Academic literature on the topic 'Health behavior Victoria'

This article compares prevalence estimates of substance use and delinquent behavior in Washington State, United States and Victoria, Australia, two states chosen for their different policy environments around problem behavior. Few comparisons of international differences on rates of multiple problem behavior exist, and most are based on methods that are not matched, raising the question of whether findings are based on methodological differences rather than actual rate differences. The International Youth Development Study used standardized methods to recruit and administer an adaptation of the Communities That Care Youth Survey to representative state samples of fifth-, seventh-, and ninth-grade students in each state. Rates of delinquent behavior were generally comparable. However, striking differences in substance use were noted, with Victoria students reporting higher rates of alcohol use, alcohol misuse, smoking, and inhalant use, whereas Washington State students reported higher rates of marijuana use. Implications for conducting international comparisons are discussed.

Objective:To study suicides occurring in Ballarat with regard to incidence, demographic variables, possible causal factors, and association with psychiatric disorders over a period of 5 years. Method:A detailed review of the coroner's record of every suicide occurring during 1992-1996 was undertaken. Information was obtained on socio-demographic variables, method and circumstances of suicide, and associated psychiatric disorders in each case and subjected to psychological autopsy. Results:75 suicides were recorded. The male to female ratio was 4:1 and average age was 43 years. 60% had associated psychiatric illnesses, mainly affective disorders. Carbon monoxide self-poisoning accounted for 40%, firearms for 30%, and hanging, overdose, asphyxia and other methods for the remaining 30%. It was statistically significant that the younger age group preferred firearms to other methods, and that their suicides were precipitated by interpersonal conflicts. Social and personal difficulties were associated in 33%, and triggering factors were present in 40%. Previous suicide attempts were present in 28%, while 32% had manifest behavior changes preceding suicides or verbalized their intent to suicide. Conclusions:Suicide rates in Ballarat were higher than the average overall Victorian and Australian rates. After a consistent decline over 4 years an increase occurred in 1996. The preferred method of suicide was carbon monoxide, although the young preferred firearms. Demographic and other psychosocial factors were similar to the rest of Australia. Unemployment was not a significant factor. Psychiatric conditions, personal and social problems figured prominently as factors of etiological significance in suicide subjects.

Background: Pica, the craving and purposeful consumption of nonfoods, is poorly understood. We described the prevalence of pica among women on Mfangano Island, Kenya, and examined sociodemographic and health correlates. Methods: Our cross-sectional study included 299 pregnant or postpartum women in 2012. We used a 24-h recall to assess pica, defined as consumption of earth (geophagy), charcoal/ash, or raw starches (amylophagy) and built multivariable logistic regression models to examine sociodemographic and health correlates of pica. Results: Eighty-one women (27.1%) engaged in pica in the previous 24 h, with 59.3% reporting amylophagy and 56.8% reporting geophagy, charcoal, and/or ash consumption. The most common substances consumed were raw cassava (n = 30, 36.6%), odowa, a chalky, soft rock-like earth (n = 21, 25.6%), and soil (n = 17, 20.7%). Geophagy, charcoal, and/or ash consumption was negatively associated with breastfeeding (OR = 0.38, 95% CI: 0.18–0.81), and amylophagy was associated with pregnancy (OR = 4.31, 95% CI: 1.24–14.96). Pica was more common within one of six study regions (OR = 3.64, 95% CI: 1.39–9.51). We found no evidence of an association between food insecurity and pica. Conclusion: Pica was a common behavior among women, and the prevalence underscores the need to uncover its dietary, environmental, and cultural etiologies.

Biological indicators are increasingly being used as integrative measures of ecosystem health in streams, particularly indicators using macroinvertebrate assemblage composition. Several indicators of this type have been advocated, including biotic indices based on taxa sensitivities, richness indices and ratios of observed to expected taxa from models predicting assemblage composition in streams with little human impact (O/E scores). The present study aimed to compare the sensitivity of indicators of each of these types (all used for legislated objectives for stream protection in Victoria, Australia) to a gradient of urban disturbance in 16 streams in a small area in eastern Melbourne. The biotic index SIGNAL and number of Ephemeroptera, Plecoptera or Trichoptera families were the most sensitive indicators, whereas total number of families and O/E scores from Australian river assessment system (AUSRIVAS) models were least sensitive. Differences in sensitivity were not the result of sampling or taxonomic inadequacies. AUSRIVAS and similar models might be improved by using only predictor variables that are not affected by human impacts and by sounder approaches to model selection. Insensitivities of indicators and misclassification of sites by the Victorian objectives show that assessment of indicators against disturbance gradients is critical for setting management objectives based on biological indicators.

