Dissertations / Theses: 'Health promotion – Australia'

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van, Vliet Helen E. Psychiatry Faculty of Medicine UNSW. "Mental health prevention: design and evaluation of an internet-delivered universal program for use in schools with adolescents." Awarded by:University of New South Wales. School of Psychiatry, 2007. http://handle.unsw.edu.au/1959.4/31899.

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This research describes the design and evaluation of an internet-based universal program for use in schools with adolescent students to prevent common mental disorders and promote mental health. The research began in response to investigations that showed that rates of mental illness in Australian children, teenagers and adults were high, that these illnesses caused significant burden to individuals and society, and that there were insufficient services to treat. When current interventions are unable to alleviate disease burden it is important to focus on prevention. Mental health prevention should target youth before disorders cause disability and restriction of life choices. A review of the mental health prevention literature supported a universal cognitive behavioural approach in schools. Internet delivery was used to maintain content integrity, enable access to people living in regional and remote areas, and to appeal to young people. Internet delivery makes universal prevention cost effective and feasible. The Intervention Mapping approach was used to direct the design of the program. A feasibility study was conducted to gain opinions from students and teaching staff. Changes were made in light of results from this study and 463 students were then exposed to the program in an effectiveness trial. The effectiveness trial was a before-after design with no control group. Results from this trial provided evidence that the program was acceptable and effective for use by teachers in the intervention schools. Also student behaviour and mood changed in beneficial ways after program administration. Specifically, student reported significantly increased knowledge about stress and coping, use of help-seeking behaviours, and life satisfaction, and significantly decreased use of avoidance behaviours, total difficulties and psychological distress. The study design allows causal inferences to be surmised concerning exposure to the intervention and changes in behaviour and mood, but further evidence is needed before firm conclusions about effectiveness can be posited and generalizations made concerning different populations, settings and times. In conclusion, this thesis provides evidence that a computerised, cognitive behavioural mental health prevention program delivered to adolescent school students by teachers can potentially change student coping behaviours and mood in beneficial ways.

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Shirangi, Adeleh. "A descriptive epidemiology and health promotion study of asthma in the southern area of Adelaide, South Australia /." Title page, table of contents and abstract only, 1996. http://web4.library.adelaide.edu.au/theses/09MPM/09mpms558.pdf.

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Melis, Miriam J. "A formative study to develop and test a health promotion strategy for adolescents who experience grief." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2006. https://ro.ecu.edu.au/theses/354.

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The purpose of this research was to develop and test a health promotion intervention designed to minimise unhealthy adolescent grief reactions. A sample of Western Australian adolescents were consulted to identify their perceptions regarding the causes of grief for adolescents, the means by which they manage grief, their perceptions of what constitutes healthy and unhealthy grieving, and the risks associated with unhealthy grieving and the type of grief-management intervention they preferred.

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Kritikos, Vicky. "INNOVATIVE ASTHMA MANAGEMENT BY COMMUNITY PHARMACISTS IN AUSTRALIA." University of Sydney, 2007. http://hdl.handle.net/2123/2064.

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Doctor of Philosophy
Excerpt Chapter 2 - A review of the literature has revealed that asthma management practices in the Australian community are currently suboptimal resulting in significant morbidity and mortality. In adolescent asthma there are added challenges, with problems of self-image, denial and non-adherence to therapy where self-management skills assume a greater importance (Forero et al 1996, Price 1996, Brook and Tepper 1997, Buston and Wood 2000, Kyngäs et al 2000). In rural and remote areas in Australia, asthma management practices have been shown to be poorer and mortality rates from asthma are considerably higher compared to metropolitan areas (AIHW ACAM 2005, AIHW 2006). Limited access and chronic shortages of specialist services in rural areas are shifting the burden more and more towards the primary sector (AIHW 2006). It becomes paramount that people with asthma in rural settings become involved in self-management of their asthma and that community based health care providers be more proactive in facilitating these self-management behaviours by appropriate education and counselling. Health promotion activities, which are a broad range of activities including health education, have been acknowledged as having the potential to improve the health status of rural populations (National Rural Health Alliance 2002). Community pharmacy settings have been shown to be effective sites for the delivery of health promotion, screening and education programs (Anderson 2000, Elliott et al 2002, Cote et al 2003, Hourihan et al 2003, Watson et al 2003, Boyle et al 2004, Goode et al 2004, Paluck et al 2004, Sunderland et al 2004, Chambers et al 2005, Saini et al 2006). In the case of asthma, outreach programs have been shown to have beneficial effects in terms of reducing hospital admissions and emergency visits and improved asthma outcomes (Greineder et al 1995, Stout et al 1998, Kelly et al 2000, Legorreta et al 2000, Lin et al 2004). We proposed to extend the role of the community pharmacist beyond the traditional realm of the “pharmacy” into the community in rural Australia with the first asthma outreach programs designed for community pharmacy. The outreach programs were designed to include two health promotion strategies, the first targeting adolescents in high schools and the second targeting the general community. The project aimed firstly, to assess the feasibility of using community pharmacists to deliver two asthma outreach programs, one targeting adolescents and one for the wider community in a rural area and secondly, to assess the programs’ impact on adolescent asthma knowledge and requests for information at the community pharmacy. Excerpt Chapter 3 - Patient education is one of the six critical elements to successful long-term asthma management included in international and national asthma management guidelines, which have emphasised education as a process underpinning the understanding associated with appropriate medication use, the need for regular review, and self-management on the part of the person with asthma (Boulet et al 1999, National Asthma Council 2002, National Asthma Education and Prevention Program 2002, British Thoracic Society 2003, NHLBI/WHO 2005). The ongoing process of asthma education is considered necessary for helping people with asthma gain the knowledge, skills, confidence and motivation to control their own asthma. Since most health care professionals are key providers of asthma education, their knowledge of asthma and asthma management practices often needs to be updated through continuing education. This is to ensure that the education provided to the patient conforms to best practice guidelines. Moreover, health care professionals need to tailor this education to the patients’ needs and determine if the education provided results in an improvement in asthma knowledge. A review of the literature has revealed that a number of questionnaires have been developed that assess the asthma knowledge of parents of children with asthma (Parcel et al 1980, Fitzclarence and Henry 1990, Brook et al 1993, Moosa and Henley 1997, Ho et al 2003), adults with asthma (Wigal et al 1993, Allen and Jones 1998, Allen et al 2000, Bertolotti et al 2001), children with asthma (Parcel et al 1980, Wade et al 1997), or the general public (Grant et al 1999). However, the existing asthma knowledge questionnaires have several limitations. The only validated asthma knowledge questionnaire was developed in 1990 and hence, out of date with current asthma management guidelines (Fitzclarence and Henry 1990). The shortcomings of the other knowledge questionnaires relate to the lack of evidence of the validity (Wade et al 1997, Grant et al 1999, Bertolotti et al 2001), being outdated 81 with current concepts of asthma (Parcel et al 1980) or having been tested on small or inadequately characterised subject samples e.g. subject samples consisting of mainly middle class and well educated parents (Brook et al 1993, Wigal et al 1993, Moosa and Henley 1997, Allen and Jones 1998, Allen et al 2000, Ho et al 2003). Furthermore, most of the published asthma knowledge questionnaires have been designed to assess the asthma knowledge of the consumer (i.e. a lay person with asthma or a parent/carer of a person with asthma). There is no questionnaire specifically developed to assess the asthma knowledge of health care professionals, who are key providers of asthma education. It is hence important to have a reliable and validated instrument to be able to assess education needs and to measure the impact of training programs on asthma knowledge of health care professionals as well. An asthma knowledge questionnaire for health care professionals might also be used to gauge how successful dissemination and implementation of guidelines have been. Excerpt Chapter 4 - Asthma self-management education for adults that includes information about asthma and self-management, self-monitoring, a written action plan and regular medical review has been shown to be effective in improving asthma outcomes (Gibson et al 1999). These interventions have been delivered mostly in a hospital setting and have utilised individual and/or group formats. Fewer interventions have been delivered in a primary care setting, usually by qualified practice nurses and/or general practitioners or asthma educators and, to date, their success has not been established (Fay et al 2002, Gibson et al 2003). Community pharmacy provides a strategic venue for the provision of patient education about asthma. Traditionally, patient education provided by community pharmacists has been individualised. However, group education has been shown to be as effective as individualised education with the added benefits of being simpler, more cost effective and better received by patients and educators (Wilson et al 1993, Wilson 1997). While small group education has been shown to improve asthma outcomes (Snyder et al 1987, Bailey et al 1990, Wilson et al 1993, Yoon et al 1993, Allen et al 1995, Kotses et al 1995, Berg et al 1997, de Oliveira et al 1999, Marabini et al 2002), to date, no small-group asthma education provided by pharmacists in the community pharmacy setting has been implemented and evaluated.

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Larkin, Shaun Maurice. "Quality-based benefit design in health insurance : the impact of a product benefit design change on the utilisation of oral health services by members of a private health insurance fund in regional and rural New South Wales, Australia." Thesis, Queensland University of Technology, 2008. https://eprints.qut.edu.au/26735/1/Shaun_Larkin_Thesis.pdf.

