Description:
Sport and recreation settings have been used to encourage healthier behaviours through a legislative and policy approach to health promotion via the replacement of tobacco industry sponsorship with health-focused sponsorship. Few studies have used standard and rigorous evaluation tools to identify health promotion policies and practices in sport settings. This study identified health promotion changes within Sport Governing Organisations (SGOs) with respect to the implementation of sport-related health promotion policies and practices in the context of SGO-organised events and in terms of the support provided by SGOs to their affiliated clubs. The Health Promotion and Sport Assessment Tool (HP-SAT) was used to measure health promotion policies and practices regarding smoke-free environments, responsible serving of alcohol, healthy eating, sun protection, injury prevention, club management, and a miscellaneous “other” category (e.g., engagement of health inequality groups). The HP-SAT has moderate to excellent reliability (0.41–0.99). Participants completed the HP-SAT in two phases—first they identified their SGOs current health promotion policies and practices (2007); and second they reflected of their SGO's health promotion policies and practices prior to funding from a health promotion body (2003). For each substantive area in the HP-SAT (e.g. smoke-free environments) a composite score was calculated by summing the numerically coded responses to each item pertaining to the particular area. The scores represented the existence and implementation of health promotion policies and practices and were expressed on a scale of 0-100. Paired samples t-tests were used to test for differences in the scores between the two time points. The mean existence and implementation scores for sport-related health promotion policies and practices for SGO-organised events ranged from 42.9 to 77.6 at the retrospective survey, and increased significantly for the current survey (range: 67.8–90.6; p < 0.05) for all composite scores except sun protection and injury prevention policies. The mean existence and implementation score for sport-related health promotion policies and practices for SGO affiliated clubs ranged from 20.8 to 64.7 at the retrospective survey and 46.3–88.5 at the current survey. Statistically significant increases were found for all composite scores except sun protection and injury prevention (p < 0.05). The existence and implementation of items relating to healthy eating were lowest for both surveys; whilst responses for club management and injury prevention were highest for both surveys. These data indicate that sport has increased its capacity and role in promoting good health since 2003.
Description:
The field of practice addressed by this Portfolio of works is mental health promotion in the context of survival of extreme, organized, armed violence and associated repression. Studies were undertaken in two historical and geo-political settings – Cambodian refugees in Australia post 1979 and Bulgarian post World War II concentration camp survivors after the fall of communism in 1989. The portfolio reports on original image-based research in mental health promotion, using discussions by focus groups composed of genocide and repression survivors. The discourse developed by each group following reflection on a set of photographs from respective conflict periods was used to explore meaning-making within that survivor group.
Description:
The field of practice addressed by this Portfolio of works is mental health promotion in the context of survival of extreme, organized, armed violence and associated repression. Studies were undertaken in two historical and geo-political settings – Cambodian refugees in Australia post 1979 and Bulgarian post World War II concentration camp survivors after the fall of communism in 1989. The portfolio reports on original image-based research in mental health promotion, using discussions by focus groups composed of genocide and repression survivors. The discourse developed by each group following reflection on a set of photographs from respective conflict periods was used to explore meaning-making within that survivor group.
Description:
The impact of health risk behaviours on the social and economic fabric of society is of concern to social marketers and policy makers. Current research suggests social capital, that is, the positive benefits gained from a relationship with others in the community, plays a key role in addressing health risk behaviours. The current literature on social capital and health is fragmented, and the field has yet to produce an up-to-date synthesis of past findings to help researchers understand the current status of this research area. This article fills this gap with an integrative review of empirical research based on rigorous criteria. Boolean search was used to limit the search to only those articles containing the keywords ‘social capital’ and ‘health risk’ but no limits were applied for country or population of interest or publication start date. Two researchers screened through the title, abstract and introduction of every retrieved article independently according to the inclusion criteria. A total of 105 articles were eligible for further analyses. This article contributes by: (1) providing a structured overview with an aim to disentangle the findings of varied past studies addressing the theme; (2) identifying important gaps in current knowledge; (3) presenting a research agenda that flows logically from the theoretical gaps identified; and lastly (4) proposing a theoretical framework upon which social capital interventions can be designed and executed to mitigate health risk. We hope that the key issues and new directions presented in this paper will provide new impetus in this area of research.
