Visual-Spatial Abilities, Lucinda Venter

Theses : Honours

Background: With several assessments available that purport to measure the letter reversal rates of young school-aged children, the question was raised how reliable and comparable these assessments are and to what extent each assessment addresses the concept of letter reversals? A systematic review of these assessments was performed to evaluate the measurement properties and administration guidelines, and to compare the reversal content of these assessments.

Method: Relevant assessments and studies were identified through literature searches. For each of the assessments the measurement properties, quality of the studies that report the measurement properties, and administration guidelines were evaluated, and the content …

Parkinson's Diagnosis From The Caregiver's Perspective, Helen Maree Bradley

Theses : Honours

Parkinson’s disease (Parkinson’s) is a progressive neurodegenerative disorder. The irreversible and accumulating disability experienced means that people with Parkinson’s progressively lose their autonomy, eventually requiring complete care. Consequently, Parkinson’s significantly impacts sufferers and the people who care for them. Informal care, predominantly provided by female spouses becomes exceptionally demanding over time, and caregivers experience significant morbidity. Stress manifests across all stages of the caregiving trajectory, with diagnosis reported as a particularly stressful period for caregivers; however, few attempts have been made to understand what makes it stressful. The current study explored female spousal caregivers’ subjective experience of the Parkinson’s diagnosis, …

Examining The Appeal And Ascribed Meanings Of Complementary And Alternative Medicine (Cam) Use By Males: An Interpretative Phenomenological Analysis, Kathryn V. Hogan

Theses : Honours

Men are commonly and consistently underrepresented in global depression rates, however figure predominantly in rates for substance abuse and suicide. It has been suggested that men’s under-utilisation of mental health services accounts for the discrepancy between the genders and that hegemonic masculine stereotypes have created a barrier for males in seeking help for mood disorders. The use of Complementary and Alternative Medicines (CAM) has been expanding globally, with research showing in some instances of self-diagnosed depression and anxiety, CAM is being utilised more often than mainstream health care services. The present study explored the personal meanings of males who currently …

Searching For Health Information On The Internet : The Experiences Of Western Australian Adolescents, Lee-Anne Martins

Theses : Honours

Adolescents readily engage in online entertainment pursuits, however, it is their online social activities and health information searches that encourage psychosocial development and influence identity formation and autonomy. Considerable research has been completed on various aspects of adolescents’ encounters with online health information (for example, see Percheski & Hargittai, 2011), yet minimal research has been conducted using Australian adolescents. This study extends existing research utilising Western Australian adolescents who have used the Internet to obtain health information. The areas explored include how Western Australian adolescents search for online health information, by means of which devices, and their experiences of using …

Culturally And Linguistically Diverse Carers' Perceptions Of The Cultural Appropriateness Of Carer Support Services: An Exploratory Study, Andrea Creado

Theses : Honours

Research on service utilisation by primary family carers has highlighted that carers from culturally and linguistically diverse (CALD) backgrounds face specific barriers in accessing services, such as lack of culturally appropriate services, communication issues, prejudice, feelings of failure and misunderstanding of mental illness. However, little is known about how to best overcome these factors from the carers' perspective. The aim of this study was to investigate the perceptions CALD carers had of the cultural appropriateness of carers' support services available in Perth. Ten primary family carers from CALD backgrounds participated in a semi-structured interview to explore their perceptions of existing …

Spirituality And Organised Religion In Supporting Parents Of Children With Down Syndrome And Intellectual Disability, Divia Pillay

Theses : Honours

Background: Raising a child with an intellectual disability can present parents with many challenges. Factors that have been demonstrated to positively impact on the mental and physical health of parents of children with an intellectual disability include greater clinical, family and social supports. One avenue of support that has been rarely explored is the role of spirituality and organised religion in supporting parents of children with an intellectual disability. Aim: The aim of this literature review was to investigate the role of spirituality and organised religion in the lives of parents of children with intellectual disability, specifically Down syndrome. Methods: …

Experiences And Perceptions Of How Community-Based Interventions Can Promote Young Adults' Resilience To Suicide Within Rural/Regional Communities, Tracy Evans

Theses : Honours

In the literature, both statistics and studies have noted that suicide in rural/regional young adults' is an important concern. Recent research suggests, that to facilitate a primary approach to suicide prevention in young people, there is a need to promote the protective construct of resilience at a community level, highlighting strategies such as connectedness, and decreasing the stigma related to mental illness and health-seeking behaviour (Commonwealth Department of Health & Aged Care, 2005; Injury Control Council of Western Australia, 2006). However, there is a need to investigate and identify the links or mediating factors that promote individual resilience within a …

To What Extent Is The Spirit Of Motivational Interviewing Present In The Experience Of Alcoholics Anonymous Members?, Mark Williams

Theses : Honours

More people tum to Alcoholics Anonymous (AA) in an attempt to recover from alcohol dependence than any other intervention. AA has historical links with confrontational approaches to alcohol treatment, and motivational interviewing (MI) was conceived by Miller in the 1980's as an alternative to these confrontational approaches. There are divided opinions on whether AA is confrontational; therefore, the primary aim of this qualitative study was to gain an insight into how the spirit of AA is experienced by its members. Ten members of AA were interviewed using a semi-structured interview schedule. Thematic analysis from a constructionist perspective was utilised in …

