Health Promotion Journal of Australia Health Promotion Journal of Australia Society
Journal of the Australian Health Promotion Association

Health Promotion Journal of Australia

Health Promotion Journal of Australia

Health Promotion Journal of Australia facilitates communication between researchers, practitioners and policy makers involved in health promotion activities. Read more about the journalMore

Editor-in-Chief: Jonine Jancey

Current Issue

Health Promotion Journal of Australia

Volume 27 Number 2 2016

HE15084Tick tock: time for a change?

Simone Pettigrew, Zenobia Talati and Bruce Neal
pp. 102-104

The National Heart Foundation recently made the decision to retire the ‘Tick’ food labelling system that has been in operation in Australia for the last two decades. Focus groups with adult and child consumers indicated that attitudes to the tick have become more negative in recent years. The Heart Foundation will now support other food labelling initiatives.

Current approaches to multicultural inclusion in sport may fail to focus on actual community needs. This project engaged 263 young people in a community development program aimed at empowering disadvantaged multicultural communities to engage in health promotion through sport. The results highlight that we need to move beyond thinking of sport participation as a matter of integration into existing sport clubs and structures.

This paper describes the multidisciplinary partnership process used to develop a new breastfeeding mobile application, Feed Safe. The process, evaluated with a validated tool, led to an effective, well-received application that achieved media attention and strong public uptake. The findings discussed may guide other health promotion practitioners in developing and disseminating mobile health applications.

In recent years, major cuts to resources and leadership in preventive health approaches have hindered the capacity to improve population health outcomes. This literature review synthesises the enablers and barriers faced by health organisations over the past 25 years in building capacity to deliver health promotion approaches. Given current limited resources, it is timely to be aware of how capacity for health promotion can be strengthened.

A cross-sectional study of 465 female university students was undertaken to describe the extent of unwanted sexual attention and unhealthy intimate relationships. Two-thirds of participants reported experiencing unwanted sexual attention. Almost one-third reported experiencing at least one element of an unhealthy intimate relationship. These findings are concerning given the negative impacts on and individual’s physical, emotional and social well being and suggest the need for health promotion intervention.

HE15116Cancer screening education: can it change knowledge and attitudes among culturally and linguistically diverse communities in Queensland, Australia?

Katherine Cullerton, Danielle Gallegos, Ella Ashley, Hong Do, Anna Voloschenko, MaryLou Fleming, Rebecca Ramsey and Trish Gould
pp. 140-147

Low participation rates in cancer screening have been identified among migrants internationally. To address this, the Ethnic Communities Council of Queensland developed an education program for breast, bowel and cervical cancer screening. After participating in the program, participants’ knowledge increased; some attitudes toward participation in cancer screening became more positive; and intent to participate in future screening increased. These results indicate the importance of developing screening approaches that address the barriers to participation among culturally and linguistically diverse communities.

Historical research can provide a longer perspective on an issue than is currently perceived. This research provides such a perspective by providing insight into partnership building in the 1940s between the National Fitness Council and various government and non-government organisations – a precursor to the type of work undertaken now as part of health promotion. This historical precedence helps to expand our understanding of health promotion as a discipline within Australia.

This study is the first to explore primary caregivers’ awareness of food neophobia and food preference development in young children. Primary caregivers of children aged between 1 and 2.5 years are unaware of food neophobia and food preference development. With raised awareness of food neophobia and how food preferences develop, primary caregivers may decrease their children’s exposure to non-core foods.

HE15124The impact of alcohol management practices on sports club membership and revenue

L. Wolfenden, M. Kingsland, B. Rowland, P. Dodds, M. Sidey, S. Sherker and J. Wiggers
pp. 159-161

This study investigates the impact of implementing alcohol management practices in community sporting clubs on club revenue and membership. Sports clubs were randomised to receive an intervention to improve alcohol management or a no-intervention control. At follow-up, there were significantly more spectators attending intervention clubs, relative to control clubs. There was no significant difference in club income between groups.

Dietitians have roles to play in optimising nutrition for Indigenous Australians, but exposure to practical experience may be limited. This quality assurance project evaluated the experiences of student and new-graduate dietitians at an Aboriginal ArtsHealth centre, and identified key themes of ‘building rapport’ and ‘developing cultural understanding’. Dietetic students are encouraged to seek out opportunities for development of cultural awareness by working with Indigenous communities where possible.

HE15089Implementation of a driver licensing support program in three Aboriginal communities: a brief report from a pilot program

Patricia Cullen, Kathleen Clapham, Jake Byrne, Kate Hunter, Kris Rogers, Teresa Senserrick, Lisa Keay and Rebecca Ivers
pp. 167-169

The Driving Change program has been piloted in three communities to increase licensing rates for young Aboriginal people. This brief report indicates that Driving Change is reaching the target population and providing a sufficiently flexible program that is assisting young Aboriginal people to access licensing services in NSW.

