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Progress Report

1 January 2008 to 30 June 2008

University Department of Rural Health University of Tasmania

Locked Bag 1372 Launceston Tasmania 7250 Telephone: 03 6324 4000 Facsimile: 03 6324 4040

Website: www.utas.edu.au/ruralhealth

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UDRH Name University Department of Rural Health - Tasmania Reporting Period 1 January 2008 – 30 June 2008 Summary of the progress of the UDRH (clause 5.4) (Provide a summary of whether the objectives and outcomes of the Project are being achieved and if not, why not). A Textbook of Australian Rural Health, co-edited by UTAS Associate Professor Sue Kilpatrick and University of Melbourne Prof Siaw-Teng Liaw, was launched by the Minister of Health Nicola Roxon on 18 June 2008. UTAS is among the major contributors to this book. Of the 15 chapters, six are co-authored by UTAS academics with subjects ranging from population health, diversity of cultures, supporting rural health professionals, strengthening interprofessional practice, health services for refugees, e-health to rural connectivity. Dr Rosemary Cane was successful in being awarded a 2008 NHMRC public health postgraduate scholarship. Rosemary will undertake a PhD in methods to integrate oral health into the rural primary health care setting. This exploratory study has the potential to understand the pathways between social structure, health and oral health and methods to promote oral health with chronic disease management. In June 2008, Rosemary was also a co- author of a paper that received an ‘Award of Excellence’ from the Australian Dental Journal for the most outstanding paper (Clinical Report Category) for 2007. The paper outlined an interdisciplinary approach to the clinical management of severe dental infection for a special needs patient living in the rural setting. Regener8: Stories and Impressions of the Tasmanian East Coast Bushfire 2006 publication received national acknowledgement on ABC National Bush Telegraph radio. The key leaders of this initiative, Jan Sparkes from the local community and Dr Rosa McManamey, Honorary Associate with the UDRH, were interviewed and given the opportunity to highlight the importance of community spirit and resilience in a time of need. An Investigation into the allied health and oral health workforce in Tasmania The Tasmanian University Department of Rural Health, in partnership with the Department of Health and Human Services is undertaking a project to produce accurate, detailed and contemporary information on the allied health workforce in Tasmania. A survey form, available both online and by hardcopy was sent to 2750 allied health and oral health professionals from 25 discipline groups in March-June 2008. Disciplines include audiology, chiropractic and osteopathy, physiotherapy, podiatry, occupational therapy, social work, speech pathology, pharmacy, radiography as well as dentistry and oral health professionals. 1182 responses have been received representing a return rate of over 43%. Return rates across the disciplines varied from 80% for sonography to 25% for orthoptics. Data analysis has just commenced. Analysis will provide data on the current public and private sector Tasmanian allied health and oral health workforce. Information has been collected on the background of the individuals who choose to work in Tasmania including rural origin. It investigates current working practices including work sector, length of time in position, hours worked, outreach service provision, travel requirements, home visits and line management. Reasons for working in the position, satisfaction levels and intention to leave are also investigated. Data has also been obtained on access to professional development, locum support, whether the practitioner supervises therapy assistants or students and what level of training they have had for this. This will provide data for Tasmanian public and private allied health and oral health workforce planning and reform, including recruitment and retention strategies and training needs. The UDRH, as one of five collaborative partners that form the Australian Consortium for the Education of Preceptors, has been developing and trialling an accessible interprofessional online education program. This program, which is suitable for health professionals who act as clinical educators, currently has 100 participants completing the course. The research trial of the RHSET funded Rural National Online Interprofessional Support and Education Strategy is shortly due for completion. The Enrolled Nurse Medication Management Package was reaccredited by the Nursing Board of Tasmania for a further 3 years. This is a result of much hard work and diplomacy.

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Quynh Le, Judy Spencer and Jess Whelan’s abstract for the 5th Asia Pacific Medical Education Conference (APMEC) in Singapore in January 2008, “Evaluating Health Science Students’ Attitudes to Interprofessional Learning Experiences” was shortlisted for the best oral communication award.  Sue Whetton was awarded a University of Tasmania Teaching Merit Certificate in the Faculty of Health Science, for her contribution to E-Health teaching.  The book chapters “Pathways to graduate research” (by Quynh Le) and “A supervisor’s perspective of postgraduate study in rural health” (by Lisa Bourke) published in the book entitled “Graduate Research Papers in Rural Health” (edited by Quynh Le) are being used at PhD preparation workshop to help potential students across rural NSW make decisions about doing graduate study (Extracted Email from Professor David Lyle, Head Broken Hill University Department of Rural Health).  The first Collaborative Graduate Research Symposium was held at the School of Nursing and Midwifery (Newnham Campus) on 27 June 2008 with over 37 participants from the University Department of Rural Health (UDRH), Rural Clinical School, School of Nursing and Midwifery, Human Life Sciences, and School of Medicine at the University of Tasmania. Five rural health research students (Susan Johns, Sharon Hetherington, Anna Spinaze, Deb Carnes and Fiona Jones) presented their research in progress and research findings at this Symposium. Their presentations covered a wide range of topics and involved different research approaches in rural health. The success of this event is the solid foundation for the second Collaborative Graduate Research Symposium which will be held in Hobart in November 2008.  

