There is an urgent need to investigate innovative and creative approaches in health promotion that support work towards health equity. In response, this study explores the potential for arts, and community music specifically, to strengthen individual and collective well-being.
Methods
This study used a qualitative case study methodology that involved interviews, focus groups and ethnographic observation with participants (N = 13), facilitator (N = 1) and support staff (N = 2) of an established community music initiative conducted in an urban community. Data collection was conducted across 2023 and data analysis drew on a socioecological framework to explore potential individual and collective outcomes from the perspective of those involved in the initiative.
Results
Findings point to outcomes across socioecological levels with researchers identifying positive health and well-being implications for participants including joy, healing and a sense of purpose, creative self-expression, confidence, social connection and contribution. Positive outcomes for the wider community were also identified including developing community ties, promoting safety and shaping and sharing of collective identity. Findings suggest community-led opportunities for engagement can support healing and empowerment for people who are marginalised, and this can enable active community participation related to challenging the status quo and developing a shared set of values. Potential implications of these outcomes in relation to broader societal transformations are discussed.
Conclusions
This study highlights how community music, and the arts more broadly are working in communities in ways that support potential personal, community and societal transformations towards health equity.
So what?
By developing coalitions and collaborating with diverse sectors, including the arts and social sectors, health promotion practitioners and researchers can harness the creative strengths and resources that exist within a community to support positive individual and collective well-being.
{"title":"How can community music shape individual and collective well-being? A case study of a place-based initiative","authors":"Emma Heard, Brydie-Leigh Bartleet","doi":"10.1002/hpja.921","DOIUrl":"10.1002/hpja.921","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>There is an urgent need to investigate innovative and creative approaches in health promotion that support work towards health equity. In response, this study explores the potential for arts, and community music specifically, to strengthen individual and collective well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used a qualitative case study methodology that involved interviews, focus groups and ethnographic observation with participants (<i>N</i> = 13), facilitator (<i>N</i> = 1) and support staff (<i>N</i> = 2) of an established community music initiative conducted in an urban community. Data collection was conducted across 2023 and data analysis drew on a socioecological framework to explore potential individual and collective outcomes from the perspective of those involved in the initiative.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings point to outcomes across socioecological levels with researchers identifying positive health and well-being implications for participants including joy, healing and a sense of purpose, creative self-expression, confidence, social connection and contribution. Positive outcomes for the wider community were also identified including developing community ties, promoting safety and shaping and sharing of collective identity. Findings suggest community-led opportunities for engagement can support healing and empowerment for people who are marginalised, and this can enable active community participation related to challenging the status quo and developing a shared set of values. Potential implications of these outcomes in relation to broader societal transformations are discussed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study highlights how community music, and the arts more broadly are working in communities in ways that support potential personal, community and societal transformations towards health equity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So what?</h3>\u0000 \u0000 <p>By developing coalitions and collaborating with diverse sectors, including the arts and social sectors, health promotion practitioners and researchers can harness the creative strengths and resources that exist within a community to support positive individual and collective well-being.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.921","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142188090","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}
Systems change approaches are increasingly adopted in public health to address complex problems. It is important that measures of systems change be developed so that the effects of systems change on health outcomes can be evaluated. Organisational practices are potential levers for systems change. However, robust measures of organisational capacity to engage in these practices are lacking. Informed by the Theory of Systems Change, we developed and tested the Capacity of Organisations for System Practices (COSP) scale. The COSP scale comprises four inter-related system practices within organisations—adaptation, alignment, collaboration and evidence-driven action and learning.
Methods
We applied a three-stage process: (1) Item generation; (2) Scale pre-testing; and (3) Structural analyses. Item response theory tests and semantic review, together with factor analytic techniques, were applied to refine the item set and determine the scale structure.
Results
An initial pool of 97 items was generated and pre-tested with six content experts and four target audience representatives. Modifications resulted in 60 items. In total, 126 participants provided data for the structural analysis. A second-order hierarchical four-factor model fit the data better than the more basic correlated factor model (Δχ2 = 1.758, p = .415). The fit indices for the final 31-item model were acceptable (RMSEA = .084, TLI = .819).
Conclusions
The COSP scale is ready for further testing to ensure construct validity, stability and utility.
So What?
Once validated, the Capacity of Organisations for System Practices (COSP) scale has the potential to advance the theory and practice of systems change approaches.
