Stephanie L. Godrich, Jess Doe, Sarah Goodwin, Melissa Stoneham, Amanda Devine
Issue Addressed
To understand community and stakeholder perceptions of food supply chains in regional and remote Western Australia (WA).
Methods
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.
Results
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.
Conclusions and Implications
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.
So what?
This article provides lived experience perspectives of regional and remote food supply, illuminating key issues across each step of the food supply chain.
{"title":"Lived Experience of Regional and Remote Food Systems: Barriers to and Enablers of Food Access in Western Australia","authors":"Stephanie L. Godrich, Jess Doe, Sarah Goodwin, Melissa Stoneham, 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}
Pazit Levinger, Bronwyn Dreher, Marcia Fearn, Keith D. Hill
Issue Addressed
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.
Method
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.
Results
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.
Conclusion
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.
So What
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.
{"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, Bronwyn Dreher, Marcia Fearn, 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}
Stephanie L. Godrich, Sarah Goodwin, Jess Doe, Melissa Stoneham, Amanda Devine
Issue Addressed
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.
Methods
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.
Results
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.
Conclusions
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.
So What
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.
{"title":"Shaping Effective Food Action Groups: Participant Perspectives on Structure and Stakeholder Involvement in Regional and Remote Western Australia","authors":"Stephanie L. Godrich, Sarah Goodwin, Jess Doe, Melissa Stoneham, 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}
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.
Methods
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 (n = 460). NVivo and SPSS were used for qualitative and quantitative analysis, respectively.
Results
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).
Conclusions
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.
So What?
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.
{"title":"Exploring Healthcare Access Challenges Among South Asian Migrants in Australia: A Mixed-Method Study","authors":"Mehwish Nisar, Nathalia Costa, Tracy Kolbe-Alexander, 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}
Lata Jayaram, Mahisha Jayakody, Dasom Kim, Tissa Wijeratne, Canh Vinh N. Nguyen, Hoan Tran, Shani Paiva, Harin Karunajeewa, Christopher Lemoh, Bodil Rasmussen, Kimberley J. Haines
Background
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.
Aims
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.
Methods
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.
Results
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.
Conclusion
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.
So What?
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.
{"title":"Co-Designing Strategies to Improve Asthma Health Literacy With Culturally and Linguistically Diverse Communities","authors":"Lata Jayaram, Mahisha Jayakody, Dasom Kim, Tissa Wijeratne, Canh Vinh N. Nguyen, Hoan Tran, Shani Paiva, Harin Karunajeewa, Christopher Lemoh, Bodil Rasmussen, 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}
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) Healthy Food and Drink (HFD) and Reducing Food Related Choking (choking) guidance.
Methods
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.
Results
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; p < 0.01). One-fifth (18.5%) of menus met the choking guidance. Services with a Healthy Heart Award (HHA) from the Heart Foundation provided more ‘green’ items to over-2s (p = 0.039) and under-2s (p = 0.01), and less ‘red’ items to over-2s (p = 0.04). Providing more green menu items was inversely correlated with providing less high choking risk foods (p < 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).
Conclusions
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.
So What
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.
{"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, Ajmol Ali, 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> < 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> < 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}
This paper aimed to reflect on how Rigney's model of Indigenist research informed the research design of a project which explored community-led solutions to improve food security in remote Aboriginal and Torres Strait Islander communities. The project was conducted in partnership with two Aboriginal Community Controlled Health Organisations (ACCHOs); Apunipima Cape York Health Council (Apunipima) and Central Australian Aboriginal Congress (Congress), communities in Central Australia and Cape York, Queensland and researchers from the University of Queensland, Monash University, Dalhousie University and Menzies School of Health Research. On reflection the principles of Indigenist research were evident providing a means of resistance to oppression through Indigenous stakeholders being in control of research to address social determinants, in this case food security. Aboriginal and Torres Strait Islander world views, lived experiences and knowledges were embedded in the research and informed governance, implementation and knowledge translation. ACCHOs and communities gained a political voice through advocacy and actions at the local, state and national levels. The development of a Community Framework led by ACCHOs and community stakeholders to address food security serves to talk to the three principles of ‘Resistance, Political Integrity and Privileging Indigenous Voices’.
