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BACKGROUND With increasing rates of chronic disease associated with lifestyle behavioural risk factors, there is urgent need for intervention strategies in primary health care. Currently there is a gap in the knowledge of factors that influence the delivery of preventive strategies by General Practitioners (GPs) around interventions for smoking, nutrition,(More)
ISSUE ADDRESSED Through the humanitarian entrant program, a rapidly growing community of Sudanese refugees are resettling in Australia. Although the impact of pre-migration trauma upon refugee mental health is well established, there is a paucity of research exploring the impact of post-migration sociocultural factors. Women are often the most marginalised,(More)
OBJECTIVE The aim of this exploratory study was to investigate the interaction between patient self-efficacy and GP communication in explaining diabetes self-management in a disadvantaged region of Sydney, Australia. METHODS This study was undertaken in South West Sydney with the Fairfield Division of General Practice. We used a cross-sectional survey(More)
People with a psychiatric disability can experience difficulty in gaining and maintaining employment. Some of these difficulties are related to problems in managing employment-related stress. The aim of this study was to pilot a vocationally-oriented cognitive behavioral therapy (CBT) training program for people receiving public mental health services in(More)
BACKGROUND The very long-term unemployed (i.e. those unemployed for more than 2 years) face serious mental health problems and social difficulties in regaining employment. AIMS To assess the effectiveness of a pilot vocationally oriented cognitive behaviour therapy (CBT) programme on mental health and vocational outcomes among a group of very long-term(More)
BACKGROUND General practitioners are concerned with improving the health of the community, and Divisions are an important structure through which this can be achieved. Any focus on health outcomes needs to consider what general practice and Divisions can do to reduce inequalities in health outcomes. METHOD We analysed 2000-2002 strategic and business(More)
There have been few attempts to implement and disseminate programmes to address the psychological health impact of unemployment despite the burden of this problem upon public health and health services. One approach that has demonstrated efficacy in promoting both psychological health and employment for this group is based upon the principles of cognitive(More)
BACKGROUND General practitioners have described barriers to the uptake of incentives such as the Enhanced Primary Care items introduced to support care of chronic illness. However patients' attitudes toward chronic illness and planned care are not known. METHODS A qualitative study of adult patients with chronic illnesses using semi-structured interviews(More)