Australian Journal of Rural Health最新文献

{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148064334","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148095882","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148095883","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148094917","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148094918","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":"Feasibility and Acceptability of the Living My Life Program for Rural and Remote Stroke Survivors","authors":"Sarah M. Jackson, Lucy M. Byrnes, Shaun D. Solomon, Bridee A. Neibling, Louise F. Brown, Ian M. Atkinson, Ruth N. Barker","doi":"10.1111/ajr.70166","DOIUrl":"10.1111/ajr.70166","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Determine feasibility and acceptability of the Living My Life Program from the perspective of rural and remote stroke survivors and identify refinements required.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Queensland, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Adults diagnosed with stroke > 6 months prior, living at home, and willing to use videoconferencing technology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Pragmatic mixed methods multiple case study design, incorporating elements of grounded theory and action research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Intervention</h3>\u0000 \u0000 <p>Twelve-week online program designed to support stroke survivors to recover their way, in their world, using technology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcome Measure(s)</h3>\u0000 \u0000 <p>Feasibility (Q1-3) and acceptability (Q4) were assessed according to minimum success criteria to answer the following key questions: were stroke survivors able to: (Q1) participate in the Program as intended? (Q2) use technology to participate? (Q3) measure their progress according to what mattered to them? and (Q4) did stroke survivors find the Program acceptable?</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four of 5 participants completed the Program using everyday technologies; one did not complete due to illness. Participants measured their progress using the Patient-Specific Functional Scale, with improvement reported in ≥ 1 goal(s). The Program was highly acceptable (Acceptability of Intervention Measure: median 20/20, range 18–20). Participants felt they could fit the Program into their lives easily, enabling them to drive their recovery and make progress towards what mattered to them. Refinements were incorporated during piloting or noted for future development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Living My Life Program was feasible and acceptable from the rural and remote stroke survivors' perspective. The next step is to offer the Program to stroke survivors from diverse cultures and with varying stroke-related impairments and severity to determine its broader applicability.</p>\u0000 </section>\u0000 ","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13055121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629342","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":"Consolidating Interprofessional Learning Using an Escape Room in a Briefcase Activity in a Rural Setting.","authors":"Kate Beyer, Lucy Parker, Christine O'Connell, Dayle Osborn, Kirsten Middleton, Emma Gordon, Flora Rolf, Anthony Fallon","doi":"10.1111/ajr.70196","DOIUrl":"10.1111/ajr.70196","url":null,"abstract":"<p><strong>Objective: </strong>The Escape Room in a Briefcase (ERiB) is a highly portable activity for students to observe and practice interprofessional practice competencies. The ERiB was incorporated into a University Department of Rural Health's Student Workshop in Interprofessional Education (SWIPE) to facilitate delivery of effective interprofessional education (IPE) to students on placement in rural and regional locations. The evaluation aimed to understand the students' gaming experience and improvement in understanding of interprofessional competencies and to gain feedback about the ERiB activity.</p><p><strong>Setting: </strong>Health facility-based education rooms across six different locations in the Darling Downs and Southwest Queensland.</p><p><strong>Participants: </strong>Eighty-seven university students who were undertaking a clinical placement for a health degree in the Darling Downs or Southwest Queensland participated in one of 13 SWIPE sessions over a 2-year period.</p><p><strong>Design: </strong>The research utilised an interpretivist approach to qualitative design, with data collected via semi-structured focus groups with students after the ERiB activity.</p><p><strong>Results: </strong>Analysis revealed four key themes: frustration during teamwork, collaborative capability, situational humility and intrinsic motivation, which were interpreted as core capabilities underpinning interprofessional practice.</p><p><strong>Conclusion: </strong>The ERiB activity is an exciting and innovative method that provides IPE opportunities for students on placement in any location. This interactive activity appears to succeed as an effective IPE tool, facilitating skills in communication, teamwork and collaboration.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 2","pages":"e70196"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13093122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724727","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":"Perceptions of Improved Wellbeing and Social Isolation Among Medical Students During Rural Clinical School (RCS) Placements: A Six-Year Analysis.","authors":"Minha Lee, Zelda Doyle, Tracy McFarlane, Jodie Bailie, Peter Simmons, Sari Dewi, Uchechukwu Levi Osuagwu","doi":"10.1111/ajr.70195","DOIUrl":"10.1111/ajr.70195","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the trends in the perceived social isolation and improved wellbeing of Australian medical students over a 6-year period (2017-2022) during their rural clinical school (RCS) placements.</p><p><strong>Methods: </strong>Data were analysed using descriptive statistics and multinomial logistic regressions to identify the trends and factors contributing to perceived social isolation and improved wellbeing during RCS placements.</p><p><strong>Design: </strong>This is a retrospective, cross-sectional study of the 2017-2022 FRAME (Federation of Rural Australian Medical Educators) dataset.