Medicine and Health Sciences Commons^™

Validation And Evaluation Of The Mandarin Version Of The Oral Health Literacy Adult Questionnaire In Taiwan, Mu-Hsing Ho, Jed Montayre, H.C. Chang, Jee Young Joo, Mohammad Naghibi Sistani, Yen-Kuang Lin, Victoria Traynor, Chia-Chi Chang, Megan F. Liu

Illawarra Health and Medical Research Institute

Objectives

This study aimed to translate the Oral Health Literacy Adult Questionnaire into a Mandarin version (MOHL‐AQ) and to examine its psychometric properties.

Methods

A methodological research using psychometric testing and evaluation of a translated instrument. A convenience sample of 402 participants from northern Taiwan were recruited for the validation of the MOHL‐AQ. Internal consistency reliability, split‐half reliability, inter‐rater reliability, face validity, content validity, and construct validity were evaluated.

Results

The value of internal consistency and split‐half reliability of the MOHL‐AQ were 0.77 and 0.78, respectively. Content validity reported a high content validity index (CVI = 95%). Exploratory factor analysis …

The Use Of Primary Care Electronic Health Records For Research: Lipid Medications And Mortality In Elderly Patients, Adam J. Hodgkins, Judy Mullan, Darren J. Mayne, Andrew D. Bonney

Illawarra Health and Medical Research Institute

General practice electronic health record (EHR) data have significant potential for clinical research. This study demonstrates the feasibility of utilising longitudinal EHR data analysis to address clinically relevant outcomes and uses the relationship between lipid medication prescription and all-cause mortality in the elderly as an exemplar for the validity of this methodology. EHR data were analysed to describe the association of lipid medication use, non-use or cessation with all-cause mortality in patients aged ≥75 years. Survival analysis with Cox regression was used to calculate hazard ratios, which were adjusted for confounders. There was no significant difference in all-cause mortality among …

Cross-Sectional Study Of Area-Level Disadvantage And Glycaemic-Related Risk In Community Health Service Users In The Southern.Iml Research (Simlr) Cohort, Roger Cross, Andrew D. Bonney, Darren J. Mayne, Kathryn M. Weston

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

Objectives. The aim of the present study was to determine the association between area-level socioeconomic disadvantage and glycaemic-related risk in health service users in the Illawarra-Shoalhaven region of New South Wales, Australia. Methods. HbA1c values recorded between 2010 and 2012 for non-pregnant individuals aged 18 years were extracted from the Southern.IML Research (SIMLR) database. Individuals were assigned quintiles of the Socioeconomic Indices for Australia (SEIFA) Index of Relative Socioeconomic Disadvantage (IRSD) according to their Statistical Area 1 of residence. Glycaemic risk categories were defined as HbA1c 5.0-5.99% (lowest risk), 6.0-7.49% (intermediate risk) and 7.5% (highest risk). Logistic regression models were …

Consumers’ Perspectives Of The Meaning Of Safety In Acute Mental Health Inpatient Services, Natalie A. Cutler, Lorna Moxham, Moira Stephens

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

Background and Aim: Safety is a priority in the acute mental health inpatient setting (ACQSHC 2014). Safety is commonly represented in government policy as the reduction or elimination of risk (AIHW 2018). Defining safety as the reduction or elimination of risk means this is where funding and resources are likely to be directed. This has limitations however, as it can lead to environments and processes considered by mental health services to be safe, but are not aligned with what people with lived experience of mental illness deem to be safe (Cutler, Moxham & Stephens 2015). This PhD study explored the …

Health Behind Bars: Can Exploring The History Of Prison Health Systems Impact Future Policy?, Kathryn M. Weston, Louella R. Mccarthy, Isobelle Barrett Meyering, Stephen Hampton, Tobias Mackinnon

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

The value of history is, indeed, not scientific but moral … it prepares us to live more humanely in the present, and to meet rather than to foretell, the future - Carl Becker. Becker's quote reminds us of the importance of revealing and understanding historical practices in order to influence actions in the future. There are compelling reasons for uncovering this history, in particular to better inform government policy makers and health advocates, and to address the impacts of growing community expectations to 'make the punishment fit the crime'.