The Work Practices And Employment Patterns Of Parents Of A Child With Rett Syndrome, Jessica Coles

Theses : Honours

Objective: To review the literature examining the work practices and employment patterns of parents of a child with an intellectual disability, with a specific focus on Rett syndrome. Method: Electronic database searches of Medline, Cinahl and ISI Web of Knowledge and manual searches of reference lists were conducted. Government Reports obtained from Australian Bureau of Statistics were also examined. Quality of articles was assessed using Qualitative and Quantitative Assessment Checklists from Standard Quality Assessment Criteria for Evaluating Primary Research Papers used to assess quality of literature. Results: The work practices and employment patterns of parents of children …

Leisure Participation For School-Aged Children With Down Syndrome, Alinta Oates

Theses : Honours

Background. A review of existing literature is necessary to determine the future directions required in research exploring friendships and leisure for school-aged children with Down syndrome. Purpose. This review examines research published in peer-reviewed journals describing participation in friendships and leisure for school-aged children with Down syndrome. The review is guided by the theoretical framework of the World Health Organisation's International Classification of Functioning, Disability and Health (ICF ). Methods. Electronic searches of PubMed, PsychInfo, CINAHL, SportsDiscus and ERIC were conducted using the key terms Down syndrome, leisure and friendships. Keywords identified while using the ICF framework to explore factors …

Balancing Multiple Roles: A Pilot Study Exploring The Complexity Of Role Balance In Working Mothers With Primary School Aged Children, Katherine Prince

Theses : Honours

For working mothers, maintaining a balance between work and parenting roles is a challenge. Each role presents its own set of physical, mental and temporal demands which frequently compete for the limited personal and environmental resources available to the mother. These competing demands can create conflict and stress, which prompts a coping response. The coping response initiated is a physiological reaction to the mother's appraisal of her situational conflict, and follows a process of appraisal. Firstly the working mother appraises the conflict itself. This is followed by the appraisal of the personal and environmental resources, constraints and demands. Finally, a …

The Benefits Of Pet Ownership For Single Adults In Midlife, Lauren Mcgillivray

Theses : Honours

Pets are shown to enhance quality of life through support and companionship. Midlife is a time where pets may be most valuable, since it is a time that involves critical changes to intimate relationships, roles and status. In this article a critical review of the literature on midlife development and demographic trends was carried out. Further, the psychological literature on human-pet relationships was reviewed and integrated with midlife research. Evidence for the psychological and physical benefits of pets is examined and the implications and potential benefits for middle aged adults are discussed. Findings suggest that pets may help to reduce …

Exploring The Pap Smear Experiences Of Women Aged 18 To 25 : Moving From Intention To Action, Gemma Malatesta

Theses : Honours

The aim of this research was to explore the Pap smear experiences of young women aged 18 to 25. The effectiveness of Pap smear screening and the barriers to obtaining one have been well researched. However, there is limited information in the literature on young women's experiences of Pap smear screening and the context in which they move from intending to be screened to actually undertaking the screening. This qualitative study, underpinned by a constructivist paradigm informed by a feminist epistemology, consisted of eight semi structured interviews with young women who had participated in Pap smear screening. Data analysis using …

The Relationship Between Nicotine Dependence And Symptoms Of Anxiety, Depression And Stress In A Therapeutic Community For Alcohol And Other Drug Rehabilitation, Thomas Hopkins

Theses : Honours

Smoking tobacco is the largest single risk factor for premature death in developed countries. It is also associated with the greatest economic cost of all drugs in Australian society. In addition to the health and economic consequences associated with smoking, it has also been associated with mental health problems. Smoking has been associated with anxiety, depression and stress, as well as more pervasive disorders such as panic disorder and agoraphobia. It is not clear whether smoking contributes to mental health problems or individuals with mental health problems smoke to alleviate symptoms. It may be there are genetic factors that contribute …

Academic - Practice Bridges: Implications For Lecturers When The Complexities Of Change Meets The Higher Education And Nurse Education Systems, Adrianne Jones

Theses : Honours

Government, industry, enterprises and the community expect the Vocational and Educational Training (VET) system to provide up-to-date educational programs that provide pathways from school-based learning to the higher education facilities such as universities and to employment opportunities. Reforms in the VET sector over the past ten years have had a significant impact on the work of staff employed in the area. Educators now operate in more competitive markets and face increased demands for higher quality and more relevant training programs from clients. Understanding and keeping up with the changes and working in new and more flexible ways have been major …

Do Auditory Simulations Of Noise-Induced Hearing Loss Change Young Adults' Attitudes Towards Noise Exposure?, Claire Roockley

