322 results
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2. Tobacco Constituents, Flavorants, and Paper Permeability of Factory-Made and Roll-Your-Own Cigarettes on the Australian Market.
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Haynes, Ashleigh, Winnall, Wendy R, Brennan, Emily, Dunstone, Kimberley, Benowitz, Neal L, Ashley, David L, Samet, Jonathan M, Hatsukami, Dorothy K, and Wakefield, Melanie A
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TOBACCO , *CIGARETTES , *PERMEABILITY , *DRYING agents , *PROPYLENE glycols - Abstract
Introduction Roll-your-own (RYO) tobacco is a popular choice in Australia, with some people who smoke finding these products more attractive than factory-made cigarettes (FMC). Differences in visual and tactile properties and in the feel and taste of the smoke may contribute to this attractiveness. These differences may be driven by variation in tobacco constituents and wrapping paper permeability. However, to date, there has been no comparison of RYO and FMC products on the Australian market. Aims and Methods Chemical constituents, pH, flavorants, and paper permeability were compared in unburned RYO tobacco and tobacco from FMC. RYO and FMC products from matched brands were compared, as were products from the most popular FMC and RYO brands on the Australian market in 2018. Results RYO tobacco had higher moisture and humectant content (glycerol and propylene glycol) than FMC tobacco. RYO tobacco also had higher amounts of total and reducing sugars and lower nicotine when comparing the most popular brands. RYO papers were less permeable than FMC papers. Both RYO and FMC tobacco contained many chemicals identified as flavorants, including fourteen with known potential health risks. For most measured constituents and flavorants, RYO tobaccos had more in common with other RYO than FMC, with the commonalities remaining even when matched brands were compared. Conclusions Higher levels of moisture, humectants, and sugars in Australian RYO tobacco compared to FMC may be increasing attractiveness of RYO by reducing the harsh taste of the smoke and increasing the moist feel of the tobacco. Implications While price is the main factor driving the use of RYO tobacco, some people who smoke find these products more attractive. This study has shown that Australian RYO tobacco contains higher amounts of glycerol, propylene glycol, and sugars than FMC. These chemicals may be improving the taste of the tobacco, as well as creating a moist feel that is falsely perceived as indicating that the tobacco is "fresh" and "less chemically." Ironically, it may be that higher amounts of some added chemicals in RYO contribute to false perceptions of a more natural and less harmful product. [ABSTRACT FROM AUTHOR]
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- 2024
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3. Life So Full of Promise: Further Biographies of Australia's Lost Generation: By Ross McMullin. Melbourne: Scribe, 2023. Pp. 640. A$49.99 paper.
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Beaumont, Joan
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WORLD War I , *SCRIBES , *BIOGRAPHY (Literary form) , *ELITE (Social sciences) ,AUSTRALIAN history - Abstract
"Life So Full of Promise: Further Biographies of Australia's Lost Generation" by Ross McMullin is a sequel to his acclaimed book "Farewell Dear People." The book focuses on the lives of three young Australians who were part of the 'lost generation' of World War I. Captain Brian Pockley, Norman Callaway, and Murdoch Mackay are profiled in the book, highlighting their pre-war potential, their war experiences, and the impact of their deaths on their families and communities. McMullin's writing is sympathetic and well-researched, providing insight into the emotional connections between the soldiers and their loved ones. The book raises questions about the worth of the war and the loss of talented young men. [Extracted from the article]
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- 2024
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4. Histories of Fascism and Anti-Fascism in Australia: Edited by Evan Smith, Jayne Persian and Vashti Jane Fox. London: Routledge, 2023. Pp. 282. A$47.99 paper.
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La Rooij, Marinus
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ANTI-fascist movements , *FASCISM , *RIGHT-wing extremism , *POLITICAL violence , *ATROCITIES , *RIGHT-wing extremists - Abstract
The book "Histories of Fascism and Anti-Fascism in Australia" edited by Evan Smith, Jayne Persian, and Vashti Jane Fox sheds light on the often overlooked topic of Australian right-wing radicalism. The book explores the historical context and various individuals, groups, and movements within the radical right in Australia. It also examines the relationship between the political mainstream and the radical right, as well as the opposition faced by anti-fascists. While the book has some imbalances and omissions, it offers important observations that can contribute to future research and debate on the subject. The book also addresses the tension between scholarship and activism, and the question of whether the Australian radical right is endogenous or influenced by international factors. Overall, the book provides valuable insights and should be read to stimulate further discussion and research. [Extracted from the article]
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- 2024
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5. A History of Crime in Australia: Australian Underworlds: By Nancy Cushing. London: Routledge, 2023. Pp. 234. A$55.99 paper.
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Ingram, Caroline
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HISTORY of crime , *LEGAL history , *CRIMINAL justice system , *ACTUAL innocence ,AUSTRALIAN history - Abstract
"A History of Crime in Australia: Australian Underworlds" by Nancy Cushing is an introductory text for students of crime history and criminology. The book explores the impact of English law on transported convicts and First Nations peoples in Australia, and how their own systems of law were disregarded by colonists. It is organized into twelve chapters, each focusing on a specific aspect of crime history in Australia. The book includes essays by historians in each chapter, providing examples of scholarly writing. While the book primarily focuses on the legal history of New South Wales and Victoria, it offers thought-provoking case studies and is accessible to both students and general readers interested in crime history. [Extracted from the article]
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- 2024
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6. School Educators' Use of Research: Findings from Two Large-Scale Australian Studies.
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Gleeson, Joanne, Harris, Jess, Cutler, Blake, Rosser, Brooke, Walsh, Lucas, Rickinson, Mark, Salisbury, Mandy, and Cirkony, Connie
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EDUCATORS , *EFFECTIVE teaching , *EDUCATIONAL leadership , *EDUCATION research - Abstract
Increasingly, there are expectations internationally that schools will use research to inform their improvement initiatives. Within this context, this paper brings together findings from two large-scale Australian studies – the Monash Q Project and the University of Newcastle's Quality Teaching Rounds Project – to explore educators' patterns of engagement with research. The combination of these studies provides data from a larger and more diverse sample (n = 774) than other recent Australian studies, and integrates insights from direct and indirect approaches to investigating educators' research engagement. The analysis highlights several common themes associated with educators' research use including: the perceived credibility of different sources; the relevance and usability of research; and affordances of access to research and time to use it well in practice. Newer and more nuanced insights include: the interrelationships between collaborative and directed research use; the need for research to be convenient in terms of access and usability; the role of trusted colleagues in helping to bridge gaps between research and practice; and educators' distrust of research itself. The paper argues that these insights provide important cues as to how systems and school leaders can help educators to increase and improve their use of research in practice. [ABSTRACT FROM AUTHOR]
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- 2024
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7. Strengthening and supporting parent–child relationships through digital technology: Benefits and challenges.
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Johnson, Amy and Rogers, Marg
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DEPLOYMENT (Military strategy) , *CHILDREN of military personnel , *PARENT-child relationships , *SOCIAL media , *DIGITAL communications - Abstract
Objective: This paper explores Australian military families' use of social media and digital communication to maintain and strengthen parent–child relationships during military deployments. Background: The physical and emotional well‐being of children and partners of military serving members is affected by service. Maintaining positive family relationships between military members and their children during periods of absence (including deployment) is important for parental relationships as well as the well‐being of the child. Method: A qualitative meta‐analysis is used to collate data from two previous studies of Australian Defence Force (ADF) families with children, in order to generate a new data set from which novel insights were drawn. Results: Families show a preference for social media and digital communication methods, and digital technologies affordances and practicalities are well suited for Defence families with children. There are a range of benefits; digital technologies are used to strengthen relationships between children and their deployed parent. The study highlights a range of challenges for deployed parents as well as points to the work required from the at‐home parent in facilitating these connections. Conclusion: Maintaining positive family relationships between military members and their children during times of absences is important for both relationships. This paper explores how ADF families use social and digital communication during military absences and outlines the role these technologies play as a medium for strengthening familial relationship. Implications. The findings of this paper highlight the importance of digital and social communication technologies for supporting families during absences. This has implications for the ADF, who might look to reduce members' access to such communication for security concerns. Reduced family well‐being may also have impacts on retention, a key issue for military organizations. Accordingly, the findings of this paper may be used to inform decisions about restricting internet and social media access for deployed military members. [ABSTRACT FROM AUTHOR]
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- 2024
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8. The experiences of home‐domiciled and international ethnic minority students on a pre‐registration speech and language therapy training programme: A qualitative study.
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Rees, Rachel, Smith, Christina, Loke, Asher, and Nightingale, Ruth
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SPEECH therapy education , *MINORITY students , *MINORITIES , *STUDENT speech , *OCCUPATIONAL therapy students , *SPEECH therapy - Abstract
Background Aims Methods & Procedures Outcomes & Results Conclusions & Implications What this paper adds What is already known on this subject What this paper adds to the existing knowledge What are the potential or actual clinical implications of this work? Attainment inequalities exist for ethnic minority students graduating from higher education institutes (HEIs) in the UK. Previous research has investigated the outcomes and experiences of students from ethnic minority backgrounds on health and social care programmes. However, studies exploring ethnic minority speech and language therapy (SLT) students’ experiences have only focused on international students and were conducted in Australia. No known studies exploring the experiences of both home‐domiciled and international SLT students from ethnic minority backgrounds have been conducted in the UK.To explore the experiences of home‐domiciled and international ethnic minority students on a SLT training programme and to identify ways to improve these experiences.All SLT students attending a pre‐registration postgraduate course who identified as being from an ethnic minority background were invited to participate. Two focus groups, one for three international students and one for six home students, were conducted. Data were analysed using reflexive thematic analysis.Three themes were identified that illustrated students’ current experiences and how experiences could be improved: (1)
feeling an outsider , explores students’ sense of belonging in SLT education; (2)finding ways to manage , describes the strategies used by students to cope with their experiences of marginalization, and how adopting these strategies impact on their well‐being; and (3)promoting inclusion , explains how the training programme could be modified to improve the experience of ethnic minority students.A better understanding of the experiences of ethnic minority SLT students can help others to support them more effectively. The findings suggest that making changes to SLT training programmes could improve ethnic minority students’ outcomes and experiences. These include: more training for staff and students, support groups for ethnic minority students, sharing lived experiences of students and experienced SLTs from ethnic minority backgrounds, and clearer ways of reporting racist incidents. International students would benefit from receiving more information on HEI support services and cultural practices in the UK. Previous studies have investigated the experiences of ethnic minority students on a range of HEI programmes, including those for students of physiotherapy and occupational therapy. The only studies investigating the experiences of ethnic minority SLT students are those exploring how international SLT students in Australia can be supported on professional placement. This study explores the experiences of home and international SLT students in the UK who identify as being from minority ethnic backgrounds. Findings suggest that these students feel like outsiders, affecting their sense of belonging. The need to find and implement strategies to manage their feelings of marginalization impacts on their well‐being. The findings suggest measures to promote the inclusion of ethnic minority SLT students to improve their experiences and support their well‐being. These include more training for all staff and students and the creation of a ‘lived experiences library’ where students and experienced SLTs from ethnic minority backgrounds could share positive experiences as well as ways of dealing with challenges. Clearer ways of reporting racist incidents would be beneficial for all students. International students would benefit from receiving more information on HEI support services and cultural practices in the UK. It is important that ethnic minority SLT students are involved in developments that aim to improve their experiences. [ABSTRACT FROM AUTHOR]- Published
- 2024
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9. Describing, knotting, tying: developing emerging media documentary in a creative accelerator context.
