Health Promotion Journal of Australia最新文献

{"title":"Beyond Moderate to Vigorous Physical Activity (MVPA): Why Physical Activity Surveillance May Be Failing Culturally and Linguistically Diverse (CALD) Girls in Australia","authors":"Kaushik Talukdar","doi":"10.1002/hpja.70223","DOIUrl":"10.1002/hpja.70223","url":null,"abstract":"<p>Physical inactivity among culturally and linguistically diverse (CALD) girls in Australia is typically framed as a participation problem. However, emerging evidence suggests it is equally a measurement problem. Current surveillance systems rely heavily on self-report tools, sport-centric participation models and generic moderate-to-vigorous physical activity (MVPA) thresholds that may underestimate meaningful movement exposure whilst failing to detect genuine developmental risk. Longitudinal data show that CALD girls accumulate the lowest MVPA across adolescence, yet these patterns may reflect both true inactivity and under-recognition of culturally grounded movement practices. Self-report instruments often overlook transport-related activity, household responsibilities, caregiving-related movement and traditional dance forms involving repeated loading, muscular endurance, balance and multidirectional movement. These activities carry strength-related and musculoskeletal relevance but remain largely invisible within mainstream surveillance frameworks. Accelerometry improves objectivity but is still interpreted through MVPA-centric cut-points that do not capture force production, impact loading or mechanical competence—key components of adolescent development and long-term participation capacity. Reframing physical inactivity among CALD women as a downstream consequence of early-life exclusion from movement systems shifts the focus from participation to prevention. Improved measurement—through raw accelerometry, machine-learning–based activity recognition and ecological momentary assessment—offers a pathway to more accurate surveillance and more equitable policy responses. CALD girls are not only underrepresented in physical activity systems; they are often under-measured within them. Addressing surveillance blind spots is essential for designing prevention-focused, culturally responsive, developmentally meaningful interventions.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70223","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608689","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":"Bridging Housing and Health Inequities: A Qualitative Study on Potential Solutions From the Perspectives of Recently Arrived Migrants and Refugees in Australia","authors":"Kritika Rana,&nbsp;Jennifer L. Kent,&nbsp;Shameran Slewa-Younan,&nbsp;Andrew Page","doi":"10.1002/hpja.70225","DOIUrl":"10.1002/hpja.70225","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Housing is a critical social determinant of health for migrant and refugee populations, with housing inequalities leading to significant health disparities. This study aimed to explore the perspectives of recently arrived migrants and refugees on potential solutions to address housing and related health inequities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative study recruited thirty recently arrived migrants and refugees residing in Greater Western Sydney, Australia, using purposive and snowball sampling primarily through community organisations, settlement and migrant support services, and social media platforms. Participants completed semi-structured interviews, and an inductive approach to thematic analysis was employed to identify contextual patterns and themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three major themes were identified: (1) Structural and policy reforms to address housing inequities, including simplifying rental processes, regulating rent control and tenant protections, and increasing affordable housing supply; (2) Integrated housing and health support systems for equitable outcomes, encompassing emergency housing support, financial subsidies, health-focused housing improvements, and integrated housing and mental health services; and (3) Community-based housing and social integration initiatives for health equity, involving settlement and housing literacy programs, and culturally tailored support and community engagement initiatives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings highlight the importance of multisectoral solutions that combine systemic policy reforms, cross-sectoral service coordination, and community-driven initiatives to address the housing and health inequities experienced by recently arrived migrants and refugees.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Embedding the lived experiences and priorities of these communities within housing and health strategies is essential for advancing health equity and improving outcomes for migrant and refugee populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594117","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":"Community Co-Design of a Quick Guide to Inform Digital Health Promotion Strategies for Asymptomatic Women at Risk of Chronic Disease","authors":"Paola Borquez-Arce,&nbsp;Eva Ignatious,&nbsp;Kym Berchtenbreiter,&nbsp;Jazmina L. Gonzalez Cruz,&nbsp;Jacqueline Frayne,&nbsp;Jennifer Stone","doi":"10.1002/hpja.70222","DOIUrl":"10.1002/hpja.70222","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Chronic diseases are a leading cause of illness, disability, and death in Australian women. Co-design research methodologies offer promising approaches to developing community-centred solutions that improve engagement with preventive health. This community-driven research explored ways to improve the prevention and early detection of chronic diseases in healthy women (without symptoms of disease).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A Double Diamond approach guided the project. Areas of interest were identified through a Community Conversation, followed by co-investigation of digital health promotion strategies for women. An online survey (<i>n</i> = 145) and in-depth interviews (<i>n</i> = 21) explored women's knowledge of chronic disease risk, risk prediction tools and screening. Thematic analysis informed key principles, which were ranked by a Consumer Reference Group and an Expert Reference Group to define a framework for digital health promotion strategies supporting self-management of chronic disease risk. These informed the development of a “Quick Guide” for digital health promotion to support risk management in women. The guide was refined through iterative feedback and tested for acceptability by health promotion professionals (<i>n</i> = 6).