{"title":"Remote Food Security Research Project: Applying an Indigenist Research Lens","authors":"Ellie Chan, Caroline Deen, Kani Thompson, Emma Stubbs, Amanda Webb, Abdolvahab Baghbanian, Yvonne Cadet-James","doi":"10.1002/hpja.954","DOIUrl":"10.1002/hpja.954","url":null,"abstract":"<p>This paper aimed to reflect on how Rigney's model of Indigenist research informed the research design of a project which explored community-led solutions to improve food security in remote Aboriginal and Torres Strait Islander communities. The project was conducted in partnership with two Aboriginal Community Controlled Health Organisations (ACCHOs); Apunipima Cape York Health Council (Apunipima) and Central Australian Aboriginal Congress (Congress), communities in Central Australia and Cape York, Queensland and researchers from the University of Queensland, Monash University, Dalhousie University and Menzies School of Health Research. On reflection the principles of Indigenist research were evident providing a means of resistance to oppression through Indigenous stakeholders being in control of research to address social determinants, in this case food security. Aboriginal and Torres Strait Islander world views, lived experiences and knowledges were embedded in the research and informed governance, implementation and knowledge translation. ACCHOs and communities gained a political voice through advocacy and actions at the local, state and national levels. The development of a Community Framework led by ACCHOs and community stakeholders to address food security serves to talk to the three principles of ‘Resistance, Political Integrity and Privileging Indigenous Voices’.</p>","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/PMC11757010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034610","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}
Georgie Tran, Bridget Kelly, Sarah T. Ryan, Megan Hammersley, Erin Kerr, Jennifer Norman, Mel Leedham, Cecilia Vuong, Karen Wardle, Kainaat Syed, Anthony Okely
Issue Addressed
Nutrition and physical activity practices in Australian family day care are suboptimal. A web-based tool was co-developed with family day care service providers and educators, health promotion staff and the New South Wales Ministry of Health to promote healthier nutrition and physical activity practices through an existing quality improvement process.
Methods
Formative evaluation was conducted in January–February 2023. An online survey included 13 questions relating to content, language, structure, ease of usage and participant satisfaction. Questions used Likert scales to rate participants' experience from poor to excellent. Tool usage data were extracted from the website to reflect user activity. Service providers (n = 3) and educators (n = 9) tested the tool for 4 weeks.
Results
Survey questions were grouped into measures of perceived convenience, difficulty and helpfulness. All participants chose a rating of ‘good’ or ‘excellent’ across all questions, with a higher proportion of participants rating the questions as ‘excellent’. All participants used the tool at least once. Perceived value of research was the main theme that emerged from the open text feedback.
Conclusions
Results suggest that the tool was feasible, easy to use and relevant to practice.
So What?
This is the first known tool designed for family day care to promote healthier nutrition and physical activity practices through an existing quality improvement process to implement change. An efficacy trial will follow to evaluate effectiveness. The tool is predicted to serve as a platform for identifying gaps between policy and practice and for facilitating practice improvements.
