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Article ; Online: How much is invested in obesity prevention in Australia? An analysis of major research and Federal Government funding, 2013-2022.

Tran, Huong Ngoc Quynh / Al Subhi, Moosa / Ward, Nicole / Nguyen, Phuong / Sultana, Marufa / Ananthapavan, Jaithri / Brown, Vicki

Public health research & practice

2024 Volume 34, Issue 1

Abstract: Objective and importance of study: Overweight and obesity are the second leading risk factors for death and non-communicable disease in Australia. This study aimed to examine the Australian Federal Government funding landscape for population-level ... ...

Abstract	Objective and importance of study: Overweight and obesity are the second leading risk factors for death and non-communicable disease in Australia. This study aimed to examine the Australian Federal Government funding landscape for population-level obesity prevention from 2013 to 2022. Study type: A retrospective analysis and narrative synthesis of publicly available data on obesity prevention funding from the Federal Government and major federally funded Australian research organisations. Methods: Searches were conducted of Australian Federal Government Budget documents and funding announcements from the National Health and Medical Research Council (NHMRC), Australian Research Council (ARC) and Medical Research Future Fund (MRFF). Funding allocations targeting obesity prevention, or the prevention of risk factors associated with obesity, were included. These were determined by the presence of keywords related to obesity, unhealthy diet, physical activity and sedentary behaviour. Data were extracted verbatim, coded and narratively synthesised by funding source. Results: From 2013 to 2022, 186 funding allocations for obesity prevention in Australia were identified, totalling approximately A$778 million. The proportion of funding allocated to obesity prevention compared to the total annual budget of each funding source was relatively low: NHMRC = 1.1%; ARC = 0.2%; MRFF = 0.8%; Federal Government = 0.1% (of health budget). Funding for obesity prevention initiatives fluctuated over time. Conclusions: Findings underscore the need for strategic and ongoing funding allocation to support obesity prevention research, implementation and sustainment of evidence-based obesity prevention initiatives in Australia.
MeSH term(s)	Humans ; Federal Government ; Retrospective Studies ; Australia ; Obesity/prevention & control ; Health Services Research
Language	English
Publishing date	2024-04-04
Publishing country	Australia
Document type	Journal Article
ISSN	2204-2091
ISSN (online)	2204-2091
DOI	10.17061/phrp3412404
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Lean legacy, heavy heritage: family history of diabetes and its association with young adult body mass index.

Kowaleski-Jones, Lori / Zick, Cathleen / Brown, Barbara / Curtis, David / Meeks, Huong / Smith, Ken

Journal of biosocial science

2023 , Page(s) 1–14

Abstract: Substantial intergenerational transmission of diabetes mellitus (DM) risk exists. However, less is known regarding whether parental DM and DM among extended family members relate to adult offspring's body mass index (BMI), and whether any of these ... ...

Abstract	Substantial intergenerational transmission of diabetes mellitus (DM) risk exists. However, less is known regarding whether parental DM and DM among extended family members relate to adult offspring's body mass index (BMI), and whether any of these associations vary by sex. Using data from the National Longitudinal Study of Youth 1997 cohort (NLSY97), we assess the sex-specific relationship between DM present in first-degree parents and second-degree relatives and BMI among the parents' young adult offspring.Multivariate regressions reveal a positive relationship between parental DM and young adults' BMI for both daughters and sons, and the magnitude of coefficients is somewhat larger for the same-sex parent. Further, we observe that the link between parental DM and young adults' BMI is strongest when both parents have diagnosed diabetes. In contrast, the relationship between second-degree relatives with DM and the respondent's BMI is weaker and appears to be sex-specific, through same-sex parent and respondent. Logistic regressions show the association is especially strong when assessing how parental DM status relates to young adults' obesity risk. These results generally persist when controlling for parental BMI. The findings of this study point to the need to better distinguish the role of shared family environments (e.g., eating and physical activity patterns) from shared genes in order to understand factors that may influence young adults' BMI. Young adult offspring of parents with diabetes should be targeted for obesity prevention efforts in order to reduce their risks of obesity and perhaps diabetes.
Language	English
Publishing date	2023-06-02
Publishing country	England
Document type	Journal Article
ZDB-ID	390961-x
ISSN	1469-7599 ; 0021-9320
ISSN (online)	1469-7599
ISSN	0021-9320
DOI	10.1017/S0021932023000056
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Article ; Online: Exploring the economics of public health intervention scale-up: a case study of the Supporting Healthy Image, Nutrition and Exercise (SHINE) cluster randomised controlled trial.