Incorporating The Nursing And Midwifery Aboriginal And Torres Strait Islander Health Curriculum Framework Into A Bn Program, Rebekkah Middleton, Moira Stephens, Maria T. Mackay

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

When considering Aboriginal and Torres Strait Islander people's culture, the appropriate approach with students should be to explore and reflect upon cultural safety initially followed by context, with an overlay of Aboriginal and Torres Strait Islander health throughout. * Learning outcomes should be reflective of this process throughout a curriculum - novice, intermediate and entry to practice, developing complexity throughout a degree to increase understanding and application. * Using the CATSINaM Nursing and Midwifery Aboriginal and Torres Strait Islander Health Curriculum Framework will facilitate progression and integration into curriculum. * How can I develop Aboriginal and non-Aboriginal partnerships to cocreate …

Healing At Home: Developing A Model For Ambulatory Alcohol "Detox" In An Aboriginal Community Controlled Health Service, Jonathan Brett, Angela Dawson, Rowena G. Ivers, Leanne Lawrence, Sarah Barclay, Kate M. Conigrave

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

Indigenous Peoples who have been colonized typically face a greater burden of injury, disease, and social disruption associated with alcohol use (Kirmayer, Brass, & Tait, 2000). However, they often also encounter many barriers to accessing treatment for alcohol use disorders (Gray, Stearne, Wilson, & Doyle, 2010). Aboriginal and Torres Strait Islander Australians (here described as Aboriginal Australians) experience 3-8 times the prevalence of alcohol-related illness, injury, and death than the general population (Calabria, Doran, Vos, Shakeshaft, & Hall, 2010). But their barriers to treatment access for alcohol dependence include transport difficulties, fear of discrimination, and lack of culturally secure services …

Changes In Medical Education To Help Physicians Meet Future Health Care Needs, Judith N. Hudson, Kathryn M. Weston, Elizabeth Farmer

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

Health care needs are changing due to the rapidly ageing population and the increasing number of patients with long term conditions and comorbidities.1 This has occurred at a time of continuing maldistribution of the medical workforce in Australia and increased specialisation and subspecialisation within the medical profession and the medical education system. As the next generation of doctors will need to serve an older population and those with more than one condition, a more useful focus would be "much less on narrow disease silos and . more on the breadth of possible permutations of co-morbidity". 1 Long periods of training …

Whole Grain Intake Of Australians Estimated From A Cross-Sectional Analysis Of Dietary Intake Data From The 2011-13 Australian Health Survey, Leanne M. Galea, Eleanor J. Beck, Yasmine Probst, Chris Cashman

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

Objective: The Australian Dietary Guidelines recommend Australians choose mostly whole-grain and/or high-fibre varieties within the grains (cereal) foods category, with other groups specifying a whole grain Daily Target Intake of 48 g for Australians aged 9 years or above. The USA and UK report estimates of whole grain intake that are low and declining, and no comprehensive studies on whole grain intake in the Australian population are available. The present study aimed to determine national estimates of whole grain intake, compared with current recommendations. Design: A recently updated whole grain database was applied to the most current population dietary intake …

A Multidisciplinary Learning Experience Contributing To Mental Health Rehabilitation, Lorna Moxham, Christopher F. Patterson, Ellie K. Taylor, Dana J. Perlman, Susan Sumskis, Renee M. Brighton

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

Purpose People who access health services often have a range of needs that require the involvement of members from a multidisciplinary team. Teaching future health professionals about the importance of a multidisciplinary approach can be challenging. The aim of this paper is to describe a project called Recovery Camp that enhanced multidisciplinary health education through experiential and immersive engagement with people experiencing mental illness.

Method Future health professionals and people with a lived experience of mental illness took part in Recovery Camp - an innovative five-day therapeutic recreation initiative in the Australian bush. Results are presented in a case study …

Inhibitors To Exercise And Health Promotion Programs For The Older Person With Diabetes, Rebekkah Middleton, Lorna Moxham, Dominique R. Parrish

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

Diabetes care incurs a high cost burden, and is one of the main geriatric syndromes along with its related complications. To effectively counter this, healthcare needs to be proactive in establishing exercise and health promotion programs that promote healthy and active ageing.

Raising Awareness Of Research Evidence Among Health Professionals Delivering Dementia Care: Are Knowledge Translation Workshops Useful?, Belinda J. Goodenough, Richard Fleming, Michael Young, Kim Burns, Cindy Jones, Fallon M. Forbes

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

Providing information about the latest research via educational sessions to health professionals caring for people with dementia may be insufficient to drive change. This project explored self-reported impacts on practice change of adding information about knowledge translation (KT) to a national dementia education program. Six national workshop days were held. Each provided the option of participating in a Principles of KT and innovation implementation seminar in addition to a clinical topic update (sexualities and dementia, or managing behavioral and psychological symptoms of dementia). Six months postworkshop, 321 participants were invited to complete a research utilization survey. Seventy-five responded. KT seminar …

Improving The Uptake Of Pre-Travel Health Advice Amongst Migrant Australians: Exploring The Attitudes Of Primary Care Providers And Migrant Community Groups, Holly Seale, Rajneesh Kaur, Abela Mahimbo, C Raina Macintyre, Nicholas Arnold Zwar, Mitchell Smith, Heather Worth, Anita Heywood