{"title":"Development and formative evaluation of website-based tool to support healthy lifestyles in family day care","authors":"Georgie Tran, Bridget Kelly, Sarah T. Ryan, Megan Hammersley, Erin Kerr, Jennifer Norman, Mel Leedham, Cecilia Vuong, Karen Wardle, Kainaat Syed, Anthony Okely","doi":"10.1002/hpja.947","DOIUrl":"10.1002/hpja.947","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Nutrition and physical activity practices in Australian family day care are suboptimal. A web-based tool was co-developed with family day care service providers and educators, health promotion staff and the New South Wales Ministry of Health to promote healthier nutrition and physical activity practices through an existing quality improvement process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Formative evaluation was conducted in January–February 2023. An online survey included 13 questions relating to content, language, structure, ease of usage and participant satisfaction. Questions used Likert scales to rate participants' experience from poor to excellent. Tool usage data were extracted from the website to reflect user activity. Service providers (<i>n</i> = 3) and educators (<i>n</i> = 9) tested the tool for 4 weeks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Survey questions were grouped into measures of perceived convenience, difficulty and helpfulness. All participants chose a rating of ‘good’ or ‘excellent’ across all questions, with a higher proportion of participants rating the questions as ‘excellent’. All participants used the tool at least once. Perceived value of research was the main theme that emerged from the open text feedback.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results suggest that the tool was feasible, easy to use and relevant to practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>This is the first known tool designed for family day care to promote healthier nutrition and physical activity practices through an existing quality improvement process to implement change. An efficacy trial will follow to evaluate effectiveness. The tool is predicted to serve as a platform for identifying gaps between policy and practice and for facilitating practice improvements.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956587","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}
Bingyan Pang, Joanne A. McVeigh, Craig Thompson, Cecilie Thøgersen-Ntoumani, Emmanual Stamatakis, Joanna C. Moullin
Issue Addressed
Australian adults transitioning into retirement aged 55–75 years (> 50%) do not meet the World Health Organization recommendation of physical activity (PA). One potential strategy to promote PA is through vigorous intermittent lifestyle physical activity (VILPA). This study aimed to investigate barriers and facilitators from adults transitioning to retirement about participation in VILPA and to identify strategies to promote and implement VILPA.
Methods
Thirty adults transitioning to retirement (mean age = 64 years) were recruited to participate in focus groups to provide their perceptions on VILPA. All participants' PAs were measured by accelerometers. A set of semi-structured questions developed from the findings of a previous scoping review was used to guide focus groups with participants. To increase awareness of PA bouts and intensity, the focus group discussions were prompted by participants' individualised accelerometer-measured PA reports. The identified barriers and facilitators were mapped to the Theoretical Domains Framework. Intervention strategies were derived from the framework domains.
Results
Three focus groups were conducted. Participants perceived barriers to participation in VILPA stem from health constraints, insufficient awareness about VILPA, and adverse weather conditions. To promote VILPA, adults transitioning to retirement require a better understanding of PA intensities, knowledge of identifying VILPA opportunities, and monitoring and feedback for engagement. Intervention to promote VILPA should include elements of education, persuasion, incentivisation and enablement.
Conclusions
Adults transitioning to retirement perceived VILPA as feasible and convenient for increasing their overall PA.
So What?
The study findings will directly inform the development of a targeted VILPA intervention with key stakeholders and an implementation plan to promote PA in adults transitioning to retirement.
{"title":"An Exploration of Adults Transitioning Into Retirements' Perspectives on Vigorous Intermittent Lifestyle Physical Activity","authors":"Bingyan Pang, Joanne A. McVeigh, Craig Thompson, Cecilie Thøgersen-Ntoumani, Emmanual Stamatakis, Joanna C. Moullin","doi":"10.1002/hpja.957","DOIUrl":"10.1002/hpja.957","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Australian adults transitioning into retirement aged 55–75 years (> 50%) do not meet the World Health Organization recommendation of physical activity (PA). One potential strategy to promote PA is through vigorous intermittent lifestyle physical activity (VILPA). This study aimed to investigate barriers and facilitators from adults transitioning to retirement about participation in VILPA and to identify strategies to promote and implement VILPA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Thirty adults transitioning to retirement (mean age = 64 years) were recruited to participate in focus groups to provide their perceptions on VILPA. All participants' PAs were measured by accelerometers. A set of semi-structured questions developed from the findings of a previous scoping review was used to guide focus groups with participants. To increase awareness of PA bouts and intensity, the focus group discussions were prompted by participants' individualised accelerometer-measured PA reports. The identified barriers and facilitators were mapped to the Theoretical Domains Framework. Intervention strategies were derived from the framework domains.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three focus groups were conducted. Participants perceived barriers to participation in VILPA stem from health constraints, insufficient awareness about VILPA, and adverse weather conditions. To promote VILPA, adults transitioning to retirement require a better understanding of PA intensities, knowledge of identifying VILPA opportunities, and monitoring and feedback for engagement. Intervention to promote VILPA should include elements of education, persuasion, incentivisation and enablement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Adults transitioning to retirement perceived VILPA as feasible and convenient for increasing their overall PA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>The study findings will directly inform the development of a targeted VILPA intervention with key stakeholders and an implementation plan to promote PA in adults transitioning to retirement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11739672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956585","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}
Briana Guerrini, James J. Clarke, Brendan J. Smith, Joanne A. McVeigh, Kirsten Holmes, James Wild, Rebecca Talbot, Jaxon Ashley, Peter M. McEvoy
Background
As a large proportion of older adults are insufficiently active, it is imperative to identify ways to increase incidental physical activity. Men's Sheds, a mutual-aid, community-based organisation appear to be a promising approach for optimising wellbeing outcomes.