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Andrews, Ben Joseph, Browne, Reanna, Knowles, Isobel, Roberts, Emma, Sowerwine, Van, Tiquia, Ana, and Morrison, Katy
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ARTISTS , *DOCUMENTARY films - Abstract
This article discusses the experiences of six artists participating in a new Australian creative accelerator programme for emerging media documentary. Attending to the processes, perspectives and frames employed by these artists in developing their early-stage projects, the article explores the diverse practice-based methods employed in developing documentary for emerging media formats. The paper argues for the value of attending to process and practice, as key frameworks that set the context for eventual creative outcomes. In doing so, the paper aims to contribute to knowledge about methods to support artists in developing emerging media documentary in a creative accelerator context. [ABSTRACT FROM AUTHOR]
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- 2024
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10. Researching With Lived Experience: A Shared Critical Reflection Between Co-Researchers.
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Dembele, Lula, Nathan, Sally, Carter, Allison, Costello, Jane, Hodgins, Michael, Singh, Rose, Martin, Bianca, and Cullen, Patricia
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CRITICAL thinking , *DRUG addiction , *DOMESTIC violence , *SEXUAL assault , *CAPACITY building , *STRENGTH training - Abstract
This paper draws together critical learnings from diverse qualitative health research projects in Australia that sought to shift power and focus on the strengths and expertise of people with lived experience who are involved as co-researchers. These projects have included exploring and challenging identities, understanding experiences in treatment programs, critiquing and designing/re-designing services, and sharing experiences with the wider community in novel and innovative ways. Lived experiences included alcohol and other drug dependency, mental health, domestic, family or sexual violence, and living with HIV. This paper provides important learnings and actions about partnering with co-researchers with lived experience. In this paper we draw on a process of reflective discussions that occurred over six months with fortnightly online meetings between co-researchers, including co-authors with lived experience external to academia and university-based researchers, some of whom also have lived-experience that intersects with their research. From this, we distilled key learnings across seven themes: (1) the ethics of ethics, which highlights a need for constant reflection on the ethical issues in co-research; (2) recruiting co-researchers, which focuses on ensuring and integrating a diversity of voices; (3) creating safety for all, which must be a priority of engagement and support self-determination; (4) supporting different ways of partnering, which emphasises the need for diverse roles and ways to contribute on research teams; (5) capacity building and training, which requires ongoing evaluation of needs and tailored responses; (6) positioning, which highlights the need to transition from the idea of vulnerability to a strengths-based perspective of lived experience; and (7) power plays, reflecting the need to disrupt the dynamics and established hierarchies of privileging certain forms of knowledge and expertise. The paper includes recommendations for action against these seven themes. [ABSTRACT FROM AUTHOR]
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- 2024
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11. Infant feeding experiences among Indigenous communities in Canada, the United States, Australia, and Aotearoa: a scoping review of the qualitative literature.
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Monteith, Hiliary, Checholik, Carly, Galloway, Tracey, Sahak, Hosna, Shawanda, Amy, Liu, Christina, and Hanley, Anthony J. G.
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INFANTS , *MILK substitutes , *FAMILY roles , *GREY literature , *FAMILY traditions , *ANKYLOGLOSSIA - Abstract
Background: Although exclusive breastfeeding is recommended for the first six months of life, research suggests that breastfeeding initiation rates and duration among Indigenous communities differ from this recommendation. Qualitative studies point to a variety of factors influencing infant feeding decisions; however, there has been no collective review of this literature published to date. Therefore, the objective of this scoping review was to identify and summarize the qualitative literature regarding Indigenous infant feeding experiences within Canada, the United States, Australia, and Aotearoa. Methods: Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses- Scoping Reviews and the Joanna Briggs Institute Guidelines, in October 2020, Medline, Embase, CINAHL, PsycINFO, and Scopus were searched for relevant papers focusing on Indigenous infant feeding experiences. Screening and full-text review was completed by two independent reviewers. A grey literature search was also conducted using country-specific Google searches and targeted website searching. The protocol is registered with the Open Science Framework and published in BMJ Open. Results: Forty-six papers from the five databases and grey literature searches were included in the final review and extraction. There were 18 papers from Canada, 11 papers in the US, 9 studies in Australia and 8 studies conducted in Aotearoa. We identified the following themes describing infant feeding experiences through qualitative analysis: colonization, culture and traditionality, social perceptions, family, professional influences, environment, cultural safety, survivance, establishing breastfeeding, autonomy, infant feeding knowledge, and milk substitutes, with family and culture having the most influence on infant feeding experiences based on frequency of themes. Conclusions: This review highlights key influencers of Indigenous caregivers' infant feeding experiences, which are often situated within complex social and environmental contexts with the role of family and culture as essential in supporting caregivers. There is a need for long-term follow-up studies that partner with communities to support sustainable policy and program changes that support infant and maternal health. [ABSTRACT FROM AUTHOR]
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- 2024
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12. The normalisation of sexual violence revictimisation in regional and rural areas: Our failure to respond.
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Corbett, Emily, Power, Jennifer, Theobald, Jacqui, Edmonds, Lee, Wright, Kate, and Hooker, Leesa
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VIOLENCE against women , *RURAL women , *SEXUAL assault , *RURAL geography , *SLOW violence , *FAILURE (Psychology) , *COMMUNITY-based participatory research - Abstract
Sexual revictimisation has devastating consequences for victim/survivors, yet there is limited research exploring women's experience of revictimisation in regional/rural areas. Using a community‐based participatory research (CBPR) approach, this paper reports on a qualitative study that employed a material feminist lens and Nixon's theory of "slow violence" to explore women's lived experiences of sexual revictimisation. In‐depth interviews were conducted with victim/survivors (N = 11) living in regional and rural areas of Australia. Findings show that the failure of family, community and services to respond appropriately to participant's disclosures of violence and abuse was deeply entangled with rural infrastructure, isolated landscapes, fear of social isolation, victim‐blaming discourses, idealisation of men in the community and limited relationship and sexuality education (RSE) in schools. These components collectively formed a manifestation of "slow violence," which accumulated over the participants' life spans and gradually normalised relational violence. This paper draws attention to a complex interplay of cultural, material and interpersonal elements, including the culture and spaces of rural/regional communities, that establish conditions enhancing the likelihood of women experiencing sexual revictimisation. [ABSTRACT FROM AUTHOR]
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- 2024
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13. New directions in intergenerational child maltreatment research and responses: Knowledge gaps and recommendations.
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McKenzie, Emma F., Hurren, Emily, Tzoumakis, Stacy, Thompson, Carleen M., and Stewart, Anna
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CHILD abuse , *INDIGENOUS children , *INDIGENOUS Australians , *CHILD welfare , *ABUSED children - Abstract
While there is much research on the topic of child maltreatment more broadly in Australia, a nuanced understanding of intergenerational child maltreatment is needed to improve our responses. Little work has considered all four intergenerational patterns of child maltreatment: cycle maintainers (maltreated parents with maltreated children), cycle breakers (maltreated parents with non‐maltreated children), cycle initiators (non‐maltreated parents with maltreated children) and a comparison group (non‐maltreated parents with non‐maltreated children). We use this terminology to maintain consistency with international literature, but acknowledge that these terms minimise the complexity inherent in contact with child protection systems. Research has mainly focused on maintainers, which hinders our ability to appropriately support all families and limits our understanding of individuals breaking the cycle. This paper outlines key knowledge gaps and identifies strategic areas of focus for researchers and policymakers. There is an urgent need for more emphasis on building resilience and strengths, the provision of more integrated and holistic support for families, and consideration of sex differences. We highlight the need for more research on this topic, particularly led by Aboriginal and Torres Strait Islander peoples, and hope that the recommendations in this paper can be revisited and updated as this important research base grows. [ABSTRACT FROM AUTHOR]
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- 2024
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14. Intimate partner violence and Bowen family systems theory: promoting safety and expanding capacity of families.
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Burke, Katherine and Post, Amie
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FAMILIES & psychology , *INTIMATE partner violence -- Law & legislation , *SAFETY , *FAMILY psychotherapy , *PATIENTS' families , *RISK assessment , *VICTIMS , *INTIMATE partner violence , *MEDICAL personnel , *OCCUPATIONAL roles , *SOCIAL justice , *GOVERNMENT policy , *CULTURE , *FAMILY relations , *EMOTIONS , *FAMILY systems theory , *CLIENT relations , *DOMESTIC violence , *PUBLIC health - Abstract
Family violence is becoming increasingly visible in Australia, with many state and federal governments taking on more responsibility to address family violence and its impacts on those affected. Current efforts are focused on practice frameworks, identifying and responding to risk factors, and social justice frameworks including legislating against family violence in a range of jurisdictions and addressing more broadly the structural and cultural forces that perpetuate violence and further oppress those victimised. Family violence is not unique to Australia, with prevalence rates internationally suggesting family violence occurs irrespective of country, race, age, culture, effectiveness of social policies or socioeconomic status. This paper explores relevant foundational concepts of Bowen family systems theory (BFST) as it relates to family violence and explores opportunities to evolve practice in this area. BFST offers a unique contribution towards addressing family violence, particularly in relation to the public health challenge of addressing family polyvictimisation. The paper also explores how BFST conceptualises family violence and the role of the professional in working with the family as a single emotional unit. The unique focus of BFST on observing and defining self within the emotional family unit through observation of the underlying multigenerational emotional patterns of functioning provides unique opportunities to evolve and develop both the capacity of clinicians and responses to families who are navigating the serious and challenging impacts of family violence. [ABSTRACT FROM AUTHOR]
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- 2024
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15. Learning from the evidence: Insights for regulating e-scooters.
