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Ummer-Christian R, Widdicombe D, Raichur A, Couch D. Aboriginal Health Practitioners obtaining, possessing and administering fluoride varnish: self-determination driven regulation amendment for integrated oral health care for Aboriginal children. Aust J Prim Health 2024; 30:NULL. [PMID: 38211943 DOI: 10.1071/py23201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Accepted: 12/21/2023] [Indexed: 01/13/2024]
Abstract
Self-determination informed policies are key to improved outcomes for Aboriginal health. Aboriginal leadership must be reflected throughout any public health reform process that affects Aboriginal communities. This paper presents a body of oral health policy work, undertaken under Loddon Mallee Aboriginal Reference Group's (LMARG's) leadership, as an exemplar of a self-determination informed change, that led to an amendment of an Australian state (Victoria) regulation - The Drugs, Poisons and Controlled Substances Amendment (Registered Aboriginal and Torres Strait Islander Health Practitioners [AHPs]) Regulations 2022. A summary of activities undertaken by LMARG, from advocacy to leading the submission, to amend the regulation, is provided. The amendment, now in place, authorises registered AHPs to obtain, possess, and administer fluoride varnish (FV) as a part of health services they provide. FV is a concentrated form of fluoride applied to tooth surfaces to prevent tooth decay. The practical implication of this amendment is delivery of a culturally appropriate integrated oral health promotion FV model that addresses mainstream dental access barriers commonly experienced by Aboriginal people. The model aims at upskilling an Aboriginal workforce to facilitate timely FV application to Aboriginal children.
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Affiliation(s)
- Rahila Ummer-Christian
- Loddon Mallee Aboriginal Reference Group Strategic/Bendigo and District Aboriginal Cooperative, North Bendigo, Vic. 3550, Australia
| | - Dallas Widdicombe
- Loddon Mallee Aboriginal Reference Group Strategic/Bendigo and District Aboriginal Cooperative, North Bendigo, Vic. 3550, Australia
| | - Anil Raichur
- Victoria State Department of Health, 50 Lonsdale Street, Melbourne, Vic. 3000, Australia
| | - Danielle Couch
- Monash Rural Health, Monash University, 26 Mercy Street, Bendigo, Vic. 3550, Australia
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Phillips T, Vargas C, Graham M, Couch D, Gleeson D. The victims, villains and heroes of 'panic buying': News media attribution of responsibility for COVID-19 stockpiling. J Sociol (Melb) 2023; 59:580-599. [PMID: 37168608 PMCID: PMC10160820 DOI: 10.1177/14407833211057310] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
Societies often respond to a crisis by attributing blame to some groups while constructing others as victims and heroes. While it has received scant sociological attention, 'panic buying' is a critical indicator of such public sentiment at the onset of a crisis, and thus a crucial site for analysis. This article traces dynamics of blame in news media representations of an extreme period of panic buying during COVID-19 in Australia. Analysis reveals that lower socio-economic and ethnically diverse consumers were blamed disproportionately. Unlike wealthier consumers who bulk-bought online, shoppers filling trollies in-store were depicted as selfish and shameful, described using dehumanising language, and portrayed as 'villains' who threatened social order. Supermarkets were cast simultaneously as 'victims' of consumer aggression and 'heroes' for their moral leadership, trustworthiness and problem-solving. This portrayal misunderstands the socio-emotional drivers of panic buying, exacerbates stigma towards already disadvantaged groups, and veils the corporate profiteering that encourages stockpiling.
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Isaacs A, Bonsey A, Couch D. Centralized Intake Models and Recommendations for Their Use in Non-Acute Mental Health Services: A Scoping Review. Int J Environ Res Public Health 2023; 20:ijerph20095747. [PMID: 37174264 PMCID: PMC10177908 DOI: 10.3390/ijerph20095747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 05/04/2023] [Accepted: 05/04/2023] [Indexed: 05/15/2023]
Abstract
Centralized intake [CI] or single-entry models are utilized in health systems to facilitate service access by reducing waiting times. This scoping review aims to consolidate the Literature on CI service models to identify their characteristics and rationales for their use, as well as contexts in which they are used and challenges and benefits in implementing them. The review also aims to offer some lessons learned from the Literature and to make recommendations for its implementation in non-acute mental health services. The findings show that CI is mostly considered when there is increased demand for services and clients are required to navigate multiple services that operate individually. Successful models have meaningfully engaged all stakeholders from the outset and the telephone is the most common mode of intake. Recommendations are made for planning and preparation, for elements of the model, and for setting up the service network. When successfully implemented, CI has been shown to improve access and increase demand for services. However, if CI is not supported by a network of service providers who offer care that is acceptable to clients, the purpose of its implementation could be lost.
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Affiliation(s)
- Anton Isaacs
- School of Rural Health, Faculty of Medicine Nursing and Health Sciences, Monash University, Warragul, VIC 3820, Australia
| | - Alistair Bonsey
- Victorian and Tasmanian Primary Health Network Alliance, Parkville, VIC 3052, Australia
| | - Danielle Couch
- School of Rural Health, Faculty of Medicine Nursing and Health Sciences, Monash University, Warragul, VIC 3820, Australia
- Victorian and Tasmanian Primary Health Network Alliance, Parkville, VIC 3052, Australia
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Courtinard C, Gourgou S, Jacot W, M. Carton, Filleron T, Couch D, Asselain B, Le Deley MC, Vacher L, Antoine A, Parent D, R. Schiappa, Breton M, Michiels S, Brain E, Guérin O, Loeb A, Perrocheau G, Simon G, Bellera C. 250P Association between progression free survival and overall survival in women receiving first-line treatment for metastatic breast cancer: Evidence from the ESME real-world database. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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5
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Oosthuizen GV, Klopper J, Buitendag J, Variawa S, Čačala SR, Kong VY, Couch D, Allen N, Clarke DL. Correction to: Penetrating colon trauma - outcomes related to single versus multiple colonic injuries. Eur J Trauma Emerg Surg 2022; 48:4313-4314. [PMID: 35802154 DOI: 10.1007/s00068-022-01994-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- G V Oosthuizen
- Department of Surgery, Ngwelezana Hospital, Empangeni, South Africa
- Department of Surgery, University of KwaZulu-Natal, Durban, South Africa
| | - J Klopper
- Division of Epidemiology and Biostatistics, University of Stellenbosch, Cape Town, South Africa
| | - J Buitendag
- Department of Surgery, University of Stellenbosch, Cape Town, South Africa
| | - S Variawa
- Department of Surgery, Khayelitsha District Hospital, Cape Town, South Africa
| | - S R Čačala
- Department of Surgery, Ngwelezana Hospital, Empangeni, South Africa
- Department of Surgery, University of KwaZulu-Natal, Durban, South Africa
| | - V Y Kong
- Department of Surgery, University of KwaZulu-Natal, Durban, South Africa.
- Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa.
- Department of Surgery, Auckland City Hospital, Auckland, New Zealand.
| | - D Couch
- Department of Surgery, Queens Medical Centre, Nottingham, United Kingdom
| | - N Allen
- Department of Surgery, Auckland City Hospital, Auckland, New Zealand
- Department of Surgery, University of Auckland, Auckland, New Zealand
| | - D L Clarke
- Department of Surgery, University of KwaZulu-Natal, Durban, South Africa
- Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa
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Delaloge S, Giorgi Rossi P, Balleyguier C, Guindy M, Gilbert F, Burrion JB, Roman M, de Montgolfier S, Giordano L, Drubay D, Evans D, Keatley D, Gauthier E, du Bois d'Aische A, Baron C, Boland A, Blanché H, Couch D, Deleuze JF, Michiels S. 135P Real-time genotyping-based breast cancer risk assessment in MyPeBS, an international randomized trial in the general population comparing risk-stratified to standard breast cancer screening (BCS). Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.03.152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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7
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Oosthuizen GV, Klopper J, Buitendag J, Variawa S, Čačala SR, Kong VY, Couch D, Clarke DL. Penetrating colon trauma-the effect of concomitant small bowel injury on outcome. Injury 2022; 53:1615-1619. [PMID: 35034775 DOI: 10.1016/j.injury.2021.12.045] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Revised: 12/12/2021] [Accepted: 12/29/2021] [Indexed: 02/02/2023]
Abstract
INTRODUCTION There is limited evidence to suggest that patients with penetrating colon injury have higher complication rates when there is concomitant small bowel (SB) injury. AIM We performed a retrospective study looking at outcomes of penetrating colonic trauma in patients with- and without concomitant SB injury. METHODS We interrogated our electronic registry over an eight-year period (2012-2020) for all patients over 18 years who had sustained penetrating colon injury and who had survived beyond 72 h. Demographic data, admission physiology, and Injury Severity Score (ISS) were recorded. Two groups of patients were observed: those with colonic injury (no SB injury) and those with combined colon and SB injury. Outcomes observed included leak rates, length of Intensive Care Unit (ICU) stay, length of hospital stay (LOS), morbidity and mortality. RESULTS A total of 450 patients were eligible for analysis, of which 257 had colon injury without SB injury and 193 had a combination of colon and SB injury. There was no difference in mechanism of injury between groups. Admission physiology was similar between groups but arterial blood gas values were worse in the combined group. Rates of damage control surgery and ICU admission were higher in the combined group. Primary repair was done in equal proportions between groups but anastomosis was more frequently performed in the combined group. There was no difference in complication rates, including gastro-intestinal complications and suture line leaks. Length of ICU stay, LOS, and mortality were similar between groups. Univariable analysis demonstrated that the presence of concomitant small bowel injury was not an independent risk factor for colonic suture line failure or death. CONCLUSION There is no evidence from this data that the presence of a combined penetrating colon and SB injury should change management priorities. Each injury should be treated on its own merit, in the context of the patient's physiology.
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Affiliation(s)
- G V Oosthuizen
- Department of Surgery, Ngwelezana Hospital, Empangeni, South Africa; Department of Surgery, University of KwaZulu-Natal, Durban, South Africa
| | - J Klopper
- Division of Epidemiology and Biostatistics, University of Stellenbosch, Cape Town, South Africa
| | - Johan Buitendag
- Department of Surgery, University of Stellenbosch, Milnerton, Cape Town, South Africa.