HE15100Assessing the potential to combine attitude tracking and health campaign evaluation surveys

Lauren P. Hollier, Simone Pettigrew, Carolyn Minto, Terry Slevin and Mark Strickland
pp. 170-173

This study examined whether including a health campaign evaluation survey within an attitude and behaviour tracking survey produced different outcomes compared with the separate administration of the evaluation survey. Minimal differences were found between the two surveys, suggesting that outcomes can be maximised by administering fewer, longer surveys.

HE15088Willingness of Australian health educators and health promotion officers to conduct rapid HIV testing

Anthony J. Santella, Jacquie Fraser, Angela W. Prehn and Eugenia Boye-Codjoe
pp. 174-177

Should rapid HIV testing be expanded to non-traditional settings such as health promotion and education? A recent survey found that 60% of Australian Health Educators and Health Promotion Officers believed that it should and 70% were willing to be trained. As the public and private sectors continue to explore innovative ways to increase the number of people with HIV who know their status, alternative workforces should be considered.

Online Early

The peer-reviewed and edited version of record published online before inclusion in an issue

Published online 26 October 2016

HE16041Designing evaluation plans for health promotion mHealth interventions: a case study of the Milk Man mobile app

Becky K. White, Sharyn K. Burns, Roslyn C. Giglia and Jane A. Scott

Mobile interventions are increasingly being incorporated into health promotion programs. As a result, practitioners are required to develop appropriate evaluation plans. This paper describes a number of evaluation tools and models, and provides a case study of the evaluation plan developed for the Milk Man app. The examples discussed can provide guidance for practitioners seeking to develop mHealth interventions.

Published online 20 October 2016

HE16011The influence of front-of-pack nutrition information on consumers' portion size perceptions

Hannah May Brown, Nienke de Vlieger, Clare Collins and Tamara Bucher

There is a potential for food labels to influence portion size selection of foods, and therefore affect weight status. This study aimed to examine whether two food labels (a kJ/100 g label and the Health Star Rating label) influenced portion size selection of young adults and found that neither label had an effect. These results indicate that current food labels may not be effective in assisting young people to make appropriate portion size selections. This, in turn, could affect weight status, nutrient intake and overall health.

Published online 19 October 2016

HE16045Building research and evaluation capacity in population health: the NSW Health approach

Barry Edwards, Beth Stickney, Andrew Milat, Danielle Campbell and Sarah Thackway

Evidence derived from research and evaluation is critical to inform policies and programs. This paper describes the range of evidence-based approaches taken by NSW Health to building research and evaluation capability within the organisation and the subsequent increase in activity, infrastructure and peer-reviewed papers. The outcomes support the value of organisations taking a structured, multistrategy approach to building research and evaluation capability.

Published online 13 October 2016

HE16049Beyond fun runs and fruit bowls: an evaluation of the meso-level processes that shaped the Australian Healthy Workers Initiative

Anne C. Grunseit, Samantha Rowbotham, Melanie Pescud, Devon Indig and Sonia Wutzke

This qualitative study describes the translation of a complex national-level workplace obesity-prevention initiative to state-level programs across Australia. Interviews with state program coordinators aimed at critically examining this process revealed that programmatic choices were grounded in two interrelated goals of achieving meaningful change and program sustainability. Taking program development as an evaluation target can yield important insights into how context, theory and priorities affect that process.

Published online 13 October 2016

HE15130Going up, going down: the experience, control and management of gestational diabetes mellitus among Southeast Asian migrant women living in urban Australia

Sansnee Jirojwong, Suzanne Brownhill, Hannah G. Dahlen, Maree Johnson and Virginia Schmied

The rate of gestational diabetes mellitus (GDM) for Asian-born women is higher than for other groups. A qualitative interpretive design was used to explore Southeast Asian migrant women’s experience and management of GDM at two Sydney hospitals. They likened their experience of GDM to an elevator ride, which was modulated by ‘insulin’ and ‘information’ to control the disease and manage blood glucose levels, dietary levels, exercise levels and anxiety levels. Better understanding of cultural interpretations may help health professionals support women with GDM.

Published online 06 October 2016

HE16046Applying systems theory to the evaluation of a whole school approach to violence prevention

Sarah Kearney, Loksee Leung, Andrew Joyce, Debbie Ollis and Celia Green

Can evaluation methods influence and enhance complex prevention initiatives? This paper illustrates how evaluation feedback loops were a critical element in a school-based violence prevention initiative. The findings have implications for health promotion activities, where evaluation tools could be utilised to enhance, rather than simply measure, the effectiveness of an intervention.

