Health Promotion Journal of Australia最新文献

{"title":"Primary School Principals and Teachers Support School-Provided Meals in Queensland, Australia: Brief Report of a Cross-Sectional Study","authors":"Emma K. Esdaile,&nbsp;Lee Wharton,&nbsp;Helen A. Vidgen,&nbsp;Danielle Gallegos","doi":"10.1002/hpja.70015","DOIUrl":"https://doi.org/10.1002/hpja.70015","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issues Addressed</h3>\u0000 \u0000 <p>This research aimed to describe the level of support for school-provided meals (SPMs) among primary school teachers and principals in Queensland, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Secondary analysis from two surveys undertaken in 2022 to explore food and nutrition education, environments and resources in Queensland primary schools. Teachers were asked two questions, (1) if they thought a school-provided breakfast or lunch would benefit the students at their school; and (2) if they have provided food for a student who has come to school hungry in the last month. Principals were asked if they thought school-provided meals would benefit their students and reasons why. Data were analysed using descriptive statistical and thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total 278 teachers/principals responded, predominantly from public schools. Teachers (<i>n</i> = 139) were more likely to come from larger, more socially advantaged urban schools and principals (<i>n</i> = 139) from smaller, more socially disadvantaged regional schools. More than 7 out of 10 teachers supported a school-provided breakfast (72%) or lunch (71%) program, and just over half (70, 50.4%) had provided food for hungry students in the preceding month. Two-thirds of principals supported SPMs (66%). Student wellbeing and tension with parents were key themes for support or opposition to SPMs among principals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Principal and teacher respondents from primary schools in diverse geographic and socioeconomic locations within Queensland showed high support for SPMs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143186342","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":"Australia's National Lung Cancer Screening Program—It's Time to Address the Stigma in the Room","authors":"Shiho Rose,&nbsp;Kathleen McFadden,&nbsp;Nathan J. Harrison,&nbsp;Rachael H. Dodd,&nbsp;Shakira Onwuka,&nbsp;Christine Paul,&nbsp;Lisa Carter-Bawa,&nbsp;Mark Brooke,&nbsp;Marianne Weber","doi":"10.1002/hpja.70011","DOIUrl":"https://doi.org/10.1002/hpja.70011","url":null,"abstract":"<p>The National Lung Cancer Screening Program is commencing in Australia in July 2025. This significant public health initiative will maximise earlier detection of lung cancer and improve outcomes for many Australians. However, the adoption of a screening program for a disease that is stigmatised, given the known links between tobacco smoking and lung cancer, creates barriers for participation. In this perspective, we argue the need to challenge public rhetoric around smoking being a ‘choice’ and the importance of dialogue that is free of judgement and blame towards individuals. We briefly examine initiatives that have been implemented to reduce public stigma and highlight the multi-level considerations to ensure that everyone, regardless of having smoked or not, receives the quality care and support that they deserve.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143186339","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 and the Importance of Translating Research Into Policy, Practice and Societal Impact","authors":"Carmel Williams,&nbsp;Nadia Wei Ee Lai,&nbsp;Yonatal Tefera,&nbsp;Tahna Pettman,&nbsp;Louise Baldwin","doi":"10.1002/hpja.70017","DOIUrl":"https://doi.org/10.1002/hpja.70017","url":null,"abstract":"&lt;p&gt;As the official journal of the Australian Health Promotion Association (AHPA), the Health Promotion Journal of Australia (HPJA) addresses health promotion issues; advances the health promotion profession; and supports positive system changes that benefit population health. The HPJA publishes high-quality research and critical perspectives from academics, decision-makers and practitioners and aims to improve knowledge and evidence for the health promotion field. This editorial introduces a new dedicated manuscript category, The Research to Policy Translation Brief, to provide a focus on research translation. Given that research and policy often operate in silos, and there is limited incentive for collaboration, there is a critical need for an accessible platform where the two systems can come together to collaborate and exchange ideas. The new Research to Policy Translation Brief will provide such an opportunity, promoting evidence-informed practice and policy-making. Evidence informed policy and decision making is crucial to tackle societies' health and wellbeing challenges. The HPJA's unique position in reaching researchers, policy actors and practitioners makes it an ideal vehicle for this initiative. This editorial also explores the common challenges that researchers, policymakers and practitioners face when collaborating, emphasising the importance of providing a platform to share lessons and evidence on successful and less successful research translation strategies.