1,614 results match your criteria Australian Journal Of Rural Health[Journal]


Agricultural health and medicine education-Engaging rural professionals to make a difference to farmers' lives.

Aust J Rural Health 2020 Jun 29. Epub 2020 Jun 29.

National Centre for Farmer Health, Western District Health Service, Hamilton, Vic., Australia.

Objective: Despite continued higher rates of workplace injuries, earlier morbidity and mortality and challenging climatic environments, few formal programs focus on the health, well-being and safety of farmers. The agricultural health and medicine unit, developed in 2010, was designed to increase cultural competence and empower rural professionals to improve the health, well-being and safety outcomes of farming populations in Australia. This study aimed to understand the extent to which graduates (2010-2018) use the knowledge and skills gained in their current occupations and identify barriers and enablers faced in implementing them. Read More

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http://dx.doi.org/10.1111/ajr.12637DOI Listing

COVID-19 puts the spotlight on food insecurity in rural and remote Australia.

Authors:
Gabrielle O'Kane

Aust J Rural Health 2020 Jun;28(3):319-320

National Rural Health Alliance, Canberra, ACT, Australia.

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http://dx.doi.org/10.1111/ajr.12648DOI Listing

COVID-19, leadership and lessons from physics.

Authors:
Russell Roberts

Aust J Rural Health 2020 Jun;28(3):232-235

Charles Sturt University, Bathurst, NSW, Australia.

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http://dx.doi.org/10.1111/ajr.12649DOI Listing

Overdiagnosis of scabies and overprescribing of scabies treatment in a scabies-endemic region.

Aust J Rural Health 2020 Jun 23. Epub 2020 Jun 23.

Royal Darwin Hospital, Tiwi, NT, Australia.

Objective: To assess the objective evidence upon which diagnosis of scabies and subsequent prescription of permethrin cream or oral ivermectin is based at a tertiary referral hospital in the Northern Territory.

Design, Setting And Participants: A retrospective cohort study of inpatients who were prescribed permethrin or ivermectin between July and September 2017 at a single tertiary referral hospital. Eighty-eight inpatient admissions, belonging to 77 unique patients, were included. Read More

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http://dx.doi.org/10.1111/ajr.12636DOI Listing

Exploration of village health centres in Northern and Central China: A qualitative study.

Aust J Rural Health 2020 Jun 18;28(3):271-280. Epub 2020 Jun 18.

Mount Sinai Hospital, Toronto, ON, Canada.

Objective: China faces issues associated with urban-rural health inequities. This study explores functions of village health centres through a community perspective. Four research questions were asked, including: (a) What are the functions of village health centres? (b) How is medication administered in village health centres? (c) What are the roles of village doctors? (d) What are the evaluation mechanisms of village health centres?

Design: In-depth interviews and field observations are used in the study. Read More

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http://dx.doi.org/10.1111/ajr.12635DOI Listing

Services for children with hearing loss in urban and rural Australia.

Aust J Rural Health 2020 Jun 8;28(3):281-291. Epub 2020 Jun 8.

The University of Newcastle, Callaghan, NSW, Australia.

Objective: To report satisfaction with services for children with hearing loss in urban and rural Australia.

Design: Mixed-method approach using surveys and semi-structured interviews.

Setting: Australian organisations that serve children with hearing loss. Read More

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http://dx.doi.org/10.1111/ajr.12613DOI Listing

Implementation of advanced radiotherapy technology to improve clinical outcomes in rural NSW.

Aust J Rural Health 2020 Jun 4;28(3):311-316. Epub 2020 Jun 4.

Mid North Coast Cancer Institute, Mid North Coast Health District, Coffs Harbour, NSW, Australia.

Problem: Availability of advanced radiotherapy technology to treat cancer is limited in regional Australia. At Central West Cancer Care Centre, the utilisation rate of intensity-modulated radiotherapy and volumetric modulated arc therapy was significantly lower compared to other NSW public health services. Stereotactic ablative body radiotherapy treatment was not available at Central West Cancer Care Centre. Read More

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http://dx.doi.org/10.1111/ajr.12630DOI Listing

Patterns of infection following transrectal ultrasound-guided biopsy of the prostate in a regional New South Wales Centre.

Aust J Rural Health 2020 Jun 1;28(3):301-306. Epub 2020 Jun 1.