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Key Result Area 1 - Increase and improve rural experiences for health science students Key Performance Indicator 1a: State the number of Australian (and international) undergraduate students undertaking clinical placements or other educational activities of one week or longer in rural or remote sites organised or facilitated by the UDRH, by discipline, course, Indigenous status, numbers of students and student weeks. Student satisfaction with placements, and students’ exposure to cultural awareness training relating to Indigenous issues, are also included in this reporting form. (International students need only be noted in columns 2 and 3) Discipline/ Course (remove or add as necessary) Note: Only undergraduate health disciplines are to be reported

Number of students provided with placements of one week to less than two weeks (including international students)

Number of students provided with placements of two weeks or longer (including international students)

Number of student weeks

Number of Indigenous students

Students reporting high level of satisfaction with their placement (No. of placements completed/no. of surveys return)(% satisfaction)

Number of student receiving cultural awareness training as part of their placement (placements of 2 weeks or longer)

1-2 weeks

>2 weeks

Return rate

Satisfaction

Aboriginal Health Audiology Dentistry 6 36 6/6 100 Dietetics 1 7 1/1 100 Health Promotion Medical Radiation Medicine 7 19(7) 7 54 26/15 73 Nursing 71(5) 302 2 76/64 87 Occupational Therapy 3 9 3/3 100 Optometry Orthoptics Orthotics/Prosthetics Pharmacy 40(2) 0 42 Physiotherapy 6(1) 69 7/7 85 Podiatry 1 5 1/1 100 Psychiatry Social work Speech Therapy TOTAL 47(2) 104(13) 49 482 2 120/91 92%

Definitions: A student placement is defined as a one week or longer undergraduate Australian health professional student placement. The placement activities may include attending orientation, formal lectures, tutorials, clinical placements, clinical skills labs, and/or partaking in specific rural projects (including those items in the KPI 2 undergraduate section which should be regarded as a subset of KPI 1). It is to form part of the student’s assessment and experience. An undergraduate placement is for students whose placement is for an undergraduate course. For example a postgraduate entry undergraduate medical degree will be logged as an undergraduate placement and not a post graduate placement. Students who are not Australian citizens or permanent residents ("international students") should be noted adjacent to these numbers. For example, if 20 Australian citizens/permanent residents attend and 5 students who are not Australian citizens or permanent residents attend, the entry should be "20 (5)" A one week student placement is defined as a minimum of 5 consecutive (not cumulative) days in the rural or remote site. A two week student placement is defined as a minimum period of 12 consecutive (not cumulative) days in the rural and remote site.

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Student satisfaction is to be reported for those students undertaking placements of two weeks or longer. The number of placements over two weeks completed during the period against the number of completed returned surveys will be expressed as a percentage. For example 52 placements (ie over two weeks) completed with 32 surveys being completed and returned is a satisfaction rate of 100% if all of the surveys are positive should be expressed as 52/32 (100%). Cultural awareness training is training relevant to Indigenous issues. It may take a variety of formats; and may be delivered by the UDRH, by local organisations or by the university in consultation with the UDRH or site. Cultural awareness training relates to those students who undertake placements of two weeks or longer.

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Key Performance Indicator 1b: State the number of Australian (and international) postgraduate students undertaking placements involving educational or research activities of one week or longer in rural or remote sites organised or facilitated by the UDRH, by discipline, course, Indigenous status, numbers of students and student weeks. Student satisfaction with placements, and students’ exposure to cultural awareness training relating to Indigenous issues, are also included in this reporting form. (International students need only be noted in columns 2 and 3). Discipline/ Course (remove or add as necessary) Note: Only postgraduate health disciplines are to be reported

Number of students provided with placements of one week to less than two weeks (including international students)

Number of students provided with placements of two weeks or longer (including international students)

Number of student weeks

Number of Indigenous students

Students reporting high level of satisfaction with their placement (No. of placements completed/no. of surveys return)(% satisfaction)

Number of student receiving cultural awareness training as part of their placement (placements of 2 weeks or longer)

1-2 weeks

>2 weeks

Return rate

Satisfaction

Aboriginal Health Audiology Dentistry Dietetics Health Promotion Medical Radiation Medicine Nursing Occupational Therapy Optometry Orthoptics Orthotics/Prosthetics Pharmacy Psychology Physiotherapy Podiatry Psychiatry Rural Health 1 1 0 1/1 100% Social work Speech Therapy TOTAL 1 1 0 1 100%

Definitions: A student placement is defined as a one week or longer postgraduate Australian health professional student placement. The placement must be organised or facilitated by the UDRH to be included. Post graduate entry into undergraduate course will be recorded as an undergraduate placement under KPIa1. Students who are not Australian citizens or permanent residents ("international students") should be noted adjacent to these numbers. For example, if 20 Australian citizens/permanent residents attend and 5 students who are not Australian citizens or permanent residents attend, the entry should be "20 (5)" Postgraduate is defined as study or research subsequent to the completion of a Bachelor Degree (the basic (first) undergraduate degree), including Graduate Certificate or Diploma, Masters or higher level. Definitions for the remaining columns are the same as for KPI 1a.