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Zhang, Yuting, Nelson, John D., and Mulley, Corinne
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PUBLIC transit , *CITIES & towns , *ACQUISITION of data , *DATA analysis , *ELECTRIC bicycles - Abstract
As a trending mobility choice, e-scooters have become popular in many cities. A number of authorities have initiated shared e-scooter trial schemes to assess the feasibility of the vehicles prior to enacting official legalisation. This paper aims to provide an evidence review of shared e-scooters and investigate how existing evidence may inform long-term policies. This carries significant relevance for jurisdictions that are in a conflicting position with e-scooters, such as New South Wales (NSW), Australia whose context motivates this study. The evidence review focuses on three themes derived from experience with shared e-scooters within the broader micromobility landscape, namely: safety; where shared e-scooters fit into the modal landscape; and the environmental impacts. Findings confirm that ensuring the safety of shared e-scooters requires complex solutions, which may include a clear regulatory framework for e-scooters, safety education and skill training, innovative data collection and analysis methods, and an approach to safety management that is user-based, location-based, and time-based. In terms of modal fit policymakers should encourage first and last-mile combinations with public transport, with consideration of user characteristics; while climate impact is strongly correlated to the mode replaced by e-scooter trips. The paper provides insights for policymakers on the regulation and positioning of shared e-scooters. • Many jurisdictions are struggling to determine policies for e-scooters. • Existing e-scooter evidence sheds light on possible long-term policies. • Safety management should consider different users, locations, and times. • First and last-mile combinations with public transport should be encouraged. • Climate impact is strongly correlated to the mode replaced by e-scooter trips. [ABSTRACT FROM AUTHOR]
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- 2024
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16. Negotiating Work-Family Transitions: Reverse Family Migration among Second-Generation Hong Kong Mothers.
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Ngan, Lucille Lok Sun
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FAMILIES , *EMIGRATION & immigration , *FAMILY unity (Law) - Abstract
Gendered and generational understandings of circular migration are scant in studies of Chinese family migration. Filling this gap, this paper draws on in-depth interviews with twenty-six returnee families to examine the work–family transitions of previously employed, overseas-educated mothers who have re-migrated from Hong Kong to Canada, Australia, the United States, or the United Kingdom. These overseas-educated returnee mothers possess transnational backgrounds that differentiate them from most first-generation immigrant mothers. This paper shows that, despite this distinction, reverse migration leads to compromised careers and domestication for these women, although they accept, and in some cases embrace, such compromises. This study elucidates how both husbands and wives in these families justify women's post-migration changes in their work and caregiving roles. It argues that beyond economic rationalization, interrelated gender, cultural, transnational, and family lifestyle dimensions distinctively impact how second-generation returnee mothers negotiate work–family transitions. This paper offers new insights involving generational and gendered dimensions into the study of Chinese family migration. It also widens the discussion of the impact of family migration on skilled immigrant women in transnational circuits beyond its focus on the lives of first-generation skilled immigrant women. [ABSTRACT FROM AUTHOR]
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- 2024
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17. Teacher professional autonomy in an atypical government school: matters of relationality and context.
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Keddie, Amanda, MacDonald, Katrina, Blackmore, Jill, and Gobby, Brad
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TEACHER attitudes , *AUTONOMY (Psychology) , *SCHOOL autonomy , *PUBLIC education , *ADULTS - Abstract
Teacher professional autonomy is important to teachers' work satisfaction, efficiency, well-being, and empowerment. However, it cannot simply be defined as freedom from control because it is relational and contextual. In this paper, we examine the relationality and contextual sensitivity of teacher professional autonomy at 'Newstall' College, a senior secondary government school in Australia. The paper draws on a larger study that examined the social justice implications of school autonomy reform in four Australian state education systems. Newstall College was one of the five case study schools included in this study. Findings generated through in-depth interviews with eighteen staff members (including teachers, professional staff, the deputy principal and the principal) are presented that examine teacher professional autonomy. Conceptualising teacher autonomy as relational and contextual, the paper provides insight into the ways in which teacher autonomy was enabled at this school. [ABSTRACT FROM AUTHOR]
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- 2024
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18. Big data, emerging technologies and the characteristics of 'good intelligence'.
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Hammond-Errey, Miah
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TECHNOLOGICAL innovations , *BIG data , *DIGITAL technology , *INTELLIGENCE service , *HISTORICAL literature - Abstract
What constitutes good intelligence is best understood by practitioners but has not been explored through empirical analysis and in the context of a digital age. This paper presents the first research inside all the agencies that form the Australian National Intelligence Community exploring how they are impacted by big data. Intelligence is often opaque to outsiders, yet understanding the characteristics of good intelligence is important to societies that rely on intelligence agencies for national security. This paper reflects the previously unheard perspectives of members of the agencies that form the Australian National Intelligence Community – where there is a significant empirical gap. Semi-structured interviews with 47 participants explored the impact of big data on intelligence and decision-making in Australia. This paper finds that intelligence must meet the following characteristics, many established in historical literature, in order to be considered good intelligence; (i) timely, (ii) purposeful, (iii) actionable, (iv) accurate, (v) provides value-add for an intended audience, and, (vi) is unbiased. This article explores and unpacks each of these characteristics of good intelligence and finds they remain critical in a big data era. [ABSTRACT FROM AUTHOR]
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- 2024
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19. Reform and reverberation: Australian aged care policy changes and the unintended consequences for allied health.
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Gibson, Diane and Isbel, Stephen
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ELDER care , *MEDICAL quality control , *PATIENT safety , *ENDOWMENTS , *DESCRIPTIVE statistics , *HEALTH care reform , *ALLIED health personnel , *OCCUPATIONAL therapy , *NURSING care facilities , *MEDICAL care costs , *RESIDENTIAL care - Abstract
Introduction: Allied health has a valuable role in providing services to people living in residential aged care. The recent Royal Commission into Aged Care Quality and Safety included several important recommendations relating to the nursing, personal care, and allied health workforce and the care that they provide. The purpose of this paper is to review these recommendations and the Australian Government's policy responses and explore the emerging changes in allied health service provision in residential aged care. Methods: Data from the four available Quarterly Financial Reports from the 2022–2023 financial year were extracted and analysed in relation to staff costs and time per person per day across personal care, nursing, and allied health workers. Supplementary data sources including the 2020 Aged Care Workforce Census were accessed to provide contextual data relating to individual allied health professions, including occupational therapy. Results: The analysis shows a modest increase in median registered nurse minutes per person per day, and cost per person per day, from the first to second quarter, and again in the third and fourth. By contrast, median time and cost for allied health declined. From 5.6 minutes per person per day in the first quarter, reported allied health minutes fell to 4.6 minutes per person per day in the second quarter, an 18% decrease, and by the fourth quarter was 4.3 minutes per person per day. This is just over half the Australian average of 8 minutes reported to the RCACQS in 2019. Conclusion: Under recent residential aged care reforms, aged care providers have regulatory incentives to concentrate their financial resources on meeting the mandated care hours for registered nurses, enrolled nurses, personal care workers, and assistants in nursing. These same reforms do not mandate minutes of allied health services. Although providers of residential aged care in Australia continue to employ and value allied health, we argue that mandating care minutes for personal and nursing care without mandating the provision of allied health creates a perverse incentive whereby access to allied health services is unintentionally reduced. PLAIN LANGUAGE SUMMARY: Allied health has a valuable role in providing services to people living in residential aged care. The recent Royal Commission into Aged Care Quality and Safety included several important recommendations relating to the nursing, personal care, and allied health workforce and the care that they provide. In this paper, we argue that despite the positive intentions of some of the reforms following the Royal Commission, there have been unintended consequences that have reduced the spending on allied health in residential aged care and reduced the minutes residents receive of allied health. Consideration to mandating allied health care minutes in residential aged care should be considered. [ABSTRACT FROM AUTHOR]
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- 2024
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20. A pilot model of care to achieve next-day discharge in patients undergoing hip and knee arthroplasty in an Australian public hospital setting.
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Delahunt, Marisa, McGaw, Rebekah, and Hardidge, Andrew
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PUBLIC hospitals , *PATIENT compliance , *MEDICAL protocols , *HUMAN services programs , *PILOT projects , *DISCHARGE planning , *TREATMENT effectiveness , *RETROSPECTIVE studies , *DESCRIPTIVE statistics , *ENHANCED recovery after surgery protocol , *LONGITUDINAL method , *TOTAL knee replacement , *CONVALESCENCE , *LENGTH of stay in hospitals , *QUALITY assurance , *MEDICAL screening , *DATA analysis software , *PERIOPERATIVE care , *PATIENTS' attitudes - Abstract
Objectives: Internationally, hip or knee arthroplasty (TJA) with a 1-day hospital length of stay (LOS) is common and demonstrates improved patient and health service outcomes. This study aimed to develop and pilot an enhanced recovery program (ERP) for patients undergoing TJA to achieve a next-day discharge in an Australian public hospital setting. Methods: A project lead and six perioperative clinical craft group leads developed an ERP protocol based on enhanced recovery after surgery (ERAS) principles. Strict patient eligibility criteria were developed. Quality improvement methodology was used to implement the ERP. A patient navigator was put in place as a single contact point for patients. Results: A total of 825 patients were screened for the ERP and 47 patients completed the protocol. The mean ± standard deviation (s.d.) of the LOS was 34.7 (± 7.2) h with 41 patients (87%) achieving next-day discharge, the remaining six (13%) discharged on Day 2. Compliance with ERAS was high (96%) with mobilisation within 12 h occurring on 87% of occasions. There were no adverse events. Patient experience was positive. Conclusion: Next-day discharge was achieved with a selected cohort of patients with no adverse events and positive patient experience, using a multidisciplinary approach and an improvement framework. Broadening inclusion criteria will make ERP available to more patients. What is known about the topic? Next-day discharge following hip or knee arthroplasty in Australian public hospital settings is uncommon and little has been published reflecting enhanced recovery principles in this local context. What does this paper add? This paper describes the development and piloting of an enhanced recovery program using a novel approach to achieve next-day discharge following hip and knee replacement. What are the implications for practitioners? Other health services may leverage this approach to design and implement an enhanced recovery program to reduce hospital length of stay and improve patient and health service outcomes. [ABSTRACT FROM AUTHOR]
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- 2024
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21. Private health insurance incentives and passive adverse selection: is Lifetime Health Cover responsible for the excess ageing of Australia's hospital cover risk pool?
