Interpretive phenomenological approaches to rural mental health research
- Authors: Aisbett, Damon
- Date: 2006
- Type: Text , Journal article
- Relation: Rural Social Work and Community Practice Vol. 11, no. (2006), p. 52-58
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- Description: While researchers in the fields of social work and nursing have recognised the usefulness of qualitative research methods for many years, researchers in psychology have tended to lag behind in their understanding of the value and applicability of qualitative approaches. The aims of this article are to consider the role of qualitative research in psychology, to outline the various steps involved in conducting qualitative data collection and Interpretive Phenomenological Analysis (IPA) for those not versed in these techniques, and to provide a case example of the applicability of these methods to rural adolescent mental health research. The final section of this article includes a detailed discussion of the advantages and limitations of IPA.
- Description: C1
- Description: 2003001977
Tobacco retailer density and smoking behavior in a rural Australian jurisdiction without a tobacco retailer licensing system
- Baker, John, Masood, Mohd, Rahman, Muhammad Aziz, Thornton, Lukar, Begg, Stephen
- Authors: Baker, John , Masood, Mohd , Rahman, Muhammad Aziz , Thornton, Lukar , Begg, Stephen
- Date: 2021
- Type: Text , Journal article
- Relation: Tobacco Induced Diseases Vol. 19, no. (2021), p. 1-10
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- Description: INTRODUCTION An emerging body of research has developed around tobacco retailer density and its contribution to smoking behavior. This cross-sectional study aimed to determine the association between tobacco retailer density and smoking behavior in a rural Australian jurisdiction without a tobacco retailer licensing system in place. METHODS A local government database (updated 2018) of listed tobacco retailers (n=93) was accessed and potential unlisted tobacco retailers (n=230) were added using online searches. All retailers (n=323) were visited in 2019 and GPS coordinates of retailers that sold tobacco (n=125) were assigned to suburbs in ArcMap. A community survey conducted in the Local Government Area provided smoking and sociodemographic data amongst adult respondents (n=8981). Associations between tobacco retailer density (calculated as the number of retailers per km2 based on respondents' suburb of residence) and daily, occasional and experimental smoking were assessed using multilevel logistic regression analysis. Separate models with and without covariates were undertaken. RESULTS Without adjusting for possible confounders, living in suburbs with greater retailer density did not increase the odds of daily smoking (OR=1.01; 95% CI: 0.92-1.12), occasional smoking (OR=1.05; 95% CI: 0.94-1.18), or experimental smoking (OR=0.98; 95% 0.92- 1.05). However, after adjustment, living in suburbs with greater retailer density increased the odds of occasional smoking behavior (AOR=1.37; 95% CI: 1.10-1.71) but not daily or experimental smoking. CONCLUSIONS This study found a significant positive association between tobacco retailer density and the likelihood of occasional smoking in a rural Australian jurisdiction without a tobacco retailer licensing system in place. The findings strengthen calls for the introduction of a comprehensive, positive tobacco retailer licensing system to provide a framework for improving compliance with legislation and to reduce the overall availability of tobacco products in the community. © 2021 Baker J. et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License. (https://creativecommons.org/licenses/by/4.0/)
- Authors: Baker, John , Masood, Mohd , Rahman, Muhammad Aziz , Thornton, Lukar , Begg, Stephen
- Date: 2021
- Type: Text , Journal article
- Relation: Tobacco Induced Diseases Vol. 19, no. (2021), p. 1-10
- Full Text:
- Reviewed:
- Description: INTRODUCTION An emerging body of research has developed around tobacco retailer density and its contribution to smoking behavior. This cross-sectional study aimed to determine the association between tobacco retailer density and smoking behavior in a rural Australian jurisdiction without a tobacco retailer licensing system in place. METHODS A local government database (updated 2018) of listed tobacco retailers (n=93) was accessed and potential unlisted tobacco retailers (n=230) were added using online searches. All retailers (n=323) were visited in 2019 and GPS coordinates of retailers that sold tobacco (n=125) were assigned to suburbs in ArcMap. A community survey conducted in the Local Government Area provided smoking and sociodemographic data amongst adult respondents (n=8981). Associations between tobacco retailer density (calculated as the number of retailers per km2 based on respondents' suburb of residence) and daily, occasional and experimental smoking were assessed using multilevel logistic regression analysis. Separate models with and without covariates were undertaken. RESULTS Without adjusting for possible confounders, living in suburbs with greater retailer density did not increase the odds of daily smoking (OR=1.01; 95% CI: 0.92-1.12), occasional smoking (OR=1.05; 95% CI: 0.94-1.18), or experimental smoking (OR=0.98; 95% 0.92- 1.05). However, after adjustment, living in suburbs with greater retailer density increased the odds of occasional smoking behavior (AOR=1.37; 95% CI: 1.10-1.71) but not daily or experimental smoking. CONCLUSIONS This study found a significant positive association between tobacco retailer density and the likelihood of occasional smoking in a rural Australian jurisdiction without a tobacco retailer licensing system in place. The findings strengthen calls for the introduction of a comprehensive, positive tobacco retailer licensing system to provide a framework for improving compliance with legislation and to reduce the overall availability of tobacco products in the community. © 2021 Baker J. et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License. (https://creativecommons.org/licenses/by/4.0/)
Older class people - First class experience : Stories of ageing well in rural communities of Victoria
- Authors: Blume, Suzanne
- Date: 2006
- Type: Text , Conference paper
- Relation: Paper presented at Diversity in Ageing Conference 2006, Sydney : 23rd November, 2006 p. 52-60
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- Description: Victorians aged 65 years and over are classified as ‘old’, yet many are able to remain living at home in a rural area, maintain health, retain a sense of wellbeing, and lead productive lives without requiring extraordinary assistance to do so. As such, these older people are exemplars of healthy ageing. This qualitative study examined the stories of older people who were living in that moment to answer questions about the meaning of ageing and living at home in a rural community for older people and the measures used to sustain that lifestyle. Rich descriptions were gathered through face-to-face interviews with ten older people living at home in various rural areas of Victoria. Their stories describe personal perceptions and philosophies of ageing and ‘being old’, life as a rural living older person and individual means of meeting declining physical dexterity. This study describes the acumen of a small group of rural living older people from whom much can be learnt. However, further research with larger populations of older people would enhance learning opportunities for other Australians who similarly wish to achieve positive healthy ageing whilst living at home in a rural community.