&lt;/p&gt;&lt;p&gt;Health Promotion requires transdisciplinary partnerships and the creation of intentional learning communities, where research and policy translation are common practice and drive change that leads to improved health, wellbeing and equity. Health Promotion research and practice needs to reach across multiple policy and academic fields. Collaboration between policymakers and researchers to inform policy and practice is frequent, however working together can be challenging, especially when involving multidisciplinary teams from both the research community and the public sector [&lt;span&gt;1&lt;/span&gt;]. Studies have found that it takes an estimated 17 years for research findings to be translated into their intended settings [&lt;span&gt;2&lt;/span&gt;]. Studies suggest that only 50%–65% of research evidence is used to inform policy and programmes, leading to missed opportunity to improve outcomes and significant resource burden for governments and broader society [&lt;span&gt;3&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Uncovering ways to close this gap is fundamental if public policy outcomes are to be improved—the new Research to Policy Translation Brief is one such strategy, as it provides a knowledge-sharing platform that can describe what works to strengthen the effectiveness of research–policy collaborations. This is especially pertinent in Australia with the establishment of government evaluation entities (e.g., the Australian Centre for Evaluation in the Federal Treasurer's portfolio) which focuses on randomised control","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143186341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Aboriginal Kidney Health Mentors in the Transplant Journey: A Qualitative Evaluation","authors":"Sophie Pascoe,&nbsp;David Croker,&nbsp;Lachlan Ross,&nbsp;Peter Henwood,&nbsp;Neil Wilkshire,&nbsp;Cedrina Algy,&nbsp;Selina Bob,&nbsp;Heather Hall,&nbsp;Michelle Misener,&nbsp;Gillian Gorham","doi":"10.1002/hpja.70000","DOIUrl":"https://doi.org/10.1002/hpja.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Whilst Aboriginal and Torres Strait Islander people in Australia experience disproportionately high rates of chronic kidney disease, they have lower rates of kidney transplantation and face many barriers to accessing culturally safe health care. Aboriginal kidney health mentors with lived experience of transplantation have been proposed to improve the patient journey and increase health promotion, but there has been limited evaluation of the role of mentors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative evaluation of the ‘Hunting Kidney Transplant’ patient mentoring project implemented by Purple House in the Northern Territory involved in-depth interviews, focus groups and participant observation with Aboriginal kidney health mentors and renal staff. Data analysis methods included inductive thematic coding and collaborative synthesis of emerging themes with Aboriginal co-researchers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Aboriginal kidney health mentors play a holistic and multi-directional role helping people to navigate the transplant process. The role of mentors encompasses both visible and invisible work and is centred on a ‘Right Way Working’ approach, including building trust, respect and taking time during the work-up period. Key enablers include kinship and community connections and ongoing support from Purple House. Key barriers include COVID-19 and institutional racism within the mainstream health service.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Aboriginal health mentors with lived experience of chronic conditions can play an important role in supporting people and promoting cultural safety in health services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Further support and funding are needed to develop, evaluate and embed the mentor role into policy and practice to improve patient journeys, health promotion, transplant rates and health outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70000","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143112140","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":"Lived Experience of Regional and Remote Food Systems: Barriers to and Enablers of Food Access in Western Australia","authors":"Stephanie L. Godrich,&nbsp;Jess Doe,&nbsp;Sarah Goodwin,&nbsp;Melissa Stoneham,&nbsp;Amanda Devine","doi":"10.1002/hpja.70002","DOIUrl":"https://doi.org/10.1002/hpja.70002","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>To understand community and stakeholder perceptions of food supply chains in regional and remote Western Australia (WA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative study used 19 focus groups with 61 food system stakeholders and 31 community members to understand barriers to and enablers of food supply and perspectives of what good food supply chains look like. A thematic analysis of focus group transcripts was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Barriers included regulatory hurdles, lack of local facilities, limited food delivery, high food costs and lack of skill-sharing. Enablers included employment options, individual food processing skills, quality local food, local food awareness and emergency food relief. Participants envisioned a sustainable, affordable, adaptable and efficient food supply chain with local food access, food literacy, home food growing, culturally appropriate food, strong food supply actor relationships, waste management and food supply chain career opportunities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>Recommendations include establishing Food Action Groups (also known as Food Policy Councils) in WA, to facilitate more opportunities for regionally-produced food to be sold within regional WA communities to increase food availability, quality and reduce price; and enhance food literacy in schools, workplaces and communities using evidence-based programs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So what?</h3>\u0000 \u0000 <p>This article provides lived experience perspectives of regional and remote food supply, illuminating key issues across each step of the food supply chain.