Anger is a common emotional sequel in the aftermath of traumatic experience. As it associated with significant distress and influences recovery, anger requires routine screening assessment. Most validated measures are too lengthy for inclusion self-report batteries or as tools. This study examines psychometric properties shortened 5-item version Dimensions Reactions (DAR), an existing tool.Responses to DAR-5 were analysed from sample 486 college students without history trauma exposure.The...

Disparities in access to primary care (PC) have been demonstrated within and between health systems. However, few studies assessed the factors associated with multiple barriers occurring along care-seeking process different healthcare In this secondary analysis of 2016 Commonwealth Fund International Health Policy Survey Adults, was represented through participant responses questions relating either before or after reaching PC practice 11 countries (Australia, Canada, France, Germany,...

Abstract Depressive symptoms may compromise the ability of low‐income Latina mothers with limited English language proficiency to parent their infants or toddlers. Eighty Early Head Start were randomized an advanced practice nurse‐delivered, culturally tailored, in‐home psychotherapy intervention, usual care. Repeated measures regression analysis showed a significantly greater decrease in depressive for intervention compared care group at 22 and 26 weeks (4 post intervention). Intervention...

International clinical practice guidelines for the management of psychological trauma recommend Psychological First Aid (PFA) as an early intervention survivors potentially traumatic events. These recommendations are consensus-based, and there is little published evidence assessing effectiveness PFA. This not surprising given nature complicating factors involved in any evaluation There is, nevertheless, urgent need stronger evaluating its effectiveness. The current paper posits that...

This study evaluated the relations between posttraumatic stress disorder (PTSD) symptoms and poor family functioning in veterans their partners.Data were collected from Caucasian with PTSD (N = 1,822) partners 702); mean age 53.9 years, SD 7.36. Veterans completed Posttraumatic Checklist Military Version (PCL-M) and, along partners, McMaster Family Assessment Device (FAD-12). Assessments conducted at intake into a treatment program 3 months 9 posttreatment.Structural equation models (SEMs)...

Objective To develop and evaluate an interactive advance care planning (ACP) educational programme for general practitioners doctors-in-training. Design Development of training materials was overseen by a committee; informed literature previous teaching experience. The evaluation assessed participant confidence, knowledge attitude toward ACP before after training. Setting Training provided to metropolitan rural settings in Victoria, Australia. Participants 148 doctors participated majority...

Objectives To develop a multidimensional statistical model that could assess the contribution of, and interrelationships between, measures likely to contribute an individual's successful aging, defined as aging well across number of dimensions. Design Cross-sectional. Setting Data collected from 8,841 Australians aged 16 85 during 2007 National Survey Mental Health Well-Being conducted by Australian Bureau Statistics. Participants Two thousand two hundred eighty-six survey participants 61...

Substantial research has demonstrated an association between post-traumatic stress disorder (PTSD) and quality of sleep, particularly in veteran populations. The exact nature this relationship, however, is not clear. possibility that poor sleep a more general experience among veterans been explored to date, with most studies focusing only on populations PTSD. This pilot study aimed explore whether disturbance common generally or simply those Data were collected from community sample 152...

Most highly developed economies have embarked on a process of primary health care (PHC) transformation. To provide evidence how nations vary in terms accessing PHC, the aim this study is to describe extent which barriers access were experienced by adults Australia compared with other countries. Communities participating an international research project PHC interventions engaged prioritise questions from 2013 Commonwealth Fund International Health Policy Survey within framework that...

Abstract Energy hardship is increasingly recognised as a significant determinant of health, with evidence linking it to numerous negative health and wellbeing outcomes. The association between energy public raises questions about what roles the sector can or should play in addressing issue. While there are limited examples literature, role sectors date has been predominantly an intermediary connecting eligible individuals interventions, such financial counselling household upgrades improve...

Abstract Background Despite tighter treatment targets and an expanding array of therapeutics, hospitalisations for patients with inflammatory bowel disease (IBD) continue to occur, resulting in significant healthcare expense. This study aimed identify factors associated hospitalisation. Methods Patients seen at specialist IBD clinics a tertiary health service those hospitalised over 13-month period from September 2022 2023 were identified, medical records interrogated demographic...

Background The Whitlam Labor government established the Community Health Program (CHP) in Australia 1973 to improve access health and related welfare services nationally. States reacted differently program. Designated Australian Government funding for program ended 1981. In spite of fluctuating state support changing legislative frameworks over time, Victoria is only that continues operate a generic community centre (CHC) reflecting original CHP. Methods Data were collected from policy...

Background: Depressive symptoms and clinical depression are highly prevalent in low-income mothers negatively affect their infants toddlers. Objectives: The aim of this study was to test interpersonal psychotherapy combined with parenting enhancement on depressive behavior, compared an equal attention-control condition. Methods: Mothers (n = 226) Early Head Start toddlers from the southeastern northeastern United States were randomized intervention delivered in-home by psychiatric mental...

Objectives To assess existing advance care planning (ACP) practices in residential aged facilities (RACFs) Victoria, Australia before a systematic intervention; to RACF staff experience, understanding of and attitudes towards ACP. Design Surveys participating organisations concerning ACP-related policies procedures, review documentation, pre-intervention survey covering their role, experiences procedures. Setting 19 selected RACFs Victoria. Participants 12 (representing RACFs) who provided...

Abstract Background Primary healthcare services must respond to the healthcare-seeking needs of persons with a wide range personal and social characteristics. In this study, examined whether socially vulnerable exhibit lower abilities access healthcare. First, we how characteristics are associated described in patient-centered accessibility framework likelihood reporting problematic access. We then higher protective against Finally, explored vulnerabilities predict after accounting for...

Abstract Background Language is a barrier to many patients from refugee backgrounds accessing and receiving quality primary health care. This paper examines the way general practices address these barriers how this changed following practice facilitation intervention. Methods The OPTIMISE study was stepped wedge cluster randomised trial set within 31 in three urban regions Australia with high settlement. It involved intervention addressing interpreter engagement as one of four core areas....

This study explored the factors associated with timeliness of care in healthcare seeking pathway among patients lung cancer Bangladesh.A structured questionnaire was used for data collection from 418 through face-to-face interviews three tertiary hospitals. Log-rank tests were performed to test differences length intervals between points by socioeconomic characteristics and behaviours patients. Cox Proportional Hazard (PH) regression analysis identify predictors after adjustment variations...

Abundance of anophelines in 10 villages the Wosera area Papua New Guinea was monitored during 1990–1993. Of 85,197 collected 1,276 paired indoor and outdoor landing catches, 40.4% were Anopheles koliensis Owen, 36.7% An. punctulatus Donitz, 14.3% Art. karwari (James), 4.9% farauti s.l. Laveran, 3.1% longirostris Brug, 0.7% bancroftii Giles. Maps average biting rates produced using a Bayesian conditional autoregressive model which allowed for heterogeneities sampling effort over time space....

Access to primary healthcare (PHC) has a fundamental influence on health outcomes, particularly for members of vulnerable populations. Innovative Models Promoting Access-to-Care Transformation (IMPACT) is 5-year research programme built community-academic partnerships. IMPACT aims design, implement and evaluate organisational innovations improve access appropriate PHC Six Local Innovation Partnerships (LIPs) in three Australian states (New South Wales, Victoria Australia) Canadian provinces...