Health Promotion Journal of Australia最新文献

{"title":"Volunteer Experiences of a School-Based Volunteer Program","authors":"Sharyn Burns,&nbsp;Hanna Saltis,&nbsp;Jacqueline Hendriks,&nbsp;Jenny Tohotoa,&nbsp;Christina Pollard","doi":"10.1002/hpja.956","DOIUrl":"https://doi.org/10.1002/hpja.956","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Individuals engage in volunteer activities due to a range of intrinsic, extrinsic, and altruistic factors; and this can have a positive impact on their subjective wellbeing. Within a school context, mentoring programs can connect adult volunteers with students, to provide social and/or academic support; however, evaluation data related to these programs is limited and often focused on student perspectives. This paper explores EdConnect volunteers' perspective on volunteering in primary and secondary schools in Western Australia and Victoria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed methods evaluation framework utilised surveys (<i>n</i> = 380) and telephone interviews (<i>n</i> = 22) with Edconnect Mentor and/or Learning Support volunteers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most survey respondents reported that volunteering enhanced their sense of community, mental wellbeing, physical health, had helped them to develop new skills. Recurrent themes related to (a) Structural impacts of motivations; and (b) Motivations and inter-and intrapersonal impacts of volunteering were identified. Various factors impacted the volunteer experience, including volunteer roles and responsibilities, volunteer qualities, school support and training opportunities. Key motivating factors for volunteering were a desire to give back to society, helping students and staff, and contributing to student social, emotional, and academic outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Volunteers identified a range of academic, social, emotional, and behavioural gains for the students they supported; as well as range of personal benefits for themselves. Despite the positive impact that a school-based mentoring program can have for key stakeholders, challenges to program implementation do exist and require careful management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>School-based mentoring programs are an efficacious way to strengthen partnerships between schools and their local community, with positive benefits for the school, the students, and the adult volunteers. They also contribute to the notion of a ‘school as a community hub’.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.956","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143595580","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":"‘I'm glad my baby has weaned so I don't need to make that decision.’ Understanding breastfeeding-related COVID-19 vaccine narratives on social media","authors":"Becky K. White,&nbsp;Sharyn K. Burns,&nbsp;Jennie Carson,&nbsp;Jane A. Scott","doi":"10.1002/hpja.946","DOIUrl":"https://doi.org/10.1002/hpja.946","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>During the coronavirus disease 2019 (COVID-19) pandemic, the infodemic has been highly visible. Vaccine-related advice and evidence-based guidelines for breastfeeding women have lagged, and, at times have been contradictory and confusing. Breastfeeding is an important public health issue with long-lasting health benefits for infants and mothers. This online social listening study aimed to understand breastfeeding-related narratives on social media during the early stages of the Australian COVID-19 vaccine roll-out.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Public content about breastfeeding and COVID-19 vaccines from Facebook pages with Australian-based administrators were accessed via the CrowdTangle platform. All related content posted between 1 December 2020–31 December 2021 was included. Content (<i>n</i> = 29 567) was coded to an adapted vaccine narrative typology, and emergent themes were inductively identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most posts were promoting, sharing or discussing reliable information. However, the comments responding to these posts varied more widely. Several consistent questions, concerns, and information voids were evident, and misinformation and conflicting information contributed to confusion and challenges with decision-making.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings highlight the complexities associated with decision-making. Pregnant and breastfeeding women continue to be a priority group for vaccination, yet there were gaps in data, evidence and information. Incorporating social listening and infodemic management into public health work is important.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Information voids, when identified early, can help inform public health messaging. Increasing social listening and infodemic training and skills in the health promotion workforce can help build future capacity and give insight into optimising public health communication and addressing misinformation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.946","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143595578","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":"Embedding Child Health Promotion and Preventive Care Within Primary Health Care: From Agenda to Action","authors":"Michelle Gooey,&nbsp;Dimity Dutch,&nbsp;Eve House,&nbsp;Kellie West","doi":"10.1002/hpja.70027","DOIUrl":"https://doi.org/10.1002/hpja.70027","url":null,"abstract":"&lt;p&gt;Embedding behaviours that support adequate sleep, a nutritious diet, sufficient physical activity and reduced sedentary time are key health promotion and preventive care goals to support childhood growth, health and development. In Australia, the National Action Plan for the Health of Children and Young People 2020–2030, the National Preventive Health Strategy 2021–2030 and Australia's Primary Health Care 10 Year Plan 2022–2032 all support a stronger health system focused on promoting wellbeing [&lt;span&gt;1-3&lt;/span&gt;] as well as treating illness.