Description:
Objective Implementation of effective population-level injury prevention interventions requires broad multiagency partnerships. Different stakeholders address this from varying perspectives, and potential conflicts in priorities need to be addressed for such partnerships to be effective. The researcher-led National Guidance for Australian football Partnerships and Safety (NoGAPS) project involved the engagement and participation of seven non-academic partners, including government health promotion and safety agencies; peak sports professional and advocacy bodies and health insurance organisations. Design The partnership's ongoing development was assessed by each partner completing the Victorian Health Promotion Foundation Partnership Analysis Tool (VPAT) annually over 2011-2015. Changes in VPAT scores were compared through repeated measures analysis of variance. Results Overall, mean total VPAT scores increased significantly over the 5-year period (125.1-141.2; F-5,F-30=4.61, p=0.003), showing a significant improvement in how the partnership was functioning over time. This was largely driven by significant increases in several VPAT domains: determining the need for a partnership' (F-5,F-30=4.15, p=0.006), making sure the partnership works' (F-5,F-30=2.59, p=0.046), planning collaborative action' (F-5,F-30=5.13, p=0.002) and minimising the barriers to the partnership' (F-5,F-30=6.66, p<0.001). Conclusion This is the first study to assess the functioning of a multiagency partnership to address sport injury prevention implementation. For NoGAPS, the engagement of stakeholders from the outset facilitated the development of new and/or stronger links between non-academic partners. Partners shared the common goal of ensuring the real-world uptake of interventions and research evidence-informed recommendations. Effective multiagency partnerships have the potential to influence the implementation of policies and practices beyond the life of a research project.
Description:
Objective Implementation of effective population-level injury prevention interventions requires broad multiagency partnerships. Different stakeholders address this from varying perspectives, and potential conflicts in priorities need to be addressed for such partnerships to be effective. The researcher-led National Guidance for Australian football Partnerships and Safety (NoGAPS) project involved the engagement and participation of seven non-academic partners, including government health promotion and safety agencies; peak sports professional and advocacy bodies and health insurance organisations. Design The partnership's ongoing development was assessed by each partner completing the Victorian Health Promotion Foundation Partnership Analysis Tool (VPAT) annually over 2011-2015. Changes in VPAT scores were compared through repeated measures analysis of variance. Results Overall, mean total VPAT scores increased significantly over the 5-year period (125.1-141.2; F-5,F-30=4.61, p=0.003), showing a significant improvement in how the partnership was functioning over time. This was largely driven by significant increases in several VPAT domains: determining the need for a partnership' (F-5,F-30=4.15, p=0.006), making sure the partnership works' (F-5,F-30=2.59, p=0.046), planning collaborative action' (F-5,F-30=5.13, p=0.002) and minimising the barriers to the partnership' (F-5,F-30=6.66, p<0.001). Conclusion This is the first study to assess the functioning of a multiagency partnership to address sport injury prevention implementation. For NoGAPS, the engagement of stakeholders from the outset facilitated the development of new and/or stronger links between non-academic partners. Partners shared the common goal of ensuring the real-world uptake of interventions and research evidence-informed recommendations. Effective multiagency partnerships have the potential to influence the implementation of policies and practices beyond the life of a research project.
Description:
In this chapter, we highlight the central role that healthy, vibrant, and functioning “everyday, local, and nearby” childhoodnature ecosystems can play in both keeping children healthy and in helping them to understand the relationship between ecosystem health and their own health. By understanding these interconnections, children can learn that they are not separate from or superior to nature. Rather, these settings become sites where children can refresh and reimagine understandings of nature and their relationships as, within, of, and to nature. Healthy settings are, we believe, a foundation for healthy children. A focus on health is particularly timely for two reasons. First, there are mounting international concerns about children’ health – be it around issues of physical activity, mental illness, social resiliency and belonging, overweight and obesity, and spiritual grounding. But it is not only children’s health that is of concern: there are deep and mounting international concerns about the health of ecological systems, be it around issues of global warming, acid rain, species loss, air pollution, urban sprawl, waste disposal, ozone layer depletion, and water pollution. This Chapter is framed around the World Health Organization’s definition of health and explores the ways in which local nearby natural childhoodnature settings can promote physical, mental, social, and spiritual health and well-being of children. To illustrate these concepts in action, we profile a case study from our research in Australia. This chapter concludes with a discussion on the ways that healthy childhoodnature settings can unite, inform, and support the interests of educators, environmentalists, and children’s health advocates who have an interest in the health of children and ecosystems.
