144 results on '"Mutch, Allyson"'
Search Results
2. The nurse navigator: Broker, boundary spanner and problem solver
- Author
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Hannan-Jones, Clare M., Mitchell, Geoffrey K., and Mutch, Allyson J.
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- 2021
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3. Views and preferences of people living with HIV about smoking, quitting and use of nicotine products
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Edwards, Stephanie, Fitzgerald, Lisa, Mutch, Allyson, Dean, Judith A, Ford, Pauline, Howard, Chris, Watts, Peter, and Gartner, Coral
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- 2021
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4. Exploring Intimate Partner Violence in Polynesia : A Scoping Review
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Heard, Emma, Fitzgerald, Lisa, Whittaker, Maxine, Va’ai, Sina, and Mutch, Allyson
- Published
- 2020
5. Using Applied Theater in Primary, Secondary, and Tertiary Prevention of Intimate Partner Violence : A Systematic Review
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Heard, Emma, Mutch, Allyson, and Fitzgerald, Lisa
- Published
- 2020
6. Intimate Partner Violence Prevention: Using Interactive Drama for Intimate Relationship Education with Young People in Samoa
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Heard, Emma, Fitzgerald, Lisa, Vaai, Sina, Whittaker, Maxine, Aiolupotea, Tonumaipe'a J., Collins, Fiona, and Mutch, Allyson
- Abstract
Globally, young people experience physical, sexual and emotion abuse within their intimate relationships. There is a need to explore creative, participatory sexual and relationship education that provides spaces for critical reflection regarding gender norms and approaches within intimate relationships. This study explores an interactive theatre intervention aimed at uncovering and analysing social and cultural influences affecting experiences and approaches within intimate relationships among young people in Samoa. Focus groups were conducted with the audience before and after a public, interactive theatre production. Focus groups aimed to capture shifts in understandings and perceptions as well as overall experiences related to participating in the production. Post production, participants showed a deepened of understandings related to social and cultural factors influencing approaches and actions within intimate relationships. Participants engaged in dialogue around new possible approaches to initiating and maintaining intimate relationships free from violence. Embodied learning opportunities appeared to contribute to feelings of empowerment to try out new responses in everyday life. Study findings highlight a role for drama in intimate relationship education and advocate for the inclusion of intersectionality informed approaches that uncover diversity within a group and acknowledge interactions between individuals' social position(s) within complex social and cultural contexts.
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- 2019
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7. How can HIV/STI testing services be more accessible and acceptable for gender and sexually diverse young people?: A brief report exploring young people's perspectives in Queensland
- Author
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Heard, Emma, Oost, Ellen, McDaid, Lisa, Mutch, Allyson, Dean, Judith, and Fitzgerald, Lisa
- Published
- 2020
8. Creating Reflexive Health Promotion Practitioners : Our Process of Integrating Reflexivity in the Development of a Health Promotion Course
- Author
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Wigginton, Britta, Fjeldsoe, Brianna, Mutch, Allyson, and Lawler, Sheleigh
- Published
- 2019
9. Understanding the Social and Emotional Dimensions of HIV Self-Management: A Qualitative Study of Newly Diagnosed People Living With HIV in Queensland, Australia
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Hollingdrake, Olivia, Dean, Judith, Mutch, Allyson, Lui, Chi-Wai, Howard, Chris, and Fitzgerald, Lisa
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- 2022
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10. A Journey towards Sustainable Feedback
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Mutch, Allyson, Young, Charlotte, Davey, Tamzyn, and Fitzgerald, Lisa
- Abstract
Meeting students' expectations associated with the provision of feedback is a perennial challenge for tertiary education. Efforts to provide comprehensive, timely feedback within our own first year undergraduate public health courses have not always met students' expectations. In response, we sought to develop peer feedback activities to support the development of "self-evaluative strategies" that would acknowledge the centrality of students in the feedback process. We describe these activities, their staged development and the qualitative and quantitative data gathered from students and the teaching teams to evaluate this. Our first steps towards embedding peer feedback with first year students indicated they are willing to engage in the process and appreciated the opportunity to provide and receive feedback, but the quality and extent of the peer feedback was largely superficial. Students' reflections on the feedback received were also shallow. Supporting students to develop self-evaluative skills cannot be achieved in the short term, but must be embedded in courses and consistently reinforced, with greater emphasis placed on the development of a dialogue around feedback that connects students with peers and educators.
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- 2018
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11. Social marketing and mass media interventions to increase sexually transmissible infections (STIs) testing among young people: social marketing and visual design component analysis.
- Author
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Riddell, Julie, Cleary, Anne, Dean, Judith A., Flowers, Paul, Heard, Emma, Inch, Zeb, Mutch, Allyson, Fitzgerald, Lisa, and McDaid, Lisa
- Subjects
YOUNG adults ,SEXUALLY transmitted diseases ,SOCIAL media in marketing ,SOCIAL marketing ,CONSCIOUSNESS raising - Abstract
Introduction: Globally, sexually transmissible infections (STIs) continue to disproportionately affect young people. Regular STI testing is an important public health strategy but remains low among this age group. Raising awareness of testing is an essential step and requires effective interventions designed for young people. To inform the development of effective interventions that promote STI testing among young people, we conducted a systematic literature review to describe the social marketing and visual design components commonly found in STI testing interventions and explore associations of these components with intervention effectiveness. Methods: We used a systemic review methodology to identify peer-reviewed articles that met pre-defined inclusion criteria. Social marketing and visual component analyses were conducted using structured data extraction tools and coding schemes, based on the eight key social marketing principles and 28 descriptive dimensions for visual analysis. Results: 18 studies focusing on 13 separate interventions met the inclusion criteria. Most interventions used photograph-based images, using conventionally attractive actors, positioned centrally and making direct eye contact to engage the viewer. The majority of interventions featured text sparingly and drew on a range of tones (e.g. serious, humorous, positive, reassuring, empowering and informative) and three interventions used sexualised content. Four articles explicitly stated that the interventions was informed by social marketing principles, with two explicitly referencing all eight principles. Around half of the articles reported using a formal theoretical framework, but most were considered to have theoretical constructs implicit in interventions materials. Four articles provided detailed information regarding developmental consumer research or pre-testing. All articles suggested segmentation and development of materials specifically for young people. Explicit consideration of motivation and competition was lacking across all articles. This study found that there were some design elements common to interventions which were considered more effective. High social marketing complexity (where interventions met at least seven of the 11 criteria for complexity) seemed to be associated with more effective interventions. Conclusions: Our findings suggest that the incorporation of social marketing principles, could be more important for intervention effectiveness than specific elements of visual design. Effective and systematic use of social marketing principles may help to inform future evidence-informed and theoretically based interventions and should be employed within sexual health improvement efforts. [ABSTRACT FROM AUTHOR]
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- 2024
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12. HIV Testing in Men who have Sex with Men: A Follow-up Review of the Qualitative Literature since 2010
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Lui, Chi-Wai, Dean, Judith, Mutch, Allyson, Mao, Limin, Debattista, Joseph, Lemoire, Jime, Howard, Chris, Whittaker, Andrea, Hollingdrake, Olivia, and Fitzgerald, Lisa
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- 2018
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13. Proposed changes to Medicare: undermining equity and outcomes in Australian primary health care?
