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Ambrens M, Macniven R, Perram A, Andrews S, Hawley-Hague H, Razee H, Todd C, Valenzuela T, Delbaere K. How Perceptions of Aging Influence Physical Activity and Exercise in Older Age: Exploring the Behavior of People Aged 70+ Years Engaged in Fall Prevention Activities. J Appl Gerontol 2024:7334648241238315. [PMID: 38475694 DOI: 10.1177/07334648241238315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/14/2024] Open
Abstract
For older people, physical inactivity increases fall risk as well as other preventable health conditions. Despite the well-documented benefits of physical activity, uptake and adherence continue to challenge efforts aimed at increasing physical activity and reducing falls. Nested within a randomized controlled trial, this study reports on the factors influencing the physical activity behavior of people, aged between 70 and 90 years, engaged in StandingTall, a home-based balance exercise program proven to reduce falls in the community. The perception of aging, physical activity in older age, and the delivery of exercise were identified as major themes, with the perception of aging an overarching theme influencing both preferences for physical activity in older age and exercise delivery. Findings demonstrate the importance of considering the role of aging, the influence aging has on physical activity and exercise behavior, and how aging influences the delivery and design of exercise programs including falls prevention activities for older people.
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Affiliation(s)
- Meghan Ambrens
- Neuroscience Research Australia, Randwick, NSW, Australia
- School of Population Health, University of New South Wales, Sydney, NSW, Australia
| | - Rona Macniven
- School of Population Health, University of New South Wales, Sydney, NSW, Australia
| | - Amy Perram
- Neuroscience Research Australia, Randwick, NSW, Australia
| | - Sophie Andrews
- Neuroscience Research Australia, Randwick, NSW, Australia
- Thompson Institute, University of the Sunshine Coast, QLD, Australia
- School of Psychology, UNSW, Sydney, NSW, Australia
| | - Helen Hawley-Hague
- School of Health Sciences, The University of Manchester, Manchester, UK
- Manchester Institute for Collaborative Research on Ageing, The University of Manchester, UK
| | - Husna Razee
- School of Population Health, University of New South Wales, Sydney, NSW, Australia
| | - Chris Todd
- School of Health Sciences, The University of Manchester, Manchester, UK
- Manchester Institute for Collaborative Research on Ageing, The University of Manchester, UK
- Manchester University NHS Foundation Trust, Manchester, UK
| | - Trinidad Valenzuela
- Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- Exercise and Rehabilitation Sciences Laboratory, School of Physical Therapy, Faculty of Rehabilitation Sciences Universidad Andres Bello, Santiago, Chile
| | - Kim Delbaere
- Neuroscience Research Australia, Randwick, NSW, Australia
- School of Population Health, University of New South Wales, Sydney, NSW, Australia
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Kha R, Wen Q, Bender N, Jones C, Gopinath B, Macniven R, Tang D. Understanding barriers and enablers to participation in a proposed online lifestyle intervention for older adults with age-related macular degeneration to guide programme implementation. J Health Psychol 2024; 29:317-331. [PMID: 37840275 PMCID: PMC10958751 DOI: 10.1177/13591053231204722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2023] Open
Abstract
Age-related macular degeneration (AMD) is a blinding condition associated with depression, loneliness and unhealthy lifestyle behaviours which drives AMD progression. We have proposed the first online lifestyle intervention for AMD, called Movement, Interaction and Nutrition for Greater Lifestyles in the Elderly (MINGLE) to promote positive lifestyle changes and reduce loneliness. This qualitative grounded-theory study explored enablers and barriers to future participation in MINGLE for older adults with AMD. Thirty-one participants were interviewed and thematic analysis revealed nine themes. Enablers to participation were: socialising and learning about AMD, motivation to improve health, programme accessibility and structure. Barriers were: lack of time, technology, limited knowledge regarding holistic interventions, vision-related issues, mobility and negative perception of group interactions. These factors must be considered when developing lifestyle interventions for AMD patients to maximise participation. Supporting technology use and raising awareness about benefits of healthy lifestyle behaviours for AMD may help overcome these barriers.
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Affiliation(s)
| | | | | | | | | | - Rona Macniven
- Macquarie University, Australia
- UNSW Sydney, Australia
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Nash K, Gwynne K, Dimitropoulos Y, Fitzpatrick M, Gunasekera H, Halvorsen L, Kong K, Lumby N, Macniven R, Parter C, Wingett A, McMahon C. INdigenous Systems and Policies Improved and Reimagined for Ear and hearing care (INSPIRE): a multi-method study protocol. BMJ Open 2024; 14:e079850. [PMID: 38199621 PMCID: PMC10806583 DOI: 10.1136/bmjopen-2023-079850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 12/05/2023] [Indexed: 01/12/2024] Open
Abstract
INTRODUCTION Otitis media (middle ear disease) severity and chronicity among Aboriginal and Torres Strait Islander people, as well as gaps in socioeconomic outcomes related to hearing loss, indicates a breakdown in the current ear and hearing care system. The ear and hearing care system spans multiple sectors due to long-term impacts of otitis media and hearing loss in health, education and employment, necessitating a multi-disciplinary cross-sectorial approach to ear and hearing care. Public policies shape the current ear and hearing care system and here it is argued that a critical public policy analysis across different sectors is needed, with strong Aboriginal and Torres Strait Islander leadership and guidance. The current study aims to establish consensus-based ear and hearing care policy solutions for Aboriginal and Torres Strait Islander people in Australia. METHODS AND ANALYSIS This multi-method study will be guided by a Brains Trust with strong Aboriginal and Torres Strait Islander leadership. Public policies in hearing health, social services, and education will be scoped to identify policy gaps, using the World Health Organization framework. Qualitative data will be collected through a culturally specific process of yarning circles to identify policy challenges and/or limitations in enabling accessible ear and hearing care programs/services for Aboriginal and Torres Strait Islander people, using dimensions of Morestin's public policy appraisal tool as an interview guide for stakeholders. Themes from the yarning circles will be used to inform an expert Delphi process to establish consensus-based policy solutions for optimising the ear and hearing care system for Aboriginal and Torres Strait Islander people. ETHICS AND DISSEMINATION This study has approval from the Australian Institute of Aboriginal and Torres Strait Islander Studies Ethics Committee. Study findings will be disseminated to community through Brains Trust members and study participants, as well as through publications in peer-reviewed journals and research forum presentations.
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Affiliation(s)
- Kai Nash
- Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
| | - Kylie Gwynne
- Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
| | - Yvonne Dimitropoulos
- Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
| | - Mark Fitzpatrick
- Telethon Speech and Hearing, Perth, Western Australia, Australia
| | | | - Luke Halvorsen
- Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
| | - Kelvin Kong
- School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle, New South Wales, Australia
| | - Noeleen Lumby
- Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
| | - Rona Macniven
- School of Population Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Carmen Parter
- Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
| | - Amanda Wingett
- College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Catherine McMahon
- Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
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Constantinides F, Orr N, Nash K, Evans JR, McMahon CM, Gunasekera H, Harkus S, Clague L, Cross C, Halvorsen L, Lumby N, Coates H, Macniven R. Examining relationships between parent-reported factors and recurring ear symptoms among Aboriginal and Torres Strait Islander children. Health Promot J Austr 2024; 35:225-234. [PMID: 36961054 DOI: 10.1002/hpja.719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 02/14/2023] [Accepted: 03/20/2023] [Indexed: 03/25/2023] Open
Abstract
ISSUE ADDRESSED Aboriginal and Torres Strait Islander child ear health is complex and multiple. We examined relationships between parent-reported sociodemographic, child health, health service access factors and ear symptoms among Aboriginal and Torres Strait Islander children aged 3 to 7 years. METHODS The Longitudinal Study of Indigenous Children is a large child cohort study with annual parent-reported data collection. Generalised linear mixed model analyses examined Wave 1 (1309 children 0-5 years; 2008) predictors of being free of parent-reported ear symptoms in both Waves 2 and 3. RESULTS A total of 1030 (78.7%) had no reported ear symptoms in either Wave 2 or 3. In the fully adjusted model, children who had been hospitalised in the past year (aOR = 2.16; 95% CI 1.19-3.93) and those with no ear symptoms (aOR = 2.94; 95% CI, 1.59-5.46) at Wave 1 had higher odds of no ear symptoms in both the subsequent waves. There were also relationships between parent main source of income-government pension or allowance as well as parents who reported no history of their own ear symptoms and higher odds of no ear symptoms in Waves 2 and 3 after partial adjustment for sociodemographic factors. CONCLUSION These findings suggest relationships between different sociodemographic and health factors and parent-reported ear symptoms among Aboriginal and Torres Strait Islander children that warrant further investigation. So what? Children with parent-reported ear symptoms during the early years need holistic support to prevent future ear symptoms that impact health, social and educational life trajectories.
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Affiliation(s)
- Fina Constantinides
- Department of Linguistics, Faculty of Medicine, Health and Human Sciences, Macquarie University Hearing, Macquarie University, Sydney, New South Wales, Australia
| | - Neil Orr
- Department of Linguistics, Faculty of Medicine, Health and Human Sciences, Macquarie University Hearing, Macquarie University, Sydney, New South Wales, Australia
| | - Kai Nash
- Department of Linguistics, Faculty of Medicine, Health and Human Sciences, Macquarie University Hearing, Macquarie University, Sydney, New South Wales, Australia
| | - John Robert Evans
- Moondani Toombadool Centre, Swinburne University of Technology, Melbourne, Victoria, Australia
| | - Catherine M McMahon
- Department of Linguistics, Faculty of Medicine, Health and Human Sciences, Macquarie University Hearing, Macquarie University, Sydney, New South Wales, Australia
| | - Hasantha Gunasekera
- Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia
- Children's Hospital Westmead Clinical School, Sydney, New South Wales, Australia
| | - Samantha Harkus
- National Acoustic Laboratories, Macquarie University, Sydney, New South Wales, Australia
| | - Liesa Clague
- School of Nursing and Midwifery, University of Notre Dame, Sydney, New South Wales, Australia
| | - Cara Cross
- Department of Linguistics, Faculty of Medicine, Health and Human Sciences, Macquarie University Hearing, Macquarie University, Sydney, New South Wales, Australia
| | - Luke Halvorsen
- Department of Linguistics, Faculty of Medicine, Health and Human Sciences, Macquarie University Hearing, Macquarie University, Sydney, New South Wales, Australia
| | - Noeleen Lumby
- Department of Linguistics, Faculty of Medicine, Health and Human Sciences, Macquarie University Hearing, Macquarie University, Sydney, New South Wales, Australia
| | - Harvey Coates
- School of Medicine, The University of Western Australia, Perth, Western Australia, Australia
| | - Rona Macniven
- Department of Linguistics, Faculty of Medicine, Health and Human Sciences, Macquarie University Hearing, Macquarie University, Sydney, New South Wales, Australia
- School of Population Health, UNSW Sydney, Sydney, New South Wales, Australia
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Esgin T, Macniven R, Crouch A, Martiniuk A. At the cultural interface: A systematic review of study characteristics and cultural integrity from twenty years of randomised controlled trials with Indigenous participants. Dialogues Health 2023; 2:100097. [PMID: 38515470 PMCID: PMC10953858 DOI: 10.1016/j.dialog.2023.100097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 12/07/2022] [Accepted: 01/05/2023] [Indexed: 03/23/2024]
Abstract
Purpose and aim To identify and describe characteristics of Randomised Control Trial (RCT) design, implementation, and interpretation with a view tostrengtheningen the cultural integrity and scientific quality of this genre of research when used with, for and by Indigenous peoples. Issue RCTs are widely regarded as the 'gold standard' method for evaluating the efficacy of an intervention. However, issues of cultural acceptability and higher attrition rates among RCT participants from diverse populations, including Indigenous participants, have been reported. A better understanding of cultural acceptability and attrition rates of RCTs has the potential to impact the translation of findings into effective policies, programs and practice. Method A search of four electronic databases identified papers describing RCTs enrolling exclusively Australian Indigenous peoples over a 20-year period. The RCTs were assessed using: The Effective Public Health Practice Project's Quality Assessment Tool (EPHPP) and the Aboriginal & Torres Strait Islander Quality Appraisal Tool (QAT). The scores for each paper and the average scores of all papers were visualised using a Microsoft Excel™ Filled Radar Plot. Results Seventeen trials met the inclusion criteria. There was wide variation in the quality of the included trials as assessed by the EPHPP and almost universally poor results when assessed for cultural appropriateness and integrity by the QAT. Conclusion The value of the RCT research method, when applied to ultimately improve Australian Indigenous peoples' health, is diminished if issues of cultural integrity are not intrinsic to study design and execution. Our review found that it is feasible to have an RCT with both strong cultural integrity and high scientific quality. Attention to cultural integrity and community engagement, along with methodological rigour, may strengthen community ownership and contribute to more successful study adherence and potentially more effective translation of study findings into policy and practice.
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Affiliation(s)
- Tuguy Esgin
- Discipline of Exercise and Sport Science, Faculty of Medicine and Health Sciences, Discipline of Strategy, Innovation and Entrepreneurship, Business School, The University of Sydney, Sydney, New South Wales 2006, Australia
- Exercise Medicine Research Institute, Edith Cowan University, 270 Joondalup Drive, Joondalup, Western Australia 6027, Australia
- School of Management and Governance UNSW Business School, University of New South Wales Sydney, Kensington, New South Wales 2052, Australia
| | - Rona Macniven
- School of Population Health, Faculty of Medicine and Health, University of New South Wales Sydney, Kensington, New South Wales 2052, Australia
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales 2019, Australia
| | - Alan Crouch
- Department of Rural Health, The University of Melbourne, Ballarat Campus, Ballarat, Victoria 3350, Australia
| | - Alexandra Martiniuk
- School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales 2006, Australia
- Centre for Global Health Epidemiology Division, University of Toronto, Toronto, Ontario M5S 1A1, Canada
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Ananthapavan V, Peden AE, Angell B, Macniven R. Barriers to preschool aged children's participation in swimming lessons in New South Wales, Australia. Health Promot J Austr 2023. [PMID: 37807369 DOI: 10.1002/hpja.811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 08/20/2023] [Accepted: 09/15/2023] [Indexed: 10/10/2023] Open
Abstract
ISSUE ADDRESSED To understand barriers to uptake of subsidised swimming lessons by children aged 3-6 years old ('preschool aged children'), including from priority populations, in New South Wales (NSW). METHODS A thematic analysis of 4191 qualitative responses from parents/carers of preschool aged children describing barriers that resulted in their child's non-participation in subsidised swimming lessons in the past 12 months was conducted. Data, including parent/carer sociodemographic variables, were collected through registrations for the NSW Government's First Lap voucher program. RESULTS Seven overarching barriers to participation were identified: (1) child's disability or health needs; (2) swimming lesson affordability; (3) family or personal circumstances; (4) lack of or poor availability of swimming lessons; (5) parent/carer availability, including to fulfil participation requirements; (6) COVID-19 and (7) deprioritisation of formal swimming lessons due to parent/carer perceptions relating to its importance. These may limit the uptake of swimming lessons in preschool aged children, particularly those who are Aboriginal and Torres Strait Islander, from culturally and linguistically diverse backgrounds, living with a disability, from low socioeconomic families and living in regional and remote areas. CONCLUSION Structural barriers must be addressed to increase uptake of swimming lessons in preschool aged children, particularly in priority populations, to reduce drowning risk. SO WHAT?: Evidence-based policy initiatives, with robust evaluation, should seek to address the availability and flexibility of swimming lessons, including for priority populations; complexities associated with supervision requirements; poor awareness of parents/carers of the importance of swimming for preschool aged children and the lack of continuity of swimming for children in out of home care.