Brown, Vicki / Tran, Huong / Williams, Joanne / Laws, Rachel / Moodie, Marj

BMC public health

2022 Volume 22, Issue 1, Page(s) 1338

Abstract: Background: The costs and benefits of an intervention within the intervention testing phase may differ from those experienced when that intervention is implemented and delivered at scale. Yet limited empirical work has been undertaken to explore how ... ...

Abstract	Background: The costs and benefits of an intervention within the intervention testing phase may differ from those experienced when that intervention is implemented and delivered at scale. Yet limited empirical work has been undertaken to explore how economic constructs related to implementation and scale-up might have an impact on intervention cost. The aim of this study was to explore the potential economic impacts of implementation and scale-up on a healthy weight and body image intervention tested in a Type II translational research trial. Methods: The Supporting Healthy Image, Nutrition and Exercise (SHINE) study is a cluster randomised controlled trial, aiming to deliver universal education about healthy nutrition, physical activity and wellbeing behaviours to adolescents in Australian secondary schools. Data on the cost of the intervention were collected alongside the trial using standard micro-costing techniques. Semi-structured interviews were conducted with key intervention stakeholders to explore the potential economic impacts of implementation and scale-up. Thematic content analysis was undertaken by two authors. Results: Fifteen intervention group schools participated in the 8-week online intervention targeting students in 2019 (99 Grade 7 classes; 2,240 students). Booster sessions were delivered during one class session in Grades 8 and 9, in 2020 and 2021 respectively. Time costs of intervention delivery and co-ordination comprised the majority (90%) of intervention cost as per the trial, along with costs associated with travel for intervention training and equipment. Themes related to the benefit of the intervention emerged from interviews with six intervention stakeholders, including the potential for economies of scale afforded by online delivery. Contextual themes that may have an impact on intervention implementation and scale included acceptability across all school sectors, availability and reliability of IT infrastructure for intervention delivery and variations in population characteristics. A number of key alterations to the intervention program emerged as important in supporting and sustaining intervention scale-up. In addition, significant implementation costs were identified if the intervention was to be successfully implemented at scale. Conclusions: The findings from this study provide important information relevant to decisions on progression to a Type III implementation trial, including budget allocation, and will inform modelled economic evaluation.
MeSH term(s)	Adolescent ; Australia ; Humans ; Public Health ; Randomized Controlled Trials as Topic ; School Health Services/economics ; School Health Services/organization & administration
Language	English
Publishing date	2022-07-14
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2041338-5
ISSN	1471-2458 ; 1471-2458
ISSN (online)	1471-2458
ISSN	1471-2458
DOI	10.1186/s12889-022-13754-0
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: The changing food environment and neighborhood prevalence of type 2 diabetes.

Zick, Cathleen D / Curtis, David S / Meeks, Huong / Smith, Ken R / Brown, Barbara B / Kole, Kyle / Kowaleski-Jones, Lori

SSM - population health

2023 Volume 21, Page(s) 101338

Abstract: In this ecological study, we used longitudinal data to assess if changes in neighborhood food environments were associated with type 2 diabetes mellitus (T2DM) prevalence, controlling for a host of neighborhood characteristics and spatial error ... ...

Abstract	In this ecological study, we used longitudinal data to assess if changes in neighborhood food environments were associated with type 2 diabetes mellitus (T2DM) prevalence, controlling for a host of neighborhood characteristics and spatial error correlation. We found that the population-adjusted prevalence of fast-food and pizza restaurants, grocery stores, and full-service restaurants along with changes in their numbers from 1990 to 2010 were associated with 2015 T2DM prevalence. The results suggested that neighborhoods where fast-food restaurants have increased and neighborhoods where full-service restaurants have decreased over time may be especially important targets for educational campaigns or other public health-related T2DM interventions.
Language	English
Publishing date	2023-01-10
Publishing country	England
Document type	Journal Article
ISSN	2352-8273
ISSN	2352-8273
DOI	10.1016/j.ssmph.2023.101338
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Thinking Outside the Box: A Low-cost and Pragmatic Alternative to Aerosol Boxes for Endotracheal Intubation of COVID-19 Patients.

