Health Promotion Journal of Australia最新文献

{"title":"‘Oh! It's Like Taboo’: Perspectives of Religious and Community Leaders on AOD Use, Harms and Treatment in CALD Communities, Sydney","authors":"Winifred Asare-Doku,&nbsp;Robert Stirling,&nbsp;Prince Peprah,&nbsp;Catherine Foley,&nbsp;Nirekha De Silva,&nbsp;Teguh Syahbahar,&nbsp;David Kelly,&nbsp;Stella Settumba","doi":"10.1002/hpja.70105","DOIUrl":"10.1002/hpja.70105","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Alcohol and other drug (AOD) use is a growing social and health issue, and culturally appropriate treatment is important, especially for people from culturally and linguistically diverse (CALD) backgrounds. This study aimed to explore the views of religious and community leaders on AOD use and treatment in CALD communities in New South Wales, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Using a qualitative exploratory approach, eight religious and community leaders were purposively selected from Sub-Saharan African, North African, Middle Eastern, East Asian and Pacific Islander communities. This approach is particularly suited to contexts where little prior research exists, allowing for in-depth insights into participants' views.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study identified four key themes in participants' perspectives on AOD use and treatment within CALD communities. First, cultural and contextual factors described how cultural and religious values influence community leaders' attitudes toward AOD. Second, community-wide impact captured the collective nature of CALD communities, where individual behaviours are seen as reflecting on the broader family and community. Third, enablers to access and engagement with AOD Services highlighted the factors that support access to and engagement with AOD services. Finally, barriers to access and engagement with AOD Services addressed the obstacles that prevent individuals from seeking treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings show that AOD use and harms can be influenced by contextual and cultural factors, requiring culturally appropriate and targeted interventions and strategies to prevent harm and to manage AOD treatment among CALD communities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Public Health</h3>\u0000 \u0000 <p>Findings highlight the need for culturally tailored AOD prevention and treatment strategies that engage community and religious leaders to improve access, reduce stigma and increase uptake within CALD communities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132074","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":"A Qualitative Analysis of Stakeholders and Workers' Views of the Impact of a Suicide Prevention Program for the Australian Construction Industry","authors":"Kylie E. King,&nbsp;Sarah K. Liddle,&nbsp;Angela Nicholas","doi":"10.1002/hpja.70108","DOIUrl":"10.1002/hpja.70108","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>In Australia, construction workers have suicide rates twice that of other male workers. The Bluehats suicide prevention program aims to address this issue. Workplace suicide prevention programs are promising due to their potential reach and ability to address industry-specific risks. However, evidence of their effectiveness is limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We aimed to understand more about the impact of the program and the factors influencing successful implementation through a qualitative study that comprised interviews and open-ended survey responses from 8 construction industry stakeholders, 19 workers, and 5 Incolink service delivery staff. Data were analysed using Reflexive Thematic Analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants commented on the role of the Bluehats themselves, the scope of the Bluehats program, and industry-related factors that influenced the program's impact. Whilst participants reported positive impacts of the program, key recommendations included expanding the program's reach to small businesses, rural areas, and diverse cultural groups, as well as broadening its scope to include early intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study emphasises the importance of a supportive work environment and industry for the success of the Bluehats program. Effective suicide prevention in the construction industry requires addressing individual, social, and systemic factors through a systems-based approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>The findings suggest that although the Bluehats program has a positive impact, an enhanced reach and scope could further improve its impact. Implementing these recommendations could lead to more effective suicide prevention in the construction industry and serve as a model for similar workplace interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132095","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":"Recommendations for Reporting Alcohol, Tobacco, and Other Drug Screening Tool Use With Pregnant Aboriginal and Torres Strait Islander Peoples","authors":"Christina A. Norris,&nbsp;Tahlia Johnson,&nbsp;Ashlea Bartram,&nbsp;Armin Muminovic,&nbsp;Alice McEntee,&nbsp;Jane Fischer,&nbsp;Alison Francis,&nbsp;Jacqueline A. Bowden","doi":"10.1002/hpja.70103","DOIUrl":"https://doi.org/10.1002/hpja.70103","url":null,"abstract":"<p>Alcohol, tobacco and other drug screening tools are essential components of health promotion strategies to help identify individuals at risk of harmful substance use and guide them towards timely and appropriate interventions. These tools play a particularly important role in antenatal care, where routine screening for pregnant women supports healthier pregnancies and promotes long-term wellbeing for mother and child. However, it is unclear whether there are culturally responsive, validated tools for use with pregnant Aboriginal and Torres Strait Islander peoples. A search of recent literature identified tools commonly used with Aboriginal and Torres Strait Islander populations but found limitations in how the use of these tools was reported. We outline key considerations for improving the implementation and reporting of alcohol, tobacco and other drug screening tools in Aboriginal and Torres Strait Islander populations. We discuss how prioritising cultural responsiveness, validation and acceptability in screening practices can enhance healthcare equity and improve outcomes for pregnant Aboriginal and Torres Strait Islander peoples affected by alcohol, tobacco, and other drug use.