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Affiliation(s)
- Vidthyany Ananthapavan
- School of Population Health, Faculty of Medicine and Health, University of New South Wales, Kensington, Australia
| | - Amy E Peden
- School of Population Health, Faculty of Medicine and Health, University of New South Wales, Kensington, Australia
- College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Australia
| | - Blake Angell
- The George Institute for Global Health, Newtown, Australia
| | - Rona Macniven
- School of Population Health, Faculty of Medicine and Health, University of New South Wales, Kensington, Australia
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McKay CD, Gubhaju L, Gibberd AJ, McNamara BJ, Macniven R, Joshy G, Roseby R, Williams R, Yashadhana A, Fields T, Porykali B, Azzopardi P, Banks E, Eades SJ. Health behaviours associated with healthy body composition among Aboriginal adolescents in Australia in the 'Next Generation: Youth Well-being study'. Prev Med 2023; 175:107715. [PMID: 37775084 DOI: 10.1016/j.ypmed.2023.107715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 09/21/2023] [Accepted: 09/23/2023] [Indexed: 10/01/2023]
Abstract
This study described the distribution of healthy body composition among Aboriginal adolescents in Australia aged 10-24 years and examined associations with health behaviours and self-rated health. Data were cross-sectional from the 'Next Generation: Youth Well-being study' baseline (N = 1294). We used robust Poisson regression to quantify associations of self-reported health behaviours (physical activity, screen time, sleep, consumption of vegetables, fruit, soft drinks and fast food, and tobacco smoking and alcohol) and self-rated health to healthy body mass index (BMI) and waist/height ratio (WHtR). Overall, 48% of participants had healthy BMI and 64% healthy WHtR, with healthy body composition more common among younger adolescents. Higher physical activity was associated with healthy body composition (5-7 days last week vs none; adjusted prevalence ratio (aPR) healthy BMI 1.31 [95% CI 1.05-1.64], and healthy WHtR 1.30 [1.10-1.54]), as was recommended sleep duration (vs not; aPR healthy BMI 1.56 [1.19-2.05], and healthy WHtR 1.37 [1.13-1.67]). There was a trend for higher proportion of healthy body composition with more frequent fast food consumption. Healthy body composition was also associated with higher self-rated health ('very good/excellent' vs 'poor/fair'; aPR healthy BMI 1.87 [1.45-2.42], and healthy WHtR 1.71 [1.40-2.10]). Culturally appropriate community health interventions with a focus on physical activity and sleep may hold promise for improving body composition among Aboriginal adolescents.
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Affiliation(s)
- Christopher D McKay
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.
| | - Lina Gubhaju
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Alison J Gibberd
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Bridgette J McNamara
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Rona Macniven
- School of Population Health, UNSW, Sydney, NSW, Australia
| | - Grace Joshy
- Centre for Public Health Data and Policy, National Centre for Epidemiology and Population Health, College of Health & Medicine, Australian National University, Canberra, ACT, Australia
| | - Robert Roseby
- Department of Respiratory Medicine, Monash Children's Hospital, Melbourne, VIC, Australia; Department of Paediatrics, School of Clinical Sciences, Monash University, Melbourne, VIC, Australia
| | - Robyn Williams
- Curtin Medical School, Curtin University, Perth, WA, Australia
| | - Aryati Yashadhana
- School of Population Health, UNSW, Sydney, NSW, Australia; Centre for Primary Health Care & Equity, UNSW, Sydney, NSW, Australia
| | - Ted Fields
- School of Population Health, UNSW, Sydney, NSW, Australia; Centre for Primary Health Care & Equity, UNSW, Sydney, NSW, Australia
| | - Bobby Porykali
- Guunu-maana (Heal) Aboriginal and Torres Strait Islander Health Program, The George Institute for Global Heath, Sydney, NSW, Australia
| | - Peter Azzopardi
- Murdoch Children's Research Institute, Melbourne, VIC, Australia; Telethon Kids Institute, Perth, WA, Australia
| | - Emily Banks
- Centre for Public Health Data and Policy, National Centre for Epidemiology and Population Health, College of Health & Medicine, Australian National University, Canberra, ACT, Australia
| | - Sandra J Eades
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
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Nash K, Macniven R, Clague L, Coates H, Fitzpatrick M, Gunasekera H, Gwynne K, Halvorsen L, Harkus S, Holt L, Lumby N, Neal K, Orr N, Pellicano E, Rambaldini B, McMahon C. Ear and hearing care programs for First Nations children: a scoping review. BMC Health Serv Res 2023; 23:380. [PMID: 37076841 PMCID: PMC10116763 DOI: 10.1186/s12913-023-09338-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Accepted: 03/24/2023] [Indexed: 04/21/2023] Open
Abstract
BACKGROUND Ear and hearing care programs are critical to early detection and management of otitis media (or middle ear disease). Otitis media and associated hearing loss disproportionately impacts First Nations children. This affects speech and language development, social and cognitive development and, in turn, education and life outcomes. This scoping review aimed to better understand how ear and hearing care programs for First Nations children in high-income colonial-settler countries aimed to reduce the burden of otitis media and increase equitable access to care. Specifically, the review aimed to chart program strategies, map the focus of each program against 4 parts of a care pathway (prevention, detection, diagnosis/management, rehabilitation), and to identify the factors that indicated the longer-term sustainability and success of programs. METHOD A database search was conducted in March 2021 using Medline, Embase, Global Health, APA PsycInfo, CINAHL, Web of Science Core Collection, Scopus, and Academic Search Premier. Programs were eligible or inclusion if they had either been developed or run at any time between January 2010 to March 2021. Search terms encompassed terms such as First Nations children, ear and hearing care, and health programs, initiatives, campaigns, and services. RESULTS Twenty-seven articles met the criteria to be included in the review and described a total of twenty-one ear and hearing care programs. Programs employed strategies to: (i) connect patients to specialist services, (ii) improve cultural safety of services, and (iii) increase access to ear and hearing care services. However, program evaluation measures were limited to outputs or the evaluation of service-level outcome, rather than patient-based outcomes. Factors which contributed to program sustainability included funding and community involvement although these were limited in many cases. CONCLUSION The result of this study highlighted that programs primarily operate at two points along the care pathway-detection and diagnosis/management, presumably where the greatest need lies. Targeted strategies were used to address these, some which were limited in their approach. The success of many programs are evaluated as outputs, and many programs rely on funding sources which can potentially limit longer-term sustainability. Finally, the involvement of First Nations people and communities typically only occurred during implementation rather than across the development of the program. Future programs should be embedded within a connected system of care and tied to existing policies and funding streams to ensure long term viability. Programs should be governed and evaluated by First Nations communities to further ensure programs are sustainable and are designed to meet community needs.
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Affiliation(s)
- Kai Nash
- The Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Sydney, Australia.
| | - Rona Macniven
- School of Population Health, University of New South Wales, Sydney, Australia
| | - Liesa Clague
- Thurru Indigenous Unit, College of Medicine, Health and Wellbeing, University of Newcastle, Newcastle, Australia
| | - Harvey Coates
- The University of Western Australia, Perth, Australia
| | | | | | - Kylie Gwynne
- The Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Sydney, Australia
| | - Luke Halvorsen
- The Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Sydney, Australia
| | | | - Leanne Holt
- Department of Indigenous Studies, Macquarie University, Sydney, Australia
| | - Noeleen Lumby
- The Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Sydney, Australia
| | | | - Neil Orr
- The Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Sydney, Australia
| | | | - Boe Rambaldini
- The Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Sydney, Australia
| | - Catherine McMahon
- The Djurali Centre for Aboriginal and Torres Strait Islander Health Research and Education, Sydney, Australia
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Macniven R, Angell B, Srinivasan N, Awati K, Chatman J, Peden AE. Evaluation of the First Lap learn to swim voucher programme: protocol. Inj Prev 2023; 29:188-194. [PMID: 36344270 DOI: 10.1136/ip-2022-044711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2022] [Accepted: 10/19/2022] [Indexed: 11/09/2022]
Abstract
INTRODUCTION Swimming skills are an evidence-based component of drowning prevention. However, in Australia, many children miss out on learn to swim education. Voucher programmes may reduce swimming lesson cost and increase participation, especially among priority populations. The First Lap voucher programme provides two New South Wales state government-funded $100 vouchers for parents/carers of preschool children to contribute to swimming lesson costs. This evaluation aims to determine the effectiveness of the programme in meeting objectives of increasing preschool-aged children participating in learn to swim programmes and building parent/carer knowledge and awareness of the importance of preschool-aged children learning to swim. METHODS AND ANALYSIS A programme logic model was developed to explain the inputs, activities and intended outputs, and outcomes, which guided this mixed-methods evaluation design of quantitative and qualitative analysis within an impact/outcome evaluation. Baseline sociodemographic registration data will be provided by the parent/carer of each child participant and linked to swim school provider data on voucher redemption. Data will be collected on voucher use, knowledge, and attitudes to swimming lessons at registration and across two surveys. An economic evaluation will assess programme cost-effectiveness. CONCLUSION This evaluation will determine impacts on participation rates in learn to swim programmes, particularly within priority populations. It will examine whether the programme has influenced attitudes and motivations of parents and carers toward learn to swim programmes and water safety, whether the programme has impacted or enhanced the ability of the aquatics sector to deliver learn to swim programmes and assess its cost-effectiveness.
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Affiliation(s)
- Rona Macniven
- School of Population Health, Faculty of Medicine and Health, UNSW Sydney, Sydney, New South Wales, Australia
| | - Blake Angell
- The George Institute for Global Health, Newtown, New South Wales, Australia
| | - Nivi Srinivasan
- New South Wales Government, Sydney, New South Wales, Australia
| | - Kailash Awati
- New South Wales Government, Sydney, New South Wales, Australia
| | - James Chatman
- New South Wales Government, Sydney, New South Wales, Australia
| | - Amy E Peden
- School of Population Health, Faculty of Medicine and Health, UNSW Sydney, Sydney, New South Wales, Australia
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Macniven R, McKay CD, Graham S, Gubhaju L, Williams R, Williamson A, Joshy G, Evans JR, Roseby R, Porykali B, Yashadhana A, Ivers R, Eades S. Social and Behavioural Correlates of High Physical Activity Levels among Aboriginal Adolescent Participants of the Next Generation: Youth Wellbeing Study. Int J Environ Res Public Health 2023; 20:3738. [PMID: 36834433 PMCID: PMC9962528 DOI: 10.3390/ijerph20043738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 02/10/2023] [Accepted: 02/15/2023] [Indexed: 06/18/2023]
Abstract
Physical activity typically decreases during teenage years and has been identified as a health priority by Aboriginal adolescents. We examined associations between physical activity levels and sociodemographic, movement and health variables in the Aboriginal led 'Next Generation: Youth Well-being (NextGen) Study' of Aboriginal people aged 10-24 years from Central Australia, Western Australia and New South Wales. Baseline survey data collected by Aboriginal researchers and Aboriginal youth peer recruiters from 2018 to 2020 examined demographics and health-related behaviours. Logistic regression was used to estimate odds ratios (OR) for engaging in high levels of physical activity in the past week (3-7 days; 0-2 days (ref), or 'don't remember') associated with demographic and behavioural factors. Of 1170 adolescents, 524 (41.9%) had high levels of physical activity; 455 (36.4%) had low levels; 191 (15.3%) did not remember. Factors independently associated with higher odds of physical activity 3-7 days/week were low weekday recreational screen time [55.3% vs. 44.0%, OR 1.79 (1.16-2.76)], having non-smoking friends [50.4% vs. 25.0%, OR 2.27 (1.03-5.00)] and having fewer friends that drink alcohol [48.1% vs. 35.2%, OR 2.08 (1.05-4.14)]. Lower odds of high physical activity were independently associated with being female [40.2% vs. 50.9%, OR 0.57 (0.40-0.80)] and some findings differed by sex. The NextGen study provides evidence to inform the co-design and implementation of strategies to increase Aboriginal adolescent physical activity such as focusing on peer influences and co-occurring behaviours such as screen time.
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Affiliation(s)
- Rona Macniven
- School of Population Health, Faculty of Medicine & Health, UNSW Sydney, Sydney, NSW 2052, Australia
| | - Christopher D. McKay
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia
| | - Simon Graham
- Department of Infectious Diseases, Peter Doherty Institute for Infection and Immunity, The University of Melbourne, Melbourne, VIC 3010, Australia
| | - Lina Gubhaju
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia
| | - Robyn Williams
- Curtin Medical School, Curtin University, Perth, WA 6102, Australia
| | - Anna Williamson
- School of Population Health, Faculty of Medicine & Health, UNSW Sydney, Sydney, NSW 2052, Australia
| | - Grace Joshy
- National Centre for Epidemiology and Population Health, College of Health & Medicine, Australian National University, Canberra, ACT 2601, Australia
| | - John Robert Evans
- Moondani Toombadool Centre, Swinburne University of Technology, Melbourne, VIC 3122, Australia
| | - Robert Roseby
- Department of Respiratory Medicine, Monash Children’s Hospital, Clayton, VIC 3168, Australia
- Department of Paediatrics, School of Clinical Sciences, Monash University, Melbourne, VIC 3800, Australia
| | - Bobby Porykali
- Guuna-Maana (Heal) Aboriginal and Torres Strait Islander Health Program, The George Institute for Global Heath, Sydney, NSW 2042, Australia
| | - Aryati Yashadhana
- School of Population Health, Faculty of Medicine & Health, UNSW Sydney, Sydney, NSW 2052, Australia
- Centre for Primary Health Care & Equity, UNSW Sydney, Sydney, NSW 2052, Australia
| | - Rebecca Ivers
- School of Population Health, Faculty of Medicine & Health, UNSW Sydney, Sydney, NSW 2052, Australia
| | - Sandra Eades
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia
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11
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Macniven R, Delbaere K, Lewis E, Radford K, Canuto K, Dickson M, Richards J, Gwynn J, Withall A. Community co-selection of measures to evaluate the health and wellbeing impact of Aboriginal and Torres Strait Islander community running groups. Health Promot J Austr 2023; 34:17-23. [PMID: 35343009 PMCID: PMC10084330 DOI: 10.1002/hpja.600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Revised: 03/23/2022] [Accepted: 03/24/2022] [Indexed: 01/27/2023] Open
Abstract
ISSUE ADDRESSED Physical activity participation can improve the physical health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples. The evaluation of physical activity programmes can elicit a clearer understanding of where these impacts occur and to what extent. We describe applying a collaborative approach to the selection of a set of measures that can be used to examine health and wellbeing impacts of Indigenous community running groups. METHODS Physical activity, health and wellbeing measurement tools previously used with Aboriginal and Torres Strait Islander peoples were collated. Participants in the collaborative process were nine female running group members aged 30+ years from a regional New South Wales (NSW) town. The Indigenous research method, Yarning, explored views of participating in the group on health and wellbeing and how these could be measured using those collated measurement tools. RESULTS Runners described participating for holistic physical, mental and social reasons and stated the importance of the group participating together and providing social support to each other. There was broad support for the identified physical activity, lifestyle, physical health, and social and emotional wellbeing measures, with social networks and sports injuries identified as additionally relevant. CONCLUSIONS Co-selecting measures to evaluate a physical activity programme for Aboriginal and Torres Strait Islander participants can better inform the development of relevant future healthy lifestyle programme evaluation, revealing factors that may be missed as relevant by researchers. SO WHAT?: This process presents an example of determining evaluation measures with Aboriginal and Torres Strait Islander participants that could be applied more broadly to evaluation design.
