The PAPHIO study protocol : a randomised controlled trial with a 2 x 2 crossover design of physical activity adherence, psychological health and immunological outcomes in breast cancer survivors
- Pudkasam, Supa, Pitcher, Meron, Fisher, Melanie, O'Connor, Anne, Chinlumprasert, Nanthaphan, Stojanovska, Lily, Polman, Remco, Apostolopoulos, Vasso
- Authors: Pudkasam, Supa , Pitcher, Meron , Fisher, Melanie , O'Connor, Anne , Chinlumprasert, Nanthaphan , Stojanovska, Lily , Polman, Remco , Apostolopoulos, Vasso
- Date: 2020
- Type: Text , Journal article
- Relation: BMC public health Vol. 20, no. 1 (2020), p. 696
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- Description: BACKGROUND: The PAPHIO study; a randomized controlled trial with 2X2 crossover design will implement a self-directed physical activity program in which participants will engage in self-monitoring and receive motivational interviewing to enhance physical activity adherence. The study aims to determine the effects of 24 weeks self-directed activity combined with motivational interviewing (MI) on (i) psychological health, (ii) quality of life (QoL) and (iii) immune function in female breast cancer survivors. METHODS: The study will recruit 64 female breast cancer survivors within 3 years of diagnosis and at least 6 months post primary treatments at Western Health Sunshine Hospital, Melbourne, Australia. They will be randomly allocated to immediate intervention (IIG group) or delayed intervention groups (DIG group) in a 1:1 ratio. All participants will be given a wearable device (Fitbit Alta HR) and undertake self-directed physical activity for 24 weeks and will receive MI for 12 weeks (IIG; during week 0 to week 12 and DIG; during week 13 to week 24). Participants' daily step count and the changes of immune cell functionality will be assessed at the beginning (week 1: T1), week 12 (T2) and week 24 (T3) of the program. Physical activity adherence will be assessed at T2 and T3. Participants will also complete four questionnaires assessing exercise self-regulation (BREQ2), exercise barrier and task self-efficacy, mental health (DASS-21) and QoL (FACT-B) at three time points (T1 to T3). Linear-mixed models will be used to assess the relationship between physical activity volume by step counting and mental health (DASS-21), QoL (FACT-B), immune biomarkers, self-regulation (BREQ2) and self-efficacy at T1, T2 and T3;between 2 groups. DISCUSSION: We expect this physical activity intervention to be acceptable and beneficial to the participants in terms of psychological and immunological well-being with the potential outcomes to be implemented more widely at relatively low cost to these or other patient populations. TRIAL REGISTRATION: Australian New Zealand Clinical trials Registry- ACTRN12619001271190. Prospectively registered on 13 September 2019.
- Authors: Pudkasam, Supa , Pitcher, Meron , Fisher, Melanie , O'Connor, Anne , Chinlumprasert, Nanthaphan , Stojanovska, Lily , Polman, Remco , Apostolopoulos, Vasso
- Date: 2020
- Type: Text , Journal article
- Relation: BMC public health Vol. 20, no. 1 (2020), p. 696
- Full Text:
- Reviewed:
- Description: BACKGROUND: The PAPHIO study; a randomized controlled trial with 2X2 crossover design will implement a self-directed physical activity program in which participants will engage in self-monitoring and receive motivational interviewing to enhance physical activity adherence. The study aims to determine the effects of 24 weeks self-directed activity combined with motivational interviewing (MI) on (i) psychological health, (ii) quality of life (QoL) and (iii) immune function in female breast cancer survivors. METHODS: The study will recruit 64 female breast cancer survivors within 3 years of diagnosis and at least 6 months post primary treatments at Western Health Sunshine Hospital, Melbourne, Australia. They will be randomly allocated to immediate intervention (IIG group) or delayed intervention groups (DIG group) in a 1:1 ratio. All participants will be given a wearable device (Fitbit Alta HR) and undertake self-directed physical activity for 24 weeks and will receive MI for 12 weeks (IIG; during week 0 to week 12 and DIG; during week 13 to week 24). Participants' daily step count and the changes of immune cell functionality will be assessed at the beginning (week 1: T1), week 12 (T2) and week 24 (T3) of the program. Physical activity adherence will be assessed at T2 and T3. Participants will also complete four questionnaires assessing exercise self-regulation (BREQ2), exercise barrier and task self-efficacy, mental health (DASS-21) and QoL (FACT-B) at three time points (T1 to T3). Linear-mixed models will be used to assess the relationship between physical activity volume by step counting and mental health (DASS-21), QoL (FACT-B), immune biomarkers, self-regulation (BREQ2) and self-efficacy at T1, T2 and T3;between 2 groups. DISCUSSION: We expect this physical activity intervention to be acceptable and beneficial to the participants in terms of psychological and immunological well-being with the potential outcomes to be implemented more widely at relatively low cost to these or other patient populations. TRIAL REGISTRATION: Australian New Zealand Clinical trials Registry- ACTRN12619001271190. Prospectively registered on 13 September 2019.