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Key Result Area 2 - Expand educational opportunities that are relevant for rural and remote practice Key Performance Indicator 2: State the number of enrolments in undergraduate and postgraduate units and courses delivered by or in association with the UDRH, where the UDRH is responsible for 50% or more of teaching. Include the number of indigenous students and students who are existing rural or remote health professionals and EFTSU. (Please note that the undergraduate student numbers may be a sub-set of those reported under KRA1) Unit/Course and University course code

Total number of students

Number of Indigenous students (subset of total number of students)

Number of students who are existing rural or remote health professionals (subset of total number of students)

Number of either:

OR EFTSU

Participant hours

Vocational Undergraduate CSA102 Pharmacy in Health Care (series of lectures titled ‘Diversity of Pharmacy Practice’, ‘Community Pharmacy’, ‘Public Health (2)’, ‘Rural Health’, ‘Indigenous Health’

86 Not known Not known 356

CSA 352 Clinical Pharmacy Residencies 3B, Rural Pharmacy Orientation

43 Not known Not known 43

CSA 452 Clinical Pharmacy Residency 4B Orientation

53 Not known Not known 53

Postgraduate and research students CRH900 - PhD (enrolled & supervised through UDRH)

19 1 3 13

PhD Co-supervised by UDRH staff at >50% but enrolled in other schools

4 0 0 2

CRH800 - Research Masters 12 0 6 7 Masters Preliminary 3 Not known 2 1.5 E-health (Health Informatics) graduate program

47 1 10 11.87

Definitions: All students to be included where the UDRH is responsible for 50% or more of teaching. Courses can be defined as a course of study, unit, subject or topic. These may be delivered externally. Vocational courses means accredited vocational training courses. Postgraduate course numbers include both course-based postgraduate students and research students affiliated with the UDRH. GP Registrars may also be included in this category. Affiliated means that substantial formal support is provided to the student by the UDRH, such as formal supervision by a UDRH academic, use of UDRH facilities for three or more months or student participation in a UDRH research or development activity. Numbers to be reported are those enrolled at the beginning of the year or semester.

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Key Result Area 3 - Undertake research and related activities in rural and remote health issues Key Performance Indicator 3a: Report on the number of new research and development grants and consultancies (including specific-funded consultancies) awarded in the reporting period including the lead agency, funding source and period and value. Title of project Lead agency Funding source/s Funding

period Value to UDRH

Total value

An Investigation into the Impact of Living in Social Chaos on Oral Health and Access to Oral Health Care in the Rural Setting

UDRH NHMRC postgraduate scholarship

March 2008- March 2011

$96,000 $96,000

'Breakfree, a crime prevention project' :Young Female Offenders Collaborative Action Program (extended funding)

UDRH The Salvation Army as part of the National Community Crime Prevention programme (NCCPP)

July 2007-July 2009

$54,545 $54,545

Evaluation of “Safe from the Start”. A project involving development of a set of resources and tools for effective interventions for small children aged 0-6 exposed to domestic violence

UDRH Office of Women (Commonwealth Government, Domestic and Family Violence and Sexual Assault Funding program

March 2008 – July 2008

$10,000 $10,000

Final Preparation of Tasmanian Ambulance Service Volunteer Handbook and Recruitment Marketing Tools

UDRH Tasmanian Ambulance Service

11 April 2008 – 31 May 2008

$20,000 $20,000

Healthy Eating for Healthy Ageing: Perspectives from a Rural Community on Sustainable Infrastructure

UDRH DHHS-HAAC 1 July 2007 – 30 June 2008

$45,000 $45,000

Resources for Carers Study

UDRH Pilot Light Carers project through The National Council for Women

January 2008 -June 2008

$4,000 $4,000

Sustainable Farm UDRH/DHHS/We Fonterra Australia, January $12,000 $12,000

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Families

stern District Health Service, Victoria

Circular Head Council, Incitec Pivot and ANZ Banking Group

2008 – June 2010

The Mobile Skilled Workforce: Optimising Benefits for Rural Communities

UDRH, Southern Cross University Burnett Development Authority, Queensland

Rural Industries Research and Development Corporation (RIRDC)

June 2008 – August 2009

$58,064 $58,064

KPI 3a Definitions: Only grants awarded during the reporting period are to be listed here. Funds received, or activity undertaken against grants previously awarded, are not to be listed here. Both grants administered by the UDRH (ie where the UDRH is the lead agency), and grants in which the UDRH is not the lead agency but still performing an active role, are to be included. This reflects and encourages collaborative research activity. Value to UDRH means the monetary value which is administered by the individual UDRH.

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Key Performance Indicator 3b:

Report on the number of publications and publicly available reports produced by UDRH staff and affiliated students during the reporting period.

Name of Paper/article/report Publication Publication date (anticipated/if known)

Peer reviewed/non-peer reviewed

Auckland, S., Kilpatrick, S., Peek, K. “Supporting a Primary Health Care Approach to Rural Health through University Community Engagement in Rural Health Week”

The Australasian Journal of Community Engagement http://aucea.med.monash.edu.au:8080/traction/permalink/Website53

Spring 2008 Peer reviewed

Auckland, S., Kilpatrick, S., Peek, K. “Supporting a Primary Health Care Approach to Rural Health through University Community Engagement in Rural Health Week”

Conference paper for the Australian Universities Community Engagement Alliance Conference, Sunshine Coast

2008 Peer reviewed

Bell, E. “Great 21st Century debates about the usefulness of research: Can they help rural researchers?”