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Objective: To examine the impact on dental utilisation following the introduction of a participating provider scheme (Regional and Rural Oral Health Program {RROHP)). In this model dentists receive higher third party payments from a private health insurance fund for delivering an agreed range of preventive and diagnostic benefits at no out-ofpocket cost to insured patients. Data source/Study setting: Hospitals Contribution Fund of Australia (HCF) dental claims for all members resident in New South Wales over the six financial years from l99811999 to 200312004. Study design: This cohort study involves before and after analyses of dental claims experience over a six year period for approximately 81,000 individuals in the intervention group (HCF members resident in regional and rural New South Wales, Australia) and 267,000 in the control group (HCF members resident in the Sydney area). Only claims for individuals who were members of HCF at 31 December 1997 were included. The analysis groups claims into the three years prior to the establishment of the RROHP and the three years subsequent to implementation. Data collection/Extraction methods: The analysis is based on all claims submitted by users of services for visits between 1 July 1988 and 30 June 2004. In these data approximately 1,000,000 services were provided to the intervention group and approximately 4,900,000 in the control group. Principal findings: Using Statistical Process Control (SPC) charts, special cause variation was identified in total utilisation rate of private dental services in the intervention group post implementation. No such variation was present in the control group. On average in the three years after implementation of the program the utilisation rate of dental services by regional and rural residents of New South Wales who where members of HCF grew by 12.6%, over eight times the growth rate of 1.5% observed in the control group (HCF members who were Sydney residents). The differences were even more pronounced in the areas of service that were the focus of the program: diagnostic and preventive services. Conclusion: The implementation of a benefit design change, a participating provider scheme, that involved the removal of CO-payments on a defined range of preventive and diagnostic dental services combined with the establishment and promotion of a network of dentists, appears to have had a marked impact on HCF members' utilisation of dental services in regional and rural New South Wales, Australia.

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Larkin, Shaun Maurice. "Quality-based benefit design in health insurance : the impact of a product benefit design change on the utilisation of oral health services by members of a private health insurance fund in regional and rural New South Wales, Australia." Queensland University of Technology, 2008. http://eprints.qut.edu.au/26735/.

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Objective: To examine the impact on dental utilisation following the introduction of a participating provider scheme (Regional and Rural Oral Health Program {RROHP)). In this model dentists receive higher third party payments from a private health insurance fund for delivering an agreed range of preventive and diagnostic benefits at no out-ofpocket cost to insured patients. Data source/Study setting: Hospitals Contribution Fund of Australia (HCF) dental claims for all members resident in New South Wales over the six financial years from l99811999 to 200312004. Study design: This cohort study involves before and after analyses of dental claims experience over a six year period for approximately 81,000 individuals in the intervention group (HCF members resident in regional and rural New South Wales, Australia) and 267,000 in the control group (HCF members resident in the Sydney area). Only claims for individuals who were members of HCF at 31 December 1997 were included. The analysis groups claims into the three years prior to the establishment of the RROHP and the three years subsequent to implementation. Data collection/Extraction methods: The analysis is based on all claims submitted by users of services for visits between 1 July 1988 and 30 June 2004. In these data approximately 1,000,000 services were provided to the intervention group and approximately 4,900,000 in the control group. Principal findings: Using Statistical Process Control (SPC) charts, special cause variation was identified in total utilisation rate of private dental services in the intervention group post implementation. No such variation was present in the control group. On average in the three years after implementation of the program the utilisation rate of dental services by regional and rural residents of New South Wales who where members of HCF grew by 12.6%, over eight times the growth rate of 1.5% observed in the control group (HCF members who were Sydney residents). The differences were even more pronounced in the areas of service that were the focus of the program: diagnostic and preventive services. Conclusion: The implementation of a benefit design change, a participating provider scheme, that involved the removal of CO-payments on a defined range of preventive and diagnostic dental services combined with the establishment and promotion of a network of dentists, appears to have had a marked impact on HCF members' utilisation of dental services in regional and rural New South Wales, Australia.

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Coombs, Sally. "Investigating the practice and capacity of paediatric occupational therapists to promote the physical activity levels of children in Western Australia." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2017. https://ro.ecu.edu.au/theses/1996.

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Reorientation of the Australian health care system to meet the increasing burden of disease requires health workers to develop a focus on disease prevention and health promotion. In Western Australia (WA) a priority area for the promotion of health involves increasing the physical activity levels (PAL) of children in accordance with Australia’s Physical Activity and Sedentary Behaviour Guidelines. There is substantial support in the literature for paediatric occupational therapists, who assist children to participate in a range of meaningful occupations, to incorporate the promotion of children’s PAL into their service. However, there is a dearth of research world-wide regarding occupational therapists’ capacity for and involvement in health promotion, with no studies concerning their promotion of children’s PAL. This study aimed to develop an understanding of paediatric occupational therapists’ involvement in, and capacity for, implementing health promotion activities to increase the PAL of children in WA aged 0-18 years. The application of the Building Health Promotion Capacity theoretical framework throughout the study enabled robust analysis of participants’ capacity for health promotion. A mixed methods design was employed with qualitative data illustrating and verifying the initial quantitative findings. Self-report questionnaires were completed by 86 paediatric occupational therapists in WA, representing 28% of the total population. This elicited cross-sectional quantitative data of participants’ involvement in and capacity for promoting the PAL of children, as well as barriers to their involvement. Following these, in-depth interviews were completed with 9 paediatric occupational therapists and thematically analysed to determine barriers and enablers to promoting children’s PAL. Quantitative data revealed the majority of participants were involved in promoting the PAL of some of the individual children with whom they worked. In addition, half of the participants who worked with all children in a community setting had incorporated community-level strategies to increase children’s PAL. Reflecting an alignment with the Ottawa Charter for Health Promotion, participants implemented a combination of strategies relating to creating supportive environments, developing personal skills, and strengthening community action. Participants rated their capacity positively in relation to having the necessary knowledge, skill and commitment to promote children’s PAL; however, having access to necessary resources rated close to neutral. Analysis of quantitative and qualitative data revealed significant enablers to paediatric occupational therapists’ promoting children’s PAL include holding a belief in its importance and having confidence in their clinical skills and knowledge. Common barriers were a lack of resources, including time due to a heavy clinical workload and inadequate funding. In addition, commitment to increasing children’s PAL was impacted by competing clinical priorities, which were influenced by the priorities of each child’s family, limited recognition of occupational therapists’ competency, and a lack of managerial and political support for primary prevention activity. This study raises awareness of the important contribution paediatric occupational therapists in WA have made towards promoting children’s PAL. Common barriers reveal the need for ongoing efforts to increase awareness amongst occupational therapists and health services’ management of the importance of a preventative approach to delivering health services. This study provides foundation information and valuable insights regarding paediatric occupational therapists’ views and experiences implementing health promotion activities in WA, which can be used to inform paediatric occupational therapy practice and education, and inform initiatives for building the health promotion capacity of a multidisciplinary workforce.

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Munns, Ailsa M. "Young families' utilisation, self-perceived requirements, and satisfaction with child health services in the City of Belmont, Western Australia." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1998. https://ro.ecu.edu.au/theses/1426.

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The expectations of young families regarding care they would like to receive from community nurses working in the child health area is affected by the relationship between those expectations, utilisation and sociocultural factors such as family type, family composition and ethnicity. These factors influence family dynamics, needs, functioning and interactions with the wider community. A descriptive study with both quantitative and qualitative components was used to identify and analyse the self-identified requirements of young families utilising Child Health Services in the Belmont area, Western Australia, and their patterns of utilisation. Twenty five women who had a child or children under 5 years of age were interviewed. The study was guided by a conceptual framework provided by the Ottawa Charter (World Health Organisation-Health and Welfare Canada-Canadian Public Health Organisation, 1996). The three main themes that emerged from the data showed that the young families identified knowledge acquisition, reassurance of normal growth and development and accessibility as their key self-perceived requirements of Child Health Services. Family type, family composition and ethnicity were examined within the contexts of these themes, resulting in a greater understanding of the child health issues relating to all types of family groups. The challenge for the providers of Child Health Services is to provide culturally appropriate Child Health Services based on the principles of primary health care within an environment experiencing fiscal restraint The long term benefits to the families and the health care system are not easily evaluated but have important and wide ranging positive effects on the health and wellbeing of the community.

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Barwood, Donna Michelle. "What we know, what we do and what we could do: Creating an understanding of the delivery of health education in lower secondary government schools in Western Australia." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2015. https://ro.ecu.edu.au/theses/1659.

