Health Promotion Journal of Australia最新文献

{"title":"Bridging Voices Through Food: Sub-Saharan African Young People's Perspectives of Food and Nutrition Policy in Victoria, Australia","authors":"Khalid Muse,&nbsp;Ayuba Issaka,&nbsp;Dheepa Jeyapalan,&nbsp;Nicola Miranda,&nbsp;Kevin Kapeke,&nbsp;Kathryn Backholer,&nbsp;Veronica Nunez,&nbsp;Sally Schultz,&nbsp;Hannah Jongebloed,&nbsp;Chioma Anidi,&nbsp;Christina Zorbas","doi":"10.1002/hpja.70234","DOIUrl":"https://doi.org/10.1002/hpja.70234","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Marginalised and non-white voices are under-represented in food and nutrition policy in Australia. To achieve equitable food systems that support healthy diets for all, the voices and lived experiences of people from diverse cultural backgrounds must be meaningfully included in decision-making. This research aimed to understand Sub-Saharan African (SSA) young people's experiences of food and nutrition and identify opportunities for culturally sensitive policies that can improve these experiences in Victoria, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative approach, grounded in critical theory, experience-based co-design and the Social and Emotional Wellbeing framework, was employed to attain a policy-relevant understanding of SSA young people's perspectives and engagement with food and nutrition in Australia. In-depth interview guides were co-designed with an advisory committee of multicultural young people, including two young SSA Australians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty young people (15–25 years) with East and West African backgrounds were interviewed, mostly from metropolitan Victoria (75%). Four overarching themes were identified describing (i) young people's experiences of cultural food shaping their identity but being difficult to access due to systemic barriers, (ii) food affordability and economic opportunities influencing community wellbeing, (iii) the mixed relevance of dominant food and nutrition policy priorities and (iv) the need for stronger government prioritisation of migrants and equity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This research identifies food as a critical determinant of health and wellbeing among SSA youth, serving not only as a cultural factor but also as a pathway for economic and social advancement. Mainstream food and nutrition policies do not fully address the priorities of SSA youth and opportunities exist to develop more culturally sensitive policy options. Additional efforts are required from the public health community to address discrimination across food systems, starting with better inclusion of multicultural experiences and voices in research, policy and practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70234","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148753702","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":"Comparative Policy Analysis of Healthcare Healthy Eating Policies in Canada","authors":"Laura J. Kennedy,&nbsp;Sara F. L. Kirk,&nbsp;Alisson Dykeman,&nbsp;Meaghan Sim,&nbsp;Jeanna Parsons Leigh,&nbsp;Catherine L. Mah","doi":"10.1002/hpja.70231","DOIUrl":"10.1002/hpja.70231","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;Healthy eating policies are of growing importance to the management of retail food environments in healthcare (e.g., hospital cafeterias). Several researchers have begun to analyse health promoting benchmarks within these policies. However, little is understood about the relationship between policy and continuous quality improvement (CQI) for health promotion in healthcare. Furthering our understanding of benchmarks within these policies could provide insight into how we can measure and create standards in health promotion. This policy analysis examined publicly accessible healthcare healthy eating policies in Canadian health authority jurisdictions, up until November 22, 2022.&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;Data was extracted using a monitoring and evaluation framework for evaluating nutrition policies in publicly funded institutions, with adaptations based on organisational CQI concepts. Policy components analysed included: policy design, nutrient profiling systems, nutrition standards, evaluation, and monitoring. A second reviewer independently extracted data and peer debriefing was completed on the extractions.&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;This analysis identified five healthy eating policies meeting the inclusion criteria, from Alberta, British Columbia, Newfoundland and Labrador, Nova Scotia, and Winnipeg, Manitoba. Policies included nutrient profiling, including benchmarks for selling healthy, moderately healthy, and less healthy food and beverages. Other benchmarks were mentioned but contained fewer indicators (e.g., fundraising, catering, and advertising). Policies included benchmarks about product and placement (e.g., healthier items in visible places) but less about price. The included policies promoted collaboration amongst healthcare providers but lacked details about evaluation and monitoring.