- Description: E1
- Description: 2003002143
- Authors: Blume, Suzanne
- Date: 2006
- Type: Text , Conference paper
- Relation: Paper presented at Diversity in Ageing Conference 2006, Sydney : 23rd November, 2006 p. 52-60
- Full Text:
- Reviewed:
- Description: Victorians aged 65 years and over are classified as ‘old’, yet many are able to remain living at home in a rural area, maintain health, retain a sense of wellbeing, and lead productive lives without requiring extraordinary assistance to do so. As such, these older people are exemplars of healthy ageing. This qualitative study examined the stories of older people who were living in that moment to answer questions about the meaning of ageing and living at home in a rural community for older people and the measures used to sustain that lifestyle. Rich descriptions were gathered through face-to-face interviews with ten older people living at home in various rural areas of Victoria. Their stories describe personal perceptions and philosophies of ageing and ‘being old’, life as a rural living older person and individual means of meeting declining physical dexterity. This study describes the acumen of a small group of rural living older people from whom much can be learnt. However, further research with larger populations of older people would enhance learning opportunities for other Australians who similarly wish to achieve positive healthy ageing whilst living at home in a rural community.
- Description: E1
- Description: 2003002143
Perspectives of aboriginal issues among non-aboriginal residents of rural Victorian communities
- Bourke, Lisa, Malatzky, Christina, Terry, Daniel, Nixon, Raelene, Ferguson, Karyn, Ferguson, Peter
- Authors: Bourke, Lisa , Malatzky, Christina , Terry, Daniel , Nixon, Raelene , Ferguson, Karyn , Ferguson, Peter
- Date: 2017
- Type: Text , Journal article
- Relation: Australian Journal of Social Issues Vol. 52, no. 3 (2017), p. 278-293
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- Description: Racism, in various forms, remains a dominant feature in Australian society. Aboriginal Australians are commonly targets of racial discrimination. However, understanding racism is difficult given that racial attitudes vary towards particular groups of people, across place and time and are difficult to measure. This paper presents responses of residents across four rural shires in Victoria to questions about attitudes towards Aboriginal people/issues. Responses indicated that attitudes towards Aboriginal people were diverse and that individuals varied in their attitudes on specific items. There were subtle differences between the four sites and association between demographic characteristics and some items in particular sites. This suggests that respondents are inconsistent in their attitudes relating to Aboriginal people/issues and that there are place-based influences on these attitudes. We conclude that the many varied understandings of racism and Aboriginal Australians allow the discourses of exclusion, disempowerment and othering to be maintained. © 2017 Australian Social Policy Association.
- Authors: Bourke, Lisa , Malatzky, Christina , Terry, Daniel , Nixon, Raelene , Ferguson, Karyn , Ferguson, Peter
- Date: 2017
- Type: Text , Journal article
- Relation: Australian Journal of Social Issues Vol. 52, no. 3 (2017), p. 278-293
- Full Text:
- Reviewed:
- Description: Racism, in various forms, remains a dominant feature in Australian society. Aboriginal Australians are commonly targets of racial discrimination. However, understanding racism is difficult given that racial attitudes vary towards particular groups of people, across place and time and are difficult to measure. This paper presents responses of residents across four rural shires in Victoria to questions about attitudes towards Aboriginal people/issues. Responses indicated that attitudes towards Aboriginal people were diverse and that individuals varied in their attitudes on specific items. There were subtle differences between the four sites and association between demographic characteristics and some items in particular sites. This suggests that respondents are inconsistent in their attitudes relating to Aboriginal people/issues and that there are place-based influences on these attitudes. We conclude that the many varied understandings of racism and Aboriginal Australians allow the discourses of exclusion, disempowerment and othering to be maintained. © 2017 Australian Social Policy Association.
Mental health problems in rural contexts : A broader perspective
- Boyd, Candice, Hayes, Louise, Sewell, Jessica, Caldwell, Kirra, Kemp, Evan, Harvie, Lisa, Aisbett, Damon, Nurse, Sarah
- Authors: Boyd, Candice , Hayes, Louise , Sewell, Jessica , Caldwell, Kirra , Kemp, Evan , Harvie, Lisa , Aisbett, Damon , Nurse, Sarah
- Date: 2008
- Type: Text , Journal article
- Relation: Australian Psychologist Vol. 43, no. 1 (2008), p. 2-6
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- Description: The objectives of this article are to expand and comment upon a recent review in Australian Psychologist of the literature in relation to mental health problems in rural contexts by Jackson et al. (2007). In the present article we review recently published qualitative research on the help-seeking attitudes and experiences of rural Australian adolescents. While we agree on the utility of the Macintyre, Ellaway, and Cummins (2002) conceptual framework based on notions of health and place, we note that this framework specifically emphasises the importance of the collective dimension. We present a broader perspective on health and place than Jackson et al. (2007) by incorporating social geographic research. We argue that rural mental health research has been hampered by a simplistic view of social stigma of mental illness and that a more thorough conceptualisation of the phenomenon is needed. Finally, we make some further recommendations based on a broader perspective of mental health in rural contexts: one that incorporates an in-depth understanding of the help-seeking attitudes and experiences of rural adolescents as well as an appreciation of the collective social functioning of rural communities.