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Australian health data indicates that childhood is a significant time for young Australians to develop health and well-being issues. Concurrently, health advocates herald in-school delivery of skills-based participatory health education as making significant contributions to developing behaviour change and supporting health enhancing dispositions in children and young people. In Western Australia (WA), skillsbased participatory health education is characterised by linking knowledge and understandings of what it means to be safer, healthier and more physically active to skills that action these states. Skills-based is a preferred approach to teaching and learning in the Health and Physical Education Learning Area (HPE LA), and at the time of this research was supported through education legislated in The Curriculum Framework (Western Australia Curriculum Council, 1998). The focus of this research was to investigate the representation and delivery of health education as a separately timetabled, discipline-based subject belonging to the HPE LA, specifically in lower secondary government schools in WA. The literature identified quantity and quality as criteria for health education to develop healthy living; therefore, this research sought to identify the factors that affect the delivery of skills-based, participatory health education in these schools. The aim of this research was to identify whether the current delivery of health education in lower secondary government schools supports the capacity of the HPE LA to promote healthy citizenry in young Western Australians. A mixed methods methodology was selected. Quantitative data was collected from 75 teachers who participated in an online and paper survey, and qualitative data from nine teachers who participated in semi-structured interviews. Analysis of quantitative data aimed to determine the extent to which government schools in WA were timetabling lower secondary health education as a separate subject. Additionally, this analysis aimed to identify the qualifications and main learning area of the teachers delivering health education. Analysis of the qualitative data aimed to determine the opinions of the teachers regarding delivery. Representation and delivery were determined by the amount of HPE LA curriculum time allocated to health education, the qualifications and training of the teachers delivering the subject and the preferred pedagogical approach used to deliver health education content. This research found that curriculum time attributed to health education in the government schools studied has decreased since 1995. Significantly, curriculum time allowed for health education varied across schools. However, for most schools, health education was delivered for approximately one hour per timetable cycle. This represented only one third of the HPE LA curriculum time. Additionally, half of the teachers who participated in this research and were timetabled to deliver health education were untrained in health education pedagogy. Significantly, one in three of the qualified HPE LA teachers who participated in this research and who delivered health education were untrained in health education pedagogy, although this learning area was mandated in 1998. The qualitative data demonstrated that participating teachers considered untrained teachers delivering health education as concerning. Specifically, participants were most concerned about teachers whose main learning area was not the HPE LA delivering health education, and teachers who were HPE LA teachers but also untrained. The participants were concerned that these teachers were not delivering health education using the preferred pedagogical approach, so consequently overlooked skills development as a critical component of health citizenry. This research developed four suggestions for lower secondary government schools, with the aim of supporting the capacity of the curriculum space of the HPE LA in WA to effect safer, healthier and more active citizenry. This research developed two considerations for the universities in WA that prepare pre-service teachers. These considerations aim to prepare pre-service teachers with understandings of skills-based participatory health education and the significance of its contributions to developing health citizenry in WA. This research is significant, as it found the current representation and delivery of the HPE LA in lower secondary government schools does not support the curriculum’s capacity to promote healthy citizenry in young Western Australians.

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Owen, Julie. "Development of a culturally sensitive program delivering cardiovascular health education to indigenous Australians, in South-West towns of Western Australia with lay educators as community role models." University of Western Australia. School of Population Health, 2006. http://theses.library.uwa.edu.au/adt-WU2006.0061.

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[Truncated abstract] Indigenous Australians suffer cardiovascular disease (CVD) at a rate six times greater than the general population in Australia and while the incidence of CVD has been reduced dramatically amongst the majority of non-indigenous Australians and amongst Indigenous populations in other countries in the last 30 years, there has been little change in the figures for Aboriginal Australians, showing that heart health campaigns have little impact, for this group of people. Aims : The principal aims of this study were firstly, to determine and record the barriers to the development and delivery of CVD prevention programs amongst Indigenous Australians and secondly, to develop an alternative, effective and culturally sensitive method of delivering heart health messages. Methods and results : The study was qualitative research undertaken in three South-West towns of Western Australia where the incidence of CVD was high amongst the Aboriginal community members. The use of semi-formal interviews, informal individual consultation, observation, and focus groups were methods implemented to obtain information. The first phase of the research was to identify the barriers which affected the Aboriginal Health Workers’ ability to deliver specialist educational programs. Questionnaires and interviews with the Aboriginal Health Workers and other health professionals in the towns, and community focus groups were undertaken in this phase of the study. The second phase of the research was aimed at developing an alternative strategy for delivering heart health messages. The focus changed to adopt more traditional ways of passing on information in Indigenous communities. The idea of small gatherings of friends or family with a trusted community member presenting the health message was developed. The third phase of the research was to implement this new approach. Lay educators who had been identified within focus groups and by Aboriginal Health Workers were trained in each of the towns and a protocol involving discussions of health issues, viewing a video on CVD, produced by the National Heart Foundation, sharing in a ‘heart healthy’ lunch and partaking in a ‘heart health’ knowledge game which was developed specifically for the gatherings. Several of these gatherings were held in each of the towns and they became known as ‘HeartAware parties’.

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Mohajer, Nicole. "Adolescent empowerment programmes in two vulnerable populations: a cross-cultural study in rural Australia and rural India." Thesis, Curtin University, 2009. http://hdl.handle.net/20.500.11937/2061.

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Poor adolescents who are not attending school are a low priority in the minds and budgets of the people of the world. They are understudied, highly at risk for poor health outcomes and are less likely to be able to access health services, health promotion activities and other programmes designed to improve the well-being of the poor and needy. This thesis reports on a cross-cultural qualitative study with two populations: Aboriginal Australian adolescents who were poor attendees at school and rural North Indian adolescents who were school dropouts (or never enrolled). Both populations were further disadvantaged by belonging to socially disadvantaged and oppressed communities. The aim of the research was to identify the role of empowerment in improving the health and well-being of disadvantaged populations who are socially marginalised using the empowerment pedagogy of Freire.The settings for the research were rural areas with high levels of youth illiteracy, unemployment, substance abuse and ill-health. The Indian site was in the state of Uttar Pradesh, and was conducted in three districts of the state in sites that covered a wide range of social, religious and economic backgrounds. Most of the participants were from the lowest socio-economic strata of society and had left school because of poverty, inaccessibility of school or family pressure. The Australian site was deidentified at the request of the participants and included two Aboriginal-controlled communities and a large rural town with a high population of Aboriginal residents. Participants were poor attendees at school because of social disruption, poor academic performance, perceived discrimination or disinterest.Using an empowerment model developed during the literature search, elements of the empowerment process were tested in sequential focus group discussions and indepth interviews with out-of-school adolescents in both countries using a standard questionnaire developed in consultation with participants in the first pilot project. Data was analysed for each site and merged and compared across sites in each country and between each country until there were clear themes that emerged. The findings identified the identified needs of participants, the usefulness of the empowerment process and positive and negative features of the methodological approaches of empowerment; particularly peer education and the development of awareness through problem posing or critical discussion of photos and pictures.Despite the challenges involved in engaging ‘disempowered’ or ‘oppressed’ populations, this research provided an insight into the feasibility of empowerment programmes for health promotion and social change with vulnerable adolescents. Furthermore the study offered an opportunity to document the ‘generalisability’ of empowerment materials, methods and strategies to adolescents in diverse cultural and social situations.The findings support the promotion of empowerment methods as a means of health promotion and identification of the needs of vulnerable adolescents. In addition it highlighted the importance of making a commitment to also address the social determinants of health (education, sanitation, social justice and infrastructure) in communities and to involve parents and authority figures in the empowerment process. The special role that culture, traditions, families and the desire to learn play in the lives of vulnerable adolescents was revealed through the in-depth interviews and focus group discussions that were the mainstay of the research method. Recommendations for health promotion on a variety of levels are given, along with a proposal for a model of empowerment and suggestions for further research.

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Brown, Debora. "Depressed men angry women: Non-stereotypical gender responses to anti-smoking messages in older smokers." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2001. https://ro.ecu.edu.au/theses/1034.

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This qualitative study into the effective use of fear arousal in social marketing advertising, focused on exploring gender differences in smokers' attitudes towards threats in anti-smoking messages in the 40 to 50 year old age group. This age group of smokers has received relatively little attention in the fear arousal literature to date, presumably because their 'hard core' attitudes are perceived as difficult to change by social marketing and medical practitioners. The key purpose of this study was to explore the attitudinal responses of male and female smokers in the 40 to 50 year old age group to anti-smoking messages and in particular to those using death and non-death threats. Unexpected findings from a previous study (Henley 1997) were the first to indicate that significant gender differences occurred in this age group to anti-smoking messages. Henley's (1997) study focused on death versus non-death threats in social marketing messages in two age groups of smokers: 16 to 25 and 40 to 50 year aids. Response to the death threat, 'Quit smoking or you'll die of emphysema' was compared to the response of the non-death threat, 'Quit smoking or you'll be disabled by emphysema', in producing change in attitude, motivation and intention to adopt the recommended behaviour. The appropriateness of these threat messages was considered in relation to male and female smokers in two age groups, 16-25 years and 40-50 years. Henley (1997) found that significant differences occurred between older male and female smokers' responses to death and non-death threats in social marketing messages, and that in general, 40-50 year old males responded more to death threats and 40-50 year old females responded more to non-death threats, with the exception of death threats and loved ones. Focus groups were the qualitative method used for data collection in this study. Data was collected from four focus groups (2 male and 2 female), that consisted of 40 to 50 year old regular smokers. Group interviews were conducted as free flowing discussions interspersed with questions pertaining to the major objectives of the study. Projective questioning techniques were used to draw out participants' deeply held beliefs rather than their more easily accessible altitudes. As such, they were not asked direct questions pertaining to attitudes or specifically prompted for response to death and non-death threats. The men and women in this study fitted the characteristics of 'hard core', precontemplative smokers due to their long term smoking behaviour and low-involvement with anti-smoking information. Data were analysed manually according to themes in relation to the major objectives with special consideration given to gender differences that emerged. Attitudes were examined according to emotional, cognitive and behavioural responses. Gender differences are discussed in relation to how responses were articulated. Significant gender differences occurred in attitudinal response to threat in antismoking messages. In particular, gender differences occurred in relation to perceived self-efficacy, and strategies employed to cope with cognitive dissonance and negative emotions that emerged from exposure to anti-smoking messages. Men in this study revealed low levels of perceived self-efficacy, self-esteem and a sense of helplessness and powerlessness over their smoking behaviour. Discussions revealed the men had adopted maladaptive coping responses such as avoidance behaviour and denial in relation to anti-smoking messages. Women in this study revealed higher levels of self-efficacy and derived more benefits from smoking than men. However, their responses indicated anger towards patriarchal and authoritarian anti-smoking messages. Data also revealed that women had adopted maladaptive coping responses such as defiance, reactance and avoidance behaviour in relation to anti-smoking messages. An unexpected finding in this study was that both genders were clearly more accepting of positively framed anti-smoking messages that engendered self-esteem and higher efficacy. The implications for practitioners and researchers are that market segmentation is advisable for older smokers. 'Hard core' smokers may be a difficult group to reach via negatively framed anti-smoking messages and it is possible that positively framed messages may offer a solution. Further quantitative research is indicated into the relative effectiveness of positively framed messages and 'hard core' smokers.

