Medicine and Health Sciences Commons^™

Engaging Primary Health Care Providers In The Promotion Of Healthy Weight Among Young Children: Barriers And Enablers For Policy And Management, Lydia A. Hearn, Margaret R. Miller, Donna S. Cross

Research outputs pre 2011

Recent national efforts to stem the alarming growth of childhood overweight and obesity in Australia have highlighted the importance of preventative strategies that focus beyond the child-on parents, families, primary health care providers (PHCPs) and child care services. But, while such efforts have to date focused on school-based interventions, once poor eating habits and sedentary lifestyles have set in, a growing body of research is indicating that PHCPs can play a more influential role in monitoring and modifying factors affecting prevention and early intervention in preschool children. This paper presents the findings of a systematic review to: (a) identify key …

The Effect Of Concurrent Resistance And Endurance Training On Physiological And Performance Parameters Of Well Trained Endurance Cyclists, Gregory T. Levin

Theses: Doctorates and Masters

Purpose: To investigate the effect of concurrent resistance and cycle training on the physiological and performance characteristics of well trained cyclists. Secondly, this study aimed to investigate the reliability of a new cycling time-trial test that incorporated repeated high-intensity sprint segments, both prior to and after a training intervention, with well trained cyclists.

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 …

From Gps To Psychologists: The Patients' Perspective On Help-Seeking And Referral, Zdenka Bartova

Theses : Honours

The experience of living with psychological problems has a profound effect on an individual's life. For those actively seeking help, General Practitioners usually present the first point of contact. General Practitioners thus serve as gatekeepers who either decide to manage the individuals themselves and/or refer them to a mental health professional. The referral decision is part of a complex help-seeking process in which patients have to mediate their own understanding of their problems with that of the practitioner, all within the structural constraints of the current health care system. This literature review discusses constructs of mental illness and the impact …

A Descriptive Survey Of Undergraduate Nursing Students' Perceptions Of Desirable Leadership Qualities Of Nurse Preceptors, Melanie Zilembo

Theses : Honours

Leadership in the nursing profession has gained much attention over the previous decade. However, there is a paucity of literature examining the context of leadership within the clinical preceptor/undergraduate nursing student relationship and the relevance of this to the clinical learning environment. Globally, the nursing profession is experiencing a climbing attrition rate, an accelerating ageing workforce and a trend toward part-time employment. Practical experience is based upon a preceptored model of supervision creating a potential for inconsistencies for student supervision and assessment within this mode of education. The purpose of this study was to explore, from the perspective of the …

Development Of A Blood Test For The Detection Of Cutaneous Malignant Melanoma, Rebecca Slattery

Theses : Honours

Cutaneous Malignant Melanoma is a highly aggressive form of skin cancer that has a tendency to metastasise. In its early stages, the 5-year survival rate of patients is greater than 90% following surgical excision of an in situ tumour. However, following metastasis of the tumour, the 5-year survival rate declines to 5-35%. Due to the correlation between metastasis and declining survival, studies have attempted to identify potential metastasis as early as possible. Molecular markers of melanoma cells in the peripheral blood of CMM patients have been investigated, as the invasion of tumour cells into the blood is one of the …

Behavioural Activation Treatment For Depression: A Review Of The Literature ; Effects Of A Brief Behavioural Activation Treatment On Activity Levels And Depression, Debra L. Bailey

Theses : Honours

Behavioural activation (BA) is an emergent psychological treatment for depression rooted in the tradition of behavioural theory. This paper discusses the manner in which BA arose as a result of the seminal Jacobson et al. (1996) study, which dismantled the behavioural and cognitive components of cognitive behavioural therapy (CBT; Beck, Rush, Shaw, & Emery, 1979). Published empirical studies examining the effectiveness of BA are reviewed and considerations for future research are offered. It is concluded that BA shows promise as a parsimonious, effective, and potentially cost-efficient psychological treatment for depression. However, more large-scale research is needed: in samples with low …

Depression, Rumination And Dependency In Relation To Age And Gender, Alison J. Lee

Theses : Honours

Extensive research has been carried out in the field of depression and its relation to age and gender. This article reviews relevant literature in the field of depression, rumination and dependency and the relationships of these to age and gender. It has been shown in numerous studies that depression, rumination and dependency are related and exist in comorbidity with each other. This article also reviews some of the research that has been conducted on age and gender with relation to rumination and dependency. It has been found in relation to rumination, dependency and depression that women are more susceptible than …

Assessment Of Static Balance Ability In An Athletic Pediatric Population, Cailyn Rogers