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145111194","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":"Health Promotion in the Asia Pacific: Celebrating Success Stories and Tackling Challenges","authors":"Carmel Williams,&nbsp;Louise Signal,&nbsp;Louise Baldwin,&nbsp;Vivian Lin","doi":"10.1002/hpja.70106","DOIUrl":"10.1002/hpja.70106","url":null,"abstract":"<p>This Special Issue of the <i>Health Promotion Journal of Australia</i> reflects on how health promotion principles and practices have been adapted across the Asia Pacific. Contributions highlight diverse approaches to advancing health promotion in different contexts, while underscoring the need for sustained political will, resources, and collaboration. By sharing knowledge and experiences, this Special Issue aims to strengthen the region's collective capacity to tackle shared and complex health and societal challenges.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70106","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087384","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":"Evaluating the Fifth Korean National Health Plan: Statistical Insights and Strategic Implications for Health Promotion Policy","authors":"Yunhee Yang,&nbsp;Yeran Lee,&nbsp;Hyeseon Kim,&nbsp;Yumi Oh","doi":"10.1002/hpja.70091","DOIUrl":"10.1002/hpja.70091","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 Korean National Health Plan (HP) is a long-term, whole-of-government (WOG) health strategy aimed at improving population health and achieving health equity. The Fifth Plan (HP2030, 2021–2025) has reached its midterm evaluation stage, highlighting the need for a comprehensive quantitative assessment of its implementation outcomes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aims to assess whether statistically significant changes have occurred through a quantitative evaluation of the performance indicators of the Fifth National Health Promotion Comprehensive Plan and to analyse the implementation rates of action plans by each responsible ministry. It further seeks to identify the linkages between policy implementation and outcomes in order to derive strategic implications for the formulation of the Sixth Plan.&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;The statistical significance of changes in performance indicators from baseline to the most recent values was assessed using national health statistics, including the Korea Community Health Survey (KCHS) and the Korea National Health and Nutrition Examination Survey (KNHANES). In addition, the evaluation framework of Healthy People 2030 in the United States was applied to examine the direction and magnitude of changes in health disparities across income levels and regions. Furthermore, annual implementation reports submitted by relevant ministries were reviewed to quantify task implementation rates and evaluate progress in key priority areas.&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;Out of a total of 400 performance indicators, 190 (47.5%) either met their targets or showed statistically significant improvement, 98 (24.5%) showed no meaningful change, and 82 (20.5%) demonstrated worsening trends. In terms of health equity, among 24 indicators monitoring disparities, 10 (41.7%) showed reductions in income- or region-based disparities, while 12 (50.0%) exhibited widening gaps. The implementation rates of policy tasks increased from 86.4% in 2021 to 98.6% in 2023.&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;Unlike prior evaluations based solely on average change, this study comprehensively assessed policy effectiveness by integrating statistical significance testing, changes in health equity, and implementation progress. While several targets were met ahead of schedule, additional policy interventions are required in key areas such as noncommunicable disease prevention. The results underscore the necessity of continuous monitoring","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070837","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":"Health Promotion in Asia-Pacific: Evidence Base for Good Practice?","authors":"Vivian Lin","doi":"10.1002/hpja.70107","DOIUrl":"10.1002/hpja.70107","url":null,"abstract":"<p>The practice of health promotion in the Asia-Pacific Region has evolved from health education to a settings-based approach. Increasingly, health promotion approaches are being applied to an ever wider range of health issues. Despite substantial developments across many countries, the evidence base for good practice in the Region has been slow to develop. This reflects both resourcing limitations as well as low connectivity between researchers, practitioners and policy-makers. The vastly different cultures, languages, population groups and geographies call for greater understanding of the context-specific nature of health promotion interventions and offer tremendous opportunity for further knowledge generation and dissemination. A more robust evidence base, focused on current and emerging challenges, will serve all stakeholders well in garnering the necessary funding and resources for well-designed interventions.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076294","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":"Addressing Social and Cultural Determinants of Health for Aboriginal and Torres Strait Islander People in Chronic Disease Programs: A Scoping Review","authors":"Petra Mossop,&nbsp;Uday Narayan Yadav,&nbsp;Rosemary Wyber,&nbsp;Julieann Coombes,&nbsp;Kirsty Douglas","doi":"10.1002/hpja.70100","DOIUrl":"10.1002/hpja.70100","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This research aimed to assess, synthesise and analyse the evidence to understand whether chronic disease programmes for Aboriginal and Torres Strait Islander peoples address social and cultural health determinants and what strategies are being used to achieve them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic search was conducted in Medline, Scopus, ProQuest and Web of Science to identify studies between 1 January 2002 and 31 December 2022 using combinations of subject headings and keywords related to ‘Aboriginal and Torres Strait Islander people’ and ‘chronic disease’. Data were synthesised using descriptive analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This review identified that chronic disease programmes focusing on Aboriginal and Torres Strait Islander people did not adequately address social and cultural determinants with adequate scope and depth. Cultural determinants were more frequently addressed, although there was a distinct reliance on Aboriginal and Torres Strait Islander Health Workers/Practitioners to meet cultural needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This research highlights an unmet need to address the social and cultural determinants of health, thereby meeting the holistic needs of Aboriginal and Torres Strait Islander people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Public Health</h3>\u0000 \u0000 <p>Flexible funding for chronic disease programmes, frameworks to guide the design and implementation and reporting standards for research are essential to addressing social and cultural determinants.