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Williams, Owain, Mutch, Allyson, Douglas, Pamela S., Boyle, Frances M., and Hill, Peter S.
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- 2015
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14. Australian urban Indigenous smokersʼ perspectives on nicotine products and tobacco harm reduction
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Yuke, Kym, Ford, Pauline, Foley, Wendy, Mutch, Allyson, Fitzgerald, Lisa, and Gartner, Coral
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- 2018
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15. A multi-level ecological model of psychotropic prescribing to adults with intellectual disability
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Edwards, Niki, Bain, Chris, Mutch, Allyson, Dean, Julie, and Lennox, Nicholas
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- 2013
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16. Shakespeare in Prison: affecting health and wellbeing
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Marie Heard, Emma, Mutch, Allyson, Fitzgerald, Lisa, and Pensalfini, Rob
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- 2013
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17. Collaboration amongst third-sector organisations: empirical findings
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Mutch, Allyson
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- 2007
18. Using medical education to develop referral pathways from general practice to the community
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Boyle, Frances M., Mutch, Allyson, and Dean, Julie
- Published
- 2005
19. Stuck in the catch 22: attitudes towards smoking cessation among populations vulnerable to social disadvantage
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Pateman, Kelsey, Ford, Pauline, Fizgerald, Lisa, Mutch, Allyson, Yuke, Kym, Bonevski, Billie, and Gartner, Coral
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- 2016
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20. Understanding access to healthcare for gender diverse young people: a critical review of the literature.
- Author
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Lovejoy, Charlotte, Fitzgerald, Lisa, and Mutch, Allyson
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YOUNG adults ,BINARY gender system ,HEALTH services accessibility ,MEDICAL personnel ,GENDER ,SEXUAL health - Abstract
Gender diverse young people face well-documented physical, mental and sexual health disparities compared to the general population. Differential access to healthcare is a key driver of these inequities and literature highlights high unmet healthcare need among members of this group. Healthcare access has been described through a model that defines five dimensions of health services: approachability; acceptability; availability and accommodation; affordability; and appropriateness; and five abilities of health service consumers that interact with these dimensions: the abilities to perceive, seek, reach, pay and engage. This comprehensive literature review examined barriers to and facilitators of healthcare access among gender diverse young people using the lens provided by this model as it relates to dimensions of access at the health service level and/or the abilities of health service users. We advocate expansion of this model to incorporate demand- and supply-side barriers and facilitators of access, and important structural factors including the gender binary health system framework, intersectionality and stigma. Findings highlight the need for improvements to healthcare provider education and the participatory redesign of health services with a focus on intersectionality, individually-tailored service provision and healthcare that is responsive to the unique needs of gender diverse young people. [ABSTRACT FROM AUTHOR]
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- 2023
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21. HIV Health literacy beyond the biomedical model: an innovative visual learning tool to highlight the psychosocial complexities of care.
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Hollingdrake, Olivia, Howard, Chris, Lui, Chi-Wai, Mutch, Allyson, Dean, Judith, and Fitzgerald, Lisa
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HIV infections ,HEALTH literacy ,LEARNING - Abstract
The HIV care continuum represents a linear clinical pathway from testing to viral suppression; however, it does not capture the psychosocial complexities of contemporary HIV care. We developed an innovative and appealing visual learning resource to extend the scope of HIV health literacy beyond biomedical constructs. Based on the lived experiences of recently diagnosed people living with HIV in Queensland, the "Journeys through the HIV Care Continuum" Map presents the continuum as a complex journey incorporating challenges such as poor health literacy, health service access and stigma alongside facilitators to care, including emotional and peer support. Designed for audiences who may not access academic literature, the Map can be used to facilitate conversations between recently diagnosed people living with HIV and peer navigators, and as a learning tool for health professionals, carers and students. The Map highlights opportunities to support PLHIV in meaningful ways that will reduce stigma and promote care access. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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22. "They're My Go-To People": A Qualitative Study of Support Networks for People Recently Diagnosed With HIV in Queensland, Australia.
- Author
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Hollingdrake, Olivia, Lui, Chi-Wai, Dean, Judith A., Mutch, Allyson, Howard, Chris, and Fitzgerald, Lisa
- Abstract
Support networks promote care engagement and prevent social isolation for people living with HIV (PLWH). This study examined the personal support networks of recently diagnosed PLWH and explored how these networks change over time. We developed qualitative social network maps with 10 recently diagnosed PLWH in Queensland and identified unique and dynamic support networks. Network changes over time were influenced by changing support needs and experiences of stigma. Some support networks grew, whereas others remained small and close-knit or became sparse. The pivotal role of peers for information and emotional support was revealed. Socially isolated PLWH also described substantial reliance on long-term professional support. Others described reasons why health professionals were excluded from support networks, revealing the importance of nonjudgmental attitudes and HIV literacy among health professionals. Facilitating ongoing links with peers and professionals are crucial strategies to help PLWH foster effective and sustainable networks for comprehensive long-term support. [ABSTRACT FROM AUTHOR]
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- 2022
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23. Social support networks of people recently diagnosed with HIV in Qld
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Hollingdrake, Olivia, Dean, Judith, Lui, Chi-Wai, Mutch, Allyson, and Fitzgerald, Lisa
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- 2017
24. Exchange, Reciprocity, and Citizenship — Principles of Access and the Challenge to Human Rights in the Third Sector: An Australian Perspective
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Short, Patricia M. and Mutch, Allyson
- Published
- 2001
25. Using information and communication technology learnings to alleviate social isolation for older people during periods of mandated isolation: A review.