Rural Society 18(1), 3-6 2008 Peer reviewed

Bell, E., Allen, R., Hogan, D., Martinez, C. “Why risk irrelevance?: a translational research model for adolescent risk-taking data”

UK Journal of Youth Studies 11(4), 461-471

2008 Peer reviewed

De Vibe M., Bell E., Merrick J., Hatim O., Ventegodt S. “Ethics and holistic healthcare practice”

International Journal of Child Health and Human Development

Forthcoming 2009

Peer reviewed

Stranger, M., Bell, E., Nicol D., Otlowski M., Chalmers D., ‘Human genetic databanks in Australia: evidence of inconsistency and confusion’

New Genetics and Society Forthcoming approx end 2008

Peer reviewed

Cane R.J., Gill, G., LeVine, P.

“Black Tooth Stumps and Toothache: signs of a bigger picture?”

Poster at the 2008 General Practice and Primary Health Care Research Conference, Hobart

June 2008 Peer reviewed abstract

Cane R.J. and Kilpatrick, S,

“Evaluation of the Dental Undergraduate (BDS) Clinical Placement Program Tasmania”

Consultancy Report March 2008 Consultancy Report

Elmer, S. & Kilpatrick, S. A look at the culture-quality-performance link, Accepted February 2008.

Australian and New Zealand Journal of Public Health, 32, 4.

2008 Peer Reviewed

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Elmer, S. “Developing organisational capacity: from quality we learn”

Presentation at the 2008 Annual ATDC Conference: Alcohol Tobacco and Other Drug Practice, Integration and Development

April 2008 Non-peer reviewed abstract

Elmer, S. “Organisational readiness for community participation: the benefits of a socio-cultural approach”

Presentation at the 2008 General Practice and Primary Health Care Research Conference

June 2008 Peer reviewed abstract

Elmer, S. & Kilpatrick, S. “The Link Between Quality Improvement and Capacity Building”

Presentation at the 2007 at the PHCRED Symposium, Launceston

2008 Non-peer reviewed abstract

Nyagua, J. and Harris, A. “West African refugee health in rural Australia: complex cultural factors that influence health”

Journal of Rural and Remote Health

January 2008 Peer reviewed

Harris, A. “Climbing the tree from the top: regenerating African counselling in Tasmania”

Conference paper for the 5th African Conference on Psychotherapy

June 2008 Peer reviewed

Harris, M. “Overcoming the cultural barriers in suicide prevention”

Diversity in Health Conference 2008: Strengths and Sustainable Solutions, Sydney

March 2008 Peer reviewed

Hazelwood, J. "Equity of Access to VET Training and Support for Adults in the Volunteer and Paid Workforce "

Presentation at NCVER 'No Frills" Conference, Launceston

June 2008 Peer reviewed

Hoang, H. “Maternity care: An Intercultural Study”

World Congress of Health Professionals 2008, Perth

March 2008 Peer reviewed

Hughes, C., Julian, R., Richman, M., Mason, R, & Long, G. “Harnessing the power of perception: exploring the potential of peer group processes to reduce alcohol-related harm among rural youth”

Youth Studies Australia June 2008 Peer reviewed

Sounness, B., Hughes, C., & Winzenberg, T. “Rural GPs’ satisfaction with radiology services to their communities: a qualitative study”

Rural and Remote Health 8, 902

2008 Peer reviewed

Hughes, C. ,”Rural Health” Book chapter. John Germov (Ed), Second Opinion: an introduction to health sociology (4th ed.). Melbourne: Oxford University Press.

2009 Peer reviewed

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Hughes, C. “Adolescence and alcohol: viewing ‘the problem’ through a different lens”

ADCA News 2008 Invited article, non peer reviewed

Hughes, C. “Youth and alcohol: challenging the stereotype”

Of Substance – the National Magazine on Alcohol and other Drugs

2008 Invited article, non peer reviewed

Julian, R., Hughes, C., & Richman, M. “It’s better to be safe and sober: working with young people to create healthier, safer communities”

Young People, Crime and Community Safety Conference, Melbourne

Feb 2008 Conference presentation, abstract in conference proceedings

Hughes, C., Julian, R., & Richman, M. “Real world research: Using the ‘Social Norms’ model to support safe drinking among young people”

Annual ATDC Conference, Hobart.

April 2008 Conference presentation, abstract in conference proceedings

Hughes, C. & Julian, R. “Maintaining the momentum: the future of Social Norms in Australia”

2008 National Conference on The Social Norms Approach, San Francisco, California

July 2008 Conference presentation, abstract in conference proceedings

Hughes, C., Julian, R., Richman, M., Long, G. & Herne, K. “4Real: An Australian Guide for Conducting Alcohol-Focussed Social Norms Interventions in High Schools”

Resource Kit, UTAS/AERF July 2008 Non peer reviewed

Kilpatrick, S., Cheers, B., Gillies, M and Taylor J Boundary crossers, communities and Health: Exploring the role of Rural Health Professionals, Accepted May 2008.