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Key themes included the need for tailored and accessible health information, convenience and affordability, and the recognition of how fear and mistrust influence health behaviours. Community connection and storytelling were prominent, as was targeting younger audiences through education and social media. The Quick Guide was deemed acceptable by professionals, especially useful for early-career practitioners.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This co-design project led to a practical Quick Guide to support the development of community-driven digital health promotion strategies for managing chronic disease risk in healthy women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Future research may explore its real-world application in digital campaigns and test its integration into primary care and community health services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594106","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":"Teaching Systems Thinking in Postgraduate Public Health: A Scoping Review of Curricular Approaches","authors":"Gareth Durrant","doi":"10.1002/hpja.70220","DOIUrl":"10.1002/hpja.70220","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Public health professionals need systems-thinking capabilities to address complex health challenges. Systems thinking is increasingly recognised in public health competency frameworks, yet published literature on how it is taught in postgraduate programmes remains limited. This scoping review mapped descriptions of its teaching in that literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A search of PubMed, Education Resources Information Center (ERIC) and Web of Science was conducted on 15 May 2025 using terms related to public health education and systems thinking. Sources were eligible if they described postgraduate public health programmes with explicit systems thinking content. After screening 1471 records and assessing 32 full texts, 14 sources were included. Data were charted by programme characteristics, systems-thinking focus, pedagogy, tools, assessments and challenges and then analysed using inductive thematic synthesis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Programmes were mostly in the United States (7/14). Other examples came from Europe, Canada and Australia. None were from Asia or Africa. Most programmes (11/14) used explicit systems-thinking tools, particularly visual techniques. Approaches and integration depth varied. The review organised reported practices into six review-derived curricular patterns: applied practice, student leadership, research and inquiry, active learning, creative production and reflective practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Systems thinking was taught in varied ways. Six recurring curricular approaches were developed as review-derived organising categories.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>This review provides a descriptive menu of reported approaches that may inform curriculum design, faculty development and future evaluation of systems thinking pedagogy in postgraduate public health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-Designing Wellbeing Initiatives With Rural Adolescents: What Works, What Doesn't, and Why","authors":"Joclyn Kernot,&nbsp;Shoshannah Kiriam,&nbsp;Sarah Seekamp,&nbsp;Kate Little,&nbsp;Kellie Hunt,&nbsp;Erin Lister,&nbsp;Carol Maher,&nbsp;Jacinta Brinsley","doi":"10.1002/hpja.70221","DOIUrl":"10.1002/hpja.70221","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Rural Australian youth face persistent mental health inequities yet are rarely meaningfully involved in designing the services meant to support them. This study aimed to explore through co-design what rural young people need and want in their community to support their mental health and wellbeing, with a secondary aim of evaluating the co-design process itself.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Three co-design workshops were conducted with 20 participants (13 young people aged 12–17 years and seven adults) in Kimba, South Australia, using the Double Diamond design framework and PRODUCES co-production principles. Workshops followed a Discover–Define–Develop–Deliver progression. Qualitative content analysis of workshop outputs and focus group data informed findings, alongside descriptive analysis of post-workshop feedback surveys. Study findings were subsequently interpreted through the PROSECO process evaluation framework, applied retrospectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Co-designers prioritised practical, occupation-based wellbeing activities, ultimately prototyping a Basic Car Maintenance Workshop and a community Colour Fun Run. Most participants reported feeling able to contribute (72%) and that the process was helpful (96%). Five themes emerged from the process evaluation: factors influencing engagement, experiences of the co-design process, workshop environment and participation, impact and continuation, and voice and inclusion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Flexible, context-sensitive facilitation, anonymous contribution methods, and deliberate management of group dynamics were critical enablers of meaningful youth participation in this rural setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Practical, occupation-based activities co-designed with rural youth can serve as accessible preventative mental health interventions. Embedding structured co-design evaluation frameworks prospectively would strengthen future practice and replication.