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Todd, Emily, Bidstrup, Bronwyn, and Mutch, Allyson
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SOCIAL participation ,ONLINE information services ,CINAHL database ,MEDICAL databases ,PSYCHOLOGY information storage & retrieval systems ,SOCIAL support ,MASS media ,MEDICAL information storage & retrieval systems ,SYSTEMATIC reviews ,INTERNET ,VIDEOCONFERENCING ,MEDICAL care ,SOCIAL isolation ,COMMUNICATION ,INTERPERSONAL relations ,RESIDENTIAL care ,SOCIAL distancing ,SOCIAL skills ,MEDLINE ,INFORMATION technology ,OLD age - Abstract
Objective: To examine the effectiveness of information and communication technologies (ICTs) in reducing social isolation in older people and draw recommendations from previous literature appropriate for informing ICT use in future mandated periods of isolation. Methods: A systematically conducted review of key databases to identify studies investigating ICT interventions that targeted social isolation or loneliness among older people. Results: Fifteen articles were identified. All articles used ICT as an intervention for targeting social isolation with varying results. Most studies reported positive impacts on social isolation, but this was identified more in self-reporting compared to changes in baseline measures. The types of ICT used included videoconferencing, Internet-based applications and purpose-designed applications. A number of factors were also identified throughout the studies that impacted uptake that should be considered when implementing ICT. Conclusions: Overall, we found evidence of ICT improving social connectedness of older people to some extent although more rigorous research in future is needed. Recommendations from previous literature highlight the importance of including older people in purposeful design, engaging families and support networks, and providing ongoing ICT training and support so that systems and skills are in place for future periods of mandated isolation. The literature also warns us not to rely on ICT as the only avenue for social interaction either during or outside periods of social distancing. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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26. Evaluation of a commissioned end-of-life care service in Australian aged care facilities.
- Author
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Mitchell, Geoffrey, Melaku, Megdelawit, Moss, Allison, Chaille, Glenda, Makoni, Blessing, Lewis, Lannette, and Mutch, Allyson
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MEDICAL quality control ,AUDITING ,TERMINAL care ,NURSE administrators ,NURSING ,FOCUS groups ,CONFIDENCE ,NURSING specialties ,RESEARCH methodology ,OUTPATIENT medical care management ,ACQUISITION of data ,INTERVIEWING ,QUANTITATIVE research ,NURSING care facilities ,QUALITATIVE research ,PRE-tests & post-tests ,MEDICAL records ,HOSPICE nurses ,THEMATIC analysis ,ELDER care - Abstract
Residential aged care facilities (RACFs) face severe challenges in the provision of high-quality end of life care. A pilot of a nurse-led end-of-life palliative care consultative service (CiMaS) supporting RACFs was conducted in three RACFs in the West Moreton Region of Queensland, Australia, from May 2018. We conducted a mixed method evaluation comprising: a chart audit of deaths in the 12 months before and after the intervention; focus groups with RACF staff; and interviews with facility directors, primary family members and GPs. Quantitative and Qualitative data were assessed separately with statistical and thematic analyses respectively. The RACFs cared for 277 residents. There were 24 pre-intervention deaths and 44 in the intervention period (28 (64%) referred to CiMaS). There was widespread support for the service. Families felt supported and knowledgeable about what was happening. Care plans were almost always recorded in health records. Patients' symptoms appeared to be better recognised and managed. Staff and Facility managers felt more support than previously, with more responsive and reliable out of hours support. There were significant care improvements in patients not referred to CiMaS, suggesting a learning effect. GPs observed improvements in nursing staff confidence and support to families. Transfers to hospitals fell by two-thirds for both referred and non-referred patients compared with the year before implementation. The program was both efficient and effective. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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27. Peer navigators' role in supporting people living with human immunodeficiency virus in Australia: Qualitative exploration of general practitioners' perspectives.
- Author
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Khalpey, Zoyah, Fitzgerald, Lisa, Howard, Chris, Istiko, Satrio Nindyo, Dean, Judith, and Mutch, Allyson
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HIV infections & psychology ,AFFINITY groups ,OCCUPATIONAL roles ,HIV infections ,PRIVACY ,SOCIAL support ,MEDICINE information services ,HEALTH services accessibility ,PROFESSIONS ,WORK ,RESEARCH methodology ,SELF-management (Psychology) ,PATIENT-centered care ,PHYSICIANS' attitudes ,INTERVIEWING ,FEAR ,SOCIAL stigma ,COMMUNITY health services ,PRIMARY health care ,QUALITATIVE research ,HEALTH information services ,EXPERIENTIAL learning ,RESEARCH funding ,DESCRIPTIVE statistics ,SOUND recordings ,MEDICAL ethics ,COMMUNICATION ,PATIENT education ,THEMATIC analysis ,PSYCHOLOGY of HIV-positive persons ,SOCIAL case work - Abstract
The redefining of human immunodeficiency virus (HIV) from an acute disease to a manageable chronic illness has reshaped the focus of care, emphasising clinical outcomes and sidelining the complex social barriers many people living with HIV (PLHIV) still face. This parallels changes in the location of HIV care in Australia, with many PLHIV seeking care from private general practitioners whose ability to address complex social issues is constrained by limitations of time and resources. In response, peer navigation has emerged as a model of care implemented by some HIV‐based community health organisations seeking to support PLHIV's biomedical and psychosocial needs. However, there is limited understanding of how peer navigation operates in community settings or of the way these programmes integrate with primary care. This paper is the first to explore peer navigation from the perspective of general practitioners (GPs), with experience in treating PLHIV, to understand the role they see for peer navigators (PNs) in supporting PLHIV. Semi‐structured in‐depth interviews were conducted with six GPs (11.5% of specialty HIV GPs in Queensland, Australia) to examine their views and experiences of peer navigation in the context of HIV care. GPs highlighted the complexities of care for PLHIV and the need for additional resources and supports for psychosocial care. GPs valued peer navigation as part of a patient support network and bridge to health and social care systems. PNs normalised HIV, alleviating fear and stigma, educating and translating clinical information for patients. However, a key challenge was the absence of direct communication pathways with PNs. Peer navigation has clear potential in supporting the care of PLHIV, to alleviate constraints in GP settings and expand HIV care beyond the clinic. [ABSTRACT FROM AUTHOR]
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- 2022
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28. Consumer health organisations for people with diabetes and arthritis: who contacts them and why?