Theses : Honours

There is a large amount of conjecture surrounding the reliability of methods of balance assessment and the outcome variables used to assess balance in pediatric populations. There has also been limited research conducted on the balance ability of an athletic pediatric population, and the factors which may affect that ability. The purpose of this research is firstly to determine the reliability of postural sway measures used to assess balance including: average displacement of the centre of pressure in the mediolateral and anterior-posterior directions relative to both the centre of the plate and the centre of the base of support; peak …

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 …

Understanding Personal Carers' Experiences Of Caring For Older People In Pain, Kristi Holloway

Theses : Honours

Pain is a complex phenomenon that can be challenging for staff working in residential aged care facilities (RACFs) (Fisher et al., 2002; Twycross, 2002). A high prevalence of pain reported by older individuals has been reported and suggests that further study in this area is warranted (Higgins, Madjar & Walton, 2004). Research suggests that a significant barrier to effective pain management in the elderly is the provision of primary care by care staff who have little or no education about pain, pain assessment or pain management (Allcock, McGarry & Elkan, 2002). Studies have identified personal carers as being in a …

Nutrition And Eating Behaviour In Older Adulthood, Catherine Helene Matringe

Theses : Honours

In response to increasing number of older Australians (from 13% over 65 in 2004 to 28% by 2051), policy makers have been exploring strategies aimed at maintaining older adults' quality of life. Nutrition has been recognised as an effective preventive measure to promote well-being among older adults. The purpose of the current paper is to review relevant literature in the area of nutrition and eating behaviour in older adulthood. Biological issues, psychological factors, and social as well as environmental aspects are reviewed. Issues related to the ageing process, mental illness, chronic conditions, body image, social isolation and poverty represent barriers …

Why It Is Important To Look At Long-Term Abstinence From Heroin Use: A Review Life Beyond Heroin: An Exploration Of The Motivations For Long-Term Heroin Abstinence, Lucy Dann

Theses : Honours

The phenomenon of achieving long-term abstinence from drug use remains to be thoroughly understood in the alcohol and other drug (AOD) community, particularly in the area of heroin use. This review assesses research in the field of long-term abstinence from drug use and highlights the need to examine long-term abstinence from heroin use. Prochaska and DiClemente's (1986) Stages of Change model of behaviour change is examined as well as literature examining its importance in the AOD field. Studies examining long-term abstinence from alcohol, tobacco, cocaine and heroin use are reviewed from a psychological perspective, focusing on cognitive-behavioural constructs. Findings revealed …

Review Of Diabetes Among Indigenous Peoples, Australian Indigenous Healthinfonet

Research outputs pre 2011

This review provides detailed information on the extent of diabetes, and its complications and comorbidities among Aboriginal and Torres Strait Islander people, including: incidence and prevalence data; hospitalisations; mortality and burden of disease. This review discusses the issues of prevention and management of diabetes, and provides information on relevant programs, services, policies and strategies that address the health issue of diabetes among Aboriginal and Torres Strait Islander people.

This review concludes by discussing possible future directions for combatting the growing epidemic of diabetes in Australia.

The review focuses primarily on type 2 diabetes among Aboriginal and Torres Strait Islander people …

Optimising School Nurse Involvement In Youth Based Tobacco Control Programs: Presented To The Western Australian Health Promotion Foundation, Child Health Promotion Research Unit, Edith Cowan University

Research outputs pre 2011

A significant proportion of youth smoke regularly, placing them at risk of addiction to cigarette smoking. It is known that adolescence is a critical period for the establishment of adult drug use behaviours. The key focus for this research program is the investigation of interventions addressing adolescent smoking cessation, with a particular emphasis on School Nurse involvement.

The research program aims to provide capacity building benefits at three levels: to secondary school nurses, to two post-graduate students, as well as school health promotion /smoking prevention/cessation practitioners and researchers. Ultimately this project may add previously underused but well trained, highly credible …

Impact Of Extra-Curricular Activities On Adolescents' Connectedness And Cigarette Smoking: Final Report, Margaret Hall, Greg Hamilton, Therese Shaw, Donna Cross, Tommy Cordin, Leanne Lester, Stacey Waters

Research outputs pre 2011

In Australia, cigarette smoking is still the leading cause of preventable death and yet in the past 10 years, despite efforts that have been made in the classroom and through the media, there have been limited reductions in adolescent smoking. The Extra-curricular Project builds on the work of two other projects conducted by researchers from the Child Health Promotion Research Centre (CHPRC). The Smoking Cessation for Youth Project (SCYP), conducted by the Western Australian Centre for Health Promotion Research, led to the identification of connectedness as a key mediator of cigarette smoking. The role of extra-curricular activities in mediating school …