{"title":"Development and testing of the capacity of organisations for system practices scale","authors":"Melinda Craike, Larissa Bartlett, Amy Mowle, Therese Riley, Michelle Krahe, Bojana Klepac","doi":"10.1002/hpja.922","DOIUrl":"10.1002/hpja.922","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Systems change approaches are increasingly adopted in public health to address complex problems. It is important that measures of systems change be developed so that the effects of systems change on health outcomes can be evaluated. Organisational practices are potential levers for systems change. However, robust measures of organisational capacity to engage in these practices are lacking. Informed by the Theory of Systems Change, we developed and tested the Capacity of Organisations for System Practices (COSP) scale. The COSP scale comprises four inter-related system practices within organisations—adaptation, alignment, collaboration and evidence-driven action and learning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We applied a three-stage process: (1) Item generation; (2) Scale pre-testing; and (3) Structural analyses. Item response theory tests and semantic review, together with factor analytic techniques, were applied to refine the item set and determine the scale structure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>An initial pool of 97 items was generated and pre-tested with six content experts and four target audience representatives. Modifications resulted in 60 items. In total, 126 participants provided data for the structural analysis. A second-order hierarchical four-factor model fit the data better than the more basic correlated factor model (Δ<i>χ</i><sup>2</sup> = 1.758, <i>p</i> = .415). The fit indices for the final 31-item model were acceptable (RMSEA = .084, TLI = .819).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The COSP scale is ready for further testing to ensure construct validity, stability and utility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Once validated, the Capacity of Organisations for System Practices (COSP) scale has the potential to advance the theory and practice of systems change approaches.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.922","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142188091","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}
K. Gardner, S. Graham, M. Beadman, M. Doyle, J. Wilms, K. Beetson, J. Bryant, K. Martin, C. Treloar, D. Murphy, S. Bell, A. Browne, P. Aggleton, R. Bolt
Background
Strengths-based approaches to health care are often seen as an alternative to deficit-based approaches and are common in Aboriginal health settings. Despite this, there is little existing research that describes Aboriginal peoples' perspectives about the strengths of their communities. This paper describes cultural strengths and resources as understood by Aboriginal people living in western Sydney.
Methods
In-depth interviews were used to collect qualitative data from two communities on Dharug and Dharrawal Country in western Sydney Australia. Data come from a larger study, which focused on how cultural strengths supported sexual well-being. Fifty-two interviews were conducted with Aboriginal young people (aged 16–24 years) by trained peer interviewers. Additionally, 16 interviews with Aboriginal adults (25 years and older) were conducted by members of the research team.
Findings and Discussion
While opinions varied, four key areas of cultural strength were identified: (1) strong kinship relationships; (2) knowledge sharing; (3) shared experiences, identities, and values; and (4) knowing Country. Throughout these four themes, the sense of connection and belonging is viewed as an important overarching theme.
Conclusion
Communities are not homogenous with regard to what they view as cultural strengths. Knowing Country and practising culture meant different things to different individuals while providing a similar sense of belonging, connection, and identity.
So What
Health service providers, policies, and programs can use this information to understand the continuing impacts of past policies and events whilst recognising that each community has strengths that can be drawn upon to improve service engagement, knowledge sharing, and health outcomes.
{"title":"‘Our culture makes us strong’: Understanding and working with community strengths among Aboriginal people in western Sydney","authors":"K. Gardner, S. Graham, M. Beadman, M. Doyle, J. Wilms, K. Beetson, J. Bryant, K. Martin, C. Treloar, D. Murphy, S. Bell, A. Browne, P. Aggleton, R. Bolt","doi":"10.1002/hpja.906","DOIUrl":"10.1002/hpja.906","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Strengths-based approaches to health care are often seen as an alternative to deficit-based approaches and are common in Aboriginal health settings. Despite this, there is little existing research that describes Aboriginal peoples' perspectives about the strengths of their communities. This paper describes cultural strengths and resources as understood by Aboriginal people living in western Sydney.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In-depth interviews were used to collect qualitative data from two communities on Dharug and Dharrawal Country in western Sydney Australia. Data come from a larger study, which focused on how cultural strengths supported sexual well-being. Fifty-two interviews were conducted with Aboriginal young people (aged 16–24 years) by trained peer interviewers. Additionally, 16 interviews with Aboriginal adults (25 years and older) were conducted by members of the research team.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings and Discussion</h3>\u0000 \u0000 <p>While opinions varied, four key areas of cultural strength were identified: (1) strong kinship relationships; (2) knowledge sharing; (3) shared experiences, identities, and values; and (4) knowing Country. Throughout these four themes, the sense of connection and belonging is viewed as an important overarching theme.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Communities are not homogenous with regard to what they view as cultural strengths. Knowing Country and practising culture meant different things to different individuals while providing a similar sense of belonging, connection, and identity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What</h3>\u0000 \u0000 <p>Health service providers, policies, and programs can use this information to understand the continuing impacts of past policies and events whilst recognising that each community has strengths that can be drawn upon to improve service engagement, knowledge sharing, and health outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126958","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}
Darshana Meanger, Ashley Webb, Iouri Banakh, Lisa Coward, Gael Cripps, Johnson George
Background
Pharmacist-led smoking cessation programs in pre-admission clinics (PAC) have shown to increase quit attempts and achieve abstinence by the day of surgery (DOS).