- Author
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Boyle, Frances M., Mutch, Allyson J., Dean, Julie H., Dick, Marie-Louise, and Del Mar, Christopher B.
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- 2009
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29. 'The spiral just keeps on going' : Cascading health and social issues for women living and aging with HIV.
- Author
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Herron, Lisa-Maree, Mutch, Allyson, Mugamu, Melania, Howard, Chris, and Fitzgerald, Lisa
- Abstract
Background: There has been limited qualitative inquiry aimed at understanding the gendered and unique experiences of women living with HIV in high-income countries. In Australia, the relatively small number of women living with HIV means they have been largely overlooked in social, clinical, and policy representations of HIV over time. Objectives: To explore the experiences of women living long-term and aging with HIV, to understand the complex intersections between their health and social trajectories. Methods: Data were collected as part of Living Positive in Queensland, a longitudinal qualitative study of the experiences of living long-term and aging of people living with HIV in Queensland, Australia. This study analysed data from three annual, semi-structured interviews with the 11 female participants. Results: Women negotiated gendered roles and identities as they grappled with ongoing and intertwined health and psychosocial challenges over their life course. Development of co-morbidities, experiences of stigma, gendered social roles, financial precarity, and limited social support amplified the challenges of living with HIV and cumulatively impacted women's health and wellbeing as they aged with HIV. Conclusion: The health and wellbeing of women living with HIV are adversely impacted by intersecting complex health issues, HIV-related stigma, gendered identities, social disadvantage, and aging. Greater attention to the unique needs of women living with HIV is necessary to reduce the prevalence of psychological distress, financial stress, and vulnerability to social isolation which, in turn, lead to poorer health. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
30. Enduring stigma and precarity: A review of qualitative research examining the experiences of women living with HIV in high income countries over two decades.
- Author
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Herron, Lisa-Maree, Mutch, Allyson, Lui, Chi-Wai, Kruizinga, Lara, Howard, Chris, and Fitzgerald, Lisa
- Subjects
- *
ONLINE information services , *CINAHL database , *SYSTEMATIC reviews , *SOCIAL stigma , *PSYCHOLOGY of women , *MEDLINE , *PSYCHOLOGY of HIV-positive persons ,DEVELOPED countries - Abstract
The lived experience of HIV for women remains poorly understood. In particular, there has been little attention to the consequences for women living with HIV (WLHIV) of changing social, epidemiological, biomedical and policy contexts, or to the implications of long-term treatment and aging for the current generation of HIV-positive women. We reviewed qualitative research with WLHIV in selected high-income countries (Australia, Canada, New Zealand, the UK and the USA) to identify the most prevalent experiences of HIV for women and trends over time. Our synthesis highlights the relative consistency of experiences of a diverse sample of WLHIV, particularly the enduring prevalence of gendered HIV-related stigma, sociostructural barriers to healthcare and support, and negative encounters with health professionals. We also identified gaps in knowledge. Understanding women's experiences, particularly their changing needs and strategies for coping as they live long-term with HIV, is key to effective support and services for WLHIV. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
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31. Mental health promotion and non-profit health organisations
- Author
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Boyle, Frances M., Donald, Maria, Dean, Julie H., Conrad, Sue, and Mutch, Allyson J.
- Published
- 2007
32. “We Can Talk While We’re Walking”: Seeking the Views of Adults With Intellectual Disability to Inform a Walking and Social-Support Program.
- Author
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Brooker, Katie, Mutch, Allyson, McPherson, Lyn, Ware, Robert, Lennox, Nick, and van Dooren, Kate
- Subjects
- *
ATTITUDE testing , *CONSUMER attitudes , *CONVERSATION , *HEALTH behavior , *INTERVIEWING , *RESEARCH methodology , *PEOPLE with intellectual disabilities , *SOCIAL participation , *WALKING , *QUALITATIVE research , *THEMATIC analysis , *HUMAN services programs , *PHYSICAL activity - Abstract
To better understand how physical activity programs may contribute to improved health and social-support outcomes for people with intellectual disability, the authors conducted semistructured interviews with 11 people with intellectual disability and community-based volunteers in Brisbane, Australia. Three broad themes emerged: individual factors that generally facilitated activity, external factors that posed barriers to participation, and broader normative factors that directed participation. A key reflection arising out of the thematic analysis was that participants with intellectual disability and volunteers highlighted subtle but pervasive differences in barriers and facilitators to being active. Recommendations are provided for interventions aiming to improve physical activity and social support among those with intellectual disability. The authors’ research process demonstrates the utility of seeking the views of potential participants before program rollout to inform implementation and demonstrates the usefulness of a qualitative, actively inclusive approach to health interventions. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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33. Applying intersectionality theory in health promotion research and practice.
- Author
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Heard, Emma, Fitzgerald, Lisa, Wigginton, Britta, and Mutch, Allyson
- Subjects
AGE distribution ,CONCEPTUAL structures ,HEALTH promotion ,HEALTH services accessibility ,PUBLIC health ,RACE ,HUMAN sexuality ,SEX distribution ,SOCIOECONOMIC factors - Abstract
Health promotion researchers and practitioners are grappling with how to address growing health inequalities for population groups. In particular, critiques of dominant behaviour change approaches draw attention to the need to engage with social theories to better understand the social and relational drivers of health. Public health researchers are increasingly acknowledging intersectionality as an important theoretical approach, providing a framework for investigating health inequalities by highlighting intersections of individuals' multiple identities within social systems of power that compound and exacerbate experiences of ill health. This article provides an overview of the diverse ways public health researchers and practitioners have applied intersectionality theory to better understand and address health inequalities. We map three key applications of intersectionality theory in public health: as an epistemological approach, as a methodological approach, and as a tool for action and intervention. Drawing on this work, we argue that health promotion researchers and practitioners can enhance engagement with intersectionality theory to address important challenges within the field. Through this article, we aim to inspire the continued exploration of intersectionality and offer some insights into opportunities and challenges for doing so in health promotion. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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34. Factors affecting the embedding of integrated primary–secondary care into a health district.