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Pearce, Natasha L. "Critical success factors for building school capacity to engage parents in school-based bullying prevention interventions." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2010. https://ro.ecu.edu.au/theses/361.

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It is evident in current health promotion literature that capacity building is advocated asa future priority for action for health promoters in designing effective interventions.Although theory and definitions, and therefore the practice of capacity building iscriticised for its ambiguity, common elements include the development of knowledge,skills, commitment, structures, systems and leadership. Capacity building must bemultileveled working at the individual, organisational, community and system levels.Capacity building is centred in the process of implementation and its methods are aboutways to improve intervention implementation to achieve sustainable health outcomes.Given the limited resources available to health and other sectors to improve healthoutcomes, mechanisms that improve implementation and sustain and multiply the health gains which result from these interventions are crucial. However, little empiricalresearch on the implementation and evaluation of capacity building approaches exists,hence hindering its practical application to health promotion interventions. It is well accepted that the success of school health promotion interventions aredependent on effective implementation and that many barriers prevent schools fromembracing the recommended whole school approach. It is clear that school healthpromotion interventions aiming to address priority health issues must adopt a capacitybuilding approach to improve implementation efforts or risk failure. Effective capacitybuilding in schools, however, goes beyond the skills training of individuals toassessment of structures, processes, resources and leadership within the school systemto support teachers, parents and students to implement sustainable strategies over thelonger term. No matter what the level of enthusiasm or commitment is provided byschool leaders and staff, unless their school has the necessary capacity supports in place, their efforts will have limited success on student outcomes. Whilst schools in general know they must adopt a comprehensive approach thatinvolves the whole school community to be an effective health promoting environmentfor their students, most find engaging parents in their activities challenging. Evidencesuggests the important influence parents can have on their children’s healthy lifestylechoices and how this at-home influence, partnered with whole school and classroomstrategies are vital in providing health promoting environments for children.

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Bruce, Kaashifah. "Factors influencing school staff's implementation of a pastoral care program designed to reduce students' harm from tobacco and other drugs." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2012. https://ro.ecu.edu.au/theses/523.

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Tobacco, along with alcohol, is one of the most commonly used drugs in Australia. Although trends in adolescent smoking have decreased, it has been estimated that worldwide, 80,000 to 100,000 youth take up smoking every day. Hence, adolescent tobacco use is still an important public health issue. To measure the success of a school-based program that reduces harm from tobacco and other drugs, the effective implementation of the program is essential. Although school staff may recognise the value and importance of an intervention, inadequate implementation by these staff is a common occurrence in intervention research projects. This Masters study aimed to investigate the factors influencing school staff’s implementation of a pastoral care program designed to reduce students’ harm from tobacco and other drugs. The five research questions for this study were: 1. What are the external environmental factors that influence school staff’s implementation of the KIT-Plus Research Project intervention? 2. What are the school-level factors that influence school staff’s implementation of the KIT-Plus Research Project intervention? 3. What are the individual staff-level factors that influence school staff’s implementation of the KIT-Plus Research Project intervention? 4. What are the intervention factors that influence school staff’s implementation of the KIT-Plus Research Project intervention? 5. How have the external environmental, school, individual and intervention factors contributed to each school’s mean level of implementation of the KIT-Plus Research Project intervention? This project was conducted as part of a Healthway funded Tobacco Control Research Development Program administered by Edith Cowan University’s Child Health Promotion Research Centre (CHPRC). This Masters project also contributed to the Healthway funded longitudinal study, the Keeping In Touch (KIT) - Plus Research Project (2008 – 2010) conducted in collaboration with School Drug Education and Road Aware (SDERA).

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15

Murphy, Carmel. "Health promotion programs and activities in small South Australian workplaces /." Title page, table of contents and abstract only, 1997. http://web4.library.adelaide.edu.au/theses/09MPM/09mpmm978.pdf.

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16

Alexander, Kathy. "Promoting health at the local level : a management and planning model for primary health care services /." Title page, contents and introduction only, 1994. http://web4.library.adelaide.edu.au/theses/09PH/09pha376.pdf.

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17

McGuire, Amanda Mary. "Factors influencing health promotion activities in midlife and older Australian women with a chronic disease." Thesis, Queensland University of Technology, 2011. https://eprints.qut.edu.au/45635/1/Amanda_McGuire_Thesis.pdf.

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Background: Chronic diseases including type 2 diabetes are a leading cause of morbidity and mortality in midlife and older Australian women. There are a number of modifiable risk factors for type 2 diabetes and other chronic diseases including smoking, nutrition, physical activity and overweight and obesity. Little research has been conducted in the Australian context to explore the perceived barriers to health promotion activities in midlife and older Australian women with a chronic disease. Aims: The primary aim of this study was to explore women’s perceived barriers to health promotion activities to reduce modifiable risk factors, and the relationship of perceived barriers to smoking behaviour, fruit and vegetable intake, physical activity and body mass index. A secondary aim of this study was to investigate nurses’ perceptions of the barriers to action for women with a chronic disease, and to compare those perceptions with those of the women. Methods: The study was divided into two phases where Phase 1 was a cross sectional survey of women, aged over 45 years with type 2 diabetes who were attending Diabetes clinics in the Primary and Community Health Service of the Metro North Health Service District of Queensland Health (N = 22). The women were a subsample of women participating in a multi-model lifestyle intervention, the ‘Reducing Chronic Disease among Adult Australian Women’ project. Phase 2 of the study was a cross sectional online survey of nurses working in Primary and Community Health Service in the Metro North Health Service District of Queensland Health (N = 46). Pender’s health promotion model was used as the theoretical framework for this study. Results: Women in this study had an average total barriers score of 32.18 (SD = 9.52) which was similar to average scores reported in the literature for women with a range of physical disabilities and illnesses. The leading five barriers for this group of women were: concern about safety; too tired; not interested; lack of information about what to do; with lack of time and feeling I can’t do things correctly the equal fifth ranked barriers. In this study there was no statistically significant difference in average total barriers scores between women in the intervention group and those is the usual care group of the parent study. There was also no significant relationship between the women’s socio-demographic variables and lifestyle risk factors and their level of perceived barriers. Nurses in the study had an average total barriers score of 44.48 (SD = 6.24) which was higher than all other average scores reported in the literature. The leading five barriers that nurses perceived were an issue for women with a chronic disease were: lack of time and interferes with other responsibilities the leading barriers; embarrassment about appearance; lack of money; too tired and lack of support from family and friends. There was no significant relationship between the nurses’ sociodemographic and nursing variables and the level of perceived barriers. When comparing the results of women and nurses in the study there was a statistically significant difference in the median total barriers score between the groups (p < 0.001), where the nurses perceived the barriers to be higher (Md = 43) than the women (Md = 33). There was also a significant difference in the responses to the individual barriers items in fifteen of the eighteen items (p < 0.002). Conclusion: Although this study is limited by a small sample size, it contributes to understanding the perception of midlife and older women with a chronic disease and also the perception of nurses, about the barriers to healthy lifestyle activities that women face. The study provides some evidence that the perceptions of women and nurses may differ and argues that these differences may have significant implications for clinical practice. The study recommends a greater emphasis on assessing and managing perceived barriers to health promotion activities in health education and policy development and proposes a conceptual model for understanding perceived barriers to action.

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Cheung, Po-yi Polly, and 張寶儀. "How can Hong Kong learn from Australia's lessons from promoting private health insurance as a supplementary source of health carefunding?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46935113.

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Rowe, Fiona. "Building school connectedness : evidence from the health promoting school approach." Thesis, Queensland University of Technology, 2006. https://eprints.qut.edu.au/16233/2/Fiona_Rowe_Thesis.pdf.