This paper examines whether involvement in an observational study may prompt participants to change their exercise behaviors. Data were collected from 394 older community dwellers in Victoria, Australia using a baseline survey, and 245 of these participated in a follow-up survey one year later. Survey domains were drawn from constructs of relevant health behavior models. Results showed that the proportion of respondents who were currently participating in exercises to prevent falls at follow-up was 12% higher than at baseline (Wilcoxon p value < .001). Twenty-nine percent reported they had changed their perceptions about falls and their risk of falls, with comments focused on threat appraisal. Forty-four percent reported having taken strategies to reduce their risk of falling, with comments based on implementation of different preventive strategies. Respondents who held favorable views toward exercises for the prevention of falls appear to change their behaviors that might address falls when participating in observational studies.

Total mercury concentrations were measured in the axial muscle tissues of 562 sand flathead (Platycephalus bassensis) from a total of 37 sites within Port Phillip Bay, Victoria. Mean concentrations of mercury (0.23 �0.18�g g-1 wet weight) were less than half (P<0.05) of those recorded for this species during 1975-78 and below the Victorian health standard for fish and fish products (i.e. less than a mean concentration of 0.5 �g g-1 wet weight) at all 37 sites. During the 1975-78 period, mercury concentrations in sand flathead from the bay were reported to decrease from north to south and from east to west. During 1990, however, mercury concentrations were found to be related to the water depth at which the fish were sampled. Sand flathead from the deeper (22 m) waters of the bay had significantly (P<0.05) higher mean mercury concentrations than did those collected from shallower (7 m) waters. The overall mean mercury concentration in sand flathead from the bay during 1990 approached the mean concentration in sand flathead collected from six sites in Bass Strait (0.22 �g g-1) during 1975-78, although the range of concentrations for the Port Phillip Bay samples (0.01- 0.89 �g g-1) was wider than that for the Bass Strait samples (0.1-0.33 �g g-1).

Eucalyptus tereticornis growing along roadsides and in pastures in eastern Victoria were often in poor health and were repeatedly defoliated by herbivorous insects. Epicormic buds sprouted following bouts of defoliation and the first epicormic leaves produced from such buds were rich in nitrogen and particularly in nitrogenous solutes such as proline compared with adult leaves. Xylem sap collected from declining trees was richer in nitrogenous solutes than that from healthy trees. Concentrations of total nitrogen and specific solutes in foliage were not closely related to pressure potential in shoots or to nitrogen availability in soil. In glasshouse-grown seedlings, foliar concentrations of total nitrogen and of a number of nitrogenous solutes were increased by reduced water availability. Chronic insect infestations and periodic insect outbreaks may be supported by high concentrations of nitrogenous solutes in sap and foliage, especially epicormic foliage, which in turn may be a response to drought or increasing salinity ('physiological drought').

The diet of the long-nosed potoroo, Potorous tridactylus, in south-western Victoria, was investigated by the microscopical identification of faecal remains. P. tridactylus is omnivorous: the main component of the diet was fungi, and other important items included hard-bodied arthropods, vascular plant tissues, seeds and fleshy fruits. There was a seasonal switch in the relative proportions of the main dietary components between the autumn-winter and spring-summer periods of the year. During autumn and winter, the main components were fungi and seeds. In spring and summer, fewer fungi were eaten and the proportions of arthropods, plant tissues, fleshy fruit and flowers in the diet increased. Identification of fungal spores revealed the presence of at least 50 species in the diet, most of which have a hypogeal fruiting habit. Hypogeal fungi form ectotrophic mycorrhizal associations with forest trees and are important in the health and productivity of forests. They lack active mechanisms for spore dispersal and are dependent upon mycophagous animals. The role of mycophagous small mammals, such as P. tridactylus, in the health of forest ecosystems may be more important than previously recognised.