Aims
To evaluate the feasibility of Pharmacist E-script Transcription Service (PETS) initiated nicotine replacement therapy (NRT) in PAC, including smoking cessation on DOS.
This study has highlighted the importance of implementing a multidisciplinary smoking cessation program in PAC however, larger studies are needed to determine the true impact of the program on smoking cessations.
Shanti Omodei-James, Annabelle Wilson, Renee Kropinyeri, Darryl Cameron, Sharon Wingard, Caitlin Kerrigan, Talia Scriven, Stacy Wilson, Amy E. Mendham, Brooke Spaeth, Stephen Stranks, Billingsley Kaambwa, Shahid Ullah, Paul Worley, Courtney Ryder
Issues Addressed
Addressing the disproportionate burden of type 2 diabetes prevalence in Aboriginal communities is critical. Current literature on diabetes care for Aboriginal people is primarily focused on remote demographics and overwhelmingly dominated by Western biomedical models and deficit paradigms. This qualitative research project adopted a strengths-based approach to explore the barriers and enablers to diabetes care for Aboriginal people on Ngarrindjeri Country in rural South Australia.
Methods
Knowledge Interface methodology guided the research as Aboriginal and Western research methods were drawn upon. Data collection occurred using three yarning sessions held on Ngarrindjeri Country. Yarns were transcribed and deidentified before a qualitative thematic analysis was conducted, guided by Dadirri and a constructivist approach to grounded theory.
Results
A total of 15 participants attended the yarns. Major barriers identified by participants were underscored by the ongoing impacts of colonisation. This was combated by a current of survival as participants identified enablers to diabetes care, namely a history of healthy community, working at the knowledge interface, motivators for action, and an abundance of community skills and leadership.
Conclusions
Despite the raft of barriers detailed by participants throughout the diabetes care journey, Aboriginal people on Ngarrindjeri Country were found to be uniquely positioned to address diabetes prevalence and management.
So What?
Health promotion efforts with Aboriginal people on Ngarrindjeri Country must acknowledge the sustained impacts of colonisation, while building on the abundance of community enablers, skills and strengths. Opportunities present to do so by adopting holistic, community-led initiatives that shift away from the dominant biomedical approach to diabetes care.
{"title":"Exploration of barriers and enablers to diabetes care for Aboriginal people on rural Ngarrindjeri Country","authors":"Shanti Omodei-James, Annabelle Wilson, Renee Kropinyeri, Darryl Cameron, Sharon Wingard, Caitlin Kerrigan, Talia Scriven, Stacy Wilson, Amy E. Mendham, Brooke Spaeth, Stephen Stranks, Billingsley Kaambwa, Shahid Ullah, Paul Worley, Courtney Ryder","doi":"10.1002/hpja.915","DOIUrl":"10.1002/hpja.915","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issues Addressed</h3>\u0000 \u0000 <p>Addressing the disproportionate burden of type 2 diabetes prevalence in Aboriginal communities is critical. Current literature on diabetes care for Aboriginal people is primarily focused on remote demographics and overwhelmingly dominated by Western biomedical models and deficit paradigms. This qualitative research project adopted a strengths-based approach to explore the barriers and enablers to diabetes care for Aboriginal people on Ngarrindjeri Country in rural South Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Knowledge Interface methodology guided the research as Aboriginal and Western research methods were drawn upon. Data collection occurred using three yarning sessions held on Ngarrindjeri Country. Yarns were transcribed and deidentified before a qualitative thematic analysis was conducted, guided by <i>Dadirri</i> and a constructivist approach to grounded theory.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 15 participants attended the yarns. Major barriers identified by participants were underscored by the ongoing impacts of <i>colonisation.</i> This was combated by a current of <i>survival</i> as participants identified enablers to diabetes care, namely a <i>history of healthy community</i>, <i>working at the knowledge interface</i>, <i>motivators</i> for action, and an abundance of <i>community skills and leadership</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Despite the raft of barriers detailed by participants throughout the diabetes care journey, Aboriginal people on Ngarrindjeri Country were found to be uniquely positioned to address diabetes prevalence and management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Health promotion efforts with Aboriginal people on Ngarrindjeri Country must acknowledge the sustained impacts of colonisation, while building on the abundance of community enablers, skills and strengths. Opportunities present to do so by adopting holistic, community-led initiatives that shift away from the dominant biomedical approach to diabetes care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142093958","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}