&lt;/p&gt;&lt;p&gt;Maternal, Child and Family Health Nurses (MCFHNs) and general practitioners (GPs) are amongst the most commonly consulted Primary Health Care (PHC) providers for Australian children [&lt;span&gt;4&lt;/span&gt;]. Furthermore, Aboriginal and Torres Strait Islander Health Practitioners are also important providers of PHC to First Nations children. Health promotion and the provision of preventive care are critical components of MCFHNs', GPs' and Aboriginal and Torres Strait Islander Health Practitioners' scope of practice [&lt;span&gt;5-8&lt;/span&gt;]. Additionally, Australian MCFHNs and GPs acknowledge the important role of paediatric health promotion and preventive care activities in their service setting [&lt;span&gt;9-11&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;However, day-to-day practice may not reflect these ambitions adequately due to challenges faced by PHC practitioners. These include a lack of adequate time available in consultations, gaps in education and training and the sensitivity of topics such as body weight [&lt;span&gt;9, 10, 12&lt;/span&gt;]. Thus, despite being one of five key actions of the Ottawa Charter for Health Promotion [&lt;span&gt;13&lt;/span&gt;], the reorientation of health services towards health promotion remains an aspirational target across PHC in Australia. Indeed, global progress towards health service reorientation has been disappointing [&lt;span&gt;14&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Nevertheless, there is reason for cautious optimism as policy momentum towards change continues to grow in Australia. At a state and territory level, work is currently underway to embed a health promotion and preventive focus into relevant policy and practice. In South Australia, the Preventive Health SA Bill was passed in November 2024, supporting the continued work of an agency dedicated to preventive health [&lt;span&gt;15&lt;/span&gt;]. In Queensland, Health and Wellbeing Queensland is developing a Clinical Prevention Framework intended to support prevention within their health system [&lt;span&gt;16&lt;/span&gt;]. Additionally, two prevention-focused clinical practice guidelines directly relevant to PHC were updated in 2024: Guidelines for preventive activities in general practice [&lt;span&gt;5&lt;/span&gt;] and the National guide to preventive healthcare for Aboriginal and Torres Strait Islander people [&lt;span&gt;17&lt;/span&gt;]. Specific to overweight and obesity, the National Obesity Strategy 2022–2032 [&lt;span&gt;18&lt;/span&gt;] was released in 2022. This recent wave of policy changes and updates offers an exciting window of oppo","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143581524","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":"‘We Are Trying to Make Sense of Our Lives’: Health Promotion in the Context of Young People's Digital Sexual Environment","authors":"Alexandra James,&nbsp;Jennifer Power,&nbsp;Andrea Waling,&nbsp;Gene Lim","doi":"10.1002/hpja.70029","DOIUrl":"https://doi.org/10.1002/hpja.70029","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Young people's engagement with sexual content online has received ongoing attention in both policy and practice. However, there remains limited understanding of how health promoters can best engage with digital environments to support young people's learning about sex and relationships in the context of their existing digital practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Qualitative, in-depth interviews were conducted with 22 young people aged 18–25 and 22 key informants specialising in relationships and sexuality education (RSE), sexual health and digital content design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Young people interact with digital sexual health content from a wide range of sources and platforms. This environment serves as an important space for self-exploration in relation to sex, relationships and identity that is situated in the broader context of young people's offline environment, community, and friendships.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Digital spaces support young people to develop skills and knowledge about sex, relationships and identity by providing access to diverse resources across various platforms and communication modes. Having a range of information and perspectives online enables young people to exercise their judgement, critically reflect and build their skills and knowledge in important ways.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>To support young people's sexual health, it is necessary to understand the key elements of online engagement that help young people in building an understanding of sex and relationships. This includes an understanding of online health promotion as contributing to existing formal and informal sexual health messaging.