Health Promotion Journal of Australia
Volume 27 Number 2 2016
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.
HE15092Promoting physical activity among children and youth in disadvantaged South Australian CALD communities through alternative community sport opportunities
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.
HE15114Feed Safe: a multidisciplinary partnership approach results in a successful mobile application for breastfeeding mothers
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.
HE15078Reorientation of health services: enablers and barriers faced by organisations when increasing health promotion capacity
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.
HE15113A cross-sectional study examining the extent of unwanted sexual attention and unhealthy intimate relationships among female university students
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?
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.
HE15080Partnerships and the past: reflections on 1940s community centre endeavours of the National Fitness Council
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.
HE15042The influence of population mobility on changing patterns of HIV acquisition: lessons for and from Australia
HE15021Primary caregivers of young children are unaware of food neophobia and food preference development
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.
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.
HE15028Cultural experiences of student and new-graduate dietitians in the Gomeroi gaaynggal ArtsHealth program: a quality assurance project
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
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.
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
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.
HE15119Using a competition model to help rural communities become healthier: lessons from the NSW Healthy Town Challenge quality assurance process
The peer-reviewed and edited version of record published online before inclusion in an issue
HE16041Designing evaluation plans for health promotion mHealth interventions: a case study of the Milk Man mobile app
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.
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.
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.
HE16049Beyond fun runs and fruit bowls: an evaluation of the meso-level processes that shaped the Australian Healthy Workers Initiative
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.
HE15130Going up, going down: the experience, control and management of gestational diabetes mellitus among Southeast Asian migrant women living in urban Australia
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.
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.
HE16019Does on-site chaplaincy enhance the health and well being of fly-in, fly-out (FIFO) personnel?
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
HE16057Reach, engagement, and effectiveness: a systematic review of evaluation methodologies used in health promotion via social networking sites
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.
HE16056Improving the translation of health promotion interventions using effectiveness- implementation hybrid designs in program evaluations
HE16050Assessing change in perceived community leadership readiness in the Obesity Prevention and Lifestyle program
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.
HE16053Validity of four measures in assessing school canteen menu compliance with state-based healthy canteen policy
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.
HE16032The usefulness of GPS bicycle tracking data for evaluating the impact of infrastructure change on cycling behaviour
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.
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.
HE16015The Strong Family Program: an innovative model to engage Aboriginal and Torres Strait Islander youth and Elders with reproductive and sexual health community education
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.
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.
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.
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.
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
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.
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.
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.
HE15098Indicators of a health-promoting local food environment: a conceptual framework to inform urban planning policy and practice
HE15096Evaluating the Sharing Stories youth theatre program: an interactive theatre and drama-based strategy for sexual health promotion among multicultural youth
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.
HE15128Is there a relationship between primary school children’s enjoyment of recess physical activities and health-related quality of life? A cross-sectional exploratory study
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.
HE15136Smoking status and associated factors among male Chinese restaurant workers in metropolitan Sydney
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.
HE15102Underestimation of homeless clients’ interest in quitting smoking: a case for routine tobacco assessment
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.
HE15123Take Charge of Pain: evaluating a community-targeted self-management education program for people with musculoskeletal pain
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.
HE15127How well are health information websites displayed on mobile phones? Implications for the readability of health information
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.
HE15095Online canteens: awareness, use, barriers to use, and the acceptability of potential online strategies to improve public health nutrition in primary schools
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.
These articles have been peer reviewed and accepted for publication. They are still in production and have not been edited, so may differ from the final published form.
âLet them have a smoke, it will make them feel betterâ nurse provision of universal support to help inpatients quit smoking
Behaviours and attitudes of recreational fishers toward safety at a âblackspotâ for fishing fatalities in Western Australia
Lessons from the evaluation of the implementation of a large scale workplace health promotion program
Sectoral system capacity development in health promotion: evaluation of an Aboriginal nutrition program
A sustainable and high participation childhood obesity monitoring system in regional Victoria, Australia
Acceptability of alcohol supply to children â associations with adultsâ own age of initiation and social norms
A survey of uptake and predictors of cervical screening among refugee and non-refugee African immigrant women in Brisbane, Australia
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