Department of Surgery, Wagga Wagga Rural Referral Hospital, NSW, Australia.

Objective: To determine the rates, severity and patterns of resistance in patients presenting with post-transrectal ultrasound infection in a regional centre in New South Wales, Australia.

Design: A single-centre retrospective review from August 2013 until August 2017.

Setting: Murrumbidgee Local Health District, New South Wales. Read More

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http://dx.doi.org/10.1111/ajr.12600DOI Listing
June 2020
1.343 Impact Factor

From treatment to prevention in rural and remote Australia: Practical considerations for health professionals to move practice "upstream".

Aust J Rural Health 2020 Jun 31;28(3):317-318. Epub 2020 May 31.

College of Healthcare Sciences, James Cook University, Townsville, QLD, Australia.

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http://dx.doi.org/10.1111/ajr.12608DOI Listing

Preferences and pathways of the next generation of rural doctors.

Aust J Rural Health 2020 Jun 31;28(3):309-310. Epub 2020 May 31.

School of Rural Health - Bendigo, Monash University, Bendigo, Vic., Australia.

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http://dx.doi.org/10.1111/ajr.12629DOI Listing

What students and new graduates perceive supports them to think, feel and act as a health professional in a rural setting.

Aust J Rural Health 2020 Jun 31;28(3):263-270. Epub 2020 May 31.

School of Linguistics, Adult and Specialist Education, University of Southern Queensland, Toowoomba, QLD, Australia.

Objective: Clinical placements in rural locations are perceived by students to provide positive learning experiences to support their transition to practice. This study explores how clinical placements in a rural health setting might influence students and new graduates to think, feel and act as a health professional.

Design: A qualitative study comprising focus group discussions was conducted. Read More

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http://dx.doi.org/10.1111/ajr.12607DOI Listing

Factors associated with hypertension and its management among older rural Australians.

Aust J Rural Health 2020 May 28. Epub 2020 May 28.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Vic., Australia.

Objectives: Hypertension is a leading risk factor for death and disability. We aimed to estimate the prevalence of hypertension in an older rural Australian cohort and identify predictors of hypertension management.

Design: Analysis of cross-sectional data collected from participants in a prospective cohort study. Read More

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http://dx.doi.org/10.1111/ajr.12634DOI Listing

Increasing interest of students from under-represented groups in medicine-A systematised review.

Aust J Rural Health 2020 Jun 27;28(3):236-244. Epub 2020 May 27.

College of Health and Medicine, Rural Clinical School, University of Tasmania, Burnie, TAS, Australia.

Objective: Community engagement activities are the entry point to a "pipeline" of activity aimed at supporting under-represented students and nurturing their interest in medical careers following graduation. This review aimed to describe the range of activities medical schools undertake to encourage and support rural students or other targeted under-represented populations to apply to medical school, and the reported outcomes. The overarching aim was to identify which programs prior to application into medicine are most effective. Read More

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http://dx.doi.org/10.1111/ajr.12609DOI Listing

Rural and remote dental care: Patient characteristics and health care provision.

Aust J Rural Health 2020 Jun 27;28(3):292-300. Epub 2020 May 27.

The Royal Flying Doctor Service, Canberra, ACT, Australia.

Objective: To describe the characteristics of patients who used the Royal Flying Doctor Service dental clinics and determine Royal Flying Doctor Service and non-Royal Flying Doctor Service dental service provision in mainland Australia.

Design: A prospective cohort study.

Setting: All Royal Flying Doctor Service dental clinics located throughout rural and remote Australia. Read More

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http://dx.doi.org/10.1111/ajr.12631DOI Listing

Investing in Queensland's rural medical leaders: Lessons from the Queensland Rural Generalist Program.

Aust J Rural Health 2020 Jun 27;28(3):252-262. Epub 2020 May 27.

Queensland Rural Medical Service, Brisbane, QLD, Australia.

Objective: To improve the leadership capacity of existing Queensland Rural Generalists and support the emerging leaders needed to assume future leadership roles.

Design: A customised leadership program for medical Rural Generalists, embedded in professional standards, was developed and delivered during 2016-2018. Pre and post-program and individual module evaluations from two Program cohorts were analysed. Read More

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http://dx.doi.org/10.1111/ajr.12632DOI Listing

Job satisfaction of rural medical interns: A qualitative study.