- Author
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Mitchell, Geoffrey K., Young, Charlotte E., Janamian, Tina, Beaver, Kylie M., Johnson, Joanne L. K., Hannan-Jones, Clare, and Mutch, Allyson J.
- Subjects
ACTION research ,COMMUNICATION ,COMMUNITY health services ,ENDOWMENTS ,FAMILY medicine ,HEALTH care teams ,HEALTH services accessibility ,INTEGRATED health care delivery ,INTERVIEWING ,RESEARCH methodology ,MEDICAL care ,MEDICAL needs assessment ,MEDICAL protocols ,PRIMARY health care ,RESEARCH funding ,SURVEYS ,QUALITATIVE research ,THEMATIC analysis ,HUMAN services programs ,PATIENT-centered care ,EVALUATION of human services programs ,DATA analysis software ,SECONDARY care (Medicine) ,CLINICAL governance - Abstract
With the aging population, the tide of chronic disease is rising with attendant increases in health service need. Integrated care and patient-centred approaches, which established partnerships between a regional Hospital and health service (HHS), the local primary health network and local general practitioners (GPs), were identified as exemplars of an approach needed to support growing community health needs. This paper summarises the findings from a process evaluation of four GP–specialist care integration programs with the aim of identifying recommendations for embedding integrated GP–specialist care into routine practice within the HHS. The process evaluation of the integration programs drew on input from a multidisciplinary expert advisory group and data collected through face-to-face semi-structured interviews with key stakeholders, as well as surveys of participating GPs and patients. Overarching findings were identified and grouped under six themes: interdisciplinary teamwork; communication and information exchange; the use of shared care guidelines or pathways; training and education; access and accessibility; and funding. Within each theme, key challenges and enablers emerged. The findings of this study highlight benefits and challenges associated with the establishment of integrated care between primary and secondary care providers, leading to the development of key recommendations for routine integration. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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35. Consumer perspectives on pharmacy staff roles in providing oral health services in Australia.
- Author
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Pateman, Kelsey, Huang, Jialin, Ford, Pauline J., Mutch, Allyson, Freeman, Christopher R., and Taing, Meng‐Wong
- Subjects
CONSUMER attitudes ,DENTAL care ,FOCUS groups ,INTEGRATED health care delivery ,INTERVIEWING ,RESEARCH methodology ,MEDICAL screening ,METROPOLITAN areas ,ORAL hygiene ,PREVENTIVE dentistry ,PRIMARY health care ,PROFESSIONAL ethics ,RESEARCH funding ,QUALITATIVE research ,JUDGMENT sampling ,OCCUPATIONAL roles ,SOCIAL boundaries ,THEMATIC analysis ,DATA analysis software ,DESCRIPTIVE statistics - Abstract
Australian and international findings report pharmacy staff are motivated to expand and undertake new roles in public health and expressed a strong interest in providing oral healthcare services to the community. We sought to describe consumer experiences within primary oral healthcare, and views about pharmacy staff roles and boundaries in providing oral health services as perceived by a sample of consumers living within metropolitan Australia. Sampling occurred purposively to enable diverse perspectives on the topic. Socioeconomic status, as defined by the Socio‐Economic Index for Areas, was used as the primary criteria to stratify focus group recruitment. Thematic, in‐depth analysis of focus group discussions was carried out. In all, 34 participants took part in six focus groups, held in metropolitan settings in Queensland, Australia. Findings show that consumers supported pharmacy staff performing non‐invasive oral health services including providing oral health education and advice, reviewing medications and recommending evidence‐based medications. As services became more invasive (i.e., oral screening and fluoride application), questions and concerns were raised around the appropriateness of the community pharmacy setting and the level of training of pharmacy staff to provide these services. This study identifies the need to support greater integration of oral healthcare roles by community pharmacy staff. Future innovative and collaborative research involving additional stakeholder groups are necessary to explore, develop and test the feasibility and effectiveness of pharmacy‐led oral healthcare models. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
36. Intimate partner violence prevention: using interactive drama for intimate relationship education with young people in Samoa.
- Author
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Heard, Emma, Fitzgerald, Lisa, Vaai, Sina, Whittaker, Maxine, Aiolupotea, Tonumaipe'a J., Collins, Fiona, and Mutch, Allyson
- Subjects
VIOLENCE prevention ,INTIMATE partner violence ,CULTURE ,FOCUS groups ,HUMAN rights ,PERFORMING arts ,RESEARCH funding ,SELF-efficacy ,GENDER role ,SOCIALIZATION ,TRUST ,FAMILY relations ,TEACHING methods ,THEMATIC analysis ,PRE-tests & post-tests - Abstract
Globally, young people experience physical, sexual and emotion abuse within their intimate relationships. There is a need to explore creative, participatory sexual and relationship education that provides spaces for critical reflection regarding gender norms and approaches within intimate relationships. This study explores an interactive theatre intervention aimed at uncovering and analysing social and cultural influences affecting experiences and approaches within intimate relationships among young people in Samoa. Focus groups were conducted with the audience before and after a public, interactive theatre production. Focus groups aimed to capture shifts in understandings and perceptions as well as overall experiences related to participating in the production. Post production, participants showed a deepened of understandings related to social and cultural factors influencing approaches and actions within intimate relationships. Participants engaged in dialogue around new possible approaches to initiating and maintaining intimate relationships free from violence. Embodied learning opportunities appeared to contribute to feelings of empowerment to try out new responses in everyday life. Study findings highlight a role for drama in intimate relationship education and advocate for the inclusion of intersectionality informed approaches that uncover diversity within a group and acknowledge interactions between individuals' social position(s) within complex social and cultural contexts. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