Brown, Huong / Preston, David / Bhoja, Ravi

Anesthesiology

2020 Volume 133, Issue 3, Page(s) 683–684

MeSH term(s)	Aerosols/adverse effects ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/economics ; Coronavirus Infections/therapy ; Cost-Benefit Analysis/methods ; Humans ; Intubation, Intratracheal/adverse effects ; Intubation, Intratracheal/economics ; Intubation, Intratracheal/methods ; Laryngoscopy/economics ; Laryngoscopy/methods ; Manikins ; Pandemics/economics ; Pneumonia, Viral/economics ; Pneumonia, Viral/therapy ; SARS-CoV-2 ; Surgical Drapes/economics
Chemical Substances	Aerosols
Keywords	covid19
Language	English
Publishing date	2020-06-04
Publishing country	United States
Document type	Letter
ZDB-ID	269-0
ISSN	1528-1175 ; 0003-3022
ISSN (online)	1528-1175
ISSN	0003-3022
DOI	10.1097/ALN.0000000000003422
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: A narrative review of economic constructs in commonly used implementation and scale-up theories, frameworks and models.

Vicki, Brown / Huong, Tran / Miranda, Blake / Rachel, Laws / Marj, Moodie

Health research policy and systems

2020 Volume 18, Issue 1, Page(s) 115

Abstract: Background: Translating research evidence into practice is challenging and, to date, there are relatively few public health interventions that have been effectively and cost-effectively implemented and delivered at scale. Theories, models and frameworks ...

Abstract	Background: Translating research evidence into practice is challenging and, to date, there are relatively few public health interventions that have been effectively and cost-effectively implemented and delivered at scale. Theories, models and frameworks (herein termed 'frameworks') have been used in implementation science to describe, guide and explain implementation and scale-up. While economic constructs have been reported as both barriers and facilitators to effective implementation and scale-up of public health interventions, there is currently no published review of how economic constructs are considered within commonly used implementation and scale-up frameworks. This paper aimed to narratively review the economic constructs incorporated in commonly used implementation and scale-up frameworks. Methods: Frameworks for inclusion in the narrative review were identified from the literature and thematic content analysis was undertaken using a recursive deductive approach. Emergent key themes and sub-themes were identified and results were summarised narratively within each theme. Results: Twenty-six framework publications were included in our analysis, with wide variation between frameworks in the scope and level of detail of the economic constructs included. Four key themes emerged from the data - 'resources', 'benefit', 'cost' and 'funding'. Only five frameworks incorporated all four identified key themes. Overarching lenses from which to consider key themes included 'stakeholder perspectives', 'stage in the research translation process' and 'context'. 'Resources' were most frequently considered in relation to the sub-themes of 'types of resources' (e.g. labour, time or infrastructure) and 'availability' of resources, and the opportunity for 'economies of scale'. The 'relative advantage of interventions' emerged as an interconnecting sub-theme between 'cost' and 'benefit'. 'Funding' was most often considered in relation to 'funding sources', 'availability', 'sustainability' or 'contextual impact'. The concept of 'opportunity cost' was considered in relatively few frameworks, despite being fundamental to economic theory. Conclusions: Implementation and scale-up frameworks provide a conceptual map to inform the effective and cost-effective implementation of public health interventions delivered at scale. Despite evidence of an emerging focus on the economic considerations of implementation and scale-up within some commonly used frameworks, our findings suggest that there is significant scope for further exploration of the economic constructs related to implementation and scale-up.
MeSH term(s)	Cost-Benefit Analysis ; Implementation Science
Language	English
Publishing date	2020-10-01
Publishing country	England
Document type	Journal Article ; Review
ISSN	1478-4505
ISSN (online)	1478-4505
DOI	10.1186/s12961-020-00633-6
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The changing food environment and neighborhood prevalence of type 2 diabetes