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143111623","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":"Successful Implementation and Sustainability of a Physical Activity Health Promotion Approach Utilising Community Peer-Led Training: Case Studies of Two Local Governments in Victoria","authors":"Pazit Levinger,&nbsp;Bronwyn Dreher,&nbsp;Marcia Fearn,&nbsp;Keith D. Hill","doi":"10.1002/hpja.70005","DOIUrl":"https://doi.org/10.1002/hpja.70005","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>The built environment, such as recreational parks, can impact older people's ability to be physically active. Targeted promotion and park-based activities with the utilisation of peer-led programs, run by volunteers, can provide a sustainable health promotion approach for engagement in physical activity. This article is a reflective narrative that describes case studies of two local governments that have maintained active age-friendly outdoor recreational spaces with volunteer peer-led community sessions 1 year following the completion of participation in a research trial. The case studies demonstrate factors important for the successful implementation of such health promotion approaches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The article overviews the community volunteer training module and the Councils' processes and strategies for volunteer engagement, retention and support. Data and information were collected through field notes, site visits, audit files of Council staff and research meeting notes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Both local governments applied a rigorous recruitment process and had a dedicated officer to oversee and support the volunteers. A joint decision-making process was practiced whereby the volunteers equally contributed to the planning around the activation of the parks, community events and any relevant sessions offered at the park.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The structured process for recruiting, onboarding and managing volunteers, along with shared decision-making and accountability, is likely to enhance the successful implementation of such initiatives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What</h3>\u0000 \u0000 <p>The collaborative approach with local governments—featuring the training and upskilling of community members, coupled with ongoing Council support—has significant potential as a sustainable health promotion strategy to promote physical activity among older people in local parks.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143111560","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":"Shaping Effective Food Action Groups: Participant Perspectives on Structure and Stakeholder Involvement in Regional and Remote Western Australia","authors":"Stephanie L. Godrich,&nbsp;Sarah Goodwin,&nbsp;Jess Doe,&nbsp;Melissa Stoneham,&nbsp;Amanda Devine","doi":"10.1002/hpja.70013","DOIUrl":"https://doi.org/10.1002/hpja.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Food systems strongly influence food security outcomes. Food Action Groups (often termed Food Policy Councils/Coalitions/Networks internationally) offer a co-ordinated and collaborative approach to local food system issues. Their organisational structure and stakeholder membership significantly impact their focus and impact. Therefore, it is imperative to understanding community member and food system stakeholders' perspectives on how regional and remote Australian Food Action Groups should be structured to maximise their impact on local food systems, and identify the most appropriate stakeholders to facilitate and drive their action.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative study using focus groups, was conducted in regional and remote townships across Western Australian regions of Peel, South West, Great Southern, Wheatbelt, Midwest (including Gascoyne), Goldfields, Pilbara, and Kimberley. Participants were community members and food system stakeholders. Focus group transcript data were thematically analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A formal structure with sustainable funding was important for Food Action Groups, as was adopting a bottom-up approach with local community needs driving the agenda, supported by an adaptable and responsive work plan. Involving community members and ensuring a diverse membership were viewed as critical to their success.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>To effectively address local needs, Food Action Groups should adopt a formal structure with clear processes and involve a diverse group of community stakeholders. This would leverage local knowledge and evidence to guide actions and set well-informed priorities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What</h3>\u0000 \u0000 <p>The establishment of Australian Food Action Groups in regional and remote Australia has potential to follow suit of their US, Canada and UK predecessors, improve regional food systems and influence government policies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143111562","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":"Exploring Healthcare Access Challenges Among South Asian Migrants in Australia: A Mixed-Method Study","authors":"Mehwish Nisar,&nbsp;Nathalia Costa,&nbsp;Tracy Kolbe-Alexander,&nbsp;Asaduzzaman Khan","doi":"10.1002/hpja.70008","DOIUrl":"https://doi.org/10.1002/hpja.70008","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Healthcare access disparities, particularly among migrant populations, are escalating. This research focuses on exploring aspects related to healthcare access disparities in the rapidly growing South Asian communities in Australia, which bear a disproportionate burden of chronic diseases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study employed an exploratory sequential mixed-method approach (qualitative followed by quantitative), with five focus group discussions (six to eight participants each) and an online survey (<i>n</i> = 460). NVivo and SPSS were used for qualitative and quantitative analysis, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study participants are from South Asia, including Afghanistan, Bangladesh, Bhutan, India, the Maldives, Pakistan, Nepal and Sri Lanka. Thematic analysis of focus group discussions identified factors influencing healthcare service utilisation among migrants, including a preference for home remedies over doctor consultations, language barriers, limited access to relevant information, high costs of specialist and dental care, dissatisfaction with rushed doctor interactions and system-related concerns. One in six survey respondents encountered challenges in accessing timely healthcare, with the most frequently reported barriers being prolonged waiting times (72%), out-of-pocket expenses (48%), and limited awareness and availability of services (36%). Migrants with multiple chronic diseases faced the highest barriers to accessing timely healthcare (57.8%), with significantly higher odds of encountering these barriers than those with no or one chronic condition (OR = 0.436, 95% CI = 0.222–0.856).