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580939","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":"Primary School Children's Views and Habits Around School Lunches","authors":"Janandani Nanayakkara,&nbsp;Alison O. Booth,&nbsp;Claire Margerison,&nbsp;Anthony Worsley,&nbsp;Gozde Aydin","doi":"10.1002/hpja.70219","DOIUrl":"https://doi.org/10.1002/hpja.70219","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Australia does not have a school-provided lunch program. Recent research has explored various groups' opinions on having such a program; however, children's perceptions have been under-explored. This study explored the current practises and perceptions of primary school children in Victoria, Australia, regarding school lunches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online survey conducted between late 2022 and mid-2024 gathered grades 4–6 children's opinions regarding school lunches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most children (84%, of total <i>n</i> = 138) reported bringing a packed lunch from home every day to school. Most children agreed that they like to have quick-to-eat food (84%) and warm or freshly cooked food (72%) for school lunch and have food warming and cooling facilities in school (61%). Slightly over half of children (52%) agreed that the time allocated for eating is long enough to eat their lunch. The most enjoyable aspects of school lunchtime were: socialising with friends, eating food, and the chance to break from learning. Aspects of school lunchtime that children disliked were: not having enough time to eat food, food rules, the lack of variety in meals or running out of food to eat, and unpleasant social interactions. When asked about their willingness to have school-provided lunches, 47% chose ‘yes’, and 45% chose ‘maybe’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Among this sample of primary school children, home-packed lunches remain the main food source at school lunchtime. They indicated a desire for additional lunchtime facilities and showed a willingness to have school-provided lunches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Greater consideration of children's perspectives could support policymakers and health promoters in identifying and developing targeted strategies to improve primary school lunches and the food environment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70219","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148534301","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":"Co-Designing Physical Activity Programmes: A Participatory Research Study With Culturally Diverse Women and Local Government","authors":"M. Casey,&nbsp;J. E. Porter,&nbsp;R. Eime","doi":"10.1002/hpja.70217","DOIUrl":"10.1002/hpja.70217","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;Physical activity (PA) is essential for health and wellbeing, yet participation among women from culturally and linguistically diverse (CALD) backgrounds remains low due to complex, multi-level barriers. Co-design is increasingly recognised as a means of developing culturally relevant and sustainable interventions, but its application within local government-led PA programmes is limited.&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;Guided by the socioecological model (SEM), this study examined how co-design can be operationalised within a local government context to plan and deliver PA opportunities, alongside an exploratory analysis of short-term outcomes. A mixed-method participatory design was conducted across four phases: planning, co-creation, implementation and evaluation. SEM informed identification of barriers and enablers during workshops, while co-design principles guided collaborative strategy development. Data collection included co-design workshops (&lt;i&gt;n&lt;/i&gt; = 76 women), pre- and post-intervention surveys (baseline &lt;i&gt;n&lt;/i&gt; = 42; follow-up &lt;i&gt;n&lt;/i&gt; = 21), a staff focus group and interviews with women (&lt;i&gt;n&lt;/i&gt; = 3). Quantitative data were analysed using paired &lt;i&gt;t&lt;/i&gt;-tests; qualitative data were thematically analysed to examine co-design processes and participant experiences.&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;Co-design resulted in the development and implementation of culturally relevant programmes including group-based exercise, women's football, netball and water safety, incorporating features such as childcare, safety and opportunities for social connection. Quantitative findings indicated modest increases in PA (+34 min/week, &lt;i&gt;p&lt;/i&gt; = 0.25), and improved physical health (&lt;i&gt;p&lt;/i&gt; = 0.02). Qualitative findings highlighted outcomes associated with enhanced social connections and sense of empowerment, and the importance of iterative programme adaptation.&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;Integrating SEM and co-design offers a robust framework for addressing multi-level barriers and supporting inclusive PA programmes within local government practice and strengthening community capacity and equity in health.&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 provide actionable evidence for local governments seeking to implement inclusive, culturally responsive PA initiatives, positioning co-design as a scalable approach to addressing participation inequ","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70217","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473592","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 Families With a Facilitated Playgroup Designed in Discussion With the Community.","authors":"Helen J Nelson, Ailsa Munns, Karen Siggins, Sharyn K Burns","doi":"10.1002/hpja.70210","DOIUrl":"10.1002/hpja.70210","url":null,"abstract":"<p><strong>Introduction: </strong>This study responds to barriers to access to early intervention for health, welfare and education faced by families who experience sociodemographic disadvantage. Following a needs assessment to inform policy and practice for a community early years hub, a facilitated playgroup was commenced using a model identified by families. The aim was to provide a safe place for families of young children to gather and find support in an environment of relational and professional care and empowerment.</p><p><strong>Methods: </strong>Evaluation of demographic data and thematic analysis of focus group discussions allows a qualitative exploration of family and provider experience in the supported playgroup.</p><p><strong>Results: </strong>In its first year, the playgroup was attended by 61 families. Through shared relationships and structured health promotion action, families were empowered with an understanding of child development; six families received assistance with referral to a developmental specialist. Qualitative analysis identified three themes of learning from parents and grandparents, allied health providers, early childhood educators and volunteers, identifying a playgroup model to: 'reduce experience of social isolation among families', 'support families in understanding child development' and 'support families through physical space and provision'. Relationality, safety and empowerment were interwoven among themes.