Theses : Honours

Noise-induced hearing loss (NIHL), or hearing damage from regular exposure to loud noise, can profoundly affect a person's hearing capabilities and overall well-being. Many individuals continue to expose themselves to hazardous levels of noise, and, in turn, put themselves at risk of developing a NIHL. This review critically examines the existing literature presented on NIHL. Emphasis is placed on the increasing prevalence of NIHL in young adults from exposure to loud recreational noise. The effectiveness of current educational strategies that have been employed to reduce or prevent the occurrence of NIHL in this cohort is also examined. Research indicates that …

Exploring The Notion Of Emotional Attachment In Orford's Model Of Addiction : Review, And A Step Towards Operationalising Orford's Concept Of Strong Attachment In Addiction : A Qualitative Study, Kate E. Baily

Theses : Honours

Orford's (2001) notion that a strong emotional attachment to an object (drug) or activity (gambling) is a central component of addiction has received little empirical attention. The published research on attachment to inanimate objects was reviewed and led to the following conclusions. First, attachment theory has been validly applied to people's relationships with inanimate objects. Second, researchers have developed technologies (e.g., psychological measures, operational definitions) to enable empirical research in this area. Third, this research is in its early phases, but has produced reliable standardised measures of people's emotional attachment to brands. Further research is needed to operationalise Orford's (2001) …

Nurses' Perceptions Of The Pharmacological Management Of Acute Pain Experienced By Patients Hospitalised In The General Ward Setting, Susan Slatyer

Theses : Honours

This study explored and described the experiences and perceptions of nurses managing acute pain in a Western Australian public hospital. The focus was nurses practising in the general ward setting and using current prescribing guidelines. The aim of this research was to explore nurses' attitudes, beliefs and knowledge about pain and pain pharmacology and how this practice setting influences efficient pain management. Qualitative methodology was selected for its ability to explore complex issues in order to build nursing knowledge and guide nursing practice. This study used a descriptive, exploratory design based on a phenomenological approach. The sample comprised ten Registered …

A Descriptive Study Of Ethical Procedures That Maintain Cultural Security When Conducting Health Research With Aboriginal And Torres Strait Islander School Children In Western Australia, Dionne Paki

Theses : Honours

Cultural security is the maintenance of values and beliefs and the celebration of diversity unique to different cultures. This honours thesis developed a proposed framework to guide collaborative ethics procedures that demonstrate the Aboriginal values relevant to health research for use in Western Australia (WA). These values of reciprocity, respect, equality, responsibility, survival and protection, and spirit and integrity have been identified in the National Health and Medical Research Council's Values and Ethics: Guidelines for Ethical Conduct in Aboriginal and Torres Strait Islander Health Research. Ethical procedures for maintaining cultural security when conducting health research among Aboriginal people throughout Australia …

Perceptions Of Psychological Injury In The Workplace, Richard Merrett

Theses : Honours

Work-related psychological injury has not only increased as a percentage of all injuries but also accounts for the greatest cost, both in duration of lost time and financially (National Occupational Health & Safety Commission [NOHSC], 2001; NOHSC, 2002). There are two major explanations as to why this might be. One explanation is that stigmatisation of psychological injury has reduced, resulting in increased reporting (Manton, 2004). The other major explanation is that workplaces are becoming more stressful environments, resulting in increased levels of psychological injury to employees (Kenny & Cooper, 2003). This review will investigate those potentially influential factors that relate …

Substance Using Women : The Social Meaning Of Substance Use For Using Women And The Negotiation Of Identities, H. Suzanne Mackeith

Theses : Honours

This thesis is framed as an inquiry into the attitudes and experiences of women to their use of psychoactive substances and the contribution that use makes to their construction of gendered identities and meanings they derive from their use. The thesis also explores how these meanings relate to, and contrast or concur with, wider social attitudes relating to ‘feminine’ identity, issues of resistance and control, self control, happiness, independence and dependence, social roles and relationships, risk-taking and safety. The thesis aims to contribute to feminist understandings concerning substance use and to add a feminist interpretative voice to the alcohol, tobacco …

Storying The Body : Women's Narratives Through The Lens Of Breast Cancer, Janet A. Griffin

Theses : Honours

What can women's narratives contribute to our understanding of breast cancer and to feminist theories of the body? This thesis explores the meanings women construct to make sense of embodied experiences of breast cancer, and the profound experience of breast loss. Rich contextual data was elicited from in depth, guided conversations with five premenopausal women who have undergone mastectomy. Adopting feminist methodology, biographic-narrative was used to place the body at the heart of inquiry. This thesis explores the personal and theoretical meanings of mastectomy, embedded in the larger story of how these five women experience their breasts, throughout their lives. …

Hepatitis C, Quality Of Life And Cognitive Function : An Exploratory Study, John Caithness

Theses : Honours

Active chronic hepatitis C (CHC) is a viral infection that affects approximately 150,000 Austra1ians. It has various quality of life impacts and the literature suggests some cognitive ramifications. In this Western Australian exploratory study, 13 healthy students from Edith Cowan University made up a control group. One experimental group consisted of 11 people with CHC and mild liver damage, and a second experimental group consisted of 8 people with CHC and at least moderate liver damage. The participants were assessed with a health-related quality of life questionnaire, the Short Form 36 Health Survey (SF-36); a test of cognitive functioning, the …