- Description: C1
- Authors: Boyd, Candice , Hayes, Louise , Sewell, Jessica , Caldwell, Kirra , Kemp, Evan , Harvie, Lisa , Aisbett, Damon , Nurse, Sarah
- Date: 2008
- Type: Text , Journal article
- Relation: Australian Psychologist Vol. 43, no. 1 (2008), p. 2-6
- Full Text:
- Reviewed:
- Description: The objectives of this article are to expand and comment upon a recent review in Australian Psychologist of the literature in relation to mental health problems in rural contexts by Jackson et al. (2007). In the present article we review recently published qualitative research on the help-seeking attitudes and experiences of rural Australian adolescents. While we agree on the utility of the Macintyre, Ellaway, and Cummins (2002) conceptual framework based on notions of health and place, we note that this framework specifically emphasises the importance of the collective dimension. We present a broader perspective on health and place than Jackson et al. (2007) by incorporating social geographic research. We argue that rural mental health research has been hampered by a simplistic view of social stigma of mental illness and that a more thorough conceptualisation of the phenomenon is needed. Finally, we make some further recommendations based on a broader perspective of mental health in rural contexts: one that incorporates an in-depth understanding of the help-seeking attitudes and experiences of rural adolescents as well as an appreciation of the collective social functioning of rural communities.
- Description: C1
Social geography and rural mental health research
- Authors: Boyd, Candice , Parr, H
- Date: 2008
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 8, no. (2008), p. 1-5
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- Description: C1
- Authors: Boyd, Candice , Parr, H
- Date: 2008
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 8, no. (2008), p. 1-5
- Full Text:
- Reviewed:
- Description: C1
Social inequity, clinical pragmatism, and the rural practitioner
- Authors: Boyd, Candice
- Date: 2006
- Type: Text , Journal article
- Relation: Rural Social Work and Community Practice Vol. 10, no. 2 (2006), p. 36-37
- Full Text:
- Description: C1
- Description: 2003004370
Trust in rural areas
- Braun, Patrice, Lowe, Julian
- Authors: Braun, Patrice , Lowe, Julian
- Date: 2005
- Type: Text , Conference paper
- Relation: Paper presented at the 2nd National Conference on the Future of Country Towns, Bendigo, Australia : 11th July, 2005
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- Description: E1
- Description: 2003001148
- Authors: Braun, Patrice , Lowe, Julian
- Date: 2005
- Type: Text , Conference paper
- Relation: Paper presented at the 2nd National Conference on the Future of Country Towns, Bendigo, Australia : 11th July, 2005
- Full Text:
- Reviewed:
- Description: E1
- Description: 2003001148
Unwrapping packages : An exploration of the implementation of community care policy in rural Victoria
- Authors: Brown, Katrina
- Date: 2004
- Type: Text , Conference paper
- Relation: Paper presented at the 3rd National Conference for emerging researchers in Ageing, Brisbane, Australia : 2nd December, 2004 p. 80-83
- Full Text:
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- Description: This paper will discuss research being conducted into the implementation of community care for the aged in rural Victoria, by focusing on one program – Community Aged Care Packages (CACP). This program has expanded rapidly in the last 15 years to provide case management and service brokerage as a community based alternative to low level residential care. The research is being undertaken as part of a PhD thesis and utilises a multi-method qualitative design of semi-structured interviews, documentary analysis and case study analysis. This paper will focus on a discussion of the preliminary results of the study, utilising data from an initial series of exploratory semi-structured interviews. The data from these interviews suggests that although the program is delivering highly valued services, program implementation choices have had unintended consequences and do not take account of rural issues in service provision. This data has implications for the development of policy and delivery in the aged care area, however it also illustrates the way in which policy implementation choices can impact on the quality of life of those who need support services.
- Description: E1
- Description: 2003000945
- Authors: Brown, Katrina
- Date: 2004
- Type: Text , Conference paper
- Relation: Paper presented at the 3rd National Conference for emerging researchers in Ageing, Brisbane, Australia : 2nd December, 2004 p. 80-83
- Full Text:
- Reviewed:
- Description: This paper will discuss research being conducted into the implementation of community care for the aged in rural Victoria, by focusing on one program – Community Aged Care Packages (CACP). This program has expanded rapidly in the last 15 years to provide case management and service brokerage as a community based alternative to low level residential care. The research is being undertaken as part of a PhD thesis and utilises a multi-method qualitative design of semi-structured interviews, documentary analysis and case study analysis. This paper will focus on a discussion of the preliminary results of the study, utilising data from an initial series of exploratory semi-structured interviews. The data from these interviews suggests that although the program is delivering highly valued services, program implementation choices have had unintended consequences and do not take account of rural issues in service provision. This data has implications for the development of policy and delivery in the aged care area, however it also illustrates the way in which policy implementation choices can impact on the quality of life of those who need support services.
- Description: E1
- Description: 2003000945
Rural maternity and media discourse analysis: Framing new narratives
- Brundell, Kath, Vasilevski, Vidanka, Farrell, Tanya, Sweet, Linda
- Authors: Brundell, Kath , Vasilevski, Vidanka , Farrell, Tanya , Sweet, Linda
- Date: 2023
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 31, no. 3 (2023), p. 395-407
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- Description: Continued rural maternity closure across Australia has seen impacts on women and families such as financial pressures, quality and safety concerns, and emotional pressure. This review aimed at understanding how media coverage of rural maternity and closure are presented and what impact this may have on maternity service sustainability. This research seeks to examine media discourse and characteristics of online newspaper articles related to rural maternity services. A narrative review was conducted using thematic discourse analysis to examine online newspaper content published in Victoria, Australia from 2010 to June 2021. Local maternity services were a source of community interest for rural people. Coverage of negative outcomes for mothers and babies was highlighted by rural newspapers however, increased content over the last 12-month period focused on community support for the sustainability of rural maternity services. Recent community support in newspaper articles coincided with maternity services reviews and retaining some of these rural services. Community support in media may provide a protective social pressure, leading rural health services to consider this when reviewing the sustainability or closure of rural maternity services. Media attention about sustaining local maternity services by highlighting issues and representing community voices may influence health executive to consider opportunities to remodel and sustain high-quality and safe maternity care in rural settings. Knowing how rural health executives consider media, community pressure, and how it impacts expediency of maternity service closure decisions is unknown and an important gap in knowledge to explore and understand.