Yonatal Tefera, Carmel Williams, Ivana Stankov, Ilona Kickbusch
<p>Society is experiencing a profound digital transformation; billions of people worldwide rely on digital platforms for social interaction, accessing services, shopping, entertainment, education and work. This has sparked growing calls to treat digital factors as a new category of determinants of health and well-being. These determinants, also known as the digital determinants of health,<span><sup>1</sup></span> encompass the direct and indirect pathways in which digital factors influence health, well-being and health equity.<span><sup>2</sup></span> This underscores the critical need for making our health promotion community adaptable to navigate the ever-evolving digital transformation of current and future society. This editorial piece highlights the critical roles of the health promotion community and the skills and knowledge they need to address the impacts of societal digital transformation.</p><p>With billions of users worldwide, social media plays a pivotal role as a digital determinant of health. The most popular platforms, including Facebook, YouTube, Instagram and TikTok, each have over a billion active users who spend several hours each day engaging with their content. While social media can provide valuable health and well-being information<span><sup>3</sup></span> and promote healthy habits such as physical exercise, nutrition and facilitate social networking with friends and family, excessive exposure can be detrimental. It can affect sleep duration and quality, lead to social deprivation, opportunity costs, sedentary behaviour, eating disorders and exposure to harmful and harassing content, resulting in poor physical and mental health outcomes.<span><sup>4</sup></span></p><p>The role of social media is particularly concerning for young people, who are at the forefront of digital transformation and who use these platforms significantly more often and for longer periods than older generations. Young people are especially vulnerable because they are exposed at a critical stage of brain development and identity formation.<span><sup>5</sup></span> Negative social interactions and exposure to harmful social media content during this period can shape adolescent's developmental trajectories and have lasting impacts into adulthood. Over the last two decades, especially in high-income countries, there has been a significant shift from play-based childhoods to experiences heavily mediated by smartphones and social media platforms. These trends are largely due to the increasing prevalence of smartphones, which are now readily accessible to children from a very young age.<span><sup>6</sup></span> In parallel, there has been a notable rise in mental health disorders among youth, including depression, anxiety, self-harm and suicide-related outcomes.<span><sup>7</sup></span> While the role of smartphone use and social media in the alarming increase in mental health issues among young people remains under investigation, it is a growing area of in
{"title":"Digital determinants of health: Futureproofing the health promotion community to navigate societal digital transformation","authors":"Yonatal Tefera, Carmel Williams, Ivana Stankov, Ilona Kickbusch","doi":"10.1002/hpja.914","DOIUrl":"10.1002/hpja.914","url":null,"abstract":"<p>Society is experiencing a profound digital transformation; billions of people worldwide rely on digital platforms for social interaction, accessing services, shopping, entertainment, education and work. This has sparked growing calls to treat digital factors as a new category of determinants of health and well-being. These determinants, also known as the digital determinants of health,<span><sup>1</sup></span> encompass the direct and indirect pathways in which digital factors influence health, well-being and health equity.<span><sup>2</sup></span> This underscores the critical need for making our health promotion community adaptable to navigate the ever-evolving digital transformation of current and future society. This editorial piece highlights the critical roles of the health promotion community and the skills and knowledge they need to address the impacts of societal digital transformation.