Maximising Parent Involvement In The Pedestrian Safety Of 4 To 6 Year Old Children: Final Report, Child Health Promotion Research Centre

Research outputs pre 2011

In Australia pedestrian injury is the leading specific cause of death among 5-9 year old children, and pedestrian injuries among 0-14 year old children in 1999-20000 were the second highest cause of hospitalisation. This mortality and morbidity can be attributed largely to unsafe road environments and under 10 year old children's significant deficits in cognitive and perceptual abilities when crossing roads. For all children under 10 years learning to cross the road needs to be taught by parents in the same way that children learn to swim i.e. under close adult supervision and in the 'real' environment where the skills …

Hiv/Aids And Development In The Pacific, Trevor Cullen

Research outputs pre 2011

No abstract provided.

Information Governance: A Model For Security In Medical Practice, Patricia Williams

Research outputs pre 2011

Information governance is becoming an important aspect of organisational accountability. In consideration that information is an integral asset of most organisations, the protection of this asset will increasingly rely on organisational capabilities in security. In the medical arena this information is primarily sensitive patient-based information'. Previous research has shown that application of security measures is a low priority for primary care medical practice and that awareness of the risks are seriously underestimated. Consequently, information security governance will be a key issue for medical practice in the future. Information security governance is a relatively new term ,and there is little existing …

Changes In Power Assessed By The Wingate Anaerobic Test Following Downhill Running, Carmel Nottle, Kazunori Nosaka

Research outputs pre 2011

No abstract provided.

Reliability Of Kinematics And Kinetics Associated With Horizontal Single Leg Drop Jump Assessment: A Brief Report, M. Stalbom, D.J. Holm, John Cronin, J.W.L. Keogh

Research outputs pre 2011

Determining the reliability of a unilateral horizontal drop jump for displacement provided the focus for this research. Eighteen male subjects were required to step off a 20cm box and land on a force plate with one leg and thereafter jump for maximal horizontal displacement on two different days. Dependent variables from the jump assessment included mean and peak vertical (V) and horizontal (H) ground reaction forces (GRF) and impulses, horizontal displacement and contact time. The between-trial variability of all kinematic and kinetic measures was less than 7%. The most consistent measure over both trials was the horizontal displacement jumped (1.2 …

Recruiting And Retaining Gps And Patients In Intervention Studies: The Deps-Gp Project As A Case Study, M Williamson, J Pirkis, J Pfaff, O Tyson, Moira Sim, N Kerse, N Lautenschlager, N Stocks, O Almeida

Research outputs pre 2011

Background: Recruiting and retaining GPs for research can prove difficult, and may result in sub-optimal patient participation where GPs are required to recruit patients. Low participation rates may affect the validity of research. This paper describes a multi-faceted approach to maximise participation of GPs and their patients in intervention studies, using an Australian randomised controlled trial of a depression/suicidality management intervention as a case study. The paper aims to outline experiences that may be of interest to others considering engaging GPs and/or their patients in primary care studies. Methods: A case study approach is used to describe strategies for: (a) …

A Series Of Studies On Professional Rugby League Players, Daniel G. Baker

Theses: Doctorates and Masters

Rugby league football is a popular game in Australia, which appears to rely heavily upon strength, power, speed and endurance due to the nature of the phyiscal contacts. In an effort to discern the importance of upper body strength, power speed and endurance to rugby league players a retrospective data analysis was performed. Three areas of investigation were: 1) the testing of upper body physical qualities of strength, power, speed and strength-endurance and their significance to playing status in the elite national first-division (NRL), second-division (SRL) and third-division (CRL), 2) the effect of acute training variable manipulations upon power output …

Assessment And Enhancement Of Lower Extremity Power Of Athletes, Naruhiro Hori

Theses: Doctorates and Masters

STUDY 1: RELIABILITY OF PERFORMANCE MEASUREMENTS DERIVED FROM GROUND REACTION FORCE DATA DURING COUNTERMOVEMENT JUMP AND INFLUENCE OF SAMPLING FREQUENCY. STUDY 2: COMPARISON OF FOUR DIFFERENT METHODS TO MEASURE POWER OUTPUT DURING THE HANG POWER CLEAN AND THE WEIGHTED JUMP SQUAT. STUDY 3: DOES PERFORMANCE OF HANG POWER CLEAN DIFFERENTIATE PERFORMANCE OF JUMPING, SPRINTING, AND CHANGING OF DIRECTION? STUDY 4: COMPARISON OF WEIGHTED JUMP SQUAT TRAINING WITH AND WITHOUT ECCENTRIC BRAKING.