- Authors: Brundell, Kath , Vasilevski, Vidanka , Farrell, Tanya , Sweet, Linda
- Date: 2023
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 31, no. 3 (2023), p. 395-407
- Full Text:
- Reviewed:
- Description: Continued rural maternity closure across Australia has seen impacts on women and families such as financial pressures, quality and safety concerns, and emotional pressure. This review aimed at understanding how media coverage of rural maternity and closure are presented and what impact this may have on maternity service sustainability. This research seeks to examine media discourse and characteristics of online newspaper articles related to rural maternity services. A narrative review was conducted using thematic discourse analysis to examine online newspaper content published in Victoria, Australia from 2010 to June 2021. Local maternity services were a source of community interest for rural people. Coverage of negative outcomes for mothers and babies was highlighted by rural newspapers however, increased content over the last 12-month period focused on community support for the sustainability of rural maternity services. Recent community support in newspaper articles coincided with maternity services reviews and retaining some of these rural services. Community support in media may provide a protective social pressure, leading rural health services to consider this when reviewing the sustainability or closure of rural maternity services. Media attention about sustaining local maternity services by highlighting issues and representing community voices may influence health executive to consider opportunities to remodel and sustain high-quality and safe maternity care in rural settings. Knowing how rural health executives consider media, community pressure, and how it impacts expediency of maternity service closure decisions is unknown and an important gap in knowledge to explore and understand.
Developing policy for Australia's small towns : From anthropology to sustainability
- Courvisanos, Jerry, Martin, John
- Authors: Courvisanos, Jerry , Martin, John
- Date: 2005
- Type: Text , Conference paper
- Relation: Paper presented at the Centre for Sustainable Regional Communities (CSRC) 2nd National Conference on the future of Australia's Country Towns, Latrobe, Bendigo : 11th February, 2005
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- Description: Over the last three decades the way in which public policy analysts learn about the structure and function of Australia’s small towns has shifted from the intensive, in-depth analysis provided by the anthropologist living in the community (called “community studies”) to a more empirically oriented, demographic-based research carried out at a distance from these places (called “sustainability studies”). Rather than just understanding the functioning of small towns through case studies, recent research emphasis has centred on the more “aggregative” question of small town sustainability in all it forms. This alters the way in which small towns are viewed and complicates the current policy approaches to small town development and change. This paper identifies the two different methodologies implied by these divergent approaches and examines what this means to understanding of small towns and the policy implications that emerge. By reviewing the community studies approach to learning about small towns popular in the 1960s and 1970s, and contrasting this approach with recent, more aggregative approaches to learning about the sustainability of towns; this paper aims to find points of alignment and suggest a broader research framework that incorporates both approaches. This provides a comprehensive understanding of small towns, leading to a more effective development of public policies for these communities.
- Description: E1
- Description: 2003001308
- Authors: Courvisanos, Jerry , Martin, John
- Date: 2005
- Type: Text , Conference paper
- Relation: Paper presented at the Centre for Sustainable Regional Communities (CSRC) 2nd National Conference on the future of Australia's Country Towns, Latrobe, Bendigo : 11th February, 2005
- Full Text:
- Reviewed:
- Description: Over the last three decades the way in which public policy analysts learn about the structure and function of Australia’s small towns has shifted from the intensive, in-depth analysis provided by the anthropologist living in the community (called “community studies”) to a more empirically oriented, demographic-based research carried out at a distance from these places (called “sustainability studies”). Rather than just understanding the functioning of small towns through case studies, recent research emphasis has centred on the more “aggregative” question of small town sustainability in all it forms. This alters the way in which small towns are viewed and complicates the current policy approaches to small town development and change. This paper identifies the two different methodologies implied by these divergent approaches and examines what this means to understanding of small towns and the policy implications that emerge. By reviewing the community studies approach to learning about small towns popular in the 1960s and 1970s, and contrasting this approach with recent, more aggregative approaches to learning about the sustainability of towns; this paper aims to find points of alignment and suggest a broader research framework that incorporates both approaches. This provides a comprehensive understanding of small towns, leading to a more effective development of public policies for these communities.
- Description: E1
- Description: 2003001308
A scoping review of community-based adult suicide prevention initiatives in rural and regional australia
- Dabkowski, Elissa, Porter, Joanne, Barbagallo, Michael, Prokopiv, Valerie, Jackson, Megan
- Authors: Dabkowski, Elissa , Porter, Joanne , Barbagallo, Michael , Prokopiv, Valerie , Jackson, Megan
- Date: 2022
- Type: Text , Journal article , Review
- Relation: International Journal of Environmental Research and Public Health Vol. 19, no. 12 (2022), p.
- Full Text:
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- Description: The need for continued research into suicide prevention strategies is undeniable, with high global statistics demonstrating the urgency of this public health issue. In Australia, approximately 3000 people end their lives each year, with those living in rural and regional areas identified as having a higher risk of dying by suicide. Due to decreased access and support services in these areas, community-based suicide prevention initiatives provide opportunities to educate and support local communities. A scoping review was conducted to explore the literature pertaining to such programs in rural and/or regional communities in Australia. This review follows the five-stage Arksey and O’Malley (2005) framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. Nine databases were searched, from which studies were considered eligible if suicide prevention programs were community-based and catered for adults (aged
- Authors: Dabkowski, Elissa , Porter, Joanne , Barbagallo, Michael , Prokopiv, Valerie , Jackson, Megan
- Date: 2022
- Type: Text , Journal article , Review
- Relation: International Journal of Environmental Research and Public Health Vol. 19, no. 12 (2022), p.
- Full Text:
- Reviewed:
- Description: The need for continued research into suicide prevention strategies is undeniable, with high global statistics demonstrating the urgency of this public health issue. In Australia, approximately 3000 people end their lives each year, with those living in rural and regional areas identified as having a higher risk of dying by suicide. Due to decreased access and support services in these areas, community-based suicide prevention initiatives provide opportunities to educate and support local communities. A scoping review was conducted to explore the literature pertaining to such programs in rural and/or regional communities in Australia. This review follows the five-stage Arksey and O’Malley (2005) framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. Nine databases were searched, from which studies were considered eligible if suicide prevention programs were community-based and catered for adults (aged
Exploring hospital inpatients’ awareness of their falls risk : a qualitative exploratory study
- Dabkowski, Elissa, Cooper, Simon, Duncan, Jhodie, Missen, Karen
- Authors: Dabkowski, Elissa , Cooper, Simon , Duncan, Jhodie , Missen, Karen
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal of Environmental Research and Public Health Vol. 20, no. 1 (2023), p.