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

Background: Migrant travellers who return to their country of origin to visit family and friends (VFR) are less likely to seek travel-related medical care and are less likely to adhere to recommended medications and travel precautions. Through this study, we aimed to get an understanding of the views of stakeholders from community migrant centres and primary care providers on barriers for migrants, particularly from non-English speaking backgrounds, in accessing travel health advice and the strategies that could be used to engage them. Methods: A qualitative study involving 20 semi-structured interviews was undertaken in Sydney, Australia between January 2013 and September …

Leveraging Ongoing Research To Evaluate The Health Impacts Of South Africa's Salt Reduction Strategy: A Prospective Nested Cohort Within The Who-Sage Multicountry, Longitudinal Study, Karen E. Charlton, Lisa J. Ware, Elias Menyanu, Richard Berko Biritwum, Nirmala Naidoo, Chine Pieterse, Savathree (Lorna) Madurai, Jeannine Baumgartner, George A. Asare, Elizabeth Thiele, Aletta E. Schutte, Paul Kowal

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

Introduction: Attempting to curb the rising epidemic of hypertension, South Africa implemented legislation in June 2016 mandating maximum sodium levels in a range of manufactured foods that contribute significantly to population salt intake. This natural experiment, comparing two African countries with and without salt legislation, will provide timely information on the impact of legislative approaches addressing the food supply to improve blood pressure in African populations. This article outlines the design of this ongoing prospective nested cohort study. Methods and analysis: Baseline sodium intake was assessed in a nested cohort of the WHO Study on global AGEing and adult health …

A 6-Month Randomised Controlled Trial Investigating Effects Of Mediterranean-Style Diet And Fish Oil Supplementation On Dietary Behaviour Change, Mental And Cardiometabolic Health And Health-Related Quality Of Life In Adults With Depression (Helfimed): Study Protocol, Dorota M. Zarnowiecki, Jihyun Cho, Amy Wilson, Svetlana Bogomolova, Anthony Villani, Catherine Itsiopoulos, Theo Niyonsenga, Kerin O'Dea, Sarah Blunden, Barbara J. Meyer, Leonie Segal, Natalie Parletta

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

Background: Modern diets, characterised by excess consumption of processed foods, are accompanied by an epidemic of chronic diseases. Cardiovascular disease and depression carry a large burden of disease and often occur together. Poor dietary patterns have been identified as an independent risk factor for depression while healthy diets with minimally processed food are protective. Traditional Mediterranean diets have been shown to reduce risk of cardiovascular disease; however there is a need for clinical trials in people with depression. This paper reports the study protocol of a Mediterranean-style diet intervention conducted in adults with self-reported depression. Methods/design: HELFIMED is a parallel …

Cross Sectional Survey Of Human-Bat Interaction In Australia: Public Health Implications, Beverley J. Paterson, Michelle T. Butler, Keith Eastwood, Patrick M. Cashman, Alison Jones, David N. Durrheim

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

Background Flying foxes (megachiroptera) and insectivorous microbats (microchiroptera) are the known reservoirs for a range of recently emerged, highly pathogenic viruses. In Australia there is public health concern relating to bats' role as reservoirs of Australian Bat Lyssavirus (ABLV), which has clinical features identical to classical rabies. Three deaths from ABLV have occurred in Australia. A survey was conducted to determine the frequency of bat exposures amongst adults in Australia's most populous state, New South Wales; explore reasons for handling bats; examine reported practices upon encountering injured or trapped bats or experiencing bat bites or scratches; and investigate knowledge of …

Mental Health Research Projects: A Practical Integration Of Mental Health Into A Medical Curriculum, Judy Mullan, K M. Weston, P L. Mclennan, W C. Rich, N B. Pani

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

Abstract of a paper presented at the 65th Annual National Conference of Indian Psychiatric Society, Bangalor, 10-13 Jan, 2013. Aims aJld Objectives: The University of Wollongong (UoW) graduate-entry medical course embeds research and critical analysis within the curriculum, concluding with students undertaking a regional/ nlrsl conmlUnity-based ro earch project. Students are encouraged to design a research project of interest to them and the local community. T.his Indy analyzed whether conducting research projects enhanced learning/understanding about rural/regional mental health issues amongst UoW medical students.

Changing Health Paradigms - Can The Concepts Of Wellness And Wellbeing Build Bridges In Dietary Counselling?, A T. Mcmahon, L Tapsell, P Williams

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

Abstract of poster that presented at the 20th International Congress of Nutrition, Granada, September 2013.

Facilitating Better Health Care For Mental Health Consumers: Complexities Of Establishing A Partnership Program, Christopher Patterson, Alex Gagan, Sarah Watson, Angela Douglas

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

Abstract of paper that presented at the Australian College of Mental Health Nursing 39th International Mental Health Nursing Conference, 22-24 October, 2013, Perth, Australia.