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Affiliation(s)
- Rona Macniven
- School of Population Health, UNSW Faculty of Medicine and Health, University of New South Wales, Kensington, New South Wales, Australia.,Ageing Futures Institute, University of New South Wales, Kensington, New South Wales, Australia
| | - Kim Delbaere
- School of Population Health, UNSW Faculty of Medicine and Health, University of New South Wales, Kensington, New South Wales, Australia.,Ageing Futures Institute, University of New South Wales, Kensington, New South Wales, Australia.,Neuroscience Research Australia, Randwick, New South Wales, Australia
| | - Ebony Lewis
- School of Population Health, UNSW Faculty of Medicine and Health, University of New South Wales, Kensington, New South Wales, Australia.,Neuroscience Research Australia, Randwick, New South Wales, Australia.,School of Psychology, Faculty of Science, University of New South Wales, Sydney, New South Wales, Australia
| | - Kylie Radford
- Ageing Futures Institute, University of New South Wales, Kensington, New South Wales, Australia.,Neuroscience Research Australia, Randwick, New South Wales, Australia.,School of Psychology, Faculty of Science, University of New South Wales, Sydney, New South Wales, Australia
| | - Karla Canuto
- Rural and Remote Health, College of Medicine and Public Health, Flinders University, Darwin, Northern Territory, Australia.,Aboriginal Health Equity, South Australia Health and Medical Research Institute, Adelaide, South Australia, Australia
| | - Michelle Dickson
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Justin Richards
- Faculty of Health, Te Herenga Waka - Victoria University Wellington, Wellington, New Zealand
| | - Josephine Gwynn
- Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.,Poche Centre for Indigenous Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Adrienne Withall
- School of Population Health, UNSW Faculty of Medicine and Health, University of New South Wales, Kensington, New South Wales, Australia.,Ageing Futures Institute, University of New South Wales, Kensington, New South Wales, Australia
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12
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Salins A, Nash K, Macniven R, Halvorsen L, Lumby N, McMahon C. Culturally safe speech-language supports for First Nations children: Achieving Sustainable Development Goals 3, 4, 8 and 10. Int J Speech Lang Pathol 2023; 25:152-156. [PMID: 36412077 DOI: 10.1080/17549507.2022.2143565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
PURPOSE Self-determination is foundational to health and well-being for First Nations people. Colonisation has undermined self-determination and widespread effects are observed as disparities in health and well-being. Chronic middle ear disease is more highly prevalent in First Nations children, is associated with delays in speech and language and lower levels of educational readiness. However, there is a paucity of culturally and linguistically sensitive speech-language assessments and habilitation services globally. Focussing on high-income colonial-settler countries (including United States, Canada, Australia and New Zealand), where health disparities are significant, we aim to discuss the importance of and the challenges in providing culturally safe care to First Nations children with communication disabilities. RESULT To be effective, both cultural and linguistic diversity and cultural safety must be considered in all aspects of assessment and intervention. Furthermore, speech-language pathologists must be equipped to work with First Nations children with communication disorders. CONCLUSION To optimally support First Nations' children with communication disabilities, services need to be culturally safe, family-centred and strengths-based. This commentary focuses on the United Nations Sustainable Development Goals (SDGs)3, 4, 8 and 10.
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Affiliation(s)
- Andrea Salins
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia
- Macquarie University Centre for Reading, Sydney, Australia
| | - Kai Nash
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia
| | - Rona Macniven
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia
- School of Population Health, University of New South Wales, Sydney, Australia, and
| | - Luke Halvorsen
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia
| | - Noeleen Lumby
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia
| | - Catherine McMahon
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia
- HEAR Centre, Macquarie University, Sydney, Australia
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13
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Macniven R, Lin S, Akombi-Inyang B, Cheng C, Xu X. Editorial: Prevention and management of non-communicable diseases (NCDs), particularly in COVID-19 response. Front Public Health 2023; 11:1104758. [PMID: 36960382 PMCID: PMC10029101 DOI: 10.3389/fpubh.2023.1104758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 02/24/2023] [Indexed: 03/09/2023] Open
Affiliation(s)
- Rona Macniven
- School of Population Health, UNSW Faculty of Medicine and Health, UNSW Sydney, Sydney, NSW, Australia
- *Correspondence: Rona Macniven
| | - Sophia Lin
- UNSW Faculty of Medicine and Health, UNSW Sydney, Sydney, NSW, Australia
| | - Blessing Akombi-Inyang
- School of Population Health, UNSW Faculty of Medicine and Health, UNSW Sydney, Sydney, NSW, Australia
| | - Cheng Cheng
- School of Nursing, Fudan University, Shanghai, China
| | - Xiaoyue Xu
- School of Population Health, UNSW Faculty of Medicine and Health, UNSW Sydney, Sydney, NSW, Australia
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14
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Lewis ET, Williamson M, Lewis LP, Ní Chróinín D, Dent E, Ticehurst M, Peters R, Macniven R, Cardona M. The Feasibility of Deriving the Electronic Frailty Index from Australian General Practice Records. Clin Interv Aging 2022; 17:1589-1598. [PMID: 36353269 PMCID: PMC9639370 DOI: 10.2147/cia.s384691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Accepted: 10/04/2022] [Indexed: 11/05/2022] Open
Abstract
Purpose Frailty is a prevalent condition in older adults. Identification of frailty using an electronic Frailty Index (eFI) has been successfully implemented across general practices in the United Kingdom. However, in Australia, the eFI remains understudied. Therefore, we aimed to (i) examine the feasibility of deriving an eFI from Australian general practice records and (ii) describe the prevalence of frailty as measured by the eFI and the prevalence with socioeconomic status and geographic remoteness. Participants and Methods This retrospective analysis included patients (≥70 years) attending any one of >700 general practices utilizing the Australian MedicineInsight data platform, 2017–2018. A 36-item eFI was derived using standard methodology, with frailty classified as mild (scores 0.13–0.24); moderate (0.25–0.36) or severe (≥0.37). Socioeconomic status (Socio-Economic Indexes for Areas (SEIFA) index)) and geographic remoteness (Australian Statistical Geography Standard (ASGC) remoteness areas) were also examined. Results In total, 79,251 patients (56% female) were included, mean age 80.0 years (SD 6.5); 37.4% (95% CI 37.0–37.7) were mildly frail, 16.7% (95% CI 16.4–16.9) moderately frail, 4.8% (95% CI 4.7–5.0) severely frail. Median eFI score was 0.14 (IQR 0.08 to 0.22); maximum eFI score was 0.69. Across all age groups, moderate and severe frailty was significantly more prevalent in females (P < 0.001). Frailty severity increased with increasing age (P < 0.001) and was strongly associated with socioeconomic disadvantage (P < 0.001) but not with geographic remoteness. Conclusion Frailty was identifiable from routinely collected general practice data. Frailty was more prevalent in socioeconomically disadvantaged groups, women and older patients and existed in all levels of remoteness. Routine implementation of an eFI could inform interventions to prevent or reduce frailty in all older adults, regardless of location.
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Affiliation(s)
- Ebony T Lewis
- School of Population Health, Faculty of Medicine & Health, University of New South Wales, Sydney, NSW, Australia
- School of Psychology, Faculty of Science, University of New South Wales, Sydney, NSW, Australia
- Neuroscience Research Australia (NeuRA), Sydney, NSW, Australia
- Correspondence: Ebony T Lewis, School of Population Health, Faculty of Medicine & Health, University of New South Wales, Level 3, Samuels Building, Gate 11, Botany Street, Sydney, NSW, 2052, Australia, Tel +612 9065 2068, Email
| | - Margaret Williamson
- School of Population Health, Faculty of Medicine & Health, University of New South Wales, Sydney, NSW, Australia
- Centre for Primary Health Care and Equity, Faculty of Medicine & Health, University of New South Wales, Sydney, NSW, Australia
| | - Lou P Lewis
- Matraville Medical Centre, Sydney, NSW, Australia
| | - Danielle Ní Chróinín
- Department of Geriatric Medicine, Liverpool Hospital, Sydney, NSW, Australia
- South Western Sydney Clinical School, University of New South Wales, Sydney, NSW, Australia
| | - Elsa Dent
- Torrens University Australia, Adelaide, SA, Australia
| | - Maree Ticehurst
- Matraville Medical Centre, Sydney, NSW, Australia
- Royal Prince Alfred Hospital, Sydney, NSW, Australia
| | - Ruth Peters
- School of Psychology, Faculty of Science, University of New South Wales, Sydney, NSW, Australia
- Neuroscience Research Australia (NeuRA), Sydney, NSW, Australia
| | - Rona Macniven
- School of Population Health, Faculty of Medicine & Health, University of New South Wales, Sydney, NSW, Australia
| | - Magnolia Cardona
- Institute for Evidence-Based Healthcare, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD, Australia
- Gold Coast Hospital and Health Service, Gold Coast, QLD, Australia
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15
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Macniven R, Simon A, Wilson R, Howie A, Stewart G, Ma T, Turner NJ, Cairnduff S, Coombes J. Ironbark: Developing a healthy community program for older Aboriginal people. Health Promot J Austr 2022; 33 Suppl 1:128-133. [PMID: 35148452 PMCID: PMC9790301 DOI: 10.1002/hpja.581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Revised: 01/25/2022] [Accepted: 02/08/2022] [Indexed: 12/30/2022] Open
Abstract
ISSUE ADDRESSED Programs by, with and for Aboriginal older people must be culturally safe and relevant. Successful elements include being Aboriginal specific and group based. Co-design with Aboriginal people and stakeholders is essential. We describe the co-design process of developing the Ironbark: Healthy Community program. METHODS Aboriginal ways of knowing, being and doing and yarning conversational methods guided the development process, during 2018. A desktop review provided details of current group characteristics and key community stakeholders. Stakeholder engagement regarding views about group operations, participants and benefits also occurred. Aboriginal Elders views of their groups were gathered through yarning circles in New South Wales (NSW). Grounded theory approach was used to ascertain key themes. RESULTS Initial engagement occurred with 13 different community stakeholders and organisations in three Australian states (NSW, South Australia (SA), Western Australia (WA)). Three yarning circles occurred with Elders from urban (N = 10), regional coastal (N = 10) and regional country (N = 4) groups. Six key themes were organised in three groups according to an Aboriginal ontology. 1. Knowing: groups provide opportunities to share knowledge and connect socially. Adequate program resourcing and sustainability are valued. 2. Being: groups strengthen culture, providing important social, emotional and other forms of support to age well. 3. Doing: previous program experiences inform perceptions for new program operations. Group venues and operational aspects should be culturally safe, acknowledging diversity among Elders, their preferences and community control. Themes were used to develop the program and its resource manual that were finalised with stakeholders, including steering committee approval. CONCLUSIONS Stakeholder feedback at multiple stages and Aboriginal Elders' perspectives resulted in a new co-designed community program involving weekly yarning circles and social activities. So what?: Co-design, guided by Aboriginal ways of knowing, being and doing, can develop programs relevant for Aboriginal people.
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Affiliation(s)
- Rona Macniven
- School of Population HealthUNSW SydneySydneyNew South WalesAustralia,Faculty of Health, Medicine and Human SciencesMacquarie UniversityNew South WalesAustralia
| | | | - Roland Wilson
- Southgate Institute for Health, Society, and EquityFlinders UniversityAdelaideSouth AustraliaAustralia
| | - Adam Howie
- School of Population HealthUNSW SydneySydneyNew South WalesAustralia
| | - Georgia Stewart
- Ngarruwan Ngadju First Peoples Health and Wellbeing Research Centre, Australian Health Services Research InstituteThe University of WollongongWollongongNew South WalesAustralia
| | - Tracey Ma
- School of Population HealthUNSW SydneySydneyNew South WalesAustralia,The George Institute for Global HealthSydneyNew South WalesAustralia
| | - Norma Jean Turner
- School of Population HealthUNSW SydneySydneyNew South WalesAustralia
| | - Sallie Cairnduff
- School of Population HealthUNSW SydneySydneyNew South WalesAustralia,The George Institute for Global HealthSydneyNew South WalesAustralia
| | - Julieann Coombes
- The George Institute for Global HealthSydneyNew South WalesAustralia
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16
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Nunn JS, Shafee T, Chang S, Stephens R, Elliott J, Oliver S, John D, Smith M, Orr N, Preston J, Borthwick J, van Vlijmen T, Ansell J, Houyez F, de Sousa MSA, Plotz RD, Oliver JL, Golumbic Y, Macniven R, Wines S, Borda A, da Silva Hyldmo H, Hsing PY, Denis L, Thompson C. Standardised data on initiatives-STARDIT: Beta version. Res Involv Engagem 2022; 8:31. [PMID: 35854364 PMCID: PMC9294764 DOI: 10.1186/s40900-022-00363-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 06/20/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND AND OBJECTIVE There is currently no standardised way to share information across disciplines about initiatives, including fields such as health, environment, basic science, manufacturing, media and international development. All problems, including complex global problems such as air pollution and pandemics require reliable data sharing between disciplines in order to respond effectively. Current reporting methods also lack information about the ways in which different people and organisations are involved in initiatives, making it difficult to collate and appraise data about the most effective ways to involve different people. The objective of STARDIT (Standardised Data on Initiatives) is to address current limitations and inconsistencies in sharing data about initiatives. The STARDIT system features standardised data reporting about initiatives, including who has been involved, what tasks they did, and any impacts observed. STARDIT was created to help everyone in the world find and understand information about collective human actions, which are referred to as 'initiatives'. STARDIT enables multiple categories of data to be reported in a standardised way across disciplines, facilitating appraisal of initiatives and aiding synthesis of evidence for the most effective ways for people to be involved in initiatives. This article outlines progress to date on STARDIT; current usage; information about submitting reports; planned next steps and how anyone can become involved. METHOD STARDIT development is guided by participatory action research paradigms, and has been co-created with people from multiple disciplines and countries. Co-authors include cancer patients, people affected by rare diseases, health researchers, environmental researchers, economists, librarians and academic publishers. The co-authors also worked with Indigenous peoples from multiple countries and in partnership with an organisation working with Indigenous Australians. RESULTS AND DISCUSSION Over 100 people from multiple disciplines and countries have been involved in co-designing STARDIT since 2019. STARDIT is the first open access web-based data-sharing system which standardises the way that information about initiatives is reported across diverse fields and disciplines, including information about which tasks were done by which stakeholders. STARDIT is designed to work with existing data standards. STARDIT data will be released into the public domain (CC0) and integrated into Wikidata; it works across multiple languages and is both human and machine readable. Reports can be updated throughout the lifetime of an initiative, from planning to evaluation, allowing anyone to be involved in reporting impacts and outcomes. STARDIT is the first system that enables sharing of standardised data about initiatives across disciplines. A working Beta version was publicly released in February 2021 (ScienceforAll.World/STARDIT). Subsequently, STARDIT reports have been created for peer-reviewed research in multiple journals and multiple research projects, demonstrating the usability. In addition, organisations including Cochrane and Australian Genomics have created prospective reports outlining planned initiatives. CONCLUSIONS STARDIT can help create high-quality standardised information on initiatives trying to solve complex multidisciplinary global problems.
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Affiliation(s)
- Jack S Nunn
- Director of Science for All (Education Charity Registered in Australia), Melbourne, Australia.
- School of Public Health, La Trobe University, Melbourne, VIC, Australia.
| | - Thomas Shafee
- School of Life Sciences, La Trobe University, Melbourne, VIC, Australia
| | | | - Richard Stephens
- Patient Advocate, Co-Editor-in-Chief, 'Research Involvement and Engagement', London, UK
| | - Jim Elliott
- Public Involvement Lead at Health Research Authority (England), London, UK
| | - Sandy Oliver
- Professor of Public Policy at UCL Social Research Institute, London, UK
- University of Johannesburg, Johannesburg, South Africa
| | - Denny John
- Adjunct Professor, Ramaiah University of Applied Sciences, Bengaluru, India
- Chair, Campbell and Cochrane Economic Methods Group, London, UK
| | | | - Neil Orr
- Department of Linguistics, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia
- Poche Centre Indigenous Health, The University of Sydney, Sydney, Australia
| | - Jennifer Preston
- National Institute for Health and Care Research, Alder Hey Clinical Research Facility, Liverpool, UK
| | | | | | - James Ansell
- Consumers Health Forum of Australia, Deakin, Australia
| | | | - Maria Sharmila Alina de Sousa
- Independent Impact Intelligence Design & Strategy Consultant, Research Impact Academy Brazil Ambassador, Sao Paulo, Brazil
| | - Roan D Plotz
- Applied Ecology and Environmental Change Research Group, Institute for Sustainable Industries and Liveable Cities, Victoria University, Melbourne, Australia
| | | | | | - Rona Macniven
- The Poche Centre for Indigenous Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, 2006, Australia
- School of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Sydney, 2052, Australia
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, 2109, Australia
| | | | - Ann Borda
- University of Melbourne, Melbourne, Australia
- University College London, London, UK
| | - Håkon da Silva Hyldmo
- Department of Geography, Norwegian University of Science and Technology, Trondheim, Norway
| | - Pen-Yuan Hsing
- University of Bath, Bath, UK
- MammalWeb Project, London, UK
| | - Lena Denis
- Johns Hopkins University, Baltimore, USA
| | - Carolyn Thompson
- University College London, London, UK
- Institute of Zoology, Zoological Society of London, London, UK
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17
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Tang D, Macniven R, Bender N, Jones C, Gopinath B. Development, implementation and evaluation of the online Movement, Interaction and Nutrition for Greater Lifestyles in the Elderly (MINGLE) program: The protocol for a pilot trial. PLoS One 2022; 17:e0267581. [PMID: 35551541 PMCID: PMC9097998 DOI: 10.1371/journal.pone.0267581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Accepted: 03/16/2022] [Indexed: 11/23/2022] Open
Abstract
Introduction People with age-related macular degeneration (AMD) are more likely to experience loneliness, have poorer diets and be less physically active than people without AMD. The online Movement, Interaction and Nutrition for Greater Lifestyles in the Elderly (MINGLE) program is a holistic evidence-based intervention aiming to support people with AMD by incorporating physical activity, social interaction and nutrition education components all delivered via a COVID-19-safe Zoom platform. This study will involve two phases: 1) a formative qualitative study with AMD patients to identify the barriers and facilitators to participating in the proposed MINGLE program; and 2) a 10-week pilot study to evaluate the feasibility, acceptability and preliminary efficacy of MINGLE. Methods and analysis Phase 1 involves AMD patients who will be recruited from an eye clinic in Western Sydney, Australia to participate in audio-recorded semi-structured interviews. Verbatim interview transcripts will be coded using the Capability, Opportunity, Motivation and Behaviour (COM-B) model and themes established. These themes will be used as a guide to specifically tailor the proposed MINGLE program to people with AMD. Phase 2 involves 52 AMD patients who will then be recruited from the same clinic to participate in the MINGLE program. Pre-post questionnaires will be administered to intervention participants to collect information on the following variables: demographics, socioeconomic status, vision function, loneliness, quality of life (including depression), falls risk, physical activity (level), and dietary intake. The acceptability and feasibility of the MINGLE program will also be evaluated using descriptive statistics. Trial registration number ACTRN12621000939897p.