Background: Behavioral factors such as physical activity, sedentary behavior and diet have previously been found to be key modifiable determinants of childhood overweight and obesity, yet require further investigation to provide an understanding of their potential influence on sleep outcomes along with the sleep-obesity nexus. Methods: The study included 2253 students (ages 8.8–13.5) from two monitoring studies across regional Victoria. Students completed a self-report electronic questionnaire on demographic characteristics, health behaviors (including sleep, physical activity, screen time and diet) and well-being, and were invited to have anthropometric measurements (height and weight) taken. Regression models were used to assess the associations between sleep, behavioral factors and BMI z-scores. Results: Screen time (particularly in bed) and sugar-sweetened beverage (SSB) consumption were shown to increase the likelihood of having more than three sleep problems, while physical activity and other dietary factors were not. After controlling for these behaviors, significance remained for having two or more than three sleep problems and an increased odds of overweight/obesity. Conclusions: This study highlights how the usage of screen devices and SSB consumption behaviors might influence children’s weight status via the sleep-obesity nexus.

The purpose of this study is to investigate and develop a substantive theory, of the processes adopted by nurses and medical practitioners when patients with serious illness refuse medical treatment. The study seeks to identify the main constraints confronting nurses and medical practitioners and to explain the key factors that moderate the processes of dealing with refusal decisions. Using a grounded theory method, a sample of 18 nurses and 6 medical practitioners from two public hospitals in Melbourne were interviewed. In addition, observations and documentary evidence were utilised. The basic social psychological problem shared by nurses and medical practitioners is conceptualized as Competing Perspectives: Encountering Refusal of Treatment, which reflects the diverse perceptions and beliefs that confront participants when patients decide to forgo therapy. In utilizing the grounded theory method of analysis, it is recognised that participants deal with this problem through a basic social psychological process conceptualized as Endeavouring to Understand Refusal: Agreeing on a Way Forward. This core variable represents the manner in which participants, to varying extents, deal with the situations they face and it incorporates the various influences which moderate their activities. Endeavouring to Understand Refusal: Agreeing on a Way Forward comprises a series of three transitions. The first involves a struggle for participants to come to terms with, or even recognize that patients are rejecting treatment. The second transition illustrates the varied responses of participants as they interact with patients, relatives and each other, in order to clarify and validate decisions made during episodes of care. The third transition reflects the degree to which patients and family members are incorporated into treatment decisions, and highlights a shift in emphasis, from a focus on the disease state, to the patient as a person with individualistic thoughts and wishes. The remaining social processes evident in the study consist of four categories. The first, Seeking Clarification, embodies exploration undertaken by participants and their recognition that treatment is actually being refused. The second category, Responding to Patients and Families, demonstrates the level of expertise of participants communicating, and their ability to encourage reciprocity in the professional-patient relationship. The third category, Advocating, highlights the extent and manner in which patient and family wishes are promoted to members of the treating team. The fourth category, Influencing, reveals the ability of participants to utilize a degree of authority or power in order to shape particular outcomes. The findings also indicate that over arching the core variable and categories are various contextual determinants that moderate the way nurses and medical practitioners deal with patient refusal of treatment. These determinants are categorized into three main influences: The Context of Work, describes the of the environment and organisational factors pertinent to public hospitals; Beliefs and Behaviours, illustrates the perceptions of, and values held, by four key groups involved in decisions, namely, nurses, medical practitioners, patients, and family members; and Legal and Ethical Frameworks, examines the existing principles that support or guide professional practice in situations where patients with serious illness refuse medical treatment.