&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;This policy analysis suggests that different healthcare settings may require different benchmarks, tailored to their contexts. Furthermore, standardisation may not be optimal if further experimentation is needed to identify benchmarks for health promotion practices, as is common in healthcare CQI. Policy implementation requires a combination of top-down and bottom-up approaches, and collaboration with multiple partners may be necessary for success. Benchmarking processes are a potential strategy for understanding improvements to other aspects of the food environment beyond nutrient standards.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 ","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70231","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714237","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":"Supporting Decision Making in Early Years Initiatives: Co-Designing a Child Health Evidence Dashboard","authors":"Brittany J. Johnson,&nbsp;Samantha Morgillo,&nbsp;Sarah Hunter,&nbsp;Lua Perimal-Lewis,&nbsp;Georgia Middleton,&nbsp;Jacqueline Anderson,&nbsp;Rebecca Perry,&nbsp;Sarah Eley,&nbsp;Annapurna Nori,&nbsp;Louise Wightman,&nbsp;Sarah Taki,&nbsp;Carmel Williams,&nbsp;Vicki Brown,&nbsp;Anna Lene Seidler,&nbsp;Kylie E. Hunter,&nbsp;Rebecca Golley","doi":"10.1002/hpja.70230","DOIUrl":"10.1002/hpja.70230","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Research has trialled many initiatives to support caregivers to shape young children's health behaviours. However, translating evidence to public health practice and policy is a challenge, in part due to access to such evidence. We aimed to co-design a child health evidence dashboard, and to understand the expected enablers and barriers to use of the dashboard with next-users (e.g., Australian child service managers, program planners).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using an integrated knowledge translation approach, we conducted a mixed-methods study involving five online co-design workshops. Next-users were invited to participate in the workshops and completed pre- and post-workshop surveys. Pragmatic data analysis occurred after each workshop to identify next-user requirements and inform iterative dashboard development alongside workshops.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>15 next-users participated in the workshop series (median of 9 per workshop). Next-user preferences were categorised into desired uses, content, features and functionality, and design for the dashboard. Key enablers to use of the dashboard included relevance, promotion and credibility of the dashboard, positive user experience, time and resources to support use of the dashboard.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We identified what and how next-users want evidence on child health initiatives to inform policy and practice. Findings enabled development of an initial evidence dashboard prototype informed by next-user preferences. Understanding the enablers and barriers to using and engaging with the dashboard will inform ongoing development and implementation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70230","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714257","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":"Sustaining Health Promotion in Australian Supermarkets: Qualitative Perspectives From the Reach for the Stars Programme","authors":"Rebecca Bennett,&nbsp;Laura Duff,&nbsp;Kate Mallia,&nbsp;Steven Allender,&nbsp;Bettina Backman,&nbsp;Miranda Blake,&nbsp;Shaan Naughton,&nbsp;Carmen Vargas","doi":"10.1002/hpja.70228","DOIUrl":"10.1002/hpja.70228","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Supermarkets influence dietary behaviours, but sustaining health-promoting interventions in these settings is challenging. This study explored factors shaping the long-term sustainability of <i>Reach for the Stars</i>, a multi-component intervention promoting products rated four or five health stars in independent supermarkets in the Latrobe Valley, regional Victoria, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with health promotion staff, community members and supermarket owners and managers. Interviews were analysed using reflexive thematic analysis underpinned by a Big Q, constructionist approach, prioritising participants' experiences and perspectives rather than quantification.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants identified multiple factors influencing sustainability. Community engagement guided intervention design, ensuring materials met local needs, while trusting relationships between health promotion staff and retailers facilitated collaboration. Key challenges included limited ongoing funding, time constraints and inflexible organisational structures. Partnerships, adaptable resources and visible benefits to the community were highlighted as critical enablers. Participants also emphasised the importance of organisational support and leadership in sustaining programme practices over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Sustaining supermarket-based health promotion initiatives requires attention to relational, organisational and contextual factors beyond programme design. Active relationship-building, collaborative partnerships and responsiveness to local context supported programme viability and retailer engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>These findings provide practical insights for public health practitioners seeking to implement or maintain supermarket health initiatives. Emphasising community connection, partnership development and organisational support can strengthen the longevity and effectiveness of interventions aimed at promoting healthier food choices in retail settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70228","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707943","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 Does the Australian Media Report on the Health and Environmental Impacts of Meat Consumption and Production? A Media Analysis","authors":"Navid Teimouri,&nbsp;Katherine Sievert,&nbsp;Adam Hannah,&nbsp;Stephanie Meciar,&nbsp;Kerri Gill,&nbsp;Katherine Cullerton","doi":"10.1002/hpja.70233","DOIUrl":"10.1002/hpja.70233","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Australia is a high meat-producing and consuming country, yet little Australia-specific research has examined how news media frame meat's health and environmental impacts and related solutions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analysed 147 Australian print and online news articles published between 15 May 2020 and 15 May 2025 across 12 major outlets. Articles were coded for topic, headline and body framing, calls to action and cited sources, then examined using content analysis and descriptive and inferential statistics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Coverage focused mainly on environmental impacts (98/147), especially greenhouse gas emissions, while health-only coverage was less common (33/147). Most articles included a call to action, most often focused on industry action (56) or technological solutions (53), whereas policy change and individual choice were rare (14 each). Industry representatives were the most common sources (91/147) and their inclusion predicted more favourable framing, more technological and industry-led responses and lower odds of dietary-change calls. Framing also varied by outlet, with <i>The Australian</i> and <i>Daily Telegraph</i> more favourable towards meat and the <i>Sydney Morning Herald</i> more unfavourable.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Australian news coverage tended to privilege incremental, supply-side responses over broader dietary and policy approaches recommended in public health and sustainable food systems research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Australian news coverage may normalise industry-friendly and technology-led responses to meat-related harms while marginalising dietary and policy solutions, narrowing public and policy understanding of what effective health promotion requires. Strategic media engagement may help health promoters increase the visibility of evidence-based, structural solutions and support a more balanced public debate about meat-related harms. Greater government focus on meat-related harms could help advance public health objectives and policy action.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70233","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707939","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":"True Co-Design: Buzzword or Breakthrough? The Value of Authentic Relationships in Aboriginal and Torres Strait Islander Health Promotion","authors":"Candace Angelo,&nbsp;Kate Robinson","doi":"10.1002/hpja.70227","DOIUrl":"10.1002/hpja.70227","url":null,"abstract":"<p>As Aboriginal women, Registered Nurses, and health promotion and public health academics, our perspectives are shaped by both our lived experiences and our professional practice. We have worked across clinical care, health promotion, public health, research, and academia, partnering with Aboriginal and Torres Strait Islander communities, health services, and organisations to improve health and wellbeing. These experiences have reinforced our understanding that meaningful and sustainable health promotion is built on relationships, trust, and shared decision-making, rather than simply the application of participatory methods. We wrote this commentary because we have become increasingly concerned that the term <i>co-design</i> is being used widely across research, policy and practice without always reflecting the principles it was intended to represent. Too often, co-design is reduced to consultation, workshops or the collection of community feedback, while decision-making power, and control remain with researchers, institutions or health services. In our experience, this not only undermines the intent of co-design but also risks reinforcing the very inequities that health promotion seeks to address. Our understanding of authentic co-design is informed by Aboriginal ways of knowing, being and doing, which recognise that relationships are not peripheral to the work; they are the work. Genuine partnership requires time to build trust, reciprocal relationships, mutual accountability, respect for community knowledge, and a willingness to share power throughout every stage of a project. These principles are not unique to Aboriginal and Torres Strait Islander contexts; rather, we believe they represent the foundations of effective health promotion with