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Affiliation(s)
- Diana Tang
- Macquarie University Hearing, Macquarie University, North Ryde, New South Wales, Australia
- * E-mail:
| | - Rona Macniven
- Macquarie University Hearing, Macquarie University, North Ryde, New South Wales, Australia
- School of Population Health, Faculty of Medicine and Health, UNSW Sydney, Kensington, New South Wales, Australia
| | | | - Charlotte Jones
- Southern Medical Program, University of British Columbia, Okanagan Campus, Kelowna, Canada
| | - Bamini Gopinath
- Macquarie University Hearing, Macquarie University, North Ryde, New South Wales, Australia
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18
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Osborn E, Ritha M, Macniven R, Agius T, Christie V, Finlayson H, Gwynn J, Hunter K, Martin R, Moir R, Taylor D, Tobin S, Ward K, Gwynne K. "No One Manages It; We Just Sign Them Up and Do It": A Whole System Analysis of Access to Healthcare in One Remote Australian Community. Int J Environ Res Public Health 2022; 19:2939. [PMID: 35270632 PMCID: PMC8910080 DOI: 10.3390/ijerph19052939] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Revised: 02/22/2022] [Accepted: 02/28/2022] [Indexed: 01/04/2023]
Abstract
OBJECTIVE To assess the accessibility, availability and utilisation of a comprehensive range of community-based healthcare services for Aboriginal people and describe contributing factors to providing effective healthcare services from the provider perspective. SETTING A remote community in New South Wales, Australia. PARTICIPANTS Aboriginal and non-Aboriginal health and education professionals performing various roles in healthcare provision in the community. DESIGN Case study. METHODOLOGY The study was co-designed with the community. A mixed-methods methodology was utilised. Data were gathered through structured interviews. Descriptive statistics were used to analyse the availability of 40 health services in the community, whilst quotations from the qualitative research were used to provide context for the quantitative findings. RESULTS Service availability was mapped for 40 primary, specialised, and allied health services. Three key themes emerged from the analysis: (1) there are instances of both underservicing and overservicing which give insight into systemic barriers to interagency cooperation; (2) nurses, community health workers, Aboriginal health workers, teachers, and administration staff have an invaluable role in healthcare and improving patient access to health services and could be better supported through further funding and opportunities for specialised training; and (3) visiting and telehealth services are critical components of the system that must be linked to existing community-led primary care services. CONCLUSION The study identified factors influencing service availability, accessibility and interagency cooperation in remote healthcare services and systems that can be used to guide future service and system planning and resourcing.
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Affiliation(s)
- Eloise Osborn
- Centre for Global Indigenous Futures, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW 2109, Australia
| | - Marida Ritha
- Centre for Global Indigenous Futures, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW 2109, Australia
| | - Rona Macniven
- Centre for Global Indigenous Futures, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW 2109, Australia
- Faculty of Medicine and Health, School of Population Health, University of New South Wales, Sydney, NSW 2052, Australia
| | - Tim Agius
- Durri Aboriginal Corporation Medical Service, Kempsey, NSW 2440, Australia
| | - Vita Christie
- Poche Centre for Indigenous Health, University of Sydney, Sydney, NSW 2006, Australia
| | | | - Josephine Gwynn
- Poche Centre for Indigenous Health, University of Sydney, Sydney, NSW 2006, Australia
| | - Kate Hunter
- The George Institute for Global Health, The University of New South Wales, Sydney, NSW 2052, Australia
| | - Robyn Martin
- Mid North Coast Local Health District, Coffs Harbour, NSW 2450, Australia
| | - Rachael Moir
- Poche Centre for Indigenous Health, University of Sydney, Sydney, NSW 2006, Australia
| | - Donna Taylor
- Pius X Aboriginal Medical Service, Moree, NSW 2400, Australia
| | - Susannah Tobin
- Honorary Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia
| | - Katrina Ward
- Brewarrina Aboriginal Medical Service, Brewarrina, NSW 2839, Australia
| | - Kylie Gwynne
- Centre for Global Indigenous Futures, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW 2109, Australia
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19
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Yashadhana A, Howie A, Veber M, Cullen P, Withall A, Lewis E, McCausland R, Macniven R, Andersen M. Experiences and perceptions of ageing among older First Nations Australians: A rapid review. Australas J Ageing 2021; 41:8-19. [PMID: 34905642 DOI: 10.1111/ajag.13031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 11/04/2021] [Accepted: 11/07/2021] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To identify and describe articles reporting the experiences and perceptions of ageing among older First Nations Australians. METHODS Following rapid review and PRISMA guidelines, we searched five databases for peer-reviewed articles published prior to October 2019 that reported qualitative accounts of ageing among older (≥ 45 years) First Nations Australians. Data were extracted and synthesised thematically. RESULTS Twenty-one articles were included in the final synthesis. Priorities in ageing highlighted the role of Elders, family, community, culture and connection to ancestral lands. Experiences and perceptions of ageing reflected cultural marginalisation in aged and health care services, and highlighted the importance of cultural identity, resilience and survival as key to ageing well. CONCLUSIONS Our review suggests that mainstream ageing frameworks do not fully reflect the priorities of older First Nations Australians. This has important implications for ageing policy and the design and delivery of culturally safe aged and health care services.
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Affiliation(s)
- Aryati Yashadhana
- University of New South Wales Ageing Futures Institute, Sydney, New South Wales, Australia.,School of Population Health, University of New South Wales, Sydney, New South Wales, Australia.,Centre for Health Equity Training Research & Evaluation (CHETRE), University of New South Wales, Sydney, New South Wales, Australia.,Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Australia
| | - Adam Howie
- School of Population Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Madelene Veber
- University of New South Wales Ageing Futures Institute, Sydney, New South Wales, Australia.,School of Population Health, University of New South Wales, Sydney, New South Wales, Australia.,School of Social Sciences, University of New South Wales, Sydney, New South Wales, Australia
| | - Patricia Cullen
- School of Population Health, University of New South Wales, Sydney, New South Wales, Australia.,The George Institute for Global Health, Sydney, New South Wales, Australia.,Ngarruwan Ngadju, Australian Health Services Research Institute, University of Wollongong, Wollongong, New South Wales, Australia
| | - Adrienne Withall
- University of New South Wales Ageing Futures Institute, Sydney, New South Wales, Australia.,School of Population Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Ebony Lewis
- School of Population Health, University of New South Wales, Sydney, New South Wales, Australia.,School of Psychology, University of New South Wales, Sydney, New South Wales, Australia
| | - Ruth McCausland
- School of Social Sciences, University of New South Wales, Sydney, New South Wales, Australia.,Institute for Global Development, University of New South Wales, Sydney, New South Wales, Australia
| | - Rona Macniven
- University of New South Wales Ageing Futures Institute, Sydney, New South Wales, Australia.,School of Population Health, University of New South Wales, Sydney, New South Wales, Australia.,Faculty of Medicine and Health, Poche Centre for Indigenous Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Melanie Andersen
- University of New South Wales Ageing Futures Institute, Sydney, New South Wales, Australia.,School of Population Health, University of New South Wales, Sydney, New South Wales, Australia.,The George Institute for Global Health, Sydney, New South Wales, Australia
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20
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Allen B, Canuto K, Evans JR, Lewis E, Gwynn J, Radford K, Delbaere K, Richards J, Lovell N, Dickson M, Macniven R. Facilitators and Barriers to Physical Activity and Sport Participation Experienced by Aboriginal and Torres Strait Islander Adults: A Mixed Method Review. Int J Environ Res Public Health 2021; 18:ijerph18189893. [PMID: 34574816 PMCID: PMC8468807 DOI: 10.3390/ijerph18189893] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Revised: 09/13/2021] [Accepted: 09/14/2021] [Indexed: 11/16/2022]
Abstract
Physical activity has cultural significance and population health benefits. However, Aboriginal and Torres Strait Islander adults may experience challenges in participating in physical activity. This mixed methods systematic review aimed to synthetize existing evidence on facilitators and barriers for physical activity participation experienced by Aboriginal and Torres Strait Islander adults in Australia. The Joanna Briggs Institute methodology was used. A systematic search was undertaken of 11 databases and 14 grey literature websites during 2020. The included studies reported physical activity facilitators and barriers experienced by Aboriginal or Torres Strait Islander participants aged 18+ years, living in the community. Twenty-seven studies met the inclusion criteria. Sixty-two facilitators were identified: 23 individual, 18 interpersonal, 8 community/environmental and 13 policy/program facilitators. Additionally, 63 barriers were identified: 21 individual, 17 interpersonal, 15 community/environmental and 10 policy/program barriers. Prominent facilitators included support from family, friends, and program staff, and opportunities to connect with community or culture. Prominent barriers included a lack of transport, financial constraints, lack of time, and competing work, family or cultural commitments. Aboriginal and Torres Strait Islander adults experience multiple facilitators and barriers to physical activity participation. Strategies to increase participation should seek to enhance facilitators and address barriers, collaboratively with communities, with consideration to the local context.
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Affiliation(s)
- Bridget Allen
- Neuroscience Research Australia, Randwick, NSW 2031, Australia; (E.L.); (K.R.); (K.D.)
- Correspondence: (B.A.); (R.M.)
| | - Karla Canuto
- Wardliparingga Aboriginal Health Equity, South Australian Health and Medical Research Institute, Adelaide, SA 5001, Australia;
- Faculty of Health and Medical Sciences, Adelaide Medical School, The University of Adelaide, Adelaide, SA 5005, Australia
| | - John Robert Evans
- School of Public Health, University of Technology, Ultimo, NSW 2007, Australia;
| | - Ebony Lewis
- Neuroscience Research Australia, Randwick, NSW 2031, Australia; (E.L.); (K.R.); (K.D.)
- School of Population Health, UNSW Medicine & Health, UNSW Sydney, Kensington, NSW 2052, Australia
- UNSW Ageing Futures Institute, University of New South Wales, Kensington, NSW 2052, Australia;
| | - Josephine Gwynn
- The Poche Centre for Indigenous Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2006, Australia;
- Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2006, Australia; (J.R.); (M.D.)
| | - Kylie Radford
- Neuroscience Research Australia, Randwick, NSW 2031, Australia; (E.L.); (K.R.); (K.D.)
- UNSW Ageing Futures Institute, University of New South Wales, Kensington, NSW 2052, Australia;
- School of Psychology, UNSW Science, Kensington, NSW 2052, Australia
| | - Kim Delbaere
- Neuroscience Research Australia, Randwick, NSW 2031, Australia; (E.L.); (K.R.); (K.D.)
- School of Population Health, UNSW Medicine & Health, UNSW Sydney, Kensington, NSW 2052, Australia
- UNSW Ageing Futures Institute, University of New South Wales, Kensington, NSW 2052, Australia;
| | - Justin Richards
- Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2006, Australia; (J.R.); (M.D.)
- Faculty of Health, Te Herenga Waka—Victoria University Wellington, Wellington 6012, New Zealand
| | - Nigel Lovell
- UNSW Ageing Futures Institute, University of New South Wales, Kensington, NSW 2052, Australia;
- Faculty of Engineering, Graduate School of Biomedical Engineering, UNSW Sydney, Kensington, NSW 2052, Australia
| | - Michelle Dickson
- Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2006, Australia; (J.R.); (M.D.)
| | - Rona Macniven
- School of Population Health, UNSW Medicine & Health, UNSW Sydney, Kensington, NSW 2052, Australia
- UNSW Ageing Futures Institute, University of New South Wales, Kensington, NSW 2052, Australia;
- The Poche Centre for Indigenous Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2006, Australia;
- Correspondence: (B.A.); (R.M.)
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21
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Macniven R, Canuto KJ, Evans JR. Facilitators and barriers to physical activity participation experienced by Aboriginal and Torres Strait Islander adults: a mixed methods systematic review protocol. JBI Evid Synth 2021; 19:1659-1667. [PMID: 33394622 DOI: 10.11124/jbies-20-00339] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
OBJECTIVE To synthesize the existing research about physical activity and sport facilitators and barriers experienced by Aboriginal and Torres Strait Islander adults in Australia. INTRODUCTION Physical activity and sport have cultural importance for First Nations peoples. Achieving health and broader benefits from physical activity and sport is impacted by experiences of both facilitators and barriers to participation. Identifying how to facilitate participation and overcome barriers to physical activity and sport is important to develop strategies to increase physical activity levels and sport participation among Aboriginal and Torres Strait Islander adults. Several studies have examined physical activity and sport facilitators and barriers experienced by Aboriginal and Torres Strait Islander adults, and collective synthesis of these studies can provide a more comprehensive understanding of their findings. INCLUSION CRITERIA This mixed methods systematic review will consider studies that include Aboriginal and Torres Strait Islander peoples aged 18 years and over from any setting or region of Australia. Studies will be considered if they report on facilitators and barriers to physical activity and/or sport participation. METHODS Eleven databases will be searched, as well as gray literature sources, and a selection of websites containing resources relevant to physical activity participation for Aboriginal and Torres Strait Islander adults. Studies published in English will be included. No date limits will be set. After screening the titles and abstracts of identified citations, potentially relevant studies will be retrieved in full. Study selection, critical appraisal, data extraction, and data synthesis will be undertaken according to the convergent integrated approach to mixed methods reviews. SYSTEMATIC REVIEW REGISTRATION NUMBER PROSPERO CRD42020162134.
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Affiliation(s)
- Rona Macniven
- School of Population Health, The University of New South Wales, Sydney, NSW, Australia
- Faculty of Medicine and Health, Poche Centre for Indigenous Health, The University of Sydney, Sydney, NSW, Australia
| | - Karla J Canuto
- Wardliparingga Aboriginal Health Unit, South Australian Health and Medical Research Institute, Adelaide, SA, Australia
| | - John R Evans
- Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia
- Sydney School of Education and Social Work, The University of Sydney, Sydney, NSW, Australia
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22
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Esgin T, Hersh D, Rowley KG, Macniven R, Glenister K, Crouch A, Newton RU. Physical Activity and Self-Reported Metabolic Syndrome Risk Factors in the Aboriginal Population in Perth, Australia, Measured Using an Adaptation of the Global Physical Activity Questionnaire (GPAQ). Int J Environ Res Public Health 2021; 18:5969. [PMID: 34199675 PMCID: PMC8199758 DOI: 10.3390/ijerph18115969] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 05/25/2021] [Accepted: 05/30/2021] [Indexed: 11/17/2022]
Abstract
Background: Complex, ongoing social factors have led to a context where metabolic syndrome (MetS) is disproportionately high in Aboriginal Australians. MetS is characterised by insulin resistance, abdominal obesity, hypertension, hypertriglyceridemia, high blood-sugar and low HDL-C. This descriptive study aimed to document physical activity levels, including domains and intensity and sedentary behaviour, and MetS risk factors in the Perth Aboriginal (predominately Noongar) community. Methods: The Global Physical Activity Questionnaire (GPAQ), together with a questionnaire on self-reported MetS risk factors, was circulated to community members for completion during 2014 (n = 129). Results: Data were analysed using chi-squared tests. The average (SD) age was 37.8 years (14) and BMI of 31.4 (8.2) kg/m2. Occupational, transport-related and leisure-time physical activity (PA) and sedentary intensities were reported across age categories. The median (interquartile range) daily sedentary time was 200 (78, 435), 240 (120, 420) and 180 (60, 300) minutes for the 18-25, 26-44 and 45+ year-olds, respectively (p = 0.973). Conclusions: An in-depth understanding of the types, frequencies and intensities of PA reported for the Perth Aboriginal community is important to implementing targeted strategies to reduce the prevalence of chronic disease in this context. Future efforts collaborating with community should aim to reduce the risk factors associated with MetS and improve quality of life.
