Sustaining modified behaviours learnt in a diabetes prevention program in regional Australia : the role of social context

Background
The Greater Green Triangle diabetes prevention program was conducted in primary health care setting of Victoria and South Australia in 2004--2006. This program demonstrated significant reductions in diabetes risk factors which were largely sustained at 18 month follow-up. The theoretical model utilised in this program achieved its outcomes through improvements in coping self-efficacy and planning. Previous evaluations have concentrated on the behavioural components of the intervention. Other variables external to the main research design may have contributed to the success factors but have yet to be identified. The objective of this evaluation was to identify the extent to which participants in a diabetes prevention program sustained lifestyle changes several years after completing the program and to identify contextual factors that contributed to sustaining changes.

Methods
A qualitative evaluation was conducted. Five focus groups were held with people who had completed a diabetes prevention program, several years later to assess the degree to which they had sustained program strategies and to identify contributing factors.

Results
Participants value the recruitment strategy. Involvement in their own risk assessment was a strong motivator. Learning new skills gave participants a sense of empowerment. Receiving regular pathology reports was a means of self-assessment and a motivator to continue. Strong family and community support contributed to personal motivation and sustained practice.

Conclusions
Family and local community supports constitute the contextual variables reported to contribute to sustained motivation after the program was completed. Behaviour modification programs can incorporate strategies to ensure these factors are recognised and if necessary, strengthened at the local level.

A new child protection strategy for Aboriginal communities in Western Australia

Despite numerous government inquiries and reforms, child sexual abuse in remote Aboriginal communities is a well-documented, ongoing problem. Established in Western Australia in 2009, Operation RESET is a multi-agency proactive community engagement initiative designed to improve the ability of communities and supporting agencies to detect, respond to and prevent child sexual abuse through the implementation of community engagement, capacity building and educational strategies. This comment describes the three core principles of Operation RESET: tackling child sexual abuse requires a collaborative, proactive approach between government and communities; the underlying causes and context of child sexual abuse must be recognised; and children's overall safety and wellbeing must be enhanced through integrated services that strengthen and empower families and communities. It also enumerates the seven phases of the operation's implementation, from identifying target communities to deploying an exit strategy. The comment ends by addressing the importance of empirical evaluation.

Australian women in education : 2012 and still blocked at the pass. Is there a remedy?

Women have been striving for equity and diversity for a long time. Despite enormous changes in Australian women’s lives over the past five decades, there are glaring ‘sticking points’ – in education and social life in general - that are proving resilient to change. This keynote addresses some of these issues and canvasses what might be needed to tackle them.

Emotions in education policy : a social contract analysis of asymmetrical dyads and emotion

Like other academic fields, educational policy is being reviewed for the affective component. Analysis is occurring in two forms: (a) the affects of education policy on education, school leaders, teachers and student learning outcomes and (b) text analysis of specific education policies. This chapter explores the representation of emotions in education policy texts, drawing on a theory of social contracts (Rawolle & Vadeboncoeur, 2003; Yeatman, 1996) as a way to explore what is being conveyed to administrators and teachers. This chapter considers the way in which emotions are represented in education policy, through social contract analysis. Social contracts are underpinned by three underlying conditions: consent to be a part of a contract, points of renegotiation through the duration of the contract and mutual accountability to those involved.

Hope for resurrecting a functionally extinct parrot or squandered social capital? Landholder attitudes towards the Orange-bellied Parrot (Neophema chrysogaster) in Victoria, Australia