Aust J Rural Health 2020 Jun 26;28(3):245-251. Epub 2020 May 26.

Latrobe Regional Hospital, Traralgon, VIC, Australia.

Objective: To study reasons for job satisfaction and dissatisfaction among interns.

Design: Using a qualitative methodology, one-to-one interviews were conducted with interns.

Setting: The study was based at a Victorian Rural Intern Training program. Read More

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http://dx.doi.org/10.1111/ajr.12633DOI Listing

Broadening our differential diagnosis for anaemia in Aboriginal people.

Aust J Rural Health 2020 Jun 26;28(3):307-308. Epub 2020 May 26.

Paediatrics Department, Dubbo Base Hospital, Dubbo, NSW, Australia.

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http://dx.doi.org/10.1111/ajr.12605DOI Listing

Worse than a low-income country: Broadband access in rural and remote Australia.

Authors:
James A Dunbar

Aust J Rural Health 2020 Apr;28(2):185

Deakin Rural Health, School of Medicine, Faculty of Health, Deakin University, Warrnambool, Vic., Australia.

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http://dx.doi.org/10.1111/ajr.12628DOI Listing

Special issue: Enhancing physical well-being in people with mental illness living in rural and remote communities.

Aust J Rural Health 2020 Apr;28(2):104-106

School of Nursing and Midwifery, La Trobe University, Melbourne, Vic., Australia.

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http://dx.doi.org/10.1111/ajr.12624DOI Listing

Test-retest reliability of a self-reported physical activity environment instrument for use in rural settings.

Aust J Rural Health 2020 Apr;28(2):168-179

Exercise for Health and Human Performance Research Group, School of Health Sciences, University of South Australia, Adelaide, SA, Australia.

Objective: Little is known about how the physical environment impacts physical activity behaviour among rural populations, who are typically less active and at higher risk of chronic disease than urban dwellers. The lack of individual-level instruments to assess the physical environment in rural areas limits advancement of this field. Among rural adults, this study aimed to evaluate (a) the test-retest reliability of a self-reported questionnaire of individual-level perceptions of the physical activity environment, and (b) the stability of a self-reported physical activity questionnaire. Read More

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http://dx.doi.org/10.1111/ajr.12625DOI Listing

Decision-making capacity assessment for confused patients in a regional hospital: A before and after study.

Aust J Rural Health 2020 Apr;28(2):132-140

Coffs Harbour Health Campus, Mid North Coast Local Health District, Coffs Harbour, New South Wales, Australia.

Objective: Clinicians are challenged to decide when and how to conduct decision-making capacity assessment and guardianship applications for confused hospitalised older patients. This study aimed to understand the characteristics of confused hospitalised older patients who require decision-making capacity assessment and guardianship applications and to determine the impact of a locally introduced capacity testing procedure on the conduct of decision-making capacity assessment and guardianship application in a regional hospital setting.

Design: Before and after study. Read More

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http://dx.doi.org/10.1111/ajr.12540DOI Listing

Climate change and rural health.

Authors:
Gabrielle O'Kane

Aust J Rural Health 2020 Apr;28(2):186

National Rural Health Alliance, Canberra, ACT, Australia.

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http://dx.doi.org/10.1111/ajr.12614DOI Listing

Multimorbidity, health-related quality of life and health service use among individuals with mental health problems: Urban-rural differences in South Australia.

Aust J Rural Health 2020 Apr;28(2):110-119

Discipline of General Practice, Adelaide Medical School, The University of Adelaide, Adelaide, SA, Australia.

Objective: To investigate urban-rural differences in the relationship between the coexistence of multiple physical health conditions, health-related quality of life and health service use among individuals with mental health problems.

Design: Cross-sectional.

Setting: Population-based. Read More

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http://dx.doi.org/10.1111/ajr.12621DOI Listing

Evaluating a low-intensity cognitive behavioural program for young people in regional Australia.

Aust J Rural Health 2020 Apr;28(2):195-202

headspace Wagga Wagga, NSW, Australia.