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Affiliation(s)
- Tuguy Esgin
- Discipline of Exercise, Health and Performance, The University of Sydney, Sydney, NSW 2006, Australia
- School of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, Australia; (D.H.); (R.U.N.)
| | - Deborah Hersh
- School of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, Australia; (D.H.); (R.U.N.)
| | - Kevin G. Rowley
- Onemda VicHealth Koori Health Unit, University of Melbourne, Melbourne, VIC 3010, Australia
| | - Rona Macniven
- School of Population Health, University of New South Wales, Kensington, NSW 2052, Australia;
- Poche Centre for Indigenous Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2006, Australia
- Faculty of Health, Medicine and Human Sciences, Macquarie University, North Ryde, NSW 2109, Australia
| | - Kristen Glenister
- Department of Rural Health, University of Melbourne, Shepparton, VIC 3630, Australia; (K.G.); (A.C.)
| | - Alan Crouch
- Department of Rural Health, University of Melbourne, Shepparton, VIC 3630, Australia; (K.G.); (A.C.)
| | - Robert U. Newton
- School of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, Australia; (D.H.); (R.U.N.)
- School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, QLD 4072, Australia
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23
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Evans J, Canuto K, Kelly R, Caperchione C, Macniven R. Physical activity interventions to prevent and manage type 2 diabetes among Aboriginal and Torres Strait Islander peoples: a systematic review protocol. JBI Evid Synth 2021; 19:177-183. [PMID: 32881733 DOI: 10.11124/jbies-20-00060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVE This systematic review aims to synthesize evidence to determine the effect of physical activity on the prevention and management of type 2 diabetes among Aboriginal and Torres Strait Islander Australians. INTRODUCTION Physical activity interventions have been shown to have a positive influence in the prevention and management of type 2 diabetes. A body of evidence for the impact among Aboriginal and Torres Strait Islander people is emerging, but a definitive understanding is yet to be realized. INCLUSION CRITERIA The review will include studies with Aboriginal and Torres Strait Islander populations of any age group and from any setting or region in Australia. Studies will be included if they report on physical activity interventions, programs, or activities to prevent or manage type 2 diabetes. Studies may compare physical activity interventions to usual care, alternate treatments, or no intervention, or may be pre-post studies. This review will consider studies that measure change in physical activity or exercise levels and/or change in HbA1c level. METHODS Nine databases will be searched, and studies published in English will be included. No date limits will be set. Methodological quality will be determined using critical appraisal checklists appropriate to the study design and the CREATE Critical Appraisal Tool to appraise research from Aboriginal and Torres Strait Islander perspectives. Data extracted will include population group, study design, methods, intervention components, and physical activity-related outcomes. Quantitative data will be pooled where possible to enable a meta-analysis to be conducted. Heterogeneous studies will be synthesized narratively.
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Affiliation(s)
- John Evans
- Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.,Sydney School of Education and Social Work, The University of Sydney, Camperdown, NSW, Australia
| | - Karla Canuto
- Wardliparingga Aboriginal Health Unit, South Australian Health and Medical Research Institute, Adelaide, SA, Australia
| | - Ray Kelly
- Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia
| | | | - Rona Macniven
- School of Public Health and Community Medicine, Faculty of Medicine, The University of New South Wales, Kensington, NSW, Australia.,Faculty of Medicine and Health, Poche Centre for Indigenous Health, The University of Sydney, Camperdown, NSW, Australia
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24
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Reynolds RC, Smith VM, Macniven R. Comparison of free-living physical activity data obtained from a Fitbit Zip, the Apple iPhone Health app and a modified Bouchard Activity Record. Health Promot J Austr 2021; 33:51-56. [PMID: 33864306 DOI: 10.1002/hpja.492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Revised: 03/23/2021] [Accepted: 04/12/2021] [Indexed: 11/10/2022] Open
Abstract
ISSUE ADDRESSED Physical activity tracking devices have potential to improve public health, but their data needs to be reliable. No study has compared movement data between the Fitbit Zip, Apple iPhone Health app and physical activity records in a community setting over 10 days. METHODS University students aged 18+ years wore both a Fitbit Zip and an iPhone at/near their right waist and completed a modified Bouchard Activity Record (BAR) for 10 days in a free-living setting. Comparisons were made between the Fitbit Zip and iPhone for the number of steps and the distance travelled and between the Fitbit Zip and BAR for the minutes of activity in three different intensities. RESULTS Eighteen students provided sufficient data for inclusion. There were strong correlations between steps per day (r = .87) and distance travelled (r = .88) between the Fitbit Zips and iPhones. However, the Fitbit Zip measured significantly more steps per day (mean 8437 vs 7303; P ≤ .001) and greater distances (mean 5.9 vs 4.9; P ≤ .001) than the iPhone. Correlations between the Fitbit Zips and the BARs were moderate for minutes of total (r = .51) and light (r = .40) activity and weak for moderate/fairly active (r = .20) and vigorous/very active (r = .25). CONCLUSIONS There were strong correlations between the physical activity data measured by Fitbit Zips and iPhones, but the iPhone Health app significantly underestimated the number of steps per day taken and the distance travelled when compared to the Fitbit Zip. SO WHAT?: Understanding the comparability of accelerometer devices provides useful information for future pragmatic physical activity measurement.
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Affiliation(s)
| | - Veronica M Smith
- School of Population Health, UNSW Sydney, Sydney, NSW, Australia
| | - Rona Macniven
- School of Population Health, UNSW Sydney, Sydney, NSW, Australia
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25
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Nolan-Isles D, Macniven R, Hunter K, Gwynn J, Lincoln M, Moir R, Dimitropoulos Y, Taylor D, Agius T, Finlayson H, Martin R, Ward K, Tobin S, Gwynne K. Enablers and Barriers to Accessing Healthcare Services for Aboriginal People in New South Wales, Australia. Int J Environ Res Public Health 2021; 18:ijerph18063014. [PMID: 33804104 PMCID: PMC7999419 DOI: 10.3390/ijerph18063014] [Citation(s) in RCA: 55] [Impact Index Per Article: 18.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 03/05/2021] [Accepted: 03/09/2021] [Indexed: 11/21/2022]
Abstract
Background: Australia’s healthcare system is complex and fragmented which can create challenges in healthcare, particularly in rural and remote areas. Aboriginal people experience inequalities in healthcare treatment and outcomes. This study aimed to investigate barriers and enablers to accessing healthcare services for Aboriginal people living in regional and remote Australia. Methods: Semi-structured interviews were conducted with healthcare delivery staff and stakeholders recruited through snowball sampling. Three communities were selected for their high proportion of Aboriginal people and diverse regional and remote locations. Thematic analysis identified barriers and enablers. Results: Thirty-one interviews were conducted in the three communities (n = 5 coastal, n = 13 remote, and n = 13 border) and six themes identified: (1) Improved coordination of healthcare services; (2) Better communication between services and patients; (3) Trust in services and cultural safety; (4) Importance of prioritizing health services by Aboriginal people; (5) Importance of reliable, affordable and sustainable services; (6) Distance and transport availability. These themes were often present as both barriers and enablers to healthcare access for Aboriginal people. They were also present across the healthcare system and within all three communities. Conclusions: This study describes a pathway to better healthcare outcomes for Aboriginal Australians by providing insights into ways to improve access.
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Affiliation(s)
- Davida Nolan-Isles
- The Poche Centre for Indigenous Health, Faculty of Medicine and Health, Edward Ford Building A27, The University of Sydney, Camperdown, NSW 2006, Australia; (D.N.-I.); (J.G.); (R.M.); (Y.D.); (S.T.); (K.G.)
| | - Rona Macniven
- The Poche Centre for Indigenous Health, Faculty of Medicine and Health, Edward Ford Building A27, The University of Sydney, Camperdown, NSW 2006, Australia; (D.N.-I.); (J.G.); (R.M.); (Y.D.); (S.T.); (K.G.)
- School of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW 2052, Australia
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW 2109, Australia
- Correspondence:
| | - Kate Hunter
- Faculty of Medicine and Health, The George Institute for Global Health, University of New South Wales, Newtown, NSW 2042, Australia;
| | - Josephine Gwynn
- The Poche Centre for Indigenous Health, Faculty of Medicine and Health, Edward Ford Building A27, The University of Sydney, Camperdown, NSW 2006, Australia; (D.N.-I.); (J.G.); (R.M.); (Y.D.); (S.T.); (K.G.)
- Faculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Camperdown, NSW 2006, Australia
| | - Michelle Lincoln
- Faculty of Health, The University of Canberra, Bruce, ACT 2617, Australia;
| | - Rachael Moir
- The Poche Centre for Indigenous Health, Faculty of Medicine and Health, Edward Ford Building A27, The University of Sydney, Camperdown, NSW 2006, Australia; (D.N.-I.); (J.G.); (R.M.); (Y.D.); (S.T.); (K.G.)
| | - Yvonne Dimitropoulos
- The Poche Centre for Indigenous Health, Faculty of Medicine and Health, Edward Ford Building A27, The University of Sydney, Camperdown, NSW 2006, Australia; (D.N.-I.); (J.G.); (R.M.); (Y.D.); (S.T.); (K.G.)
| | - Donna Taylor
- Pius X Aboriginal Health Service, Moree, NSW 2400, Australia;
| | - Tim Agius
- Durri Aboriginal Corporation Medical Service, 15-19 York Lane, Kempsey, NSW 2440, Australia;
| | - Heather Finlayson
- Brewarrina Multipurpose Health Service, 56 Doyle Street, Brewarrina, NSW 2839, Australia;
| | - Robyn Martin
- Mid North Coast Local Health District, Port Macquarie, NSW 2444, Australia;
| | - Katrina Ward
- Brewarrina Aboriginal Health Service, 5-7 Sandon Street, Brewarrina, NSW 2839, Australia;
| | - Susannah Tobin
- The Poche Centre for Indigenous Health, Faculty of Medicine and Health, Edward Ford Building A27, The University of Sydney, Camperdown, NSW 2006, Australia; (D.N.-I.); (J.G.); (R.M.); (Y.D.); (S.T.); (K.G.)
| | - Kylie Gwynne
- The Poche Centre for Indigenous Health, Faculty of Medicine and Health, Edward Ford Building A27, The University of Sydney, Camperdown, NSW 2006, Australia; (D.N.-I.); (J.G.); (R.M.); (Y.D.); (S.T.); (K.G.)
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW 2109, Australia
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26
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Macniven R, Coombes J, Wilson R, Simon A, Mackean T, Hunter K, Ma T, Gwynn J, Sherrington C, Tiedemann A, Hill AM, Delbaere K, Lewis C, Bennett-Brook K, Howie A, Stewart G, Shakespeare M, Rogers K, Ivers RQ, Clapham K. Understanding implementation factors and participant experiences of a cluster randomised controlled trial to prevent falls among older Aboriginal people: a process evaluation protocol. Inj Prev 2021; 27:injuryprev-2020-043980. [PMID: 33402353 DOI: 10.1136/injuryprev-2020-043980] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2020] [Revised: 12/07/2020] [Accepted: 12/10/2020] [Indexed: 11/04/2022]
Abstract
INTRODUCTION Process evaluations examining programme implementation are often conducted in conjunction with effectiveness studies. Their inclusion in studies with Aboriginal participants can give an understanding of programme delivery in Aboriginal community contexts. The Ironbark: Standing Strong and Tall programme was codesigned with Aboriginal communities and includes exercise and facilitated 'yarning' discussion about fall risk and prevention strategies. The programme pilot showed favourable outcomes and acceptability for Aboriginal people aged 45 years and over. The Ironbark: Standing Strong and Tall programme is now being compared with a 'Healthy Community' programme in a cluster randomised controlled trial within Aboriginal health and community services. An embedded process evaluation aims to explore relationships between participation and programme outcomes and the quality of programme implementation. METHODS AND ANALYSIS The process evaluation will use a mixed methods design, guided by Indigenous research methodology. It will evaluate quantitative data (number of completed sessions, site coaching checklist tool, participant and facilitator questionnaire data and a participant habit formation scale), as well as qualitative data (open-ended responses from project and site staff and semistructured interviews using yarning with study participants and site managers). A programme logic model was developed to explain the intended inputs, activities, outputs and outcomes, which guided this process evaluation design. CONCLUSION This process evaluation of a fall prevention programme for older Aboriginal people using a mixed methods design and data triangulation will allow for a comprehensive understanding of study findings. Multiple study sites allow for generalisability of findings and exploration of variation across sites. TRIAL REGISTRATION NUMBER ACTRN12619000349145.
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Affiliation(s)
- Rona Macniven
- School of Population Health, The University of New South Wales, Sydney, New South Wales, Australia
- Poche Centre for Indigenous Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Julieann Coombes
- The George Institute for Global Health, The University of New South Wales, Sydney, New South Wales, Australia
| | - Roland Wilson
- Southgate Institute for Health, Society, and Equity, Flinders University, Adelaide, South Australia, Australia
| | - Aaron Simon
- School of Population Health, The University of New South Wales, Sydney, New South Wales, Australia
- The George Institute for Global Health, The University of New South Wales, Sydney, New South Wales, Australia
| | - Tamara Mackean
- The George Institute for Global Health, The University of New South Wales, Sydney, New South Wales, Australia
- Southgate Institute for Health, Society, and Equity, Flinders University, Adelaide, South Australia, Australia
| | - Kate Hunter
- The George Institute for Global Health, The University of New South Wales, Sydney, New South Wales, Australia
| | - Tracey Ma
- School of Population Health, The University of New South Wales, Sydney, New South Wales, Australia
- The George Institute for Global Health, The University of New South Wales, Sydney, New South Wales, Australia
| | - Josephine Gwynn
- Poche Centre for Indigenous Health, The University of Sydney, Sydney, New South Wales, Australia
- Faculty of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia
| | - Catherine Sherrington
- Institute for Musculoskeletal Health, School of Public Health, The University of Sydney and Sydney Local Health District, Sydney, New South Wales, Australia
| | - Anne Tiedemann
- Institute for Musculoskeletal Health, School of Public Health, The University of Sydney and Sydney Local Health District, Sydney, New South Wales, Australia
| | - Anne-Marie Hill
- School of Physiotherapy and Exercise Science, Curtin University, Bentley, Perth, Australia
| | - Kim Delbaere
- School of Population Health, The University of New South Wales, Sydney, New South Wales, Australia
- Neuroscience Research Australia, University of New South Wales, Sydney, New South Wales, Australia
| | - Carolyn Lewis
- School of Physiotherapy and Exercise Science, Curtin University, Bentley, Perth, Australia
| | - Keziah Bennett-Brook
- The George Institute for Global Health, The University of New South Wales, Sydney, New South Wales, Australia
| | - Adam Howie
- School of Population Health, The University of New South Wales, Sydney, New South Wales, Australia
| | - Georgia Stewart
- Ngarruwan Ngadju First Peoples Health and Wellbeing Research Centre, Australian Health Services Research Institute, University of Wollongong, Wollongong, New South Wales, Australia
| | - Madison Shakespeare
- Southgate Institute for Health, Society, and Equity, Flinders University, Adelaide, South Australia, Australia
| | - Kris Rogers
- The George Institute for Global Health, The University of New South Wales, Sydney, New South Wales, Australia
- Graduate School of Health, University of Technology Sydney, Ultimo, New South Wales, Australia
| | - Rebecca Q Ivers
- School of Population Health, The University of New South Wales, Sydney, New South Wales, Australia
- The George Institute for Global Health, The University of New South Wales, Sydney, New South Wales, Australia
| | - Kathleen Clapham
- Ngarruwan Ngadju First Peoples Health and Wellbeing Research Centre, Australian Health Services Research Institute, University of Wollongong, Wollongong, New South Wales, Australia
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Macniven R, Jeffries TL, Meharg D, Talbot F, Rambaldini B, Edwards E, Hickie IB, Sloan M, Gwynne K. What Solutions Exist for Developmental Delays Facing Indigenous Children Globally? A Co-Designed Systematic Review. Children (Basel) 2020; 7:E285. [PMID: 33321773 PMCID: PMC7763469 DOI: 10.3390/children7120285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Revised: 11/27/2020] [Accepted: 12/08/2020] [Indexed: 11/16/2022]
Abstract
Early childhood is important for future cognitive and educational outcomes. Programs overcoming barriers to engagement in early education for Indigenous children must address family cultural needs and target developmental delays. This systematic review identifies culturally adapted programs to improve developmental delays among young children, in response to an identified priority of a remote Indigenous community. Five databases (the Cochrane Library, Embase, Medline, Scopus and CINAHL) were searched for English language papers in January 2018. Study quality was assessed, and findings were analysed thematically. Findings were presented to the community at an event with key stakeholders, to determine their inclusion and face validity. Seven relevant studies, published between 1997 and 2013, were identified by the researchers and each study was supported by the community for inclusion. Three studies included on Native American children and four studies included children from non-Indigenous disadvantaged backgrounds. Findings were reported narratively across four themes: storytelling to improve educational outcomes; family involvement improved development; culturally adapted cognitive behavioural therapy to reduce trauma; rewards-based teaching to improve child attention. Limited published research on culturally adapted and safe interventions for children with developmental delays exists but these four themes from seven studies identify useful components to guide the community and early childhood program development.