| | - S Variawa
- Department of Surgery, Khayelitsha District Hospital, Cape Town, South Africa
| | - S R Čačala
- Department of Surgery, Ngwelezana Hospital, Empangeni, South Africa; Department of Surgery, University of KwaZulu-Natal, Durban, South Africa
| | - V Y Kong
- Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa
| | - D Couch
- Department of Surgery, Queens Medical Centre, Nottingham, United Kingdom
| | - D L Clarke
- Department of Surgery, University of KwaZulu-Natal, Durban, South Africa; Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa; Department of Surgery, Grey's Hospital, Pietermaritzburg, South Africa
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O'Sullivan B, Couch D, Naik I. Using Mobile Phone Apps to Deliver Rural General Practitioner Services: Critical Review Using the Walkthrough Method. JMIR Form Res 2022; 6:e30387. [PMID: 35076401 PMCID: PMC8826308 DOI: 10.2196/30387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Revised: 08/31/2021] [Accepted: 12/02/2021] [Indexed: 11/19/2022] Open
Abstract
Background The widespread use of mobile phones represents new frontiers for improving access to health care. This includes using mobile apps to deliver general practitioner (GP) services in rural areas. However, the wider adoption of apps for increasing access to rural GP services relies on understanding how they might intersect with the rural health system context. Objective This research aims to critically review mobile apps for delivering GP services in a rural health service context using the walkthrough method. Methods The sample comprised 3 GP service apps under the top 100 list in the medical category in the Apple App Store (also available via the Google Play Store) in Australia as of June 2020. The walkthrough method was applied to extract data and critique the explicit factors, such as the app interface elements, and implicit factors, such as the embedded cultural features related to use for people in rural settings. Data analysis was undertaken between 3 researchers over 6 months applying the walkthrough method and using critical reflection. Results There were 3 main themes: improving rural access, addressing rural health care needs, and providing quality of care. App-based GP services may improve rural GP service availability. However, this may be at a relatively superficial level that does not encompass the scope and intensity of the services needed in rural areas (including relevant chronic and emergency care) at a cost that rural patients can afford. The apps showed signs of limited tailoring to the cultural dimensions of rural health care as a barrier to rural use. Patients generally self-selected to use GP service apps with limited support, potentially leading to inappropriate uptake especially by disadvantaged groups with lower health literacy. Although the apps claimed to avail most GP services (70%-80% in some cases), it emerged after enrollment that emergency, complex, and serious conditions might be excluded, potentially imposing more complex caseloads on in-person rural GPs. Apps provided limited information about continuity and coordination of care and sharing information with rural GPs, potentially leading to fragmented and low-quality care. There was commonly no assurance of rural skills and experience of physicians staffing apps despite the wider scope of skills needed to be effective in rural general practice. Conclusions GP apps may increase the availability of GP services, but they may require clearer exclusions, appropriate use through decision-making tools, more rural-tailored interfaces, and capacity to align appointment times and costs with patients with complex needs to engage and be useful in a rural context. It is also important to consider how these app-based services could share information with local health care staff for safety and continuity of rural primary care. Finally, information about the physicians’ rural training and experience is critical for quality.
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Affiliation(s)
- Belinda O'Sullivan
- The Rural Clinical School, Faculty of Medicine, University of Queensland, Toowoomba, Australia.,General Practice Supervisors Australia, Bendigo, Australia.,Monash University School of Rural Health, Bendigo, Australia
| | - Danielle Couch
- Monash University School of Rural Health, Bendigo, Australia.,Bendigo District Aboriginal Cooperative, North Bendigo, Australia
| | - Ishani Naik
- University of Queensland Medical School, Brisbane, Australia
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9
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Thomas C, Couch D, Wang B. p38-MAPK and JAK/STAT Pathway Inhibition Reduces Indoxyl Sulfate-Induced Impairment of Human Endothelial Cells. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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10
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Bingham A, O'Sullivan B, Couch D, Cresser S, McGrail M, Major L. How rural immersion training influences rural work orientation of medical students: Theory building through realist evaluation. Med Teach 2021; 43:1398-1405. [PMID: 34280328 DOI: 10.1080/0142159x.2021.1948520] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
AIM To develop theory about how contexts and mechanisms interact to contribute to openness to future rural practice by medical students undertaking immersive rural training. METHODS A realist evaluation based on RAMESES II protocol. We interviewed 23 students exploring Contexts (C) which were external (place-based) and internal (the student's characteristics), Mechanisms (M) (that drive a response) and Outcomes (O) (openness to rural work). RESULTS 'Openness to rural work' related to: a desire to live rurally, work in rural medicine, or consider this as a possibility. This was triggered by responses to experience in rural places of an aspirational, intellectual and emotional nature (mechanisms). Students most affected were those with a strong motivation to help others and who value teamwork. Students with clearly envisaged career paths suited to metropolitan areas, or those retaining/prioritising strong social and community ties in metropolitan areas were less likely to commit to future rural work. CONCLUSION Our theory indicates multi-level stimuli activates openness. Implications are that rural immersion programs could select students with an orientation towards teamwork, without pre-set professional ideation, and with a strong commitment to helping others. Experiencing rural immersion will trigger aspirational, intellectual and emotional responses leading to rural work openness for such students.
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Affiliation(s)
- Amie Bingham
- School of Rural Health, Monash University, Clayton, Australia
| | | | - Danielle Couch
- School of Rural Health, Monash University, Bendigo, Australia
| | | | - Matthew McGrail
- Rural Clinical School, University of Queensland, Rockhampton, Australia
| | - Laura Major
- School of Rural Health, Monash University, Clayton, Australia
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11
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Abstract
Despite high unmet demand for health services across rural Australia, uptake of telehealth has been slow, piecemeal and ad hoc. We argue that widespread failure to understand telehealth as a socio-technical practice is key to understanding this slow progress. To develop this argument, we explore how technocentric approaches to telehealth have contributed to critical blind spots. First, the 'hype' associated with the technological possibilities of telehealth discourages thoughtful consideration of the unanticipated consequences when technologies are rolled out into complex social fields. Second, it contributes to critical gaps in the telehealth evidence base, and particularly a paucity of analyses focussing on the experiences of service users and patients. A third blind spot concerns the limited attention paid to the social determinants of health and digital divides in rural areas. The final blind spot we consider is an apparent reluctance to engage community stakeholders in co-designing and coproducing telehealth services. We used an iterative approach to identify studies and commentary from a range of academic fields to explain the significance of the telehealth blind spots and how they might be addressed. Insights suggest how expanding understanding of the social dimensions of telehealth could enhance its accessibility, effectiveness and responsiveness to community needs and contexts.