- Full Text:
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- Description: Patient falls in hospital may lead to physical, psychological, social and financial impacts. Understanding patients’ perceptions of their fall risk will help to direct fall prevention strategies and understand patient behaviours. The aim of this study was to explore the perceptions and experiences that influence a patient’s understanding of their fall risk in regional Australian hospitals. Semi-structured, individual interviews were conducted in wards across three Australian hospitals. Participants were aged 40 years and over, able to communicate in English and were mobile prior to hospital admission. Participants were excluded from the study if they returned a Standardised Mini-Mental State Examination (SMMSE) score of less than 18 when assessed by the researcher. A total of 18 participants with an average age of 69.8 years (SD ± 12.7, range 41 to 84 years) from three regional Victorian hospitals were interviewed for this study. Data were analysed using a reflexive thematic analysis identifying three major themes; (1) Environment (extrinsic) (2) Individual (intrinsic), and (3) Outcomes, as well as eight minor themes. Participants recognised the hazardous nature of a hospital and their personal responsibilities in staying safe. Falls education needs to be consistently delivered, with the focus on empowering the patient to help them adjust to changes in their clinical condition, whether temporary or permanent. © 2022 by the authors.
- Authors: Dabkowski, Elissa , Cooper, Simon , Duncan, Jhodie , Missen, Karen
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal of Environmental Research and Public Health Vol. 20, no. 1 (2023), p.
- Full Text:
- Reviewed:
- Description: Patient falls in hospital may lead to physical, psychological, social and financial impacts. Understanding patients’ perceptions of their fall risk will help to direct fall prevention strategies and understand patient behaviours. The aim of this study was to explore the perceptions and experiences that influence a patient’s understanding of their fall risk in regional Australian hospitals. Semi-structured, individual interviews were conducted in wards across three Australian hospitals. Participants were aged 40 years and over, able to communicate in English and were mobile prior to hospital admission. Participants were excluded from the study if they returned a Standardised Mini-Mental State Examination (SMMSE) score of less than 18 when assessed by the researcher. A total of 18 participants with an average age of 69.8 years (SD ± 12.7, range 41 to 84 years) from three regional Victorian hospitals were interviewed for this study. Data were analysed using a reflexive thematic analysis identifying three major themes; (1) Environment (extrinsic) (2) Individual (intrinsic), and (3) Outcomes, as well as eight minor themes. Participants recognised the hazardous nature of a hospital and their personal responsibilities in staying safe. Falls education needs to be consistently delivered, with the focus on empowering the patient to help them adjust to changes in their clinical condition, whether temporary or permanent. © 2022 by the authors.
Does sports club participation contribute to health-related quality of life?
- Eime, Rochelle, Harvey, Jack, Brown, Wendy, Payne, Warren
- Authors: Eime, Rochelle , Harvey, Jack , Brown, Wendy , Payne, Warren
- Date: 2010
- Type: Text , Journal article
- Relation: Medicine and Science in Sports and Exercise Vol. 42, no. 5 (2010), p. 1022-1028
- Full Text:
- Reviewed:
- Description: Does Sports Club Participation Contribute to Health-Related Quality of Life? Med. Sci. Sports Exerc., Vol. 42, No. 5, pp. 1022-1028, 2010. Given the social nature of participation in sport, we hypothesized that club sports participants would have greater well-being and quality of life than participants in other forms of physical activity (PA). Purpose: The purpose of this study was to examine health-related quality of life and life satisfaction in women who participate in three contrasting forms of PA: club sport, gym activities, and walking. Methods: This was a cross-sectional study of the relationship between type of PA setting and measures of health-related quality of life (Short-Form Health Survey [SF-36]) and life satisfaction in 818 women living in rural Victoria, Australia, in 2007. Data were also compared with those from a normative sample of 2345 women. Results: After adjustment for potential confounders (age,! education, marital status, children aged <16 yr, perceived financial stress, and level of recreational PA), four of the eight SF-36 subscales, the SF-36 mental health component summary score, and life satisfaction were significantly higher in the club sport group than that in the other groups. Conclusion: Although cross-sectional research cannot establish causal links, the results suggest that participation in club sport may enhance the health benefits of PA.
- Description: 2003008119
- Authors: Eime, Rochelle , Harvey, Jack , Brown, Wendy , Payne, Warren
- Date: 2010
- Type: Text , Journal article
- Relation: Medicine and Science in Sports and Exercise Vol. 42, no. 5 (2010), p. 1022-1028
- Full Text:
- Reviewed:
- Description: Does Sports Club Participation Contribute to Health-Related Quality of Life? Med. Sci. Sports Exerc., Vol. 42, No. 5, pp. 1022-1028, 2010. Given the social nature of participation in sport, we hypothesized that club sports participants would have greater well-being and quality of life than participants in other forms of physical activity (PA). Purpose: The purpose of this study was to examine health-related quality of life and life satisfaction in women who participate in three contrasting forms of PA: club sport, gym activities, and walking. Methods: This was a cross-sectional study of the relationship between type of PA setting and measures of health-related quality of life (Short-Form Health Survey [SF-36]) and life satisfaction in 818 women living in rural Victoria, Australia, in 2007. Data were also compared with those from a normative sample of 2345 women. Results: After adjustment for potential confounders (age,! education, marital status, children aged <16 yr, perceived financial stress, and level of recreational PA), four of the eight SF-36 subscales, the SF-36 mental health component summary score, and life satisfaction were significantly higher in the club sport group than that in the other groups. Conclusion: Although cross-sectional research cannot establish causal links, the results suggest that participation in club sport may enhance the health benefits of PA.