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143581783","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 Determinants of Suicide and Suicidality in Serving Military Personnel: A Global Scoping Review","authors":"Nathan G. Dawes,&nbsp;Stephanie M. Topp,&nbsp;Brittany J. Fullagar,&nbsp;Jason Selman,&nbsp;Anton Pak,&nbsp;Susan G. Devine","doi":"10.1002/hpja.70030","DOIUrl":"https://doi.org/10.1002/hpja.70030","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Nearly a million people die by suicide annually, with military personnel being at heightened risk. For every suicide, about 20 cases of suicidality, including ideation and attempts, are reported. Social determinants of health may influence suicide risk factors, but research within military contexts, particularly in Australia, is scarce. This review aimed to scope global literature and synthesise current knowledge on the social determinants of suicide and suicidality among serving military members, focusing on the Australian military.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review was conducted using the social determinants of health framework to analyse contemporary peer-reviewed articles and grey literature on military suicide and suicidality. Thematic analyses and critical appraisals were performed to identify key themes and assess the quality of the literature. The review included grey literature specific to the Australian military population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen peer-reviewed articles were included, predominantly from the United States, with one each from South Korea and Israel. Five Australian military grey literature studies were also reviewed. The findings suggest a link between social support, addiction, socioeconomic status, education and occupational factors with suicide and suicidality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This review provides an update on the evidence regarding the social determinants of suicide and suicidality in military personnel. While some evidence links social support with suicidality, the research outside the United States remains limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>The review highlights the need for further research to identify effective health-promotion strategies and interventions addressing social determinants in military contexts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143581784","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":"How Are We Preparing Australian and Aotearoa New Zealand Teachers to Be Health Promotors? Examining Physical Activity, Sleep and Sun Safety in Initial Teacher Education","authors":"Joseph J. Scott,&nbsp;Alexandra P. Metse,&nbsp;Bronwen M. McNoe,&nbsp;Sally Blane,&nbsp;Sharyn Chin Fat,&nbsp;Justine Osborne,&nbsp;Nicky Muir","doi":"10.1002/hpja.70022","DOIUrl":"https://doi.org/10.1002/hpja.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>While physical activity, sleep and sun safety (PASS) have been identified as important modifiable health behaviours and schools and teachers have been identified as vital for health promotion and primary prevention; little is known about how initial teacher education programs across Australia and New Zealand (NZ) are preparing future teachers to deliver PASS-related curriculum. This study investigated teacher educators' insights on their programs and their graduate's preparedness to plan and teach PASS education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Teacher educators (<i>n</i> = 98) from Australia and NZ completed a 30-item electronic survey. Quantitative tests were used to explore differences in the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Consistently, time spent on physical activity far outweighed sun safety and sleep with many programs having little or no sleep or sun safety content. Of concern, many indicated they did not agree, or know if their graduates were confident to plan and teach physical activity (28%), sun safety (42%) or sleep (75%) lessons, nor were they aware of the related guidelines, health benefits and risks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings reveal significant variance in what is being offered in Australian and NZ initial teacher education programs. Findings highlight potential gaps in graduate's knowledge of various health behaviours and confidence to plan and teach related content and their preparedness for health promotion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Findings highlight a need to include more targeted health promotion education in initial teacher education in Australia and NZ to enable teachers to deliver consistent health promotion messages when they enter school settings to properly support young people's health needs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554299","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":"Oombarl Oombarl Joorrinygor—Slowly Slowly Moving Forward: Reflections From a Cross-Cultural Team Working Together on the See, Treat, Prevent (SToP) Trial in the Kimberley Region of Western Australia","authors":"Tracy McRae,&nbsp;Janella Isaac,&nbsp;Hannah Thomas,&nbsp;Stephanie Enkel,&nbsp;Abbey Ford,&nbsp;John Jacky,&nbsp;Slade Sibosado,&nbsp;Kelli McIntosh,&nbsp;Marianne Mullane,&nbsp;Alexandra Whelan,&nbsp;Rebecca Dalton,&nbsp;Juli Coffin,&nbsp;Jonathan Carapetis,&nbsp;Roz Walker,&nbsp;Asha C Bowen","doi":"10.1002/hpja.70025","DOIUrl":"https://doi.org/10.1002/hpja.70025","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Reflexivity is crucial for researchers and