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School connectedness, defined as the cohesiveness between diverse groups in the school community, including students, families, school staff and the wider community, is a well-documented protective factor for child and adolescent health. However, strategies for promoting school connectedness are less well known. The Western Gateway Health Promoting Schools Grant Scheme is a program that aims to increase school connectedness by using the health promoting school approach in disadvantaged communities in South-East Queensland, Australia. The scheme provides an opportunity for schools to apply for funding to implement strategies that increase students' sense of school connectedness, using a Health Promoting School approach. Evaluation of the Western Gateway Health Promoting School Grant Scheme provided an opportunity to investigate the influence of the health promoting school approach on school connectedness. The influence of the health promoting school approach on school connectedness was evaluated using a qualitative case study methodology. Three school communities were investigated as single, related case studies to examine the impact of the health promoting school approach on school connectedness. A conceptual framework, based on the theoretical understanding of how the health promoting school approach influences school connectedness, was developed and used as a guide to investigate the relationships within the case study schools. The health promoting school model, which is a 'settings' approach to health promotion, has the potential to promote school connectedness as it is based on the inclusive, participatory, and democratic principles shown to be necessary for the development of social connectedness at the broader community level. The model illustrates this potential through two mechanisms 1) processes that are characterised by the inclusion of a diverse range of members that make up a community; the active participation of community members and equal 'power' relationships, or equal partnerships among community members; and 2) structures such as school policies, school organisation and the school physical environment, that reflect the values of participation, democracy and inclusion andor that promote processes based on these values. These processes and structures, which are located both in the classroom and within the broader school environment, collectively hold the potential to promote connectedness in the school setting. Data on these relationships were collected using in-depth interviews with representatives of groups within the school community such as school staff, parents, students, health service and community agency workers. Additionally, student focus groups and documentary evidence, such as school program reports and observations of health promoting school activities were used in the collection of data. Data sources were triangulated to gain a complete understanding of the impact of the health promoting school approach on school connectedness. Data analysis was conducted by categorising the data into themes and categories based on, but not limited to, the conceptual framework that guided data collection. Data display matrices enabled theoretical relationships between the health promoting school approach and school connectedness to be drawn. The results of the in-depth qualitative evaluation of the program show that the health promoting school approach influences school connectedness through the mechanisms of a 'whole-school approach' that encourage interaction between members of the whole school community. Specific activities that promoted school connectedness were 'whole school' activities that celebrated the school community, for example, the launch of a school cafd and 'whole-class' activities where students and school staff work together towards a shared goal, such as the planning of a school breakfast tuckshop. Activities that encouraged links between classes and school staff in a school community, for example, shared curriculum planning in the co-ordination of a school breakfast tuckshop program also contributed to school connectedness by promoting interaction among school community members. Health promoting school structures and processes help to develop mutual reciprocal relationships characterised by school community members getting to know others better and developing care and support for each other, which in turn develops into other indicators of school connectedness, such as tolerance of diversity, perceptions of being valued, trust, perceptions of safety, and decreased absenteeism. A key element of health promoting school structures and processes that enables the formation of these relationships is the inclusive nature of the approach, which encourages school community members to participate in the school community. This encourages the formation of mutual reciprocal relationships. A number of elements of the health promoting school approach encourage participation in the community. For example, the formation of mutual, reciprocal relationships requires activities that are economically inclusive, and characterised by a social, positive, fun or celebratory element; that are informal and well-managed. Specifically, events characterised by eating food together; real-life activities; activities the school community 'owns' by having a say in them; and activities that involve school community members working together are important for the development of mutual reciprocal relationships. These elements occur at the level of the school and the broader school community interactions, as well as at the level of the class and interactions between classes within the school. In summary, this research provides evidence that the health promoting school approach is an effective model to influence school connectedness, which in effect promotes the health and well-being of children and adolescents.

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20

Rowe, Fiona. "Building school connectedness : evidence from the health promoting school approach." Queensland University of Technology, 2006. http://eprints.qut.edu.au/16233/.

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Abstract:

School connectedness, defined as the cohesiveness between diverse groups in the school community, including students, families, school staff and the wider community, is a well-documented protective factor for child and adolescent health. However, strategies for promoting school connectedness are less well known. The Western Gateway Health Promoting Schools Grant Scheme is a program that aims to increase school connectedness by using the health promoting school approach in disadvantaged communities in South-East Queensland, Australia. The scheme provides an opportunity for schools to apply for funding to implement strategies that increase students' sense of school connectedness, using a Health Promoting School approach. Evaluation of the Western Gateway Health Promoting School Grant Scheme provided an opportunity to investigate the influence of the health promoting school approach on school connectedness. The influence of the health promoting school approach on school connectedness was evaluated using a qualitative case study methodology. Three school communities were investigated as single, related case studies to examine the impact of the health promoting school approach on school connectedness. A conceptual framework, based on the theoretical understanding of how the health promoting school approach influences school connectedness, was developed and used as a guide to investigate the relationships within the case study schools. The health promoting school model, which is a 'settings' approach to health promotion, has the potential to promote school connectedness as it is based on the inclusive, participatory, and democratic principles shown to be necessary for the development of social connectedness at the broader community level. The model illustrates this potential through two mechanisms 1) processes that are characterised by the inclusion of a diverse range of members that make up a community; the active participation of community members and equal 'power' relationships, or equal partnerships among community members; and 2) structures such as school policies, school organisation and the school physical environment, that reflect the values of participation, democracy and inclusion andor that promote processes based on these values. These processes and structures, which are located both in the classroom and within the broader school environment, collectively hold the potential to promote connectedness in the school setting. Data on these relationships were collected using in-depth interviews with representatives of groups within the school community such as school staff, parents, students, health service and community agency workers. Additionally, student focus groups and documentary evidence, such as school program reports and observations of health promoting school activities were used in the collection of data. Data sources were triangulated to gain a complete understanding of the impact of the health promoting school approach on school connectedness. Data analysis was conducted by categorising the data into themes and categories based on, but not limited to, the conceptual framework that guided data collection. Data display matrices enabled theoretical relationships between the health promoting school approach and school connectedness to be drawn. The results of the in-depth qualitative evaluation of the program show that the health promoting school approach influences school connectedness through the mechanisms of a 'whole-school approach' that encourage interaction between members of the whole school community. Specific activities that promoted school connectedness were 'whole school' activities that celebrated the school community, for example, the launch of a school cafd and 'whole-class' activities where students and school staff work together towards a shared goal, such as the planning of a school breakfast tuckshop. Activities that encouraged links between classes and school staff in a school community, for example, shared curriculum planning in the co-ordination of a school breakfast tuckshop program also contributed to school connectedness by promoting interaction among school community members. Health promoting school structures and processes help to develop mutual reciprocal relationships characterised by school community members getting to know others better and developing care and support for each other, which in turn develops into other indicators of school connectedness, such as tolerance of diversity, perceptions of being valued, trust, perceptions of safety, and decreased absenteeism. A key element of health promoting school structures and processes that enables the formation of these relationships is the inclusive nature of the approach, which encourages school community members to participate in the school community. This encourages the formation of mutual reciprocal relationships. A number of elements of the health promoting school approach encourage participation in the community. For example, the formation of mutual, reciprocal relationships requires activities that are economically inclusive, and characterised by a social, positive, fun or celebratory element; that are informal and well-managed. Specifically, events characterised by eating food together; real-life activities; activities the school community 'owns' by having a say in them; and activities that involve school community members working together are important for the development of mutual reciprocal relationships. These elements occur at the level of the school and the broader school community interactions, as well as at the level of the class and interactions between classes within the school. In summary, this research provides evidence that the health promoting school approach is an effective model to influence school connectedness, which in effect promotes the health and well-being of children and adolescents.

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Bowen, Shelley Public Health &amp Community Medicine Faculty of Medicine UNSW. "The relationship between evidence and policy: a tracer study of promoting health equity through early childhood intervention in Australia." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2007. http://handle.unsw.edu.au/1959.4/29467.

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This thesis describes what counts as evidence and what constitutes an evidence-informed approach to health policy development, particularly policy with an equity focus. While health policy is increasingly aiming to be ???evidence-based???, a narrow conceptualisation of this can neglect the importance of the powerful and dynamic context of public policy-making. An evidence-informed approach recognises and works with a broader range of contextual influences. The aim of this thesis was to extend and deepen understanding of how evidence informs policy that promotes health equity, through a tracer study of policy development in Australia. The objectives of the research were to examine influential types of evidence, their role and function; to investigate the context, processes and relationships that contributed to evidence informed health policy, and to gain a deeper understanding of how health equity, and evidence on equity, was conceptualised and considered in the policy process. Two Australian state government policy initiatives in the area of early childhood intervention were investigated through interviews with key policy actors in both states, and media, political and policy documentary analyses. A theory-informed framework was developed from the literature to guide this research. This thesis has led to the development of a number of theoretical models, insights and working principles to guide evidence-informed policy development. The models emerge from a conceptual framework that describes how clusters of information (contextual, expert opinion, scientific studies, policy audit, and economic) combine with a number of policy conditions (necessity, opportunity, capacity, relationships, actors and processes) to become a ???case for policy???. What follows seems to be several primary insights to the types of evidence that inform health policy; the identification of an ???adopt, adapt, apply??? phase in policy-making; and the existence of an ???equity policy gap??? ??? exposing the rare translation of equity principles into policy action. Findings from this study call for recognition of research as only one information source in policy development. The successful integration of research and policy is more likely if research evidence is seen within, and as a part of, a more complex policy development system.

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MacKinlay, Elizabeth, and n/a. "Health related decision making and the elderly : the acceptance of influenza vaccination." University of Canberra. Education, 1989. http://erl.canberra.edu.au./public/adt-AUC20060825.150054.