- Description: 2003008119
A descriptive study of health, lifestyle and sociodemographic characteristics and their relationship to known dementia risk factors in rural Victorian communities
- Ervin, Kaye, Pallant, Julie, Terry, Daniel, Bourke, Lisa, Pierce, David, Glenister, Kristen
- Authors: Ervin, Kaye , Pallant, Julie , Terry, Daniel , Bourke, Lisa , Pierce, David , Glenister, Kristen
- Date: 2015
- Type: Text , Journal article
- Relation: Aims Medical Science Vol. 2, no. 3 (2015), p. 246-260
- Full Text:
- Reviewed:
- Description: It is essential to determine the key health risk factors among populations to specifically plan future services and explore interventions that modify risk factors for communities. This aims to reduce risks and delay the onset of chronic conditions, which frequently results in dementia, particularly for small rural communities which experience health workforce shortages, a higher proportion of those in the chronic conditions age group, and reduced access to care. The aim of the study was to determine existing rates of chronic disease, and current lifestyle and sociodemographic factors which may predispose the population to higher risk of dementia. Residents from three shires in rural Victoria, Australia were recruited by random and non-random sampling techniques to complete a survey regarding health perceptions, pre-existing illnesses, health behaviors and social activity in their community. A total of 1474 people completed the survey. Positive factors reported were social participation and low rates of smoking. Negative factors included low rates of physical activity, high rates of obesity and high rates of chronic conditions that indicate significant risk factors for dementia in these communities. Although some factors are modifiable, these communities also have a large population of older residents. This study suggests that community interventions could modify lifestyle risk factors in these rural communities. These lifestyle factors, age of residents and the current chronic conditions are also important for rural service planning to increase preventive actions, and warn of the likely increase in the number of people developing chronic conditions with predispositon to dementia.
- Authors: Ervin, Kaye , Pallant, Julie , Terry, Daniel , Bourke, Lisa , Pierce, David , Glenister, Kristen
- Date: 2015
- Type: Text , Journal article
- Relation: Aims Medical Science Vol. 2, no. 3 (2015), p. 246-260
- Full Text:
- Reviewed:
- Description: It is essential to determine the key health risk factors among populations to specifically plan future services and explore interventions that modify risk factors for communities. This aims to reduce risks and delay the onset of chronic conditions, which frequently results in dementia, particularly for small rural communities which experience health workforce shortages, a higher proportion of those in the chronic conditions age group, and reduced access to care. The aim of the study was to determine existing rates of chronic disease, and current lifestyle and sociodemographic factors which may predispose the population to higher risk of dementia. Residents from three shires in rural Victoria, Australia were recruited by random and non-random sampling techniques to complete a survey regarding health perceptions, pre-existing illnesses, health behaviors and social activity in their community. A total of 1474 people completed the survey. Positive factors reported were social participation and low rates of smoking. Negative factors included low rates of physical activity, high rates of obesity and high rates of chronic conditions that indicate significant risk factors for dementia in these communities. Although some factors are modifiable, these communities also have a large population of older residents. This study suggests that community interventions could modify lifestyle risk factors in these rural communities. These lifestyle factors, age of residents and the current chronic conditions are also important for rural service planning to increase preventive actions, and warn of the likely increase in the number of people developing chronic conditions with predispositon to dementia.
Rurality as a predictor of perinatal mental health and well-being in an Australian cohort
- Galbally, Megan, Watson, Stuart, Coleman, Mathew, Worley, Paul, Verrier, Leanda, Padmanabhan, Vineet, Lewis, Andrew
- Authors: Galbally, Megan , Watson, Stuart , Coleman, Mathew , Worley, Paul , Verrier, Leanda , Padmanabhan, Vineet , Lewis, Andrew
- Date: 2023
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 31, no. 2 (2023), p. 182-195
- Full Text:
- Reviewed:
- Description: Objective: Perinatal emotional well-being is more than the presence or absence of depressive and anxiety disorders; it encompasses a wide range of factors that contribute to emotional well-being. This study compares perinatal well-being between women living in metropolitan and rural regions. Design: Prospective, longitudinal cohort. Participants/setting: Eight hundred and six women from Victoria and Western Australia recruited before 20 weeks of pregnancy and followed up to 12 months postpartum. Main outcome measures: Rurality was assessed using the Modified Monash Model (MM Model) with 578 in metropolitan cities MM1, 185 in regional and large rural towns MM2-MM3 and 43 in rural to remote MM4-MM7. The Structured Clinical Interview for DSM-IV (SCID-IV) was administered at recruitment to assess depression, and symptoms of depression and anxiety were measured using the Edinburgh Post-natal Depression Scale and the State and Trait Anxiety Scale, respectively. Other measures included stressful events, diet, exercise, partner support, parenting and sleep. Results: The prevalence of depressive disorders did not differ across rurality. There was also no difference in breastfeeding cessation, exercise, sleep or partner support. Women living in rural communities and who also had depression reported significantly higher parenting stress than metropolitan women and lower access to parenting activities. Conclusions: Our study suggests while many of the challenges of the perinatal period were shared between women in all areas, there were important differences in parenting stress and access to activities. Furthermore, these findings suggest that guidelines and interventions designed for perinatal mental health should consider rurality. © 2022 The Authors. Australian Journal of Rural Health published by John Wiley & Sons Australia, Ltd on behalf of National Rural Health Alliance Ltd.
