Public Health Research & Practice最新文献

{"title":"“We don’t want to run before we walk”: the attitudes of Australian stakeholders towards using psychedelics for mental health conditions","authors":"Breanne Kunstler, Liam Smith, Christopher Langmead, Denise Goodwin, Breanna Wright, Melissa Hatty","doi":"10.17061/phrp3332321","DOIUrl":"https://doi.org/10.17061/phrp3332321","url":null,"abstract":"OBJECTIVES\u0000This study was aimed at understanding the attitudes and positions of key Australian organisational and political stakeholders towards using psychedelic agents in medically supervised environments to treat mental health conditions. Specifically, this research was designed to identify some of the issues that might impede the clinical implementation of psychedelics.\u0000\u0000\u0000METHODS\u0000Semi-structured interviews were conducted with four Australian politicians and nine representatives of key stakeholder organisations between September 2022 and January 2023. Data analyses were completed using pattern-based inductive thematic analysis.\u0000\u0000\u0000RESULTS\u0000Participants were cautiously optimistic about using psychedelics to treat mental health conditions, with hesitancy emerging due to the perceived inadequacy of research into the efficacy and feasibility of these treatments. Politicians consistently mentioned that negative stigma prevented them and their peers from supporting the use of psychedelics in Australia. Effective, evidence-based, clear messaging that refutes misconceptions, uses persuasive messaging and provides clear information to inform implementation is needed to improve knowledge and challenge attitudes, biases and emotions that can influence the debate around psychedelics.\u0000\u0000\u0000CONCLUSIONS\u0000Stakeholder representatives and politicians agree that insufficient evidence exists to support the widespread clinical implementation of psychedelics in Australia. Politicians also perceive the stigma associated with psychedelics might negatively influence progressive legislation. Additional research and a clear presentation of this research are needed before the clinical use of psychedelics can be supported.","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135889389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testing campaign slogans designed to motivate older people to be more physically active","authors":"Simone Pettigrew, Michelle Jongenelis, Rajni Rai, Ben Jackson, Robert Newton","doi":"10.17061/phrp3332323","DOIUrl":"https://doi.org/10.17061/phrp3332323","url":null,"abstract":"Objectives and importance of study: Being physically active is critical for healthy ageing, yet many older people do not meet physical activity guidelines. The aim of this study was to test the relative effectiveness of five previously identified campaign slogans designed to encourage older people to be more physically active: 'Be active 30-60 minutes a day to stay fit and well'; 'Move more, live longer'; 'Stay fit to stay functional'; 'This is your time - enjoy being strong and active'; and 'Use it or lose it'.\u0000\u0000\u0000STUDY TYPE\u0000Online experiment Methods: A total of 1200 Australians aged 50 years and older (50% female, mean age 65 years) were recruited to complete an online survey, with respondents randomised to answer a series of questions on a video featuring one of the five slogan conditions. One-way ANOVAs with Tukey's post-hoc tests were used to identify differences in outcomes between slogans.\u0000\u0000\u0000RESULTS\u0000Overall, the slogans were assessed favourably, suggesting older adults may be receptive to messages about increasing their physical activity. 'Use it or lose it 'performed best across the outcome measures of internal and external motivation, perceived effectiveness, liking, believability, and personal relevance.\u0000\u0000\u0000CONCLUSION\u0000Efforts to encourage physical activity among older Australians could use the slogan 'Use it or lose it' as an evidence-based tagline.","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135248604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The delivery of safe and effective test result communication, management and follow-up","authors":"Andrew Georgiou, Julie Li, Judith Thomas, Rita Horvath, Robert Lindeman, Johanna Westbrook","doi":"10.17061/phrp3332324","DOIUrl":"https://doi.org/10.17061/phrp3332324","url":null,"abstract":"OBJECTIVES\u0000This paper reports on a program of research funded by a National Health and Medical Research Council (NHRMC) partnership grant (2015-2021) entitled \"Delivering safe and effective test result communication, management and follow-up\". The project's objectives were to: 1) improve the effectiveness and safety of test-result management through the establishment of clear governance processes of communication, responsibility, and accountability; 2) harness health information technology to inform and monitor test-result management; and 3) enhance consumer contribution to the establishment of safe and effective test-result management systems. Type of program: The partnership project addressed its key objectives through: i) the development of a consumer-driven approach; ii) using diagnostic stewardship and digital health to enhance safety and quality; iii) identifying clinical workflows that can lead to timely and meaningful communication; and iv) contributing to the Royal College of Pathologists of Australasia and Australasian Association for Clinical Biochemistry and Laboratory Medicine's work on nationally harmonised alert thresholds for critical laboratory results.