10 results on '"Cargo, Margaret"'
Search Results
2. Aboriginal Health Workers experience multilevel barriers to quitting smoking: a qualitative study
- Author
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Dawson Anna P, Cargo Margaret, Stewart Harold, Chong Alwin, and Daniel Mark
- Subjects
Aboriginal people, Australia ,Health care professionals ,Tobacco and health ,Smoking cessation ,Qualitative research ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Introduction Long-term measures to reduce tobacco consumption in Australia have had differential effects in the population. The prevalence of smoking in Aboriginal peoples is currently more than double that of the non-Aboriginal population. Aboriginal Health Workers are responsible for providing primary health care to Aboriginal clients including smoking cessation programs. However, Aboriginal Health Workers are frequently smokers themselves, and their smoking undermines the smoking cessation services they deliver to Aboriginal clients. An understanding of the barriers to quitting smoking experienced by Aboriginal Health Workers is needed to design culturally relevant smoking cessation programs. Once smoking is reduced in Aboriginal Health Workers, they may then be able to support Aboriginal clients to quit smoking. Methods We undertook a fundamental qualitative description study underpinned by social ecological theory. The research was participatory, and academic researchers worked in partnership with personnel from the local Aboriginal health council. The barriers Aboriginal Health Workers experience in relation to quitting smoking were explored in 34 semi-structured interviews (with 23 Aboriginal Health Workers and 11 other health staff) and 3 focus groups (n = 17 participants) with key informants. Content analysis was performed on transcribed text and interview notes. Results Aboriginal Health Workers spoke of burdensome stress and grief which made them unable to prioritise quitting smoking. They lacked knowledge about quitting and access to culturally relevant quitting resources. Interpersonal obstacles included a social pressure to smoke, social exclusion when quitting, and few role models. In many workplaces, smoking was part of organisational culture and there were challenges to implementation of Smokefree policy. Respondents identified inadequate funding of tobacco programs and a lack of Smokefree public spaces as policy level barriers. The normalisation of smoking in Aboriginal society was an overarching challenge to quitting. Conclusions Aboriginal Health Workers experience multilevel barriers to quitting smoking that include personal, social, cultural and environmental factors. Multidimensional smoking cessation programs are needed that reduce the stress and burden for Aboriginal Health Workers; provide access to culturally relevant quitting resources; and address the prevailing normalisation of smoking in the family, workplace and community.
- Published
- 2012
- Full Text
- View/download PDF
3. Mastery, perceived stress and health-related behaviour in northeast Arnhem Land: a cross-sectional study
- Author
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Brown Alex, Daniel Mark, Dhurrkay J Garnggulkpuy, Cargo Margaret D, and O'Dea Kerin
- Subjects
Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Indigenous peoples in Australia are disadvantaged on all markers of health and social status across the life course. Psychosocial factors are implicated in the aetiology of chronic diseases and in pathways underpinning social health disparities. Minimal research has investigated psychosocial factors and health in Indigenous peoples. This study evaluated associations between mastery, perceived stress, and health-related behaviour for a remote Indigenous population in Australia. Methods Complete data on mastery (the degree to which individuals feel in control of their lives), perceived stress, physical activity, and fruit and vegetable consumption were obtained for 177 participants in a community-based chronic disease risk factor survey. Psychosocial questionnaires were completed as an option during community screening (response rate = 61.9%). Extensive consultation facilitated the cross-cultural adaptation of measures. Results Mastery was inversely correlated with perceived stress measures (p < 0.009): recent stress, r = -0.47; chronic stress, r = -0.41; and youth stress, r = -0.30. Relationships between mastery and behaviour varied according to age group (p = 0.001) and vegetable consumption (p = 0.005). Individuals aged ≥25 years engaging in ≤2 bouts of physical activity/week had lower mastery than individuals engaging in ≥3 bouts/week, with means (95% CI) of 14.8 (13.7–15.8) and 17.1 (15.3–19.0), respectively (p = 0.026). Individuals aged ≥25 years eating vegetables ≤3 times/week had lower mastery than those eating vegetables ≥4 times/week (p = 0.009) [means 14.7 (13.8–15.5) and 17.3 (15.5–19.1), respectively]. Individuals p = 0.022) [means 17.2 (15.2–19.2) and 13.8 (11.9–15.7), respectively]. For men ≥25 years and women ≥15 years, mastery was inversely related to age (p < 0.002). Men p = 0.001) [means 13.4 (12.1–14.7) and 17.5 (15.3–19.8), respectively]. Conclusion Consistent with previous research, this study provides additional support for a link between mastery and health-related behaviour, and extends evidence of this association to a remote Indigenous population. Mastery's association with perceived stress, its age-specific association with health behaviour, and findings of low mastery amongst young men, highlights a need for life course research accounting for contextual factors affecting Indigenous peoples.