health professionals working within Aboriginal health. Reflexivity provides a tool for non-Aboriginal researchers to contribute to the broader intention of reframing historical academic positivist paradigms into Indigenous research methodologies (IRM) to privilege Aboriginal voices in knowledge construction and decision-making. This practice requires researchers to transition from safe and familiar research environments into unfamiliar and uncomfortable spaces. This uncomfortable space is often referred to as the ‘third space’—the ‘in-between’ space that can be turbulent and difficult to navigate. However, it is also a productive space where new collaborations are created, and ideas can emerge. This manuscript provides reflections from a cross-cultural team working on a transdisciplinary healthy skin program—the See, Treat, Prevent (SToP) Trial in Aboriginal communities in the Kimberley region of Western Australia (WA). Cultural mentors guided our team to work in an Oombarl Oombarl (steady steady) way to navigate the cultural interface between familiar biomedical elements and unknown health promotion activities. Our third space was the intangible space in-between the S, T and P of the SToP Trial.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Narratives were collected through semi-structured interviews and yarning sessions. All participants provided written consent for audio recording; in one instance, consent was provided to record graphically. A thematic analysis aligning with the question guide was conducted.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Findings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Reflections include team members' experiences of learning the Oombarl Oombarl way, individually and collectively. Initially, most team members revealed it was challenging to work in an Oombarl Oombarl way, having to move out of the safe, familiar research environment into the unknown community-led health promotion space. This in-between space became our third space—the uncomfortable space where we relinquished ‘control’ of research agendas and learnt to work to the rhythm of Aboriginal communities in WA's Kimberley region.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Reflexivity is necessary when working in a cross-cultural context. In Aboriginal homeland communities situated in remote settings, researchers benefit from being ‘on the ground’ to enable trust and genuine relationships to be developed. Visits on Country provide a rich experiential learning experience and a space for story sharing and yarning. C","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535958","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":"Engaging Parents in Sexually Explicit Media Literacy Education: Expert Perspectives From Australia and New Zealand","authors":"Marc Zen,&nbsp;Jacqueline Hendriks,&nbsp;Sharyn Burns","doi":"10.1002/hpja.70026","DOIUrl":"https://doi.org/10.1002/hpja.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore sexual health expert's experiences engaging parents in sexually explicit media (SEM) literacy education, including parental comfort, barriers, enablers and insights to improve sexual health education for parents supporting their children to navigate SEM's influence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Research shows that young people frequently view SEM/pornography, often from young ages (9 to 13). This can potentially influence their sexual attitudes. Parents are essential sexuality education providers; however, information assessing parental perspectives, resources, and programmes for SEM literacy is scarce.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with sexual health experts providing SEM literacy education via videoconference between January and April 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven, 45-min interviews were conducted with five experts from Australia and two from New Zealand. Experts reported parents being comfortable with the content they presented, yet experienced challenges with resourcing and accessing certain population groups. Participants perceived many parents lacked awareness of SEM availability and available support and wanted to maintain their children's innocence. Effective strategies for parental engagement included offering a variety of delivery formats and creating safe, inclusive environments by maintaining a neutral position on SEM/pornography. Parental and youth engagement in content development are crucial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Experts encourage harm reduction approaches that support parents' ability to help their children develop the necessary skills to critique SEM and form attitudes conducive to respectful relationships.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Findings can assist health promotion organisations to effectively engage parents in SEM literacy education and develop content supporting the development of young people's critical analysis skills.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535866","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":"Spatial Clusters of Serious Falls Requiring Hospitalisation: Implications for Targeted Prevention Strategies","authors":"Shanley Chong,&nbsp;Helen M. Achat,&nbsp;Joanne M. Stubbs","doi":"10.1002/hpja.70007","DOIUrl":"https://doi.org/10.1002/hpja.70007","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Falls as a major cause of home injury and the pandemic-fuelled trend of spending more time at home indicate a need for examining the current nature of serious fall injuries. We aimed to identify and describe clusters of fall injury in Sydney before and during the dramatic rise in the prevalence of working from/staying at home and describe individual and neighbourhood factors associated with such clusters.