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The operationalisation of recovery colleges: A scoping review 康复学院的可操作性:范围审查。
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-05-07 DOI: 10.1002/hpja.867
Katheryn Jones, Gemma Crawford, Lyn Mahboub, Jonine Jancey

Background

Recovery Colleges (RCs) represent an approach to enhancing mental wellbeing through education, lived experience and co-production. Despite their increasing presence, scant literature explores the operationalisation of RCs and their embodiment of co-production principles. The aim of this scoping review was to investigate the operationalisation of RCs and their application of co-production in RCs located in high-income countries over the past decade.

Methods

Employing an established scoping review methodology, searches were conducted across seven academic databases. Ten primary studies met the inclusion criteria. In addition, stakeholders were consulted to validate themes and uncover knowledge gaps.

Results

Findings suggest that RCs are inherently idiosyncratic, adapted to suit local contexts. Discussions persist regarding their optimal institutional contexts and positioning and the interpretation of key terms such as ‘recovery’ and ‘co-production’, influencing daily operations and stakeholder involvement. Challenges surrounding measuring success against fidelity criteria underscore the need for a broader understanding of RC value and sustainability.

Conclusion

This review offers a synopsis of the existing literature offering insights concerning the operationalisation of RCs. Through a synthesis of diverse primary studies, it systematically identifies and describes the operational nuances within the RC landscape and the fundamental elements underpinning RC operations, while shedding light on critical knowledge gaps in both research and practice.

So What?

This review underscores the importance of a broader understanding of RC value and sustainability, offering insights for both research and practice in the field of mental health and wellbeing. This review highlights the significance of further exploration and refinement of RC operationalisation to enhance their effectiveness and impact in supporting mental wellbeing.

背景:康复学院(Recovery Colleges,RCs)是一种通过教育、生活经验和共同生产来提高心理健康水平的方法。尽管康复学院越来越多,但很少有文献探讨康复学院的可操作性及其对共同生产原则的体现。本范围综述的目的是调查过去十年中,在高收入国家的康复中心中,康复中心的可操作性及其对共同生产的应用:采用既定的范围综述方法,在七个学术数据库中进行了搜索。十项主要研究符合纳入标准。此外,还咨询了利益相关者,以确认主题并发现知识差距:研究结果表明,驻地协调员制度具有内在的特异性,可根据当地情况进行调整。有关其最佳机构背景和定位以及 "恢复 "和 "共同生产 "等关键术语的解释的讨论持续不断,影响着日常运作和利益相关者的参与。根据忠实度标准衡量成功与否所面临的挑战突出表明,有必要更广泛地了解恢复和重建的价值和可持续性:本综述概述了现有文献,就驻地协调员的可操作性提出了见解。通过对各种主要研究的综述,它系统地确定并描述了驻地协调员范围内的运作细微差别以及支持驻地协调员运作的基本要素,同时揭示了研究和实践中的关键知识差距。所以呢?这篇综述强调了更广泛地了解 RC 价值和可持续性的重要性,为心理健康和福祉领域的研究和实践提供了启示。本综述强调了进一步探索和完善 RC 操作的重要性,以提高其在支持心理健康方面的有效性和影响力。
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引用次数: 0
Support for a browser plug-in blocking online alcohol imagery among Australian participants: A qualitative interview study 澳大利亚参与者对屏蔽在线酒精图像的浏览器插件的支持:定性访谈研究。
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-05-06 DOI: 10.1002/hpja.863
Maree Patsouras, Megan Cook, Amy Pennay, Emmanuel Kuntsche, Victoria Manning, Zhen He, Benjamin C. Riordan

Issues Addressed

Alcohol depictions are extremely common online, and there is a reported relationship between alcohol exposure and alcohol use. A browser plug-in specifically designed to block online alcohol depictions may be helpful to prevent the uptake of alcohol or increased alcohol use.

Methods

Twenty-five semi-structured interviews were conducted, examining participants' beliefs about the effects of online alcohol exposure and their support for developing the browser plug-in.

Results

Using reflexive thematic analysis, we found participants highlighted a clear impact of viewing alcohol online and offline alcohol use. Participants believed a browser plug-in that blocked alcohol was acceptable and would be especially useful for minors (to prevent alcohol initiation) and those who are aiming to reduce their alcohol use.