Health & Place. http://dx.doi.org/10.1016/j.healthplace.2008.05.008

2008 Peer Reviewed

Kilpatrick, S. “Community engagement and working with government”

Inaugural Rural & Remote Health Scientific Symposium Papers, Brisbane 6-8 July 2008. http://nrha.ruralhealth.org.au/OtherConferences/?IntCatId=29

2008 Peer Reviewed

Kilpatrick, S., Johns, S., Millar, P., Le, Q. and Routley, G. “Vocational education training solutions for allied health skill shortages

Shifting the Balance: New Roles and Models of Care. International Conference, Scotland

May 2008 Abstract peer reviewed

Kilpatrick, S., Peek, K. and Auckland, S. (2008) Rural Health Week Tasmania 2007,

GP & Primary Health Care Research Conference, Hobart 4-6 July. Available http://www.phcris.org.au/elib/render.php?params=6285

2008 Abstract peer reviewed

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Le, Q., Spencer, J, Whelan, J “Evaluating health science students’ attitudes to inter-professional learning experiences”

The 5th Asia Pacific Medical Education Conference: medical Education in a Flat World, 24-27 January 2008, Singapore – Abstracts Book

Jan 2008 Peer reviewed

Le. Q, Kilpatrick, S. “Australian rural health discourse in the eyes of overseas-born health professionals”

Diversity in Health Conference 2008: Strengths and Sustainable Solutions, Sydney

March 2008 Peer reviewed

Le, Q. “Handling emotional intelligence in intercultural healthcare”

Diversity in Health Conference 2008: Strengths and Sustainable Solutions, 10-12 March 2008, Sydney – Abstracts Book

March 2008 Peer reviewed

Le, Q, Book reviewed - “Getting your PhD: a Practical Insider’s Guide, by Harriet Churchill and Teeda Sander, SAGE Publication: London 2007”

Qualitative Research Journal

October 2008 Book reviewed

McManamey, R. “Arts, Health, Community Resilience and Healing after a Natural Disaster, Planning the evaluation Learning Regions’ Role in Regional Development and Re-generation”

6th PASCAL International Conference, University of Limerick, Ireland

May 2008 Peer reviewed

Minstrell, M. Winzenberg, T., Rankin, N. Hughes, C. & Walker, J. “Supportive care of rural women with breast cancer in Tasmania, Australia: changing needs over time”

Psycho-oncology January 2008 Peer reviewed abstract

Orpin P. “Talking to the Community: client-service dialogue in rural health centres”

Presentation at the 2008 General Practice and Primary Health Care Research Conference, 4-6 June 2008, Hobart

July 2008 Peer reviewed abstract

Orpin, P. “The Research Apprenticeship”

Poster at the 2008 General Practice and Primary Health Care Research Conference, 4-6 June 2008, Hobart

July 2008 Peer reviewed abstract

Peek, K. & Kilpatrick, S.

“Evaluation of Rural Health Week Tasmania 2007”

Poster presentation at the 2008 General Practice and Primary Health Care Research Conference, Hobart

February 2008 Peer reviewed abstract

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Spinaze, A. “Finding a method: exploring videoc-cued interviewing, for qualitative action research into rural clinician roles and identities around chronic disease management”

Conference paper at the 2008 General Practice and Primary Health Care Research Conference

2008 Peer reviewed

O’Meara, P. & Stirling, C. “Ambulance Practice in Rural and Regional Australia

Chapter in Ambulance Issues – Grbich, C. and O’Meara, P.

2008 Non-peer reviewed

O’Meara, P., Tourle, V., Walker, J., Stirling, C., Pedler, D. “Mentoring paramedics as rural health researchers”

Poster presentation for RIPPLE (Research Institute for Professional practice, Learning and Education) conference ‘Action Research and Professional Practice’ in Wagga Wagga

2008 Non-peer reviewed

Stirling, C. and O’Meara P. “Paramedic practice in rural and regional Australia”

Paramedics in Australia: contemporary challenges of practice Eds. O’Meara and Grbich, Pearsons Publishing:Sydney

2008 Book Chapter

Stirling, C. “A workforce Planning Framework: culture, structure and identity”

World Congress of Health Professionals The Future Now: challenges and opportunities in health, Perth

March 2008 Non peer reviewed Conference abstract

Stirling, C. “Final Report Evaluation of the Get Walking Tasmania Week Program”

June 2008 Non peer reviewed

Stirling, C., O’Meara, P., Pedler, D., Tourle, V., Walker, J. “Paramedic Extended Scope of Practice in Rural Australia: moving from professional silos to interdisciplinary practice

World Congress of Health Professionals The Future Now: Challenges and opportunities in health, Perth

Maarch 2008 Non-peer reviewed conference abstract

KPI 3b Definitions: Publications which have been accepted for publication during the reporting period, are to be reported. Reporting is on papers which were accepted for publication during the reporting period. The list will include full reference, anticipated publication date/publication date (if known) and be separated into peer reviewed publications, non-peer reviewed publications, and reports produced (eg on a consultancy basis) which are not published in journals, but which are publicly available/in the public domain. Conference presentations that are not published in proceedings are not included.

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Key Result Area 4 - Support for rural health professionals, consumer, and communities Key Performance Indicator 4: Report on the development activities for health professionals, consumers, and communities, conducted during the reporting period, by numbers of participants, duration and type. Type of activity Number of

participants Number of indigenous participants

Total number of participant-hours

Training for effective clinical support (ie preceptor training) Clinical updates & other continuing education A Primary Health Care Focus. What does it mean for rural health services?

