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1. Improving Self-Help E-Therapy for Depression and Anxiety Among Sexual Minorities: An Analysis of Focus Groups With Lesbians and Gay Men

Author

Rozbroj, Tomas, Lyons, Anthony, Pitts, Marian, Mitchell, Anne, and Christensen, Helen

Subjects
Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270
Abstract

BackgroundE-therapies for depression and anxiety rarely account for lesbian and gay users. This is despite lesbians and gay men being at heightened risk of mood disorders and likely to benefit from having access to tailored self-help resources. ObjectiveWe sought to determine how e-therapies for depression and anxiety could be improved to address the therapeutic needs of lesbians and gay men. MethodsWe conducted eight focus groups with lesbians and gay men aged 18 years and older. Focus groups were presented with key modules from the popular e-therapy “MoodGYM”. They were asked to evaluate the inclusiveness and relevance of these modules for lesbians and gay men and to think about ways that e-therapies in general could be modified. The focus groups were analyzed qualitatively using a thematic analysis approach to identify major themes. ResultsThe focus groups indicated that some but not all aspects of MoodGYM were suitable, and suggested ways of improving e-therapies for lesbian and gay users. Suggestions included avoiding language or examples that assumed or implied users were heterosexual, improving inclusiveness by representing non-heterosexual relationships, providing referrals to specialized support services and addressing stigma-related stress, such as “coming out” and experiences of discrimination and harassment. Focus group participants suggested that dedicated e-therapies for lesbians and gay men should be developed or general e-therapies be made more inclusive by using adaptive logic to deliver content appropriate for a user’s sexual identity. ConclusionsFindings from this study offer in-depth guidance for developing e-therapies that more effectively address mental health problems among lesbians and gay men.

Published
2015
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2. Assessing the Applicability of E-Therapies for Depression, Anxiety, and Other Mood Disorders Among Lesbians and Gay Men: Analysis of 24 Web- and Mobile Phone-Based Self-Help Interventions

Author

Rozbroj, Tomas, Lyons, Anthony, Pitts, Marian, Mitchell, Anne, and Christensen, Helen

Subjects
Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270
Abstract

BackgroundLesbians and gay men have disproportionately high rates of depression and anxiety, and report lower satisfaction with treatments. In part, this may be because many health care options marginalize them by assuming heterosexuality, or misunderstand and fail to respond to the challenges specifically faced by these groups. E-therapies have particular potential to respond to the mental health needs of lesbians and gay men, but there is little research to determine whether they do so, or how they might be improved. ObjectiveWe sought to examine the applicability of existing mental health e-therapies for lesbians and gay men. MethodsWe reviewed 24 Web- and mobile phone-based e-therapies and assessed their performance in eight key areas, including the use of inclusive language and content and whether they addressed mental health stressors for lesbians and gay men, such as experiences of stigma related to their sexual orientation, coming out, and relationship issues that are specific to lesbians and gay men. ResultsWe found that e-therapies seldom addressed these stressors. Furthermore, 58% (14/24) of therapies contained instances that assumed or suggested the user was heterosexual, with instances especially prevalent among better-evidenced programs. ConclusionsOur findings, and a detailed review protocol presented in this article, may be used as guides for the future development of mental health e-therapies to better accommodate the needs of lesbians and gay men.

Published
2014
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3. Hidden Boundaries and Shared Meanings: The Roles of Researcher Characteristics and Cultural Norms in Shaping Understandings of Sexuality in the Unstructured Interview Setting

Author

Thorpe, Rachel, Hawkes, Gail, Dune, Tinashe, Fileborn, Bianca, Pitts, Marian, and Minichiello, Victor