37. Exploring nurse navigators' contribution to integrated care: a qualitative study.
- Author
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Hannan-Jones, Clare, Young, Charlotte, Mitchell, Geoffrey, and Mutch, Allyson
- Subjects
COMMUNICATION ,COMMUNITY health nursing ,CONTINUUM of care ,FOCUS groups ,HEALTH promotion ,INTEGRATED health care delivery ,INTERDISCIPLINARY education ,INTERPROFESSIONAL relations ,INTERVIEWING ,RESEARCH methodology ,NURSES ,NURSING practice ,TRUST ,QUALITATIVE research ,OCCUPATIONAL roles ,SOCIAL support ,THEMATIC analysis ,PATIENT-centered care - Abstract
This paper examines nurse navigation as a model of integrated care operating across primary and secondary healthcare settings. A two-phase qualitative study involving a focus group with seven nurse navigators (NNs) to explore their understandings and perceptions of the role, followed by in-depth interviews with three NNs to examine current practice, was undertaken in Queensland, Australia. NNs' role spanned a continuum of patient and population care, and involved engagement in clinical integration, coordinating patient care and providing education and points-of-contact for healthcare professionals. NNs also engaged in professional integration, fostering interdisciplinary collaboration, education and connections between healthcare professionals, while promoting integrated care across care settings. NNs were enabled through the establishment of relationships, trust and shared communication between stakeholders. NNs' work transcended traditional clinical boundaries, operating horizontally across silos and specialties, which allowed them to avoid (some) system shortfalls. By contributing to a culture of integration, NNs can potentially support more sustainable integrated care practices that extend relationships between healthcare professionals and beyond individual patients. Increasing our understanding of nurse navigation as a model of integrated care, this study illustrates the complexity, diversity and breadth of the role and its ability to contribute to broader, system-wide integration. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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38. 'In the Islands people don't really talk about this stuff, so you go through life on your own': An arts-based study exploring intimate relationships with young people in Samoa.
- Author
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Heard, Emma, Fitzgerald, Lisa, Va'ai, Sina, Collins, Fiona, Whittaker, Maxine, and Mutch, Allyson
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YOUNG adults ,INTIMATE partner violence ,SOCIAL systems ,FAMILIES ,SOCIAL hierarchies - Abstract
Copyright of Culture, Health & Sexuality is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
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39. Factors affecting the decision to initiate antiretroviral therapy in the era of treatment-as-prevention: synthesis of evidence from qualitative research in high-income settings.
- Author
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Hollingdrake, Olivia, Lui, Chi-Wai, Mutch, Allyson, Dean, Judith, Howard, Chris, and Fitzgerald, Lisa
- Subjects
HIV prevention ,ANTIRETROVIRAL agents ,HEALTH services accessibility ,RISK assessment ,SYSTEMATIC reviews ,DECISION making in clinical medicine ,QUALITATIVE research - Abstract
The emergence of treatment-as-prevention has made early initiation of antiretroviral treatment (ART) a "universal" policy. This review synthesizes qualitative research findings on barriers and facilitators of ART initiation in Organization for Economic Co-operation and Development (OECD) countries published since 2010. Ten articles describing seven research studies were included in the review. Findings confirmed ART initiation as a complicated process involving careful deliberation of the personal risks and benefits of treatment within the broader contexts of everyday life for people living with HIV (PLHIV). They also highlight interpersonal dynamics and concern for the public as increasingly important factors in shaping the decision to initiate treatment. The review provides valuable information for understanding treatment behaviour and maximizing treatment options brought forth by new biomedical advances. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
40. Suiga/Change: An Ethnodrama Exploring Challenges in Intimate Relationships With Young People in Samoa.
- Author
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Heard, Emma, Fitzgerald, Lisa, Va'ai, Sina, Collins, Fiona, and Mutch, Allyson
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INTIMATE partner violence ,CONTROL (Psychology) ,DRAMA ,EMPATHY ,INTERPERSONAL relations ,CULTURAL pluralism ,VIOLENCE ,THEMATIC analysis ,SEXUAL partners ,PSYCHOLOGY - Abstract
Intimate partner violence (IPV) is a significant global issue and there is an immediate need to strengthen knowledge and support innovative action, particularly with young people and people in diverse cultural settings. This ethnodrama provides insights into the way young people in Samoa, a Pacific Island nation reporting high rates of IPV, experience and perceive IPV and challenges within intimate relationships. Suiga/Change is an authentic, emotive, and powerful story of four young people who represent the diversity and lived experiences of the wider population of young people in Samoa. Implications for future research and practice are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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- View/download PDF
41. Knowledge and awareness of HIV self-testing among Australian gay and bisexual men: a comparison of never, sub-optimal and optimal testers willingness to use.
- Author
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Dean, Judith, Lui, ChiWai, Mutch, Allyson, Scott, Michael, Howard, Chris, Lemoire, Jime, Crothers, Anna, Fitzgerald, Lisa, and Williams, Owain D.
- Subjects
DIAGNOSIS of HIV infections ,ATTITUDE (Psychology) ,BISEXUAL people ,CONFIDENCE ,DIFFUSION of innovations ,PSYCHOLOGY of gay men ,HEALTH services accessibility ,INTERNET ,STATISTICS ,SURVEYS ,THERAPEUTICS ,MULTIPLE regression analysis ,SOCIAL support ,HEALTH literacy ,SELF diagnosis ,AIDS serodiagnosis ,ODDS ratio ,PSYCHOLOGY - Abstract
This paper explores the willingness to use and pay for HIV Self-testing (HIVST) among Australian gay and bisexual men (GBM). Bivariate and univariate multinominal logistic regression of data from an online survey was performed. Thirty-one (13%) had never HIV tested and 41.9% (88) were testing sub-optimally by Australian guidelines. Half (58.4%, 136) had never heard of HIVST, however, 56.2% (131) reported willingness to use HIVST, with sub-optimal (OR=2.13; p < 0.01) and never-testers (OR=2.01; p < 0.10) significantly more likely to do so than optimal-testers. Most were confident (51.7%, 119) or somewhat confident (29.1%, 67) accessing support following a reactive result, however, never-testers were significantly less confident compared to previous testers (OR=3.47; p< 0.05). Less than a quarter (23.6%, 57) were willing to pay for a kit with AUD$15 (R
2 = 0.9882) the estimated preferred price. This research confirms that HIVST is an important and accepted adjunct to established HIV testing modalities, particularly among sub-optimal and never-testers and that online (61.6%, 143) or clinic-based (61.6%, 143) dissemination are preferred. Research examining how best to disseminate HIVST in a range of safe and effective models needs to continue to ensure HIVST is part of a comprehensive strategy that facilitates usage and linkages to care. [ABSTRACT FROM AUTHOR]- Published