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Affiliation(s)
- Rona Macniven
- School of Population Health, University of New South Wales, Sydney 2052, Australia
- Poche Centre for Indigenous Health, Faculty of Health and Medicine, The University of Sydney, Sydney 2006, Australia; (T.L.J.J.); (D.M.); (F.T.); (B.R.); (K.G.)
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney 2109, Australia
| | - Thomas Lee Jeffries
- Poche Centre for Indigenous Health, Faculty of Health and Medicine, The University of Sydney, Sydney 2006, Australia; (T.L.J.J.); (D.M.); (F.T.); (B.R.); (K.G.)
| | - David Meharg
- Poche Centre for Indigenous Health, Faculty of Health and Medicine, The University of Sydney, Sydney 2006, Australia; (T.L.J.J.); (D.M.); (F.T.); (B.R.); (K.G.)
| | - Folau Talbot
- Poche Centre for Indigenous Health, Faculty of Health and Medicine, The University of Sydney, Sydney 2006, Australia; (T.L.J.J.); (D.M.); (F.T.); (B.R.); (K.G.)
| | - Boe Rambaldini
- Poche Centre for Indigenous Health, Faculty of Health and Medicine, The University of Sydney, Sydney 2006, Australia; (T.L.J.J.); (D.M.); (F.T.); (B.R.); (K.G.)
| | - Elaine Edwards
- Toomelah Public School, Boggabilla 2409, Australia; (E.E.); (M.S.)
| | - Ian B. Hickie
- Brain and Mind Centre, The University of Sydney, Sydney 2006, Australia;
| | - Margaret Sloan
- Toomelah Public School, Boggabilla 2409, Australia; (E.E.); (M.S.)
| | - Kylie Gwynne
- Poche Centre for Indigenous Health, Faculty of Health and Medicine, The University of Sydney, Sydney 2006, Australia; (T.L.J.J.); (D.M.); (F.T.); (B.R.); (K.G.)
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney 2109, Australia
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Abstract
OBJECTIVE To examine the ability of ear, nose and throat (ENT) outreach programmes to improve health outcomes among Aboriginal and Torres Strait Islander people. METHODS We conducted a systematic literature search of nine databases (Medline, CINAHLS, PsycINFO, Embase, Cochrane, Scopus, Global health, Informit Rural health database and Indigenous collection) and grey literature sources for primary studies evaluating ENT outreach services for Aboriginal and Torres Strait Islander people. This review included English language studies of all types, published between 2000 and 2018, that supplied ENT outreach services to Aboriginal and Torres Strait Islander Australians and provided data to evaluate their aims. Two authors independently evaluated the eligible articles and extracted relevant information. Risk of bias was assessed using the Mixed Methods Assessment Tool. RESULTS Of the 506 studies identified, 15 were included in this review. These 15 studies evaluated eight different programs/activities. Studies were heterogeneous in design so a meta-analysis could not be conducted. Seven studies measured health-related outcomes in middle ear or hearing status; six reported overall positive changes one reported no clinically significant improvements. Five programmes/activities and their corresponding studies involved Aboriginal and Torres Strait Islander people and organisations in delivery and evaluation, but involvement in programme or study design was unclear. CONCLUSION While some studies demonstrated improved outcomes, the overall ability of ENT programmes to improve health outcomes for Aboriginal and Torres Strait Islander children is unclear. The impact of ENT outreach may be limited by a lack of quality evidence, service coordination and sustainability. Community codesign and supporting and resourcing local capacity must be a component of outreach programmes and ongoing evaluation is also recommended. Improvements in these areas would likely improve health outcomes. PROSPERO REGISTRATION NUMBER CRD42019134757.
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Affiliation(s)
- Anna Gotis-Graham
- Poche Centre for Indigenous Health, The University of Sydney, Sydney, New South Wales, Australia
- Sydney Medical School, University of Sydney Poche Centre for Indigenous Health, Camperdown, New South Wales, Australia
| | - Rona Macniven
- Poche Centre for Indigenous Health, The University of Sydney, Sydney, New South Wales, Australia
- Sydney Medical School, University of Sydney Poche Centre for Indigenous Health, Camperdown, New South Wales, Australia
- School of Population Health, The University of New South Wales, Sydney, New South Wales, Australia
- School of Medicine and Public Health, The University of Newcastle, New Lambton Heights, New South Wales, Australia
| | - Kelvin Kong
- The University of Newcastle, John Hunter Hospital, Newcastle, New South Wales, Australia
| | - Kylie Gwynne
- Poche Centre for Indigenous Health, The University of Sydney, Sydney, New South Wales, Australia
- Sydney Medical School, University of Sydney Poche Centre for Indigenous Health, Camperdown, New South Wales, Australia
- School of Medicine and Public Health, The University of Newcastle, New Lambton Heights, New South Wales, Australia
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Ivers R, Coombes J, Sherrington C, Mackean T, Tiedemann A, Hill AM, Keay L, Clemson L, Simpson J, Ryder C, Macniven R, Clapham K. Healthy ageing among older Aboriginal people: the Ironbark study protocol for a cluster randomised controlled trial. Inj Prev 2020; 26:581-587. [PMID: 33028649 DOI: 10.1136/injuryprev-2020-043915] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Revised: 08/31/2020] [Accepted: 09/04/2020] [Indexed: 11/03/2022]
Abstract
INTRODUCTION Older Aboriginal people have a strong leadership role in their community including passing on knowledge and teachings around culture and connections to Country. Falls significantly affect older people and are a growing concern for older Aboriginal people and their families. Regular participation in balance and strength exercise has been shown to be efficacious in reducing falls. A pilot study developed in partnership with Aboriginal communities, the Ironbark: Standing Strong and Tall programme, demonstrated high community acceptability and feasibility, and gains in balance and strength in Aboriginal participants. This cluster randomised controlled trial will assess the effectiveness of the programme in reducing the rate of falls in older Aboriginal people. METHODS We will examine the effectiveness and cost-effectiveness of the Ironbark group-based fall prevention programme compared with a group-based social programme, with Aboriginal people aged 45 years and older in three Australian states. The primary outcome is fall rates over 12 months, measured using weekly self-reported data. Secondary outcomes measured at baseline and after 12 months include quality of life, psychological distress, activities of daily living, physical activity, functional mobility and central obesity. Differences between study groups in the primary and secondary outcomes at 12 months will be estimated. CONCLUSION This is the first trial to investigate the effectiveness and cost-effectiveness of a fall prevention programme for Aboriginal peoples aged ≥45 years. The study has strong cultural and community governance, including Aboriginal investigators and staff, and is guided by a steering committee that includes representatives of Aboriginal community-controlled services. TRIAL REGISTRATION NUMBER ACTRN12619000349145.
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Affiliation(s)
- Rebecca Ivers
- School of Population Health, University of New South Wales, Sydney, New South Wales, Australia .,The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Julieann Coombes
- The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Catherine Sherrington
- Institute for Musculoskeletal Health, School of Public Health, The University of Sydney and Sydney Local Health District, Sydney, Australia, Sydney, New South Wales, Australia
| | - Tamara Mackean
- The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.,Southgate Institute for Health, Society, and Equity, Flinders University, Adelaide, South Australia, Australia
| | - Anne Tiedemann
- Institute for Musculoskeletal Health, School of Public Health, The University of Sydney and Sydney Local Health District, Sydney, Australia, Sydney, New South Wales, Australia
| | - Anne-Marie Hill
- School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia
| | - Lisa Keay
- The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.,School of Optometry and Vision Science, University of New South Wales, Sydney, New South Wales, Australia
| | - Lindy Clemson
- Faculty of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia
| | - Judy Simpson
- School of Public Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Courtney Ryder
- The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.,Southgate Institute for Health, Society, and Equity, Flinders University, Adelaide, South Australia, Australia
| | - Rona Macniven
- School of Population Health, University of New South Wales, Sydney, New South Wales, Australia.,Poche Centre for Indigenous Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Kathleen Clapham
- Ngarruwan Ngadju First Peoples Health and Wellbeing Research Centre, Australian Health Services Research Institute, The University of Wollongong, Wollongong, New South Wales, Australia
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Macniven R, Esgin T. Exercise motivators, barriers, habits and environment at an Indigenous community facility. Managing Sport and Leisure 2020. [DOI: 10.1080/23750472.2020.1810108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Rona Macniven
- School of Public Health and Community Medicine, Faculty of Medicine, The University of New South Wales, Sydney, Australia
| | - Tuguy Esgin
- Discipline of Exercise, Health and Performance, The University of Sydney, Sydney, Australia
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Macniven R, Foley BC, Owen KB, Evans JR, Bauman AE, Reece LJ. Physical activity and sport participation characteristics of Indigenous children registered in the Active Kids voucher program in New South Wales. J Sci Med Sport 2020; 23:1178-1184. [PMID: 32653250 DOI: 10.1016/j.jsams.2020.06.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Revised: 05/22/2020] [Accepted: 06/26/2020] [Indexed: 11/18/2022]
Abstract
OBJECTIVES Investigate sociodemographic factors associated with physical activity and sport participation among Indigenous children registered in the New South Wales (NSW) government-funded Active Kids voucher program in 2018, including comparison with non-Indigenous children. DESIGN Cross-sectional study. METHODS The Active Kids voucher program aims to support the cost of children's sport and physical activities. All children aged 5-18 years in NSW are eligible for a voucher. To register, parent/carers report child sociodemographic characteristics, physical activity, sport participation and optional height and weight. Regression models were used to determine which sociodemographic characteristics were associated with meeting physical activity guidelines and sport participation for Indigenous and non-Indigenous children. RESULTS Of the 671,375 children aged 5-18 years, 36,129 (5.4%) were Indigenous. More Indigenous children than non-Indigenous children met the physical activity guidelines before registering in the Active Kids program. Indigenous children had greater odds of meeting physical activity guidelines across all socio-economic quartiles. Among non-Indigenous children, odds reduced with social disadvantage. Indigenous children (38%) were less likely to participate in organised physical activity and sport sessions at least twice a week compared to non-Indigenous children (43%). Indigenous children living in major cities had higher sport participation levels compared with those living in outer regional and remote areas. CONCLUSIONS The Active Kids voucher program achieved population representative reach among Indigenous children, whose physical activity levels were higher than non-Indigenous children across all socioeconomic quartiles. The program has potential to supplement Indigenous children's physical activity levels using organised sessions and reduce sport drop-out among older children.
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Affiliation(s)
- Rona Macniven
- University of New South Wales, School of Public Health and Community Medicine, Australia; The University of Sydney, Faculty of Medicine and Health, Poche Centre for Indigenous Health, Australia
| | - Bridget C Foley
- The University of Sydney, SPRINTER, Prevention Research Collaboration, The Charles Perkins Centre, Sydney School of Public Health, Australia
| | - Katherine B Owen
- The University of Sydney, SPRINTER, Prevention Research Collaboration, The Charles Perkins Centre, Sydney School of Public Health, Australia
| | - John R Evans
- University of Technology Sydney, Faculty of Health, Australia
| | - Adrian E Bauman
- The University of Sydney, SPRINTER, Prevention Research Collaboration, The Charles Perkins Centre, Sydney School of Public Health, Australia
| | - Lindsey J Reece
- The University of Sydney, SPRINTER, Prevention Research Collaboration, The Charles Perkins Centre, Sydney School of Public Health, Australia.
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Macniven R, Richards J, Turner N, Blunden S, Bauman A, Wiggers J, Gwynn J. Understanding physical activity patterns among rural Aboriginal and non-Aboriginal young people. Rural Remote Health 2019; 19:4876. [PMID: 31466453 DOI: 10.22605/rrh4876] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION Physical activity across the lifespan is essential to good health but participation rates are generally lower in rural areas and among Aboriginal Australians. Declines in moderate-to-vigorous physical activity (MVPA) commence before adolescence but descriptive epidemiology of patterns of physical activity among Aboriginal children is limited. MVPA variation by season, setting and type at two time points among rural Aboriginal and non-Aboriginal Australian children was examined. METHODS Children aged 10-14 years in 38 schools in two rural New South Wales towns during 2007-2008 (T1) and 2011-2012 (T2) self-reported time spent engaged in MVPA for different types, settings and seasons, totalling 14 components: organised, non-organised, club, school, travel to/from school, after school and weekend - in both summer and winter. Linear mixed models assessed MVPA mean minutes and 95% confidence intervals for Aboriginal and non-Aboriginal children and between-group mean differences over time. RESULTS A total of 1545 children (246 Aboriginal) at T1 and 923 children (240 Aboriginal) at T2 provided data. Overall MVPA, travel to/from school (summer and winter) and after-school activity (winter) declined over time in both groups (p≤0.005). Significant declines occurred in non-organised, school (summer and winter) and organised (winter) activity among Aboriginal children only. There were differences according to Aboriginality from T1 to T2 for school (summer and winter; p<0.001), weekend (summer; p=0.02) and winter organised (winter; p<0.001) activity . CONCLUSIONS While overall physical activity declines occurred between 2007-208 (T1) and 2011-2012 (T2) in both Aboriginal and non-Aboriginal rural-dwelling children, declines in particular components of physical activity were greater among Aboriginal compared to non-Aboriginal children. A multi-strategy, holistic approach to increase physical activity during the critical time of adolescence is necessary.