- Ryan, Colleen, Cant, Robyn, McAllister, Margaret, Vanderburg, Robert, Batty, Craig
- Authors: Ryan, Colleen , Cant, Robyn , McAllister, Margaret , Vanderburg, Robert , Batty, Craig
- Date: 2022
- Type: Text , Journal article , Review
- Relation: Nurse education today Vol. 119, no. (2022), p. 105604
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- Description: OBJECTIVES: This review intended to synthesise existing evidence on the application of transformative learning theory in nursing education. DESIGN: An umbrella review, or review of reviews. DATA SOURCES: Six databases were systematically searched: CINAHL, Cochrane Reviews, Ebscohost, OVID, ProQuest Central, and PubMed. The structured framework of PCC: Population/Concept/Context was employed to identify relevant literature, published in English between 2012 and March 1st, 2022. REVIEW METHODS: Elements of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guided this review. A modified version of the Johanna Briggs Institute Critical Appraisal Checklist for Systematic Reviews and Research Synthesis was applied to determine final inclusions. RESULTS: Sixteen (16) reviews were included. Most reviews were scoping reviews. Nursing featured in 10 of the 16, medicine in half (8/16) and various allied health disciplines were reported in seven reviews. Studies reported on differing scholarly approaches to transformative learning theory. Curricula design and evaluation, developing leadership skills and a professional identity were common applications. Critical reflection and learning experiences that challenge students' and professionals' existing ideologies also featured. Few reviews reported on studies of models and tools for educators to guide them in applying the theory in lesson design and teaching practice. CONCLUSION: Applying transformative learning theory in curriculum design, program evaluation and healthcare professional education can be beneficial. There were reported successes and some critiques. Researchers should design more rigorous studies to evaluate the theory in practice and to develop and test frameworks that guide educators in teaching with transformative learning theory. Copyright © 2022 Elsevier Ltd. All rights reserved.
Hospitalizations associated with Strongyloidiasis in the United States, 2003-2018
- Inagaki, Kengo, Bradbury, Richard, Hobbs, Charlotte
- Authors: Inagaki, Kengo , Bradbury, Richard , Hobbs, Charlotte
- Date: 2022
- Type: Text , Journal article
- Relation: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America Vol. 75, no. 9 (2022), p. 1548-1555
- Full Text: false
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- Description: BACKGROUND: Strongyloides stercoralis is considered to be historically endemic in Appalachia and the American South, but recent surveillance data, especially data evaluating strongyloidiasis associated with hospitalization, are lacking in most parts of the United States. METHODS: We performed a population-based retrospective analysis on strongyloidiasis using the National Inpatient Sample from 2003 to 2018. Geographic distribution of strongyloidiasis associated hospitalization was assessed. Logistic regression was used to identify risk factors associated with strongyloidiasis. RESULTS: We identified 6931 hospitalizations associated with strongyloidiasis during the study period (11.8 per million hospitalizations). The rate of strongyloidiasis was highest in the Northeast US region, including the Middle Atlantic division (47.1 cases per million population; adjusted odds ratio, 2.00 [95% confidence interval: 1.58-2.53]), and the East South Central division (27.5 cases per million; adjusted odds ratio, 2.77 [2.02-3.80]). Older age, male sex, nonwhite race/ethnicity (particularly Hispanic and Asian), nonprivate insurance, and residence in neighborhoods with low median income were also associated with strongyloidiasis. Immunocompromising conditions, particularly human immunodeficiency virus infection, were present in 41.3% of hospitalizations with strongyloidiasis. In-hospital death occurred in 7.8% of patients with strongyloidiasis-associated hospitalization. CONCLUSIONS: Strongyloidiasis-associated hospitalization is rare in the United States but can be associated with increased mortality rate/mortality risk . It occurs more frequently in poor and marginalized populations. Immunocompromised conditions were common among hospitalized patients with strongyloidiasis. Enhanced surveillance efforts are needed to inform health policies for improving the health of at-risk populations. © The Author(s) 2022. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.