The purpose of this study is to investigate and develop a substantive theory, of the processes adopted by nurses and medical practitioners when patients with serious illness refuse medical treatment. The study seeks to identify the main constraints confronting nurses and medical practitioners and to explain the key factors that moderate the processes of dealing with refusal decisions. Using a grounded theory method, a sample of 18 nurses and 6 medical practitioners from two public hospitals in Melbourne were interviewed. In addition, observations and documentary evidence were utilised. The basic social psychological problem shared by nurses and medical practitioners is conceptualized as Competing Perspectives: Encountering Refusal of Treatment, which reflects the diverse perceptions and beliefs that confront participants when patients decide to forgo therapy. In utilizing the grounded theory method of analysis, it is recognised that participants deal with this problem through a basic social psychological process conceptualized as Endeavouring to Understand Refusal: Agreeing on a Way Forward. This core variable represents the manner in which participants, to varying extents, deal with the situations they face and it incorporates the various influences which moderate their activities. Endeavouring to Understand Refusal: Agreeing on a Way Forward comprises a series of three transitions. The first involves a struggle for participants to come to terms with, or even recognize that patients are rejecting treatment. The second transition illustrates the varied responses of participants as they interact with patients, relatives and each other, in order to clarify and validate decisions made during episodes of care. The third transition reflects the degree to which patients and family members are incorporated into treatment decisions, and highlights a shift in emphasis, from a focus on the disease state, to the patient as a person with individualistic thoughts and wishes. The remaining social processes evident in the study consist of four categories. The first, Seeking Clarification, embodies exploration undertaken by participants and their recognition that treatment is actually being refused. The second category, Responding to Patients and Families, demonstrates the level of expertise of participants communicating, and their ability to encourage reciprocity in the professional-patient relationship. The third category, Advocating, highlights the extent and manner in which patient and family wishes are promoted to members of the treating team. The fourth category, Influencing, reveals the ability of participants to utilize a degree of authority or power in order to shape particular outcomes. The findings also indicate that over arching the core variable and categories are various contextual determinants that moderate the way nurses and medical practitioners deal with patient refusal of treatment. These determinants are categorized into three main influences: The Context of Work, describes the of the environment and organisational factors pertinent to public hospitals; Beliefs and Behaviours, illustrates the perceptions of, and values held, by four key groups involved in decisions, namely, nurses, medical practitioners, patients, and family members; and Legal and Ethical Frameworks, examines the existing principles that support or guide professional practice in situations where patients with serious illness refuse medical treatment.

Research conducted within the Victoria Police has previously highlighted problems in the area of employee health and fitness. Officers of law enforcement agencies require a level of health and fitness which will enable them to effectively carry out their daily duties. While much of a police officer's shift is sedentary in nature, intermittent bursts of physical activity require enhanced levels of physical fitness. Despite these physical requirements, after a brief probationary period, police officers are not normally required to undergo any form of medical or fitness assessment for the rest of their careers. A project was conducted within the Victorian Police Force entitled "Operation Physicop" over a twelve month period in a geographical area called 'Y' District (now 'F' and 'G'). The project aimed to measure the effectiveness of workplace health promotion within the Victoria Police Force by measuring changes in several health and fitness parameters as a result of interventions aimed at influencing health behaviour and the workplace environment in a positive way.

The introduction explains how yoga, mindfulness, and meditation entered the U.S. cultural mainstream, including public schools, between the 1970s and 2010s, and why it matters for education, law, and religion. In the 1960s, the U.S. Supreme Court prohibited public schools from endorsing prayer and devotional Bible reading. Yoga and meditation advocates reframed these practices as secular by downplaying religious beliefs and advertising scientific evidence of health benefits and cultivation of universal morality and ethics. Certain promoters used tactics of self-censorship, camouflage, code-switching, or frontstage/backstage behaviour to win a “Vedic Victory” or skilfully advance “stealth Buddhism.” Drawing on the author’s experience as an expert witness in four legal challenges, the introduction examines key terms: “yoga,” “mindfulness,” “meditation,” “Hinduism,” “Buddhism,” “religion,” “secularity,” “spirituality” and “science.” Because meanings of these terms are contested, social institutions such as schools and courts must arbitrate disputes by formulating and applying definitions for policy purposes. The introduction argues that the school programs considered are both secular and religious, and that their integration into public-school curricula may result in an unrecognized, fundamental historic and legal transformation: the reestablishment of religion in America.