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Affiliation(s)
- Rona Macniven
- Prevention Research Collaboration, Sydney School of Public Health, Level 6 The Hub, The Charles Perkins Centre (D17), The University of Sydney, NSW, 2006, Australia and Poche Centre for Indigenous Health, Sydney Medical School, Rm 224 Edward Ford Building A27, The University of Sydney, NSW, 2006 Australia and School of Public Health and Community Medicine, The University of New South Wales, Kensington, NSW 2052, Australia
| | - Justin Richards
- Prevention Research Collaboration, Sydney School of Public Health, Level 6 The Hub, The Charles Perkins Centre (D17), The University of Sydney, NSW 2006, Australia
| | - Nicole Turner
- The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia and Australian National University, Canberra, ACT 0200, Australia
| | - Steve Blunden
- Casino Aboriginal Medical Service, 43 Johnston Street, Casino, NSW 2470, Australia
| | - Adrian Bauman
- Prevention Research Collaboration, Sydney School of Public Health, Level 6 The Hub, The Charles Perkins Centre (D17), The University of Sydney, NSW 2006, Australia and Charles Perkins Centre, (D17), The University of Sydney, NSW 2006, Australia
| | - John Wiggers
- Hunter New England Local Health District, Locked Bag 1, New Lambton NSW 2305, Australia and The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia
| | - Josephine Gwynn
- Poche Centre for Indigenous Health, Sydney Medical School, Rm 224 Edward Ford Building A27, The University of Sydney, NSW 2006, Australia and Charles Perkins Centre, (D17), The University of Sydney, NSW 2006, Australia and Faculty of Health Sciences, The University of Sydney, NSW 2006, Australia
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Macniven R, Canuto K, Wilson R, Bauman A, Evans J. The impact of physical activity and sport on social outcomes among Aboriginal and Torres Strait Islander people: A systematic scoping review. J Sci Med Sport 2019; 22:1232-1242. [PMID: 31281075 DOI: 10.1016/j.jsams.2019.06.017] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2019] [Revised: 06/21/2019] [Accepted: 06/26/2019] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To identify and describe existing evidence of the impact of sport and physical activity programs on social outcomes among Aboriginal and Torres Strait Islander people. DESIGN Systematic scoping review. METHODS Nine scientific databases (MEDLINE, Scopus, SPORTSDiscus, PsycINFO, Informit, Database of Abstracts of Reviews of Effects (DARE), The Cochrane Library, The Campbell Library, ProQuest Dissertations and Theses) and grey literature were systematically searched for programs or activities that target Aboriginal and Torres Strait Islander people and use physical activity and sport participation to improve one or more of six social and community outcomes of: (i) education; (ii) employment; (iii) culture; (iv) social and emotional wellbeing; (v) life skills; (vi) crime reduction. RESULTS Of the 1160 studies identified, 20 met the inclusion criteria and were published between 2003 and 2018. Most studies reported positive findings across multiple, broad outcomes of education (N = 11), employment (N = 1), culture (N = 9), social and emotional wellbeing (N = 12), life skills (N = 5) and crime reduction (N = 5). Some evidence was found for increased school attendance and improved self-esteem resulting from physical activity and sport participation as well as enhanced aspects of culture, such as cultural connections, connectedness, values and identity. CONCLUSIONS There is some evidence of benefit across the six social outcomes from physical activity and sport programs. This promotes their continuation and development, although critical appraisal of their methods is needed to better quantify benefits, as well as the generation of new evidence across indicators where gaps currently exist, particularly for employment and crime reduction outcomes.
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Affiliation(s)
- Rona Macniven
- University of New South Wales, School of Public Health and Community Medicine, Australia; The University of Sydney, Faculty of Medicine and Health, Poche Centre for Indigenous Health, Australia.
| | - Karla Canuto
- South Australian Health & Medical Research Institute, Wardliparingga Aboriginal Health Unit, Australia
| | - Rachel Wilson
- The University of Sydney, Sydney School of Education & Social Work, Australia
| | - Adrian Bauman
- The University of Sydney, Prevention Research Collaboration, The Charles Perkins Centre, Sydney School of Public Health, Australia
| | - John Evans
- The University of Sydney, Sydney School of Education & Social Work, Australia; University of Technology Sydney, Faculty of Health, Australia
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Macniven R, Gwynn J, Fujimoto H, Hamilton S, Thompson SC, Taylor K, Lawrence M, Finlayson H, Bolton G, Dulvari N, Wright DC, Rambaldini B, Freedman B, Gwynne K. Feasibility and acceptability of opportunistic screening to detect atrial fibrillation in Aboriginal adults. Aust N Z J Public Health 2019; 43:313-318. [DOI: 10.1111/1753-6405.12905] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2018] [Revised: 12/01/2018] [Accepted: 03/01/2019] [Indexed: 11/27/2022] Open
Affiliation(s)
- Rona Macniven
- Faculty of Medicine and Health, Sydney Medical School, Poche Centre for Indigenous HealthThe University of Sydney New South Wales
- Charles Perkins Centre D17The University of Sydney New South Wales
| | - Josephine Gwynn
- Faculty of Medicine and Health, Sydney Medical School, Poche Centre for Indigenous HealthThe University of Sydney New South Wales
- Charles Perkins Centre D17The University of Sydney New South Wales
| | - Hiroko Fujimoto
- Faculty of Medicine and Health, Sydney Medical School, Poche Centre for Indigenous HealthThe University of Sydney New South Wales
| | - Sandy Hamilton
- Poche Centre for Indigenous Health, School of Indigenous StudiesThe University of Western Australia Crawley Western Australia
| | - Sandra C. Thompson
- Poche Centre for Indigenous Health, School of Indigenous StudiesThe University of Western Australia Crawley Western Australia
| | - Kerry Taylor
- Poche Centre for Indigenous Health Alice Springs Northern Territory
| | - Monica Lawrence
- Poche Centre for Indigenous HealthFlinders University of South Australia Adelaide South Australia
| | | | - Graham Bolton
- Brewarrina Multipurpose Service Brewarrina New South Wales
| | - Norman Dulvari
- Albury Wodonga Aboriginal Health Service Glenroy New South Wales
| | | | - Boe Rambaldini
- Faculty of Medicine and Health, Sydney Medical School, Poche Centre for Indigenous HealthThe University of Sydney New South Wales
| | - Ben Freedman
- Faculty of Medicine and Health, Sydney Medical School, Poche Centre for Indigenous HealthThe University of Sydney New South Wales
- Charles Perkins Centre D17The University of Sydney New South Wales
| | - Kylie Gwynne
- Faculty of Medicine and Health, Sydney Medical School, Poche Centre for Indigenous HealthThe University of Sydney New South Wales
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Macniven R, Canuto K, Wilson R, Bauman A, Evans J. Impact of physical activity and sport on social outcomes among Aboriginal and Torres Strait Islander people: a scoping review protocol. ACTA ACUST UNITED AC 2019; 17:1305-1311. [PMID: 31082940 DOI: 10.11124/jbisrir-2017-004023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVE The objective of this scoping review is to identify and describe existing research on the impact of sport and physical activity programs on social outcomes among Aboriginal and Torres Strait Islander people in Australia. INTRODUCTION Physical activity can be particularly beneficial for groups such as Indigenous populations, who have increased rates of chronic disease. Systematic reviews have demonstrated the positive impact of physical activity on a range of health indicators, and there is also support for the positive impact of physical activity on wider social outcomes. However, there is a lack of evidence for the benefits of physical activity for broader social outcomes among Aboriginal and Torres Strait Islander people. INCLUSION CRITERIA This scoping review will consider studies that include Aboriginal and Torres Strait Islander people of any age from any setting or region of Australia. Studies will be considered if they report on programs or activities that use physical activity and sport participation as a component or tool to improve one or more of six social and community outcomes: education, employment, culture, social wellbeing, life skills and crime prevention. METHODS Nine databases will be searched, as well as a selection of websites containing resources related to physical activity, sport and social outcomes for Aboriginal and Torres Strait Islander people. Studies published in English will be included. No date limits will be set. After screening the titles and abstracts of identified citations, potentially relevant studies will be retrieved in full. Data extraction will be presented in a table with accompanying narrative.
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Affiliation(s)
- Rona Macniven
- Sydney School of Public Health, Faculty of Medicine and Health, Prevention Research Collaboration, The University of Sydney, Camperdown, Australia.,Faculty of Medicine and Health, Poche Centre for Indigenous Health, The University of Sydney, Camperdown, Australia
| | - Karla Canuto
- Wardliparingga Aboriginal Health Unit, South Australian Health & Medical Research Institute, Adelaide, Australia
| | - Rachel Wilson
- Sydney School of Education & Social Work, The University of Sydney, Camperdown, Australia
| | - Adrian Bauman
- Sydney School of Public Health, Faculty of Medicine and Health, Prevention Research Collaboration, The University of Sydney, Camperdown, Australia
| | - John Evans
- Sydney School of Education & Social Work, The University of Sydney, Camperdown, Australia.,Faculty of Health, University of Technology Sydney, Ultimo, Australia
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Macniven R, Hunter K, Lincoln M, O'Brien C, Jeffries TL, Shein G, Saxby A, Taylor D, Agius T, Finlayson H, Martin R, Kong K, Nolan-Isles D, Tobin S, Gwynne K. Accessibility of Primary, Specialist, and Allied Health Services for Aboriginal People Living in Rural and Remote Communities: Protocol for a Mixed-Methods Study. JMIR Res Protoc 2019; 8:e11471. [PMID: 30816848 PMCID: PMC6416536 DOI: 10.2196/11471] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Revised: 11/04/2018] [Accepted: 11/22/2018] [Indexed: 12/13/2022] Open
Abstract
Background Primary, specialist, and allied health services can assist in providing equitable access in rural and remote areas, where higher proportions of Aboriginal and Torres Strait Islander people (Aboriginal Australians) reside, to overcome the high rates of chronic diseases experienced by this population group. Little is currently known about the location and frequency of services and the extent to which providers believe delivery is occurring in a sustained and coordinated manner. Objective The objective of this study will be to determine the availability, accessibility, and level of coordination of a range of community-based health care services to Aboriginal people and identify potential barriers in accessing health care services from the perspectives of the health service providers. Methods This mixed-methods study will take place in 3 deidentified communities in New South Wales selected for their high population of Aboriginal people and geographical representation of location type (coastal, rural, and border). The study is designed and will be conducted in collaboration with the communities, Aboriginal Community Controlled Health Services (ACCHSs), and other local health services. Data collection will involve face-to-face and telephone interviews with participants who are health and community professionals and stakeholders. Participants will be recruited through snowball sampling and will answer structured, quantitative questions about the availability and accessibility of primary health care, specialist medical and allied health services and qualitative questions about accessing services. Quantitative data analysis will determine the frequency and accessibility of specific services across each community. Thematic and content analysis will identify issues relating to availability, accessibility, and coordination arising from the qualitative data. We will then combine the quantitative and qualitative data using a health ecosystems approach. Results We identified 28 stakeholder participants across the ACCHSs for recruitment through snowball sampling (coastal, n=4; rural, n=12; and border, n=12) for data collection. The project was funded in 2017, and enrolment was completed in 2017. Data analysis is currently under way, and the first results are expected to be submitted for publication in 2019. Conclusions The study will give an indication of the scope and level of coordination of primary, specialist, and allied health services in rural communities with high Aboriginal populations from the perspectives of service providers from those communities. Identification of factors affecting the availability, accessibility, and coordination of services can assist ways of developing and implementing culturally sensitive service delivery. These findings could inform recommendations for the provision of health services for Aboriginal people in rural and remote settings. The study will also contribute to the broader literature of rural and remote health service provision. International Registered Report Identifier (IRRID) DERR1-10.2196/11471
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Affiliation(s)
- Rona Macniven
- Poche Centre for Indigenous Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Kate Hunter
- The George Institute for Global Health, The University of New South Wales, Kensington, Australia
| | | | - Ciaran O'Brien
- Poche Centre for Indigenous Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Thomas Lee Jeffries
- Poche Centre for Indigenous Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | | | | | - Donna Taylor
- Aboriginal Community Controlled Health Services, Sydney, Australia
| | - Tim Agius
- Aboriginal Community Controlled Health Services, Sydney, Australia
| | | | - Robyn Martin
- Mid North Coast Local Health District, Port Macquarie, Australia
| | - Kelvin Kong
- John Hunter Hospital, New Lambton Heights, Australia
| | - Davida Nolan-Isles
- Poche Centre for Indigenous Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Susannah Tobin
- Poche Centre for Indigenous Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Kylie Gwynne
- Poche Centre for Indigenous Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
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Macniven R, Elwell M, Ride K, Bauman A, Richards J. A snapshot of physical activity programs targeting Aboriginal and Torres Strait Islander people in Australia. Health Promot J Austr 2019; 28:185-206. [PMID: 28110644 DOI: 10.1071/he16036] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2016] [Accepted: 11/11/2016] [Indexed: 11/23/2022] Open
Abstract
Issue addressed Participation in physical activity programs can be an effective strategy to reduce chronic disease risk factors and improve broader social outcomes. Health and social outcomes are worse among Aboriginal and Torres Strait Islanders than non-Indigenous Australians, who represent an important group for culturally specific programs. The extent of current practice in physical activity programs is largely unknown. This study identifies such programs targeting this population group and describes their characteristics. Methods Bibliographic and Internet searches and snowball sampling identified eligible programs operating between 2012 and 2015 in Australia (phase 1). Program coordinators were contacted to verify sourced information (phase 2). Descriptive characteristics were documented for each program. Results A total of 110 programs were identified across urban, rural and remote locations within all states and territories. Only 11 programs were located through bibliographic sources; the remainder through Internet searches. The programs aimed to influence physical activity for health or broader social outcomes. Sixty five took place in community settings and most involved multiple sectors such as sport, health and education. Almost all were free for participants and involved Indigenous stakeholders. The majority received Government funding and had commenced within the last decade. More than 20 programs reached over 1000 people each; 14 reached 0-100 participants. Most included process or impact evaluation indicators, typically reflecting their aims. Conclusion This snapshot provides a comprehensive description of current physical activity program provision for Aboriginal and Torres Strait Islander people across Australia. The majority of programs were only identified through the grey literature. Many programs collect evaluation data, yet this is underrepresented in academic literature. So what? Capturing current practice can inform future efforts to increase the impact of physical activity programs to improve health and social indicators. Targeted, culturally relevant programs are essential to reduce levels of disadvantage experienced by Aboriginal and Torres Strait Islanders.
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Affiliation(s)
- Rona Macniven
- Prevention Research Collaboration, School of Public Health, Sydney Medical School (6N52), Level 6 The Hub, Charles Perkins Centre (D17), University of Sydney, NSW 2006, Australia
| | - Michelle Elwell
- Australian Indigenous HealthNet, Edith Cowan University, 2 Bradford Street, Mount Lawley, WA 6050, Australia
| | - Kathy Ride
- Australian Indigenous HealthNet, Edith Cowan University, 2 Bradford Street, Mount Lawley, WA 6050, Australia
| | - Adrian Bauman
- Prevention Research Collaboration, School of Public Health, Sydney Medical School (6N52), Level 6 The Hub, Charles Perkins Centre (D17), University of Sydney, NSW 2006, Australia
| | - Justin Richards
- Prevention Research Collaboration, School of Public Health, Sydney Medical School (6N52), Level 6 The Hub, Charles Perkins Centre (D17), University of Sydney, NSW 2006, Australia
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Macniven R, Plater S, Canuto K, Dickson M, Gwynn J, Bauman A, Richards J. The "ripple effect": Health and community perceptions of the Indigenous Marathon Program on Thursday Island in the Torres Strait, Australia. Health Promot J Austr 2018; 29:304-313. [PMID: 29569761 DOI: 10.1002/hpja.43] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2017] [Accepted: 02/06/2018] [Indexed: 11/12/2022] Open
Abstract
ISSUE ADDRESSED Physical inactivity is a key health risk among Aboriginal and Torres Strait Islander (Indigenous) Australians. We examined perceptions of the Indigenous Marathon Program (IMP) in a remote Torres Strait island community. METHODS Semi-structured interviews with community and program stakeholders (n = 18; 14 Indigenous) examined barriers and enablers to running and the influence of the IMP on the community. A questionnaire asked 104 running event participants (n = 42 Indigenous) about their physical activity behaviours, running motivation and perceptions of program impact. Qualitative data were analysed using thematic content analysis, and quantitative data were analysed using descriptive statistics. RESULTS Interviews revealed six main themes: community readiness, changing social norms to adopt healthy lifestyles, importance of social support, program appeal to hard-to-reach population groups, program sustainability and initiation of broader healthy lifestyle ripple effects beyond running. Barriers to running in the community were personal (cultural attitudes; shyness) and environmental (infrastructure; weather; dogs). Enablers reflected potential strategies to overcome described barriers. Indigenous questionnaire respondents were more likely to report being inspired to run by IMP runners than non-Indigenous respondents. CONCLUSIONS Positive "ripple" effects of the IMP on running and broader health were described to have occurred through local role modelling of healthy lifestyles by IMP runners that reduced levels of "shame" and embarrassment, a common barrier to physical activity among Indigenous Australians. A high initial level of community readiness for behaviour change was also reported. SO WHAT?: Strategies to overcome this "shame" factor and community readiness measurement should be incorporated into the design of future Indigenous physical activity programs.