Conclusions

Participants emphasised that viewing online alcohol exposure had an impact on drinking behaviours, such as increased craving and temptation. The browser plug-in was considered an easy intervention tool for both parents and people who are experiencing alcohol-related problems or trying to reduce their drinking.

So What?

Participants' continuous support of an alcohol-blocking browser plug-in suggests that future health promotion strategies should consider the development of a prototype plug-in.

解决的问题:酒精描绘在网上极为常见,有报告称酒精接触与酒精使用之间存在关系。专门用于阻止网上酒精描绘的浏览器插件可能有助于防止摄入酒精或增加酒精使用:方法:进行了 25 次半结构式访谈,研究参与者对网上酒精暴露影响的看法以及他们对开发浏览器插件的支持:结果:通过反思性主题分析,我们发现参与者强调了在线看酒和离线饮酒的明显影响。参与者认为,屏蔽酒精的浏览器插件是可以接受的,尤其对未成年人(防止酗酒)和旨在减少酗酒的人有用:受试者强调,观看网上酒精信息会对饮酒行为产生影响,如增加饮酒欲望和诱惑。浏览器插件被认为是一种简便的干预工具,既适合父母,也适合正在经历酒精相关问题或试图减少饮酒的人。所以呢:参与者对阻挡酒精的浏览器插件的持续支持表明,未来的健康促进策略应考虑开发一个插件原型。
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引用次数: 0
Music as a determinant of health among First Nations people in Australia: A scoping narrative review 音乐是澳大利亚原住民健康的决定因素:范围界定叙事审查
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-22 DOI: 10.1002/hpja.865
Brigitta Scarfe, Kristy Apps, Naomi Sunderland, Phil Graham, Brydie-Leigh Bartleet, Glenn Barry, Darren Garvey, Rae Cooper, Clint Bracknell

Issue Addressed

While social determinants frameworks are still popular in research about First Nations health in Australia, a growing body of research prefers cultural determinants of health models. Cultural determinants models provide a holistic, strength-based framework to explain connections between health and contextual factors, including the potential role of music and its impact on social and emotional well-being. Given the growing international recognition of links between music, health, and wellbeing through bodies such as the World Health Organisation, this article examines whether and how music practices are acknowledged in First Nations determinants of health literature.

Methods

We conducted a scoping narrative review of literature from five databases: Scopus, PsycInfo, CINAHL, PubMed and ProQuest Central. The search returned 60 articles published since 2017, which we analysed in NVivo for common themes.

Results

Music was only explicitly identified as a determinant of health in two studies. Yet, participants in five studies identified music and song as directly impacting their social and emotional well-being. When we broadened our frame of analysis to include other forms of expressive cultural practice, one quarter of included studies empirically acknowledged the role of expressive cultural practice for social and emotional well-being.

Conclusion

While many recent studies identify the impact of First Nations' expressive practices broadly, they miss important features of First Nations music as a potentially unique cultural, social, political and ecological determinant of health.

So What?

There is an opportunity for future research and health determinant modelling to explicitly examine the role of First Nations music and other creative practices for social and emotional well-being.

尽管社会决定因素框架在有关澳大利亚原住民健康的研究中仍很流行,但越来越多的研究倾向于采用文化决定因素健康模型。文化决定因素模型提供了一个以力量为基础的整体框架,用于解释健康与环境因素之间的联系,包括音乐的潜在作用及其对社会和情感幸福的影响。鉴于世界卫生组织等机构日益认可音乐、健康和幸福之间的联系,本文研究了原住民健康决定因素文献中是否以及如何认可音乐实践:Scopus、PsycInfo、CINAHL、PubMed 和 ProQuest Central。搜索返回了自 2017 年以来发表的 60 篇文章,我们在 NVivo 中对这些文章进行了分析,以寻找共同的主题。结果音乐仅在两项研究中被明确认定为健康的决定因素。然而,有五项研究的参与者认为音乐和歌曲直接影响了他们的社交和情感福祉。当我们将分析范围扩大到包括其他形式的表现性文化实践时,四分之一的纳入研究从经验上承认了表现性文化实践对社会和情感幸福的作用。结论虽然最近的许多研究广泛地确定了原住民表现性实践的影响,但它们忽略了原住民音乐作为潜在的独特健康文化、社会、政治和生态决定因素的重要特征。
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引用次数: 0
Priority setting: Development of the South Australian Aboriginal Chronic Disease Consortium RoadMap for Action 确定优先事项:制定南澳大利亚土著慢性病联合会行动路线图
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-11 DOI: 10.1002/hpja.864
Kim Morey, Wendy Keech, Andrea McKivett, Katharine Brown, Odette Pearson, Gloria Mejia, Leda Sivak, Alex Brown