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Ryan, Jonathon Bruce
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INSURANCE , *HEALTH insurance reimbursement , *VALUE-based healthcare , *HEALTH policy , *PRIVATE sector , *HOSPITALS , *AGE distribution , *DESCRIPTIVE statistics , *AGING , *RESEARCH methodology , *MEDICAL care costs - Abstract
Objective: Lifetime Health Cover (LHC) was introduced in mid-2000 to increase participation in private health insurance that includes hospital cover (PHI-HC) and improve the risk profile of PHI-HC participants. It initially achieved both objectives, but since 2001 the PHI-HC population has aged faster than the general population. The aim of this study was to determine if the excess ageing of the PHI-HC risk pool has been due to passive age-based adverse selection, an inherent risk of LHC. This study has potential implications for the retention of LHC. Methods: A descriptive population-level analysis of publicly available administrative datasets was performed. Data relating to PHI-HC were obtained from the Australian Prudential Regulatory Authority. National population data were obtained from the Australian Bureau of Statistics. Trends in demography, PHI-HC participation rates and LHC loading payments were analysed. Results: By 2021, age-based adverse selection had returned to the pre-LHC level. Based on the available data, this was due to passive age-based adverse selection not active age-based adverse selection. Specifically, it reflected the combination of an avoidable unintended consequence of the introduction of LHC (the over-representation, in 2001, of individuals aged 45–59) and one of LHC's intended effects (incentivisation of insured individuals to retain PHI-HC). Conclusions: This study supports the retention of LHC. Nonetheless, it highlights the risk of passive age-based adverse selection created by incentivising insured individuals to retain PHI-HC in the presence of distortions in the age distribution of the PHI-HC risk pool. Early targeted interventions are required when such distortions arise. What is known about the topic? Since the introduction of Lifetime Health Cover (LHC) in mid-2000, the participation rate for private health insurance that includes hospital cover (PHI-HC) has remained relatively stable, but the PHI-HC population has aged faster than the general population. What does this paper add? This paper makes a novel distinction between 'active' and 'passive' age-based adverse selection to explain LHC's role in the excess ageing of the PHI-HC risk pool. What are the implications for practitioners? Governments need to be vigilant for the emergence of distortions in the age distribution of the PHI-HC risk pool and respond with targeted interventions to normalise the age distribution, or risk problematic passive age-based adverse selection. [ABSTRACT FROM AUTHOR]
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- 2024
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22. Community solutions for schooling engagement: Two Australian case studies.
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McGregor, Glenda, Mills, M., Riddle, S., and Howell, A.
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COMMUNITY relations , *SECONDARY schools , *PARTNERSHIPS in education , *ACADEMIC support programs - Abstract
This paper draws together data from two projects on schooling dis/engagement in Australia. One project focused on mainstream schools and the strategies employed to retain and engage young people in learning, whereas the other explored the growing sector of alternative/flexible education for similar solutions. We found interesting parallels. For example, rich, relevant curricula delivered through innovative pedagogies alongside positive staff/student relationships were key elements in schooling engagement across both sectors. Those findings have been published elsewhere. This paper focuses on the contributions to schooling engagement that may be derived from mutually beneficial school/community relationships. Here, we examine one mainstream high school and one flexi secondary school, both situated in remote geolocations, that established bespoke school/community partnerships in response to local needs. The data from each site provide blueprints for other schools that wish to tap into the wealth of human and material support systems in their own local areas. [ABSTRACT FROM AUTHOR]
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- 2024
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23. Enclaved Belonging: Ageing Migrants Staying Connected by Consuming COVID-19 Information.
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Cabalquinto, Earvin Charles B.
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OLDER people , *COVID-19 , *IMMIGRANTS , *RACIALIZATION , *SOCIAL networks - Abstract
This paper critically examines the ways ageing migrants perceive and experience a sense of belonging in a mediascape during the pandemic. It underscores how 15 elderly people from Culturally and Linguistically Diverse (CALD) backgrounds in Victoria, Australia stayed connected among their networks in and beyond Australia by accessing and consuming COVID-19 information via traditional and digital channels. By analysing the data based on conducting remote interviews in 2020 and 2021, the findings highlight the paradoxical nature of mediated belonging. On the one hand, ageing migrants forged connections at a distance with their familial and social networks by circulating and consuming COVID-19 information. This practice provided ageing migrants an assurance of their safety and their networks. On the other hand, differentiation and racialisation stirred frustrating, polarising and exclusionary-mediated environments. In this case, they deployed connective strategies to negotiate connections and belonging. In sum, this paper reveals the possibilities and politics of mediated belonging fuelled by intersecting structural and technological divides. [ABSTRACT FROM AUTHOR]
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- 2024
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24. 'It's Time to Make Your Way Home': Implications of the COVID-19 Pandemic for Multicultural Policies in Australia.
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Phillips, Melissa
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COVID-19 pandemic , *STAY-at-home orders , *SECONDARY analysis , *POLITICAL refugees , *RIGHT of asylum - Abstract
Governments around the world acted in response to the COVID-19 pandemic through lockdowns and border closures that had specific impacts on temporary residents (migrants, asylum seekers and refugees). In Australia, there were differential responses across states and territories, and a critical distinction made at Federal government level between permanent residents and citizens as compared to temporary migrants. The result has been the continued Othering of certain groups of Australians of culturally and linguistically diverse backgrounds as well as migrants and refugees on the basis of racial characteristics and visa status. This paper will consider the period where arguably multicultural policies were 'on hold' by investigating the timeline leading up to major policy decisions and the immediate and longer-term after-effects during the COVID-19 pandemic. Arguably the way in which multicultural communities were treated has shown the superficial nature of multicultural policies in Australia and the lack of more solid foundations in support of what now demographically constitutes a majority of the country's population. Drawing on secondary data analysis, the paper will outline the distance these actions have put between political leaders and multicultural communities, and queries the implications for a sustained commitment to multicultural policies in an era of temporary migration. [ABSTRACT FROM AUTHOR]
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- 2024
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25. Denial from the other side: Experiences of racism as narrated by South Sudanese refugees in Australia.
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Hatoss, Anikó
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RACISM , *SUDANESE refugees , *SOCIOLINGUISTICS , *SOCIAL injustice , *ETHNOGRAPHIC informants - Abstract
This paper discusses experiences of everyday racism as narrated by South Sudanese refugee-background informants living in Australia. The paper draws on accounts of verbal and physical attacks reported during a sociolinguistic interview about the refugee experience and adaptation to the Australian lifestyle. The study contributes to the exploration of features of refugee narratives, using the socio-interactional approach to narrative analysis. Selected stories about racism are explored using positioning theory, paying attention to the discursive strategies narrators use to position themselves in the interactional world of the interview setting as well as the story-world. Their narratives demonstrate that despite the harsh experiences of everyday racism, they position themselves as resilient and strong individuals. They do this by drawing on their refugee history and making references to harder times. However, the stories also reveal their mitigation strategies to soften the accounts and either downplay or deny racism. However, by sharing their stories and making explicit evaluative statements about social injustice, they mobilise their agency to make their story heard. [ABSTRACT FROM AUTHOR]
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- 2024
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26. A summary of initiatives to address teacher shortages in hard-to-staff schools in the Anglosphere.
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McPherson, Amy, Lampert, Jo, and Burnett, Bruce
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SUPPLY & demand of teachers , *TEACHER recruitment , *TEACHER retention , *TEACHERS , *TEACHER education - Abstract
This article brings together a number of key issues that emerge in research around the problem of teacher shortages in hard-to-staff schools. It offers a broad overview of the hard-to-staff schooling sector as discussed in recent academic literature and provides a context-specific overview of the literature around workforce shortages in hard-to-staff schools with relevancy for high poverty contexts. In line with Williams et al. (2022) position on "Local Strategies, Global Inspiration," this paper focuses on the problem of teacher shortages in hard-to-staff schools in Australia while looking to both Australian and broader Anglosphere literature (p.120) to reconsider responses to teacher recruitment and retention. The paper begins with a survey of the current state of this issue of workforce shortages in hard-to-staff schools in Australia. Turning our attention to literature from both Australia and Anglosphere countries, the summary then focuses on the specific initiatives and mechanisms employed for recruiting and retaining teachers in hard-to-staff schools, particularly the organisational contributions of Initial Teacher Education that support recruitment into hard-to-staff schools. The article concludes by highlighting limitations and critiques of hard-to-staff initiatives in the literature to inform policy and organisational considerations when addressing the issue of teacher shortages going forward. [ABSTRACT FROM AUTHOR]
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- 2024
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27. Positionality and reflexivity: negotiating insider-outsider positions within and across cultures.
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Yip, Sun Yee
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DOCTORAL students , *PARTICIPANT observation , *REFLEXIVITY , *QUALITATIVE research - Abstract
This paper draws on my experiences as a doctoral student undertaking a project to examine the professional adaptation of Asian immigrant teachers in Australia. Using a reflexive narrative approach, I examine how my position influenced my access to participants, the understanding of their contexts, and the nature of my relationship and interaction with the participants. The paper discusses the tensions that resulted from my insider-outsider positions and how they shaped my qualitative study's research process and outcomes. I conclude with recommendations for researchers to carefully consider the possible influence of their positionality in any research setting and its implications for informing future research. [ABSTRACT FROM AUTHOR]
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- 2024
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28. Retrospective review of the efficacy for sublingual ketamine in the treatment of chronic low back pain defined by a cause and central functional pain symptom focused clinical model.