- Authors: Galbally, Megan , Watson, Stuart , Coleman, Mathew , Worley, Paul , Verrier, Leanda , Padmanabhan, Vineet , Lewis, Andrew
- Date: 2023
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 31, no. 2 (2023), p. 182-195
- Full Text:
- Reviewed:
- Description: Objective: Perinatal emotional well-being is more than the presence or absence of depressive and anxiety disorders; it encompasses a wide range of factors that contribute to emotional well-being. This study compares perinatal well-being between women living in metropolitan and rural regions. Design: Prospective, longitudinal cohort. Participants/setting: Eight hundred and six women from Victoria and Western Australia recruited before 20 weeks of pregnancy and followed up to 12 months postpartum. Main outcome measures: Rurality was assessed using the Modified Monash Model (MM Model) with 578 in metropolitan cities MM1, 185 in regional and large rural towns MM2-MM3 and 43 in rural to remote MM4-MM7. The Structured Clinical Interview for DSM-IV (SCID-IV) was administered at recruitment to assess depression, and symptoms of depression and anxiety were measured using the Edinburgh Post-natal Depression Scale and the State and Trait Anxiety Scale, respectively. Other measures included stressful events, diet, exercise, partner support, parenting and sleep. Results: The prevalence of depressive disorders did not differ across rurality. There was also no difference in breastfeeding cessation, exercise, sleep or partner support. Women living in rural communities and who also had depression reported significantly higher parenting stress than metropolitan women and lower access to parenting activities. Conclusions: Our study suggests while many of the challenges of the perinatal period were shared between women in all areas, there were important differences in parenting stress and access to activities. Furthermore, these findings suggest that guidelines and interventions designed for perinatal mental health should consider rurality. © 2022 The Authors. Australian Journal of Rural Health published by John Wiley & Sons Australia, Ltd on behalf of National Rural Health Alliance Ltd.
Acute circulatory complications in people with diabetes mellitus type 2 : How admission varies between urban and rural Victoria
- Gardiner, Samantha, Robins, Shalley, Terry, Daniel
- Authors: Gardiner, Samantha , Robins, Shalley , Terry, Daniel
- Date: 2019
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 27, no. 1 (2019), p. 49-56
- Full Text:
- Reviewed:
- Description: Objective: To identify the extent to which rurality influences the admission and mortality rates for acute circulatory complications among people with type 2 diabetes mellitus. Design: Retrospective study. Setting: All Victorian hospitals. Participants: State-wide hospital admissions from 1 July 2010 to 30 June 2015 using the Victorian Admitted Episodes Dataset. Data included patients with type 2 diabetes mellitus and diagnosis of acute cardiovascular events, acute cerebrovascular haemorrhage or infarction, acute peripheral vascular events or hypertensive diseases. Main outcome measure: Rates of admission and mortality were calculated for local government areas and Department of Health regions. Regression analysis identified the influence between admission rates and various predictor variables. Results: In total, 5785 emergency hospital admissions occurred during the study period, with the highest and lowest mortality and admission rates occurring in rural areas. Moderately high admission rates were identified in urban areas. Cardiovascular events far outnumbered other acute circulatory admissions. Regression analysis identified a number of significant socioeconomic variables, primarily for metropolitan residents. Socioeconomic disadvantage was the only significant factor in rural areas. Conclusion: Victorian admission and mortality rates for acute circulatory complications are greatest in rural areas; yet, there is considerable heterogeneity in the admission rates within both rural and metropolitan areas. Furthermore, socioeconomic status is more influential than remoteness in determining emergency admissions. Further research needs to investigate the particular variables that lead to poorer outcomes rurally, investigate socioeconomic disadvantage in rural areas and have greater emphasis on peripheral vascular disease prevention.
- Authors: Gardiner, Samantha , Robins, Shalley , Terry, Daniel
- Date: 2019
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 27, no. 1 (2019), p. 49-56
- Full Text:
- Reviewed:
- Description: Objective: To identify the extent to which rurality influences the admission and mortality rates for acute circulatory complications among people with type 2 diabetes mellitus. Design: Retrospective study. Setting: All Victorian hospitals. Participants: State-wide hospital admissions from 1 July 2010 to 30 June 2015 using the Victorian Admitted Episodes Dataset. Data included patients with type 2 diabetes mellitus and diagnosis of acute cardiovascular events, acute cerebrovascular haemorrhage or infarction, acute peripheral vascular events or hypertensive diseases. Main outcome measure: Rates of admission and mortality were calculated for local government areas and Department of Health regions. Regression analysis identified the influence between admission rates and various predictor variables. Results: In total, 5785 emergency hospital admissions occurred during the study period, with the highest and lowest mortality and admission rates occurring in rural areas. Moderately high admission rates were identified in urban areas. Cardiovascular events far outnumbered other acute circulatory admissions. Regression analysis identified a number of significant socioeconomic variables, primarily for metropolitan residents. Socioeconomic disadvantage was the only significant factor in rural areas. Conclusion: Victorian admission and mortality rates for acute circulatory complications are greatest in rural areas; yet, there is considerable heterogeneity in the admission rates within both rural and metropolitan areas. Furthermore, socioeconomic status is more influential than remoteness in determining emergency admissions. Further research needs to investigate the particular variables that lead to poorer outcomes rurally, investigate socioeconomic disadvantage in rural areas and have greater emphasis on peripheral vascular disease prevention.
Chronic ill health in a regional Victoria setting: A 13-year comparison
- Glenister, Kristen, Bourke, Lisa, Terry, Daniel, Simmons, David
- Authors: Glenister, Kristen , Bourke, Lisa , Terry, Daniel , Simmons, David
- Date: 2019
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 27, no. 6 (2019), p. 527-534
- Full Text:
- Reviewed:
- Description: Objective: High-quality data regarding the prevalence of chronic disease in rural areas are essential in understanding the challenges faced by rural populations and for informing strategies to address health care needs. This study compared the prevalence of a range of self-reported chronic conditions and utilisation of GP services and emergency department in a regional Victorian setting between two studies conducted in the same region in 2001-2003 and 2014. Design: Repeat cross-sectional studies conducted over a decade apart. Setting: The projects were conducted in the Goulburn Valley in regional Victoria. Participants: The earlier study randomly selected households from local government lists. The later study randomly selected householders from the telephone directory. Main outcome measures: Participants were asked whether they had been diagnosed with a range of chronic health conditions and how often they had visited a general practitioner or emergency department in the past 12 months. Results: The age-standardised prevalence of depression was higher in the 2014 study than the 2001-2003 study in men (increased by 8.0% (95% CI 4.5, 11.5%)) and women (increased by 13.7% (95% CI 8.4, 19.0%)). Similarly, the prevalence of age-standardised diabetes and hypertension was higher in 2014 than 2001-2003 (men increased by 3.6% (95% CI 0.7, 6.5% (diabetes)) and 13.6% (95% CI 8.6, 18.6% (hypertension)), women increased by 3.1% (95% CI 0.3, 6.5% (diabetes)) and 8.4% (95% CI 2.3, 14.5% (hypertension))). Conclusion: The results of this study indicate that the prevalence of self-reported depression, diabetes and hypertension has increased in this regional Victorian area over the past 13 years. The reasons for these observed increases and the subsequent impact on the health care needs of regional communities warrants further investigation. © 2019 National Rural Health Alliance Ltd.