NewAccess is a low-intensity cognitive behavioural program which was recently trialled for the first time in Australia for clients aged under 18. Given that accessing support earlier tends to result in better outcomes for people with mild-to-moderate mental health issues, having NewAccess available for young people has the potential to reduce the likelihood of mild-to-moderate mental health concerns developing into more serious, or chronic mental illness over time for some clients, while also freeing up resources for those with more severe support needs. This mixed methods approach presents the findings of an independent evaluation of the program delivered out of two regional headspace centres in 2017-2019. Read More

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http://dx.doi.org/10.1111/ajr.12619DOI Listing

Promoting positive development: Coaches as trainers in sports-based resilience programs.

Aust J Rural Health 2020 Apr;28(2):209-214

University of Queensland, Brisbane, QLD, Australia.

Objective: To assess the efficacy of a train-the-trainer model for sporting coaches delivering a youth sports-based resilience program.

Design: A quasi-experimental design was applied, with a pre-post comparison, utilising purposive sampling to take advantage of an existing naturally formed group.

Setting And Participants: A total of 11 coaches and 86 athletes involved in a community rowing program. Read More

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http://dx.doi.org/10.1111/ajr.12626DOI Listing

The 11th Australian Rural and Remote Mental Health Symposium Communiqué.

Aust J Rural Health 2020 Apr;28(2):187-189

Flinders University, Adelaide, SA, Australia.

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http://dx.doi.org/10.1111/ajr.12622DOI Listing

Community pulse-Conversations in health.

Aust J Rural Health 2020 Apr;28(2):159-160

Department of Rural Health, University of South Australia, Tanunda, SA, Australia.

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http://dx.doi.org/10.1111/ajr.12611DOI Listing

COVID-19 in rural non-resort town: Observation from Thailand.

Aust J Rural Health 2020 Apr;28(2):184

Dr DY Patil University, Pune, India.

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http://dx.doi.org/10.1111/ajr.12627DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7272994PMC

Expecting the unexpected? Improving rural health in the era of bushfires, novel coronavirus and climate change.

Aust J Rural Health 2020 Apr;28(2):107-109

Clinical Nursing Practice, School of Nursing and Midwifery, La Trobe University, Melbourne, Australia.

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http://dx.doi.org/10.1111/ajr.12623DOI Listing

Can we manage mental health and cardiovascular risk in rural communities?

Authors:
David Mills

Aust J Rural Health 2020 Apr 12;28(2):120-121. Epub 2020 Apr 12.

Discipline of Rural Health, Adelaide Rural Clinical School Ringgold Standard Institution, Adelaide, SA, Australia.

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http://dx.doi.org/10.1111/ajr.12612DOI Listing

The role of the peer support worker in increasing rural mental health help-seeking.

Aust J Rural Health 2020 Apr 12;28(2):203-208. Epub 2020 Apr 12.

Hunter Medical Research Institute, Newcastle, NSW, Australia.

Objective: Mental health peer support workers draw on lived experience to provide benefit to people experiencing mental distress. People living in rural areas are less likely than their urban counterparts to seek professional help for psychological distress. The aim of this study was to explore the perceived value of rural peer support workers as facilitators to rural mental health help-seeking. Read More

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http://dx.doi.org/10.1111/ajr.12603DOI Listing

Co-designing the InnoWell Platform to deliver the right mental health care first time to regional youth.

Aust J Rural Health 2020 Apr 12;28(2):190-194. Epub 2020 Apr 12.

Brain and Mind Centre, University of Sydney, Sydney, NSW, Australia.

Objective: Building upon earlier research, a person-centred technology-enabled solution (the InnoWell Platform) is being co-designed and implemented into regional youth primary mental health services to improve clinical safety and service quality.

Design: Co-design methodologies of service pathway mapping and participatory design workshops as well as usability testing guide the development and implementation of the InnoWell Platform.

Setting And Participants: headspace centres on the North Coast of New South Wales and their associated communities. Read More

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http://dx.doi.org/10.1111/ajr.12617DOI Listing

Achieving therapeutic gains for regional youth with emergent mental health issues through parental family system-based groups: Findings from a qualitative study.

Aust J Rural Health 2020 Apr 7;28(2):161-167. Epub 2020 Apr 7.

Headspace Coffs Harbour, Coffs Harbour, NSW, Australia.

Objective: This paper reports findings from a study that sought to better understand the experiences of parents and their children with emergent mental health challenges following the parent's participation in a nurse-led therapeutic group.