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Affiliation(s)
- Deborah Warr
- Charles Sturt University, Australia.,The University of Melbourne, Australia
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12
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Couch D, Doherty Z, Panozzo L, Naren T, Burzacott J, Ward B, Kippen R, Widdicombe D. The impact of telehealth on patient attendance and revenue within an Aboriginal Community Controlled Health Organisation during COVID-19. Aust J Gen Pract 2021; 50:851-855. [PMID: 34713288 DOI: 10.31128/ajgp-07-21-6060] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND AND OBJECTIVES Aboriginal Community Controlled Health Organisations (ACCHOs) provide culturally appropriate medical services to Aboriginal and/or Torres Strait Islander people. The aim of this study was to examine the impact of telehealth on patient attendance and revenue within an ACCHO during COVID-19. METHOD This is a time-series study of general practitioner attendances at a regional Victorian ACCHO in two periods: March-June 2019 (pre-COVID-19) and March-June 2020 (during COVID-19). RESULTS After adjusting for the number of available appointments, there was a 27% increased rate of attendances per appointment slot during the COVID-19 period when compared with the pre-COVID-19 period, and a 59% increase in Medicare Benefits Schedule items claimed during the COVID-19 period, compared with the pre-COVID-19 period. DISCUSSION The findings indicate that the provision of services via telehealth increased the number of people able to access the medical clinic, and that this had a positive financial impact for the organisation.
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Affiliation(s)
- Danielle Couch
- PhD, Strategic Projects/Policy Adviser, Bendigo @ District Aboriginal Co-operative, Bendigo, Vic; Adjunct Research Fellow, School of Rural Health, Monash University, Bendigo, Vic
| | - Zakary Doherty
- BMedSc (Hons), MD, Research Fellow, School of Rural Health, Monash University, Bendigo, Vic
| | - Laura Panozzo
- BMedSc (Hons), MD, Research Fellow, School of Rural Health, Monash University, Bendigo, Vic
| | - Thileepan Naren
- MBBS, MHM, MPH, FACRRM, FRACGP, GAICD, General Practitioner, Bendigo & District Aboriginal Co-operative, Bendigo, Vic
| | - Jaydene Burzacott
- Aboriginal Health Practitioner/Clinical Team Leader, Bendigo & District Aboriginal Co-operative, Bendigo, Vic
| | - Bernadette Ward
- PhD, Associate Professor, School of Rural Health, Monash University, Bendigo, Vic
| | - Rebecca Kippen
- PhD, GradDip (Demography), BBus, Associate Professor of Demography, Rural Health, Monash University, Bendigo, Vic
| | - Dallas Widdicombe
- BSW, Executive Director, Bendigo @ District Aboriginal Co-operative, Bendigo, Vic
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13
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Pérol M, Filleron T, Quantin X, Chouaid C, Valette CA, Lena H, Kaderbhai C, Fabre C, Santorelli M, Bensimon L, Burke T, Couch D, Nguyen E, Courtinard C. 109P Real-world evaluation of pembrolizumab monotherapy for PD-L1 positive (TPS>50%) metastatic NSCLC in France. J Thorac Oncol 2021. [DOI: 10.1016/s1556-0864(21)01951-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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14
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Couch D, O'Sullivan B, Russell D, McGrail M, Wallace G, Bentley M. An exploration of the experiences of GP registrar supervisors in small rural communities: a qualitative study. BMC Health Serv Res 2020; 20:834. [PMID: 32891144 PMCID: PMC7487663 DOI: 10.1186/s12913-020-05697-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Accepted: 08/31/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND In Australia registrar training to become a general practitioner (GP) involves three to four years of supervised learning with at least 50% of GP registrars training wholly in rural areas. In particular rural over regional GP placements are important for developing future GPs with broader skills because the rural scope of practice is wider. Having enough GP supervisors in smaller rural communities is essential such training. We aimed to explore what makes rural GPs' based outside of major regional centres, participate in supervising or not, their experiences of supervising, and impact of their practice context. METHODS Semi-structured interviews were undertaken with 25 GPs based in rural Tasmania (outside of major regions - Hobart and Launceston), in towns of < 25,000 population, to explore the GPs' professional backgrounds, their experiences of supervising GP registrars, their practice context and their decisions about supervising GP registrars or not. Thematic analysis was undertaken; key ideas, concepts and experiences were identified and then reviewed and further refined to core themes. RESULTS Supervising was perceived to positively impact on quality of clinical care, reduce busy-ness and improve patient access to primary care. It was energising for GPs working in rural contexts. Rural GPs noted business factors impacted the decision to participate in supervision and the experience of participating: including uncertainty and discontinuity of registrar supply (rotational training systems), registrar competence and generating income. CONCLUSIONS Supervising is strongly positive for rural GPs and related to job satisfaction but increasing supervision capacity in rural areas may depend on better policies to assure continuity of rural registrars as well as policies and systems that enable viable supervision models tailored to the context.
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Affiliation(s)
- Danielle Couch
- School of Rural Health, Monash University, 26 Mercy St, Bendigo, VIC, 3550, Australia.
| | - Belinda O'Sullivan
- School of Rural Health, Monash University, 26 Mercy St, Bendigo, VIC, 3550, Australia.,Rural Clinical School, The University of Queensland, Toowoomba, Australia
| | - Deborah Russell
- School of Rural Health, Monash University, 26 Mercy St, Bendigo, VIC, 3550, Australia.,Menzies School of Health Research, Alice Springs, Northern Territory, Australia
| | - Matthew McGrail
- School of Rural Health, Monash University, 26 Mercy St, Bendigo, VIC, 3550, Australia.,Rural Clinical School, The University of Queensland, Toowoomba, Australia
| | - Glen Wallace
- General Practice Supervisors Australia, Bendigo, Australia
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15
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O'Sullivan B, Leader J, Couch D, Purnell J. Rural Pandemic Preparedness: The Risk, Resilience and Response Required of Primary Healthcare. Risk Manag Healthc Policy 2020; 13:1187-1194. [PMID: 32904086 PMCID: PMC7450525 DOI: 10.2147/rmhp.s265610] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Accepted: 07/24/2020] [Indexed: 11/23/2022] Open
Abstract
Pandemic situations present enormous risks to essential rural primary healthcare (PHC) teams and the communities they serve. Yet, the pandemic policy development for rural contexts remains poorly defined. This article draws on reflections of the rural PHC response during the COVID-19 pandemic around three elements: risk, resilience, and response. Rural communities have nuanced risks related to their mobility and interaction patterns coupled with heightened population needs, socio-economic disadvantage, and access and health service infrastructure challenges. This requires specific risk assessment and communication which addresses the local context. Pandemic resilience relies on qualified and stable PHC teams using flexible responses and resources to enable streams of pandemic-related healthcare alongside ongoing primary healthcare. This depends on problem solving within limited resources and using networks and collaborations to enable healthcare for populations spread over large geographic catchments. PHC teams must secure systems for patient retrieval and managing equipment and resources including providing for situations where supply chains may fail and staff need rest. Response consists of rural PHC teams adopting new preventative clinics, screening and ambulatory models to protect health workers from exposure whilst maximizing population screening and continuity of healthcare for vulnerable groups. Innovative models that emerge during pandemics, including telehealth clinics, may bear specific evaluation for informing ongoing rural health system capabilities and patient access. It is imperative that mainstream pandemic policies recognize the nuance of rural settings and address resourcing and support strategies to each level of rural risk, resilience, and response for a strong health system ready for surge events.