Soil moisture, organic carbon, and nitrogen content prediction with hyperspectral data using regression models
- Datta, Dristi, Paul, Manoranjan, Murshed, Manzur, Teng, Shyh, Schmidtke, Leigh
- Authors: Datta, Dristi , Paul, Manoranjan , Murshed, Manzur , Teng, Shyh , Schmidtke, Leigh
- Date: 2022
- Type: Text , Journal article
- Relation: Sensors (Basel, Switzerland) Vol. 22, no. 20 (2022), p.
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- Description: Soil moisture, soil organic carbon, and nitrogen content prediction are considered significant fields of study as they are directly related to plant health and food production. Direct estimation of these soil properties with traditional methods, for example, the oven-drying technique and chemical analysis, is a time and resource-consuming approach and can predict only smaller areas. With the significant development of remote sensing and hyperspectral (HS) imaging technologies, soil moisture, carbon, and nitrogen can be estimated over vast areas. This paper presents a generalized approach to predicting three different essential soil contents using a comprehensive study of various machine learning (ML) models by considering the dimensional reduction in feature spaces. In this study, we have used three popular benchmark HS datasets captured in Germany and Sweden. The efficacy of different ML algorithms is evaluated to predict soil content, and significant improvement is obtained when a specific range of bands is selected. The performance of ML models is further improved by applying principal component analysis (PCA), a dimensional reduction method that works with an unsupervised learning method. The effect of soil temperature on soil moisture prediction is evaluated in this study, and the results show that when the soil temperature is considered with the HS band, the soil moisture prediction accuracy does not improve. However, the combined effect of band selection and feature transformation using PCA significantly enhances the prediction accuracy for soil moisture, carbon, and nitrogen content. This study represents a comprehensive analysis of a wide range of established ML regression models using data preprocessing, effective band selection, and data dimension reduction and attempt to understand which feature combinations provide the best accuracy. The outcomes of several ML models are verified with validation techniques and the best- and worst-case scenarios in terms of soil content are noted. The proposed approach outperforms existing estimation techniques.
- Authors: Datta, Dristi , Paul, Manoranjan , Murshed, Manzur , Teng, Shyh , Schmidtke, Leigh
- Date: 2022
- Type: Text , Journal article
- Relation: Sensors (Basel, Switzerland) Vol. 22, no. 20 (2022), p.
- Full Text:
- Reviewed:
- Description: Soil moisture, soil organic carbon, and nitrogen content prediction are considered significant fields of study as they are directly related to plant health and food production. Direct estimation of these soil properties with traditional methods, for example, the oven-drying technique and chemical analysis, is a time and resource-consuming approach and can predict only smaller areas. With the significant development of remote sensing and hyperspectral (HS) imaging technologies, soil moisture, carbon, and nitrogen can be estimated over vast areas. This paper presents a generalized approach to predicting three different essential soil contents using a comprehensive study of various machine learning (ML) models by considering the dimensional reduction in feature spaces. In this study, we have used three popular benchmark HS datasets captured in Germany and Sweden. The efficacy of different ML algorithms is evaluated to predict soil content, and significant improvement is obtained when a specific range of bands is selected. The performance of ML models is further improved by applying principal component analysis (PCA), a dimensional reduction method that works with an unsupervised learning method. The effect of soil temperature on soil moisture prediction is evaluated in this study, and the results show that when the soil temperature is considered with the HS band, the soil moisture prediction accuracy does not improve. However, the combined effect of band selection and feature transformation using PCA significantly enhances the prediction accuracy for soil moisture, carbon, and nitrogen content. This study represents a comprehensive analysis of a wide range of established ML regression models using data preprocessing, effective band selection, and data dimension reduction and attempt to understand which feature combinations provide the best accuracy. The outcomes of several ML models are verified with validation techniques and the best- and worst-case scenarios in terms of soil content are noted. The proposed approach outperforms existing estimation techniques.