Design: This was an explorative qualitative study using semi-structured interviews which were then thematically analysed.

Setting: Findings from this single-site study are drawn from regional Australia. Read More

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http://dx.doi.org/10.1111/ajr.12610DOI Listing

Absence of rigorous evidence undermines cultural safety reforms.

Aust J Rural Health 2020 Feb;28(1):4-5

Charles Sturt University and Mid North Coast Local Health District, Port Macquarie, NSW, Australia.

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http://dx.doi.org/10.1111/ajr.12606DOI Listing
February 2020

The Orange Declaration: Relevance for Canada.

Aust J Rural Health 2020 Feb;28(1):96

Department of Clinical Health Psychology, University of Manitoba, Winnipeg, MB, Canada.

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http://dx.doi.org/10.1111/ajr.12602DOI Listing
February 2020

Using firefighters as medical first responders to shorten response time in rural areas in Sweden.

Aust J Rural Health 2020 Feb;28(1):6-14

Centre of Interprofessional Collaboration within Emergency care (CICE), Växjö, Sweden.

Objective: To map out and describe an earlier response by using firefighters as medical first responders on while waiting for the ambulance and first incident person assignments focusing on frequency, event time and survival >30 days after performed cardiopulmonary resuscitation.

Design: Retrospective descriptive design.

Setting: Ambulance service in a county of southern Sweden with a population of 200 000 inhabitants (23/km ). Read More

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http://dx.doi.org/10.1111/ajr.12599DOI Listing
February 2020
1.343 Impact Factor

Creating place-based health and wellbeing networks in rural and remote communities.

Authors:
Gabrielle O'Kane

Aust J Rural Health 2020 Feb;28(1):97-98

National Rural Health Alliance, Canberra, ACT, Australia.

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http://dx.doi.org/10.1111/ajr.12604DOI Listing
February 2020

Corrigendum.

Authors:

Aust J Rural Health 2020 02;28(1):99

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http://dx.doi.org/10.1111/ajr.12601DOI Listing
February 2020

Challenges of delivering evidence-based stroke services for rural areas in Australia.

Aust J Rural Health 2020 Feb 28;28(1):15-21. Epub 2020 Jan 28.

College of Health and Medicine, School of Health Sciences, University of Tasmania, Newnham, TAS, Australia.

Objective: The aim of this paper was to use current stroke care guidelines to identify and discuss current stroke care challenges in rural Australian health care and potential solutions for delivery of evidence-based practice.

Design And Setting: A review of national guidelines since 2002 for organised stroke care was undertaken to determine best practice for delivering primary stroke care. We then employed a narrative literature review strategy looking at relevant articles, based on keywords, outlining current stroke service availability in Australia, highlighting the challenges of implementing evidence-based stroke care in rural areas in Australia based on the current guidelines. Read More

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http://dx.doi.org/10.1111/ajr.12579DOI Listing
February 2020

Using quality improvement strategies to strengthen regional systems for Aboriginal and Torres Strait Islander eye health in the Northern Territory.

Aust J Rural Health 2020 Feb 22;28(1):60-66. Epub 2020 Jan 22.

Brien Holden Vision Institute, Sydney, NSW, Australia.

Problem: In the Katherine region, Northern Territory, barriers to eye care for Aboriginal and Torres Strait Islander people include unclear eye care referral processes, challenges coordinating patient eye care between various providers, complex socioeconomic determinants and a lengthy outpatient ophthalmology waiting list.

Design: Mixed methods participatory approach using a regional needs analysis, clinical file audit and stakeholder survey, to develop, implement and monitor quality improvement strategies.

Setting: Collaboration with Aboriginal Community Controlled Health Services and regional eye care stakeholders in the Katherine region. Read More

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http://dx.doi.org/10.1111/ajr.12575DOI Listing
February 2020

Interpersonal violence and violent re-injury in the Northern Territory.

Aust J Rural Health 2020 Feb 22;28(1):67-73. Epub 2020 Jan 22.

Royal Darwin Hospital, Casuarina, Northern Territory, Australia.

Objectives: To analyse incidence of prior emergency department presentations for interpersonal violence and demographics for a series of hospital admissions for interpersonal violence injuries.

Design: Retrospective analysis of trauma registry.