Cathleen D. Zick / David S. Curtis / Huong Meeks / Ken R. Smith / Barbara B. Brown / Kyle Kole / Lori Kowaleski-Jones

SSM: Population Health, Vol 21, Iss , Pp 101338- (2023)

2023

Abstract	In this ecological study, we used longitudinal data to assess if changes in neighborhood food environments were associated with type 2 diabetes mellitus (T2DM) prevalence, controlling for a host of neighborhood characteristics and spatial error correlation. We found that the population-adjusted prevalence of fast-food and pizza restaurants, grocery stores, and full-service restaurants along with changes in their numbers from 1990 to 2010 were associated with 2015 T2DM prevalence. The results suggested that neighborhoods where fast-food restaurants have increased and neighborhoods where full-service restaurants have decreased over time may be especially important targets for educational campaigns or other public health-related T2DM interventions.
Keywords	Longitudinal changes in the food environment ; Type 2 diabetes ; Spatial error correlation ; Public aspects of medicine ; RA1-1270 ; Social sciences (General) ; H1-99
Language	English
Publishing date	2023-03-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Correction to: a narrative review of economic constructs in commonly used implementation and scale-up theories, frameworks and models.

Brown, Vicki / Tran, Huong / Blake, Miranda / Laws, Rachel / Moodie, Marj

Health research policy and systems

2020 Volume 18, Issue 1, Page(s) 124

Abstract: An amendment to this paper has been published and can be accessed via the original article. ...

Abstract	An amendment to this paper has been published and can be accessed via the original article.
Language	English
Publishing date	2020-10-28
Publishing country	England
Document type	Published Erratum
ISSN	1478-4505
ISSN (online)	1478-4505
DOI	10.1186/s12961-020-00649-y
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Social inequities in neighborhood health amenities over time in the Wasatch Front Region of Utah: Historical inequities, population selection, or differential investment?

Curtis, David S / Kole, Kyle / Brown, Barbara B / Smith, Ken R / Meeks, Huong D / Kowaleski-Jones, Lori

Cities (London, England)

2023 Volume 145

Abstract: Socially disadvantaged groups generally are more likely to reside in areas with less desirable conditions. We examined longitudinal relationships between neighborhood resident characteristics and amenities from 1990 to 2010 in an urban area of Utah, U.S. ...

Abstract	Socially disadvantaged groups generally are more likely to reside in areas with less desirable conditions. We examined longitudinal relationships between neighborhood resident characteristics and amenities from 1990 to 2010 in an urban area of Utah, U.S. Four temporal patterns of social inequities are described using mixed-effects models: historical inequities; differential selection into amenity-rich tracts; differential investment in amenities; and simultaneous twenty-year change. Results indicate historical differences by neighborhood socioeconomic status, with lower status tracts having fewer green/natural amenities and higher air pollution in 1990 but also greater walkability and more food stores. Differences in amenities by neighborhood socioeconomic status widened over time as aggregate socioeconomic status disproportionately increased in tracts with more green/natural amenities, less air pollution, and lower walkability in 1990, consistent with differential selection. Tract percentage non-Hispanic White did not predict historical differences, but tracts that were less walkable and had fewer healthy food stores in 1990 experienced larger subsequent increases in racial/ethnic diversity. Tracts with higher relative to lower percentage non-Hispanic White in 1990 had larger decreases in air pollution but declining green/natural amenities. This study shows how social inequities in neighborhood amenities change over time, providing evidence of historical socioeconomic differences increasing from differential resident selection.
Language	English
Publishing date	2023-11-27
Publishing country	England
Document type	Journal Article
ISSN	0264-2751
ISSN	0264-2751
DOI	10.1016/j.cities.2023.104687
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Correction to

Vicki Brown / Huong Tran / Miranda Blake / Rachel Laws / Marj Moodie

Health Research Policy and Systems, Vol 18, Iss 1, Pp 1-

a narrative review of economic constructs in commonly used implementation and scale-up theories, frameworks and models

2020 Volume 1

Abstract: An amendment to this paper has been published and can be accessed via the original article. ...

Abstract	An amendment to this paper has been published and can be accessed via the original article.
Keywords	Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2020-10-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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