Issues Addressed

Aboriginal and Torres Strait Islander (Aboriginal) people in South Australia are overburdened by cardiovascular disease, diabetes and cancer. The South Australian Aboriginal Chronic Disease Consortium (Consortium) was established in June 2017 as a collaborative partnership to lead the implementation of three state-wide chronic disease plans using a strategic approach to identifying key priority areas for action.

Methods

In 2017–2018, the Consortium Coordinating Centre facilitated a priority setting process, which involved extensive consultation, including a prioritisation survey and stakeholder workshops. The Consortium's Aboriginal Community Reference Group was instrumental in leading the identification of priorities for action.

Results

The Consortium RoadMap for Action identified seven across-plan priorities and six condition-specific priorities. It acknowledged that: strengthening social and emotional well-being is central to improving health outcomes; prevention and early detection, acute management and ongoing management are all components of the continuum of care; and improving access to services, strengthening the workforce, and monitoring and evaluation are required across the continuum of care.

Conclusion

Widespread implementation failure in the past across the health system and health services implementation and research translation highlights the value of the Consortium approach and its commitment to implementing the state-wide chronic disease plans in a collaborative manner. The Consortium relies on and fosters cross-sectoral alignment, with all key players including all public, private and Aboriginal Community Controlled health services, to progress its priorities and aspirations to improve health outcomes for Aboriginal people using evidence-based strategies.

So What?

Rigorous and transparent priority setting processes that bring together research, clinical practice, health services operations, policy and community perspectives can foster intersectoral collaboration and partnership and support the implementation of shared priorities.

解决的问题南澳大利亚州的原住民和托雷斯海峡岛民(原住民)因心血管疾病、糖尿病和癌症而不堪重负。南澳大利亚州原住民慢性病联合会(联合会)成立于 2017 年 6 月,作为一个协作伙伴关系,联合会采用战略方法来确定关键的优先行动领域,以领导三个全州慢性病计划的实施。联合会的原住民社区咨商小组在牵头确定优先行动方面发挥了重要作用。结果联合会行动路线图确定了七个跨计划优先事项和六个针对具体情况的优先事项。它承认:加强社会和情感福祉是改善健康结果的核心;预防和早期发现、急性期管理和持续管理都是持续护理的组成部分;改善服务获取途径、加强劳动力以及监测和评估都是整个持续护理所必需的。联合体依靠并促进与所有关键参与者(包括所有公共、私营和原住民社区控制的医疗服务机构)的跨部门协调,以推进其优先事项和愿望的实现,从而利用循证策略改善原住民的健康状况。
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引用次数: 0
Process evaluation of a maintenance pulmonary rehabilitation trial for people with chronic obstructive pulmonary disease 慢性阻塞性肺病患者肺康复维持试验的过程评估
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-08 DOI: 10.1002/hpja.860
Derrick Lopez, Susan Jenkins, Nola Cecins, Cecily Strange, Joanne Cockram, Anna Collins, Holly Landers, Barbara Nattabi

Background

The ComEx3 community-based extended maintenance pulmonary rehabilitation (PR) randomised controlled trial (RCT) aimed to determine the optimal strategy for maintaining the benefits of exercise for people with chronic obstructive pulmonary disease (COPD). We conducted a process evaluation of this RCT to determine if the trial was implemented per protocol, and to explore the barriers and facilitators of the trial, and mechanisms of impact.

Methods

This was a mixed methods study consisting of analysis of PR class records, study diaries and interviews of those involved in the trial. We developed a reporting framework from available literature and performed a content analysis.