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The study set out to determine the influenza vaccination rate and to identify factors important in the process of vaccination acceptance decision making for a group of the well elderly in the A.C.T. Prediction of vaccination acceptance was compared using three measures: stated behavioural intention, report of past vaccination acceptance and a multiattribute utility decision model. In this study no one method of prediction was obviously better than another. The most important findings of this study included the marked variations in vaccination rates based on type of residence of the group members. Of the 15 variables of the decision model, factors related to the infection of influenza and possible complications of influenza were seen as the most important factors by both acceptors and nonacceptors of the vaccine in making the decision to have the injection. These findings can be incorporated into an area vital for nursing intervention, the planning of nursing programmes of health promotion and health maintence for the well elderly population.

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Hillgrove, Tessa Loiuse. "Promoting healthy eating to young women in disadvantaged communities : a review of recent Australian programs /." Title page, contents and abstract only, 2002. http://web4.library.adelaide.edu.au/theses/09HS/09hsh652.pdf.

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McPhail-Bell, Karen. ""We don't tell people what to do": An ethnography of health promotion with Indigenous Australians in South East Queensland." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/91587/1/Karen%20McPhail-Bell%20Thesis.pdf.

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This thesis contributes to the decolonisation of health promotion by examining Indigenous-led health promotion practice in an urban setting. Using critical ethnography, the study revealed dialogical, identity-based approaches that centred relationship, community control and choice. Based on the findings, the thesis proposes four interrelated principles for decolonising health promotion and argues that Indigenous-led health promotion presents a way to bridge the rhetoric and practice of empowerment in Australian mainstream health promotion practice.

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Priestly, Jacqueline Rita. "Growing stronger together : cross-cultural nutrition partnerships in the Northern Territory 1974-2000 /." View thesis, 2003. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20031219.105829/index.html.

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Priestly, Jacqueline Rita, University of Western Sydney, College of Social and Health Sciences, and School of Sociology and Justice Studies. "Growing stronger together : cross-cultural nutrition partnerships in the Northern Territory 1974-2000." THESIS_CSHS_SJS_Priestly_J.xml, 2003. http://handle.uws.edu.au:8081/1959.7/266.

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This thesis incorporates social history and consultative action research to analyse the development of cross-cultural nutrition services for Indigenous communities in the Northern Territory from 1974-2000 and promote the development of stronger partnerships in 1999-2001.The historical development of nutrition services is analysed against current theory and a model of capacity building for health promotion. Nutrition infrastructure and services have developed systematically, incrementally and substantially. Strengths include the development of enduring and successful inter-cultural partnerships and leadership.Two facilitative narratives which aim to improve inter-cultural knowledge sharing, strengthen capacity and promote participatory action in community based projects were developed, implemented and partially evaluated. Services can be further strengthened by long-term commitments to examining power issues, promoting improved Indigenous control and problem solving and comprehensive bi cultural evaluation that identifies significant indicators to improving outcomes. Participatory action research, facilitative story telling, capacity building, Indigenous education theory and critical social science can inform and guide these efforts in complementary ways.
Master of Arts (Hons) (Critical Social Science)

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Wallace, Ruth. "Supporting Nutrition for Australian Childcare (SNAC): The development, implementation and evaluation of an online nutrition education intervention." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2016. https://ro.ecu.edu.au/theses/1771.

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The provision of a nutritious diet in a child’s early years can have an immense effect on their future health and wellbeing. Due to the increasing number of children attending child care, this setting is strategically placed for teaching children important food literacy skills and establishing positive eating habits, which remain through to adulthood. However, food served in child care facilities is often not of the best nutritional quality (Zuercher, Grace, & Kranz, 2011) and there is lack of positive role modelling among staff. Both of these factors pose obstacles to a health-promoting environment for the children who attend. The nutritional needs of young children are well known. This research sought to identify the child care specific nutrition education resources currently available, and to understand the broader needs of Australian child care staff that would enable them to provide a healthy eating environment. The findings of this research phase informed the design and development of a website to increase child care staff nutrition knowledge and confidence in providing a healthy eating environment, facilitating ongoing continuous improvement in their professional development. Discussion boards to promote a sense of community and provide ‘information wrapped in support’ were a key website feature. Qualitative interviews were conducted with child care facility staff and key industry stakeholders. Although positive attitudes towards promoting healthy eating were demonstrated, data revealed that recommended nutrition resources were not well known or utilised by the childcare sector and staff reported a lack of confidence and workplace support. Guided by the Spiral Technology Action Research model (H. Skinner, Maley, & Norman, 2006), a health promotion project management tool, these findings informed the development of the website, “Supporting Nutrition in Australian Childcare” (SNAC), containing a range of resources, recipes, discussion boards and links. Use of the website, staff nutrition knowledge, attitudes, confidence and sense of community were evaluated using a qualitative, netnographic approach, through conversation threads, interviews and observations. Quantitative data collection methods including pre- and post-intervention surveys and web analytics were utilised to triangulate these findings. Despite the “netnographic slog”, that is, the persistence and continued attempts to recruit educators and encourage them to engage with the website, findings suggest that the SNAC website was well utilised and valued by more than 1200 SNAC members, attracting over 90,000 page views and 600 posts/comments. Educators valued the ‘information wrapped in support’ offered by the website, and a sense of community developed, particularly around shared emotional connection. Educators reported positive attitudes and high self-efficacy towards providing a healthy eating environment. However, evaluation results demonstrated disparity between reported knowledge and behaviours, such as high self-efficacy, and those observed, such as poor quality menu plans. This research has shown the need for changes in public health policy to reprioritise a healthy eating environment in Australian childcare facilities; changes that foreground optimal nutrition in the early years as vital for future health and wellbeing. However, given that high-level policy change is often difficult and time consuming, the demonstrated disparity between reported and observed knowledge and behaviours highlights the need for shorter term strategies that address the support so badly needed, to ensure the long-term sustainability of these changes.

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Baker, Gabrielle A. "Gifted adolescent wellbeing: An Australian case study." Thesis, Queensland University of Technology, 2018. https://eprints.qut.edu.au/118724/1/Gabrielle_Baker_Thesis.pdf.

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A case study approach was adopted in this research to explore the wellbeing of gifted adolescents who participated in a two year immersion class. Qualitative evidence supported ability-grouping to compact three years' curriculum into two while incorporating social-emotional skills. Vignettes of challenges beyond the safety of the class however, revealed changed behavior that influenced student development and identity. A whole-of-school approach to wellbeing was recommended to foster a shared ethos of inclusive practice and empathy. Insight from the research has global significance for gifted adolescent wellbeing.

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O'Connor, Peter J. (Peter James) 1956. "Audio-visual information programs as health promotion aids in hospital waiting rooms." 1987. http://web4.library.adelaide.edu.au/theses/09ARM/09armo18.pdf.

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Merom, Dafna Public Health &amp Community Medicine Faculty of Medicine UNSW. "Public health approaches to measurement, surveillance and the promotion of walking among Australian adults." 2007. http://handle.unsw.edu.au/1959.4/40706.

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The aim of this thesis is to demonstrate the importance of walking to public health. The first part is characterized by epidemiological research. First, a typology for the measurement of walking is developed. A systematic review is conducted of observational studies to determine the health benefits of walking in its own right. Studies consistently confirm that 30 minutes walking on most days of the week is sufficient to reduce the risk of cardiovascular diseases and non-communicable disease risk. Then, a series of epidemiological analyses describes the prevalence and correlates of walking, using multiple health and non-health surveillance data sets. Surveillance data indicate that the prevalence of walking at the above recommended levels is low across all domains. Between 1991 and 2001 an increase in walking occurred, and was the main contributor to reductions in leisure time physical inactivity; however, the proportion of the population who achieved the recommended amount of physical activity by walking did not change in leisure and transport domains. The next part of the thesis is characterized by health promotion research examining the impact of three population-based approaches to increasing walking among Australian adults. The first was an evaluation of a conversion of rail to trail, as an environmental change intervention; the second was a mass media campaign promoting walking to work, and the third was a targeted print media walking program. Providing environmental supports with minimal promotion had no effect on walking. A nation-wide mass media campaign promoting walking to work increased walking and other moderate intensity physical activity, but process evaluation indicated other promotional efforts contributed as well. The targeted print media randomised trial had the greatest effect on walking, but the increases were not greater than spontaneous change in the control. Increases in total physical activity were achieved only when the intervention was supplemented by the use of a pedometer. The expectation that broader approaches to the promotion of walking will bring about changes at the population level, were not corroborated by these case studies. There is a need for enhancement of walking-specific interventions to influence total PA at the population levels.

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Totikidis, Vicky. "Community centred health promotion and prevention in an Australian context." Thesis, 2013. https://vuir.vu.edu.au/24386/.

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Chronic diseases have increased dramatically in Australia and around the world over the past decade, causing pain, suffering, disability, psychosocial problems, early mortality and economic and public health crisis. However, many chronic diseases and conditions could be prevented with better evidence based and community based health promotion strategies. Guided by a philosophy of idealism, the aim of this thesis was to develop a community centred health promotion strategy to assist the improvement of health and the prevention of chronic disease in an Australian context. More specifically, the research was concerned with exploring the potentiality of statistical or epidemiological evidence and community collaboration as pathways to chronic disease prevention and improvement of health at an individual, community and system level. The research utilised a praxis paradigm and action research design over three stages. Stage One included in depth quantitative analysis of health and epidemiological data and addressed the question: What is the current evidence/knowledge about health status, determinants and inequalities in Victorian communities and the broader Victorian and Australian context? Stage Two involved qualitative participatory action research methods to engage a small group of community members from the Brimbank region of Melbourne (Victoria, Australia) in the community governance of health promotion and disease prevention. The questions addressed were: What are the benefits of community based health promotion and prevention? What ideas for health promotion action does the community have to offer? Stage Three involved a minor evaluation of the strategy as a whole and addressed the question: In what ways, can health evidence and community involvement in health promotion contribute to better health outcomes? Stage One identified various determinants that impact on health status and result in inequalities. Stage Two revealed six major benefits for community based health promotion and prevention and generated a number of useful ideas for health promotion action in the community. Stage Three showed positive evaluations by the participants and identified numerous indicators of success of the health promotion strategy as a whole.