- 2019
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- View/download PDF
42. A journey towards sustainable feedback.
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Mutch, Allyson, Young, Charlotte, Davey, Tamzyn, and Fitzgerald, Lisa
- Subjects
- *
COLLEGE students , *PUBLIC health education , *MEDICAL students , *COLLEGE freshmen , *HIGHER education - Abstract
Meeting students’ expectations associated with the provision of feedback is a perennial challenge for tertiary education. Efforts to provide comprehensive, timely feedback within our own first year undergraduate public health courses have not always met students’ expectations. In response, we sought to develop peer feedback activities to support the development of ‘self-evaluative strategies’ that would acknowledge the centrality of students in the feedback process. We describe these activities, their staged development and the qualitative and quantitative data gathered from students and the teaching teams to evaluate this. Our first steps towards embedding peer feedback with first year students indicated they are willing to engage in the process and appreciated the opportunity to provide and receive feedback, but the quality and extent of the peer feedback was largely superficial. Students’ reflections on the feedback received were also shallow. Supporting students to develop self-evaluative skills cannot be achieved in the short term, but must be embedded in courses and consistently reinforced, with greater emphasis placed on the development of a dialogue around feedback that connects students with peers and educators. [ABSTRACT FROM PUBLISHER]
- Published
- 2018
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43. Tobacco Harm Reduction with Vaporised Nicotine (THRiVe): The Study Protocol of an Uncontrolled Feasibility Study of Novel Nicotine Replacement Products among People Living with HIV Who Smoke.
- Author
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Bell, Stephanie, Dean, Judith, Gilks, Charles, Boyd, Mark A., Fitzgerald, Lisa, Mutch, Allyson, Baker, Peter, Neilsen, Graham, and Gartner, Coral E.
- Published
- 2017
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44. Increasing HIV testing among hard-to-reach groups: examination of RAPID, a community-based testing service in Queensland, Australia.
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Mutch, Allyson J., Chi-Wai Lui, Dean, Judith, Limin Mao, Lemoire, Jime, Debattista, Joseph, Howard, Chris, Whittaker, Andrea, Fitzgerald, Lisa, Lui, Chi-Wai, and Mao, Limin
- Subjects
- *
DIAGNOSIS of HIV infections , *HIV testing kits , *PREVENTIVE medicine , *MEDICAL care , *THERAPEUTICS - Abstract
Background: The success of 'treatment as prevention' (TasP) to control HIV relies on the uptake of testing across priority population groups. Innovative strategies including; rapid HIV testing (RHT) in community and outreach settings, engaging peer service providers, and not requiring disclosure of sexual history have been designed to increase access. This paper reports on the implementation of 'RAPID', a community-based testing program in Queensland, Australia that employs these strategies to increase access to testing.Methods: Service data, including client registration forms and a satisfaction survey from all clients attending RAPID between August 2014 and July 2015 were analysed.Results: In 2014/2015 1,199 people attended RAPID to receive a free HIV test. The majority were urban-based gay men. 17.1% were first-time testers and 20.1% of participants were not eligible to access Medicare, Australia's universal health care scheme.Conclusions: RAPID's evidence-based strategies appear to facilitate access to HIV testing, particularly among those who have never tested before; however the implications for the ongoing treatment and care of people ineligible for Medicare, who test positive to HIV warrants careful consideration. [ABSTRACT FROM AUTHOR]- Published
- 2017
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45. Why do people with chronic disease not contact consumer health organisations? A survey of general practice patients.
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Boyle, Frances M., Dean, Julie H., Young, Charlotte E., and Mutch, Allyson J.
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CHI-squared test ,CHRONIC diseases ,COMMUNITY health services ,CONFIDENCE intervals ,FAMILY medicine ,HEALTH services accessibility ,INTERVIEWING ,MULTIVARIATE analysis ,QUESTIONNAIRES ,RESEARCH funding ,STATISTICAL sampling ,T-test (Statistics) ,LOGISTIC regression analysis ,THEMATIC analysis ,DATA analysis software ,PATIENTS' attitudes ,DESCRIPTIVE statistics ,ODDS ratio - Abstract
AimConsumer health organisations (CHOs) are non-profit or voluntary sector organisations that promote and represent the interests of patients and carers affected by particular conditions. The purpose of this study was to examine, among patients with chronic disease, what differentiates those who contact CHOs from those who do not and what stops people from making contact.BackgroundCHOs can enhance people’s capacity to manage chronic disease by providing information, education and psychosocial support, but are under-utilised. Little is known about barriers to access.MethodsData were from a baseline telephone survey conducted as part of a randomised trial of an intervention to improve access to CHOs. Participants constituted a consecutive sample of 276 adults with diagnosed chronic disease recruited via 18 general practitioners in Brisbane, Australia. Quantitative survey items examined participants’ use and perceptions of CHOs and a single open-ended question explored barriers to CHO use. Multiple logistic regression and thematic analysis were used.FindingsOverall, 39% of participants had ever contacted a CHO for their health and 28% had contacted a CHO specifically focussed on their diagnosed chronic condition. Diabetes, poorer self-reported physical health and greater health system contact were significantly associated with CHO contact. The view that ‘my doctor does it all’ was prevalent and, together with a belief that their health problems were ‘not serious enough’, was the primary reason patients did not make contact.ConclusionAttitudinal and system-related barriers limit use of CHOs by those for whom they are designed. Developing referral pathways to CHOs and promoting awareness about what they offer is needed to improve access. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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46. Are Care Plans Suitable for the Management of Multiple Conditions?
- Author
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Young, Charlotte E., Boyle, Frances M., and Mutch, Allyson J.
- Subjects
CINAHL database ,PSYCHOLOGY information storage & retrieval systems ,MEDICAL databases ,ONLINE information services ,MEDICAL information storage & retrieval systems ,CHRONIC diseases ,SYSTEMATIC reviews ,MEDICAL protocols ,BENCHMARKING (Management) ,MEDLINE ,THEMATIC analysis ,COMORBIDITY ,DISEASE management - Abstract
Background: Care plans have been part of the primary care landscape in Australia for almost two decades. With an increasing number of patients presenting with multiple chronic conditions, it is timely to consider whether care plans meet the needs of patients and clinicians. Objectives: To review and benchmark existing care plan templates that include recommendations for comorbid conditions, against four key criteria: (i) patient preferences, (ii) setting priorities, (iii) identifying conflicts and synergies between conditions, and (iv) setting dates for reviewing the care plan. Design: Document analysis of Australian care plan templates published from 2006 to 2014 that incorporated recommendations for managing comorbid conditions in primary care. Results: Sixteen templates were reviewed. All of the care plan templates addressed patient preference, but this was not done comprehensively. Only three templates included setting priorities. None assisted in identifying conflicts and synergies between conditions. Fifteen templates included setting a date for reviewing the care plan. Conclusions: Care plans are a well-used tool in primary care practice, but their current format perpetuates a single-disease approach to care, which works contrary to their intended purpose. Restructuring care plans to incorporate shared decision-making and attention to patient preferences may assist in shifting the focus back to the patient and their care needs. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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- View/download PDF