Abstract

This paper examines the role of the research process in shaping the construction of knowledge about sensitive topics in in-depth interviews particularly with regard to researcher identity and cultural influences or norms. We argue that these influences shape all aspects of the research process and that researchers will benefit from reflecting upon them when planning, undertaking and interpreting qualitative studies. Drawing on an empirical study interviewing Australian women aged 55 years and older about sexuality we address differences and similarities between researchers and participants; cultural constructions of sexuality and ageing, and generational influences. Using examples from our interview data we interrogate the contribution of each of these aspects to the interview dynamic and the co-production of meaning. Our analysis draws attention to the fluidity of insider and outsider status and to the existence of hidden boundaries that impact on how certain topics can be discussed in interviews. The paper argues that knowledge about sensitive topics such as older people's sexuality must be viewed as a situated occurrence shaped by the particularities of the interview and the cultural context. Finally, we discuss the implications of these findings for qualitative inquiries into sensitive topics.

Published
2018
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13. A situational analysis of chronic hepatitis B in the Torres Strait

Author

Wallace, Jack, Pitts, Marian, McNally, Stephen, Ward, James, Nakata, Yoko, and Fagan, Patricia

Abstract

Series: Monograph series (La Trobe University. Australian Research Centre in Sex, Health and Society) ; no. 82Health service providers in Far North Queensland have identified chronic hepatitis B having an increasing impact on primary health services in the Torres Strait. This perspective is supported by data showing the region having the highest per capita notifications of chronic hepatitis B in Queensland, and other research showing a disproportionate impact of chronic hepatitis B on Indigenous people, particularly in remote communities. This qualitative study investigated how health service providers in the Torres Strait are responding to chronic hepatitis B.La Trobe University. Australian Research Centre in Sex, Health and Society

Published
2023
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14. Improving E-therapy for Mood Disorders among Lesbians and Gay Men: A practical toolkit for developing tailored web and mobile phone-based depression and anxiety interventions

Author

Lyons, Anthony, Rozbroj, Tomas, Pitts, Marian, Mitchell, Anne, and Christensen, Helen

Abstract

Series: Monograph series (La Trobe University. Australian Research Centre in Sex, Health and Society) ; no. 102La Trobe University. Australian Research Centre in Sex, Health and Society

Published
2023
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15. Sexuality education in Australian secondary schools 2010: results of the 1st national survey of Australian secondary teachers of sexuality education

Author

Smith, Anthony, Schlichthorst, Marisa, Mitchell, Anne, Walsh, Jenny, Lyons, Anthony, Blackman, Pam, and Pitts, Marian

Abstract

Series: Monograph series (La Trobe University. Australian Research Centre in Sex, Health and Society) ; no. 80La Trobe University. Australian Research Centre in Sex, Health and Society

Published
2023
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17. HIV Futures New Zealand: Mate araikore a muri ake nei

Author

Grierson, Jeffrey William, Thomas, Mark, Hughes, Tony, Misson, Sebastian Alexander, Whyte, Matt, Saxton, Peter, and Pitts, Marian Kathleen

Abstract

Series: Monograph series (La Trobe University. Australian Research Centre in Sex, Health and Society) ; no. 32La Trobe University. Australian Research Centre in Sex, Health and Society

Published
2023
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20. Don't ask don't tell. Hidden in the Crowd: the need for documenting links between sexuality and suicidal behaviours amoung young people. Report on the same-sex attracted youth suicied data collection project

Author

Dyson, Suzanne, Smith, Anthony, Mitchell, Anne, Dowsett, Gary, Pitts, Marian, and Hillier, Lynne

Abstract

Series: Monograph series (La Trobe University. Australian Research Centre in Sex, Health and Society) ; no. 45La Trobe University. Australian Research Centre in Sex, Health and Society

Published
2023
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22. Private Lives 2: The second national survey of the health and wellbeing of gay, lesbian, bisexual and transgender (GLBT) Australians

Author

Leonard, William, Pitts, Marian, Mitchell, Anne, Lyons, Anthony, Smith, Anthony, Patel, Sunil, Couch, Murray, and Barrett, Anna