- Published
- 2006
- Full Text
- View/download PDF
4. Participant views on participating in a pragmatic randomised controlled trial: the Aboriginal and Torres Strait Islander Women´s Fitness Program
- Author
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Canuto, Karla, primary, McDermott, Robyn, additional, and Cargo, Margaret, additional
- Published
- 2014
- Full Text
- View/download PDF
5. Factors influencing attendance in a structured physical activity program for Aboriginal and Torres Strait Islander women in an urban setting: a mixed methods process evaluation
- Author
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Canuto, Karla J, primary, Spagnoletti, Belinda, additional, McDermott, Robyn A, additional, and Cargo, Margaret, additional
- Published
- 2013
- Full Text
- View/download PDF
6. Participant views on participating in a pragmatic randomised controlled trial: Aboriginal and Torres Strait Islander Women's Fitness Program.
- Author
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Canuto, Karla, McDermott, Robyn, and Cargo, Margaret
- Subjects
STATISTICAL sampling ,PATIENT selection ,COMPARATIVE studies ,ENERGY metabolism ,EXPERIMENTAL design ,HEALTH ,INDIGENOUS peoples ,INTERVIEWING ,MOTIVATION (Psychology) ,PHYSICAL fitness ,RESEARCH funding ,WOMEN'S health ,INFORMATION resources ,QUALITATIVE research ,RANDOMIZED controlled trials ,CONTROL groups ,HUMAN research subjects ,PATIENTS' attitudes ,WAIST circumference ,DESCRIPTIVE statistics - Abstract
Introduction The inequity of randomising participants to control groups in randomised controlled trials (RCTs) is often considered inappropriate, especially for research trials that include vulnerable populations such as Indigenous peoples. The Aboriginal and Torres Strait Islander Women's Fitness Program conducted a trial that randomly assigned participants to 'active' and 'waitlisted' groups. This paper reports on participant views of the randomisation protocol. Methods A pragmatic RCT was conducted in an urban setting to assess the effectiveness of the 12-week Aboriginal and Torres Strait Islander Women's Fitness Program on metabolic health outcomes and waist circumference. Qualitative interviews were conducted at follow-up, one of the objectives was to explore participant perspectives on the research protocol, including participant randomisation to 'Active' and 'Waitlisted' groups. Results A total of 49 interviews were conducted (26 Active and 23 Waitlisted participants).Two key factors influenced participant views on the protocol: 1) group assignment; and 2) how well they understood the research design, including the justification for randomisation. 'Active' participants were concerned about the inequity of the randomisation process but overall supported the study protocol. Although most Waitlisted participants were disappointed about having to wait 12-months for the program, some participants derived motivation from being waitlisted, whilst others lost motivation. Well-informed participants were more likely to express both support for the randomisation process and an understanding of the research benefits than participants not attending an information session prior to registration. Conclusions Participants were more accepting of the research protocol if it was clearly explained to them, if they understood the randomisation process and felt the randomisation was justified in terms of the potential for the results to benefit other Aboriginal and Torres Strait Islander women. Our study suggests that the time and resources required to adequately explain the research protocol in research trials should not be undervalued. Trial registration Australian New Zealand Clinical Trials Registry (ACTRN12610000224022). [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
7. Mastery, perceived stress and health-related behaviour in northeast Arnhem Land: a cross-sectional study
- Author
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Daniel, Mark, primary, Brown, Alex, additional, Dhurrkay, JGarnggulkpuy, additional, Cargo, Margaret D, additional, and O'Dea, Kerin, additional