</p><p>With billions of users worldwide, social media plays a pivotal role as a digital determinant of health. The most popular platforms, including Facebook, YouTube, Instagram and TikTok, each have over a billion active users who spend several hours each day engaging with their content. While social media can provide valuable health and well-being information<span><sup>3</sup></span> and promote healthy habits such as physical exercise, nutrition and facilitate social networking with friends and family, excessive exposure can be detrimental. It can affect sleep duration and quality, lead to social deprivation, opportunity costs, sedentary behaviour, eating disorders and exposure to harmful and harassing content, resulting in poor physical and mental health outcomes.<span><sup>4</sup></span></p><p>The role of social media is particularly concerning for young people, who are at the forefront of digital transformation and who use these platforms significantly more often and for longer periods than older generations. Young people are especially vulnerable because they are exposed at a critical stage of brain development and identity formation.<span><sup>5</sup></span> Negative social interactions and exposure to harmful social media content during this period can shape adolescent's developmental trajectories and have lasting impacts into adulthood. Over the last two decades, especially in high-income countries, there has been a significant shift from play-based childhoods to experiences heavily mediated by smartphones and social media platforms. These trends are largely due to the increasing prevalence of smartphones, which are now readily accessible to children from a very young age.<span><sup>6</sup></span> In parallel, there has been a notable rise in mental health disorders among youth, including depression, anxiety, self-harm and suicide-related outcomes.<span><sup>7</sup></span> While the role of smartphone use and social media in the alarming increase in mental health issues among young people remains under investigation, it is a growing area of in","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.914","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082175","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}
Ana Renda, Kathryn Reilly, Serene Yoong, Melanie Lum, Christophe Lecathelinais, Rebecca Hodder, Alice Grady
Issue Addressed
Australian children are not meeting the recommended physical activity (PA) and healthy eating (HE) guidelines. Health behaviour practices implemented in community settings such as early education services can improve child's health outcomes and are therefore key to help meet guidelines. This study aimed to measure the implementation of HE and PA policies and practices in Early Childhood Education and Care (ECEC) services in New South Wales (NSW), Australia, and to examine their association with service characteristics.
Methods
A random sample of 1122 centre-based ECEC services were invited to a cross-sectional survey measuring HE and PA policy and practice implementation. Regression analyses were conducted to assess the relationship between the service characteristics and implementation of policies/practices.
Results
In total, 565 ECEC services completed the survey. Results show that while some practices are implemented, the implementation of practices promoting HE and PA education is low. Practices related to educator training for HE (18%) and PA (13%) were poorly implemented. The implementation of practices such as ‘providing educator training around child PA’, ‘engaging families in activities to increase child PA’ and ‘encouraging supportive feeding practices’ were significantly higher in services located in major cities than regional/remote services. ‘Having a PA policy’ and the practice of ‘limiting the use of screen time’ was significantly higher in long day care services than in preschools. The implementation of ‘providing educator-led PA’, ‘providing free play opportunities’ and ‘having a PA policy’ was significantly lower in private not-for-profit community managed services than in private for-profit services.
Conclusions
Implementation of various HE and PA policies and practices in regional/remote services, private not-for-profit services and preschools across NSW could be improved.
So What?
Future research should be prioritised towards identifying factors influencing the implementation of these policies and practices to best tailor implementation support efforts for those who need it the most.
解决的问题：澳大利亚儿童没有达到建议的体育活动（PA）和健康饮食（HE）准则的要求。在早期教育服务等社区环境中实施的健康行为实践可以改善儿童的健康状况，因此是帮助达到指南要求的关键。本研究旨在衡量澳大利亚新南威尔士州（NSW）的幼儿教育和保育（ECEC）服务机构实施 HE 和 PA 政策与实践的情况，并研究其与服务特点之间的关联：随机抽样邀请了 1122 家以中心为基础的幼儿教育和保育服务机构参与一项横断面调查，以衡量 HE 和 PA 政策及实践的实施情况。我们进行了回归分析，以评估服务特征与政策/实践实施之间的关系：共有 565 家幼儿保育和教育服务机构完成了调查。结果表明，虽然一些做法得到了实施，但促进幼儿保健和专业教育的做法实施率较低。与 HE（18%）和 PA（13%）教育工作者培训相关的措施实施情况较差。在大城市的服务机构中，"提供有关儿童 PA 的教育者培训"、"让家庭参与增加儿童 PA 的活动 "和 "鼓励支持性喂养做法 "等做法的实施率明显高于地区/偏远服务机构。在 "制定儿童娱乐政策 "和 "限制使用屏幕时间 "方面，长期日托服务机构的比例明显高于学前教育机构。在私立非营利社区管理服务机构中，"提供教育者主导的 PA"、"提供自由游戏机会 "和 "制定 PA 政策 "的实施率明显低于私立营利服务机构：结论：新南威尔士州的地区/偏远地区服务机构、私人非营利性服务机构和学前教育机构的各种 HE 和 PA 政策及实践的实施情况有待改进。所以呢？未来的研究应优先考虑确定影响这些政策和实践实施的因素，以便为最需要的人提供最佳的实施支持。