Objectives
To investigate whether Men's Sheds attendance is associated with higher levels of physical activity, and the relationships between physical activity, health-related quality of life (HRQOL), and wellbeing in Men's Shed members.
Methods
Participants (N = 45) wore a hip accelerometer (Actigraph GTX-9) for 11 days. The majority (n = 30, Mage = 72.3 ± 9.4) also consented to complete an online questionnaire investigating HRQOL and wellbeing.
Results
Linear mixed models revealed members, on average, spent an additional 34 min in light physical activity, had an extra six breaks in sedentary behaviour, and took an extra 1193 steps on days they attended Men's Sheds, though, these effects were small. Physical activity was not significantly associated with HRQOL and wellbeing.
Conclusion
Men's Sheds appear to be a valuable approach for increasing light intensity physical activity, breaks in sedentary behaviours, and step count in older adults. However, additional Men's Shed activities specifically targeting increased movement may be required to realise greater impacts on health-related quality of life and wellbeing.
So What?
Men's Sheds may provide a valuable opportunity to increase some indices of physical activity, which may contribute to better overall health. While these effects may be small for active Men's Shed members, these effects may be more appreciable for more sedentary individuals.
{"title":"The Impacts of Engagement in Men's Sheds on Incidental Physical Activity and Wellbeing Outcomes","authors":"Briana Guerrini, James J. Clarke, Brendan J. Smith, Joanne A. McVeigh, Kirsten Holmes, James Wild, Rebecca Talbot, Jaxon Ashley, Peter M. McEvoy","doi":"10.1002/hpja.958","DOIUrl":"10.1002/hpja.958","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>As a large proportion of older adults are insufficiently active, it is imperative to identify ways to increase incidental physical activity. Men's Sheds, a mutual-aid, community-based organisation appear to be a promising approach for optimising wellbeing outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To investigate whether Men's Sheds attendance is associated with higher levels of physical activity, and the relationships between physical activity, health-related quality of life (HRQOL), and wellbeing in Men's Shed members.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants (<i>N</i> = 45) wore a hip accelerometer (Actigraph GTX-9) for 11 days. The majority (<i>n</i> = 30, <i>M</i><sub>age</sub> = 72.3 ± 9.4) also consented to complete an online questionnaire investigating HRQOL and wellbeing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Linear mixed models revealed members, on average, spent an additional 34 min in light physical activity, had an extra six breaks in sedentary behaviour, and took an extra 1193 steps on days they attended Men's Sheds, though, these effects were small. Physical activity was not significantly associated with HRQOL and wellbeing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Men's Sheds appear to be a valuable approach for increasing light intensity physical activity, breaks in sedentary behaviours, and step count in older adults. However, additional Men's Shed activities specifically targeting increased movement may be required to realise greater impacts on health-related quality of life and wellbeing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Men's Sheds may provide a valuable opportunity to increase some indices of physical activity, which may contribute to better overall health. While these effects may be small for active Men's Shed members, these effects may be more appreciable for more sedentary individuals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956591","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}
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