- Authors: Glenister, Kristen , Bourke, Lisa , Terry, Daniel , Simmons, David
- Date: 2019
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 27, no. 6 (2019), p. 527-534
- Full Text:
- Reviewed:
- Description: Objective: High-quality data regarding the prevalence of chronic disease in rural areas are essential in understanding the challenges faced by rural populations and for informing strategies to address health care needs. This study compared the prevalence of a range of self-reported chronic conditions and utilisation of GP services and emergency department in a regional Victorian setting between two studies conducted in the same region in 2001-2003 and 2014. Design: Repeat cross-sectional studies conducted over a decade apart. Setting: The projects were conducted in the Goulburn Valley in regional Victoria. Participants: The earlier study randomly selected households from local government lists. The later study randomly selected householders from the telephone directory. Main outcome measures: Participants were asked whether they had been diagnosed with a range of chronic health conditions and how often they had visited a general practitioner or emergency department in the past 12 months. Results: The age-standardised prevalence of depression was higher in the 2014 study than the 2001-2003 study in men (increased by 8.0% (95% CI 4.5, 11.5%)) and women (increased by 13.7% (95% CI 8.4, 19.0%)). Similarly, the prevalence of age-standardised diabetes and hypertension was higher in 2014 than 2001-2003 (men increased by 3.6% (95% CI 0.7, 6.5% (diabetes)) and 13.6% (95% CI 8.6, 18.6% (hypertension)), women increased by 3.1% (95% CI 0.3, 6.5% (diabetes)) and 8.4% (95% CI 2.3, 14.5% (hypertension))). Conclusion: The results of this study indicate that the prevalence of self-reported depression, diabetes and hypertension has increased in this regional Victorian area over the past 13 years. The reasons for these observed increases and the subsequent impact on the health care needs of regional communities warrants further investigation. © 2019 National Rural Health Alliance Ltd.
Who's doing the hunting and gathering? : An exploration of gender segmentation in adult learning in small and remote Australian communities
- Authors: Golding, Barry
- Date: 2003
- Type: Text , Conference paper
- Relation: Paper presented at 2003 AVETRA Conference, Sydney : 10th -11th April, 2003
- Full Text:
- Reviewed:
- Description: Adults in Australia have tended to return relatively recently to learning in patterns that are significantly different by gender. These patterns of gender segmentation for adults are particularly noticeable in the findings of recent research by the author into adult, community and vocational learning in small and remote towns in Victoria. The issues associated with such patterns form the basis of this exploratory paper.
- Description: E1
- Description: 2003000498
- Authors: Golding, Barry
- Date: 2003
- Type: Text , Conference paper
- Relation: Paper presented at 2003 AVETRA Conference, Sydney : 10th -11th April, 2003
- Full Text:
- Reviewed:
- Description: Adults in Australia have tended to return relatively recently to learning in patterns that are significantly different by gender. These patterns of gender segmentation for adults are particularly noticeable in the findings of recent research by the author into adult, community and vocational learning in small and remote towns in Victoria. The issues associated with such patterns form the basis of this exploratory paper.
- Description: E1
- Description: 2003000498
Houses and sheds in Australia : an exploration of the genesis and growth of neighbourhood houses and men's sheds in community settings
- Golding, Barry, Kimberley, Helen, Foley, Annette, Brown, Michael
- Authors: Golding, Barry , Kimberley, Helen , Foley, Annette , Brown, Michael
- Date: 2008
- Type: Text , Journal article
- Relation: Australian Journal of Adult Learning Vol. 48, no. 2 (Jul 2008), p. 237-262
- Full Text:
- Reviewed:
- Description: This article reviews research into the genesis and spread of both neighbourhood houses and learning centres in Victoria and community-based men's sheds in Australia to identify some similarities and differences. Our article asks questions about the gendered communities of practice that underpin houses for women on the one hand, and sheds for men on the other. Our particular interest is with the gender issues associated with the development of the relatively mature neighbourhood house 'sector', and those associated with the very recent and developing community-based men's sheds 'sector'. Our underpinning research question has to do with the desirability (or otherwise) in each of these sectors of political and strategic decisions being either gender specific or gender neutral. We identify a number of tantalising parallels between the rationale behind the establishment of both sectors,for women and men, albeit in very different circumstances, along with some obvious differences.
- Description: C1
- Authors: Golding, Barry , Kimberley, Helen , Foley, Annette , Brown, Michael
- Date: 2008
- Type: Text , Journal article
- Relation: Australian Journal of Adult Learning Vol. 48, no. 2 (Jul 2008), p. 237-262
- Full Text:
- Reviewed:
- Description: This article reviews research into the genesis and spread of both neighbourhood houses and learning centres in Victoria and community-based men's sheds in Australia to identify some similarities and differences. Our article asks questions about the gendered communities of practice that underpin houses for women on the one hand, and sheds for men on the other. Our particular interest is with the gender issues associated with the development of the relatively mature neighbourhood house 'sector', and those associated with the very recent and developing community-based men's sheds 'sector'. Our underpinning research question has to do with the desirability (or otherwise) in each of these sectors of political and strategic decisions being either gender specific or gender neutral. We identify a number of tantalising parallels between the rationale behind the establishment of both sectors,for women and men, albeit in very different circumstances, along with some obvious differences.
- Description: C1