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Johnson, David, Feng, Lanxuan, and Johnson, Charlotte
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HEALTH literacy , *MEDICAL logic , *LIFESTYLES , *CHRONIC pain , *KETAMINE , *SUBLINGUAL drug administration , *OUTPATIENT services in hospitals , *PATIENT safety , *QUALITATIVE research , *DISEASE management , *EXERCISE therapy , *REHABILITATION , *MOVEMENT disorders , *RETROSPECTIVE studies , *TERTIARY care , *DESCRIPTIVE statistics , *TREATMENT duration , *FUNCTIONAL status , *LONGITUDINAL method , *DRUG efficacy , *MATHEMATICAL models , *CONCEPTUAL structures , *MEDICAL records , *ACQUISITION of data , *PAIN management , *THEORY , *LUMBAR pain , *EVALUATION , *SYMPTOMS - Abstract
Chronic low back pain is a leading cause of disability worldwide. A clinical model for its cause is lacking. Defining a cause based clinical model and a framework of understanding back pain in terms of peripheral structural and central functional pain is essential for optimal management. We describe the results of the largest published audit of 41 chronic low back pain patients, receiving outpatient sublingual ketamine therapy for defined central functional pain along with conventional peripheral structural pain management. Our clinical model assigns Movement Dysfunction as the primary cause for low back pain symptoms and restores it with Movement Therapy focused rehabilitation which is also defined. Patients were derived from a tertiary single neurosurgical specialist practice in Brisbane Australia over a three year period. Severe pain and disability measurements more than halved and only 13% of patients ceased ketamine prematurely due to predominantly non-sinister side effects common to all pharmaceutical therapies. All other surveyed metrics of utility were highly favourable in this challenging cohort of chronic back pain patients biased to poor outcomes. Outpatient ketamine maintains high efficacy and safety used in conjunction with a unique clinical model that describes chronic low back pain. This paper builds on our previous publications that describe the disease of movement dysfunction as an integral factor to the development of a cause based clinical model for the condition of chronic low back pain symptoms. Our clinical application of this model, applying the necessary dual approach of controlling symptoms arising from peripheral structural pain and central functional pain in conjunction with elimination of root causation has shown favourable outcomes in patients with high levels of pain and disability based on their tertiary referral origin and high Oswestry Disability Scores. Removing chronic low back pain from its position as one of the world's leading causes of pain and disability is more likely if the rehabilitation industry can replicate and test treatment algorithms based around established clinical models of disease which is the important subject of this paper. [ABSTRACT FROM AUTHOR]
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- 2024
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29. Settler colonialism and prisons: a comparative case study of Canada, Palestine, and Australia.
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Venczel, Elizabeth
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COLONIES , *ABORIGINAL Canadians , *INTERSECTIONALITY , *HISTORY of colonies , *PRISONS , *ANTISLAVERY movements - Abstract
Through an examination of the history of settler colonial violence against Indigenous peoples and lands in Canada, Palestine, and Australia, this paper exposes the links between colonialism and the penitentiary, across borders. This paper interrogates the differences and similarities between the use of prisons as a tool in settler colonial expansion in these three states. As a contribution to abolitionist thought and theory, this paper highlights the need for an intersectional analysis of the overlapping consequences of settler colonialism and international carceral regimes. Efforts to resist carceral expansion around the world must include efforts to resist colonial expansion, and the voices of Indigenous peoples must be centred throughout this process. [ABSTRACT FROM AUTHOR]
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- 2024
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30. Towards an assemblage approach to mobile disability politics.
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Waitt, Gordon, Harada, Theresa, and Birtchnell, Thomas
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ELECTRIC wheelchairs , *DISABILITIES , *PEOPLE with disabilities , *AUSTRALIANS , *PRACTICAL politics - Abstract
This paper addresses embodied geographies of power assisted devices (powered wheelchairs and motorised scooters) for disabled people in Australia to augment understandings of mobile disability politics. Deleuze and Guattari's notion of 'lines' is used to reimagine spatial thinking about mobile disability politics. Disability in this paper is understood as an emplaced, emergent, relational and embodied process that arises in the interaction between ideas, materials and bodies. A focus on the shifting affective capacities of everyday journeys can deepen an understanding of mobile disability politics through attention to sensations. To illustrate the notion of lines we draw on three 'portraits' from a qualitative project on power assisted devices in Ballina Shire, New South Wales, Australia. Each portrait provides an illustration of how mobility experiences of power assisted devices may reinforce and/or challenge normative ideologies and identities, alongside deepening understandings of how ideas and materials come together to produce enabling and/or exclusionary arrangements. [ABSTRACT FROM AUTHOR]
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- 2024
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31. Dengue vector control in high-income, city settings: A scoping review of approaches and methods.
- Author
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Durrance-Bagale, Anna, Hoe, Nirel, Lai, Jane, Liew, Jonathan Wee Kent, Clapham, Hannah, and Howard, Natasha
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- *
VECTOR control , *DENGUE , *BIOLOGICAL control of mosquitoes , *DENGUE viruses , *EVIDENCE gaps - Abstract
Background: Dengue virus (DENV) is endemic to many parts of the world and has serious health and socioeconomic effects even in high-income countries, especially with rapid changes in the climate globally. We explored the literature on dengue vector control methods used in high-income, city settings and associations with dengue incidence, dengue prevalence, or mosquito vector densities. Methods: Studies of any design or year were included if they reported effects on human DENV infection or Aedes vector indices of dengue-specific vector control interventions in high-income, city settings. Results: Of 24 eligible sources, most reported research in the United States (n = 8) or Australia (n = 5). Biocontrol (n = 12) and chemical control (n = 13) were the most frequently discussed vector control methods. Only 6 sources reported data on the effectiveness of a given method in reducing human DENV incidence or prevalence, 2 described effects of larval and adult control on Aedes DENV positivity, 20 reported effectiveness in reducing vector density, using insecticide, larvicide, source reduction, auto-dissemination of pyriproxyfen and Wolbachia, and only 1 described effects on human-vector contact. Conclusions: As most studies reported reductions in vector densities, rather than any effects on human DENV incidence or prevalence, we can draw no clear conclusions on which interventions might be most effective in reducing dengue in high-income, city areas. More research is needed linking evidence on the effects of different DENV vector control methods with dengue incidence/prevalence or mosquito vector densities in high-income, city settings as this is likely to differ from low-income settings. This is a significant evidence gap as climate changes increase the global reach of DENV. The importance of community involvement was clear in several studies, although it is impossible to tease out the relative contributions of this from other control methods used. Author summary: Dengue virus is present in many parts of the world and has serious health and socioeconomic effects even in high-income countries, especially with rapid changes in the climate globally. In this study, we explored the literature on dengue vector control methods used in high-income, city settings and associations with number of human dengue infections, and the density of mosquitoes. We found 24 papers with relevant results. Most of these described studies in the United States or Australia. Most were about various forms of biological or chemical control of the mosquitoes. Few papers discussed effects on human dengue infection. We were unable to draw any clear conclusions on how effective mosquito control methods were as we could identify little research on this subject in this specific setting. More research is needed on this topic, particularly as climate change will make more areas of the world vulnerable to dengue infection. [ABSTRACT FROM AUTHOR]
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- 2024
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32. Our culturally maladaptive transport discourses are continuing to fail our children.
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Gilbert, Hulya and te Brömmelstroet, Marco
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TRAFFIC safety , *CHILD mortality , *NOISE pollution , *SOCIAL injustice , *DISCOURSE , *HUMAN rights - Abstract
The private car, as a dominant form of everyday mobilities across Australia and around the globe, continues to create a significant level of social and spatial injustice. Children are disproportionally affected by such injustices, not just through the loss of their basic rights to roam their local environments freely and safely due to traffic safety concerns and being greatly susceptible to illnesses generated by car-inducing pollution and noise, but also through being at the greatest risk of being hit by drivers. Road crashes continue to be the leading cause of death for children globally and our current – and decades long – ways of dealing with road violence are inadequate and counter-productive as they distract from what actually needs to be done. Utilising Boyden's framing of cultural maladaptation, this paper conceptualises current maladaptive transport discourses and discusses how they continue to harm the health and well-being of children. The paper highlights the need for the recognition of these maladaptive discourses, including our worldviews, languages and principles in order to replace them with new narratives which enable the transition to a future where children's mobility needs and rights are honoured. [ABSTRACT FROM AUTHOR]
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- 2024
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33. Marked variations in medical provider and out-of-pocket costs for radical prostatectomy procedures in Australia.
- Author
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Walsan, Ramya, Mitchell, Rebecca J., Braithwaite, Jeffrey, Westbrook, Johanna, Hibbert, Peter, Mumford, Virginia, and Harrison, Reema
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HEALTH services accessibility , *SURGICAL robots , *USER charges , *HUMAN services programs , *RESEARCH funding , *RADICAL prostatectomy , *HEALTH policy , *RETROSPECTIVE studies , *DESCRIPTIVE statistics , *STATE governments , *LONGITUDINAL method , *MEDICAL records , *ACQUISITION of data , *HEALTH equity , *CONFIDENCE intervals , *MEDICAL care costs , *GOVERNMENT regulation , *OPERATING rooms , *ECONOMICS - Abstract
Objectives: Unwarranted clinical variations in radical prostatectomy (RP) procedures are frequently reported, yet less attention is given to the variations in associated costs. This issue can further widen disparities in access to care and provoke questions about the overall value of the procedure. The present paper aimed to delve into the disparities in hospital, medical provider and out-of-pocket costs for RP procedures in Australia, discussing plausible causes and potential policy opportunities. Methods: A retrospective cohort study using Medibank Private claims data for RP procedures conducted in Australian hospitals between 1 January 2015 and 31 December 2020 was undertaken. Results: Considerable variations in both medical provider and out-of-pocket costs were observed across the country, with variations evident between different states or territories. Particularly striking were the discrepancies in the costs charged by medical providers, with a notable contrast between the 10th and 90th percentiles revealing a substantial difference of A$9925. Hospitals in Australia exhibited relatively comparable charges for RP procedures. Conclusions: Initiatives such as enhancing transparency regarding individual medical provider costs and implementing fee regulations with healthcare providers may be useful in curbing the variations in RP procedure costs. What is known about the topic? Unwarranted clinical variations in radical prostatectomy procedures are well documented in the literature; however, variations in cost are less widely reported. What does this paper add? This paper aims to highlight the cost variations in radical prostatectomy procedures in Australia, discussing their plausible causes, implications and proposing potential policy opportunities. What are the implications for practitioners? Excessive fees imposed by medical providers may contribute to inequalities in healthcare access. Enhancing transparency of individual medical provider costs and implementing fee regulations may be useful in controlling unwarranted variations in procedure costs. This article belongs to the Special Issue: Value-based Healthcare. [ABSTRACT FROM AUTHOR]
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- 2024
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34. Poor policy and inadequate regulation of medical technology is driving low-value care in Australia's private health system.