\u0000\u0000\u0000METHODS\u0000The project employed a convergent mixed-methods approach using multistage studies across hospitals in South Eastern Sydney and Illawarra and Shoalhaven Local Health Districts. A consumer-centred approach, including patient reference groups and community forums, was used to identify mechanisms to enhance consumers' role in test-management governance processes and inform the direction of the research and interpretation of findings. Results and lessons learnt: The body of evidence generated by the project highlights the multilayered and interconnected components required to achieve safe and effective test results management. Addressing the significant patient safety risk associated with the failure to follow-up test results must include consideration of diagnostic clinical work tasks (involving multiple people across numerous clinical settings) and embrace patient-centred and digital health strategies for shared information and timely and meaningful communication.","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135248813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and piloting of a Community of Practice to support learning and improvement in health promotion practice within NSW local health districts","authors":"Courtney Barnes, Rachel Sutherland, Gavin Jones, Nina Kingon, None NCOIS Research Collaborative, Luke Wolfenden","doi":"10.17061/phrp3332326","DOIUrl":"https://doi.org/10.17061/phrp3332326","url":null,"abstract":"OBJECTIVES\u0000Health Promotion Units within New South Wales (NSW) local health districts (LHDs) frequently collaborate and test innovations to address priority health issues or approaches to support the implementation of a health promotion program in a way that is consistent with the needs, resources, and contexts of their regions. Compatible with learning health system approaches, mechanisms to facilitate the exchange of evidence and expertise across districts could improve the collective impact of health promotion services across the state. This study aimed to assess the use of a health promotion Community of Practice (CoP) model as a strategy to achieve this. Type of program or service: This paper describes and shares experiences from the development and piloting process of a CoP model to develop, evaluate and exchange learnings to improve approaches to support the adoption of an effective healthy lunchbox program ('SWAP IT') across three LHDs.\u0000\u0000\u0000RESULTS\u0000The functioning of the CoP was supported by key activities, funding and infrastructure over a 2-year period, including: planning workshops, implementation check-ins, and knowledge exchange meetings. A particularly novel aspect of the CoP was the harmonised evaluation of different, locally developed strategies to facilitate program adoption across the three LHDs. The alignment of the CoP with local and state priorities, as well as the operation of the CoP in a way that did not impose significant time demands, was seen as important for the sustainability of the CoP.\u0000\u0000\u0000LESSONS LEARNT\u0000Findings from the piloting process suggest that a formalised CoP shows promise as an effective model to enhance health promotion collaboration, information sharing and practice across LHDs, which may be suitable for broader application across the state.","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135248817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The World Health Organization's post-pandemic stance: what does it mean for global health.","authors":"Bashar Haruna Gulumbe, Zaharadeen Muhammad Yusuf","doi":"10.17061/phrp3322318","DOIUrl":"https://doi.org/10.17061/phrp3322318","url":null,"abstract":"","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"33 2","pages":""},"PeriodicalIF":4.4,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9806013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Universal healthcare reform for community treatment of eating disorders in Australia: report of the first 2 years of operation.","authors":"Sarah Maguire,&nbsp;Emma Bryant,&nbsp;Lorraine Ivancic","doi":"10.17061/phrp32232211","DOIUrl":"https://doi.org/10.17061/phrp32232211","url":null,"abstract":"<p><strong>Objective: </strong>The Australian Government's landmark 2019 implementation of dedicated Medicare items for people with eating disorders was the first of its kind for a mental illness. We investigate the first 24 months of uptake of these items across regions, settings and healthcare disciplines, including intermediate changes to the program prompted by the COVID-19 pandemic.</p><p><strong>Methods: </strong>This was a descriptive study using item data extracted from the Australian Medicare Benefits Schedule database for November 2019 to October 2021. Data were cross-tabulated by discipline, setting, consultation type and region.</p><p><strong>Results: </strong>During the first 24 months of implementation of the scheme, 29 881 Eating Disorder Treatment and Management Plans (or care plans) were initiated, mostly by general practitioners with mental health training. More than 265 000 psychotherapy and dietetic sessions were provided, 29.1% of which took place using telehealth during the pandemic. Although the program offers up to 40 rebated psychological sessions, fewer than 6.5% of individuals completed their 20-session review under the scheme.</p><p><strong>Conclusions: </strong>Uptake of the Medicare item for eating disorders was swift, and the item was used broadly throughout the pandemic. Although feedback from those with lived experience and experts has been overwhelmingly positive, data show that strategic adjustment may be needed and further evaluation conducted to ensure that the reform achieves the best outcomes for patients and families, and its policy intent. Full text.