9 Not known 45

Allied Health Workforce Innovation & Reform 74 Not known 370Australian Nursing Federation (South) Anti-platelet and Thrombolytic Medications Presentations

10 Not known 20

Come Walk With Us – Aboriginal Cultural Awareness for Health Professionals

36 4 108

Community Practitioner Short Course 28 Not known 630Early Detection & Treatment of Melanoma 38 Not known 76Mental Health First Aid 25 Not known 300Osteoporosis Update 20 Not known 40Rural National Online Interprofessional Support & Education

100 Not known 1500

Suicide Risk Trajectory Workshop 25 Not known 150Seminars via Department of Health & Human Services Telehealth Network Foetal Alcohol Spectrum Disorder (FASD) and the USA experience over 30 years

107 Not known 107

Older People as Volunteers: Benefits and Barriers 43 Not known 43Playing nicely together: Early years collaborations in Tasmanian rural communities

43 Not known 43

The Experience of Resilience 142 Not known 142The Palliative Care Service Bereavement Support Group Program: Grief Explored & Making a Memento and Walking Through Grief

76 Not known 76

University-Health Service Partnerships: Developing an educational response to health workforce needs

65 Not known 65

Working with Aboriginal primary health care 90 Not known 90Other Training Come Walk With Us – Cultural awareness training for Medical Students

128 3 384

Come Walk With Us – Cultural Awareness Training for NURCH 08

105 3 210

Strategic Planning Workshops 15 Not Known 120The Cultural Context in Social Work Community Practice (4th year social work students)

45 Not Known 135

Volunteer Recruitment – thinking outside the square (seminar for Tasmanian Ambulance Service) x 3

70 Not known 50

Graduate Research Workshops Academic writing: designing and writing and ‘auditable’ research plan

3 Not Known 6

An Introduction into Research & Evaluation in Practice 53 Not Known 265Constructing researchable questions from practice 3 Not Known 6Developing a theoretical framework for research 4 Not Known 8Developing ethical research 5 Not Known 10Evaluation Workshop 7 Not Known 21

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Graduate Research Symposium (June) 37 Not Known 222Introduction to Data Collection Tools 20 Not Known 100Literature review using excel & thematic analysis 6 Not Known 12Methods used to elicit and analyse quantitative data 7 Not Known 14Nvivo Workshop Day 1 12 Not Known 72Nvivo Workshop Day 2 12 Not Known 72Preparing the preliminary research plan 7 Not Known 14Preparing your thesis for examination 14 Not Known 28Research Methods: Quantitative 11 Not Known 22Research Methods: Qualitative 13 Not Known 26Research Clinic 10 Not Known 10The interconnection and coherence of chapters in a thesis structure

7 Not Known 14

Using mixed methods 8 Not Known 16Using the Literature Review 14 Not Known 84Using Surveys 115 Not Known 23 * The UDRH Seminar Series utilises, and is supported through, the Tasmanian Governments’ Department of Health and Human Services Telehealth (video-conference) network. Definitions: Training for effective clinical support means training for persons to undertake clinical supervision of students, as mentors, preceptors or supervisors. All forms of training aimed specifically at clinical support for students or recent graduates are to be listed here. As many of the professional activities are also of benefit to participating UDRH staff, their participation is included.

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Key Result Area 5 - Contribute to innovation in education, research and service development through collaborations with universities, health services and professional and community organisations Key Performance Indicator 5: Report on the number and type of UDRH collaborations with other organisations, including a description of the project/activity. (Note: Where collaborations take place over more than one category ie University-based and State Health Services please report as a joint collaboration ie list all collaborators in ‘Other partners’). Collaborators Description of joint projects/activities University-based Faculty of Health Science, UTas Research Component of the Collaborative Teaching

& Learning Project Faculty of Health Science, School of Sociology and Social Work, UTas

Lead for Rural Curriculum Working Party

Faculty of Health Science Research Committee, UTas

Ongoing collaboration as a committee member to research capacity build through development of grant application in chronic disease

Medical School and Riawunna, UTas CSA102 Pharmacy in Health Care workshop series (Diversity of Pharmacy Practice, Community Pharmacy, Public Health (2), Rural Health, Indigenous Health)

National Centre for Education and Training on Addiction, Flinders University, Adelaide

“Supporting the ‘parenting community’ to reduce risky drinking and alcohol-related harm among teenagers: Key issues and evidence-based strategies” - exploratory work with Kickstart funding from Community Place and Change Theme area

National University Departments of Rural Health ARHEN Director and network members Rural Clinical School, UTas Member, Community Advisory Committee Riawunna, Schools of Nursing and Midwifery, Pharmacy and Medicine, UTas

Footprints Project

Riawunna, UTas

Introduction to Health Science taster unit developed by UDRH Indigenous Health Academic.

Riawunna, UTas

Introduction to Health Science taster unit developed by UDRH Indigenous Health Academic.

Riawuuna, UTas Review and update on the Come Walk With Us material & kits

Riawunna, UTas Promotion of Health Science careers at Riawunna Orientation & Assessment

Rural Clinical School; Human Life Sciences; School of Nursing; School of Pharmacy; School of Education; School of Sociology and Social Work; School of Agricultural Science; School of Medicine; School of Philosophy; Aust Innovation Research Centre (AIRC), UTas

Joint supervision under the UDRH Graduate Research Program

School of Education, UTas Submission of joint ARC Discovery Application Community Efficacy and Youth Wellbeing: factors improving rural and regional youth health, education and wellbeing outcomes

Student Services, UTas Exploring options for undertaking Social Norms interventions in student accommodation at UTas

University of Highlands and Islands, Scotland Work on Rural Health Professionals as Social Entrepreneurs project

University of Sydney, Monash, Charles Sturt and Latrobe Universities

Australian Preceptor Education Consortium

University of Sydney, Monash, Charles Sturt and Latrobe Universities

Australian Preceptor Education Consortium RHSET Grant

University of Queensland, Monash University, Member, Symposium Organising Committee,