Indigenous peoples shift conservation through best practice
- Authors: Lee, Emma
- Date: 2021
- Type: Text , Journal article
- Relation: Nature human behaviour Vol. 5, no. 6 (2021), p. 666-667
- Full Text: false
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An exploratory study of factors influencing pakistani physicians' retention and resettlement career decisions
- Arif, Muhammad, Fraser, John, Cruickshank, Mary
- Authors: Arif, Muhammad , Fraser, John , Cruickshank, Mary
- Date: 2022
- Type: Text , Journal article
- Relation: Journal of Ayub Medical College, Abbottabad : JAMC Vol. 34 , no. 3 (2022), p. S649-S659
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- Description: Background: The recruitment, retention and migration of health workers is a global phenomenon. The literature shows push factors associated with leaving rural areas and developing countries in general are explored in depth. However importantly, some health workers behave differently and decide to stay in or return to a developing country. Less is known about the reasons/ pull factors of this groups' decision making. Methods: This paper aims to explore the perceptions of Pakistani physicians regarding their career decisions to remain in their country, or resettle back after working abroad for some time. Thirteen Pakistani physicians were interviewed via telephones who were working in Pakistan and Australia. Results: The motivation for Pakistani physicians to remain or resettle back into their country stems from the perceived better quality of life in Pakistan compared to the better standard of life overseas. Other reasons include a perceived differentiation between locals and non-locals abroad and the availability of a permanent job in Pakistan. Conclusion: The main factors that contributed to Pakistani physicians' retention and resettlement decisions were mostly personal and family or societal factors and there was a minimal role for professional or health system related factors in their career decisions, except for the availability of permanent jobs in Pakistan.
- Authors: Arif, Muhammad , Fraser, John , Cruickshank, Mary
- Date: 2022
- Type: Text , Journal article
- Relation: Journal of Ayub Medical College, Abbottabad : JAMC Vol. 34 , no. 3 (2022), p. S649-S659
- Full Text:
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- Description: Background: The recruitment, retention and migration of health workers is a global phenomenon. The literature shows push factors associated with leaving rural areas and developing countries in general are explored in depth. However importantly, some health workers behave differently and decide to stay in or return to a developing country. Less is known about the reasons/ pull factors of this groups' decision making. Methods: This paper aims to explore the perceptions of Pakistani physicians regarding their career decisions to remain in their country, or resettle back after working abroad for some time. Thirteen Pakistani physicians were interviewed via telephones who were working in Pakistan and Australia. Results: The motivation for Pakistani physicians to remain or resettle back into their country stems from the perceived better quality of life in Pakistan compared to the better standard of life overseas. Other reasons include a perceived differentiation between locals and non-locals abroad and the availability of a permanent job in Pakistan. Conclusion: The main factors that contributed to Pakistani physicians' retention and resettlement decisions were mostly personal and family or societal factors and there was a minimal role for professional or health system related factors in their career decisions, except for the availability of permanent jobs in Pakistan.
