Description:
During and after a disaster, affected communities grapple with how to respond and make sense of the experience. The physical and mental health of individuals is often adversely affected, as is the well being of the community. In early 2014, a fire in the Morwell open cut coalmine adjacent to the Hazelwood power station in the Latrobe Valley, Victoria burned for approximately 45 days, shrouding surrounding communities in smoke. As authorities struggled to put out the fire, the nearby communities became increasingly concerned about the perceived health risks of exposure to the smoke, particulate matter and gas emissions from the burning coal. The Hazelwood mine fire, initially treated as a fire emergency, 'evolved into a chronic technological disaster and a significant and lengthy environmental and health crisis' (Government of Victoria 2014, p. 28). In response to the crisis, people turned to social media as an alternative space in which to share information, tell their stories and organise for the purpose of activism. This paper takes the Hazelwood mine fire as a case study to examine how a community used social media (specifically Facebook) during a complex technological crisis involving health effects. It examines the issues facing emergency organisations and communities in relation to information and trust, and identifies the strengths and pitfalls of social media use in relation to community empowerment and engagement.
Description:
Globally, injuries are the leading cause of death and represent the highest burden of ongoing disease amongst children 1–16 years of age. Increasingly, prevention programmes are recognising a growing need for intervention strategies that target children. The purpose of this study was to determine the efficacy of the SeeMore Safety Programme, designed to teach children (4–6 years of age) how to make conscious decisions about their own capabilities related to safety and how to manage risk. This retrospective study examined de-identified pre- and post-programme data from a sample of 1027 4 to 6-year-old pre-school children over the four-year period who participated in the SeeMore Safety Programme. Results show a significant improvement in each of the post-test scores and when compared to the pre-test scores (p < 0.001). Children from rural areas, as well as those from areas of greater disadvantage, also showed significant improvement in their pre- and post-test scores (p < 0.001). Overall, the findings highlight that the SeeMore Safety Programme over the four-year period demonstrates an increase in the children’s capacity to recognise and identify danger and safety amongst all children, offering great promise for reducing the burden of injury on children, their families and society.
Description:
Globally, injuries are the leading cause of death and represent the highest burden of ongoing disease amongst children 1–16 years of age. Increasingly, prevention programmes are recognising a growing need for intervention strategies that target children. The purpose of this study was to determine the efficacy of the SeeMore Safety Programme, designed to teach children (4–6 years of age) how to make conscious decisions about their own capabilities related to safety and how to manage risk. This retrospective study examined de-identified pre- and post-programme data from a sample of 1027 4 to 6-year-old pre-school children over the four-year period who participated in the SeeMore Safety Programme. Results show a significant improvement in each of the post-test scores and when compared to the pre-test scores (p < 0.001). Children from rural areas, as well as those from areas of greater disadvantage, also showed significant improvement in their pre- and post-test scores (p < 0.001). Overall, the findings highlight that the SeeMore Safety Programme over the four-year period demonstrates an increase in the children’s capacity to recognise and identify danger and safety amongst all children, offering great promise for reducing the burden of injury on children, their families and society.
Description:
Objective: To explore the relationship between child injury morbidity and socioeconomic status. Design: A cross-sectional analysis of routinely collected hospital separation data for unintentional injury for the period 1999/2000-2004/2005. Setting: All statistical local areas of New South Wales (NSW), Australia Subjects: 110 549 unintentional injury-related hospital separations for NSW children aged 0-14 years. Main outcome measure: Adjusted incidence rate ratios (IRRs) for hospital separations for unintentional injury (for all injury and by individual injury mechanisms) by quintile of socioeconomic disadvantage for children aged 0-14 years. Results: There was no clear relationship between socioeconomic status and injury when all injury mechanisms were combined. However, children in the more disadvantaged quintiles were more likely to be hospitalized than children in the least disadvantaged quintile for the following injury mechanisms: motor cycle ( point estimates for IRRs across the socioeconomic status quintiles ranged from 2.95 to 4.02 relative to the least disadvantaged quintile), motor-vehicle occupant (IRR range 1.33-2.27), pedestrian (IRR range 1.43-2.54 for ages 0-4 years), pedal cyclist ( IRR range 1.30-1.50), fire and burns ( IRR range 1.37-2.00), and poisoning (IRR range 1.32-1.91). Similarly, hospital separation rates for foreign body, other transport, and pedestrian (aged 5-9 years) injuries were also greater, but the differences were not statistically significant across all quintiles. These injury mechanisms accounted for about 25% of the hospital separations. Conclusions: The relationship between relative socioeconomic disadvantage and injury risk in NSW children is strongest for transport-related injuries, fires and burns, and poisoning. Interventions that address these specific injury mechanisms may help to reduce the disparity between high and lower socioeconomic groups.
Description:
There is evidence that eye protection, mouth guards, helmets, and face guards are effective in reducing the risk of facial injury; however, such safety practices are not adopted universally by all athletes playing high risk sports. Underlying beliefs about risk perception, comfort, ineffectiveness, utility, and a lack of awareness or enforcement have been identified as reasons people may not adopt preventive measures. There are several high-risk sports that have not mandated or do not enforce use of protective equipment. Valid evidence can assist with addressing the resistance caused by prevailing beliefs and could be essential in influencing rule changes.
