Health Promotion Journal of Australia最新文献

{"title":"Barriers and Enablers to Implementing Community Sports-Based Mental Health Promotion Initiatives: A Qualitative Study","authors":"Darcy Morris,&nbsp;Rob Gordon,&nbsp;Stewart Vella,&nbsp;Nicole Reilly","doi":"10.1002/hpja.70060","DOIUrl":"https://doi.org/10.1002/hpja.70060","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Effective mental health promotion strategies that engage a variety of health and non-health sectors are an important component of the mental health intervention spectrum. Community sport is one such avenue for promoting mental health and potentially reducing stigma around help seeking. This study aimed to identify priority actions of community sports-based mental health promotion initiatives and report on factors facilitating and inhibiting successful implementation of these initiatives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Thirty-one project managers from 24 sports clubs and organisations funded to deliver mental health promotion initiatives across New South Wales, Australia, participated in the independent evaluation. Data were collected using a brief survey and a semi-structured interview, and were analysed using descriptive and thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Building wellness and resilience was the most common priority action area of the funded initiatives. Key enablers of implementation identified by project managers included the contribution of key personnel, partnerships, buy-in from the organisation, sport clubs as a mental health promotion setting, and grant funding. The most frequently reported barrier to implementation was the limited timeframe available. Other inhibiting factors included lack of human resources (particularly volunteers) and stigma surrounding mental health issues.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Sports clubs and organisations faced several barriers to the implementation of their mental health promotion initiatives. However, a range of factors enabled successful implementation. Findings of this study can inform the development of resources, programmes and policies to promote mental health in this setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>When planning and implementing sports-based mental health promotion initiatives, it is essential to ensure the presence of enabling factors such as recruitment of the right key personnel, establishment of strong partnerships, and securing organisational buy-in. Concurrently, strategies should be employed to mitigate barriers including timing and timeframes, limited human resources, and existing stigma, to maximise the likelihood of success and achievement of positive outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144292889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Testing of an Out-of-School Hours Care Professional Development Program: A Pilot Cluster Randomised Controlled Trial","authors":"Andrew J. Woods,&nbsp;Yasmine C. Probst,&nbsp;Jennifer Norman,&nbsp;Karen Wardle,&nbsp;Sarah T. Ryan,&nbsp;Linda Patel,&nbsp;Ruth K. Crowe,&nbsp;Megan Hammersley,&nbsp;Kurt Morton,&nbsp;Rebecca M. Stanley,&nbsp;Lauren Taylor,&nbsp;Anthony D. Okely","doi":"10.1002/hpja.70056","DOIUrl":"https://doi.org/10.1002/hpja.70056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The aim of this study was to describe the co-creation and test the feasibility, acceptability and potential efficacy of an Out of School Hours Care (OSHC) staff professional development intervention to increase child adherence to moderate-to-vigorous-intensity physical activity (MVPA) guidelines and fruit and vegetable (F&amp;V) provision in the OSHC setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Four OSHC services participated in a 1-month, 2-arm pilot cluster randomised controlled trial. Services had their before and after school care programmes visited twice at baseline and at follow-up. Feasibility and acceptability were assessed through recruitment/attendance rates and online feedback surveys. Child MVPA was assessed using Actigraph accelerometers and F&amp;V provision with direct observation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Intervention adherence was feasible, with 60% of total staff employed by services completing the intervention. The intervention was acceptable, with all participants agreeing to the intervention being enjoyable and improving their knowledge of physical activity (PA) and healthy eating. The proportion of children meeting guidelines of 15 min of MVPA in before school care and 30 min in after school care increased over time in both groups. There were no significant between-group differences in these changes; however, small to medium effect sizes were detected. Frequency of fruit provision increased more in before school care intervention programmes and vegetable provision increased more in both before and after school care intervention programmes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A PA and healthy eating professional development intervention in OSHC is both feasible and acceptable.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Larger trials are recommended to evaluate intervention scale-up and effectiveness on child MVPA and service F&amp;V provision.