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Affiliation(s)
- Belinda O'Sullivan
- Rural Clinical School, University of Queensland, Toowoomba, Queensland, Australia
| | - Joelena Leader
- Edwards School of Business, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - Danielle Couch
- School of Rural Health, Monash University, Bendigo, Victoria, Australia
| | - James Purnell
- Department of Academic Family Medicine Northern Medical Services, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
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John Leon Singh H, Couch D, Yap K. Mobile Health Apps That Help With COVID-19 Management: Scoping Review. JMIR Nurs 2020; 3:e20596. [PMID: 32897271 PMCID: PMC7467120 DOI: 10.2196/20596] [Citation(s) in RCA: 59] [Impact Index Per Article: 14.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Revised: 06/24/2020] [Accepted: 07/24/2020] [Indexed: 11/13/2022] Open
Abstract
Background Mobile health (mHealth) apps have played an important role in mitigating the coronavirus disease (COVID-19) response. However, there is no resource that provides a holistic picture of the available mHealth apps that have been developed to combat this pandemic. Objective Our aim is to scope the evidence base on apps that were developed in response to COVID-19. Methods Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for scoping reviews, literature searches were conducted on Google Search, Google Scholar, and PubMed using the country’s name as keywords and “coronavirus,” “COVID-19,” “nCOV19,” “contact tracing,” “information providing apps,” “symptom tracking,” “mobile apps,” “mobile applications,” “smartphone,” “mobile phone,” and “mHealth.” Countries most affected by COVID-19 and those that first rolled out COVID-19–related apps were included. Results A total of 46 articles were reviewed from 19 countries, resulting in a total of 29 apps. Among them, 15 (52%) apps were on contact tracing, 7 (24%) apps on quarantine, 7 (24%) on symptom monitoring, and 1 (3%) on information provision. More than half (n=20, 69%) were from governmental sources, only 3 (10%) were from private organizations, and 3 (10%) from universities. There were 6 (21%) apps available on either Android or iOS, and 10 (34%) were available on both platforms. Bluetooth was used in 10 (34%) apps for collecting data, 12 (41%) apps used GPS, and 12 (41%) used other forms of data collection. Conclusions This review identifies that the majority of COVID-19 apps were for contact tracing and symptom monitoring. However, these apps are effective only if taken up by the community. The sharing of good practices across different countries can enable governments to learn from each other and develop effective strategies to combat and manage this pandemic.
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Affiliation(s)
- Hanson John Leon Singh
- Department of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, Australia
| | - Danielle Couch
- School of Rural Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Bendigo, Australia
| | - Kevin Yap
- Department of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, Australia
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Kenny A, Dickson-Swift V, Gussy M, Kidd S, Cox D, Masood M, Azul D, Chan C, Christian B, Theobold J, Hodge B, Knevel R, McKinstry C, Couch D, Hyett N, Veginadu P, Doroud N. Oral health interventions for people living with mental disorders: protocol for a realist systematic review. Int J Ment Health Syst 2020; 14:24. [PMID: 32211054 PMCID: PMC7092453 DOI: 10.1186/s13033-020-00357-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2019] [Accepted: 03/16/2020] [Indexed: 01/11/2023] Open
Abstract
BACKGROUND The increasing number of people who experience mental disorders is a global problem. People with mental disorders have high rates of co-morbidity and significantly poorer oral health outcomes than the general public. However, their oral health remains largely a hidden and neglected issue. A complex range of factors impact the oral health of this group. These include anxiety and dental phobia, dietary habits, including the heavy consumption of sugary drinks, substance misuse of tobacco, alcohol, and/or psychostimulants, the adverse orofacial side effects of anti-psychotic and anti-depression medications, and financial, geographic, and social barriers to accessing oral health care. METHODS The aim of this realist systematic review is to (a) identify and synthesise evidence that explores oral health interventions for people living with mental disorders; (b) explore the context and mechanisms that have contributed to the success of interventions or the barriers and challenges; (c) produce program theories on causal, contextual and mechanistic factors to facilitate outcomes and (d) produce recommendations and guidelines to guide future oral health interventions for people with mental disorders at both the policy and practice level. Using a five-step process, that incorporates primary data collection from key stakeholders, a beginning theoretical framework will be developed to describe contextual and mechanistic factors and how they might impact on the success or failure of oral health interventions for people with mental disorders. Key database searches will be conducted, with data extraction focused on the factors that might have impacted on intervention implementation and outcomes. Quality appraisal of studies will occur, and the theoretical framework will be populated with extracted data. Stakeholder input will support the development and refinement of a theory on oral health interventions for people with mental disorders. DISCUSSION This will be the first review to take a realist approach to explore the broad scope of causal factors that impact on the success or failure of oral health interventions for people with mental disorders. The approach includes extensive stakeholder engagement and will advance realist systematic review methodology. Review outcomes will be important in guiding policy and practice to ensure oral health interventions better meet the needs of people with mental disorders.Systematic review registration This review protocol is registered with PROSPERO (Number) 155969.