Results

Eleven of the 12 participants in the intervention group attended ≥70% of available classes before the trial was terminated due to the COVID-19 pandemic. Analysis of the study diaries found that adherence to the home exercise program was higher in the intervention than the control group. Analyses of interviews (n = 21) highlighted the complexity of standardising the processes across multiple sites, but revealed behaviour change amongst class physiotherapists who were able to conform with the required processes. Facilitators of participation included the desire to improve function and quality of life, while barriers included illnesses and lack of motivation. Mechanisms of impact included confidence in exercising and benefits from the education sessions.

Conclusions

The ComEx3 RCT was implemented as planned largely due to commitment by the research team and the desire by patients to improve their quality of life by attending a PR program that they are familiar with. Successful implementation of PR RCTs requires good organisational skills, clear and consistent trial documentation, broad understanding of participant needs while being conscious of challenges experienced by people with COPD, and dedication by everyone involved in the RCT.

So What?

This article shows the importance of running a process evaluation alongside an RCT. Although this RCT did not progress to completion, this process evaluation which was guided by a robust framework, will provide guidance for future interventions in this area.

背景ComEx3社区肺康复(PR)延长维持随机对照试验(RCT)旨在确定维持慢性阻塞性肺病(COPD)患者运动益处的最佳策略。我们对这项随机对照试验进行了过程评估,以确定试验是否按协议实施,并探讨试验的障碍和促进因素以及影响机制。方法这是一项混合方法研究,包括分析肺康复课堂记录、研究日记以及对参与试验者的访谈。结果干预组的 12 名参与者中,有 7 人参加了≥70% 的课程,试验因 COVID-19 大流行而终止。对研究日记的分析发现,干预组对家庭锻炼计划的坚持率高于对照组。对访谈(n = 21)的分析强调了在多个地点实现标准化流程的复杂性,但也显示了能够遵守所需流程的班级理疗师的行为改变。参与的促进因素包括改善功能和生活质量的愿望,而障碍则包括疾病和缺乏动力。结论ComEx3 RCT能按计划实施,主要归功于研究团队的承诺,以及患者希望通过参加他们熟悉的PR项目来提高生活质量的愿望。成功实施PR RCT需要良好的组织能力、清晰一致的试验文档、对参与者需求的广泛了解,同时意识到慢性阻塞性肺病患者所面临的挑战,以及参与RCT的每个人的奉献精神。尽管这项研究没有取得进展,但这一过程评估是在一个强有力的框架指导下进行的,它将为该领域未来的干预措施提供指导。
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引用次数: 0
Impact on help-seeking behaviours of a campaign perceived to decrease stigma and increase openness around mental health 一场被认为能减少心理健康污名化和提高心理健康公开性的运动对求助行为的影响
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-08 DOI: 10.1002/hpja.859
Robert J. Donovan, Catherine F. Drane, Ziggi I. Santini, Geoffrey Jalleh
<div> <section> <h3> Issue Addressed</h3> <p>There is considerable evidence that public stigma around mental illness inhibits help-seeking for mental health problems. Hence there have been many interventions and campaigns designed to reduce stigma around mental illness. However, as far as could be ascertained, none of these stigma reduction interventions has reported any substantial impact of reducing stigma on people's mental health help-seeking behaviours. The aim of this paper is to report on the impact of the Act-Belong-Commit positive mental health promotion Campaign on help-seeking via increasing perceived openness around mental health and reducing perceived stigma around mental illness.