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Affiliation(s)
- Rona Macniven
- Prevention Research Collaboration, Sydney School of Public Health, The University of Sydney, The Charles Perkins Centre (D17), Sydney, NSW, Australia.,Poche Centre for Indigenous Health, Sydney Medical School, The University of Sydney, NSW, Australia
| | - Suzanne Plater
- Sydney School of Public Health, The University of Sydney, NSW, Australia
| | - Karla Canuto
- College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD, Australia.,Apunipima Cape York Health Council, Westcourt, QLD, Australia
| | - Michelle Dickson
- Sydney School of Public Health, The University of Sydney, NSW, Australia
| | - Josephine Gwynn
- Poche Centre for Indigenous Health, Sydney Medical School, The University of Sydney, NSW, Australia.,Faculty of Health Sciences, The Charles Perkins Centre, The University of Sydney, The Charles Perkins Centre (D17), NSW, Australia
| | - Adrian Bauman
- Prevention Research Collaboration, Sydney School of Public Health, The University of Sydney, The Charles Perkins Centre (D17), Sydney, NSW, Australia
| | - Justin Richards
- Prevention Research Collaboration, Sydney School of Public Health, The University of Sydney, The Charles Perkins Centre (D17), Sydney, NSW, Australia
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Macniven R, de Castella R, Seriat EB, Hunt N, Bauman AE. Bright spots, physical activity investments that work: Indigenous Marathon Foundation. Br J Sports Med 2018; 52:1302-1303. [DOI: 10.1136/bjsports-2017-098859] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/05/2018] [Indexed: 11/04/2022]
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Macniven R, Hearn S, Grunseit A, Richards J, Nutbeam D, Bauman A. Correlates of physical activity among Australian Indigenous and non‐Indigenous adolescents. Aust N Z J Public Health 2016; 41:187-192. [DOI: 10.1111/1753-6405.12609] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2016] [Revised: 06/01/2016] [Accepted: 07/01/2016] [Indexed: 11/27/2022] Open
Affiliation(s)
- Rona Macniven
- Prevention Research Collaboration, Sydney School of Public HealthThe University of Sydney New South Wales
| | - Shane Hearn
- Division of the Deputy Vice‐Chancellor & Vice‐PresidentThe University of Adelaide South Australia
| | - Anne Grunseit
- Prevention Research Collaboration, Sydney School of Public HealthThe University of Sydney New South Wales
| | - Justin Richards
- Prevention Research Collaboration, Sydney School of Public HealthThe University of Sydney New South Wales
| | - Don Nutbeam
- Prevention Research Collaboration, Sydney School of Public HealthThe University of Sydney New South Wales
| | - Adrian Bauman
- Prevention Research Collaboration, Sydney School of Public HealthThe University of Sydney New South Wales
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Gubhaju L, Banks E, Macniven R, Joshy G, McNamara BJ, Bauman A, Eades SJ. Factors relating to participation in follow-up to the 45 and up study in Aboriginal and non-Aboriginal individuals. BMC Med Res Methodol 2016; 16:53. [PMID: 27169779 PMCID: PMC4865025 DOI: 10.1186/s12874-016-0155-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2015] [Accepted: 05/05/2016] [Indexed: 11/21/2022] Open
Abstract
Background This study aimed to characterise the factors relating to participation in a postal follow-up study in Aboriginal and non-Aboriginal individuals, given the need to quantify potential biases from loss to follow-up and the lack of evidence regarding postal surveys among Aboriginal people. Methods The first 100,000 participants from the Sax Institute’s 45 and Up Study, a large scale cohort study, were posted a follow-up questionnaire gathering general demographic, health and risk factor data, emphasising Social, Economic and Environmental Factors (“The SEEF Study”). For each variable of interest, percentages of those invited who went on to participate in follow-up were tabulated separately for Aboriginal and non-Aboriginal participants and age- and sex-adjusted participation rate ratios (aPRR) were calculated. Results Of the 692 Aboriginal and 97,178 non-Aboriginal invitees to the study, 314 Aboriginal (45 %) and 59,175 non-Aboriginal (61 %) individuals responded. While Aboriginal people were less likely to respond than non-Aboriginal people (aPRR 0.72, 95 % CI 0.66–0.78), factors related to response were similar. Follow-up study participants were more likely than non-participants to have university versus no educational qualifications (1.6, 1.3–2.0 [Aboriginal]; 1.5, 1.5–1.5 [non-Aboriginal]) and an annual income of ≥70,000 versus < $20,000 (1.6, 1.3–2.0; 1.2, 1.2–1.3 [χ2 = 7.7; p = 0.001]). Current smokers (0.55, 0.42–0.72; 0.76, 0.74–0.77 [χ2 = 7.14; p = 0.03]), those reporting poor self-rated health (0.68, 0.47–0.99; 0.65, 0.61–0.69), poor quality of life (0.63, 0.41–0.97; 0.61, 0.57–0.66) and very high psychological distress (0.71, 0.68–0.75 [non-Aboriginal]) were less likely than other cohort members to respond. Conclusions Relatively large numbers of Aboriginal and non-Aboriginal individuals participated in the first 45 and Up Study follow-up suggesting that postal surveys can be used to follow Aboriginal participants in cohort studies. Despite somewhat greater loss to follow-up in Aboriginal people (after considering socio-demographic and health characteristics), factors related to follow-up participation were similar in both groups: greater loss was observed in those experiencing disadvantage, ill-health and health risk, with implications for interpretation of future findings. Aboriginal low income earners and current regular smokers had a particularly elevated likelihood of non-participation compared to non-Aboriginal people. These findings highlight the importance of identifying and addressing barriers to participation among hard-to-reach population groups. Electronic supplementary material The online version of this article (doi:10.1186/s12874-016-0155-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Lina Gubhaju
- Aboriginal Health, Baker IDI Heart and Diabetes Institute, 99 Commercial Road, Melbourne, 3004, Victoria, Australia.
| | - Emily Banks
- National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Acton, 2601, Australian Capital Territory, Australia
| | - Rona Macniven
- Prevention Research Collaboration, Sydney School of Public Health, The University of Sydney, Level 6 The Hub, The Charles Perkins Centre (D17), Sydney, 2006, New South Wales, Australia
| | - Grace Joshy
- National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Acton, 2601, Australian Capital Territory, Australia
| | - Bridgette J McNamara
- Aboriginal Health, Baker IDI Heart and Diabetes Institute, 99 Commercial Road, Melbourne, 3004, Victoria, Australia
| | - Adrian Bauman
- Prevention Research Collaboration, Sydney School of Public Health, The University of Sydney, Level 6 The Hub, The Charles Perkins Centre (D17), Sydney, 2006, New South Wales, Australia
| | - Sandra J Eades
- Aboriginal Health, Baker IDI Heart and Diabetes Institute, 99 Commercial Road, Melbourne, 3004, Victoria, Australia
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Macniven R, Kelly B, King L. Unhealthy product sponsorship of Australian national and state sports organisations. Health Promot J Austr 2015; 26:52-56. [PMID: 26149255 DOI: 10.1071/he14010] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2014] [Accepted: 12/22/2014] [Indexed: 11/23/2022] Open
Abstract
ISSUE ADDRESSED Marketing of products harmful to the health of children has been found to be prolific, and occurs across multiple media platforms and in several settings, including organised sport, thus potentially undermining the health benefits inherent in sports participation. Through website audits, this study investigated the nature and extent of unhealthy food, beverage, alcohol and gambling sponsorship across peak Australian sporting organisations. METHODS A structured survey tool identified and assessed sponsoring companies and products displayed on the websites of the 53 national and state/territory sport governing bodies in Australia receiving government funding. Identified products were categorised as healthy or unhealthy, based on criteria developed by health experts. RESULTS There was a total of 413 websites operated by the 53 sports, with 1975 company or product sponsors identified. Overall, 39 sports had at least one unhealthy sponsor, and 10% of all sponsors were rated as unhealthy. Cricket had the highest percent of unhealthy sponsors (27%) and the highest number of unhealthy food and beverage sponsors (n=19). Rugby Union (n=16) and Australian Football (n=4) had the highest numbers of alcohol and gambling sponsors respectively. CONCLUSIONS Sponsorship of Australian sport governing bodies by companies promoting unhealthy food and beverage, alcohol and gambling products is prevalent at the state/territory and national level. SO WHAT?: Regulatory guidelines should be established to limit such sponsorship and ensure that it is not translated into promotions that may reach and influence children.
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Affiliation(s)
- Rona Macniven
- Prevention Research Collaboration, Sydney School of Public Health, Sydney Medical School, Level 6 The Hub, Charles Perkins Centre (D17), University of Sydney, NSW 2006, Australia
| | - Bridget Kelly
- School of Health and Society, Faculty of Social Sciences, University of Wollongong, Northfields Avenue, Wollongong, NSW 2522, Australia
| | - Lesley King
- Prevention Research Collaboration, Sydney School of Public Health, Sydney Medical School, Level 6 The Hub, Charles Perkins Centre (D17), University of Sydney, NSW 2006, Australia
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Macniven R, Engelen L, Kacen MJ, Bauman A. Does a corporate worksite physical activity program reach those who are inactive? Findings from an evaluation of the Global Corporate Challenge. Health Promot J Austr 2015; 26:142-145. [DOI: 10.1071/he14033] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2014] [Accepted: 01/18/2015] [Indexed: 11/23/2022] Open
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Macniven R, Kelly B, King L. Unhealthy product sponsorship of Australian national and state sports organisations. J Sci Med Sport 2014. [DOI: 10.1016/j.jsams.2014.11.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Macniven R, Rosen M, Engelen L, Bauman A. Do workplace pedometer programs reach inactive employees? Findings from the Global Corporate Challenge. J Sci Med Sport 2014. [DOI: 10.1016/j.jsams.2014.11.099] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Abstract
Almost 80% of deaths from non-communicable diseases (NCDs) occur in low- and middle-income countries. Physical inactivity is a key risk factor for NCDs. Enhancing understanding of the scientific evidence linking physical activity and health in low- and middle-income countries is important for supporting national efforts to promote physical activity and reduce NCDs in these countries. A systematic review of three electronic databases was conducted in July 2013, including large population-based epidemiological studies with adult participants, conducted in low- and middle-income countries, and published in the past 30 years. Physical activity was consistently associated with a reduced risk of all-cause mortality, cardiovascular disease (CVD), diabetes and several types of cancer. Positive associations were also found between physical activity and body composition (including overweight and obesity), blood pressure, cholesterol, metabolic indices and bone mineral density. Overall, the results confirm that the epidemiological research into the health benefits of physical activity in low- and middle-income countries is consistent with previous research conducted in high-income countries. This summary of the available research can be used as an advocacy tool in low- and middle-income countries to support greater prominence of physical activity in NCD policies.
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Affiliation(s)
- Karen Milton
- a School of Sport, Exercise and Health Sciences , Loughborough University , Leicestershire , UK
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Ding D, Rogers K, Macniven R, Kamalesh V, Kritharides L, Chalmers J, Bauman A. Revisiting lifestyle risk index assessment in a large Australian sample: should sedentary behavior and sleep be included as additional risk factors? Prev Med 2014; 60:102-6. [PMID: 24380793 DOI: 10.1016/j.ypmed.2013.12.021] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2013] [Revised: 12/14/2013] [Accepted: 12/21/2013] [Indexed: 11/16/2022]
Abstract
OBJECTIVE Most studies on multiple health behaviors include physical inactivity, alcohol, diet, and smoking (PADS), with few including emerging lifestyle risks such as sleep or sitting. We examined whether adding sitting and sleep to a conventional lifestyle risk index improves the prediction of cross-sectional health outcomes (self-rated health, quality of life, psychological distress, and physical function). We also explored the demographic characteristics of adults with these multiple risk behaviors. METHODS We used baseline data of an Australian cohort study (n=191,853) conducted in 2006-2008 in New South Wales. Lifestyle risk index was operationalized as 1) PADS, 2) PADS+sitting, 3) PADS+sleep, and 4) PADS+sitting+sleep. We estimated receiver operating characteristic curve for self-reported binary health outcomes and calculated the area under the curve to illustrate how well each index classified the outcome. We used multiple logistic regression to determine the demographic characteristics of adults with multiple lifestyle risks. RESULTS Adding sleep duration but not sitting time to the PADS index significantly improved the classification of all health outcomes. Men, those aged 45-54years, those with 10 years of education or less, and those living in regional/remote areas had higher odds of multiple risk behaviors. CONCLUSIONS Future research on multiple health behaviors might benefit from including sleep as an additional behavior. In Australia, unhealthy lifestyles tend to cluster in adults with certain demographic characteristics.
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Affiliation(s)
- Ding Ding
- Prevention Research Collaboration, Sydney School of Public Health, the University of Sydney, Camperdown, NSW, Australia.
| | - Kris Rogers
- Prevention Research Collaboration, Sydney School of Public Health, the University of Sydney, Camperdown, NSW, Australia
| | - Rona Macniven
- Prevention Research Collaboration, Sydney School of Public Health, the University of Sydney, Camperdown, NSW, Australia
| | - Venugopal Kamalesh
- Faculty of Health, School of Medicine, Deakin University, Waurn Ponds, VIC
| | - Leonard Kritharides
- Concord Clinical School, ANZAC Research Institute, the University of Sydney, Camperdown, NSW, Australia
| | - John Chalmers
- The George Institute for Global Health, the University of Sydney, Camperdown, NSW, Australia
| | - Adrian Bauman
- Prevention Research Collaboration, Sydney School of Public Health, the University of Sydney, Camperdown, NSW, Australia
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Kelly B, King L, Bauman AE, Baur LA, Macniven R, Chapman K, Smith BJ. Identifying important and feasible policies and actions for health at community sports clubs: a consensus-generating approach. J Sci Med Sport 2013; 17:61-6. [PMID: 23517759 DOI: 10.1016/j.jsams.2013.02.011] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2012] [Revised: 02/22/2013] [Accepted: 02/26/2013] [Indexed: 10/27/2022]
Abstract
OBJECTIVES Children's high participation in organised sport in Australia makes sport an ideal setting for health promotion. This study aimed to generate consensus on priority health promotion objectives for community sports clubs, based on informed expert judgements. DESIGN Delphi survey using three structured questionnaires. METHODS Forty-six health promotion, nutrition, physical activity and sport management/delivery professionals were approached to participate in the survey. Questionnaires used an iterative process to determine aspects of sports clubs deemed necessary for developing healthy sporting environments for children. Initially, participants were provided with a list of potential standards for a range of health promotion areas and asked to rate standards based on their importance and feasibility, and any barriers to implementation. Subsequently, participants were provided with information that summarised ratings for each standard to indicate convergence of the group, and asked to review and potentially revise their responses where they diverged. In a third round, participants ranked confirmed standards by priority. RESULTS 26 professionals completed round 1, 21 completed round 2, and 18 completed round 3. The highest ranked standards related to responsible alcohol practices, availability of healthy food and drinks at sports canteens, smoke-free club facilities, restricting the sale and consumption of alcohol during junior sporting activities, and restricting unhealthy food and beverage company sponsorship. CONCLUSIONS Identifying and prioritising health promotion areas that are relevant to children's sports clubs assists in focusing public health efforts and may guide future engagement of sports clubs. Approaches for providing informational and financial support to clubs to operationalise these standards are proposed.
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Affiliation(s)
- Bridget Kelly
- School of Molecular Bioscience, University of Sydney, Australia.
| | - Lesley King
- Prevention Research Collaboration, School of Public Health, University of Sydney, Australia
| | - Adrian E Bauman
- Prevention Research Collaboration, School of Public Health, University of Sydney, Australia
| | - Louise A Baur
- Prevention Research Collaboration, School of Public Health, University of Sydney, Australia
| | - Rona Macniven
- Prevention Research Collaboration, School of Public Health, University of Sydney, Australia
| | | | - Ben J Smith
- Department of Health Social Science, Monash University, Australia
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Macniven R, Pye V, Merom D, Milat A, Monger C, Bauman A, van der Ploeg H. Barriers and enablers to physical activity among older Australians who think they are insufficiently active. J Sci Med Sport 2012. [DOI: 10.1016/j.jsams.2012.11.110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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