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2. Understanding farmers' barriers to health and mental health‐related help‐seeking: The development, factor structure, and reliability of the Farmer Help‐Seeking Scale.

Author

Skaczkowski, Gemma, Hull, Melissa, Smith, Ashleigh E., Dollman, James, Jones, Martin, and Gunn, Kate M.

Subjects
EXPERIMENTAL design, RESEARCH evaluation, STATISTICAL reliability, RESEARCH methodology, RESEARCH methodology evaluation, COMMUNICATION barriers, HELP-seeking behavior, MENTAL health, HEALTH status indicators, SOCIAL stigma, CONTINUUM of care, FACTOR analysis, DESCRIPTIVE statistics, RESEARCH funding, AGRICULTURAL laborers
Abstract

Purpose: The aim of this research was to develop a contextually and culturally appropriate scale to assess farmers' barriers to health‐related help‐seeking. Methods: An initial pool of items was developed from the academic literature and input from an expert panel of farmers, rural academics, and rural clinicians. A draft 32‐item questionnaire was then developed and sent to farmers registered with FARMbase, which is an Australian national farmer database. Findings: Two hundred and seventy‐four farmers completed the draft questionnaire (93.7% male, 73.7% aged 56‐75 years). An exploratory factor analysis identified 6 factors; "Health Issues are a Low Priority," "Concerns about Stigma," "Structural Health System Barriers," "Minimization and Normalization," "Communication Barriers," and "Continuity of Care.". Test‐retest reliability was examined with a further 10 farmers (90% male, Mean age = 57, SD = 5.91), who completed the questionnaire twice (at 2‐ to 3‐week intervals). Results indicated moderate‐good test‐retest reliability. Conclusions: The resulting 24‐item Farmer Help‐Seeking Scale provides a measure of help‐seeking that is specifically designed to capture the unique context, culture, and attitudes that can interfere with farmers' help‐seeking, and inform the development of strategies to increase health‐service utilization in this at‐risk group. [ABSTRACT FROM AUTHOR]

Published
2024
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3. Suicide Prevention Training – Improving the Attitudes and Confidence of Rural Australian Health and Human Service Professionals

Author

Ferguson, Monika, Dollman, James, Jones, Martin, Cronin, Kathryn, James, Lynne, Martinez, Lee, and Procter, Nicholas

Abstract

Abstract.Background:Suicide rates are higher in rural and remote areas of Australia compared with major cities. Aim:To evaluate the impact of a brief, community-based suicide prevention educational intervention on the attitudes and confidence of rural South Australian health and human service professionals. Method:Participants attended a 1-day suicide prevention education program, and completed a survey at four time points: baseline (T1), immediately pretraining (T2), immediately posttraining (T3), and 4-month follow-up (T4). Main outcome measures were self-reported attitudes and confidence when working with people vulnerable to suicide. Results:A total of 248 people attended the training, with 213 participants completing the survey at T1, 236 at T2, 215 at T3, and 172 at T4. There were significant improvements in 11 of the 14 attitude items between T2 and T3 (immediate change), and between T1 and T4 (maintained change). Further, there were significant improvements in all four confidence items between T2 and T3, and T1 and T4. Limitations:Despite the repeated-measures design, findings are limited by the lack of a control group. Conclusion:Findings extend the international evidence by indicating the value of brief suicide prevention education for improving health and human service professionals' attitudes and confidence in rural Australia.

Published
2024
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