A Novel Community-Based Model to Enhance Health Promotion, Risk Factor Management and Chronic Disease Prevention

2014 ◽  
Vol 17 (3) ◽  
pp. 48-54 ◽  
Author(s):  
Shannon Ryan Carson ◽  
Caroline Carr ◽  
Graeme Kohler ◽  
Lynn Edwards ◽  
Rick Gibson ◽  
...  
Keyword(s):  
Health Promotion ◽  
Risk Factor ◽  
Chronic Disease ◽  
Disease Prevention ◽  
Chronic Disease Prevention ◽  
Community Based ◽  
Risk Factor Management

Moving Towards a More Integrated Approach to Chronic Disease Prevention in Australian General Practice

2008 ◽  
Vol 14 (3) ◽  
pp. 112 ◽  
Author(s):  
Mark F. Harris ◽  
Cheryl L. Amoroso ◽  
Rachel A. Laws
Keyword(s):  
General Practice ◽  
Risk Factor ◽  
Chronic Disease ◽  
Disease Prevention ◽  
Integrated Approach ◽  
Chronic Disease Prevention ◽  
Behavioural Risk Factor ◽  
Risk Factor Management ◽  
Australian General Practice ◽  
The Impact

There is increasing evidence that prevention of chronic disease is possible and that primary care can contribute to this. This paper aims to explore the development of policies and programs to improve chronic disease prevention via behavioural risk factor management in Australian general practice and the impact of these between 2001 and the present. This involved a review of policy initiatives and developments in Australian general practice, drawing on published research over this period. Behavioural risk factor management has not been comprehensively implemented in the way in which it was originally envisaged under the SNAP (Smoking, Nutrition, Alcohol and Physical Activity) framework, with initiatives and programs emerging over time in a much less planned way, including Lifescripts and more recently the 45 - 49 year health check. There has been a gradual development in capacity, especially in relation to workforce, education and training, educational materials, financial and decision support with divisions of general practice emerging to play a key facilitation role. Despite this, important gaps remain especially in relation to the use of team approaches within and outside the practice including access to referral services and programs.

Evaluation of the Heart to Heart Project: Lessons from a Community-Based Chronic Disease Prevention Project

1995 ◽  
Vol 9 (6) ◽  
pp. 443-455 ◽  
Author(s):  
Robert M. Goodman ◽  
Fran C. Wheeler ◽  
Peter R. Lee
Keyword(s):  
South Carolina ◽  
Chronic Disease ◽  
Disease Prevention ◽  
Health Department ◽  
Interview Data ◽  
Chronic Disease Prevention ◽  
Analysis Of Covariance ◽  
Local Health ◽  
Community Based ◽  
Prevention Project

Purpose. To present an evaluation of a 5-year, community-based, chronic disease prevention project managed by a state health department to determine whether the department could replicate similar previous projects that had received more funding and other resources. Design. The evaluation used a matched comparison design and a review of archive and interview data. Setting. Florence, South Carolina (population: 56,240). Subjects. A random sample of 1642 persons in Florence (and 1551 in the comparison) who responded to a risk factor questionnaire and underwent a physical assessment; 70. 7% of baseline subjects participated in the postintervention. Forty key persons were interviewed concerning project effectiveness. Interventions by Project. Walk-a-thons, a speakers' bureau, media messages, restaurant food labeling, and cooking seminars. More than 31,000 participants were involved in 585 activities. Measures. Questionnaires focused on hypertension, obesity, high cholesterol, smoking, and exercise. Physical assessments determined lipid, lipoprotein, apolipoprotein, and blood pressure levels. Analysis of covariance was used for baseline and postintervention comparisons. Content analysis was used on archive and interview data. Results. The project had a slightly favorable intervention effect on cholesterol and smoking, but failed to have an effect on other risk factors for cardiovascular disease. The project influenced community awareness, enlisted influential community members, and fostered linkages among local health services. Conclusions. Health departments can be instrumental in community risk reduction programming; however, they may not replicate projects having greater resources.

scholarly journals Could health information systems enhance the quality of Aboriginal health promotion? A retrospective audit of Aboriginal health programs in the Northern Territory of Australia

2020 ◽  
Author(s):  
Nikki Ann Percival ◽  
Priscilla Boucher ◽  
Kathleen Conte ◽  
Kate Robertson ◽  
Julie Cook
Keyword(s):  
Health Promotion ◽  
Information Systems ◽  
Chronic Disease ◽  
Disease Prevention ◽  
Health Information ◽  
Aboriginal Health ◽  
Health Information Systems ◽  
Chronic Disease Prevention ◽  
Retrospective Audit ◽  
Potential Benefits

Abstract Background. In Australia, health services are seeking innovative ways to utilize data stored in health information systems to report on, and improve, health care quality and health system performance for Aboriginal Australians. However, there is little research about the use of health information systems in the context of Aboriginal health promotion. In 2008, the Northern Territory’s publicly funded healthcare system introduced the Quality Improvement Program Planning System (QIPPS) as the centralized online system for recording information about health promotion programs. The purpose of this study was to explore the potential for utilizing data stored in QIPPS to report on quality of Aboriginal health promotion, using chronic disease prevention programs as exemplars. We identify the potential benefits and limitations of health information systems for enhancing Aboriginal health promotion. Methods: A retrospective audit was undertaken on a sample of chronic disease prevention activities delivered between 2013 and 2016. A validated, paper-based audit tool was used to extract information stored in the QIPPS online system and report on Aboriginal health promotion quality. Simple frequency counts were calculated for dichotomous and categorical items. Text was extracted and thematically analyzed to describe community participation processes and strategies used in Aboriginal health promotion. Results: 39 chronic disease prevention activities were included in the analysis. Most of the recorded information pertained to the health promotion planning phases, such as statements of project goals, ‘needs assessment’ findings, and processes for consulting Aboriginal people in the community. Evaluation findings were reported in approximately one third of projects and mostly limited to a recording of numbers of participants. For almost half of the projects analyzed, community participation strategies were not recorded. Conclusion: This is the first Australian study to shed light on the feasibility of utilizing data stored in a purposefully designed health information system for reporting on Aboriginal health promotion quality. Data availability and quality were limiting factors for reporting health promotion quality. Strategies to improve the quality and accuracy of data entry together with the use of quality improvement approaches are needed to reap the potential benefits of health promotion information systems.

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