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>South Asian migrants face challenges to access affordable, timely, patient-centred healthcare. A robust collaboration between services, healthcare providers and the community is essential for sustainable solutions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Reducing waiting times and language barriers, improving awareness of available services and enhancing access to affordable specialist and dental services are imperative to foster equitable healthcare outcomes for Australia's diverse population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143111561","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 Strategies to Improve Asthma Health Literacy With Culturally and Linguistically Diverse Communities","authors":"Lata Jayaram,&nbsp;Mahisha Jayakody,&nbsp;Dasom Kim,&nbsp;Tissa Wijeratne,&nbsp;Canh Vinh N. Nguyen,&nbsp;Hoan Tran,&nbsp;Shani Paiva,&nbsp;Harin Karunajeewa,&nbsp;Christopher Lemoh,&nbsp;Bodil Rasmussen,&nbsp;Kimberley J. Haines","doi":"10.1002/hpja.959","DOIUrl":"https://doi.org/10.1002/hpja.959","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Evidence indicates that an early intervention nurse-led model of care transitioning consumers with asthma from hospital to home improves asthma health literacy and asthma control compared with usual care. This intervention, however, is not reaching individuals from Culturally and Linguistically Diverse (CALD) communities who require added support to navigate our health care system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To (1) investigate the barriers and enablers to improving asthma care in consumers from three CALD communities and (2) improve the nurse-led programme to suit the needs of CALD consumers with asthma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants with asthma from Vietnamese, Indian and Sri Lankan communities and clinicians providing asthma care completed separate and combined focus group workshops. Qualitative data were collected on the barriers and enablers for asthma health literacy, attendance at clinics and Emergency Department presentations. Input was sought on to how to adapt the nurse-led programme to support CALD consumers. Data was thematically analysed and discussed in the combined clinician and consumer session with a view to integrating the key findings into the current care model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nine consumers with asthma and nine clinicians were recruited. Key findings included language and communication barriers (despite interpreters), poor understanding of asthma, poor cultural support (other than interpreters), poor trust in the hospital system, lack of access to and affordability of general practice, specialist clinics and hospitals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings informed the modification of our model of care to include bicultural health educators, who support consumers' transition from hospital to home. This model of care is currently under evaluation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Nurse-led models of asthma care improve asthma control and health literacy but are not reaching individuals from CALD communities. We asked participants with asthma from three CALD communities, and clinicians looking after those with asthma to provide insights on the barriers (challenges) and enablers (solutions) to improving asthma outcomes and the health care journey for CALD consumers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143111563","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":"New Zealand Early Learning Service Menus Do Not Meet Health New Zealand Guidelines for Providing Healthy Menus and Reducing Food-Related Choking in Children","authors":"Olivia Hall,&nbsp;Ajmol Ali,&nbsp;Carol Wham","doi":"10.1002/hpja.953","DOIUrl":"10.1002/hpja.953","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To assess alignment of food and drinks served to New Zealand (NZ) children in early learning services (ELS) with the Health NZ (formerly known as Ministry of Health) <i>Healthy Food and Drink</i> (HFD) and <i>Reducing Food Related Choking</i> (choking) guidance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Menus (271) collected remotely from 148 ELS from November 2020–March 2021 were analysed for their nutritional quality based on a ‘traffic light’ classification of ‘green’ (most nutritious), ‘amber’ (moderately nutritious) and ‘red’ (least nutritious) based on the guidance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, 2.6% of menus met the guidance, and alignment was greater for menus for over 2-year-olds (over-2s) than under 2-year-olds (under-2s; <i>p</i> &lt; 0.01). One-fifth (18.5%) of menus met the <i>choking</i> guidance. Services with a <i>Healthy Heart Award</i> (HHA) from the Heart Foundation provided more ‘green’ items to over-2s (<i>p</i> = 0.039) and under-2s (<i>p</i> = 0.01), and less ‘red’ items to over-2s (<i>p</i> = 0.04). Providing more green menu items was inversely correlated with providing less high choking risk foods (<i>p</i> &lt; 0.01). Menu scores did not vary by service location, neighbourhood socioeconomic deprivation or type (services operating independently versus those part of an education group chain).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Alignment with Health NZ nutritional guidance is low, particularly in ELS caring for very young children (under-2s). Service characteristics, except for HHA status, are a poor predictor of nutritional quality of menus at ELS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What</h3>\u0000 \u0000 <p>Greater uptake of the HHA scheme could assist ELS to provide healthier food and drinks. Early learning services need further support from the public health sector to implement national nutritional guidelines.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034606","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}