</p> </section> <section> <h3> Methods</h3> <p>State-wide computer assisted telephone interviews (CATIs) of the general adult population were undertaken in 2018 and 2019 (<i>N</i> = 600 adults per year). The questionnaire included measures of respondents' awareness of the Act-Belong-Commit Campaign, their beliefs about the Campaign's impact on mental illness stigma and openness around mental health issues, and whether they had sought help for or information about a mental health problem as a result of their exposure to the Campaign.</p> </section> <section> <h3> Results</h3> <p>Those who believed the Act-Belong-Commit Campaign increased openness around mental health issues were significantly more likely than those not holding this belief to have sought information about mental health and to have sought help for a mental health problem as a result of their exposure to the Campaign. Those who believed the Act-Belong-Commit Campaign decreased stigma around mental illness versus those not holding this belief were significantly more likely to have sought information, and more likely, but not significantly so, to have sought help as a result of their exposure to the Campaign. Overall, the effect was slightly greater for increased openness.</p> </section> <section> <h3> Conclusion</h3> <p>As far as we are aware, these are the first reported findings of a positive impact on mental health help-seeking behaviours as a result of a population-wide mental health promotion Campaign being seen to have increased openness around mental health and decreased stigma around mental illness.</p> </section> <section> <h3> So What?</h3> <p>These findings suggest that accompanying specific stigma reduction interventions with a broad-based, population-wide, positive mental health promot
有大量证据表明,公众对精神疾病的成见阻碍了人们对精神健康问题的求助。因此,许多干预措施和运动都旨在减少对精神疾病的成见。然而,就目前所能确定的而言,这些减少成见的干预措施均未报告减少成见对人们心理健康求助行为的实质性影响。本文旨在报告 "行动-自立-承诺 "积极心理健康促进运动通过提高人们对心理健康的开放感知和减少人们对精神疾病的污名化而对求助行为产生的影响。问卷内容包括受访者对 "行动起来-承诺 "运动的了解程度、他们对该运动对精神疾病污名化和精神健康问题开放性的影响的看法,以及他们是否因接触该运动而寻求过精神健康问题方面的帮助或信息。结果那些认为 "行动起来,做自己--承诺 "运动提高了精神健康问题的公开性的人,比那些没有这种想法的人更有可能寻求精神健康方面的信息,也更有可能因为接触了该运动而寻求精神健康问题方面的帮助。那些认为 "行动起来--承诺 "运动减少了人们对精神疾病的成见的人与那些不这样认为 的人相比,他们寻求精神健康信息的可能性要大得多,而且由于接触了该运动而寻求帮助的 可能性也要大得多,但并不明显。结论 据我们所知,这些研究结果是首次报道一项全民心理健康宣传活动对心理健康求助行为的积极影响,该活动提高了人们对心理健康的开放度,减少了人们对精神疾病的成见。这些研究结果表明,在采取具体的减少污名化干预措施的同时,开展基础广泛的、全民性的、积极的心理健康促进运动,如 "行动起来--终身承诺 "运动,可以通过提高人们对心理健康问题的开放度来扩大这些干预措施对求助行为的影响。
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引用次数: 0
Effectiveness of visual nudges for encouraging healthier beverage choices from vending machines 鼓励从自动售货机选择更健康饮料的视觉暗示的有效性
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-03 DOI: 10.1002/hpja.856
Enola Kay, Eva Kemps, Ivanka Prichard, Marika Tiggemann