Utilization Of Health And Medical Services: Factors Influencing Health Care Seeking Behaviour And Unmet Health Needs In Rural Areas Of Kenya, Trish Prosser

Theses: Doctorates and Masters

There are many factors that influence health and health care seeking. Although many of these factors are similar across populations, exactly how they interact and influence the actions of people is often unique to a population in the context of the environment they live in. The current study, a population-based cross sectional survey, identifies three specific geographically diverse populations in rural areas of Kenya, to gain information regarding overall influences on health care seeking, and also information specific to each geographical area to directly target the health needs of the individual population living there. Participants of the survey were interviewed …

Is The Treatment And Transport Of Asystolic Cardiac Arrest Patients To Hospital By Ambulance Services Appropriate?, Andy Symons

Theses: Doctorates and Masters

The Paramedic's role requires them to attend many patients in cardiac arrest. The victim' s survival depends on a variety of issues, such as previous medical history, pathological cause of cardiac arrest, presenting cardiac arrest dysrhythmias, and the time elapsed before medical aid is administered. The purpose of this present study was to review current practice advocated by St John Ambulance Service WA for the treatment of the cardiac arrest dysrhythmia `asystole'. At present, certain victims of an asystolic arrest are treated and transported to hospital irrespective of time in arrest. As such, questions are raised as to the suitability …

The Prediction Of Antenatal And Postnatal Depression In A Sample Of Western Australian Women, Debbie A. Lien

Theses: Doctorates and Masters

In Australia, the Edinburgh Postnatal Depression Scale (EPDS; Cox, Holden & Sagovsky, 1987) has been increasingly used to screen for antenatal depression prior to its evaluation on a sample of Australian pregnant women. Also, the identification of predictors associated with antenatal depression has been neglected relative to the research focus on postpartum depression. An aim of the study was to evaluate the antenatal screening properties of the EPDS against diagnoses of major depression with the Mini International Neuropsychiatric Interview (MINI; Sheehan eta!., 1998). The aims were also to develop predictive models of risk factors associated with antenatal depression as measured …

Multidimensional Approach To Nurse Client Communication In Two Malaysian Intensive Care Units, Faridah Hashim

Theses: Doctorates and Masters

Communication among patients and nurses m the Intensive Care Unit (ICU) has received extensive attention in the nursing research literature. These studies have identified numerous factors both enhancing and impeding effective nurse client communication. Despite the extensive research attention paid to nurse client communication in an ICU setting, no studies can be located that take a multidimensional approach to exploring the factors serving to enhance or impede such nurse "client communications. The literature review searched from 1980 when the landmark study by Ashworth ( 1980) reported on nurse-patient communication in the ICU. Many studies followed on nursing communication

Accident Denominators Relative To Age Groups In Heavy Industries Of The Port Hedland Region Of Western Australia, John R. Bottrell

Theses: Doctorates and Masters

The aim of this research is to investigate characteristics of accident denominators across age groups in mining and associated process industries in the Port Hedland region of Western Australia. Emphasis has been focussed on comparing young, inexperienced groups with older, more experienced groups. A literature review revealed some key contributors to accidents among younger workers, in particular, those who had only recently entered the workforce. The review also revealed contributors impacting accidents regarding other age groups over a wide range of industry types. From these findings an accident construct model and questionnaire were designed to identify contributing and mitigating denominators …

Analysis Of Cancer Risk And Brca1 And Brca2 Mutation Prevalence In The Kconfab Familial Breast Cancer Resource, Graham J. Mann, Heather Thorne, Rosemary L. Balleine, Phyllis N. Butow, Christine L. Clarke, Edward Edkins, Gerda M. Evans, Sián Fereday, Eric Haan, Michael Gattas, Graham G. Giles, Jack Goldblatt, John L. Hopper, Judy Kirk, Jennifer A. Leary, Geoffery Lindeman, Eveline Niedermayr, Kelly_Anne Phillips, Sandra Picken, Gulietta M. Pupo, Christobel Saunders, Clare L. Scott, Amanda B. Spurdle, Graeme Suthers, Kathy Tucker, Georgia Chenevix-Trench

Research outputs pre 2011

Introduction The Kathleen Cuningham Foundation Consortium for Research into Familial Breast Cancer (kConFab) is a multidisciplinary, collaborative framework for the investigation of familial breast cancer. Based in Australia, the primary aim of kConFab is to facilitate high-quality research by amassing a large and comprehensive resource of epidemiological and clinical data with biospecimens from individuals at high risk of breast and/or ovarian cancer, and from their close relatives. Methods Epidemiological family history and lifestyle data, as well as biospecimens, are collected from multiple-case breast cancer families ascertained through family cancer clinics in Australia and New Zealand. We used the Tyrer-Cuzick algorithms …