Published online 06 October 2016

HE16019Does on-site chaplaincy enhance the health and well being of fly-in, fly-out (FIFO) personnel?

Angela Ebert and Karin Strehlow

Fly-in, fly-out (FIFO) work can be associated with mental-health, personal and family-related issues, challenging the well being of workers. This study evaluated whether a 24/7 onsite chaplaincy service can mitigate some of the adverse effects of FIFO work. We found that the proactive outreach approach of chaplains offered effective support, benefitting the health and well being of FIFO employees

Published online 06 October 2016

HE16057Reach, engagement, and effectiveness: a systematic review of evaluation methodologies used in health promotion via social networking sites

Megan S. C. Lim, Cassandra J. C. Wright, Elise R. Carrotte and Alisa E. Pedrana

Social networking sites (SNS), such as Facebook, are popular platforms for health promotion. This systematic review describes previous studies’ methods for evaluating SNS health promotion. It found that few studies were able to both assess reach of an intervention in a real-life setting while using rigorous research designs.

Published online 28 September 2016

HE16050Assessing change in perceived community leadership readiness in the Obesity Prevention and Lifestyle program

Iordan Kostadinov, Mark Daniel, Michelle Jones and Margaret Cargo

Community leadership is important to the success of community-based health promotion programs. This study assessed perceived community-level leadership readiness for childhood obesity prevention, at two time-points, in 168 suburbs engaged in South Australia’s Obesity Prevention and Lifestyle initiative. The study found greater increases in readiness associated with longer intervention exposure and smaller populations. The use of an online tool holds promise for illuminating the role of readiness in large-scale intervention trials.

Published online 16 September 2016

HE16053Validity of four measures in assessing school canteen menu compliance with state-based healthy canteen policy

Kathryn Reilly, Nicole Nathan, Luke Wolfenden, John Wiggers, Rachel Sutherland, Rebecca Wyse and Sze Lin Yoong

Valid measures are needed to assess the impact of healthy canteen policies on the provision of foods in schools at a population level. Policy compliance was assessed using four different measures to identify the most valid method compared to observations. A quick menu audit was found to be a valid and potentially low-cost method of assessing policy implementation at scale.

This study assessed the usefulness of a smartphone GPS tracking system for evaluating the impact of bicycle infrastructure improvements on behavioural outcomes. Findings suggested that smartphone GPS data can supplement, not replace, existing data sources, in evaluating the impact of bicycle infrastructure improvements.

Published online 31 August 2016

HE16043Application of ecological momentary assessment in workplace health evaluation

Lina Engelen, Josephine Y. Chau, Sarah Burks-Young and Adrian Bauman

It is important to holistically evaluate workplace health initiatives to understand what worked, how and why. Ecological Momentary Assessment (EMA) on a smartphone app was successfully used to collect in-the-moment responses on participants’ well being, activities and behaviour change. The novel use of EMA to measure workplace health outcomes was effective, acceptable and flexible, and can be used in future health promotion and program evaluation.

Aboriginal young people may experience high rates of family violence and poorer reproductive and sexual health than their non-Aboriginal counterparts. To address some of the disparities, the Strong Family Program was developed, based on an extensive consultation process with Aboriginal communities, to deliver reproductive and sexual health promotion and education to Aboriginal communities in New South Wales. Participation increased reproductive and sexual health knowledge and positive attitudes. Health promotion and education with Aboriginal communities should be based on community consultations and carried out within a culturally appropriate framework to promote greatest success.

Published online 01 August 2016

HE15134Local community playgroup participation and associations with social capital

Cecily Strange, Alexander Bremner, Colleen Fisher, Peter Howat and Lisa Wood

Parents of young children need opportunities to build community connections and social support networks where they live. Parents who participated in locally placed playgroups were more connected to their local community than parents who participated in playgroups outside their local residential area. Locally placed playgroups have the potential to foster local community connectedness for families with young children.

Published online 20 July 2016

HE15118Depression and diabetes in the remote Torres Strait Islands

Sean Taylor, Robyn McDermott, Fintan Thompson and Kim Usher

Torres Strait Islanders in the remote islands of Far North Queensland experience high rates of Type 2 Diabetes in Australia. This study aimed to assess the extent of self-reported depression using the PHQ-9 and clinical features, our study demonstrated low rates of depression compared to national samples. Increasing physical activity could improve mental and general well being in this population.

Published online 15 July 2016

HE15037Barriers and challenges affecting the contemporary church's engagement in health promotion

Darshini Ayton, Lenore Manderson and Ben J. Smith

Churches have experience in addressing social disadvantage and are prepared to commit resources to meet the needs of people outside their congregations. The aim of this study was to explore the barriers and challenges that affect church involvement in promoting health and well being. Identified factors include perceived lack of relevance, community mistrust, conversion agendas and values that conflict with health promotion.