- Author
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David, Rachel
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MEDICAL technology , *GOVERNMENT policy , *PATIENT safety , *MEDICAL care , *COST analysis , *VALUE-based healthcare , *PRIVATE sector , *QUALITY control , *CONFLICT of interests , *QUALITY assurance , *NEURAL stimulation , *RULES , *MEDICAL care costs , *EQUIPMENT & supplies , *SPINAL cord - Abstract
Millions of Australians use the private health system every year. They should receive safe, high-quality, value-based care. However, poor policy and inadequate regulation of medical technology is driving low-value care at great expense to consumers and the broader health system. Key drivers include the Prescribed List of Medical Devices and Human Tissue, gaps in quality and safety controls for devices being used, and marketing and conflicts of interest. All of these should be addressed to reduce low-value care in Australia's private health system, so consumers are protected from harm and limited health budgets are used effectively. What is known about the topic? With health expenditure rising unsustainably, there is a growing focus on ways to reduce low-value care to improve health outcomes and eliminate unnecessary costs. What does this paper add? This paper details drivers of low-value care in Australia's private health system and recommendations to overcome them. Drivers include the Prescribed List of Medical Devices, gaps in safety and quality controls, and conflicts of interest and marketing. What are the implications for practitioners? These insights are relevant to clinicians, researchers, policymakers, consumers and health business leaders with an interest in low-value care. This article belongs to the Special Issue: Value-based Healthcare. [ABSTRACT FROM AUTHOR]
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- 2024
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35. Taking a value based commissioning approach to non-clinical and clinical support services.
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Kinsman, Trinette, Reid, Samantha, and Arnott, Hayley
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DIGITAL technology , *PUBLIC hospitals , *DIAGNOSTIC imaging , *MEDICAL care , *VALUE-based healthcare , *PATIENT care , *FOOD service , *EVALUATION of medical care , *ORTHOPEDICS , *SOCIAL support , *WOUND care , *PATIENT participation - Abstract
Value based healthcare beyond the clinical domain is the focus of this case study. We share NSW Health's experiences in achieving value through a focus on outcomes in non-clinical and clinical support services using examples that demonstrate key aspects across the commissioning cycle. These include: the importance of stakeholder engagement in the planning phase to later success; the critical role of non-clinical services in patient experience; the opportunity to facilitate value by introducing new approaches in business areas such as procurement; and the role of clinical supports such as digital enablement to facilitate outcome-focussed clinical models. Applying a value lens to non-clinical services can increase the potential benefits to patients, clinicians and the system. What is known about the topic? Value based healthcare is a way of making transparent and equitable decisions about resource allocation to deliver better outcomes for individuals, health services and the system. What does this paper add? This paper reflects on the opportunity to deliver value based healthcare beyond clinical models of care, including in non-clinical and clinical support services, using a commissioning approach. What are the implications for practitioners? The learnings shared through the case studies presented can be applied by practitioners to their own projects to support value based approaches across all aspects of health care. This article belongs to the Special Issue: Value-based Healthcare. [ABSTRACT FROM AUTHOR]
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- 2024
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36. A Summary of Fatal Injury Surveillance Methods in Australian Agriculture and Their Impact on Safety Policies and Practices.
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Peachey, Kerri-Lynn, Franklin, Richard C, and Lower, Tony
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PUBLIC health surveillance , *DATABASES , *MEDICAL information storage & retrieval systems , *BENCHMARKING (Management) , *DECISION making , *WORK-related injuries , *PHYSICIAN practice patterns , *AGRICULTURE , *INDUSTRIAL safety , *MANAGEMENT , *ACCESS to information - Abstract
Agriculture is one of the most important and also hazardous industries in Australia. Having a sound knowledge and understanding of the circumstance of injury events is critical to developing evidence-based intervention programs. This paper aims to provide a brief historical snapshot of the development of data systems underpinning the assessment of fatal farm injury in Australia and how it has impacted on safety policy and practice. The first Australian studies used coronial information to explore agricultural fatalities, these studies reviewed paper-based records (in-situ) and collected the information for analysis and reporting. This task was laborious and costly. When the National Coronial Information System (NCIS) was established in 2000, this allowed access to coronial records online. Information provided about the deceased includes demographics, contextual details on the nature of the fatality and autopsy, toxicology, and police reports, as-well-as the coroner's finding. Information from the NCIS, along with media reports, have been used to develop the farm fatality database. This information has been used to inform the safety goals and targets for farm commodity groups, identify key risks, provide long-term benchmark indicators and underpin the development of prevention materials and training resources. Without accurate, timely, concise and relevant data about injury occurring on farms, there is no evidence to drive policy and practice or to evaluate programs of work. As such, the continued utilization and extension of the NCIS data will prove crucial to further reducing the burden of preventable fatal injuries on Australian farms. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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37. Ageing with (and into) assistive technology: an exploration of the narratives of amputees and polio survivors.
- Author
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Johnstone, Lewis, Almukhtar, Ali, DePasquale, Rebecca, Warren, Narelle, and Block, Pamela
- Subjects
- *
PSYCHOLOGICAL aspects of aging , *PATIENT autonomy , *POLIO patients , *INTERVIEWING , *AMPUTEES , *DESCRIPTIVE statistics , *PSYCHOLOGICAL adaptation , *DECISION making , *ASSISTIVE technology , *THEMATIC analysis , *BIOGRAPHY (Literary form) , *PATIENTS' attitudes , *SELF-perception - Abstract
Assistive technologies (AT) perform an important social role, interacting with cultural systems to produce or hinder accessibility to biosocial environments. This interaction profoundly shapes not only how an individual body can be experienced by users but also produce and hinder accessibility to biosocial environments. AT users have historically been viewed through a medical model, which deems them disabled by their impairments and by dominant ableist narratives. Therefore, this paper serves to provide an insight into the importance of ageing with and into AT. This paper aims to investigate polio survivors' and diabetic amputees' experiences of assistive technologies in order to better understand impacts upon narrative and identity. By applying an anthropological and sociological lens, a holistic view of the experiences of polio survivor and amputee AT users is developed. This paper draws on 16 in-depth interviews with polio survivors and diabetic amputees in the United States (US) and Australia, which were analysed using an experience-centered narrative approach. Both projects were approved by ethics boards. All participants provided written consent. Five themes were identified: a) disruption to biographies, which reflected AT impact on how narratives become altered; b) impacts to autonomy, which reflected the importance of regaining previous daily activities; c) re-engaging with community life, which highlighted how AT supported participation in valued activities; d) self-perceptions of assistive technologies, which act in opposition to external perspectives and challenge ableist narratives; and e) an intergenerational comparison of new and older AT users highlights the importance of temporalities. This paper offers new perspectives on ageing with assistive technologies, with a focus on identity and narrative. The importance of this paper is to contribute to the existing literature that demonstrates the cultural implications that arise through embodiment and assistive technologies. The use of assistive technology can help individuals regain function, but the individual circumstances require consideration The use of assistive technology is a complex entanglement of bodies, environments, biographies, and imagined futures. The use of assistive technology can provide participants autonomy over their narratives and assist with maintaining their identities [ABSTRACT FROM AUTHOR]
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- 2024
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38. Increasing Trust in New Data Sources: Crowdsourcing Image Classification for Ecology.
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Santos‐Fernandez, Edgar, Vercelloni, Julie, Price, Aiden, Heron, Grace, Christensen, Bryce, Peterson, Erin E., and Mengersen, Kerrie
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IMAGE recognition (Computer vision) , *CROWDSOURCING , *TRUST , *MAJORITIES , *CITIZEN science , *CORAL bleaching - Abstract
Summary: Crowdsourcing methods facilitate the production of scientific information by non‐experts. This form of citizen science (CS) is becoming a key source of complementary data in many fields to inform data‐driven decisions and study challenging problems. However, concerns about the validity of these data often constrain their utility. In this paper, we focus on the use of citizen science data in addressing complex challenges in environmental conservation. We consider this issue from three perspectives. First, we present a literature scan of papers that have employed Bayesian models with citizen science in ecology. Second, we compare several popular majority vote algorithms and introduce a Bayesian item response model that estimates and accounts for participants' abilities after adjusting for the difficulty of the images they have classified. The model also enables participants to be clustered into groups based on ability. Third, we apply the model in a case study involving the classification of corals from underwater images from the Great Barrier Reef, Australia. We show that the model achieved superior results in general and, for difficult tasks, a weighted consensus method that uses only groups of experts and experienced participants produced better performance measures. Moreover, we found that participants learn as they have more classification opportunities, which substantially increases their abilities over time. Overall, the paper demonstrates the feasibility of CS for answering complex and challenging ecological questions when these data are appropriately analysed. This serves as motivation for future work to increase the efficacy and trustworthiness of this emerging source of data. [ABSTRACT FROM AUTHOR]
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- 2024
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39. On stable solutions of a weighted elliptic equation involving the fractional Laplacian.
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Quynh Nguyen, Thi and Tuan Duong, Anh
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ELLIPTIC equations , *LAPLACIAN operator , *LIOUVILLE'S theorem , *MATHEMATICS - Abstract
In this paper, we study the following fractional Choquard equation with weight (−Δ)su=1|x|N−α∗h(x)|u|ph(x)|u|p−2uinℝN,$$ {\left(-\Delta \right)}^su=\left(\frac{1}{{\left|x\right|}^{N-\alpha }}\ast h(x){\left|u\right|}^p\right)h(x){\left|u\right|}^{p-2}u\kern0.5em \mathrm{in}\kern0.5em {\mathrm{\mathbb{R}}}^N, $$where 0
2s,p>2,α>0$$ 02s,p>2,\alpha >0 $$ and h$$ h $$ is a positive weight function satisfying h(x)≥C|x|a$$ h(x)\ge C{\left|x\right|}^a $$ at infinity, for some a≥0$$ a\ge 0 $$. We establish, in this paper, a Liouville type theorem saying that if maxN−4s−2a,0<α- Published
- 2024
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40. How foresight has evolved since 1999? Understanding its themes, scope and focus.