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PHRICS (Flinders University), National Rural Health Alliance

Inaugural Rural and Remote health Scientific Symposium

UTas Member, ICT Strategic Committee UTas Member, University Promotions Committee UTas Member, Developing UTAS at Launceston UTas Member, Community engagement group Victorian College of Pharmacy, UTas School of Pharmacy and UMORE, Greater Green Triangle UDRH, University of Melbourne Department of Medicine, Department of Human Nutrition and Dietetics, Deakin University, Department of Epidemiology and Preventive Medicine

Health Hearts in Pharmacies

State health services Launceston General Hospital Development, implementation and evaluation of the

Exploring Interprofessional Learning Workshop and Interprofessional Learning Project

Nursing Board of Tasmania Reaccreditation of the Enrolled Nurse Medication Management Package

Primary Health Division, DHHS Coordination of a Framework for a Primary Health Approach

Partners in Health ,Oral Health Education Stakeholders

Stakeholder consultation to assess the appropriateness of potential contemporary models for dental and oral health education for Tasmania

Population Health, DHHS Planning and instituting a evaluation capacity Building program

Tasmanian Department of Health and Human Services

Allied Health Workforce Innovation & Reform Workshop and Evaluation Report and survey

Aboriginal community controlled organisations Mersey Leven Aboriginal Corporation Community Capacity Building: Introduction to Health

Science Pilot program provided at the MLAC Devonport for community and staff.

Professional bodies (eg Divisions of General Practice) Alcohol Tobacco and other Drugs Council of Tasmania (ATDC)

Planning for evaluation capacity building workshop and program

Australian Association of Gerontology Planning for National Conference 2010 Australian Physiotherapy Association Telerehabilitation Workshop Australian Rural Health Education Network (ARHEN)

Ongoing networking and support on large number of projects

Department of Education, Tasmania Development/review of 4Real: An Australian Guide to Alcohol-Focussed Social Norms Interventions in High Schools

GP North Headspace project & consortium meeting North and Mental Health Academic in UDRH shared position

Migrant Resource Centre Professional Development workshop National Prescribing Service Continuing Education presentations Pharmaceutical Society of Australia (Tasmanian Branch)

Continued collaborations

Other partners (eg community groups, local government, business) Australia & New Zealand Association of Medical Educators (ANZAME)

Member of 2009 Conference organising committee

Australian & Oceanic Network Representative on the Council of the International Rural Sociological Association 2008-2012

Department of Economic Development, Department of Education, UTas

Partnership Agreement Our Economy Taskforce Member

Drug Education Network, Tasmania School-based Alcohol and Drug Education, Evidence-based health promotion models, research on Foetal Alcohol Spectrum Disorder (incl ARC Linkage Grant Application)

Family-Based Care (North) Board Board Member (UDRH staff member) Frontera Australia, Circular Head Council, Incitec Pivot and ANZ Banking Group, Western

Sustainable Farm Families Project, Tasmania. Part of a national program developed in 2002 by the

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District Health Service, Victoria, Tas DHHS

Western Districts Health Service, Victoria aimed at developing a collaborative approach between State Health Department, university, agricultural and industry representatives working together to improve the health of farming populations.

GP North, DHHS, Department of Education, DHHS, Northern Tasmania Development, Anglicare

Headspace

Hunter Area Pathology Service Rikketsial Research Project International Society for Holistic Health Ongoing collaboration reviewing abstracts for

international 2009 conference and as editor of rural child health papers

National Health Workforce Taskforce, Victorian Department of Health

Specialist advice in relation to innovative health services work redesign initiatives

Northern Early Years group Member Northern Rivers Department of Rural Health (NRUDRH) and Tamworth UDRH and Tas DHHS

Assist with the development of NRUDRH online survey for the NSW Rural Allied Health Study

Southern Cross University and Bowen Collinsville Enterprise Corporation

Work on project: The Mobile Skilled Workforce: Optimising benefits for rural communities

TASCOSS Member, TasCOSS Industry Development Unit External Evaluation Reference Group

Tasmanian Academy, Department of Education Chair of the Tasmanian Academy, part of the Tasmania Tomorrow reforms of education aimed to improve the transition from school to further education and training and work.

Tasmanian Ambulance Service Collaboration on volunteer handbook and recruitment campaign

Tasmanian Cancer Council Early Detection & Treatment of Melanoma Tasmanian Early Years Foundation Board Member (UDRH staff member) Tasmanian Institute of Law Enforcement Studies (TILES)

Social Norms work - ongoing

Tasmanian Premiers Physical Activity Council and Heart Foundation Tasmania

Evaluation of Get Walking Tasmania Week

The Salvation Army Ongoing collaboration and partnership through project reference groups

UTas Pro-Vice Chancellor (Teaching & Learning) Menzies Research Institute, School of Education, Sports Centre, Launceston City Council, Dept of Education, DHHS, Premier’s Physical Activity Council

Work on Healthy Active Launceston project

Volunteering Tasmania Sustainable Volunteer Workforce in Rural and Regional Tasmania

Definitions: Collaborations include only organisations with whom the UDRH has a signed Memorandum of Understanding or has formally agreed to work together on a defined project/activity, and where collaborative activities were undertaken during the reporting period. University-based collaborators include: Other Departments, Schools and Faculties within the partner (auspicing) University/ies, as well as collaborations with non-partner Universities. Description of projects are to be brief, consisting of a simple title which conveys the nature of the project to a lay reader.