Published online 14 July 2016

HE16027Process evaluation of the Albany Physical Activity and Nutrition (APAN) program, a home-based intervention for metabolic syndrome and associated chronic disease risk in rural Australian adults

Krysten Blackford, Andy Lee, Anthony P. James, Tracy Waddell, Andrew P. Hills, Annie S. Anderson, Peter Howat and Jonine Jancey

This paper reports on the process evaluation of the Albany Physical Activity and Nutrition program, which aimed to improve the diet and physical activity of rural adults at risk of chronic disease. Health promotion practitioners planning and implementing similar interventions may learn from these findings, particularly for recruitment and retention of participants.

Published online 06 July 2016

HE15109Engaging South Australian local governments in the development of healthy eating policies

Louisa Matwiejczyk, Kaye Mehta and Jane Scott

Local governments are uniquely placed to influence the food environment of their communities through healthy eating policies (HEPs) but few have done so. Using a community-based participatory approach, the capacity of 31 South Australian local governments to develop and implement a HEP was increased with 14 endorsed policies. HEPs provide important structural mechanisms to enable local governments to facilitate healthy eating.

Published online 01 July 2016

HE16003Consumer evaluation of ‘Veggycation®’, a website promoting the health benefits of vegetables

Reetica Rekhy, Aila Khan, Floris van Ogtrop and Robyn McConchie

This study evaluated the Veggycation® website and its appeal to Australian consumers. The website has a high level of acceptance overall; however, customisation of the site is recommended for low vegetable consumption groups. The study adds to the body of knowledge in e-health and informatics, promoting health education and literacy.

This study evaluated the effectiveness of the Sharing Stories youth theatre program, which uses interactive theatre and drama-based strategies to engage and educate multicultural youth on sexual health. The study found that knowledge, confidence and attitudes of participants improved after participation in the program. These results suggest that incorporating arts-based strategies into sexual health promotion programs for multicultural youth is valuable.

Recess breaks can provide the greatest opportunities for children’s physical activity participation at school. This study explored the relationship between Australian primary school children’s enjoyment of recess physical activities and health-related quality of life (HRQOL). Provision of opportunities and facilities for more vigorous-intensity school recess physical activities were found to be a key strategy to enhance children’s HRQOL.

Published online 16 June 2016

HE15136Smoking status and associated factors among male Chinese restaurant workers in metropolitan Sydney

Wei Jiang, Brenda Leung, Nancy Tam, Huilan Xu, Suzanne Gleeson and Li Ming Wen

This is the first study focusing on smoking behaviour among Chinese restaurant workers in Australia. The findings indicate that Chinese restaurant workers in metropolitan Sydney have a high smoking rate of 45%, with 50% of current smokers wanting to quit. These findings provide a sound basis to support the development of tailored health promotion strategies for this population.

The incidence of smoking among clients using homeless services is extraordinarily high. While nurses from an Australian homeless program were aware of their clients’ smoking habits, they underestimated the interest in quitting, which was expressed by many clients. With some simple organisational system changes to homeless services, appropriate cessation assistance could be provided to this vulnerable population.

Published online 06 June 2016

HE15123Take Charge of Pain: evaluating a community-targeted self-management education program for people with musculoskeletal pain

Elizabeth Hoon, Karen Smith, Julie Black, Simon Burnet, Catherine Hill and Tiffany K. Gill

Self-management is ubiquitous in a modern health system, in which the management of chronic conditions is a key challenge. Using a pre-post evaluation design, this study aimed to determine the effectiveness of a redesigned and shortened community-targeted program focusing on musculoskeletal pain.

Eighty-two percent of smartphone owners search for health information on their phones but is such information easy to read? This study explored how health information was displayed on mobile websites and found that only 15.93% were designed to optimise readability. Building mobile-responsive and easy-to-read websites should be a priority to capitalise on the potential of mobile phones in enhancing health literacy.

Published online 04 May 2016

HE15095Online canteens: awareness, use, barriers to use, and the acceptability of potential online strategies to improve public health nutrition in primary schools

Rebecca Wyse, Sze Lin Yoong, Pennie Dodds, Libby Campbell, Tessa Delaney, Nicole Nathan, Lisa Janssen, Kathryn Reilly, Rachel Sutherland, John Wiggers and Luke Wolfenden

This telephone survey of 123 primary school principals suggests that online canteens have the potential to reach a large proportion of school communities across geographical and socioeconomic divides, and that the nutrition interventions which they have the capacity to deliver are considered acceptable.

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Award Winners

Congratulations to Annabel Axford and Drew Carter, winners of the Ray James Award for 2016.