Facilitating Better Health Care For Mental Health Consumers Through Engagement: Complexities Of Establishing A Partnership Pilot Program Between Mental Health Professionals And University Exercise Physiology Students, Angela Douglas, Alex Gagan, Keirin Mccormack, Sarah Lisle

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

Abstract of the oral presentation.

Is A Good Idea Enough?' Engaging Mental Health Professionals And University Of Wollongong Students To Facilitate Sustainable Change In Health Care For Mental Health Consumers, Angela Douglas, Alex Gagan, Keirin Mccormack, Sarah Lisle

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

Abstract of paper that presented at the 2013 Engagement Australia Conference, 15-17 July, Australian Catholic University, Melbourne.

Enriching A Medical Curriculum With Community-Based Public Health Projects: Are There Opportunities For Inter-Professional Learning?, Judy Mullan, Kathryn Weston

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

The University of Wollongong graduate-entry medical course embeds research and critical analysis within the curriculum, concluding with the students designing and undertaking a 12-month regional/ rural community-based research project.

Food Groups And Fatty Acids Associated With Self-Reported Depression: An Analysis From The Australian National Nutrition And Health Surveys, Barbara J. Meyer, Nithin Kolanu, David A. Griffiths, Ben Grounds, Peter R. C Howe, Irene A. Kreis

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

Objective The aim of this study was to explore the associations between incidence of depression and dietary intakes of foods and fatty acids in adult Australians. Methods Data from the 1995 Australian National Nutrition Survey (NNS), the 1995 Australian National Health Survey (NHS) and an updated fatty acid database were merged and the 24-h fatty acid intakes were calculated for the 10 986 adult participants ages 18 to 79 y in the 1995 NNS. The merged data set was used to run a logistic regression with depression as the response variable and the food groups and calculated fatty acid values, …

Developing 'Policy Stories' For State Health System Benchmarking: A Small-N Quali-Quantitative Study, Erica Bell, Bastian Seidel

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

Background: The benchmarking literature has made important advances and offers many different population health indicators that can be used to compare state health systems. However, there is still a need for qualitative, complexity-oriented approaches that allow policy-makers to develop explanatory 'policy stories' from combining such indicators that are useful to policy solutions. Methods: A new qualitative method from the social sciences based on Boolean approaches, called Qualitative Comparative Analysis (QCA), was piloted in a 'real world' policy consultancy to combine Australian state-level indicators of community and health system inputs, interventions, and population health outcomes. Analyses were provided for state inputs …

Developing A Multidisciplinary Sim Laboratory Within The School Of Health Sciences, K Walton, A Douglas, M Brown, Meredith A. Kennedy, H Groeller, V Flood, A Bell, A Cusick, G Palmer

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

An abstract of poster presentation that presented at SimHealth 2013 Conference.

Patients Communicating With Their Primary Care Physician About Chronic Disease Treatment In Regional Australia: Is Health Literacy Important?, J Mullan, K Weston, A Bonney, C Magee, G Albert, B Gerges, Soheir Abadier, T Smith, V Bonney, B Dijkmans-Hadley, C Kielly-Carroll

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

No abstract provided.

Can Poor Health Literacy Contribute To Potential Side Effects Associated With Buying Over-The-Counter Non-Steroidal Anti-Inflammatory Drugs?, J R. Mullan, Judy Mullan, K M. Weston, A Bonney, C Magee

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

No abstract provided.

Family And Carer Mental Health Program: Reflections On Gaps In Educational Needs (Poster), Megan Green, Kerry Dawes, Nagesh B. Pai

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

Abstract of poster presentatio presented at the ACHMN's 39th International Mental Health Nursing Conference Collaboration and Partnership in Mental Health Nursing, 22-24 October 2013, Pan Pacific Hotel, Perth, Western Australia.

Solution Based Teaching Methods In A Problem Based Curriculum: The Role Of A Mental Health Nurse In Addressing The Challenges Of Curriculum Delivery In A Regional Medical School, Kerry Dawes

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

Abstract of poster presentatio presented at the ACHMN's 39th International Mental Health Nursing Conference Collaboration and Partnership in Mental Health Nursing, 22-24 October 2013, Pan Pacific Hotel, Perth, Western Australia.

A Pilot Study Of Mental Health And Quality-Of-Life Of Caregivers Of Children With Cleft Lip/Palate In India, Mahesh R. Gowda, Nagesh B. Pai, Shae-Leigh C. Vella

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

Background: There has been insufficient and contradictory research to date on the impacts of caring for a child with cleft lip/palate. Therefore this pilot study sought to investigate the mental health and quality of life of primary caregivers of children with cleft lip/palate. Materials and Methods: Seventy-nine primary caregivers of children with cleft lip/palate awaiting a surgical procedure in India completed questionnaires to measure their mental health, quality of life, and demographic variables. Results: The results indicated that half of the sample suffered from poor mental health and a reduced quality of life. Overall perceptions of quality of life were …