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Wakefield, Melanie. "Psychology in the public health arena : smoking control as an example." Thesis, 1988. http://hdl.handle.net/2440/112643.

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Brewer, Jacqueline Louise. "The development and evaluation of IN2SHAPE : a physical activity promotion program for adolescent mental health." Phd thesis, 2012. http://hdl.handle.net/1885/156098.

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At any time, one in three adolescents experiences at least one depressive symptom. There is some evidence that physical activity is associated with reduced depressive symptomatology in adolescents. This study therefore investigated physical activity as a potential preventive intervention for depression in youth. The thesis presents the development, trial, and evaluation of a novel physical activity promotion program, and its effect on symptoms of depression and related health and psychosocial outcomes in adolescents (aged 11-18 years). The first phase of the project involved reviews of the current literature. These reviews, which informed the development of the Intervention to Stay Healthy and Physical Everyday (IN2SHAPE) program, established that few physical activity interventions for adolescent mental health exist. Interventions that were reviewed had substantial methodological limitations. None of the trials employed distal (non-face-to-face) delivery, although distal delivery methods have potential for widespread implementation and may be acceptable to adolescents. A systematic review then identified characteristics of physical activity interventions that have been conducted distally with adolescents, none of which have examined mental health outcomes. The IN2SHAPE program was designed in accordance with this literature, to address many of the methodological flaws of previous programs and for use either with or without face{u00AD}to-face delivery. In the second phase of the project, four empirical studies were conducted. Study 1 was a screening survey of 774 secondary school students from the Australian Capital Territory (ACT). This survey identified participants who met the eligibility criteria for participation in Studies 2 and 3. The study found that lower depression symptoms were associated with higher physical activity participation in this population. In Study 2, focus groups were used to provide adolescent input into the IN2SHAPE program and the planned intervention design. In Study 3, the IN2SHAPE program was administered as part of a three-arm pilot randomised controlled trial (RCT) in a sample of 26 adolescents identified by the screening survey to have elevated, but sub-clinical, depressive symptoms, and less than one hour per day of physical activity. Physical activity interventions with and without face-to-face researcher contact were compared to a nutrition control with researcher contact. Participants were assessed at post-intervention and 4-month follow-up. Physical activity participation significantly increased for both physical activity conditions over the 8-week intervention, as measured by pedometer step counts but not by self-report measures. No significant between-groups effects were found for depressive symptoms, although the effect size for the physical activity group with researcher contact was moderate from pre- to post-intervention (d = .56). The final study involved a participant evaluation of the intervention, using questionnaires and focus groups. It was determined that IN2SHAPE was an acceptable program to adolescent participants. Although there were difficulties recruiting a sample of adolescents with symptoms of depression and limited physical activity, this project highlights the potential utility of physical activity as an intervention to reduce depressive symptoms. Some researcher contact appears necessary to encourage adolescent engagement with the IN2SHAPE program. Further research on the optimal delivery and measurement of physical activity in depression interventions is warranted.

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McIntyre, Elisabeth. "Creating a breastfeeding friendly environment : a new public health perspective / Elisabeth McIntyre." 1999. http://hdl.handle.net/2440/19631.

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Bibliography: leaves 250-267.
xx, 267, [90] leaves : ill., map ; 30 cm.
Title page, contents and abstract only. The complete thesis in print form is available from the University Library.
Aims to develop a model to improve breastfeeding in a low socio-economic area through the development of health promotion strategies to create a supportive environment for breastfeeding.
Thesis (Ph.D.)--University of Adelaide, Dept. of Public Health, 2000?

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McIntyre, Elisabeth. "Creating a breastfeeding friendly environment : a new public health perspective / Elisabeth McIntyre." Thesis, 1999. http://hdl.handle.net/2440/19631.

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Bibliography: leaves 250-267.
xx, 267, [90] leaves : ill., map ; 30 cm.
Aims to develop a model to improve breastfeeding in a low socio-economic area through the development of health promotion strategies to create a supportive environment for breastfeeding.
Thesis (Ph.D.) -- University of Adelaide, Dept. of Public Health, 2000?

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MacDougall, Colin James. "Public policy and physical activity : a South Australian study / Colin James MacDougall." 2000. http://hdl.handle.net/2440/19828.

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Includes bibliographical references (leaves 310-325).
xvi, 325 leaves : ill. ; 30 cm.
Title page, contents and abstract only. The complete thesis in print form is available from the University Library.
A study which investigates in a South Australian context: 1. What are the physical activity gaps between social groups and how do these gaps relate to health and the other benefits of physical activity? 2. What are the contraints on choices and what needs to be done to make the choices of people to increase moderate physical activity easier? 3. What is the role of the social environment in relation to moderate physical activity choices and what needs to be done to ensure supportive environments? The results show that physical activity frequently becomes the province of differents sectors of society at different times. Recent case studies demonstrate that policies about how governments organise their services lead to more fundamental changes than specific health policies.
Thesis (Ph.D.)--Adelaide University, Dept. of Public Health, 2001

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Renwick, Kerry. "Health promoting schools – the right way." Thesis, 2006. https://vuir.vu.edu.au/1500/.

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The aim of this research was to determine how the New Right agenda has impacted on the perceptions about the Health Promoting School (HPS) model and its practice. The case study school – a Catholic secondary school, provided opportunity to reflect upon the daily experience of those in a HPS and how these experiences can be constructed. The methods used included running focus groups - students, teachers, administrators, parents and health agencies, and the generation of narratives and commentaries from key stake holders within the school community. This thesis draws on the work of Dewey, Bourdieu and Apple to position its critical deconstruction of one school community’s experience of activity that can be described as about HPS’s. There were four assumptions that underpinned the thesis. The first two arose from the literature that claimed the universality of the HPS model and the second two were derived from the capacity of the school to develop and evolve a setting for health promotion. The potential for this school as a HPS community to deliver on health-related social justice outcomes is yet to be achieved. The commandeering of health promotion terms and concepts by the New Right generates a metaphysical focus that delivers a view of the HPS that is in variance to the original intent.

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Walker, Ruth Ballance. "The development and evaluation of a health promotion program for pregnant women aimed at addressing rates of caesarean section / Ruth Walker." 2002. http://hdl.handle.net/2440/21823.

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"May 2002"
Includes bibliographical references (leaves 267-289)
xvii, 290, [69] leaves : ill., plates ; 30 cm.
Title page, contents and abstract only. The complete thesis in print form is available from the University Library.
Thesis (Ph.D.)--University of Adelaide, Depts. of Public Health and General Practice, 2002

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Smart, Sharon. "Towards the health promoting retirement village : a case study." Thesis, 2003. https://vuir.vu.edu.au/15306/.

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The aged care industry along with the public health movement has undergone profound change, yet aged care is a growing concern with an ageing population. Within the Australian context, there remains the need for further research and education especially with regard to the retirement village setting that offers a variety of services including a continuum of care from independent living through to aged care facility living (hostel and nursing home). Through an exploration of the health promoting settings approach that has been applied to schools, hospitals, workplaces and so on, it can be demonstrated that a retirement village can also move beyond institutional care to one that is a health promoting retirement village.

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Ralph, Phillip. "The effectiveness of workplace health promotion within the Victoria Police Force : a pilot study." Thesis, 1992. https://vuir.vu.edu.au/15669/.

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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.

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Toomey, Mary Therese. "Understanding the determinants of health for Australian high-performance athletes: A mixed- methods exploration of a multi-disciplinary, multi-sport panel of expert high-performance sport health practitioners." Thesis, 2022. https://vuir.vu.edu.au/43937/.

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High-performance athletes are known to be at risk of adverse physical and mental health outcomes related to the extreme performance demands they face. Australian high-performance sport has traditionally been reactive to the healthcare needs of athletes who present having experienced compromised health, whether that be in the form of an illness, an injury, or a mental health challenge. Recently, there has been a move toward implementing limited health promotion approaches addressing identified health risks in the current athlete/sport environment. At present, there is no theoretical framework to help those working with this highly selective group to promote the development and maintenance of optimal holistic health. Moreover, the early and ongoing development of optimal holistic athlete health has not commonly been viewed as a performance requirement within sporting organisations. This research aimed to understand health and its determinants for Australian high-performance athletes from the perspective of a representative sample of expert health practitioners who currently work or have recently worked in high-performance sports healthcare. Determinants of health are factors that influence how likely we are to stay healthy or become ill/ injured. Understanding these determinants will help researchers and practitioners develop a theoretical health promotion framework that may be applied broadly across Australian high-performance sport. This study used a mixed-methods approach, including a Delphi survey and subsequent semi-structured one-to-one qualitative interviews to derive a consensus on athlete health determinants and the factors which influence these. The purpose of the qualitative interviews was to explore, more deeply, the experiences, beliefs and thinking behind participant responses to the questions posed in the Delphi survey, to add both nuance and context to those responses. The Delphi survey was conducted at two time points over a period of three months. Descriptive statistical analysis of the Delphi survey results demonstrated that there was general recognition of the relevance of the World Health Organisation definition of health and its determinants to the health of high-performance athletes, a finding that is not usually evident in the literature, nor reflected in the provision of health services to this population cohort. Thematic analysis of the Delphi survey data, using a socio-ecological theoretical lens, revealed a need to consider a broader range of influences on athlete health than those that relate specifically to participation in high-performance sport. These include geographic isolation, access to appropriate health services, ethnicity, and socio- economic status. The interview findings revealed that there is a need to apply additional consideration to factors that can be categorized as social determinants of health in healthcare planning for, and management of, Australian high-performance athletes. This study's findings will help form a theoretical framework for Australian high-performance athlete health. Specifically, this framework would address the need for sporting organisations to create and provide health-promoting environments for their athletes and to support athletes in developing their capacity to manage better the impact of the health stressors to which they are exposed, as identified by the high-performance healthcare experts surveyed in this study.