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Affiliation(s)
- Amanda Kenny
- Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School, P.O. Box 199, Bendigo, VIC 3552 Australia
| | - Virginia Dickson-Swift
- Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School, P.O. Box 199, Bendigo, VIC 3552 Australia
| | - Mark Gussy
- College of Social Science University of Lincoln, Brayford Pool, Lincoln, Lincolnshire LN6 7TS UK
| | - Susan Kidd
- Mental Health Nursing, Mental Health Nurse Practitioner, Victoria University, Footscray, VIC Australia
| | - Dianne Cox
- Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School, P.O. Box 199, Bendigo, VIC 3552 Australia
| | - Mohd Masood
- LaTrobe Rural Health School, Health School, Dentistry and Oral Health, P.O. Box 199, Bendigo, VIC 3552 Australia
| | - David Azul
- Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School, P.O. Box 199, Bendigo, VIC 3552 Australia
| | - Carina Chan
- School of Psychology and Public Health, LaTrobe University, Bendigo, Australia
| | - Bradley Christian
- LaTrobe Rural Health School, Health School, Dentistry and Oral Health, P.O. Box 199, Bendigo, VIC 3552 Australia
| | - Jacqui Theobold
- Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School, P.O. Box 199, Bendigo, VIC 3552 Australia
| | - Brad Hodge
- Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School, P.O. Box 199, Bendigo, VIC 3552 Australia
| | - Ron Knevel
- LaTrobe Rural Health School, Health School, Dentistry and Oral Health, P.O. Box 199, Bendigo, VIC 3552 Australia
| | - Carol McKinstry
- Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School, P.O. Box 199, Bendigo, VIC 3552 Australia
| | - Danielle Couch
- Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School, P.O. Box 199, Bendigo, VIC 3552 Australia
| | - Nerida Hyett
- Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School, P.O. Box 199, Bendigo, VIC 3552 Australia
| | - Prabhakar Veginadu
- Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School, P.O. Box 199, Bendigo, VIC 3552 Australia
| | - Nastaran Doroud
- Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School, P.O. Box 199, Bendigo, VIC 3552 Australia
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Couch D, O'Sullivan B, Russell D, McGrail M. 'It's so rich, you know, what they could be experiencing': rural places for general practitioner learning. Health Sociol Rev 2020; 29:76-91. [PMID: 33411661 DOI: 10.1080/14461242.2019.1695137] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Accepted: 11/15/2019] [Indexed: 05/25/2023]
Abstract
Globally there is an urban/rural divide in relation to health and healthcare access. A key strategy for addressing general practitioner shortages in rural areas is GP vocational training in rural places, as this may aid in developing practitioners' scope, values and community orientation, and increase propensity for rural practice. This creates a need for deeper understanding of the nature and quality of this training. Rural GPs are well-positioned to reflect on vocational learning in 'place'. We aimed to explore rural GPs' perceptions and experiences of GP vocational learning in relation to rural places. Semi-structured interviews were conducted with 25 GPs based in smaller rural communities in Tasmania. Inductive and theoretical thematic analysis was undertaken. Rural places provide learning opportunities for GP registrars, which shape the relationships between GPs and registrars and their communities. Rural GPs are committed to developing the next generation and improving access to primary care for their communities. Rural places provide unique learning environments for general practice, including rich learning, relationships and community commitment.
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Affiliation(s)
- Danielle Couch
- La Trobe Rural Health School, La Trobe University, Bendigo, Australia
- School of Rural Health, Monash University, Bendigo, Australia
| | - Belinda O'Sullivan
- School of Rural Health, Monash University, Bendigo, Australia
- Rural Clinical School, University of Queensland, Toowoomba and Rockhampton, Australia
| | - Deborah Russell
- School of Rural Health, Monash University, Bendigo, Australia
- Flinders Northern Territory, Alice Springs, Australia
| | - Matthew McGrail
- School of Rural Health, Monash University, Bendigo, Australia
- Rural Clinical School, University of Queensland, Toowoomba and Rockhampton, Australia
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19
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Blay JY, Penel N, Ray-Coquard I, Schott R, Saada-Bouzid E, Bertucci F, Chevreau C, Bompas E, Coquan E, Cousin S, Soulié P, Le Cesne A, Mir O, Ryckewaert T, Brahmi M, Hoog-Labouret N, Couch D, Chevret S, Soria JC, Massard C. High clinical benefit rates of pembrolizumab in very rare sarcoma histotypes: First results of the AcSé pembrolizumab study. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz253.096] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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20
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Tournigand C, Flechon A, Oudard S, Saada-Bouzid E, Pouessel D, Tourneau CL, Augereau P, Beylot-Barry M, Grob J, Chibaudel B, Soria JC, Simon C, Couch D, Hoog-Labouret N, Tiffon C, Chevret S, Andre T, Marabelle A. High level of activity of nivolumab anti-PD-1 immunotherapy and favorable outcome in metastatic/refractory MSI-H non-colorectal cancer: Results of the MSI cohort from the French AcSé program. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz253.065] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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21
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O'Sullivan B, Russell D, McGrail M, Sampson M, Warrington A, Wallace G, Bentley M, Couch D. Factors related to rural general practitioners supervising general practice registrars in Australia: A national cross-sectional study. Aust J Gen Pract 2019; 48:66-71. [PMID: 31256460 DOI: 10.31128/ajgp-07-18-4637] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND AND OBJECTIVES General practice training in Australia is uniquely structured to allow half of all registrars to train in rural areas, in order to increase rural workforce development and access to rural primary care. There is, however, limited national-scale information about rural general practice supervisors who underpin the capacity for rural general practice training. The objective of this research was to explore the factors related to rural general practitioners (GPs) supervising general practice registrars. METHOD Results were obtained using multivariate analysis of the 2016 Medicine in Australia: Balancing Employment and Life survey data. RESULTS Overall, 57.8% of rural GPs were supervising registrars. Supervising was strongly related to being Australian-trained, working in a larger practice, and supervising medical students and interns. DISCUSSION Rural supervising capacity could be increased through supporting GPs in smaller practices to engage in supervision and maintaining the strong involvement of GPs in larger practices. Other important factors may include a greater number of Australian-trained graduates working in rural general practice and increased support for international medical graduates to Fellow and feel confident to supervise.