{"title":"Assessing the implementation of healthy eating and physical activity policies and practices in Early Childhood Education and Care in New South Wales, Australia: A cross-sectional study","authors":"Ana Renda, Kathryn Reilly, Serene Yoong, Melanie Lum, Christophe Lecathelinais, Rebecca Hodder, Alice Grady","doi":"10.1002/hpja.917","DOIUrl":"10.1002/hpja.917","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Australian children are not meeting the recommended physical activity (PA) and healthy eating (HE) guidelines. Health behaviour practices implemented in community settings such as early education services can improve child's health outcomes and are therefore key to help meet guidelines. This study aimed to measure the implementation of HE and PA policies and practices in Early Childhood Education and Care (ECEC) services in New South Wales (NSW), Australia, and to examine their association with service characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A random sample of 1122 centre-based ECEC services were invited to a cross-sectional survey measuring HE and PA policy and practice implementation. Regression analyses were conducted to assess the relationship between the service characteristics and implementation of policies/practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 565 ECEC services completed the survey. Results show that while some practices are implemented, the implementation of practices promoting HE and PA education is low. Practices related to educator training for HE (18%) and PA (13%) were poorly implemented. The implementation of practices such as ‘providing educator training around child PA’, ‘engaging families in activities to increase child PA’ and ‘encouraging supportive feeding practices’ were significantly higher in services located in major cities than regional/remote services. ‘Having a PA policy’ and the practice of ‘limiting the use of screen time’ was significantly higher in long day care services than in preschools. The implementation of ‘providing educator-led PA’, ‘providing free play opportunities’ and ‘having a PA policy’ was significantly lower in private not-for-profit community managed services than in private for-profit services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Implementation of various HE and PA policies and practices in regional/remote services, private not-for-profit services and preschools across NSW could be improved.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Future research should be prioritised towards identifying factors influencing the implementation of these policies and practices to best tailor implementation support efforts for those who need it the most.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.917","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074164","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}
E-cigarettes are a significant concern in schools due to their rising use by adolescents. This research aimed to identify current and preferred intervention strategies to respond to vaping in the Western Australian school setting.
Methods
Interviews and focus groups were held with 15 school professionals (leaders, teachers and nurses), parents (n = 12) and students aged 13–17 years (n = 32). Discussions were transcribed verbatim, anonymised and thematically analysed using a deductive approach aligned to the Health Promoting Schools Framework.
Results
Participants suggested that limited and varied attention has been directed towards policy in response to vaping in the school setting. Teaching and learning opportunities existed for students, parents and school professionals, albeit somewhat ad hoc in their approach. Additional training would benefit the whole-school community (students, parents and staff) to raise awareness of e-cigarette harms, increase knowledge and build skills in responding to student vaping.
Conclusions
Clearly articulated policies are needed to guide school strategies and actions towards vaping. There needs to be a dedicated, developmentally appropriate, cross-subject vaping curriculum for students that incorporates mental health outcomes and social skills reinforcement; professional development for school staff; awareness of and access to school-based health services for help and information; visual cues to de-normalise vaping and parent and community involvement to support vape-free school environments.
So What?
Comprehensive prevention activities are required to reduce the uptake of vaping among adolescents. Building students', school professionals' and parents' awareness of vaping and strategies to prevent use will contribute to de-normalising and reducing this practice among adolescents.