Setting: A tertiary hospital and primary referral centre for trauma in the Top End of the Northern Territory. Read More

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http://dx.doi.org/10.1111/ajr.12590DOI Listing
February 2020

Using digital and social media for health promotion: A social marketing approach for addressing co-morbid physical and mental health.

Aust J Rural Health 2020 Apr 22;28(2):149-158. Epub 2020 Jan 22.

Charles Sturt University, Albury, NSW, Australia.

Objective: This study examines consumer engagement with a social marketing digital media strategy designed to support the implementation of Equally Well-a program to improve the physical health of people living with mental illness.

Design: A four-stage strategic analysis and intervention mix were used as the theoretical framework to assess stakeholder needs and to evaluate the effectiveness of the intervention.

Setting: Online and digital media. Read More

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http://dx.doi.org/10.1111/ajr.12589DOI Listing

Promoting and improving the well-being of junior doctors in Australia: Did you know? Practical Practice Pointers.

Aust J Rural Health 2020 Feb 22;28(1):92-93. Epub 2020 Jan 22.

College of Healthcare Sciences, James Cook University, Townsville, QLD, Australia.

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http://dx.doi.org/10.1111/ajr.12596DOI Listing
February 2020

Assessing patients decision-making capacity in the hospital setting: A literature review.

Aust J Rural Health 2020 Apr 20;28(2):141-148. Epub 2020 Jan 20.

Coffs Harbour Health Campus, Mid North Coast Local Health District, Coffs Harbour, NSW, Australia.

Objective: Decision-making capacity assessments for hospital settings are challenging as it is dominated by the ethical and legal principles of maintaining autonomy and protection. Health clinicians, especially in rural areas, are challenged with a lack of a standardised processes and pathways for decision-making capacity assessment. A literature review was conducted to determine what measurement tools clinicians are utilising in the hospital setting for decision-making capacity assessment and how decisions relating to consent to treatment, independent living and finances are made. Read More

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http://dx.doi.org/10.1111/ajr.12592DOI Listing

Nurse-led psychological intervention reduces anxiety symptoms and improves quality of life following percutaneous coronary intervention for stable coronary artery disease.

Aust J Rural Health 2020 Apr 20;28(2):124-131. Epub 2020 Jan 20.

Department of Cardiology and Nursing, Liaocheng People's Hospital, Liaocheng City, China.

Objective: To study the effect of nurse-led counselling on the anxiety symptoms and the quality of life following percutaneous coronary intervention for stable coronary artery disease.

Design: Randomised control trial.

Setting: Rural and remote China. Read More

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http://dx.doi.org/10.1111/ajr.12587DOI Listing

Heart disease, hospitalisation and referral: Coaching to Achieving Cardiovascular Health through cardiac rehabilitation in Queensland.

Aust J Rural Health 2020 Feb 19;28(1):51-59. Epub 2020 Jan 19.

Wardliparingga Aboriginal Health, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.

Objectives: To describe rates of hospitalisation and Coaching on Achieving Cardiovascular Health referral, for Queensland's adults with heart and related disease, and comparisons between Aboriginal and Torres Strait Islander and non-Indigenous peoples in northern Queensland.

Design: Descriptive retrospective epidemiological study of Queensland Health Patient Admission Data Collection for adults with heart and related disease, and Coaching on Achieving Cardiovascular Health referral data. Relative risk and age standardisation were calculated for Aboriginal and Torres Strait Islander and non-Indigenous peoples. Read More

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http://dx.doi.org/10.1111/ajr.12588DOI Listing
February 2020

General practice training in regional and rural Australia: A cross-sectional analysis of the Registrar Clinical Encounters in Training study.

Aust J Rural Health 2020 Feb 17;28(1):32-41. Epub 2020 Jan 17.

School of Medicine and Public Health, Faculty of Health, University of Newcastle, Callaghan, NSW, Australia.

Objective: We aimed to investigate registrar, practice and consultation characteristics associated with varying degrees of GP registrars' practice rurality.

Design: A cross-sectional analysis of 12 rounds of data collection (2010-2015) from the longitudinal Registrar Clinical Encounters in Training study, an ongoing, cohort study of Australian GP registrars. The principal analysis used was a generalised ordered logistic regression. Read More

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http://dx.doi.org/10.1111/ajr.12591DOI Listing
February 2020