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Do Food Business Owners and Managers Think About Enhancing the Nutritional Quality of Kids' Menus in Sit-Down Eating-Out-of-Home Venues?","authors":"Tanisha Cayley,&nbsp;Siobhan Hickling,&nbsp;Jacinta Francis,&nbsp;Samantha Veurink,&nbsp;Gina S. A. Trapp","doi":"10.1002/hpja.70058","DOIUrl":"https://doi.org/10.1002/hpja.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>As the frequency of eating out-of-home among Australian families increases, concerns have arisen regarding the nutritional quality of Kids' Menus. This study investigated the views of food business owners and managers on Kids' Menus at sit-down venues, specifically factors influencing the choice of meals offered on Kids' Menus and potential initiatives for enhancing the nutritional quality of these menus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured individual interviews were conducted with 15 food business owners and managers in Perth, Western Australia, between August 2022 and May 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Factors influencing the provision of Kids' Menus included customer demand, profitability, food waste, operational efficiency and seasonal availability. Most participants expressed support for initiatives aimed at increasing the healthfulness of Kids' Menus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our study suggests that interventions aimed at improving the nutritional quality of Kids' Menus should clearly communicate the demand for, and feasibility of healthier options to food businesses. The positive reception to existing programmes indicates that similar programmes could be successfully adapted to meet local needs in Perth and potentially serve as models for other regions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>This study sheds light on the complex factors influencing Kids' Menu offerings in Perth and paves the way for targeted strategies that could significantly improve children's nutritional intake in dining settings, ultimately contributing to public health efforts to combat childhood obesity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144206397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-Designed Culturally Tailored Cancer Screening Promotion Program With Chinese-Australian: Using a Community Partnership Approach","authors":"Cannas Kwok,&nbsp;Xinyi Xu","doi":"10.1002/hpja.70059","DOIUrl":"https://doi.org/10.1002/hpja.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Despite national cancer screening programs in Australia, people from culturally and linguistically diverse (CALD) backgrounds, particularly Chinese-Australians, demonstrate significantly lower participation rates in cancer screening. Cultural beliefs, language barriers and limited health literacy contribute to this disparity, highlighting the need for culturally tailored interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A culturally tailored cancer awareness education and screening promotion program was developed and implemented using a community partnership approach. A consumer engagement panel comprising Chinese community members, cancer survivors and community leaders was established to guide program development and implementation. Twenty-four educational sessions were delivered in Cantonese or Mandarin to 821 Chinese-Australians. The program's effectiveness was evaluated using pre- and post-intervention questionnaires assessing cancer knowledge, screening awareness and screening intentions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Significant improvements were observed in participants' awareness of screening practices (bowel screening: 50.1% to 100%; breast awareness: 78.8% to 100%; mammogram: 65.8% to 95.6%; cervical screening: 86.5% to 96.9%). Screening intentions within 6 months increased substantially across all cancer types (bowel: 7.4% to 37%; breast awareness: 21.2% to 77.6%; mammogram: 18.9% to 47.7%; cervical: 39.8% to 73.1%). About 9 out of 13 questions regarding cancer knowledge and beliefs showed significant improvement post-intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The community partnership approach and culturally tailored cancer education effectively improved cancer screening awareness and intentions among Chinese-Australians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>This study provides a successful model for developing and implementing culturally sensitive cancer screening promotion programmes, which can be adapted for other CALD communities to address health disparities in cancer screening participation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sensationalising Sleep: Perspectives and Protocols for Understanding Discourses of Sleep Health in Aotearoa New Zealand","authors":"Rosemary Gibson","doi":"10.1002/hpja.70054","DOIUrl":"https://doi.org/10.1002/hpja.70054","url":null,"abstract":"<p>Sufficient sleep is a basic right, vital for functioning and wellbeing. Socioecological disparities in sleep status are increasingly highlighted. However, broader social and cultural factors, including beliefs and practicalities of sleep, are seldom considered. This is particularly important for bicultural countries such as Aotearoa New Zealand, where mainstream discourses and health promotion have been colonised. Media provides a platform for shaping beliefs and attitudes concerning sleep. Media messaging contributes to definitions of ‘normal sleep’ and sensationalised messages around sleep(lessness) and disease—seldom accounting for nuanced differences across the lifespan or Indigenous knowledge and practises concerning sleep and wellbeing. How messages concerning sleep are delivered, interpreted, and resisted varies and warrants exploring—particularly among populations predisposed to sleep disturbances. This paper provides a narrative review of the social and cultural factors influencing sleep and highlights the paucity of research in this space. Responding to these gaps, a current research agenda is presented concerning sleep-related discourses and practises in Aotearoa New Zealand. This includes explorations of media representations of sleep, key audience interpretations, and the development of a theoretical framework to inform appropriate sleep-related research and health promotion relevant to contemporary Aotearoa New Zealand and beyond.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Time Has Come: Indigenous Peoples Worldwide Must Now Exercise Their Human Rights and Take Full Control Over Their Data Sovereignty Rights","authors":"Lynne Stuart,&nbsp;Naomi Howell","doi":"10.1002/hpja.70055","DOIUrl":"https://doi.org/10.1002/hpja.70055","url":null,"abstract":"<p>This article examines the ongoing exploitation of Indigenous Peoples' research data and health data, and the urgent need for Indigenous data sovereignty in Australia. Despite ethical research frameworks, Indigenous Peoples health data continues to be collected, controlled, and used by non-Indigenous institutions, limiting community access and decision-making. Ethical engagement with Indigenous health data is crucial for the success of the Closing the Gap initiatives. Strengthening Indigenous governance over health data, and ethical research practices, is essential for meaningful progress. This paper advocates for policy reforms, Indigenous-led research governance and Indigenous data sovereignty.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70055","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alcohol and Aquatic Activity: Young Males' Perceptions of Risk and Social Identity Through the Lived Experience","authors":"Stephanie R. Smith,&nbsp;Sabryna V. Sas,&nbsp;Jacob J. Keech,&nbsp;Amy E. Peden,&nbsp;Martin S. Hagger,&nbsp;Kyra Hamilton","doi":"10.1002/hpja.70045","DOIUrl":"https://doi.org/10.1002/hpja.70045","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This research explored the lived experiences, risk perceptions and social identity beliefs related to alcohol consumption around water among young Australian males.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Purposive sampling was used to recruit 23 Australian males aged 18–30 who had previously consumed alcohol around water. An online survey collected demographics, eligibility and swimming ability, followed by qualitative telephone interviews. An interview guide developed based on extant literature and team member expertise gathered data on lived experience of alcohol consumption around water, risk perception and social identity. Interviews were recorded, transcribed verbatim and analysed using a reflexive hybrid thematic approach in NVivo.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>With respect to lived experience, participants described consuming alcohol around water primarily as a social and unplanned activity, often occurring with friends and family and in locations lacking formal safety measures. In terms of risk perception, despite recognising the dangers of consuming alcohol around water, many underestimated personal risks and overestimated their risk assessment abilities. Concerning social identity, participants identified typical individuals engaging in these activities as young, predominantly male and sensation-seeking, often viewed as socially undesirable and reckless. However, many did not see themselves as fitting this description, instead describing their behaviour as more cautious and responsible.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study provides valuable insights into how lived experiences, risk perceptions and social identities influence young Australian males' decisions to consume alcohol around water. <i>So what?</i>: The findings underscore the need for targeted public safety campaigns and interventions that leverage lived experiences and psychological insights to effectively reduce alcohol-related risks in aquatic environments.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143949898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Sports-Related Concussion in Aboriginal and Torres Strait Islander Peoples: First Responder and Health-Care Workers Feedback on the Sport Concussion Assessment Tool","authors":"Kahlia McCausland,&nbsp;Elizabeth Thomas,&nbsp;Trish Hill-Wall,&nbsp;Richard Norman,&nbsp;Jonathan Bullen,&nbsp;Gill Cowen","doi":"10.1002/hpja.70053","DOIUrl":"https://doi.org/10.1002/hpja.70053","url":null,"abstract":"<p>Sport-related concussion is a rising public health concern with claims that there is a concussion crisis in sport. An estimated 36% of Aboriginal and Torres Strait Islander peoples participate in sport-related activity at least once per week; yet, there is a paucity of information relating to concussion assessment in this population. We present and discuss initial findings from research topic yarning about the Sport-related Concussion Assessment Tool (5th edition) with 25 Aboriginal peoples trained in primary health care or with healthcare or first responder role experience, with the aim of promoting discussion as to how best to ensure Aboriginal and Torres Strait Islander peoples receive appropriate assessment after sustaining a sport-related concussion.