all communities. As nurses and health promoters, we have seen firsthand that programs developed <i>with</i> communities are more relevant, culturally safe, acceptable and sustainable than those developed <i>for</i> communities. Conversely, we have also witnessed the consequences of tokenistic engagement, where communities are invited to participate after key decisions have already been made. These experiences have shaped our conviction that authentic co-design is not a methodology to be applied, but a way of working that is grounded in humility, reciprocity and respect. We acknowledge that our perspectives are informed by our identities as Aboriginal women and by our professional experiences. While we do not claim to speak for all Aboriginal and Torres Strait Islander peoples or communities, we offer this commentary from a position of shared experience and commitment to strengthening health promotion practice. We hope this paper contributes to an ongoing conversation about moving beyond co-design as a buzzword and toward approaches that genuinely redistribute power, privilege community expertise and foster authentic relationships capable of creating meaningful and lasting health change.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70227","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707885","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":"Fostering Equity in and Through Sport: A Content Analysis of Sports Policies for Migrants in Australia","authors":"Siona Fernandes,&nbsp;Eleanor Holroyd","doi":"10.1002/hpja.70229","DOIUrl":"10.1002/hpja.70229","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Physical activity (PA) and sport are mechanisms that promote health and social belonging, yet evidence of policies promoting sports participation and inclusion for Australia's growing migrant population is limited. This study examined how Australian federal, Victorian state and local government (LG) policies address migrant inclusion and equitable sports participation, with a secondary focus on Asian Indians, Australia's largest Asian ethnic group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twenty public-facing policy documents drawn between 2014 and 2024 were systematically selected and thematically analysed (federal: <i>n = 10</i>, state: <i>n = 2</i>, LGs: <i>n = 8</i>) using content analysis with 10 predefined categories drawn from migrant-contextual PA domains and planning aspects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen documents referenced migrant-specific keywords. Key categories included social and cultural contexts, physical environment and target groups. Sociocultural framing in national and LG documents highlighted sport's role in migrant integration. Victorian LGs adapted the physical environment to accommodate informal and culturally specific sports (e.g., kabaddi), fee-free options and multisport facilities. Few national sport-sector documents distinctly target migrants. Immigration-sector documents identified new arrivals, highlighted cross-government partnerships that integrated sport within workplace initiatives, and adopted a migrant-focused evaluation framework. Most documents lacked actionable migrant-focused initiatives and details on budget, timeframes or legal compliance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Migrant inclusion is gaining attention in national sport policy initiatives but is insufficiently addressed in state-level documents. Intersectional approaches, targeted planning, collaboration between sport, immigration and health sectors, and increased political advocacy could advance migrant equity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690086","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":"Strengthening Preventive Care for Culturally and Linguistically Diverse People in Australia: The Case for Community Health Worker Programs","authors":"Sabuj Kanti Mistry,&nbsp;Uday Narayan Yadav,&nbsp;Soumyadeep Bhaumik,&nbsp;Zohra S. Lassi,&nbsp;Mark Harris","doi":"10.1002/hpja.70226","DOIUrl":"https://doi.org/10.1002/hpja.70226","url":null,"abstract":"<p>Australia is a multicultural country with half of its population from culturally and linguistically diverse (CALD) communities, who experience a disproportionately higher burden of chronic diseases. Yet, people from CALD communities continue to face significant barriers to accessing health and social care services that are essential for effective prevention of chronic diseases. In Australia, prevention is not happening in primary care, with a shortage of workforce and the public health system is underinvested in preventive strategies. In these realities, we highlight that community health workers can play a pivotal role in delivering culturally tailored preventive care in primary care and community settings for CALD communities in Australia.