</p><p><strong>Conclusions: </strong>A policy of shared vision is central to empowering families and reducing barriers to access to support for children's developmental health concerns. Through co-design, families were empowered within the layered influences of learning. SO WHAT?: Evaluation represents a first step to inform policy change and practice for health promotion action towards a co-designed community hub.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":"e70210"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377517","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":"Evaluation of Short Videos Supporting Healthy Eating and Physical Activity in Early Childhood Education: The Small Bites for Big Steps Pilot Randomised Controlled Trial.","authors":"Rachel A Jones, Sarah Ryan, Nicole Tate, Ruth Crowe, Arlita Willman, Megan Hammersley","doi":"10.1002/hpja.70208","DOIUrl":"10.1002/hpja.70208","url":null,"abstract":"<p><strong>Issue addressed: </strong>Early childhood education and care (ECEC) centres are an ideal setting to promote key healthy eating and active living (HEAL) practices. Redesigning messages around such practices to be digital could help engage ECEC educators and assist with long-term implementation and reach. The aim of this study was to evaluate the potential impact of a HEAL-focused video initiative (Small Bites for Big Steps) on precursors to behaviour change including educators' self-efficacy, perceived behavioural control and behavioural intentions and the acceptability of the videos.</p><p><strong>Method: </strong>A pilot randomised controlled trial was conducted with early childhood educators (56% aged 25-44 years, 98% female). Participants randomised to the intervention group received on average 3-4 weekly videos promoting HEAL practices, whilst participants in the control group maintained usual practice. Educators' self-efficacy, perceived behavioural control, and behavioural intention were assessed using questionnaires at baseline and post-intervention (9 weeks). Data were analysed using Mann Whitney U tests in SPSS and thematic analysis. Acceptability data were collected using questionnaires, focus groups, interviews, and Vimeo analytics.</p><p><strong>Results: </strong>One hundred and six educators from 16 ECEC services were recruited. Exploratory efficacy analysis found significant improvements from baseline to post-intervention between groups for healthy eating/drinking perceived behavioural control. At post-intervention, there was a significant difference between intervention and control groups for healthy eating/drinking behavioural intention, physical activity behavioural intention, and overall behavioural intention. No significant between group differences were observed for changes in perceived behavioural control relating to physical activity or for any self-efficacy measures. Educators valued the content, length and approach of the videos. Limitations identified from the qualitative data included technical difficulties and cultural appropriateness.</p><p><strong>Conclusions: </strong>This video-based intervention positively influenced educators' perceived behavioural control and behavioural intentions, key precursors to behaviour change. The video suite was acceptable to educators. SO WHAT?: Redesigning HEAL messages into video resources may support ECEC educators to promote and implement these practices to young children and their families/carers.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":"e70208"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13280184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279197","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":"Breathe Easy Gippsland-Community Attitudes Towards Expanding Smoke- and Vape-Free Zones in Gippsland, Victoria, Australia.","authors":"Nilay Kocaali, Lily Tatterson, Andi Connell, Nadine Frescura, Michelle Jongenelis, Megan S C Lim, Tim Owen, Victor Patino, Katie Walker, Justine White, Alyce N Wilson","doi":"10.1002/hpja.70211","DOIUrl":"10.1002/hpja.70211","url":null,"abstract":"<p><strong>Issue addressed: </strong>This study explored community attitudes towards expanding smoke- and vape-free zones in Gippsland, Victoria, to inform public health policy aimed at reducing smoking and vaping-related harm.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted among Gippsland residents aged 12 and older (n = 662), examining support for increased measures to address smoking and vaping in Gippsland. Descriptive statistics assessed demographic characteristics and survey responses, and logistic regression analysis examined associations between support for interventions and key correlates. Responses from open-ended questions regarding the implementation of smoke- and vape-free zones were analysed using thematic content analysis.</p><p><strong>Results: </strong>Most respondents (91%) supported further action to reduce tobacco and e-cigarette-related harm and endorse the expansion of smoke- and vape-free zones. Among business owners/managers, nearly half (48%) anticipated no business impact, while 29% anticipated a positive outcome. Compared to people who smoke, occasional (UOR 4.75, 95% CI 1.45-18.93, p = 0.015) and non-smokers (UOR 22.45, 95% CI 10.22-50.26, p < 0.001) were more likely to support the expansion of zones. Younger respondents aged 16-18 were less supportive compared to those aged 60 and older (UOR 0.32, 95% CI 0.11-0.92, p = 0.012).</p><p><strong>Conclusions: </strong>The findings indicate strong overall community support for expanding smoke- and vape-free zones in Gippsland. Findings varied by smoking status and age, with people who smoke and/or vape and younger respondents demonstrating less support compared to people who don't smoke and/or vape and those aged 60 and older.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":"e70211"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13307625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340603","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}