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Affiliation(s)
- Belinda O'Sullivan
- PhD, Research Fellow, Monash University, School of Rural Health, Bendigo, Vic
| | - Deborah Russell
- PhD, Senior Research Fellow, Flinders University, Remote and Rural Health and Evaluation, Northern Territory
| | - Matthew McGrail
- PhD, Head Regional Training Hubs Research, University of Queensland, Rural Clinical School, Rockhampton, Qld
| | - Marisa Sampson
- Membership Services Officer, GP@Supervisors Australia, Monash University, Bendigo, Vic
| | - Allyson Warrington
- Chief Executive Officer, General Practice Training Tasmania, Hobart, Tas
| | - Glen Wallace
- Chief Executive Officer, GP Supervisors Australia, Monash University, Bendigo, Vic
| | - Michael Bentley
- DrPH, Research Officer, General Practice Training Tasmania, Hobart, Tas
| | - Danielle Couch
- PhD, Research Fellow, Monash University, School of Rural Health, Bendigo, Vic
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22
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Penault-Llorca F, Caux C, Depil S, Le Tourneau C, Pérol M, Robert C, Soumelis V, Couch D, Isambert N, Fernandez Y, Filleron T, Vassal G. CHECK'UP: A prospective cohort study to identify predictive factors of response and mechanisms of resistance to PD-1 and PD-L1 antagonists. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy493.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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23
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Marabelle A, Chevret S, Janot F, Escudier B, Pouessel D, Tournigand C, Hoang-Xuan K, Mortier L, Rousseau BC, Schlumberger M, Ray-Coquard I, Blay JY, Niccoli P, Jaccard A, Couch D, Hoog-Labouret N, Pauporte I, Massard C. AcSé immunotherapy trials: Anti-PD-1 therapy for adult patients with selected rare cancer types. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy487.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Couch D, Han GS, Robinson P, Komesaroff P. Men's weight loss stories: How personal confession, responsibility and transformation work as social control. Health (London) 2017; 23:76-96. [PMID: 28803501 DOI: 10.1177/1363459317724855] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Obesity is considered a public health concern. In Australia, there are a greater number of overweight or obese men compared with women. The media is an important source of information about body weight and weight management. We undertook a qualitative study to analyse men's weight loss stories in a popular men's magazine. Between January 2009 and December 2012, we collected 47 men's weight loss stories from the Australian edition of Men's Health magazine. We undertook thematic analysis to examine the stories. Confession, personal responsibility, appearance and transformation were key themes. The stories describe the men's self-discipline and their monitoring and tracking of their behaviours as activities which supported their weight loss. In this way, the stories promote the importance of such panoptic self-surveillance and self-discipline to the readers. We consider how such stories contribute to the wider synoptic system of media messages about body weight.
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Couch D, Thomas SL, Lewis S, Blood RW, Holland K, Komesaroff P. Obese people's perceptions of the thin ideal. Soc Sci Med 2015; 148:60-70. [PMID: 26685706 DOI: 10.1016/j.socscimed.2015.11.034] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2015] [Revised: 11/20/2015] [Accepted: 11/23/2015] [Indexed: 12/22/2022]
Abstract
The media play a key role in promoting the thin ideal. A qualitative study, in which we used in depth interviews and thematic analysis, was undertaken to explore the attitudes of 142 obese individuals toward media portrayals of the thin ideal. Participants discussed the thin ideal as a social norm that is also supported through the exclusion of positive media portrayals of obese people. They perceived the thin ideal as an 'unhealthy' mode of social control, reflecting on their personal experiences and their concerns for others. Participants' perceptions highlighted the intersections between the thin ideal and gender, grooming and consumerism. Participants' personal responses to the thin ideal were nuanced--some were in support of the thin ideal and some were able to critically reflect and reject the thin ideal. We consider how the thin ideal may act as a form of synoptical social control, working in tandem with wider public health panoptical surveillance of body weight.
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Affiliation(s)
- Danielle Couch
- Faculty of Medicine, Nursing and Health Sciences, Monash University, Australia.
| | - Samantha L Thomas
- School of Health and Social Development, Burwood, Deakin University, Australia
| | - Sophie Lewis
- Faculty of Health Sciences, University of Sydney, Sydney, Australia
| | - R Warwick Blood
- News and Media Research Centre, Faculty of Arts and Design, University of Canberra, Canberra, Australia
| | - Kate Holland
- News and Media Research Centre, Faculty of Arts and Design, University of Canberra, Canberra, Australia
| | - Paul Komesaroff
- Faculty of Medicine, Nursing and Health Sciences, Monash University, Australia
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26
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Couch D, Han GS, Robinson P, Komesaroff P. Public health surveillance and the media: a dyad of panoptic and synoptic social control. Health Psychol Behav Med 2015. [DOI: 10.1080/21642850.2015.1049539] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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27
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Couch D, Han GS, Robinson P, Komesaroff P. "At 150 kg, you can't run" men's weight loss stories in a popular health magazine provide appropriate examples of good health practice. Health Psychol Behav Med 2014; 2:252-267. [PMID: 25750780 PMCID: PMC4345825 DOI: 10.1080/21642850.2014.891947] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2013] [Accepted: 02/04/2014] [Indexed: 10/25/2022] Open
Abstract
We explore weight loss stories from 47 men collected from the Australian edition of Men's Health magazine between January 2009 and December 2012. Our analysis uses a mixed methods approach that combines thematic analysis and descriptive statistics to examine weight loss strategies against clinical practice guidelines for the management of overweight and obesity. All the stories reported the use of physical activity for weight loss and most stories detailed dietary changes for weight loss. Our findings indicate that most of the men reportedly used some form of behavioural strategies to assist them in their behaviour change efforts. The weight loss methods used were consistent with clinical practice guidelines, with the exception of some dietary practices. As narratives may assist with behaviour change, stories like those examined in this study could prove to be very useful in promoting weight loss to men.