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Dhiman, Vaishali and Arora, Manpreet
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CONSCIOUSNESS raising , *BIBLIOMETRICS , *CONCEPTUAL structures , *DIGITAL technology , *SOCIAL impact , *ELECTRONIC journals , *ARTIFICIAL intelligence - Abstract
Purpose: Foresight J's journey started in 1999, and in 2022, it marked the conclusion of its 24 years of publication. This paper aims to provide an overall overview of important research trends published in Foresight J between 1999 and 2022 by conducting a quantitative analysis of the journal's literature. The overarching goal is to provide valuable insights into the dynamics of scholarly communication, aiding researchers, institutions and policymakers in assessing the significance and influence of academic work, guiding future research directions and academic evaluation. Design/methodology/approach: The two bibliometrics methodologies that make up the methodology of this article are scientific mapping and performance analysis. Authors have explained the development and composition of the Foresight J using these methods. The SCOPUS database is being used in current research to analyse several dimensions, such as the evolution of publications by year, the most cited papers, core authors and researchers, leading countries and prolific institutions. Moreover, the conceptual structure, scope, burst detection and co-occurrence analysis of the journal are mapped using network visualization software such as VOSviewer, CiteSpace and RStudio. Findings: With a strong track record of output over the years, Foresight J has continued to develop in terms of publications. It is determined that "Saritas" is the author with the greatest overall impact. However, according to SCOPUS bibliometric data, "Blackman" and "Richardson" are the authors with the greatest relevance in terms of the quantity of articles. In addition, it becomes apparent that the USA, Australia and the UK are very productive nations in terms of publications. The most popular fields of the journal have always been forecasting, foresight, scenario planning, strategic planning, decision-making, technology and sustainable development. These are also the author keywords that appear the most frequently. In contrast, new study themes in the Foresight J include digital technologies, innovation, sustainability, blockchain, artificial intelligence and sustainability. Research limitations/implications: Several noteworthy research implications are provided by the bibliometric study of Foresight J. "Saritas" is the author with the most overall impact, indicating that the precise contributions and influence of this researcher in the fields of forecasting, foresight and related fields. Given that "Blackman" and "Richardson" are well-known writers, it is also critical to examine the scope and complexity of their contributions to potentially identify recurring themes or patterns in their writing. The geographic productivity results, which show that the USA, Australia and the UK are the top three countries for Foresight J publications, may encourage more research into regional differences, patterns of collaboration and the worldwide distribution of research endeavours in the context of forecasting and foresight. Popular fields including scenario planning, forecasting, foresight and sustainable development are consistent, indicating persistent research interests. Examining the causes of these subjects' ongoing relevance can reveal information about the consistency and development of scholarly interests over time. Practical implications: Foresight J's bibliometric analysis has real-world applications for many stakeholders. It helps editors and publishers make strategic decisions about outreach and content by providing insights regarding the journal's influence. Assessing organizational and author productivity helps institutions allocate resources more effectively. Policymakers acquire an instrument to evaluate research patterns and distribute funds efficiently. In general, bibliometric study of a journal helps decisionmakers in academic publishing make well-informed choices that maximize the potential of options for authors, editors, institutions and policymakers. Social implications: The societal ramifications of bibliometrically analysing Foresight J from 1999 and 2022 are substantial. This analysis highlights, over the past 24 years, research trends, technological developments and societal priorities have changed by methodically looking through the journal's articles. Gaining knowledge about the academic environment covered by the journal can help raise public awareness of important topics and promote critical thinking. In addition, the analysis can support evidence-based decision-making by alerting decision makers to the influential research that was published in Foresight J. This could have an impact on the course of policies pertaining to innovation, technology and societal development. Originality/value: This study presents a first comprehensive article that provides a general overview of the main trends and patterns of the research over the Foresight J's history since its inception. Also, the paper will help the scientific community to know the value and impact of Foresight J. [ABSTRACT FROM AUTHOR]
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- 2024
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41. Just the way my brain works: capabilities for working with data in non-clinical practice.
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Sukovic, Suzana
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OCCUPATIONAL roles , *EVIDENCE gaps , *CORE competencies , *ORGANIZATIONAL learning , *MEDICAL care - Abstract
Purpose: Effective use of data is critically important for the provision of health services. A large proportion of employees in health organisations work in non-clinical roles and play a major part in organisational information flows. However, their practice, data-related capabilities and learning needs have been rarely studied. The purpose of this paper is to investigate issues of capabilities and learning needs related to employees' interactions with data in non-clinical work roles. Design/methodology/approach: The study used a mixed-method approach. Qualitative methods were used to explore issues, and survey was administered to gather additional data. Findings: Data use and related capabilities at the workplace are highly contextual. A range of general, core and data-specific capabilities, underpinned by transferable skills and personal traits, enable successful interactions with data. Continuous learning is needed in most areas related to data use. Research limitations/implications: The study was conducted in a large public-health organisation in Australia, which is not representative of unique organisations elsewhere. The study has implications for the provision of health services, workplace learning and education. Practical implications: Findings have implications for organisational decisions related to data-use and workplace learning, and for formal education and lifelong learning. Originality/value: The study contributes to closing a research gap in understanding interactions with data, capabilities and learning needs of employees in non-clinical work roles. Capabilities continuum presented in this paper can be used to inform education, training and service provision. The workplace-based results contribute to theoretical considerations of capabilities required for work in technology-rich environments. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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42. From niches to regime: sustainability transitions in a diverse tourism destination.
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Flood Chavez, David, Niewiadomski, Piotr, and Jones, Tod
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TOURIST attractions , *COMMUNITY organization , *SUSTAINABILITY , *INTERNATIONAL tourism - Abstract
Until the end of WW2, the Margaret River region (MRR) was a popular domestic destination based on cave explorations. A series of incremental innovations between the 1950s and 1990s reconfigured the destination into a thriving international tourism destination that offers diverse experiences based on wine, surf, and nature. Nonetheless, contemporary external and internal forces are stimulating another shift – one towards sustainability. Apart from the global pro-sustainability agenda, this sustainability transition in tourism is mainly driven by two emerging niches: eco-accreditation and grassroots organisations. This paper adopts the multilevel perspective (MLP) – a commonly adopted framework in the sustainability transitions research field – and combines it with a typology of tourism innovation to examine the evolution of the MRR as a tourist destination. The paper addresses the ongoing sustainability transition in the MRR and discusses both top-down and bottom-up initiatives that stimulate it. In order to provide a holistic view of this transition, the paper also pays attention to the first transition in the destination (i.e. from caves to wine, surf, and nature), and examines its influence on the ongoing sustainability transition. As such, this paper aims to help bridge the gap between tourism geography and the interdisciplinary field of sustainability transitions. [ABSTRACT FROM AUTHOR]
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- 2024
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43. Building an offshore wind sector in Australia: economic opportunities and constraints at the regional scale.
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Larkin, Natasha, Carr, Chantel, and Klocker, Natascha
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WIND power , *ECONOMIC opportunities , *ECONOMIC sectors , *RENEWABLE energy sources , *MASS media policy - Abstract
The recent passage of the Offshore Electricity Infrastructure Act (2021) (Cth) opened up the potential for Australia to produce renewable energy at unprecedented scale. Six regions have been identified as potential locations for developing offshore wind projects, promising thousands of new local jobs to legacy industrial regions. This paper charts the regulatory framework for Australia's offshore wind industry and how it positions local economic benefits in the licencing of projects. It then draws on interviews with key stakeholders supported by media and policy analysis to examine the early development of offshore wind capability in one of the proposed regions, the Illawarra, in NSW. Here existing steelmaking capacity positions the region to play a key role in supply chains for local and potentially national projects, but considerable structural and geographical constraints in the labour market will need to be addressed. In light of overseas experience indicating that economic benefits often fall short of promises, greater attention by policy makers is required to ensure hosting communities can develop local skills in the industry and facilitate their relative supply chain capabilities. This paper also calls for careful evaluation of early projects to allow for adjustments to policy settings as the industry matures domestically. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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44. A qualitative exploration of speech–language pathologists' approaches in treating spoken discourse post‐traumatic brain injury.
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Hoffman, Rhianne, Spencer, Elizabeth, and Steel, Joanne
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SPEECH therapy , *MEDICAL logic , *MEDICAL protocols , *QUALITATIVE research , *INTERVIEWING , *CONTENT analysis , *JUDGMENT sampling , *PHYSICIAN practice patterns , *RESEARCH methodology , *SOCIAL skills , *BRAIN injuries , *DISEASE complications - Abstract
Background: Spoken discourse impairments post‐traumatic brain injury (TBI) are well‐documented and heterogeneous in nature. These impairments have chronic implications for adults in terms of employment, socializing and community involvement. Intervention delivered by a speech–language pathologist (SLP) is recommended for adults with discourse impairments post‐TBI, with an emphasis on context‐sensitive treatment. The developing evidence base indicates a wide array of treatment components for SLPs to evaluate and implement within their clinical practice. However, there is limited insight into how SLPs are currently treating discourse impairments and the rationales informing clinical practice. Aims: To explore the under‐researched area of clinical practice for spoken discourse interventions with adults post‐TBI, including treatment components and clinician rationales, and to contribute towards a shared knowledge base. Methods & Procedures: Participants were recruited via purposeful sampling strategies. Six SLPs participated from Australia, the United Kingdom (UK) and the United States (US). Semi‐structured interviews were conducted via Zoom. Interviews were manually transcribed, coded and analysed via a qualitative content analysis approach. Outcomes & Results: :Participants described discourse treatment practices across various settings and TBI recovery stages. Results indicated that SLPs used numerous treatment activities, resources and outcome measures. Intervention approaches primarily targeted social communication skills, strategy development/utilization and insight‐building. Clinical practice conformed to available guidelines where possible, reflected best practice and incorporated components of the research literature. Participants reported using individualized treatment activities aimed at addressing client‐specific factors and rationales prioritized tailored, context‐sensitive and goal‐directed treatment. Conclusions & Implications: This study provided insight into a previously under‐researched area. It highlighted a wide range of treatment activities and factors informing current SLPs' treatment of spoken discourse impairment post‐TBI. Overall, clinical practice and rationales discussed in this study were aligned with best practice and emphasized a contextualized, individualized approach to discourse treatment across service settings and stages of recovery. Participants identified areas requiring further support, including access to training, resources and research, and the challenge of finding suitable outcome measures. Further investigation into discourse management post‐TBI, from initial assessment to outcome measurement, may help inform clinical decision‐making and the transfer of research to practice. WHAT THIS PAPER ADDS: What is already known on the subject: Spoken discourse impairments occur in dialogic and monologic productions post‐TBI. Interventions targeting both genres are detailed within the research literature; however, studies exploring clinical practice and decision‐making for discourse interventions post‐TBI are limited. What this paper adds to existing knowledge: This study provides new insight into the current treatment targets, activities, resources and outcome measures employed by clinicians supporting adults with discourse impairment post‐TBI. It details the factors that influence clinical decision‐making for this caseload and identifies an emphasis on client priorities and the value of clinician experience. What are the potential or actual clinical implications of this work?: This study identifies the broad and complex considerations required to deliver context‐sensitive discourse intervention post‐TBI. It indicates the need for an in‐depth review from assessment to treatment outcomes to better understand and support this area of practice and to direct future research. This study also highlighted the role of clinician experience in discourse intervention and the value of sharing clinical knowledge and resources within and across the profession to support all levels of clinician experience. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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45. 'It gives you encouragement because you're not alone': A pilot study of a multi‐component social media skills intervention for people with acquired brain injury.
