Evaluation of a Sexuality and Relationships Education Program Taught in a Year 8 South Australian Classroom

This item is only available electronically.Sexuality and relationships education have changed dramatically over the past few decades. A renewed emphasis on curriculum developers to embed sexuality and relationships education with a holistic human rights-based approach is of increasing importance. This involves developing skills to empower students to make informed decisions and navigate safe and fulfilling relationships. While there are governing documents to guide curriculum developers to develop such a curriculum, often these guidance’s are ambiguous in nature and lack robust instruction. Additionally, the problem so often in education is that there are no obligations for curriculum developers to evaluate or monitor the quality of their programs. Therefore, exactly how does SRE encompass a holistic human-rights based to sexuality and relationships education and empower young people to live healthier lives? The purpose of this research is to develop a response to such an inquiry. An evaluation will be conducted on a Sexuality and Relationships Education Program which was provided by the program facilitator. This research employs the theoretical methodology of an intrinsic case study approach to conduct this evaluation. As essential process of this research was the development of a conceptual framework. This framework incorporates evaluating the input, context, process, and product factors of the program and the chosen guiding documents. The development of this evaluation provided strengths and limitations of the Sexuality and Relationships Education Program that cultivate the concepts addressed in the program. Recommendations for the Sexuality and Relationships Education Program are provided to assist the program facilitator, and other curriculum developers, to implement effective programs that empower young people. Additionally, this research aids to instil the importance of conducting program evaluations as a critical aspect to any curriculum implementation. Conducting this research has led to program recommendations and suggestions and revealed alternative directions for research on strategies to address key concepts of sexuality and relationships in schools concerning key concepts, including pornography and consent, which many teachers are often too hesitant to address in the classroom.Thesis (MTeach) -- University of Adelaide, School of Education, 202

Leveraging Implementation Science to Understand Factors Influencing Sustained Use of Mental Health Apps: a Narrative Review

Mental health (MH) smartphone applications (apps), which can aid in self-management of conditions such as depression and anxiety, have demonstrated dramatic growth over the past decade. However, their effectiveness and potential for sustained use remain uncertain. This narrative review leverages implementation science theory to explore factors influencing MH app uptake. The review is guided by the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework and discusses the role of the innovation, its recipients, context, and facilitation in influencing successful implementation of MH apps. The review highlights critical literature published between 2015 and 2020 with a focus on depression and anxiety apps. Sources were identified via PubMed, Google Scholar, and Twitter using a range of keywords pertaining to MH apps. Findings suggest that for apps to be successful, they must be advantageous over alternative tools, relatively easy to navigate, and aligned with users\u27 needs, skills, and resources. Significantly more attention must be paid to the complex contexts in which MH app implementation is occurring in order to refine facilitation strategies. The evidence base is still uncertain regarding the effectiveness and usability of MH apps, and much can be learned from the apps we use daily; namely, simpler is better and plans to integrate full behavioral treatments into smartphone form may be misguided. Non-traditional funding mechanisms that are nimble, responsive, and encouraging of industry partnerships will be necessary to move the course of MH app development in the right direction

Final Report: Evaluation of the AIME Outreach Program

The AIME (Australian Indigenous Mentoring Experience) Program was established in 2005 when 25 students from the University of Sydney volunteered to work with 25 Indigenous children from local high schools. Since 2005 more than 3000 mentors have been recruited to work with 3542 Indigenous school students in New South Wales, Queensland and Victoria. The AIME Program is based on the recruitment of university students as mentors who provide advice and personal support to Indigenous school mentees from years 7 to 12. Its overall goals are to improve retention rates of Indigenous high school students to Year 12 and to encourage the transition of Indigenous students to university

How Do Patients with Mental Health Diagnoses Use Online Patient Portals? An Observational Analysis from the Veterans Health Administration