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Key Result Area 6 - Embrace a strong population or public health focus; and contribute to the development of innovative service delivery models in rural and remote health While these paragraphs may repeat information reported elsewhere, they should not simply refer to other information in the report (eg by stating “see above”), as the aim is to provide stand-alone information that can be easily collated by the Department into a digestible program-wide report on these areas of activity.

Key Performance Indicator 6a:

Report on the population or public health focus underpinning UDRH activity.

(A paragraph of approximately half a page describing one or two initiatives which demonstrate the UDRH’s population or public health focus during the reporting period)

"The Social Norms Analysis Project (SNAP) is one of UDRH’s most significant projects to date. It was a collaborative endeavour involving the Tasmanian Institute of Law Enforcement Studies (TILES), Tasmania Police, the Departments of Health and Human Services and Education, and a range of other project partners. In many respects it was a ‘showcase project’ – being the first of its kind to be conducted in Australia. Importantly, SNAP reinforced, on the basis of sound data, the fact that many high school students either don’t drink alcohol at all, or do so in ways that are not harmful to themselves or others. Contrary to the dominant image of ‘bingeing teens’, the project has acknowledged that young people can, and do, make healthy choices. SNAP achieved excellent results in the trial schools (including significant declines in perceived drinking rates, perceived drunkenness rates, and self-reported drunkenness rates), and the approach is receiving increasing attention as a strategy for promoting health and reducing alcohol-related harm. Project Director and UDRH Research Fellow Dr Clarissa Hughes was recently invited to present on SNAP at the National Social Norms Conference in San Francisco and is frequently receiving invitations to address audiences, write articles and book chapters, assist funding applicants, and provide consultancy services and information about the project and its implications for policy and practice. The SNAP evaluation results lend weight to the argument that the Social Norms approach is a theoretically informed and effective model for alcohol health promotion, which is compatible with the harm minimisation focus of the Australian drug and alcohol policy framework, and could usefully be applied to a range of other health and social issues. For further information email tiles@utas.edu.au"

The UDRH was invited by the Tasmanian Ambulance Service (TAS) to research and design a volunteer handbook to assist Tasmanian ambulance volunteers to access appropriate policies and procedures. The handbook’s aim is to assist the recruitment and retention of rural ambulance volunteers and to support a high standard of rural health care. The project involved consultation with appropriate Tasmanian Ambulance Service personnel to design the volunteer handbook and to scope the range of policies and procedures that need to be included and the most suitable format for ease of use. A steering group was established to review the policies and procedures that are to be included within the handbook and consultation with key stakeholders to assess the scope of information required within the handbook.

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Key Performance Indicator 6b:

Report on UDRH activities which have contributed to the development of innovative service delivery models in rural and remote health.

(A paragraph of approximately half a page describing one or two initiatives which demonstrate the UDRH’s contributed to the development of innovative service delivery models in rural and remote health during the reporting period.)

Dr Erica Bell is heading up a Tasmanian first project, titled ‘Breakfree: a crime prevention project’ takes a holistic health, education and well-being approach to rural crime prevention and involves multiple Tasmanian stakeholders. The project, for which The Salvation Army has obtained funding from the Commonwealth Government’s National Community Crime Prevention Programme, is a community crime prevention program for young women based in three sites across Tasmania, namely Burnie (North-west), Clarence (South) and Launceston (North). The project is designed to identify and address the needs of young female offenders, aged 13-17, at high risk of entering detention, via a collaborative case management approach involving different community agencies linked by the program’s youth worker. Key outputs will include a collaborative practice model and cognitive skills program administered separately at each of the three sites specifically targeted towards young female offenders which can then be utilised elsewhere. The evaluation of this project is being modeled on a method developed by a University Professor based in Arizona and was the focus of Dr Bell’s feature-length journal paper published in an international crime prevention journal (Community Crime Prevention & Community Safety) and produced in collaboration with Dr Robert Hall (Lecturer at the Tasmanian Institute of Law Enforcement Studies). The project aims to offer a model for how such small, community-based evaluations can offer more rigorous information for policy and practitioner decision-making.

The UDRH has been supporting the Launceston General Hospital (LGH) in implementation of interprofessional learning (IPL) in a medical ward. UDRH assisted the LGH to develop, implement and evaluate a workshop to explore the concept of IPL. The workshop was a component of the LGHs Interprofessional Collaborative Learning Project, which seeks to develop and implement an IPL model appropriate to trial in the acute medical ward environment. The overall commitment is to optimise safe quality patient care, service delivery and professional work satisfaction. The goal of the workshop was to implement and evaluate multidisciplinary interactive sessions which explored the concept of IPL at a deep level and to consider how IPL might be advanced within the health professional context of acute care. A total of thirty four [34] participants attended the workshop. The evaluation findings are presented in a report entitled “Exploring Interprofessional Learning: “how do we learn together to practice together?”, which is available from Sam Saunders-Battersby at the Launceston General Hospital. Evaluation of the workshop concludes that future estimates of health resources could capitalise on collaborative practice models to ensure safe, timely, improved and appropriate care of the highest quality. The project is due to finish in November 2008.

While these paragraphs may repeat information reported elsewhere, they should not simply refer to other information in the report (eg by stating “see above”), as the aim is to provide stand-alone information that can be easily collated by the Department into a digestible program-wide report on these areas of activity.

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