Could understanding whether elections make people happy and bring them closure matter more than who they vote for? What if people did not vote for what they want but for what they believe is right based on roles they implicitly assume? Do elections make people cry? This book invites readers on a unique journey inside the mind of a voter using unprecedented data from the United States, the United Kingdom, Germany, France, South Africa, and Georgia throughout a period when the world evolved from the centrist dominance of Barack Obama and Nelson Mandela to the shock victories of Brexit and Donald Trump. The book explores three interrelated aspects of the heart and mind of voters: the psychological bases of their behaviour, how they experience elections and the emotions this entails, and how and when elections bring democratic resolution. The book examines unique concepts including electoral identity, atmosphere, ergonomics, and hostility. The book unveils insights into the conscious and subconscious sides of citizens' psychology throughout a unique decade for electoral democracy. It highlights how citizens' personality, memory, and identity affect their vote and experience of elections, when elections generate hope or hopelessness, and how subtle differences in electoral arrangements interact with voters' psychology to trigger different emotions. The book radically shifts electoral science, moving away from implicitly institution-centric visions of behaviour to understand elections from the point of view of voters.

Evidence of declining well-being and increasing rates of depression and other mental illnesses has been linked with modern humans’ separation from nature. Landscapes become therapeutic when physical and built environments, social conditions, and human perceptions combine. Highlighting the contextual factors underpinning this separation from nature, this chapter outlines three Australian case studies to illustrate the links between therapeutic landscapes, restorative environments, place attachment, and well-being. Case study 1, a quantitative study of 452 park users near Melbourne, Victoria, focuses on place attachment and explored the links between pro-environmental behaviour and psychological well-being. Case study 2, a small pilot mixed-methods study in a rural area of Victoria, explores the restorative potential of hands-on nature-based activities for people suffering depression, anxiety, and social isolation. Case study 3, a qualitative study of users’ experiences of accessing hospital gardens in Melbourne, highlights improved emotional states and social connections.

After reviewing the useful concepts, the authors follow their main characters, analyzing the indicators for their potential needs that could be sources of antisocial behavior, ostracism, bullying, or selective mutism. Although all students are deficient in several needs simultaneously, some of them seem to remain behind the windowpane of learning principally because of the need to belong (Valentine, Mathilde, Perceval, Victor, Clara, Coline, Luca, Natacha, and Laura); others show some signs that first and foremost, it could be a matter of the need for self-affirmation (9th-year class, school with gangs).

This chapter highlights the political drivers of Labour’s structural reforms to English local government through an examination of the Every Child Matters Green Paper and the subsequent passage of the Children Act 2004. It is argued that the initiation of the Green Paper chaired by Paul Boateng, then Chief Secretary to the Treasury, was not a response to the Victoria Climbié Inquiry. Safeguarding and child protection policies did not receive the explicit prioritisation that Lord Laming had called for. Labour’s structural reforms were designed to address concerns relating to the delivery of a broader range of policy priorities incorporating health, education and crime and anti-social behaviour. Moreover, social services and social work were largely overlooked under the new structural arrangements with the focus being primarily on the early intervention and preventative responsibilities of universal services including schools and health service providers. The chapter also discusses the involvement of children’s sector NGOs in the development of Labour’s reforms and how opposition to structural reform was ultimately ignored.

Although the identification of students' needs helps us to understand what they are going through and why they changed their behavior or motivation, it does not indicate what to do to improve the students' situation or how to solve their difficult situation. In this chapter, the authors familiarize the reader with epistemic inclusion and how it helps us to transform students' problematic situations into learning ones. They come back to students they already know and go through their situations. Hence, in this chapter, they discover how they can improve the motivation, enthusiasm, learning investment, and school well-being of Valentine, Mathilde, Perceval, Victor, Clara, Coline, Luca, Natacha, the 9th-year class, and the students from a school with gangs using epistemic inclusion.

The chapter reflects on how the history of emotions of Victorian and Edwardian holidaymaking can offer a better understanding of leisure consumption and of the entanglement of emotions, morality, and economy more generally. The book asserts that medical conceptions of emotions were imperative to the popularization of holidaymaking and to the transformation of its main objective from physical cure to emotion management. Nonetheless, the emotional economy model reveals that medical thought was by no means the only sphere of knowledge production significant for holiday culture; rather, heterogeneous bodies of knowledge all contributed to the formation of both the meaning of ‘the emotional’ and its commercial experience. The book illustrates the blurred lines between commercial and political, healthy and moral, as well as the overlapping roles of the producer, the advertiser, the doctor, and the holidaymaker. Addressing the different conceptions of emotional and moral economy, the chapter reflects on the theoretical potential of these models and offers guidelines for a comprehensive use of the concept of the ‘emotional economy’. Specifically, it elaborates on the need to account for the conceptual history of emotions, the performative dimensions of emotional experience and consumer behaviour, and the interaction between multiple spheres of knowledge production. Looking ahead to the central place of tourism in twenty-first-century societies and its relation to stress and burnout, the chapter calls on future research of past and present leisure cultures to take emotions seriously, and to rethink common notions of rationality, authenticity and agency.