- Published
- 2006
- Full Text
- View/download PDF
8. Aboriginal Health Workers experience multilevel barriers to quitting smoking: a qualitative study.
- Author
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Anna P Dawson, Anna P Dawson, Margaret Cargo, Margaret Cargo, Harold Stewart, Harold Stewart, Alwin Chong, Alwin Chong, and Mark Daniel, Mark Daniel
- Subjects
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COMMUNITY health workers , *CONTENT analysis , *CORPORATE culture , *FAMILIES , *FOCUS groups , *GRIEF , *HEALTH status indicators , *INDIGENOUS peoples , *INTERVIEWING , *RESEARCH methodology , *MEDICAL personnel , *NURSES , *PRIMARY health care , *RESEARCH funding , *SMOKING cessation , *PSYCHOLOGICAL stress , *QUALITATIVE research , *AFFINITY groups , *CULTURAL awareness , *SOCIAL context , *THEMATIC analysis , *HEALTH literacy , *DESCRIPTIVE statistics - Abstract
Introduction: Long-term measures to reduce tobacco consumption in Australia have had differential effects in the population. The prevalence of smoking in Aboriginal peoples is currently more than double that of the non-Aboriginal population. Aboriginal Health Workers are responsible for providing primary health care to Aboriginal clients including smoking cessation programs. However, Aboriginal Health Workers are frequently smokers themselves, and their smoking undermines the smoking cessation services they deliver to Aboriginal clients. An understanding of the barriers to quitting smoking experienced by Aboriginal Health Workers is needed to design culturally relevant smoking cessation programs. Once smoking is reduced in Aboriginal Health Workers, they may then be able to support Aboriginal clients to quit smoking. Methods: We undertook a fundamental qualitative description study underpinned by social ecological theory. The research was participatory, and academic researchers worked in partnership with personnel from the local Aboriginal health council. The barriers Aboriginal Health Workers experience in relation to quitting smoking were explored in 34 semi-structured interviews (with 23 Aboriginal Health Workers and 11 other health staff) and 3 focus groups (n = 17 participants) with key informants. Content analysis was performed on transcribed text and interview notes. Results: Aboriginal Health Workers spoke of burdensome stress and grief which made them unable to prioritise quitting smoking. They lacked knowledge about quitting and access to culturally relevant quitting resources. Interpersonal obstacles included a social pressure to smoke, social exclusion when quitting, and few role models. In many workplaces, smoking was part of organisational culture and there were challenges to implementation of Smokefree policy. Respondents identified inadequate funding of tobacco programs and a lack of Smokefree public spaces as policy level barriers. The normalisation of smoking in Aboriginal society was an overarching challenge to quitting. Conclusions: Aboriginal Health Workers experience multilevel barriers to quitting smoking that include personal, social, cultural and environmental factors. Multidimensional smoking cessation programs are needed that reduce the stress and burden for Aboriginal Health Workers; provide access to culturally relevant quitting resources; and address the prevailing normalisation of smoking in the family, workplace and community. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
- View/download PDF
9. Participant views on participating in a pragmatic randomised controlled trial: the Aboriginal and Torres Strait Islander Women's Fitness Program
- Author
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Margaret Cargo, Karla Canuto, Robyn McDermott, Canuto, Karla Joy, McDermott, Robyn, and Cargo, Margaret
- Subjects
Research design ,Adult ,medicine.medical_specialty ,Native Hawaiian or Other Pacific Islander ,Research Subjects ,Physical fitness ,physical activity ,Vulnerable Populations ,Indigenous ,law.invention ,Interviews as Topic ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,Qualitative research ,medicine ,Pragmatic RCTs ,Humans ,030212 general & internal medicine ,Health policy ,randomisation ,Randomisation ,Aboriginal and Torres Strait Islander ,business.industry ,Physical activity ,030503 health policy & services ,Public health ,Health Policy ,Research ,Health services research ,Public Health, Environmental and Occupational Health ,Australia ,Middle Aged ,pragmatic RCTs ,Physical Fitness ,Family medicine ,Women's Health ,Female ,Waist Circumference ,0305 other medical science ,business ,qualitative research - Abstract
Introduction The inequity of randomising participants to control groups in randomised controlled trials (RCTs) is often considered inappropriate, especially for research trials that include vulnerable populations such as Indigenous peoples. The Aboriginal and Torres Strait Islander Women’s Fitness Program conducted a trial that randomly assigned participants to ‘active’ and ‘waitlisted’ groups. This paper reports on participant views of the randomisation protocol. Methods A pragmatic RCT was conducted in an urban setting to assess the effectiveness of the 12-week Aboriginal and Torres Strait Islander Women’s Fitness Program on metabolic health outcomes and waist circumference. Qualitative interviews were conducted at follow-up, one of the objectives was to explore participant perspectives on the research protocol, including participant randomisation to ‘Active’ and ‘Waitlisted’ groups. Results A total of 49 interviews were conducted (26 Active and 23 Waitlisted participants). Two key factors influenced participant views on the protocol: 1) group assignment; and 2) how well they understood the research design, including the justification for randomisation. ‘Active’ participants were concerned about the inequity of the randomisation process but overall supported the study protocol. Although most Waitlisted participants were disappointed about having to wait 12-months for the program, some participants derived motivation from being waitlisted, whilst others lost motivation. Well-informed participants were more likely to express both support for the randomisation process and an understanding of the research benefits than participants not attending an information session prior to registration. Conclusions Participants were more accepting of the research protocol if it was clearly explained to them, if they understood the randomisation process and felt the randomisation was justified in terms of the potential for the results to benefit other Aboriginal and Torres Strait Islander women. Our study suggests that the time and resources required to adequately explain the research protocol in research trials should not be undervalued. Trial registration Australian New Zealand Clinical Trials Registry (ACTRN12610000224022).