Abstract

Series: Monograph series (La Trobe University. Australian Research Centre in Sex, Health and Society) ; no. 86Private Lives 2 (PL2) is areport on the second national survey of the health and wellbeing of gay, lesbian, bisexual, and transgender (GLBT) Australians. The first Private Lives (PL1) was released in 2006 and was, at that time, the largest survey of its kind conducted anywhere in the world. In 2011, 3,835 GLBT respondents successfully completed PL2. The project was supported by beyondblue with funds from The Movember Foundation, with additional funds provided by the Victorian Department of Health and a La Trobe University faculty grant. The project was managed jointly by Gay and Lesbian Health Victoria (GLHV) and the Australian Research Centre in Sex, Health and Society (ARCSHS) La Trobe University.La Trobe University. Australian Research Centre in Sex, Health and Society

Published
2023
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23. HIV Futures 5: Life as we know it

Author

Grierson, Jeffrey, Pitts, Marian, and Thorpe, Rachel

Abstract

Series: Monograph series (La Trobe University. Australian Research Centre in Sex, Health and Society) ; no. 60La Trobe University. Australian Research Centre in Sex, Health and Society

Published
2023
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24. Tracking changes: tracking the experiences of starting and switching highly active antiretroviral therapy in Australia

Author

Grierson, Jeffrey, Koelmeyer, Rachel, and Pitts, Marian

Abstract

Series: Monograph series (La Trobe University. Australian Research Centre in Sex, Health and Society) ; no. 85The Living with HIV Program is a part of the Australian Research Centre in Sex, Health and Society (ARCSHS) at La Trobe University. The program conducts social research into the lived experience of HIV. This research is guided by the Australian National Strategies on HIV, the Living with HIV Reference Group and the ARCSHS Scientific Advisory Committee. All research conducted is approved by the La Trobe University Human Ethics Committee and additional institutional and community ethics committees where appropriate.La Trobe University. Australian Research Centre in Sex, Health and Society

Published
2023
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25. HIV Futures 6: Making Positive Lives Count

Author

Grierson, Jeffrey, Power, Jennifer, Pitts, Marian, Croy, Samantha, Clement, Thomas, Thorpe, Rachel, and McDonald, Karalyn

Abstract

Series: Monograph series (La Trobe University. Australian Research Centre in Sex, Health and Society) ; no. 74

Published
2023
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26. Asia Pacific viral hepatitis policy survey and assessment: Taiwan

Author

Wallace, Jack, Pitts, Marian, and Locarnini, Stephen

Abstract

Series: Monograph series (La Trobe University. Australian Research Centre in Sex, Health and Society) ; no. 91Over five hundred million people globally are estimated to be infected with chronic viral hepatitis with most (75%) living in the Asia Pacific Region. Hepatitis B and hepatitis C cause significant global mortality and morbidity with 1,285,000 deaths each year attributable to them and their sequelae of cirrhosis, liver failure and hepatocellular cancer.La Trobe University. Australian Research Centre in Sex, Health and Society

Published
2023
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27. Sexuality education in Australia in 2011

Author

Mitchell, Anne, Smith, Anthony, Carman, Marina, Schlichthorst, Marisa, Walsh, Jenny, and Pitts, Marian

Abstract

Series: Monograph series (La Trobe University. Australian Research Centre in Sex, Health and Society) ; no. 81Sexuality education has been taught in Australian schools for over a century but for much of that time has been a controversial "add on" taking its place as a result of the advocacy and intervention of outside organisations. Schools have generally welcomed the involvement of outside bodies such as the Father and Son movement in the 1950s and 60s and, the more recent Family Life and Family Planning organisations, as having the expertise not available to teachers to deal with an important area of education that could also create moral panic. Many of the early debates around sexuality education for young people centred around the importance of moral instruction and the degree to which it could be balanced against scientific information.La Trobe University. Australian Research Centre in Sex, Health and Society

Published
2023
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