- Linardon, Jake, Anderson, Cleo, Chapneviss, Tara, Hants, Emma, Shatte, Adrian, Fuller-Tyszkiewicz, Matthew
- Authors: Linardon, Jake , Anderson, Cleo , Chapneviss, Tara , Hants, Emma , Shatte, Adrian , Fuller-Tyszkiewicz, Matthew
- Date: 2022
- Type: Text , Journal article
- Relation: Psychiatric services (Washington, D.C.) Vol. 73, no. 10 (2022), p. 1173-1176
- Full Text: false
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- Description: OBJECTIVE: The authors aimed to test the impact of an acceptance-facilitating intervention (AFI) on acceptance ratings and usage patterns of digital interventions for binge eating. METHOD: Participants with recurrent binge eating (N=398) were randomly assigned to an AFI or control condition. The AFI was an educational video providing information about digital interventions, including their capabilities, benefits, evidence base, and misconceptions. The primary outcome was acceptance of digital interventions. Secondary outcomes included drivers of acceptance and usage patterns. RESULTS: The AFI group reported higher scores than the control group on acceptance, effort expectancy, facilitating conditions, motivations, and positive attitudes toward digital interventions. No group differences were observed on uptake or adherence rates at follow-up. CONCLUSION: AFIs can positively influence participants' acceptance of digital interventions for binge eating and can address common barriers associated with their use. Further research is needed to understand how AFIs can best facilitate help seeking and treatment engagement in this population.
Influence of workload and recovery on injuries in elite male volleyball players
- Timoteo, Thiago, Debien, Paula, Miloski, Bernardo, Werneck, Francisco, Gabbett, Tim, Bara Filho, Mauricio
- Authors: Timoteo, Thiago , Debien, Paula , Miloski, Bernardo , Werneck, Francisco , Gabbett, Tim , Bara Filho, Mauricio
- Date: 2021
- Type: Text , Journal article
- Relation: Journal of strength and conditioning research Vol. 35, no. 3 (2021), p. 791-796
- Full Text: false
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- Description: ABSTRACT: Timoteo, TF, Debien, PB, Miloski, B, Werneck, FZ, Gabbett, T, and Filho, MGb. Influence of workload and recovery on injuries in elite male volleyball players. J Strength Cond Res 35(3): 791-796, 2021-The aim of this study was to investigate the influence of workload and recovery on injury rates in elite male volleyball players. Data were collected from 14 male professional volleyball players over a 27-week season. Workloads were monitored daily using the session rating of perceived exertion, and recovery status was appraised using the Total Quality Recovery (TQR) scale. The players were exposed to 4,573.31 hours (h) of training and games with an overall injury incidence of 13.99 per 1,000 hours. Overuse accounted for 83% (11.58 injuries/1,000 hours) and trauma accounted for 17% (2.40 injuries per 1,000 hours) of all injuries. There was a higher incidence of injuries (p = 0.003), higher weekly workload (p = 0.008), and acute:chronic workload ratio (ACWR) (p < 0.001) in the pre-season compared with the competitive period. Healthy players had lower ACWR (p = 0.002) compared with the injured players. The TQR was higher for the healthy group compared with the injured group (p < 0.001). The greater odds of injury was related to higher ACWR (risk factor) (p = 0.014) and lower TQR values (p = 0.004) (protection factor). Athlete's workloads and the state of recovery may be related to injuries in volleyball. The results presented in this study emphasize the importance of controlling these variables in professional volleyball teams to prevent injuries. Copyright © 2018 National Strength and Conditioning Association.