<p>The Esperance Bridge crosses the Regents Canal in Central London and was opened in the summer of 2021. It is an innovative take on a traditional warren truss bridge that uses tapering and folded steel plates to create an elegant and sculptural form at this popular section of the canal. The bold pomegranate red carbon steel plates set against the diagonal stainless steel tension ties illustrate the structural behaviour of the Warren truss, where struts act in either compression or tension.</p><p>The bridge is the final of three canal crossings in the heart of the landmark Kings Cross Development, developed by Argent. The bridge completes a new pedestrian route through the development and crucially provides greater connectivity to the shopping destinations at Coal Drops Yard. The pedestrian bridge compliments the Victorian heritage of the canal environment while providing a viewing platform and enclosure to the adjacent Ghat Steps, which is a popular public event and leisure space.</p><p>In addressing the conference themes, the paper focuses on the user experience and how the context of the bridge fits within a wider pedestrian network. The design, fabrication and construction of the bridge is also discussed.</p>

This rapid literature review explores the interactions between climate change and air pollution, with a focus on human health impacts. In particular, the report explores potential synergies in tackling climate change and air pollution together. The impacts and implications of the transition from a carbon-intensive economy upon air quality and consequently human health are examined. Discussing climate change without air pollution can lead to risks. For example, strategies that focus on electrification and transition to renewable energy achieve maximum health and air quality benefits compared to strategies that focus mainly on combustible renewable fuels (biofuel and biomass) with some electrification. Addressing climate change necessitates a shift towards a new low carbon era. This involves stringent and innovative changes in behaviour, technology, and policy. There are distinct benefits of considering climate change and air pollution together. Many of the processes that cause climate change also cause air pollution, and hence reductions in these processes will generate cleaner air and less global warming. Politically, the consideration of the two issues in tandem can be beneficial because of the time-inconsistency problems of climate change. Air pollution improvements can offer politicians victories, on a useful timescale, to help in their aims of reversing climate change. By coupling air pollution and air pollution agendas together, it will increase the media and political attention both environmental causes receive. Policies should involve the integration of climate change, air quality, and health benefits to create win-win situations. The success of the strategies requires financial and technical capacity building, commitment, transparency, and multidisciplinary collaboration, including governance stakeholders at multiple levels, in both a top-down and bottom-up manner.