Description:
The purpose of the study was to examine the effect of a group training program, based on cognitive behavioural theory and techniques, on the problem-solving skills of adolescents. Evidence of a link between suicidal ideation (engaging in suicidal thinking) and reported deficits in social problem-solving or coping competence levels in adolescents is an area of investigation that offers some hope for suicide primary prevention programs. The study tried to determine if teaching social problem solving skills in a school would better equip adolescents with coping with problematic situations. The work of Hawton (1997) Hawton and Kirk (1989), Lerner and Clum (1990) and McLeavey, Daly, Ludgate and Murray (1994) formed the basis of the training program design. The emphasis was on general problem-solving skills rather on a participant’s specific current problems. Included was training in listening skills, assistance in developing problem-solving skills rather on a participant’s specific current problems. Included was training in listening skills, assistance in developing appropriate problem-solving behaviours and role simulation through the use of structured video case scenarios. Seventy four male and female year 10 secondary school students were subjects in the study. They were randomly divided into two, approximately equal, groups. Thirty six subjects established the control group and the remaining thirty eight constituted the experimental group. The findings indicated that students exposed to the problem solving training program did not have significantly higher problem-solving ability, as measured by the Problem Solving Inventory (PSI) than those who were not exposed to the training. However, females in the experimental group were significantly more likely to make conscious decisions about when they would approach or avoid a problem when compared to control group females. It is suggested that the adaptation of training, designed for suicidal clients, needs to be explored further for application to Year 10 students in the general population. More research is needed into ways to provide school based preventative training programs that will assist in the development of coping skills.
Description:
Master of Health Science (Health Promotion)
Description:
The purpose of the study was to examine the effect of a group training program, based on cognitive behavioural theory and techniques, on the problem-solving skills of adolescents. Evidence of a link between suicidal ideation (engaging in suicidal thinking) and reported deficits in social problem-solving or coping competence levels in adolescents is an area of investigation that offers some hope for suicide primary prevention programs. The study tried to determine if teaching social problem solving skills in a school would better equip adolescents with coping with problematic situations. The work of Hawton (1997) Hawton and Kirk (1989), Lerner and Clum (1990) and McLeavey, Daly, Ludgate and Murray (1994) formed the basis of the training program design. The emphasis was on general problem-solving skills rather on a participant’s specific current problems. Included was training in listening skills, assistance in developing problem-solving skills rather on a participant’s specific current problems. Included was training in listening skills, assistance in developing appropriate problem-solving behaviours and role simulation through the use of structured video case scenarios. Seventy four male and female year 10 secondary school students were subjects in the study. They were randomly divided into two, approximately equal, groups. Thirty six subjects established the control group and the remaining thirty eight constituted the experimental group. The findings indicated that students exposed to the problem solving training program did not have significantly higher problem-solving ability, as measured by the Problem Solving Inventory (PSI) than those who were not exposed to the training. However, females in the experimental group were significantly more likely to make conscious decisions about when they would approach or avoid a problem when compared to control group females. It is suggested that the adaptation of training, designed for suicidal clients, needs to be explored further for application to Year 10 students in the general population. More research is needed into ways to provide school based preventative training programs that will assist in the development of coping skills.