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Brunner, Melissa, Rietdijk, Rachael, Summers, Kayla, Southwell, Kylie, Avramovic, Petra, Power, Emma, Miao, Melissa, Rushworth, Nick, MacLean, Liza, Brookes, Anne‐Maree, and Togher, Leanne
- Subjects
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BRAIN physiology , *REHABILITATION for brain injury patients , *SOCIAL media , *HUMAN services programs , *DATA analysis , *RESEARCH funding , *MEDICAL care , *PILOT projects , *INTERVIEWING , *QUESTIONNAIRES , *CONTENT analysis , *INTERNET , *DESCRIPTIVE statistics , *PRE-tests & post-tests , *QUALITY of life , *RESEARCH methodology , *STATISTICS , *BRAIN injuries , *SOCIAL support , *SOCIAL skills education , *COGNITION - Abstract
Background: People with an acquired brain injury (ABI) find it challenging to use social media due to changes in their cognition and communication skills. Using social media can provide opportunities for positive connection, but there is a lack of interventions specifically designed to support safe and successful social media use after ABI. Aims: To investigate the outcomes of completing a social media skills intervention and identify barriers and facilitators for future implementation. Methods & Procedures: The study used a mixed‐methods, pre‐post‐intervention design. A total of 17 adults with an ABI were recruited. Participants completed an intervention that included a short self‐guided course about social media skills (social‐ABI‐lity course), and then participated in a private, moderated Facebook group over a 12‐week period (social‐ABI‐lity Facebook group). Data were collected over this period through observation of group activity and weekly surveys. They were also collected on social media use and quality of life at pre‐intervention, post‐intervention and after 3 months. Participants provided feedback on the experience of participating in the programme via a post‐intervention interview. Outcomes & Results: At post‐intervention, there were significant improvements in confidence in using Facebook (p = 0.002) and enjoyment of using Facebook to connect with others (p = 0.013). There was no significant change in reported quality of life, although participants described the multiple benefits of connection they perceived from involvement in the group. Observational data and feedback interviews were informative about the feasibility and acceptability of the intervention. Conclusions & Implications: This pilot study provided preliminary evidence that an intervention comprising a short, self‐guided training course and a private, moderated Facebook group improved outcomes for people with ABI. Key recommendations for future implementation include embedding active peer moderators within groups and taking an individualized approach to delivery of the intervention. WHAT THIS PAPER ADDS: What is already known on the subject: Research has documented the challenges that people with ABI experience in using social media, and the difficulty for rehabilitation clinicians in providing appropriate support in this field. What this paper adds to existing knowledge: This pilot study reports the outcomes of people with ABI completing a short, self‐guided social media skills course and participating in a private, moderated Facebook group. After the intervention, participants reported significantly increased confidence and enjoyment in using Facebook, described the benefits of connection found in the groups, and suggested potential improvements for future implementation. What are the potential or actual clinical implications of this work?: With the growing use of social media for connection and participation, there is a professional obligation to address social media communication skills in cognitive–communication rehabilitation for people with ABI. The findings of this study will inform interventions and future research to assist people with ABI to build their social media skills for communication, social support and a sense of connection. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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46. The impact of COVID‐19 on the well‐being of Australian visual artists and arts workers.
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Lye, Jenny, Hirschberg, Joe, McQuilten, Grace, Powell, Chloë, MacNeill, Kate, and Badham, Marnie
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WELL-being , *COVID-19 , *COVID-19 pandemic , *ART materials , *MEDIA art - Abstract
In this paper, we assess the impact of the COVID‐19 pandemic on the Australian visual arts sector. We base our analysis on the responses of over 1500 visual artists and arts workers to a survey conducted by the National Association for the Visual Arts (NAVA), the national peak body for the visual and media arts, craft and design sector in September 2021. NAVA employed this online survey to study the relationship between the pandemic and both the incomes and mental health of artists and arts workers. Using regression analysis, we find that there has been a significant impact for both artists and arts workers, with the severity of the impacts varying by gender, age and the availability of state‐based and Australian Government support programmes. Reduced hours and loss of contracted work and commissions due to the pandemic were both related to declines in income and mental health outcomes for artists and for arts workers. Housing stress was associated with a higher likelihood of a significant or extreme mental health impact for artists and arts workers. In addition, artists' incomes and mental health outcomes were impacted when faced with a reduced ability to sell, although some artists were able to increase their online profiles. [ABSTRACT FROM AUTHOR]
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- 2024
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47. Oral history as an analytical tool: Eve Mahlab and the Australian Trailblazing Women Law Project.
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Rubenstein, Kim and Isaac, Anne
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LEGAL research , *LAW reform , *WOMEN lawyers , *GENDER inequality - Abstract
This article adds to a growing body of literature that aims to correct the traditional lack of attention to the role of women lawyers who have exercised their power as active citizens by participating in legal reform and facilitating access to social justice for all Australians. The paper highlights the unique contribution to gender equality of one such woman, Eve Mahlab AO, through a close examination of her oral history, which was drawn from the pilot stage of a project that now comprises a corpus of over fifty interviews recorded with 'trailblazing' Australian women lawyers. The methodology adopted is innovative in combining a legal analysis and a discourse analysis of the interview with Eve Mahlab. This approach offers insights into those aspects of her personal and professional biography that most influenced and enabled her contributions in the public and private spheres, allowing us to publicly acknowledge and record them. The paper demonstrates how such use of oral history broadens and deepens our understanding of the diverse social and professional forces that shape political consciousness and motivate feminist engagement in civic activity. [ABSTRACT FROM AUTHOR]
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- 2024
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48. The Multi-Technology Footprint of the National Broadband Network in Australia: Exploring the Urban-Regional Divide and Socio-spatial Patterns for Inequality.
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Alizadeh, Tooran, Helderop, Edward, Grubesic, Tony H., and Ferrers, Richard
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DIGITAL divide , *COVID-19 pandemic , *TELECOMMUTING , *COMMUNICATION infrastructure , *CITIES & towns , *INFRASTRUCTURE (Economics) - Abstract
The recent global pandemic renewed the importance of telecommunication infrastructure, as many COVID responses (e.g., working from home, home-schooling, e-commerce) were challenged by the inequity of access to broadband services and its underlying network. This paper examines the geospatial footprint of the National Broadband Network (NBN) in relation to the demographics of Australia's cities and regions. Through data made available by the NBN, which describes the technologies used in its multi-technology mix platform, and published demographic data available via the Australian Bureau of Statistics (ABS), we explore the equity of access to broadband technologies across the nation. The results show a persistent urban-regional divide in the NBN. The paper also offers a brief assessment of the complex and contradictory ways policy responses attempt to mitigate the digital divide, including updates to the national infrastructure project plans. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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49. The recontextualization of art exhibition text panels for children: a comparative analysis of the semiotic resources in audience-sensitive texts.
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Yao, Siyu and Chen, Yumin
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ART exhibitions , *SEMIOTICS , *ART museums , *FUNCTIONAL linguistics , *COMPARATIVE studies , *AUDIENCES - Abstract
It is currently part of the mission of art museums to actively involve children in learning experiences and empower them through a variety of programmes – including developing text panels specialized for children. To date, we have only a limited understanding of the semiotic resources in audience-sensitive exhibition text panels. Drawing upon Systemic Functional Linguistics, this paper analyses and compares 56 text panels in an exhibition from the Art Gallery of New South Wales in Australia. They are comprised of two versions of text panels for 28 artworks, targeting different groups of audiences, respectively (children and adults). It is found that the children's texts have been recontextualized to evoke interest in learning to paint, while the adults' texts focus on aesthetic appreciation. The comparative analysis shows that audience-sensitive text writing is interrelated with its social context in view of field, tenor, mode, and genre. This paper further explores how the production of audience-sensitive text panels contributes to the pedagogic, commercial, and community value of art museums. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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50. Capacity building for mental health services: methodology and lessons learned from the Partners in Recovery initiative.
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Shelby-James, Tania, Rattray, Megan, Raymond, Garry, and Reed, Richard
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MEETINGS , *CONVALESCENCE , *RESEARCH methodology , *INTERVIEWING , *MENTORING , *ORGANIZATIONAL change , *SURVEYS , *LABOR supply , *INTERPROFESSIONAL relations , *TELECONFERENCING , *WEBINARS , *SCALE analysis (Psychology) , *DESCRIPTIVE statistics , *CONTENT analysis , *DIFFUSION of innovations , *HEALTH promotion - Abstract
Background: The Partners in Recovery (PIR) program was implemented by the Australian Government Department of Health. Its overriding aim was to improve the coordination of services for people with severe and persistent mental illness, and who have complex needs that are not being met. The PIR capacity-building project (CBP) was funded to provide capacity building activities to the nationwide network of consortia that were set up in 2013 to deliver PIR over a 3-year period. The purpose of this paper is to describe the design and findings from an evaluation of the PIR CBP. Methods: The evaluation involved collecting feedback from consenting PIR staff via an online survey and follow-up semi-structured interviews. CBP activities included: state and national meetings; a web portal; teleconferences; webinars; a support facilitator mentor program; and tailored support from the CBP team. Results: The CBP made a positive contribution to the implementation and delivery of PIR. Staff highly valued activities that employed face-to-face interaction or provided informative knowledge exchange, and were appreciative of CBP staff being responsive and adaptable to their needs. Conclusions: From this evaluation, we recommend the following: identify relevant functions (e.g. prioritise networking), select the right mode of delivery (e.g. establish an online presence) and abide by key principles (e.g. be responsive to staff needs). This information is informing the mental health workforce capacity building activities that our team is currently undertaking. Capacity-building programs are necessary for advancing new public health initiatives, yet there remains limited evidence to inform best practices for delivering these in the context of mental health. This paper describes the design and findings of a capacity-building program developed to enhance the knowledge and skills of community-based mental health providers. From this evaluation, we recommend the following to ensure effective capacity-building programs: identify relevant functions (e.g. prioritise networking), select the right mode of delivery (e.g. establish an online presence) and abide by key principles (e.g. be responsive to staff needs). [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
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