Overview Skin cancer prevention is a component of the new Cancer Plan 2022–27, which guides the work of the Cancer Institute NSW. To lessen the impact of skin cancer on the community, the Cancer Institute NSW works closely with the NSW Skin Cancer Prevention Advisory Committee, comprising governmental and non-governmental organisation representatives, to develop and implement the NSW Skin Cancer Prevention Strategy. Primary Health Networks and primary care providers are seen as important stakeholders in this work. To guide improvements in skin cancer prevention and inform the development of the next NSW Skin Cancer Prevention Strategy, an up-to-date review of the evidence on the effectiveness and feasibility of skin cancer prevention activities in primary care is required. A research team led by the Daffodil Centre, a joint venture between the University of Sydney and Cancer Council NSW, was contracted to undertake an Evidence Check review to address the questions below. Evidence Check questions This Evidence Check aimed to address the following questions: Question 1: What skin cancer primary prevention activities can be effectively administered in primary care settings? As part of this, identify the key components of such messages, strategies, programs or initiatives that have been effectively implemented and their feasibility in the NSW/Australian context. Question 2: What are the main barriers and enablers for primary care providers in delivering skin cancer primary prevention activities within their setting? Summary of methods The research team conducted a detailed analysis of the published and grey literature, based on a comprehensive search. We developed the search strategy in consultation with a medical librarian at the University of Sydney and the Cancer Institute NSW team, and implemented it across the databases Embase, MEDLINE, PsycInfo, Scopus, Cochrane Central and CINAHL. Results were exported and uploaded to Covidence for screening and further selection. The search strategy was designed according to the SPIDER tool for Qualitative and Mixed-Methods Evidence Synthesis, which is a systematic strategy for searching qualitative and mixed-methods research studies. The SPIDER tool facilitates rigour in research by defining key elements of non-quantitative research questions. We included peer-reviewed and grey literature that included skin cancer primary prevention strategies/ interventions/ techniques/ programs within primary care settings, e.g. involving general practitioners and primary care nurses. The literature was limited to publications since 2014, and for studies or programs conducted in Australia, the UK, New Zealand, Canada, Ireland, Western Europe and Scandinavia. We also included relevant systematic reviews and evidence syntheses based on a range of international evidence where also relevant to the Australian context. To address Question 1, about the effectiveness of skin cancer prevention activities in primary care settings, we summarised findings from the Evidence Check according to different skin cancer prevention activities. To address Question 2, about the barriers and enablers of skin cancer prevention activities in primary care settings, we summarised findings according to the Consolidated Framework for Implementation Research (CFIR). The CFIR is a framework for identifying important implementation considerations for novel interventions in healthcare settings and provides a practical guide for systematically assessing potential barriers and facilitators in preparation for implementing a new activity or program. We assessed study quality using the National Health and Medical Research Council (NHMRC) levels of evidence. Key findings We identified 25 peer-reviewed journal articles that met the eligibility criteria and we included these in the Evidence Check. Eight of the studies were conducted in Australia, six in the UK, and the others elsewhere (mainly other European countries). In addition, the grey literature search identified four relevant guidelines, 12 education/training resources, two Cancer Care pathways, two position statements, three reports and five other resources that we included in the Evidence Check. Question 1 (related to effectiveness) We categorised the studies into different types of skin cancer prevention activities: behavioural counselling (n=3); risk assessment and delivering risk-tailored information (n=10); new technologies for early detection and accompanying prevention advice (n=4); and education and training programs for general practitioners (GPs) and primary care nurses regarding skin cancer prevention (n=3). There was good evidence that behavioural counselling interventions can result in a small improvement in sun protection behaviours among adults with fair skin types (defined as ivory or pale skin, light hair and eye colour, freckles, or those who sunburn easily), which would include the majority of Australians. It was found that clinicians play an important role in counselling patients about sun-protective behaviours, and recommended tailoring messages to the age and demographics of target groups (e.g. high-risk groups) to have maximal influence on behaviours. Several web-based melanoma risk prediction tools are now available in Australia, mainly designed for health professionals to identify patients’ risk of a new or subsequent primary melanoma and guide discussions with patients about primary prevention and early detection. Intervention studies have demonstrated that use of these melanoma risk prediction tools is feasible and acceptable to participants in primary care settings, and there is some evidence, including from Australian studies, that using these risk prediction tools to tailor primary prevention and early detection messages can improve sun-related behaviours. Some studies examined novel technologies, such as apps, to support early detection through skin examinations, including a very limited focus on the provision of preventive advice. These novel technologies are still largely in the research domain rather than recommended for routine use but provide a potential future opportunity to incorporate more primary prevention tailored advice. There are a number of online short courses available for primary healthcare professionals specifically focusing on skin cancer prevention. Most education and training programs for GPs and primary care nurses in the field of skin cancer focus on treatment and early detection, though some programs have specifically incorporated primary prevention education and training. A notable example is the Dermoscopy for Victorian General Practice Program, in which 93% of participating GPs reported that they had increased preventive information provided to high-risk patients and during skin examinations. Question 2 (related to barriers and enablers) Key enablers of performing skin cancer prevention activities in primary care settings included: • Easy access and availability of guidelines and point-of-care tools and resources • A fit with existing workflows and systems, so there is minimal disruption to flow of care • Easy-to-understand patient information • Using the waiting room for collection of risk assessment information on an electronic device such as an iPad/tablet where possible • Pairing with early detection activities • Sharing of successful programs across jurisdictions. Key barriers to performing skin cancer prevention activities in primary care settings included: • Unclear requirements and lack of confidence (self-efficacy) about prevention counselling • Limited availability of GP services especially in regional and remote areas • Competing demands, low priority, lack of time • Lack of incentives.