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Affiliation(s)
- Danielle Couch
- The Monash Centre for the Study of Ethics in Medicine and Society, Monash University , The Alfred Centre Level 6, 99 Commercial Road, Melbourne , Victoria 3004 , Australia
| | - Gil-Soo Han
- School of Media, Film and Journalism, Monash University , Clayton , Victoria 3800 , Australia
| | - Priscilla Robinson
- School of Public Health and Human Biosciences, La Trobe University , Bundoora , Victoria 3086 , Australia
| | - Paul Komesaroff
- The Monash Centre for the Study of Ethics in Medicine and Society, Monash University , The Alfred Centre Level 6, 99 Commercial Road, Melbourne , Victoria 3004 , Australia
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28
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Farid SG, Gechev Z, Couch D, Morris-Stiff G. Re. Mroczkowski et al.: Laparoscopy in the surgical treatment of rectal cancer in Germany 2000-2009. Colorectal Dis 2013; 15:760-1. [PMID: 23517092 DOI: 10.1111/codi.12217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2012] [Accepted: 12/21/2012] [Indexed: 02/08/2023]
Affiliation(s)
- S. G. Farid
- Northampton General Hospital; Cliftonville; Northampton; NN5 5NQ; UK
| | - Z. Gechev
- Northampton General Hospital; Cliftonville; Northampton; NN5 5NQ; UK
| | - D. Couch
- Northampton General Hospital; Cliftonville; Northampton; NN5 5NQ; UK
| | - G. Morris-Stiff
- Northampton General Hospital; Cliftonville; Northampton; NN5 5NQ; UK
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29
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Couch D, Liamputtong P, Pitts M. What are the real and perceived risks and dangers of online dating? Perspectives from online daters. Health, Risk & Society 2012. [DOI: 10.1080/13698575.2012.720964] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Abstract
Australia has experienced a large increase in Internet usage, and online dating is used for seeking romantic and sexual partners. Using a qualitative approach, 15 people who use online dating took part in in-depth, online chat interviews. Nearly all participants used multiple dating sites to seek partners and making use of email, chat and webcam to engage with, assess, validate and qualify their potential sexual partners. They would "filter" the identity of other online daters before taking further actions. They used an array of filters and filtering processes to determine when and how they might progress to face-to-face meetings with these other online daters, and if and how there might be sexual outcomes from these meetings. Participants filtered using the text, photographs, chat, and webcam opportunities available online, and followed progressive personalized steps in communication and engagement in the lead-up to meeting other online daters in person.
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David KM, Couch D, Perrot-Rechenmann C. Does auxin binding protein 1 control both cell division and cell expansion? Plant Signal Behav 2007; 2:376-7. [PMID: 19704604 PMCID: PMC2634217 DOI: 10.4161/psb.2.5.4524] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/01/2007] [Accepted: 06/01/2007] [Indexed: 05/24/2023]
Abstract
The Auxin-Binding Protein 1 (ABP1) was identified over 30 years ago thanks to it's high affinity for active auxins. ABP1 plays an essential role in plant life yet to this day, its function remains 'enigmatic.' A recent study by our laboratory shows that ABP1 is critical for regulation of the cell cycle, acting both in G(1) and at the G(2)/M transition. We showed that ABP1 is likely to mediate the permissive auxin signal for entry into the cell cycle. These data were obtained by studying a conditional functional knock-out of ABP1 generated by cellular immunization in the model tobacco cell line, Bright Yellow 2.
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Affiliation(s)
- KM David
- Institut des Sciences du Végétal, CNRS; Gif sur Yvette, France
- University of Auckland; School of Biological Sciences; Auckland, New Zealand
| | - D Couch
- Institut des Sciences du Végétal, CNRS; Gif sur Yvette, France
- Biochimie et Physiologie Moléculaire des Plantes;CNRS/ INRA/ UMII; Montpellier, France
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Abstract
Being overweight or obese is a major risk factor for developing type 2 diabetes but weight loss through lifestyle interventions can markedly reduce its incidence. The Internet provides an opportunity for the development and implementation of lifestyle intervention programs that promote self-managed behavioural change. We developed an online weight loss program emphasizing physical activity and dietary modifications and conducted a short-term qualitative evaluation of it, examining participant recruitment from the general public, website usage and satisfaction and use of self-reported health risk appraisal records. From a total of 808 registered participants who accessed the online services, 683 (84.5%) completed at least one online health risk appraisal and of those, 464 (68%) people (364 female, aged 19-70 years; 100 male, aged 20-71 years) enrolled in the weight loss program. The program was met with a high level of satisfaction by participants, with 56% of feedback respondents agreeing that the program helped them achieve their goals. The program home page, the principal arrival destination of participants, was viewed an average of 29 times per participant, suggesting that the website's services were used with a high frequency. These preliminary findings indicate that the general public will use an Internet-based weight loss program that involves physical activity and dietary behavioural interventions. Whether Internet delivery of these interventions can significantly reduce the risk for developing type 2 diabetes is worthy of further investigation. The findings have relevance for development of health promotion policies and practices.
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Affiliation(s)
- Michael R McCoy
- Health 1st Pty Ltd, 2 Stephenson Street, Richmond, Victoria 3121, Australia.
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