Description:
Master of Health Science (Health Promotion)
Description:
Anxiety disorders are common, and effective treatments exist, however, many people with anxiety disorders do not access these treatments due to numerous barriers. The current study aimed to examine treatment barriers that are specific to anxiety disorders and to examine the utility of the Health Belief Model (HBM) variables in predicting intention to seek psychological help in relation to anxiety disorders. The study employed a cross-sectional design and participants were a convenience sample comprising first year psychology students and other individuals who were interested in participating. A total of 278 individuals voluntarily participated in the current study by completing a battery of online self-report measures. Of these participants, there was an 89% completion rate and 243 met inclusion criteria (81% female Mean age 25.58, SD = 10.69). The most commonly reported barriers in this population included "I would not be able to afford treatment" (52%), followed by "I think I can/should work out my own problems rather than talking to a psychologist" (49%). Regression analyses indicated that 51% of the variance in intention to seek psychological help can be accounted for by the HBM variables. Perceived treatment benefits were the strongest predictor of help-seeking intention. The study highlights that individuals must interpret psychological treatment as potentially helpful in order to seek help for anxiety disorders. In order to improve help-seeking for anxiety disorders it is essential that professional bodies use targeted marketing strategies to increase the perceived helpfulness of seeing a mental health professional.
Description:
As a popular social networking site, Facebook may assist in promoting health behaviours and delivering interventions. However, women rarely use social media for health-related purposes. This study aimed to identify factors influencing women's intentions to use Facebook to gain health-related support or information. Using an online survey, data were collected from 159 adult females (Mean age = 26.81-years). Two hierarchical regressions were performed (Outcomes: health-related emotional support-seeking intentions on Facebook health-relatedinformation-seeking intentions on Facebook). Predictors were age, past information/support-seeking on Facebook, time spent on Facebook per day (Step 1), health concern, appearance concern (Step 2), health locus of control (LOC Step 3) and Theory of Planned Behaviour (TPB) variables (Step 4). As hypothesised, the TPB constructs significantly predicted intention to use Facebook for health information and support. For information-seeking intention, TPB variables explained an additional 18.3% of the variance over and above that explained in previous steps of the model. Significant contributors were past information-seeking, attitude towards seeking health-related information on Facebook, and subjective norm. For support-seeking intention, TPB variables explained an additional 20.2% of variance. Significant contributors were attitude towards seeking health-related support on Facebook, past support-seeking, and powerful others LOC. Both final models accounted for 56.5% of the variance in information/support-seeking intentions. The TPB constructs effectively predict intentions to seek health information/support on Facebook in women. To increase women's engagement with Facebook for health information and support-seeking purposes, previous behaviours, attitudes, perceived social pressures, and locus of control warrant consideration.
Description:
This paper reviews two relatively young fields of research - positive psychology and internet interventions – and discusses the combined potential of online positive psychology interventions (OPPIs) as an effective and sustainable health promotion tool. Five randomised controlled trials were identified testing the efficacy of OPPIs as a means of enhancing well-being, with three studies demonstrating increased well-being compared to a control group. Three studies also demonstrated depression symptom reduction, suggesting that well-being interventions may also have an illness treatment and prevention function. While this review is limited by the small number of studies currently available, researchers and practitioners are asked to consider the mental health promotion opportunities and benefits of delivering well-being interventions online.
Description:
This paper reviews two relatively young fields of research - positive psychology and internet interventions – and discusses the combined potential of online positive psychology interventions (OPPIs) as an effective and sustainable health promotion tool. Five randomised controlled trials were identified testing the efficacy of OPPIs as a means of enhancing well-being, with three studies demonstrating increased well-being compared to a control group. Three studies also demonstrated depression symptom reduction, suggesting that well-being interventions may also have an illness treatment and prevention function. While this review is limited by the small number of studies currently available, researchers and practitioners are asked to consider the mental health promotion opportunities and benefits of delivering well-being interventions online.
Description:
Intersectoral partnerships in health have a central role in current policy and programs. Partnerships are seen to be an effective strategy for maximising health outcomes. However, theoretical models of health partnerships are underdeveloped. Moreover, the research literature contains inconsistent findings about their effectiveness, and there has been very little evaluative research on health partnerships in this country. This paper reports on a case study of an intersectoral consortium using a health promotion approach to cardiovascular disease. A model of partnership formation and development is presented. From this, a research strategy was devised and carried out. Results indicate that the health consortium was formed inresponse to a critical health issue, and as a separate legal entity without recurrent funding, it has been sustained through the commitment of individual members. Project funding has, in large part, dictated its operations. The case study reveals the strengths, vulnnerabilities and achievements of this consortium over five years. To produce sustainable health outcomes, the researchers conclude, partnerships require strategic management to capitalise on individual endeavours, organisational alignments, and government or funder priorities. Ideological zeal for intersectoral health partnerships must be balanced by rigorous evaluation; together with more sophisticated indicators for measuring success in partnerships in health promotion. Theoretical development of models of health partnerships will also contribute to their enhanced effectiveness.