- Published
- 2014
10. Factors influencing attendance in a structured physical activity program for Aboriginal and Torres Strait Islander women in an urban setting: a mixed methods process evaluation
- Author
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Karla Canuto, Robyn McDermott, Belinda Rina Marie Spagnoletti, Margaret Cargo, Canuto, Karla J, Spagnoletti, Belinda, McDermott, Robyn A, and Cargo, Margaret
- Subjects
Gerontology ,Facilitators ,Native Hawaiian or Other Pacific Islander ,Urban Population ,health promotion ,Health Behavior ,physical activity ,0302 clinical medicine ,Surveys and Questionnaires ,South Australia ,participation ,Medicine ,030212 general & internal medicine ,Young adult ,Aboriginal ,Social policy ,Health Policy ,Attendance ,Health services research ,Participation ,Patient Preference ,Middle Aged ,Exercise Therapy ,facilitators ,Female ,women ,0305 other medical science ,Barriers ,Torres Strait Islander ,Adult ,medicine.medical_specialty ,Adolescent ,barriers ,lifestyle program ,03 medical and health sciences ,Lifestyle program ,Young Adult ,Humans ,Women ,Obesity ,Exercise ,Health policy ,Motivation ,030505 public health ,business.industry ,Physical activity ,Public health ,Research ,Public Health, Environmental and Occupational Health ,medicine.disease ,Health promotion ,business - Abstract
Background Aboriginal and Torres Strait Islander women experience higher rates of obesity, chronic disease, and are less active than non-Indigenous Australian women. Lifestyle programs designed to increase physical activity and encourage healthy eating are needed to ameliorate this disparity. The aim of this study was to identify participants’ perceived barriers and enablers to attend group exercise classes as part of a 12-week fitness program. Methods To understand the factors that influence attendance, a mixed method process evaluation was undertaken in which a quantitative measure of attendance in the group exercise classes was used to identify cases for further qualitative investigation. Aboriginal and/or Torres Strait Islander women aged 18 to 64 years were recruited to a research trial of a fitness program. The 12-week program included two 60-minute group exercise classes per week, and four nutrition education workshops. Semi-structured interviews were conducted at program completion. Participants were stratified by attendance, and interviews from the highest and lowest 25 percentiles analysed. Rigour was strengthened through use of multiple data analysts, member checking and prolonged engagement in the field. Results Analyses of the post-program interviews revealed that participants enrolled in the program primarily for the perceived health benefits and all (with one exception) found the program met their needs and expectations. The atmosphere of classes was positive and comfortable and they reported developing good relationships with their fellow participants and program staff. Low attendees described more barriers to attendance, such as illness and competing work and family obligations, and were more likely to report logistical issues, such as inconvenient venue or class times. Conclusions Attendance to the ‘Aboriginal and Torres Strait Islander Women’s Fitness Program’ was primarily influenced by the participant’s personal health, logistics and competing obligations. Low attendees reported more barriers during the 12-week period and identified fewer enabling factors than high attendees. Trial registration Australian New Zealand Clinical Trials Registry ACTRN12610000224022
- Published
- 2013
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