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143944480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Influence in Australian University Institutional Eating: A Qualitative Content Analysis","authors":"Katrina A. Pitman,&nbsp;Julia Carins,&nbsp;Sharyn Rundle-Thiele,&nbsp;Lisa Vincze","doi":"10.1002/hpja.70039","DOIUrl":"https://doi.org/10.1002/hpja.70039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Social influence has been recognised as a primary determinant of eating behaviour, and an effective behavioural change mechanism. Institutional settings offer a conducive environment for eating behaviour research, and few have examined multiple social influences interacting within an Australian institutional eating setting. Responding to calls to improve the use and reporting of theory within social marketing research, this study aimed to explore which social influences within the Consumer Socialisation Theory (CST) were evident in an institutional eating environment, to determine if the use of the CST could advance theory use within social marketing and behavioural change research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews (<i>n</i> = 16) were conducted with students residing in university college accommodation with provided meals. A deductive content analysis method was used to identify the CST social influences of interaction, modelling, social norms and reinforcement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All theory defined social influences were evident. While all four social influences were present, participants identified interaction, modelling and social norms as having a greater influence within this context. The CST was successfully applied and helped to identify the different social influences within this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings show that not all social influences were relevant within this setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>This study informs future research and interventions by indicating the social influences that exist within an Australian university institutional context, and therefore which may be used to change eating behaviour. Additionally, it provides evidence for the successful use of the CST as a theory to identify social influences and inform intervention development and planning.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143944481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Co-Design of an Evidence-Based Health Education Strategy to Improve Bowel Cancer Awareness and Screening in a Remote Tasmanian Community: Lessons Learned","authors":"Nicola Gadd,&nbsp;Simone Lee,&nbsp;Matthew J. Sharman,&nbsp;Jessica Hughes,&nbsp;Ha Hoang,&nbsp;Kehinde Obamiro","doi":"10.1002/hpja.70052","DOIUrl":"https://doi.org/10.1002/hpja.70052","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Generally, bowel cancer screening rates are lower in rural/remote Australia (40.6% major cities; 25.3% very remote areas, 2020–21). Rural/remote Tasmanians may need increased awareness to encourage screening, with recent decreased screening rates. This study aimed to co-design a health education strategy to improve bowel cancer awareness/screening in remote Tasmania.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A co-design method was used to conduct two group workshops with 17 participants (14 community members, three healthcare providers). Workshops were guided by previous interviews with the community. Workshop one: participants chose the top three screening barriers and designed interventions to overcome them. These interventions were collated and presented to participants in workshop two. Participants shared ideas to refine interventions, then completed an acceptability, feasibility and appropriateness questionnaire of the overall strategy. Data was collected via written notes and analysed through content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A health education strategy with two components and multiple interventions was developed: local media campaign (signage, video, bookmark, flyer, poster) and community health education events. Events included community champions sharing personal stories and healthcare providers providing clinical information. Participants identified the strategy as feasible, appropriate and acceptable for a rural/remote Tasmanian community. Following workshops, strategy components were developed in collaboration with the community.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Large scale strategies which may be effective for metropolitan areas of Australia may not be accepted by or appropriate for those in rural/remote areas. Remote community members valued local relevance and community involvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>If successful, the health education strategy could be implemented across rural/remote Tasmania to raise awareness/encourage screening.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143938956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}