Description:
Intersectoral partnerships in health have a central role in current policy and programs. Partnerships are seen to be an effective strategy for maximising health outcomes. However, theoretical models of health partnerships are underdeveloped. Moreover, the research literature contains inconsistent findings about their effectiveness, and there has been very little evaluative research on health partnerships in this country. This paper reports on a case study of an intersectoral consortium using a health promotion approach to cardiovascular disease. A model of partnership formation and development is presented. From this, a research strategy was devised and carried out. Results indicate that the health consortium was formed inresponse to a critical health issue, and as a separate legal entity without recurrent funding, it has been sustained through the commitment of individual members. Project funding has, in large part, dictated its operations. The case study reveals the strengths, vulnnerabilities and achievements of this consortium over five years. To produce sustainable health outcomes, the researchers conclude, partnerships require strategic management to capitalise on individual endeavours, organisational alignments, and government or funder priorities. Ideological zeal for intersectoral health partnerships must be balanced by rigorous evaluation; together with more sophisticated indicators for measuring success in partnerships in health promotion. Theoretical development of models of health partnerships will also contribute to their enhanced effectiveness.
Sprint interval training and the school curriculum : Benefits upon cardiorespiratory fitness, physical activity profiles, and cardiometabolic risk profiles of healthy adolescents
Description:
Background: This study examined the impact of a 4-week school-based sprint interval training program on cardiorespiratory fitness (CRF), daily physical activity (PA) behavior, and cardiometabolic risk (CMR) outcomes in adolescents. Methods: A total of 56 adolescents (22 females) were allocated to either an intervention (n = 22; 17.0 [0.3] y) or control group (n = 30; 16.8 [0.5] y). Intervention group performed 5 to 6, 30 second "all out" running sprints, interspersed with 30-second rest intervals, 3 times per week, for 4 consecutive weeks, whereas control group performed their normal physical education lessons. CRF was estimated from the 20-m multistage fitness test and PA behavior was determined using accelerometry. Fasting blood samples were obtained to measure biochemical markers of CMR. Results: Significant group x time interactions were observed for CRF (5.03 [1.66 to 8.40]; P < .001; d = 0.95), sedentary time (136.15 [91.91 to 180.39]; P = .004; d = 1.8), moderate PA (57.20 [32.17 to 82.23]; P < .001; d = 1.5), vigorous PA (5.40 [4.22 to 6.57]; P < .001; d = 1.2), fasting insulin (0.37 [-0.48 to 1.21]; P = .01; d = 1.0), homeostasis model of assessment-insulin resistance (0.26 [0.15 to 0.42]; P < .001; d = 0.9), and clustered CMR score (0.22 [-0.05 to 0.68]; P < .001; d = 10.63). Conclusion: Findings of this study indicate that 4 weeks of school-based sprint interval training improves CRF, improves PA profiles, and maintains CMR in adolescents during the school term.