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Kasperczyk, Richard T. "Barriers to systemic work stress prevention in Australian organisations." Thesis, 2015. https://vuir.vu.edu.au/29886/.

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This thesis addresses the question of why work stress prevention has not been adopted systemically in organisations, despite some research findings that it is effective, that it has been mandated by legislative regulations and that it has the potential for significant cost savings. Work stress is recognised as an increasing and global problem in terms of negative economic, health and social outcomes. Its significant costs related to work injury compensation have resulted in growing pressure from governmental health and safety jurisdictions for organisations to manage and prevent stress through systemic risk management approaches.

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Han, Jin-Song. "Motives for taking up tai chi." Thesis, 1992. https://vuir.vu.edu.au/15450/.

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For many centuries one of China's major sports and exercise activities, Tai Chi has recently experienced a world-wide boom, its popularity rising rapidly in Australia. Khor(1990)estimates an increase from 2,000 Australian participants in 1980 to 100,000 in 1990 and proposes health promotion and therapeutic benefits as major reasons for the current interest. There is, however, no systematic research. This study examined motives for initial involvement in Tai Chi and how these motives varied with respect to demographic factors. Two hundred and twenty-three subjects (M=65, F=158), ranging in age from 12 to 82 years, were included in the study. They were all the beginners in Term 1, 1991, who had no previous Tai Chi experience at all.

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Dunn, Matthew Edward. "Sex on Campus : Investigating Sexual Health Promotion in Australian Universities." Phd thesis, 2018. http://hdl.handle.net/1885/144232.

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Background: Sexual health is a state of being that goes far beyond the absence of sexually transmissible infections, encompassing the absence of coercion and the possibility of pleasure among other factors. Young Australians in general have been identified as a priority population in terms of sexual health, with a dramatic rise in the rate of notifications of sexually transmissible infections (STIs) among those aged 16 – 30, higher partner numbers, higher rates of sexual assault and less access to sexual health services and information. Besides the fact that many Australians from this age bracket are university students, university environments are important venues for sexual health promotion due to the high proportion of LGBTI and international students. This thesis aimed to determine the current state of sexual health promotion in Australian universities, how these events can better reach different groups of students and whether a peer-led, socially focused event can change attitudes towards sexual health testing. Methods: Interviews were conducted with university peer educators and professionals who had a role related to sexual health in the Australian Capital Territory (ACT). These interviews focused on the nature and challenges of the role, previous successful sexual health promotions and ideas for future improvement. Results from these interviews were used to design two anonymous cross-sectional surveys. The Promotion Survey was completed by student leaders in 23 universities across Australia allowing investigation of peer educator roles and current sexual health promotion events. The Student Survey was completed by randomly selected students at a university in the ACT and focused on previous sexual health learning, sexual experiences and preferences relating to sexual health promotion events at university. Results from interviews and surveys were used to inform the design of a peer-led, socially focused sexual health promotion event, Sexy Trivia. This event was run by peer educators at two university organisations, and participants were randomly assigned to either Sexy Trivia, or a sexual health talk from a local sexual health and family planning centre for comparison. Results: Peer educators were often not given sufficient support in their roles, leading to certain groups, such as international and LGBTI students missing out on relevant sexual health promotion opportunities. Students from these groups, along with higher-risk students, showed marked differences in preferences for sexual health promotion events, however common features included the presence of friends as a motivator to attend and low self-perception of risk, even amongst higher-risk students. Sexy Trivia was successful in attracting attendees and was significantly more effective than a sexual health talk at increasing subjective norm scores about sexual health testing. Conclusion: While current university sexual health events include some features that align with student group priorities, elements beyond sexual health information, such as social activity, alcohol incentives and on-site sexual health testing, can be helpful tools to attract students not currently engaged with sexual health messages. This research will help to empower peer educators to more effectively engage different groups of university students and change attitudes towards sexual health.

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Vindigni, Dein. "Promoting the musculoskeletal health of Indigenous Australians living in rural Communities. Aboriginal Health in Aboriginal Hands." Thesis, 2005. http://hdl.handle.net/1959.13/24759.

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To date, there has been only limited research investigating the musculoskeletal health of Indigenous Australians. Nevertheless, the pain and disability associated with musculoskeletal conditions are thought to be high. This thesis reports on the outcomes of a cross-sectional survey and clinical assessment designed to measure the prevalence of musculoskeletal conditions, and uses them to inform the development of a community-based musculoskeletal training program for Indigenous Australians living in one of the largest rural Indigenous communities in Australia. There were three separate community-based studies comprising this thesis: The first describes the development of measures for assessing the prevalence of musculoskeletal conditions and the associated risk factors and barriers to managing these conditions for people living in this Community. The development of a screening survey and clinical assessment protocol was based on a literature search, existing validated measures, feedback from Indigenous focus groups and pilot testing with Indigenous people in order to achieve cultural appropriateness. The second study piloted the research tools, then measured and assessed the prevalence of musculoskeletal conditions, associated risk factors and barriers to managing these conditions in the Community. The third study describes the development and implementation of a preliminary community-based intervention delivered by AHWs that responded to the outcomes of the prevalence study. It assessed the cultural acceptability of a musculoskeletal training program (MTP), as well as piloting an approach to assessing changes in skills and knowledge of Aboriginal Health Workers (AHWs) who participated in the MTP. The conduct of these studies reiterates the difficulties associated with conducting studies in Indigenous Communities according to mainstream concepts, which rely on randomly selecting participants in order to achieve generalisability to the larger population. Beyond empowering Indigenous people through sustainable, community-based training initiatives, lies the immediate need to improve access to musculoskeletal health services and to remove this current and considerable barrier to improving the musculoskeletal health of Indigenous Australians. The conclusions of this thesis highlight the importance of giving consideration to cultural sensitivity and collaboration in planning health service delivery to Indigenous people. The application of the community-based model used in this study may have the potential to be seeded in Communities throughout the country as a step towards promoting the musculoskeletal health of Indigenous people living in rural Australia and beyond.
PhD Doctorate

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46

Vindigni, Dein. "Promoting the musculoskeletal health of Indigenous Australians living in rural Communities. Aboriginal Health in Aboriginal Hands." 2005. http://hdl.handle.net/1959.13/24759.

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To date, there has been only limited research investigating the musculoskeletal health of Indigenous Australians. Nevertheless, the pain and disability associated with musculoskeletal conditions are thought to be high. This thesis reports on the outcomes of a cross-sectional survey and clinical assessment designed to measure the prevalence of musculoskeletal conditions, and uses them to inform the development of a community-based musculoskeletal training program for Indigenous Australians living in one of the largest rural Indigenous communities in Australia. There were three separate community-based studies comprising this thesis: The first describes the development of measures for assessing the prevalence of musculoskeletal conditions and the associated risk factors and barriers to managing these conditions for people living in this Community. The development of a screening survey and clinical assessment protocol was based on a literature search, existing validated measures, feedback from Indigenous focus groups and pilot testing with Indigenous people in order to achieve cultural appropriateness. The second study piloted the research tools, then measured and assessed the prevalence of musculoskeletal conditions, associated risk factors and barriers to managing these conditions in the Community. The third study describes the development and implementation of a preliminary community-based intervention delivered by AHWs that responded to the outcomes of the prevalence study. It assessed the cultural acceptability of a musculoskeletal training program (MTP), as well as piloting an approach to assessing changes in skills and knowledge of Aboriginal Health Workers (AHWs) who participated in the MTP. The conduct of these studies reiterates the difficulties associated with conducting studies in Indigenous Communities according to mainstream concepts, which rely on randomly selecting participants in order to achieve generalisability to the larger population. Beyond empowering Indigenous people through sustainable, community-based training initiatives, lies the immediate need to improve access to musculoskeletal health services and to remove this current and considerable barrier to improving the musculoskeletal health of Indigenous Australians. The conclusions of this thesis highlight the importance of giving consideration to cultural sensitivity and collaboration in planning health service delivery to Indigenous people. The application of the community-based model used in this study may have the potential to be seeded in Communities throughout the country as a step towards promoting the musculoskeletal health of Indigenous people living in rural Australia and beyond.
PhD Doctorate

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Dissertations / Theses on the topic 'Health promotion – Australia'

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