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An analysis of 8115 fall-related injuries requiring hospitalisation from 2018 to 2021 in a local health district in New South Wales, Australia, was conducted using SaTScan to identify statistically significant spatial clusters. The district was comprised of four local government areas (Areas A–D) which had varying socio-demographic characteristics. For each year, logistic regression was used to examine associations with individual and neighbourhood factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The presence of significant geographic hotspots of fall injury hospitalisation consistently appeared in the west of Area B and along its borders with the west of Area C and the east of Area A before and since the rise in working from/staying at home. These clusters correlated closely with older age and socio-economically disadvantaged areas.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Spatial clusters of fall injuries occurring in the home environment were consistent before and during the rise in working from/staying at home. Taking into consideration individual and neighbourhood-level factors associated with identified clusters, specifically older age and socio-economic disadvantage, will enable more nuanced strategies to boost the effectiveness of intervention programmes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What</h3>\u0000 \u0000 <p>Fall injury incidence was consistent in the study periods suggesting little if any effect of the rise in working from/staying at home on falls at home. Additionally, the need for geographically targeted fall interventions is warranted for identified high risk areas characterised by older age and disadvantaged populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497367","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":"Evaluation of Co-Developed Strategies to Support Staff of a Mental Health Community Managed Organisation Implement Preventive Care: A Pilot Controlled Trial","authors":"Casey Regan,&nbsp;Kate Bartlem,&nbsp;Jenna Hollis,&nbsp;Julia Dray,&nbsp;Caitlin Fehily,&nbsp;Elizabeth Campbell,&nbsp;Sarah Leask,&nbsp;Lucy Leigh,&nbsp;Mark Orr,&nbsp;Sumathi Govindasamy,&nbsp;Jenny Bowman","doi":"10.1002/hpja.70018","DOIUrl":"https://doi.org/10.1002/hpja.70018","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Mental health community managed organisations (CMOs) are well placed to provide preventive care, including behaviour change conversations to address smoking, nutrition, alcohol and physical activity (&lt;i&gt;snap&lt;/i&gt;). This study evaluates the impact of co-developed preventive care implementation support strategies, including Healthy Conversation Skills (HCS) training on CMO staff attitudes and perceptions relating to preventive care for &lt;i&gt;snap&lt;/i&gt; behaviours.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A non-randomised controlled pilot trial was undertaken (October 2021–May 2022) with two branches of a mental health CMO (&lt;i&gt;n&lt;/i&gt; = 1 target; &lt;i&gt;n&lt;/i&gt; = 1 control) in NSW, Australia. Target group staff received a three-month implementation support package co-developed by staff and researchers, including HCS training and educational materials. Staff from both groups completed an online survey at baseline and follow-up, reporting barriers and facilitators and perceived individual and organisational ability to provide preventive care for each behaviour. Pre and post HCS training, target staff completed surveys reporting barriers and facilitators to having behaviour change conversations, and competency of using ‘open discovery questions’ (a key HCS skill).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Baseline (&lt;i&gt;n&lt;/i&gt; = 27) and follow-up (&lt;i&gt;n&lt;/i&gt; = 17) surveys showed mean scores increased for the target group and decreased for the control group for &lt;i&gt;n&lt;/i&gt; = 4/8 barrier and facilitator outcomes, and &lt;i&gt;n&lt;/i&gt; = 7/8 perceived individual and organisational ability of providing care outcomes. Sixteen target group staff participated in HCS training and surveys, with scores improving for skills (&lt;i&gt;p&lt;/i&gt; = 0.0009), beliefs about capabilities (&lt;i&gt;p&lt;/i&gt; = 0.0035), intentions (&lt;i&gt;p&lt;/i&gt; = 0.0283), participant confidence (&lt;i&gt;p&lt;/i&gt; = 0.0043), perceived usefulness (&lt;i&gt;p&lt;/i&gt; = 0.004), and competence in using open discovery questions (&lt;i&gt;p&lt;/i&gt; &lt; 0.0001).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This pilot trial demonstrates the feasibility and potential effectiveness of a co-developed implementation support package at increasing mental health CMO staff capacity to provide preventive care for multiple health behaviours.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; So What?&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This evidence can inform future research trials and health policy aimed at supporting CMO staff in delivering comprehensive preventive care.&lt;/p&gt;\u0000 ","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143489891","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}