Online patient portals may be effective for engaging patients with mental health conditions in their own health care. This retrospective database analysis reports patient portal use among Veterans with mental health diagnoses. Unadjusted and adjusted odds of portal feature use was calculated using logistic regressions. Having experienced military sexual trauma or having an anxiety disorder, post-traumatic stress disorder, or depression were associated with increased odds of portal use; bipolar, substance use, psychotic and adjustment disorders were associated with decreased odds. Future research should examine factors that influence portal use to understand diagnosis-level differences and improve engagement with such tools

The African Women's Protocol: Bringing Attention to Reproductive Rights and the MDGs

Andrew Gibbs and colleagues discuss the African Women's Protocol, a framework for ensuring reproductive rights are supported throughout the continent and for supporting interventions to improve women's reproductive health, including the MDGs

Secure Messaging, Diabetes Self-management, and the Importance of Patient Autonomy: a Mixed Methods Study

BACKGROUND: Diabetes is a complex, chronic disease that requires patients\u27 effective self-management between clinical visits; this in turn relies on patient self-efficacy. The support of patient autonomy from healthcare providers is associated with better self-management and greater diabetes self-efficacy. Effective provider-patient secure messaging (SM) through patient portals may improve disease self-management and self-efficacy. SM that supports patients\u27 sense of autonomy may mediate this effect by providing patients ready access to their health information and better communication with their clinical teams. OBJECTIVE: We examined the association between healthcare team-initiated SM and diabetes self-management and self-efficacy, and whether this association was mediated by patients\u27 perceptions of autonomy support from their healthcare teams. DESIGN: We surveyed and analyzed content of messages sent to a sample of patients living with diabetes who use the SM feature on the VA\u27s My HealtheVet patient portal. PARTICIPANTS: Four hundred forty-six veterans with type 2 diabetes who were sustained users of SM. MAIN MEASURES: Proactive (healthcare team-initiated) SM (0 or \u3e /= 1 messages); perceived autonomy support; diabetes self-management; diabetes self-efficacy. KEY RESULTS: Patients who received at least one proactive SM from their clinical team were significantly more likely to engage in better diabetes self-management and report a higher sense of diabetes self-efficacy. This relationship was mediated by the patient\u27s perception of autonomy support. The majority of proactive SM discussed scheduling, referrals, or other administrative content. Patients\u27 responses to team-initiated communication promoted patient engagement in diabetes self-management behaviors. CONCLUSIONS: Perceived autonomy support is important for diabetes self-management and self-efficacy. Proactive communication from clinical teams to patients can help to foster a patient\u27s sense of autonomy and encourage better diabetes self-management and self-efficacy

Modeling the impact of COVID-19 nonpharmaceutical interventions on respiratory syncytial virus transmission in South Africa

Background: The South African government employed various nonpharmaceutical interventions (NPIs) to reduce the spread of SARS-CoV-2. Surveillance data from South Africa indicates reduced circulation of respiratory syncytial virus (RSV) throughout the 2020–2021 seasons. Here, we use a mechanistic transmission model to project the rebound of RSV in the two subsequent seasons. Methods: We fit an age-structured epidemiological model to hospitalization data from national RSV surveillance in South Africa, allowing for time-varying reduction in RSV transmission during periods of COVID-19 circulation. We apply the model to project the rebound of RSV in the 2022 and 2023 seasons. Results: We projected an early and intense outbreak of RSV in April 2022, with an age shift to older infants (6–23 months old) experiencing a larger portion of severe disease burden than typical. In March 2022, government alerts were issued to prepare the hospital system for this potentially intense outbreak. We then assess the 2022 predictions and project the 2023 season. Model predictions for 2023 indicate that RSV activity has not fully returned to normal, with a projected early and moderately intense wave. We estimate that NPIs reduced RSV transmission between 15% and 50% during periods of COVID-19 circulation. Conclusions: A wide range of NPIs impacted the dynamics of the RSV outbreaks throughout 2020–2023 in regard to timing, magnitude, and age structure, with important implications in a low- and middle-income countries (LMICs) setting where RSV interventions remain limited. More efforts should focus on adapting RSV models to LMIC data to project the impact of upcoming medical interventions for this disease.</p

Remembrances of Steve Ellmann, Still Present

In Memoriam: Steven Ellman