47. Teaching hard times: using the flipped classroom to examine social determinants of health in community settings.
- Author
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Fitzgerald, Lisa and Mutch, Allyson
- Abstract
PUBH7620 Social Perspectives is a core course in the University of Queensland School of Population Health Masters of Population Health programme. The course includes a major focus on social inequalities and the social determinants of health. However, many students are challenged in understanding health inequalities and relative poverty in resource rich settings such as Australia. In response to the need for more active and applied learning PUBH7620 moved to a 'flipped classroom' style of teaching in 2013. Flipping the classroom involves students gaining exposure to new material outside the classroom via blended learning and coming together in class time to explore content through active learning and engagement strategies. We outline the process of flipping the classroom to facilitate learning about the social determinants of health in community settings. A facilitated walk 'to examine the social determinants of health around us' was undertaken as a fieldwork activity. Preparation involved a pre-recorded session and key readings. Students undertook a directed community walk and visited a number of community agencies. Students were invited to use their senses in their learning and to take visual images in the form of photographs and post them onto a class flickr site, where they were invited to comment on each other's images. Students wrote reflective journals on the experience as part of their assessment. We will describe the evaluation of this fieldwork activity and illustrate how the flipped classroom can be effectively utilized to develop and facilitate community based contextual learning and illuminate the sociological imagination. [ABSTRACT FROM AUTHOR]
- Published
- 2014
48. A multi-level ecological model of psychotropic prescribing to adults with intellectual disability.
- Author
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Edwards, Niki, Bain, Chris, Mutch, Allyson, Dean, Julie, and Lennox, Nicholas
- Subjects
ADULTS ,AUTISM ,CONCEPTUAL structures ,DRUG prescribing ,PEOPLE with intellectual disabilities ,PSYCHIATRIC drugs ,SELF-injurious behavior ,PHYSICIAN practice patterns ,THEORY ,DISEASE complications - Abstract
Purpose - Simple linear accounts of prescribing do not adequately address reasons "why" doctors prescribe psychotropic medication to people with intellectual disability (ID). Greater understanding of the complex array of factors that influence decisions to prescribe is needed. Design/methodology/approach - After consideration of a number of conceptual frameworks that have potential to better understand prescribing of psychotropic medication to adults with ID, an ecological model of prescribing was developed. A case study is used to outline how the model can provide greater understanding of prescribing processes. Findings - The model presented aims to consider the complexity and multi-dimensional nature of community-based psychotropic prescribing to adults with ID. The utility of the model is illustrated through a consideration of the case study. Research limitations/implications - The model presented is conceptual and is as yet untested. Practical implications - The model presented aims to capture the complexity and multi-dimensional nature of community-based psychotropic prescribing to adults with ID. The model may provide utility for clinicians and researchers as they seek clarification of prescribing decisions. Originality/value - The paper adds valuable insight into factors influencing psychotropic prescribing to adults with ID. The ecological model of prescribing extends traditional analysis that focuses on patient characteristics and introduces multi-level perspectives that may provide utility for clinicians and researchers. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
49. Shakespeare in Prison: affecting health and wellbeing.
- Author
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Heard, Emma Marie, Mutch, Allyson, Fitzgerald, Lisa, and Pensalfini, Rob
- Subjects
- *
PRISONERS' health , *SOCIAL support , *COMMUNICATION , *WELL-being , *PRISON population - Abstract
Purpose – This research aimed to investigate the impacts of the Queensland Shakespeare Ensemble Prison Project (QSEPP) on the health and wellbeing of participants, specifically with regard to social support. Design/methodology/approach – Semi-structured interviews were conducted with prisoners participating in the project to gain insight into perceived sense of support within the QSEPP and across the prison context more broadly. Findings – The QSEPP encouraged participants to foster a range of support networks through the development of relationships built on trust, respect and shared experiences. Participants also developed communication skills which may assist with establishing and maintaining supportive relationships inside and outside of prison. Research limitations/implications – This research highlights the inevitable challenges for researchers working within the prison context, including: correctional services' limitations, time and space restrictions and small sample sizes. This research offers some potentially innovative ways to combat such challenges. Practical implications – The study highlights the potential of theatre-based interventions in the prison context and their role in fostering social support and enhancing wellbeing. Social implications – The research explores the potential role theatre may play in improving the health and wellbeing of a disadvantaged and marginalised group, providing skills to enhance access to supportive networks inside and outside prison. Originality/value – To the best of our knowledge this is the first research of its kind and provides valuable insights into the role that theatre may play in fostering social support in the prison context. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
50. Investigating referral pathways from primary care to consumer health organisations.
- Author
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Young, Charlotte E., Mutch, Allyson J., Boyle, Frances M., and Dean, Julie H.
- Subjects
- *
PRIMARY health care , *PRIMARY care , *CHRONIC diseases , *HEALTH services administration , *HEALTH care industry , *QUALITATIVE research , *GENERAL practitioners , *SELF-management (Psychology) - Abstract
While chronic disease places an increasing burden on Australia's primary care system it is unrealistic to expect GPs to meet the range of support needs experienced by patients managing chronic conditions. Consumer health organisations (CHO) have the potential to augment clinical care by providing a variety of supportive services; however, they are underutilised by patients and GPs. This qualitative study investigates GPs' knowledge and perceptions of CHO and their contributions to chronic disease care. The study involved semi-structured interviews with 10 GPs. Overall, participants demonstrated clear understanding of the role of CHO in chronic disease management, but a critical finding was the way GPs' view of their own chronic care role appears to influence referral practices. GPs operating in a traditional role were less likely to refer toCHOthan those who had adopted a chronic care approach. A second key finding related to GPs' views of Diabetes Australia. All GPs identified this organisation as an important referral point, providing some reassurance that CHO can be integrated into the primary care sector. Further research is needed to determine howthe 'definite advantages' associated with Diabetes Australia can be used to extend GP referral and enhance the health system's integration of other CHO. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
- View/download PDF
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