Description:
Background: This study examined the impact of a 4-week school-based sprint interval training program on cardiorespiratory fitness (CRF), daily physical activity (PA) behavior, and cardiometabolic risk (CMR) outcomes in adolescents. Methods: A total of 56 adolescents (22 females) were allocated to either an intervention (n = 22; 17.0 [0.3] y) or control group (n = 30; 16.8 [0.5] y). Intervention group performed 5 to 6, 30 second "all out" running sprints, interspersed with 30-second rest intervals, 3 times per week, for 4 consecutive weeks, whereas control group performed their normal physical education lessons. CRF was estimated from the 20-m multistage fitness test and PA behavior was determined using accelerometry. Fasting blood samples were obtained to measure biochemical markers of CMR. Results: Significant group x time interactions were observed for CRF (5.03 [1.66 to 8.40]; P < .001; d = 0.95), sedentary time (136.15 [91.91 to 180.39]; P = .004; d = 1.8), moderate PA (57.20 [32.17 to 82.23]; P < .001; d = 1.5), vigorous PA (5.40 [4.22 to 6.57]; P < .001; d = 1.2), fasting insulin (0.37 [-0.48 to 1.21]; P = .01; d = 1.0), homeostasis model of assessment-insulin resistance (0.26 [0.15 to 0.42]; P < .001; d = 0.9), and clustered CMR score (0.22 [-0.05 to 0.68]; P < .001; d = 10.63). Conclusion: Findings of this study indicate that 4 weeks of school-based sprint interval training improves CRF, improves PA profiles, and maintains CMR in adolescents during the school term.
Description:
Against the backdrop of a global physical inactivity crisis, attempts to both understand and positively influence physical activity behaviours are characterized by a focus on individual-level factors (e.g. cognitions, attitudes, motivation). We outline a new perspective, drawn from an emerging body of work exploring the applicability of social identity and self-categorization theories to domains of sport and health, from which to understand and address this pervasive problem. This social identity approach suggests that the groups to which people belong can be, and often are, incorporated into their sense of self and, through this, are powerful determinants of physical activity-related behaviour. We start by reviewing the current state of physical activity research and highlighting the potential for the social identity approach to help understand how social factors influence these behaviours. Next, we outline the theoretical underpinnings of the social identity approach and provide three key examples that speak to the analytical and practical value of the social identity approach in physical activity settings. Specifically, we argue that social identity (1) can be harnessed to promote engagement in physical activity, (2) underpins exercise group behaviour, and (3) underpins effective leadership in exercise settings. We conclude by identifying prospects for a range of theory-informed research developments.
Description:
Why you should read this article: *To understand the differences between health promotion and health education and your role in these areas *To recognise approaches to illness prevention and promoting well-being that you can use in your practice with patients across their lifespan *To count towards revalidation as part of your 35 hours of CPD, or you may wish to write a reflective account (UK readers) *To contribute towards your professional development and local registration renewal requirements (non-UK readers) The term health promotion has been used in healthcare for several years. However, the meaning of this term is debated, particularly in nursing. Some nurses might believe that, because they are healthcare practitioners working in healthcare services, that they are 'by default' automatically involved in health promotion activities however, this is often not the case. Instead, they are more likely to be engaging in health education activities that is, simply providing individuals with health-related information, rather than seeking to empower individuals, families, groups and communities. While health education is related to health promotion, these terms are not interchangeable, since health education is a component of health promotion. This article clarifies these concepts and describes approaches to illness prevention and promoting well-being that nurses can use in their practice with patients across the lifespan.
Description:
This paper seeks to review the current international health-promoting sports club (HPSC) research, drawing together findings based on case studies from various countries to illustrate the status of HPSCs. In addition, future challenges for HPSC research and implementation are considered. The review includes six case studies from five countries. In summary, there are two major research themes in this area, namely 'research into HPSC activity' and 'research into HPSC networks'. The first theme investigates the extent to which sports clubs and/or national sports organisations invest in health promotion (HP) - both in policy and practice. The latter theme is driven by an intention to widen the scope of HPSCs to reach novel internal actors, like parents, siblings, etc., and/or external non-sporting bodies, like communities, schools, etc. The future challenges for HPSC research require a better understanding of the motives, barriers and capacities of sports clubs and coaches. Sports organisations, clubs and coaches generally support the intent of the HPSC concept, but even with the best evidence- or theory-based HP programmes/guidelines/standards, nothing will happen in practice if the nature and capacities of sports clubs are not better acknowledged. Therefore, a call for embracing implementation science is finally made to enhance implementation.
Description:
"This study provides a postcritical analysis of the discourses on workplace health, using data gathered with information technology company Labyrinth Computing."
Description:
"This study provides a postcritical analysis of the discourses on workplace health, using data gathered with information technology company Labyrinth Computing."