In early 2010, after 27 years of recovery effort, the orange-bellied parrot (OBP; Neophema chrysogaster) was expected to be extinct in the wild within a few years. Shortly before the imminent wild extinction became evident, we surveyed landholders (114 responses of 783 surveys delivered) in part of the main non-breeding area, according to three classes of modelled habitat suitability ('high', 'medium', and 'low'). Predictions of the habitat models appear to correlate with landholder perceptions of the presence of OBP habitat on private land, thus the models appear a tractable way to identify key stakeholders worthy of priority consultation in relation to habitat works. Landholders were sympathetic to wetlands and birds, including OBPs (89.4% were aware of OBPs). Most indicated that they would be upset if the OBP went extinct and agreed that critical habitat should be protected; 80.7% were prepared to consider changes to the way they managed their land to benefit the species, and sought more information on how they could do so (64.0%). This study suggests that the habitat model usefully identified key stakeholders and the OBP enjoyed high awareness, concern, and engagement among many stakeholders, shortly before the species was considered functionally extinct. The maintenance of landholder support is likely to be critical if future attempts are made to reintroduce the species to the wild.

Re-imaging citizenship in suburban Australia

Formal citizenship focuses on the provision of rights and responsibilities by the nation state. Such an understanding of democratic citizenship, however, is limited in providing social inclusion in everyday life, if cultural practices privilege whiteness. Although this paper draws attention to such practices that mark the ethnic Other, it also demonstrates the potential that exists to shift the boundaries of white privilege and negotiate dominant narratives of citizenship. Using a theoretical and methodological approach that focuses on poststructural and feminist ideas, I argue that the ways in which place is produced through reiterative everyday practices, makes place a site of transformative social change where white privilege can be questioned and difference welcomed. I draw on 54 indepth semi-structured interviews with people who live and/or work in the City of Greater Dandenong, suburban Melbourne, Australia to makes visible these everyday reiterative practices, and illustrate how they can be conceptualised as acts of responsibility, rather than just repetitive acts of hostility and suspicion. From my intersecting and shifting subject positions as a woman, a resident, ethnic, migrant, and Indian, the visibility of such practices makes it possible to re-imagine citizenship in the local neighbourhood, the city as well as the nation.

Experiences of migration and the determinants of obesity among recent Iranian immigrants in Victoria, Australia

Objectives. There is evidence to suggest that immigrant groups from low- or medium-human development index countries show a significant adoption of obesogenic behaviors and experience weight gain following migration to Australia. The objective of this study is to understand the changes that Iranian immigrants experience in relation to the determinants of obesity after migration to Victoria, Australia.

Design. We conducted five focus group discussions with 33 recent Iranian immigrants. This study took an interpretive qualitative approach to data analysis using the constant comparative method.

Results. Participants discussed individual level acculturation (e.g., in diet, body size, attitudes), as well as environmental level changes (e.g., physical/structural and sociocultural) that occurred after immigration. Stress during the initial immigration transition, which affected diet and physical activity habits, was a common experience among participants. Gender and the effect of political/religious changes were also important factors. Participants' discourse largely focused on their ability and willingness to adopt positive health behaviors after migration.

Conclusion. This study provides insight into the effect of migration on the determinants of obesity among Iranian immigrants in Victoria, Australia, and offers a contrast with the existing evidence by considering the experience of a group that is generally well educated, often emigrates for reasons related to personal freedom as opposed to material deprivation, and has rates of obesity similar to high-income countries.

Bryophytes of urban industrial streetscapes in Victoria, Australia

The bryophyte floristics of industrial/commercial streetscapes of urban Victoria and the importance of various substrata to species richness were explored. Species richness was low compared to healthy natural environments. Thirty mosses from 14 families, and six liverworts, each from different families, were identified. Most species occurred at fewer than 30% of sites, showing the patchy nature of their distribution. Only three species occurred at more than half the sites. Markedly higher species richness occurred on soil than on any other substratum. Epiphytes were extremely few. The low bryodiversity of streetscapes, the patchy nature of the bryophytes and the high number of colonists suggest that the streetscapes have not fulfilled their potential in providing connectivity between urban and non-urban areas. Colonists characteristically occur early in the successional sequence of disturbed areas but, as streetscapes are continually disturbed, colonists effectively are climax species for this habitat. Better management of streetscapes to provide more complex habitat is needed to enable colonisation of these areas by bryophyte species that are more representative of our ever-shrinking natural habitats.