Description:
Objectives: While deaths in sports settings are rare, they do occur. To develop an understanding of the sports and people most at risk, and to identify opportunities for prevention, routine and systematic data detailing the occurrence of these fatalities is required. There is currently no routine reporting of data of this nature in Australia. As there is often strong community interest in these incidents, the media offers an opportunity for surveillance. However before this can occur, understanding of the terminology used by the media is required. The aim of this study was to identify the terminology most frequently used in online Australian news media coverage of football-related deaths. Design: Retrospective review of online news media. Methods: Three databases were searched for online news media reports of people who died while participating in football (all football codes) in Australia. A descriptive analysis of terminology was undertaken to identify the common language applied. Results: Thirty-four football-related fatalities in Australia were identified between 2010-2016, via 149 separate articles. The most frequent terms identified in the media items were: Family; Club; Rugby; Football; Player; League; Died; Game; Death; Life; Loved; Hospital; Match; Young; Community; Playing; Friends; Sport; Heart; AFL [Australian Football League]. Conclusions: This study identified terminology used in reporting football-related fatalities in Australia, identifying common reference to terms relating to 'death' as metaphors and the frequent celebration of 'life.' The findings suggest that a reliance on researcher-generated terminology will be insufficient to reflect media discourse in prospective monitoring of sports deaths for surveillance.
Description:
The purpose of this research was to determine the effect of static stretching in a warm-up on hip flexor and quadriceps flexibility as measured by a modified Thomas test and on range of motion (ROM) of the leg and foot speed at impact in kicking a football with maximum effort. Sixteen Australian Rules (AR) footballers performed two different warm-ups on different days. One warm-up involved five minutes of sub-maximum running followed by seven practice kicks, while the other also included 4.5 minutes static stretching of the hip flexors and quadriceps after the running. A modified Thomas test was conduced before and after each warm-up. Players performed maximum effort drop punt kicks into a net while being videotaped to determine the ROM of the kicking leg and foot speed at impact with the ball. There were no significant changes in flexibility (p>0.05) as a result of either warm-up and there were no significant differences between the warm-ups in the kicking variables (p>0.05). It was concluded that the Thomas test may not have been sensitive to possible acute changes in flexibility from the warm-ups, and that stretching had no influence on kicking ROM or foot speed, possibly because of the complexity of the kicking skill.
Description:
The purpose of this research was to determine the effect of static stretching in a warm-up on hip flexor and quadriceps flexibility as measured by a modified Thomas test and on range of motion (ROM) of the leg and foot speed at impact in kicking a football with maximum effort. Sixteen Australian Rules (AR) footballers performed two different warm-ups on different days. One warm-up involved five minutes of sub-maximum running followed by seven practice kicks, while the other also included 4.5 minutes static stretching of the hip flexors and quadriceps after the running. A modified Thomas test was conduced before and after each warm-up. Players performed maximum effort drop punt kicks into a net while being videotaped to determine the ROM of the kicking leg and foot speed at impact with the ball. There were no significant changes in flexibility (p>0.05) as a result of either warm-up and there were no significant differences between the warm-ups in the kicking variables (p>0.05). It was concluded that the Thomas test may not have been sensitive to possible acute changes in flexibility from the warm-ups, and that stretching had no influence on kicking ROM or foot speed, possibly because of the complexity of the kicking skill.
Description:
Objective: E-therapy shows promise as a solution to the barriers that stand in the way of people receiving eating disorder (ED) treatment. Despite the potential for e-therapy to reduce the well-known treatment gap, little is known about public views and perspectives on this mode of intervention delivery. This study explored attitudes toward, and preferences for, e-therapy among individuals spanning the spectrum of eating pathology. Method: Survey data assessing e-therapy attitudes and preferences were analyzed from 713 participants recruited from the public. Participants were categorized into one of five subgroups based on the type of self-reported ED symptoms and severity/risk level, ranging from high risk to a probable threshold or subthreshold ED. Results: Attitudes toward e-therapies appeared to be relatively positive; participants largely supported health care insurance coverage of costs for e-therapies, and were optimistic about the wide-ranging benefits of e-therapy. Although three-quarters of participants expressed a preference for face-to-face therapy, a significant percentage of participants (
Description:
This research explores the question: 'How do social workers and multidisciplinary mental health professionals perceive and understand risk and how does this inform decision-making and service provision?' In-depth face-to-face interviews were conducted with health and mental health workers employed at a major health service based in Melbourne, Australia. Participants were employed in hospitals, community health centres, and residential care facilities including specialist mental health services. Theoretic thematic analysis was used to identify seven dominant themes reported by study participants. These were: (1) establishing risk ownership (2) a hierarchy of fears (3) self-doubt and self-blame (4) organisational incident reviews (5) blame from client, family and society (6) the protective shield and (7) evaluating safety and meaning. The study findings have implications for further research and social work education on risk assessment, decision-making and appropriate social work responses. [Author abstract]
Description:
This research explores the question: 'How do social workers and multidisciplinary mental health professionals perceive and understand risk and how does this inform decision-making and service provision?' In-depth face-to-face interviews were conducted with health and mental health workers employed at a major health service based in Melbourne, Australia. Participants were employed in hospitals, community health centres, and residential care facilities including specialist mental health services. Theoretic thematic analysis was used to identify seven dominant themes reported by study participants. These were: (1) establishing risk ownership (2) a hierarchy of fears (3) self-doubt and self-blame (4) organisational incident reviews (5) blame from client, family and society (6) the protective shield and (7) evaluating safety and meaning. The study findings have implications for further research and social work education on risk assessment, decision-making and appropriate social work responses. [Author abstract]
Description:
Aims: To assess the use of the International Classification of Diseases Australian Modification (ICD-10-AM) activity sub-codes for identifying sports/leisure injury hospitalizations and the impact of missing codes on population incidence estimates. Methods: Injury-related hospital separations in New South Wales, Australia, for the period 2003-04 were examined with sports/leisure cases identified by the ICD-10-AM activity codes. Results: Over 30% of all injury hospitalizations had either a missing or unspecified activity code. Among cases with valid activity codes, 13.9% of all injury hospitalizations were associated with sports/leisure. When adjusted for underreporting associated with undefined or missing activity codes, sports/leisure injuries accounted for up to 20% of injury hospitalizations. Conclusion: Defining sports/leisure injury cases on the basis of activity codes is likely to lead to an underestimate of their contribution to the overall injury burden. Improvements need to be made to the completeness of activity coding of hospitalization data.