Contributions of obesity to kidney health and disease: insights from Mendelian randomization and the human kidney transcriptomics
- Xu, Xiaoguang, Eales, James, Jiang, Xiao, Sanderson, Eleanor, Drzal, Maciej, Saluja, Sushant, Scannali, David, Williams, Bryan, Morris, Andrew, Guzik, Tomasz, Charchar, Fadi, Holmes, Michael, Tomaszewski, Maciej
- Authors: Xu, Xiaoguang , Eales, James , Jiang, Xiao , Sanderson, Eleanor , Drzal, Maciej , Saluja, Sushant , Scannali, David , Williams, Bryan , Morris, Andrew , Guzik, Tomasz , Charchar, Fadi , Holmes, Michael , Tomaszewski, Maciej
- Date: 2022
- Type: Text , Journal article
- Relation: Cardiovascular research Vol. 118, no. 15 (2022), p. 3151-3161
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- Description: AIMS: Obesity and kidney diseases are common complex disorders with an increasing clinical and economic impact on healthcare around the globe. Our objective was to examine if modifiable anthropometric obesity indices show putatively causal association with kidney health and disease and highlight biological mechanisms of potential relevance to the association between obesity and the kidney. METHODS AND RESULTS: We performed observational, one-sample, two-sample Mendelian randomization (MR) and multivariable MR studies in
- Authors: Xu, Xiaoguang , Eales, James , Jiang, Xiao , Sanderson, Eleanor , Drzal, Maciej , Saluja, Sushant , Scannali, David , Williams, Bryan , Morris, Andrew , Guzik, Tomasz , Charchar, Fadi , Holmes, Michael , Tomaszewski, Maciej
- Date: 2022
- Type: Text , Journal article
- Relation: Cardiovascular research Vol. 118, no. 15 (2022), p. 3151-3161
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- Description: AIMS: Obesity and kidney diseases are common complex disorders with an increasing clinical and economic impact on healthcare around the globe. Our objective was to examine if modifiable anthropometric obesity indices show putatively causal association with kidney health and disease and highlight biological mechanisms of potential relevance to the association between obesity and the kidney. METHODS AND RESULTS: We performed observational, one-sample, two-sample Mendelian randomization (MR) and multivariable MR studies in
The pharmacy community apgar questionnaire : a modified Delphi technique to develop a rural pharmacist recruitment and retention tool
- Terry, Daniel, Peck, Blake, Hills, Danny, Bishop, Jaclyn, Kirschbaum, Mark, Obamiro, Kehinde, Phan, Hoang, Baker, Ed, Schmitz, David
- Authors: Terry, Daniel , Peck, Blake , Hills, Danny , Bishop, Jaclyn , Kirschbaum, Mark , Obamiro, Kehinde , Phan, Hoang , Baker, Ed , Schmitz, David
- Date: 2022
- Type: Text , Journal article
- Relation: Rural and remote health Vol. 22, no. 4 (2022), p. 7347
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- Description: INTRODUCTION: An adequate healthcare workforce remains essential for the health of rural communities. Strategies to address rural health workforce challenges have often centred on the medical and nursing workforce; however, addressing the rural pharmacist workforce also remains critical as they are often the first point of contact for health advice. Initiatives have increased pharmacist supply; however, key issues such as poor attraction, recruitment, and retention to rural areas remain. The aim of this study was to support the recruitment and retention of pharmacists in rural areas of Australia through the development of the Pharmacy Community Apgar Questionnaire (PharmCAQ). METHODS: A modified Delphi technique was employed to develop the PharmCAQ. A panel of experts were purposively selected. Eight representatives were from organisations with rural experience relevant to the study including the Society of Hospital Pharmacists of Australia, the Pharmaceutical Society of Australia, the Pharmacy Guild of Australia, the Pharmacy Board of Australia, and a representative of a government health agency, who also leads a hospital pharmacy. Three additional participants included local and international academics with health policy and rural health workforce expertise. All participants participated in three separate focus groups of 45-60 minutes duration, where the review and refinement of factors that drive recruitment and retention of pharmacist were discussed. Face and content validity was achieved through the representatives, while internal consistency was achieved when the tool was piloted among 10 rural pharmacists in rural Victoria. RESULTS: Fifty key factors that impact the recruitment and retention of pharmacists were identified, developed and succinctly described. All factors were grouped into five classifications: (1) geographic, (2) economic and resources, (3) practice and scope of practice, (4) practice environment and (5) community practice support. After final consensus, the factors and their definitions formed the final questionnaire. Lastly, the reliability of PharmCAQ was determined, with a Cronbach's alpha coefficient of 0.852. CONCLUSION: While the development and use of the Apgar questionnaire for the recruitment and retention of health professionals is not a novel idea, seeking to specifically focus on pharmacists is unique. However, 10 factors were similar to factors associated with rural recruitment and retention of both physicians and nurses; they encompassed geographic, community support, and economic and resource factors. Regardless of similarities or differences between health professions in terms of recruitment and retention, as a mechanism for addressing the worsening health professional shortage currently experienced in rural areas, the PharmCAQ was developed to support the recruitment and retention of the pharmacist workforce in rural areas.