{"title":"The school community's role in addressing vaping: Findings from qualitative research to inform pedagogy, practice and policy","authors":"Laura Thomas, Kahlia McCausland, Francene Leaversuch, Becky Freeman, Katharina Wolf, Tama Leaver, Jonine Jancey","doi":"10.1002/hpja.895","DOIUrl":"10.1002/hpja.895","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>E-cigarettes are a significant concern in schools due to their rising use by adolescents. This research aimed to identify current and preferred intervention strategies to respond to vaping in the Western Australian school setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Interviews and focus groups were held with 15 school professionals (leaders, teachers and nurses), parents (<i>n</i> = 12) and students aged 13–17 years (<i>n</i> = 32). Discussions were transcribed verbatim, anonymised and thematically analysed using a deductive approach aligned to the Health Promoting Schools Framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants suggested that limited and varied attention has been directed towards policy in response to vaping in the school setting. Teaching and learning opportunities existed for students, parents and school professionals, albeit somewhat ad hoc in their approach. Additional training would benefit the whole-school community (students, parents and staff) to raise awareness of e-cigarette harms, increase knowledge and build skills in responding to student vaping.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Clearly articulated policies are needed to guide school strategies and actions towards vaping. There needs to be a dedicated, developmentally appropriate, cross-subject vaping curriculum for students that incorporates mental health outcomes and social skills reinforcement; professional development for school staff; awareness of and access to school-based health services for help and information; visual cues to de-normalise vaping and parent and community involvement to support vape-free school environments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Comprehensive prevention activities are required to reduce the uptake of vaping among adolescents. Building students', school professionals' and parents' awareness of vaping and strategies to prevent use will contribute to de-normalising and reducing this practice among adolescents.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074166","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}
Luke Giles, Nicole Pearson, Hannah Lamont, Alice Grady, Sze Lin Yoong
Issue Addressed
The Get Outside, Get Active (GOGA) program is a randomised controlled trial which tested the impact of a multi-component implementation strategy to support early childhood education and care (ECEC) services to replace indoor-only free play with indoor–outdoor-free play. This cross-sectional study aims to describe the extent and nature of modifications made to implementation strategies and Behaviour Change Techniques (BCTs) using the Framework for Reporting Adaptations and Modifications to Evidence-based Implementation Strategies (FRAME-IS) and to describe the fidelity of BCT delivery throughout GOGA.
Methods
An audit of records was undertaken throughout the intervention delivery period in the intervention arm. GOGA included 14 standard BCTs within six implementation strategies. Modifications and BCT delivery were recorded by Health Promotion Officers via project records. Modifications were categorised according to the FRAME-IS. BCT delivery was recorded using a checklist.
Results
Forty-four ECEC services received the GOGA program. Overall, 60 modifications were recorded. According to FRAME-IS categories, most modifications related to: content; format; pragmatic or practical considerations; tailoring/tweaking/refining in nature; fidelity was inconsistent; the goal was to increase the acceptability, appropriateness, or feasibility of the implementation effort; the rationale was at the practitioner level; and were unplanned/reactive. Overall, 96.4% of standard BCTs were delivered as intended.
Conclusions
GOGA was delivered with high fidelity to protocol as indicated by the level of BCT delivery. This article details a thorough approach to documenting modifications and provides guidance for future studies.
So What?
This article contributes to the emerging evidence regarding documentation of adaptations and modifications to public health implementation interventions.
{"title":"A cross-sectional study assessing modifications to the delivery of a multi-component implementation strategy (the Get Outside, Get Active program) to improve child physical activity in early childhood education and care services","authors":"Luke Giles, Nicole Pearson, Hannah Lamont, Alice Grady, Sze Lin Yoong","doi":"10.1002/hpja.920","DOIUrl":"10.1002/hpja.920","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>The Get Outside, Get Active (GOGA) program is a randomised controlled trial which tested the impact of a multi-component implementation strategy to support early childhood education and care (ECEC) services to replace indoor-only free play with indoor–outdoor-free play. This cross-sectional study aims to describe the extent and nature of modifications made to implementation strategies and Behaviour Change Techniques (BCTs) using the Framework for Reporting Adaptations and Modifications to Evidence-based Implementation Strategies (FRAME-IS) and to describe the fidelity of BCT delivery throughout GOGA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An audit of records was undertaken throughout the intervention delivery period in the intervention arm. GOGA included 14 standard BCTs within six implementation strategies. Modifications and BCT delivery were recorded by Health Promotion Officers via project records. Modifications were categorised according to the FRAME-IS. BCT delivery was recorded using a checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-four ECEC services received the GOGA program. Overall, 60 modifications were recorded. According to FRAME-IS categories, most modifications related to: content; format; pragmatic or practical considerations; tailoring/tweaking/refining in nature; fidelity was inconsistent; the goal was to increase the acceptability, appropriateness, or feasibility of the implementation effort; the rationale was at the practitioner level; and were unplanned/reactive. Overall, 96.4% of standard BCTs were delivered as intended.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>GOGA was delivered with high fidelity to protocol as indicated by the level of BCT delivery. This article details a thorough approach to documenting modifications and provides guidance for future studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>This article contributes to the emerging evidence regarding documentation of adaptations and modifications to public health implementation interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.920","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074163","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}
Rhiannon Lee White, Katrien De Cocker, Dafna Merom
Background
Studies have shown increases in affect after acute exercise. However, the specific aspects of an exercise experience that predict or contribute to post-exercise affect remain relatively unknown. This study aimed to determine which physical (i.e., duration and intensity), contextual (i.e., social context and time of day), and psychological factors (i.e., motivation and need satisfaction) predicted post-exercise affect.