Description:
Introduction Despite an injury incidence of up to 3.0/1000 hours of play, there are no published tennis injury prevention programmes. This article aims to describe the developmental process of TennisReady, an e-health tennis-specific injury programme for adult recreational tennis players. Five-step approach A bottom-up, five-step approach was used with the Knowledge Transfer Scheme as a guideline. During the first step, a problem statement among targeted users was carried out. 475 (partially) completed surveys and group interviews (n=8) revealed a preference for an app-based prevention intervention of 10-15 min. As a second step, a systematic review was performed to identify prevention strategies in tennis. None were found. In step 3, during two expert group meetings (n=18), the findings of the first two steps were discussed and goals were formulated. Relevant and potential exercises for the programme were discussed. A subgroup of a total of six physical therapists, physicians and trainers developed the content of the programme in step 4. Step 5 included an evaluation of the exercises in 33 recreational tennis players. Participants evaluated the exercises during training sessions with trainers involved in the programme's development or their colleagues. Participants evaluated the programme through standardised surveys or group interviews. Based on this evaluation, the programme was adjusted by altering exercises and frequencies, and it was evaluated in a second target group (n=27). The second evaluation did not result in any major changes to the final prevention programme. Conclusion Through a five-step approach guided by the Knowledge Transfer Scheme, we developed an e-health tennis-specific prevention programme for adult tennis players. This 10 min intervention will require testing in a randomised controlled setting.
Description:
Introduction Despite an injury incidence of up to 3.0/1000 hours of play, there are no published tennis injury prevention programmes. This article aims to describe the developmental process of TennisReady, an e-health tennis-specific injury programme for adult recreational tennis players. Five-step approach A bottom-up, five-step approach was used with the Knowledge Transfer Scheme as a guideline. During the first step, a problem statement among targeted users was carried out. 475 (partially) completed surveys and group interviews (n=8) revealed a preference for an app-based prevention intervention of 10-15 min. As a second step, a systematic review was performed to identify prevention strategies in tennis. None were found. In step 3, during two expert group meetings (n=18), the findings of the first two steps were discussed and goals were formulated. Relevant and potential exercises for the programme were discussed. A subgroup of a total of six physical therapists, physicians and trainers developed the content of the programme in step 4. Step 5 included an evaluation of the exercises in 33 recreational tennis players. Participants evaluated the exercises during training sessions with trainers involved in the programme's development or their colleagues. Participants evaluated the programme through standardised surveys or group interviews. Based on this evaluation, the programme was adjusted by altering exercises and frequencies, and it was evaluated in a second target group (n=27). The second evaluation did not result in any major changes to the final prevention programme. Conclusion Through a five-step approach guided by the Knowledge Transfer Scheme, we developed an e-health tennis-specific prevention programme for adult tennis players. This 10 min intervention will require testing in a randomised controlled setting.
Description:
There have been limited epidemiological studies that delve into injuries sustained during fitness activities, and fewer that have explored injury prevention strategies and evaluated their success. Popular individual and team sports such as athletics, swimming, basketball and various codes of football have enjoyed extensive epidemiological attention for years, and due to the sports' popularity and public profile, will continue to be highly researched areas. Other epidemiological research has focused on sports injuries more generally, or on specific injury types such as concussion, anterior cruciate ligament injury and hamstring injury. According to the Australian Bureau of Statistics' Exercise Recreation and Sport Survey (ERASS), fitness/gym is the second most popular recreation or sport activity participated in by Australians aged 15+ years. Considering the number of people who participate in fitness activities, and the devastating impact that injuries can have on the individual, their family and friends, and society, it is necessary to devote some research to preventing these.