- Authors: Terry, Daniel , Peck, Blake , Hills, Danny , Bishop, Jaclyn , Kirschbaum, Mark , Obamiro, Kehinde , Phan, Hoang , Baker, Ed , Schmitz, David
- Date: 2022
- Type: Text , Journal article
- Relation: Rural and remote health Vol. 22, no. 4 (2022), p. 7347
- Full Text:
- Reviewed:
- Description: INTRODUCTION: An adequate healthcare workforce remains essential for the health of rural communities. Strategies to address rural health workforce challenges have often centred on the medical and nursing workforce; however, addressing the rural pharmacist workforce also remains critical as they are often the first point of contact for health advice. Initiatives have increased pharmacist supply; however, key issues such as poor attraction, recruitment, and retention to rural areas remain. The aim of this study was to support the recruitment and retention of pharmacists in rural areas of Australia through the development of the Pharmacy Community Apgar Questionnaire (PharmCAQ). METHODS: A modified Delphi technique was employed to develop the PharmCAQ. A panel of experts were purposively selected. Eight representatives were from organisations with rural experience relevant to the study including the Society of Hospital Pharmacists of Australia, the Pharmaceutical Society of Australia, the Pharmacy Guild of Australia, the Pharmacy Board of Australia, and a representative of a government health agency, who also leads a hospital pharmacy. Three additional participants included local and international academics with health policy and rural health workforce expertise. All participants participated in three separate focus groups of 45-60 minutes duration, where the review and refinement of factors that drive recruitment and retention of pharmacist were discussed. Face and content validity was achieved through the representatives, while internal consistency was achieved when the tool was piloted among 10 rural pharmacists in rural Victoria. RESULTS: Fifty key factors that impact the recruitment and retention of pharmacists were identified, developed and succinctly described. All factors were grouped into five classifications: (1) geographic, (2) economic and resources, (3) practice and scope of practice, (4) practice environment and (5) community practice support. After final consensus, the factors and their definitions formed the final questionnaire. Lastly, the reliability of PharmCAQ was determined, with a Cronbach's alpha coefficient of 0.852. CONCLUSION: While the development and use of the Apgar questionnaire for the recruitment and retention of health professionals is not a novel idea, seeking to specifically focus on pharmacists is unique. However, 10 factors were similar to factors associated with rural recruitment and retention of both physicians and nurses; they encompassed geographic, community support, and economic and resource factors. Regardless of similarities or differences between health professions in terms of recruitment and retention, as a mechanism for addressing the worsening health professional shortage currently experienced in rural areas, the PharmCAQ was developed to support the recruitment and retention of the pharmacist workforce in rural areas.
Convenient consumption : a critical qualitative inquiry into the gambling practices of younger women in Australia
- Thomas, Samantha, Pitt, Hannah, Randle, Melanie, Cowlishaw, Sean, Rintoul, Angela, Kairouz, Sylvie, Daube, Mike
- Authors: Thomas, Samantha , Pitt, Hannah , Randle, Melanie , Cowlishaw, Sean , Rintoul, Angela , Kairouz, Sylvie , Daube, Mike
- Date: 2022
- Type: Text , Journal article
- Relation: Health promotion international Vol. 37, no. 6 (2022), p.