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"33 2","pages":""},"PeriodicalIF":4.4,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9784802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing Dementia Through Analysis of Population Traits and Risk Factors (ADAPTOR) project: dementia incidence in an Australian cohort.","authors":"Smriti Nepal,&nbsp;Xenia Dolja-Gore,&nbsp;Dominic Cavenagh,&nbsp;Catherine D'Este,&nbsp;Kaarin J Anstey,&nbsp;Henry Brodaty,&nbsp;Heidi J Welberry,&nbsp;Anita My Goh,&nbsp;Martin McNamara","doi":"10.17061/phrp3322317","DOIUrl":"https://doi.org/10.17061/phrp3322317","url":null,"abstract":"","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"33 2","pages":""},"PeriodicalIF":4.4,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9806018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interview with inaugural Future Generations Commissioner for Wales, Sophie Howe: embedding a wellbeing approach in government.","authors":"Sophie Howe,&nbsp;Don Nutbeam","doi":"10.17061/phrp3322314","DOIUrl":"https://doi.org/10.17061/phrp3322314","url":null,"abstract":"In 2016, Wales became the first country in the world to appoint a Future Generations Commissioner - in essence a 'guardian' of the interests of future generations - under its Well-being Future Generations (Wales) Act 2015. The Act puts in place seven long-term wellbeing goals: a prosperous Wales; a resilient Wales; a more equal Wales; a healthier Wales; a Wales of cohesive communities; a Wales of vibrant culture & thriving Welsh language; and a globally responsible Wales. The Act also defines five 'ways of working' or principles that public bodies must demonstrate in decision making: thinking for the long-term, prevention; integration; collaboration; and involvement. The inaugural Commissioner, Sophie Howe, who held the role for seven years, reflects on the challenges and successes of leading transformational change to achieve a whole-of-government focus on wellbeing across policy and practice. In this interview with PHRP Editor-in-Chief Don Nutbeam, she shares some of the key lessons learned during her time in the role, including the need to embed the future generations approach in law, to set holistic, long-term goals - and to avoid blindly following measures and metrics.","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"33 2","pages":""},"PeriodicalIF":4.4,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9806015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond growth: a wellbeing economy for the textile and garment sector.","authors":"Samantha Sharpe,&nbsp;Monique Retamal,&nbsp;Taylor Brydges","doi":"10.17061/phrp3322313","DOIUrl":"https://doi.org/10.17061/phrp3322313","url":null,"abstract":"<p><strong>Background/objective: </strong>Growth-alternative economic models such as wellbeing economies, steady state and degrowth perspectives have come to prominence as opportunities to foster human health and quality of life without exceeding planetary boundaries. Collectively these perspectives offer an avenue for holistic approaches to addressing planetary and human health, but to implement them will require substantial changes to institutions, governance systems and our general ways of life. Drawing from a literature review, our team identified four attributes of wellbeing economies and applied them to the textile and garment sector - one of the most globalised and complex supply chains. Type of program or service Application of alternative economic systems for planetary and human health.</p><p><strong>Methods: </strong>We use a case study approach to analyse the global textile and garment industry 1, drawing on previously published literature to identify key attributes of wellbeing economies and demonstrate how they can be applied in practice.</p><p><strong>Results: </strong>We describe four central principles for implementing growth alternative economic models in the fashion industry: i) Establishing limits; ii) Promoting fairness; iii) Developing new and just governance systems; and iv) Promoting new roles for business and systems of exchange.</p><p><strong>Lessons learnt: </strong>Significant societal transformations will be required to achieve growth-alternative economic approaches; however, these approaches offer a real chance for achieving planetary and human health. The textile and garment industry provides a valuable case study to explore these possibilities.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"33 2","pages":""},"PeriodicalIF":4.4,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9800103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aboriginal and Torres Strait Islander Human Research Ethics Committees (HRECs) are essential in promoting our health and wellbeing.","authors":"Summer May Finlay,&nbsp;Michael Doyle,&nbsp;Michelle Kennedy","doi":"10.17061/phrp3322312","DOIUrl":"https://doi.org/10.17061/phrp3322312","url":null,"abstract":"<p><p>The history of unethical and inhumane research conducted on Aboriginal and Torres Strait Islander people since colonisation highlights the critical need for specific Human Research Ethics for research involving Aboriginal and Torres Strait Islander peoples in Australia. The development of Aboriginal Human Research Ethics Committees (AHRECs) has played a vital role in ensuring research is safe and delivered for Aboriginal and Torres Strait Islander people in a way that protects and promotes their health and wellbeing. However, there remains a lack of appropriate and critical ethical governance for such research in areas without specific Aboriginal HRECs in each jurisdiction. This perspective argues that greater investment in state-based AHRECs and consideration of a national AHREC are essential to ensure the ongoing health and wellbeing of Aboriginal and Torres Strait Islander people in the research process -the ultimate aim of any research that involves them.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"33 2","pages":""},"PeriodicalIF":4.4,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9806017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}