Methods
In 2021, 296 gym users self-reported affect before and immediately after exercising at a gym facility. Participants also reported situational motivation towards exercise, need satisfaction (i.e., autonomy, competence, and relatedness), who they exercised with (social interaction), and the duration and perceived intensity of their exercise session. We first conducted a paired samples t-test to identify whether affect significantly increased from before to after exercise, and then a hierarchical regression model to determine which factors predicted post-exercise affect.
Results
Affect significantly increased from before to after exercise (t[291] = 8.116, p < .001). Autonomous motivation (β = .23, p = <.001), autonomy satisfaction (β = .15, p = <.05), and relatedness satisfaction (β = .19, p = <.01) significantly predicted post-exercise affect, whereas duration, perceived intensity, social interaction, and time of day did not.
Conclusions
People should be encouraged to engage in activities that satisfy their need for autonomy and relatedness during leisure-time (i.e., not during the workday).
So What?
This approach to physical activity promotion may lead to better affective outcomes and increased adherence compared to focusing on how long, how intense, or with whom people exercise.
背景：研究表明，急性运动后情绪会增加。然而，运动体验的哪些具体方面会预测或促成运动后的情绪反应仍相对未知。本研究旨在确定哪些身体因素（即持续时间和强度）、环境因素（即社会环境和时间）和心理因素（即动机和需求满足）可预测运动后的情绪：2021 年，296 名健身房使用者对在健身房锻炼前后的情绪进行了自我报告。参与者还报告了运动的情景动机、需求满足（即自主性、能力和相关性）、与谁一起运动（社交互动）以及运动持续时间和感知强度。我们首先进行了配对样本 t 检验，以确定情绪从运动前到运动后是否显著增加，然后建立了层次回归模型，以确定哪些因素可以预测运动后的情绪：结果：情绪从运动前到运动后都有明显增加（t[291] = 8.116，p 结论：人们应该鼓励自己参加体育锻炼：应鼓励人们在闲暇时间（即非工作日）参与满足其自主性和相关性需求的活动。所以呢：与关注锻炼时间的长短、强度的大小或与谁一起锻炼相比，这种体育锻炼推广方法可能会带来更好的情感结果并提高坚持率。
{"title":"Predictors of post-exercise affect: A self-determination theory approach considering physical, social, and psychological factors","authors":"Rhiannon Lee White, Katrien De Cocker, Dafna Merom","doi":"10.1002/hpja.918","DOIUrl":"10.1002/hpja.918","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Studies have shown increases in affect after acute exercise. However, the specific aspects of an exercise experience that predict or contribute to post-exercise affect remain relatively unknown. This study aimed to determine which physical (i.e., duration and intensity), contextual (i.e., social context and time of day), and psychological factors (i.e., motivation and need satisfaction) predicted post-exercise affect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In 2021, 296 gym users self-reported affect before and immediately after exercising at a gym facility. Participants also reported situational motivation towards exercise, need satisfaction (i.e., autonomy, competence, and relatedness), who they exercised with (social interaction), and the duration and perceived intensity of their exercise session. We first conducted a paired samples t-test to identify whether affect significantly increased from before to after exercise, and then a hierarchical regression model to determine which factors predicted post-exercise affect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Affect significantly increased from before to after exercise (<i>t</i>[291] = 8.116, <i>p</i> < .001). Autonomous motivation (<i>β</i> = .23, <i>p</i> = <.001), autonomy satisfaction (<i>β</i> = .15, <i>p</i> = <.05), and relatedness satisfaction (<i>β</i> = .19, <i>p</i> = <.01) significantly predicted post-exercise affect, whereas duration, perceived intensity, social interaction, and time of day did not.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>People should be encouraged to engage in activities that satisfy their need for autonomy and relatedness during leisure-time (i.e., not during the workday).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>This approach to physical activity promotion may lead to better affective outcomes and increased adherence compared to focusing on how long, how intense, or with whom people exercise.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.918","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074165","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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