Issues Addressed

Research suggests visual nudging techniques can subtly encourage healthier consumption. Two experiments explored the effect of four visual primes for nudging drink choices from a vending machine display.

Methods

Participants (17–25 years) were randomly assigned to view vending machine advertising posters containing pictorial nudges of water, soft drink, general health (runner), or a text-only control, for nudging vending machine choices. Participants then selected an item from a vending machine display containing drinks only (Experiment 1; n = 164), or both drinks and snack foods (Experiment 2, n = 684).

Results

In both experiments, nudging condition predicted beverage choice. Specifically, the water image nudged healthier beverage choices in both experiments. However, there was no effect on food choice in Experiment 2. Furthermore, in both experiments, liking and habitual consumption of chosen items were also significant predictors of choice, but condition predicted beverage choice over and above these.

Conclusion

A water prime may be an effective means of encouraging healthier beverage choices in a vending machine environment.

So What?

Findings have the potential to inform strategies for encouraging healthier beverage choices from vending machine environments.

研究表明,视觉暗示技术可以巧妙地鼓励人们更健康地消费。方法将参与者(17-25 岁)随机分配到自动售货机,让他们观看包含水、软饮料、一般健康(跑步者)等图片提示的自动售货机广告海报或纯文字对照,以提示他们选择自动售货机。然后,受试者从自动售货机展示的饮料(实验 1;n = 164)或饮料和休闲食品(实验 2,n = 684)中选择一种物品。具体来说,在两次实验中,水的图像都会促使人们选择更健康的饮料。然而,实验 2 对食物选择没有影响。此外,在这两项实验中,对所选物品的喜好和习惯性消费也是预测选择的重要因素,但条件对饮料选择的预测超过了这些因素。结论在自动售货机环境中,水素可能是鼓励选择更健康饮料的有效手段。
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引用次数: 0
Adapting and translating the ‘Hep B Story’ App the right way: A transferable toolkit to develop health resources with, and for, Aboriginal people 以正确的方式改编和翻译 "乙肝故事 "应用程序:与原住民一起并为原住民开发健康资源的可转移工具包
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-02 DOI: 10.1002/hpja.858
Paula Binks, Cheryl Ross, George Garambaka Gurruwiwi, Shiraline Wurrawilya, Tiana Alley, Sarah Mariyalawuy Bukulatjpi, Emily Vintour-Cesar, Kelly Hosking, Joshua S. Davis, Marita Hefler, Jane Davies, The Hep B PAST Partnership Group

Issue Addressed

In 2014 the ‘Hep B Story App’, the first hepatitis B educational app in an Aboriginal language was released. Subsequently, in 2018, it was assessed and adapted before translation into an additional 10 Aboriginal languages. The translation process developed iteratively into a model that may be applied when creating any health resource in Aboriginal languages.

Methods

The adaptation and translation of the ‘Hep B Story’ followed a tailored participatory action research (PAR) process involving crucial steps such as extensive community consultation, adaptation of the original material, forward and back translation of the script, content accuracy verification, voiceover recording, and thorough review before the publication of the new version.

Results

Iterative PAR cycles shaped the translation process, leading to a refined model applicable to creating health resources in any Aboriginal language. The community-wide consultation yielded widespread chronic hepatitis B education, prompting participants to share the story within their families, advocating for hepatitis B check-ups. The project offered numerous insights and lessons, such as the significance of allocating sufficient time and resources to undertake the process. Additionally, it highlighted the importance of implementing flexible work arrangements and eliminating barriers to work for the translators.

Conclusions

Through our extensive work across the Northern Territory, we produced an educational tool for Aboriginal people in their preferred languages and developed a translation model to create resources for different cultural and linguistic groups.

So What?

This translation model provides a rigorous, transferable method for creating accurate health resources for culturally and linguistically diverse populations.

2014 年,发布了 "乙肝故事应用程序",这是首个以原住民语言编写的乙肝教育应用程序。随后,在 2018 年,对该应用程序进行了评估和改编,然后将其翻译成另外 10 种原住民语言。翻译过程反复发展,形成了一种模式,可用于以土著语言创建任何健康资源。
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引用次数: 0
Quality evaluation of nutrition policies in early childhood education and care services in Nerang, QLD 昆士兰州尼朗幼儿教育和保育服务营养政策的质量评估
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-02 DOI: 10.1002/hpja.862
Amy Kirkegaard, Nicole Anderson, Chris Irwin, Lisa Vincze

Issue Addressed

Food environments in early childhood, such as early childhood education and care services, influence the development of dietary patterns and behaviours that traverse into adulthood, where they affect health and longevity. Nutrition policies are mandatory in early childhood education and care services in Australia and can positively or negatively shape the food environment. However, the quality of such nutrition policies is unknown. This study aimed to evaluate the comprehensiveness and strength of nutrition policies of early childhood education and care services among services participating in a university-community alliance in South East Queensland.

Methods

Early childhood education and care services (n = 12) in Nerang, Queensland, Australia, participated in a cross-sectional study evaluating the comprehensiveness and strength of nutrition policies across four domains (Nutrition Education, Nutrition Standards, Promoting Healthy Eating and Communication and Evaluation) of the Wellness in Child Care Assessment Tool.

Results

Nutrition policies evaluated in this study had median total comprehensiveness scores of 55 (out of 100) and median total strength scores of 19 (out of 100). ‘Nutrition Education’ had the highest median scores for comprehensiveness (67 out of 100) and strength (33 out of 100), while ‘Nutrition Standards’ had the lowest comprehensiveness score (41 out of 100), and ‘Communication and Evaluation’ had the lowest strength score (0 out of 100).