- Full Text:
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- Description: There are a range of stereotypes and assumptions associated with women's gambling behaviours. While researchers have demonstrated that the practices associated with women's gambling are changing and becoming increasingly normalized, there is a limited understanding of how younger women ascribe meanings to these practices. This study explored the gambling practices of younger women. Forty-one women (20-40 years) participated in qualitative telephone interviews. Participants were asked open-ended questions about personal engagement in gambling, including experiences of gambling, gambling engagement, and experiences with different gambling products and environments. Data interpretation was guided by reflexive thematic analysis. Three themes were constructed from the data: (i) gambling infrastructures, including both products and the embedding of gambling in community environments, contributed to the convenient and regular consumption of gambling, with gambling easy to access and engage with; (ii) social networks and intergenerational gambling practices impacted the perceived social value and competencies related to gambling; and (iii) technology facilitated new gambling practices, routinizing gambling behaviours through automation and building perceived competencies with a range of gambling products. Gambling regulation and public health responses to gambling often focus on either individual behaviours or product characteristics. This study suggests that this focus is too narrow and excludes important influences on younger women's gambling practices, which include the infrastructure that supports the provision and consumption of gambling products. Public health research, policy and practice must consider the full range of determinants that may contribute to the initiation and continuation of gambling in younger women. © The Author(s) 2022. Published by Oxford University Press. Younger women’s engagement with gambling is changing. While there has been a significant focus on the gambling behaviours of men, very little research has investigated how women engage in different forms of gambling. We conducted in-depth telephone interviews with n = 41 women (20–40 years) in Australia about their personal engagement in gambling, their experiences of gambling, their motivations to gamble, and their engagement with different gambling products and environments. First, we found that the embedding of gambling in community environments (e.g. lotteries at shopping centres) meant that gambling was easy to access and engage with. This led to the convenient and regular consumption of some gambling products. Second, existing social practices among participants’ social networks (including friends and family members) contributed to women feeling that gambling had social value, and that they had the skills to successfully participate in different forms of gambling. Finally, new technologies created routine gambling behaviours. For example, women automated the purchase of lottery tickets or used apps to help to build complex bets on activities such as sports. We conclude that public health and health promotion research, policy and practice must consider the unique factors that may influence the gambling behaviours of younger women.
- Authors: Thomas, Samantha , Pitt, Hannah , Randle, Melanie , Cowlishaw, Sean , Rintoul, Angela , Kairouz, Sylvie , Daube, Mike
- Date: 2022
- Type: Text , Journal article
- Relation: Health promotion international Vol. 37, no. 6 (2022), p.
- Full Text:
- Reviewed:
- Description: There are a range of stereotypes and assumptions associated with women's gambling behaviours. While researchers have demonstrated that the practices associated with women's gambling are changing and becoming increasingly normalized, there is a limited understanding of how younger women ascribe meanings to these practices. This study explored the gambling practices of younger women. Forty-one women (20-40 years) participated in qualitative telephone interviews. Participants were asked open-ended questions about personal engagement in gambling, including experiences of gambling, gambling engagement, and experiences with different gambling products and environments. Data interpretation was guided by reflexive thematic analysis. Three themes were constructed from the data: (i) gambling infrastructures, including both products and the embedding of gambling in community environments, contributed to the convenient and regular consumption of gambling, with gambling easy to access and engage with; (ii) social networks and intergenerational gambling practices impacted the perceived social value and competencies related to gambling; and (iii) technology facilitated new gambling practices, routinizing gambling behaviours through automation and building perceived competencies with a range of gambling products. Gambling regulation and public health responses to gambling often focus on either individual behaviours or product characteristics. This study suggests that this focus is too narrow and excludes important influences on younger women's gambling practices, which include the infrastructure that supports the provision and consumption of gambling products. Public health research, policy and practice must consider the full range of determinants that may contribute to the initiation and continuation of gambling in younger women. © The Author(s) 2022. Published by Oxford University Press. Younger women’s engagement with gambling is changing. While there has been a significant focus on the gambling behaviours of men, very little research has investigated how women engage in different forms of gambling. We conducted in-depth telephone interviews with n = 41 women (20–40 years) in Australia about their personal engagement in gambling, their experiences of gambling, their motivations to gamble, and their engagement with different gambling products and environments. First, we found that the embedding of gambling in community environments (e.g. lotteries at shopping centres) meant that gambling was easy to access and engage with. This led to the convenient and regular consumption of some gambling products. Second, existing social practices among participants’ social networks (including friends and family members) contributed to women feeling that gambling had social value, and that they had the skills to successfully participate in different forms of gambling. Finally, new technologies created routine gambling behaviours. For example, women automated the purchase of lottery tickets or used apps to help to build complex bets on activities such as sports. We conclude that public health and health promotion research, policy and practice must consider the unique factors that may influence the gambling behaviours of younger women.
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