</p><p><strong>Participants: </strong>Data were collected from 2915 Australian medical students who completed RCS placements.</p><p><strong>Setting: </strong>Respondents were located at RCS placements across 19 Australian universities.</p><p><strong>Main outcome measures: </strong>The main outcomes were self-reported social isolation and improvement in wellbeing.</p><p><strong>Results: </strong>Over 30% of respondents reported experiencing social isolation. Factors contributing to social isolation were preference to practice in a capital city and lack of financial or overall support from the RCS, while lack of academic isolation was protective. More than 80% of respondents perceived the RCS placement had a positive impact on their wellbeing. Positive influences on wellbeing were associated with active role-modelling of self-care, support services and mentorship by a rural-based clinician. The COVID-19 years did not significantly impact perceived social isolation or improved wellbeing.</p><p><strong>Conclusions: </strong>Most medical students on RCS placements reported positive impacts on their wellbeing, while over 30% experienced social isolation. Targeted support strategies that reduce social isolation and enhance student wellbeing on rural placements may help improve rural workforce retention and address healthcare shortages.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 2","pages":"e70195"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13093008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724820","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 Perceptions of Victorian Rural Community Pharmacists on the Dispensing and Supply of Vapes for Smoking Cessation and Nicotine Dependence: A Qualitative Study.","authors":"Eva BurtonClay-McMahon, Virginia Dickson-Swift, Richard Summers, Mwila Kabwe, Joseph Tucci","doi":"10.1111/ajr.70190","DOIUrl":"10.1111/ajr.70190","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the perceptions of pharmacists in regional and rural Victoria in response to legislative changes stipulating that vapes for management of smoking cessation and nicotine dependence can only be sold at participating pharmacies.</p><p><strong>Setting: </strong>Regional and rural locations in Victoria, Australia.</p><p><strong>Participants: </strong>Fifteen registered pharmacists all currently working in rural community pharmacies, recruited through professional networks.</p><p><strong>Design: </strong>A qualitative descriptive study utilising semi-structured interviews with pharmacists was undertaken between June and August 2025. Interviews were audio-recorded and transcribed verbatim. Thematic analysis was undertaken and supported by NVivo 15.</p><p><strong>Results: </strong>The interviews highlighted that while some pharmacists were clear about the supply of therapeutic vapes as part of their role in supporting smoking cessation and harm minimisation, some reported clinical, ethical and system-level concerns with supplying vapes. Others reported concerns for personal safety and liability and highlighted the impact that supplying vapes has on workflows within the pharmacy.</p><p><strong>Conclusion: </strong>Overall, pharmacists expressed significant uncertainty and mixed views regarding the supply of therapeutic vapes in community pharmacy. Concerns centred on limited evidence, professional responsibility, regulatory clarity and workflow pressures. While some recognised potential harm-reduction benefits, greater consultation, clearer guidelines, stronger evidence and targeted education are needed to support safe and confident implementation.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 2","pages":"e70190"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13060006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635244","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":"Local Pain Collectives: A Novel Strategy for Improving Pain Knowledge, Pain Care and Community Connectedness in Rural Settings.","authors":"Ashley R Grant, Tanushka Alva, Mouli Baralaman, Shelley Barlow, Mieke Boerema, Charlotte Byrnes, Stuart Canavan, Jessica Fishburn, Kal Fried, Kate Johnson, Parivesh Kumar, Phil Ladlow, Alison Mattock, Abbie Norrish, Peter Roberts, Karina Savur, Sophie Shephard, Alex Stronach, Lauren Young, Emma L Karran, Dianne Wilson, Carolyn Berryman, G Lorimer Moseley","doi":"10.1111/ajr.70189","DOIUrl":"10.1111/ajr.70189","url":null,"abstract":"<p><strong>Objective: </strong>To present key discussion points from a workshop where attendees reflected on personal and professional development achievements gained through their involvement in Pain Revolution's 'Local Pain Collectives' program.</p><p><strong>Design: </strong>Reflexive thematic analysis of notes written by workshop attendees and key points discussed during workshop activities.</p><p><strong>Setting: </strong>An in-person workshop was held in Melbourne, Victoria.</p><p><strong>Participants: </strong>A cohort of Pain Revolution Local Pain Collective facilitators, their mentors and Pain Revolution's executive team.</p><p><strong>Results: </strong>Twenty-eight meeting attendees (19 facilitators, six mentors and three executive team members). Facilitators reported gaining increased knowledge of contemporary pain science, greater confidence communicating with other healthcare providers and improved interactions with their patients. Further, they related that their local collective members reported similar improvements in their understanding of pain and their patient interactions. They described that their collectives enabled new professional connections, enhanced a sense of belonging to a community of like-minded healthcare providers and increased collaborative pain care in their communities.</p><p><strong>Conclusions: </strong>The increased connection, sense of belonging to a community of like-minded healthcare providers, and formation of collaborative care networks are all important program impacts given the lack of existing literature regarding interventions targeting professional isolation.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 2","pages":"e70189"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13101569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790041","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}