Conclusions

All services have a nutrition policy, but there are opportunities to enhance both the content and linguistic strength of statements within policies related to nutrition domains.

So What?

There is a clear need to improve the comprehensiveness and strength of written statements in nutrition policies across all four domains, particularly ‘Nutrition Standards’ and ‘Communication and Evaluation’.

所针对的问题幼儿时期的饮食环境,如幼儿教育和保育服务,会影响饮食模式和行为的发展,进而影响成年后的健康和寿命。营养政策是澳大利亚幼儿教育和保育服务机构的强制性政策,可以对饮食环境产生积极或消极的影响。然而,这些营养政策的质量却不得而知。本研究旨在评估昆士兰州东南部参与大学-社区联盟的幼儿教育和保育服务机构的营养政策的全面性和力度。方法澳大利亚昆士兰州尼朗(Nerang)的幼儿教育和保育服务机构(n = 12)参与了一项横断面研究,对儿童保育健康评估工具四个领域(营养教育、营养标准、促进健康饮食以及沟通和评估)的营养政策的全面性和力度进行评估。结果本研究评估的营养政策全面性总分中位数为 55 分(满分 100 分),力度总分中位数为 19 分(满分 100 分)。营养教育 "的全面性(满分 67 分)和强度(满分 33 分)的中位数最高,而 "营养标准 "的全面性得分最低(满分 41 分),"沟通与评估 "的强度得分最低(满分 0 分)。结论所有服务机构都制定了营养政策,但仍有机会加强营养领域相关政策声明的内容和语言强度。
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引用次数: 0
Local Men Local Communities: A rural placed-based approach to increase men's engagement with mental health training and events 本地男性本地社区:以农村地区为基础,提高男性对心理健康培训和活动的参与度
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-02 DOI: 10.1002/hpja.861
Natalie J. Bransgrove, Joanne E. Porter, Valerie Prokopiv, Robyn Wildblood, Michelle Prezioso, Vicki Bradley, Barbara Look

Issue Addressed

Suicide is the leading cause of death for Australians aged 15–49 (Department of Health and Aged Care Suicide in Australia, https://www.health.gov.au/health-topics/mental-health-and-suicide-prevention/suicide-in-australia, 2021). With the loss of one community member impacting the individual's family, friends, and wider community. The aim of the article is to showcase a process evaluation of a place-based approach to suicide prevention, exploring the elements of mental health training and events that can be tailored to increase engagement with the men living in a rural Local Government Area in Gippsland, Victoria, Australia.

Methods

Participation records and promotional material for the Local Men Local Communities project was utilised to explore similarities and differences between the training and events offered.

Results

Results indicated that men living in rural areas engaged best with events that included a social element such as food or an activity, highlighting that men may find it easier to talk and connect when they have something to do.

Conclusion

Mental health training and events need to be tailored to meet the needs of the target population. Key details to consider include location, time, promotional material, content, and inclusion of a social element.

So What?

When rural men were provided ownership of their conversations, they were more likely to have them. This challenges the stereotype that men do not talk and creates the opportunity for social connection within the community.

解决的问题自杀是 15-49 岁澳大利亚人的主要死因(澳大利亚卫生与老年保健部自杀问题,https://www.health.gov.au/health-topics/mental-health-and-suicide-prevention/suicide-in-australia,2021 年)。失去一名社区成员会影响到个人的家人、朋友和更广泛的社区。本文旨在展示以地方为基础的自杀预防方法的过程评估,探索心理健康培训和活动的要素,这些要素可以量身定制,以提高澳大利亚维多利亚州吉普斯兰(Gippsland)一个农村地方政府辖区内男性的参与度。结果结果表明,生活在农村地区的男性最喜欢参加包含食物或活动等社交元素的活动,这说明男性在有事可做时可能会更容易交谈和沟通。需要考虑的关键细节包括地点、时间、宣传材料、内容以及是否包含社交元素。这挑战了 "男人不说话 "的刻板印象,并为社区内的社会联系创造了机会。
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引用次数: 0
期刊
Health Promotion Journal of Australia
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