Cross-cultural adaptation of a tobacco questionnaire for Punjabi, Cantonese, Urdu and Sylheti speakers: qualitative research for better clinical practice, cessation services and research.Â

Objective : To develop cross‐culturally valid and comparable questionnaires for use in clinical practice, tobacco cessation services and multiethnic surveys on tobacco use.
Methods : Key questions in Urdu, Cantonese, Punjabi and Sylheti on tobacco use were compiled from the best existing surveys. Additional items were translated by bilingual coworkers. In one‐to‐one and group consultations, lay members of the Pakistani, Chinese, Indian Sikh and Bangladeshi communities assessed the appropriateness of questions. Questionnaires were developed and field tested. Cross‐cultural comparability was judged in a discussion between the researchers and coworkers, and questionnaires were finalised. Questionnaires in Cantonese (written and verbal forms differ) and Sylheti (no script in contemporary use) were written as spoken to avoid spot translations by interviewers.
Results : The Chinese did not use bidis, hookahs or smokeless tobacco, so these topics were excluded for them. It was unacceptable for Punjabi Sikhs to use tobacco. For the Urdu speakers and Sylheti speakers there was no outright taboo, particularly for men, but it was not encouraged. Use of paan was common among women and men. Many changes to existing questions were necessary to enhance cultural and linguistic appropriateness—for example, using less formal language, or rephrasing to clarify meaning. Questions were modified to ensure comparability across languages, including English.
Conclusion : Using theoretically recommended approaches, a tobacco‐related questionnaire with face and content validity was constructed for Urdu, Punjabi, Cantonese and Sylheti speakers, paving the way for practitioners to collect more valid data to underpin services, for sounder research and ultimately better tobacco control. The methods and lessons are applicable internationally.

Physical activity beliefs and behaviours among adults attempting weight control

Objective: To compare the frequency and duration of varying intensities of physical activity performed by adults trying to lose weight, avoid gaining weight and not actively trying to control their weight, and to compare these groups' beliefs about the physical activity they should perform.

Method: Random postal survey of 2500 Victorian adults selected from the Australian electoral roll (response rate=42%).

Measures: One-week physical activity recall (frequency and duration of walking, other moderate activity and vigorous activity), BMI (based on self-reported height and weight) and weight-control behaviour.

Results: At the time of the survey, 27% of respondents were actively trying to avoid gaining weight, 23.9% trying to lose weight and 49.1% undertaking no weight control. Respondents spent a mean time of 4.0 (±7.1) h walking, 5.5 (±7.9) h in moderate activity and 3.1(±5.9) h in vigorous activity during the week prior to the survey. Women trying to lose weight or avoid gaining weight engaged in vigorous activity more often than women not trying to control their weight. After adjusting for age, education and BMI, women trying to avoid gaining weight were 2.4 times more likely, and women trying to lose weight 2.5 times more likely, to have met current physical activity guidelines than women undertaking no weight control. On average, respondents believed they should spend 5.2 (±6.9) h walking, 6.5 (±8.2) h in moderate activity and 4.3 (±6.5) h in vigorous activity each week. Women trying to lose weight felt they should perform vigorous activity more often than other women. Weight-control behaviour was not associated with physical activity beliefs and behaviours of men.

Conclusion: Walking is a common activity among adults attempting weight control. However, many men and women do not fully recognize the value of moderate-intensity physical activity. Future efforts should be directed at promoting the role of moderate-intensity activity in weight control, particularly activity that can be performed outside of planned activity sessions.

Laptop computers as a mediating tool between teacher beliefs and pedagogy

This study focused on teachers of senior secondary classes and the impact on pedagogy of the use of laptop computers. It was found that in schools operating a mature laptop program, pedagogy was influenced by teacher beliefs, prevailing school culture, and the assessment requirements of students in their final year.

Primary teacher beliefs and practices in working and thinking scientifically and technologically

What are primary teachers' beliefs about thinking and working scientifically and technologically? How do the teachers' beliefs manifest in classroom practice? What differences do the teachers see between thinking and working scientifically and technologically? These questions were central themes of the case study research. Interviews and classroom observation were the techniques used to identify how three experienced primary teachers' beliefs about thinking and working technologically and scientifically were manifested in their classroom practice.

Health-related beliefs, explanations and actions of older Anglo-Celtic-Australians

This thesis was an exploration of the health-related understandings and experiences of older Anglo-Celtic-Australians from a disadvantaged metropolitan locality. New insights were gained about the relationship between disadvantage and poor health outcomes; particularly the impact of limited self-care practices in combination with difficulties relating to the health care professionals.

Health beliefs and behaviours of home economics teachers in Victoria

Data from questionnaires mailed to post-primary home economics teachers suggests that they possess untapped knowledge and expertise that could be used in intersectoral approaches to health promotion outside classroom teaching.