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070861","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":"Correction to “From ‘What's This?’ To ‘I Grew It!’: Evaluation of a School Nutrition Program in Queensland, Australia”","authors":"","doi":"10.1002/hpja.70101","DOIUrl":"10.1002/hpja.70101","url":null,"abstract":"<p>L. Fathi, C. Young, A. Cleary, et al., “From ‘What's This?’ To ‘I Grew It!’: Evaluation of a School Nutrition Program in Queensland, Australia,” <i>Health Promotion Journal of Australia</i> 36, no. 4 (2025): e70087, https://doi.org/10.1002/hpja.70087.</p><p>Incorrect institutional affiliations were attributed to several co-authors. The following authors were incorrectly listed as affiliated with the School of Human Movement Sciences, University of Queensland, but should have been affiliated with Health and Wellbeing Queensland, Brisbane, Australia: Mathew Dick, Charlotte Morrison, Li Kheng Chai, Katherine Cacavas, and Robyn Littlewood.</p><p>In addition, Katherine Cacavas should also have been listed as affiliated with the Gold Coast Public Health Unit, Gold Coast Health, Gold Coast, Australia.</p><p>We apologize for this error.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076342","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":"Public Narratives About Food Security Policies for Remote Aboriginal and Torres Strait Islander Communities","authors":"Cherie Russell,&nbsp;Lisa-Maree Herron,&nbsp;Megan Ferguson,&nbsp;Caroline Deen,&nbsp;Emma Stubbs,&nbsp;Bronwyn Fredericks,&nbsp;Kani Thompson,&nbsp;Julie Brimblecombe,&nbsp;Amanda Lee,&nbsp;Ellie Chan,&nbsp;Emma Tonkin,&nbsp;Sue Kleve,&nbsp;Emma Chappell,&nbsp;Katherine Cullerton","doi":"10.1002/hpja.70102","DOIUrl":"10.1002/hpja.70102","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Despite ongoing efforts, meaningful policy action to improve food security in remote Aboriginal and Torres Strait Islander communities in Australia remains limited. Compelling, values-based messaging may help drive change. This study explored public support for potential policies and the beliefs underpinning support or opposition, to inform future messaging on this issue.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used street-intercepts to collect quantitative and qualitative data on community-identified policy actions. Narrative analysis identified underlying beliefs and structural elements of differing narratives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was strong public support for government action, particularly for community-driven solutions such as community farming and healthy food subsidies. Policies such as increasing welfare payments received less support. Two key narratives were identified: one framing food security as a human right and government responsibility, and the other emphasising community self-determination and self-sufficiency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While support for improved food security in remote communities was high, the preferred options and rationales varied. The narratives used to explain support or opposition offer insights into beliefs and attitudes that may be salient to the wider population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Narrative-informed messaging could enhance public and policymaker support for community-led strategies to improve food security.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070886","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":"Beyond Local Champions: Contextual Factors Shaping the Implementation of Healthy Eating Interventions in Centre-Based Care – A Qualitative Study With Educators and Cooks","authors":"Jacqueline Chan,&nbsp;Alexander Hyde-Page,&nbsp;Philayrath Phongsavan,&nbsp;David Raubenheimer,&nbsp;Margaret Allman-Farinelli","doi":"10.1002/hpja.70098","DOIUrl":"https://doi.org/10.1002/hpja.70098","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>The early childhood education and care (ECEC) setting provides a critical opportunity to reach young children and families to support optimal nutrition and development. Despite the abundance of healthy eating interventions delivered in this setting, the most effective ways to improve children's diets remain unclear. These efforts are hindered by our limited understanding of the complex set of factors that influence the successful implementation of healthy eating interventions. This study aims to explore early childhood educator and cooks' experiences of the contextual factors influencing the implementation of healthy eating policies and practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative study using semi-structured interviews was conducted with 10 educators and cooks from New South Wales, Australia. The Consolidated Framework of Implementation Research was used to guide data collection. Data were analysed using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Educators and cooks expressed commitment to implementing healthy eating policies and described support from directors and local health services. However, ECEC sector conditions inhibited implementation success. Barriers to implementation included inadequate collaboration between management, educators, cooks and parents; limited opportunities for partnerships and networking within the ECEC sector and beyond; and insufficient nutrition education and training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Addressing broader systems-level factors by strengthening work infrastructure, partnerships, and nutrition education and training opportunities is necessary to improve the implementation success of healthy eating policies and practices in the ECEC sector.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Findings can inform policymakers to consider barriers faced by ECEC staff in implementing healthy eating interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145057809","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}