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70226","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647832","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":"Towards System Changes: Experiences of General Practitioners and Nurses in Facilitating Appointments and Referrals for Africans from Refugee Backgrounds in Australia","authors":"Prince Peprah,&nbsp;Emmanuel Brenyah Adomako,&nbsp;Dipti Zachariah,&nbsp;David Ajak Ajang","doi":"10.1002/hpja.70218","DOIUrl":"10.1002/hpja.70218","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study explored the experiences of general practitioners (GPs) and nurses working in specialised refugee health services when facilitating specialist hospital appointments and referrals for Africans from refugee backgrounds in Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An exploratory-descriptive, qualitative study was conducted. Purposive sampling was used to recruit 12 GPs and nurses across three states: New South Wales, Victoria, and Queensland. Semi-structured interviews were conducted and recorded via Zoom. Reflexive thematic analysis was undertaken to generate themes. This manuscript is based on the Consolidated Criteria for Reporting Qualitative Research (COREQ).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This study revealed two analytical constructs. The first construct explains the various challenges that GPs and nurses working in specialised refugee health services face in facilitating referrals and appointments for their patients including: (a) assumptions in communication; (b) use of abbreviations in appointment reminders; (c) navigating cultural and religious sensitivities in appointments; (d) difficulty getting clinicians to use interpreters; and (e) silos working. Nevertheless, the second construct explains that the providers in this study remained passionate and committed to helping refugees access the care they need.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>It is essential that primary healthcare professionals in specialised refugee services feel supported, encouraged and empowered to enable access to appropriate specialist hospital services by refugees, thereby preventing unwanted health outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>This study reveals the needed changes to inform equity-based policies and system level interventions that promote timely access to specialist services for refugees to improve health outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70218","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608400","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":"Promoting Planetary Health, One Bite at a Time: Examining the Efficacy and Feasibility of a Dietary Behaviour Change Intervention","authors":"Halle Yip,&nbsp;Jingjun Wu,&nbsp;Jessica Gleeson,&nbsp;Wendy Tan,&nbsp;Zi Yin Wong,&nbsp;Stacey Holden,&nbsp;Liza Barbour","doi":"10.1002/hpja.70224","DOIUrl":"10.1002/hpja.70224","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Issue Addressed&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The climate crisis is affecting the food system and human health, requiring a population-wide dietary shift to safeguard our future. This study examined the efficacy and feasibility of an intervention intended to increase the adoption of healthy and sustainable diet-related practices.&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 mixed-methods, pilot case study design was used to examine the efficacy and feasibility of the PlanEATary Quest 3-week intervention, where participants complete pre-post questionnaires and select sustainability-focused behaviour change tasks from a menu of healthy and sustainable diet-related activities. Quantitative results (pre-post survey) were analysed using a paired-sample &lt;i&gt;t&lt;/i&gt;-test and a Wilcoxon signed-rank test. Qualitative data (interview transcripts) were thematically analysed deductively, guided by the Consolidated Framework for Implementation Research.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Setting&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nutrition and dietetic professionals employed in diverse roles (clinical, community health, food service, management and dedicated food sustainability roles) at a large Australian health service participated in the PlanEATary Quest.&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;Analysis of the pre-post questionnaire revealed statistically significant improvements in scores for five of 12 targeted dietary behaviours, suggesting desirable dietary shifts and knowledge gains regarding planetary health. Of the 40 intervention participants, 14 completed a follow-up interview or survey. Interview and survey data revealed several factors influencing intervention engagement: individual attitudes, workplace culture and leadership support and intervention delivery style.&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;Based on examination of this pilot intervention, the PlanEATary Quest has the potential to increase the adoption of healthy and sustainable dietary 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;These findings highlight the potential role of workplace-based, experiential interventions in supporting behaviour change. The expansion of such interventions amongst health professionals, and potentially other audiences, may be an effective and feasible approach to support dietary shifts that benefit both human and planetary health.&lt;/p&gt;\u0000 &lt;/secti","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70224","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608677","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}