ORCID Profile
0000-0003-1952-3816
Current Organisation
Curtin University
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Publisher: Wiley
Date: 21-05-2022
DOI: 10.1111/AJR.12878
Abstract: To elucidate key considerations for effective health promotion with Aboriginal and Torres Strait Islander males in remote Northern Territory. Despite the significant disparities in health outcomes amongst Aboriginal and Torres Strait Islander males, particularly in remote Northern Territory, investment in health promotion policy and practice has been inadequate. Progressing towards self-determination with Aboriginal and Torres Strait Islander males, and to meet the unique health and well-being needs of this marginalised demographic, consideration for staff retention and training, strengths-based approaches, and implications of ergent masculinities must be considered when devising and delivering culturally responsive and appropriate health promotion interventions. Health promotion needs to be conducted in a collaborative manner, and in less conventional settings, to better engage Aboriginal and Torres Strait Islander males. This commentary draws on the author's reflections about working in remote Aboriginal and Torres Strait Islander health policy, practice and research contexts in Northern Australia. It brings together diffuse strands of scholarship about Aboriginal and Torres Strait Islander male health Aboriginal and Torres Strait Islander health promotion and health promotion in rural and remote contexts. In doing so, we identify and discuss strategies that have potential to strengthen Aboriginal and Torres Strait Islander male health promotion in rural and remote Australia. Health services and professionals in remote Northern Territory must leverage the inherent strengths of Aboriginal and Torres Strait Islander males to imbue service delivery with both meaning and capacity for self-determination. In doing so, this might ultimately help to alleviate the marginalisation of this demographic.
Publisher: Springer Science and Business Media LLC
Date: 29-10-2020
DOI: 10.1186/S12889-020-09730-1
Abstract: Multiple culturally-oriented programs, services, and frameworks have emerged in recent decades to support the social and emotional wellbeing (SEWB) of Aboriginal and Torres Strait Islander (Aboriginal) people in Australia. Although there are some common elements, principles, and methods, few attempts have been made to integrate them into a set of guidelines for policy and practice settings. This review aims to identify key practices adopted by programs and services that align with the principles of the National Strategic Framework for Aboriginal and Torres Strait Islander Peoples’ Mental Health and Social and Emotional Wellbeing 2017–2023 . A comprehensive review of electronic databases and organisational websites was conducted to retrieve studies of relevance. Twenty-seven publications were included in the review. Next, we identified promising practices through a collaborative review process. We then used the principles articulated in the above-mentioned framework as the basis to complete a framework analysis. This enabled us to explore the alignment between current scholarship about SEWB programs and services with respect to the principles of the framework. We found there was a strong alignment, with selected principles being effectively incorporated into most SEWB program and service delivery contexts. However, only one study incorporated all nine principles, using them as conceptual framework. Additionally, ‘capacity building’, ‘in idual skill development’, and ‘development of maladaptive coping mechanisms’ were identified as common factors in SEWB program planning and delivery for Aboriginal people. We argue the selective application of nationally agreed principles in SEWB programs and services, alongside a paucity of scholarship relating to promising practices in young people-oriented SEWB programs and services, are two areas that need the urgent attention of commissioners and service providers tasked with funding, planning, and implementing SEWB programs and services for Aboriginal people. Embedding robust participatory action research and evaluation approaches into the design of such services and programs will help to build the necessary evidence-base to achieve improved SEWB health outcomes among Aboriginal people, particularly young people with severe and complex mental health needs.
Publisher: Informa UK Limited
Date: 12-12-2017
Publisher: JMIR Publications Inc.
Date: 18-07-2022
Abstract: ackground: Only a minority of adult males who experience depression or anxiety receive any formal help from a healthcare professional for these issues. While psychotherapeutic e-mental health interventions may circumvent or reduce many of the barriers males experience when accessing mental health care, the effects of these interventions in male populations have not been evaluated. bjectives: (1) Synthesise the characteristics of psychotherapeutic e-mental health interventions for depression or anxiety that have been trialled and evaluated in male populations (2) synthesise and meta-analyse the effects of these interventions on depression and anxiety outcomes in males, including examining the influence of participant, intervention, and study characteristics. ethods: Systematic searches (January 2000-October 2020) of six online research databases, manual reference list searching, and citation searches of included articles. Study quality was assessed using the Qualsyst tool, with a minimum total score of 0.55 prespecified for inclusion. Data were narratively synthesised and, where possible, meta-analysed. esults: Seven papers comprising 552 male participants were included. A total of 177 studies were excluded because although they met all other inclusion criteria, they did not present analysable data on male participants. With a lowest total score of 0.85, study quality was high and no exclusions were made due to poor quality. Four studies used a single-arm pre-post design and three were randomised controlled trials (all with inactive/care as usual control conditions) five studies were focused on treating existing symptoms, while two focused on prevention. The seven studied interventions varied in content, length, and format. Only one intervention was classified as gender sensitive, having been designed specifically for male needs. All of the studies used non-gendered, self-report symptom measures to measure the effects of their intervention. All three randomised controlled trials detected no post-trial difference in depression symptoms between male intervention and male control participants. All four treatment studies presenting pre-post data reported post-intervention improvements in depression or social anxiety symptoms this was supported by our meta-analysis of the two pre-post design depression treatment studies, which found a medium-sized, positive effect of treatment interventions on depression symptoms in pre-post data (g=0.64, p .005). Further meta-analyses could not be conducted due to data limitations. onclusions: Limited data indicate that psychotherapeutic e-mental health treatment interventions resulted in pre- to post-intervention improvements in male depression symptoms superior outcomes were not seen when compared to inactive/care as usual control conditions. There is urgent need for consideration of gender and sex throughout the development, evaluation, and dissemination of these interventions for males, and for additional information on their effects. >
Publisher: Wiley
Date: 02-2021
DOI: 10.1002/HPJA.446
Publisher: Springer Science and Business Media LLC
Date: 09-08-2023
DOI: 10.1007/S12144-023-04968-5
Abstract: While psychotherapeutic e-mental health interventions may circumvent barriers that many men face in accessing mental health care, the effects of men using these interventions have not been evaluated. We aimed to synthesise the characteristics of psychotherapeutic e-mental health interventions for depression or anxiety that have been trialled and evaluated in men, and synthesise and meta-analyse the effects of these interventions on men’s depression and anxiety, including examining influences of participant, intervention, and study characteristics on outcomes. Seven papers ( N = 552 participant men) identified from systematic literature searches met inclusion criteria. A total 177 studies were excluded because although they met all other inclusion criteria, they did not present analysable data on participant men. The seven included interventions varied in content, length, and format only one intervention was gender sensitive, having been designed specifically for men. All three randomised controlled trials detected no post-trial difference in men’s depression symptoms between intervention and control participants. All four treatment studies presenting pre-post data reported post-intervention improvements in depression or social anxiety symptoms this was supported by our meta-analysis of two studies, which found a medium-sized, positive effect of depression treatment interventions on depression symptoms in pre-post data ( g = 0.64, p 0.005). Further meta-analyses could not be conducted due to data limitations. Psychotherapeutic e-mental health treatment interventions result in pre- to post-intervention improvements in men’s depression symptoms. There is urgent need for consideration of gender and sex in the development, evaluation, and dissemination of e-mental health interventions for men, and for further information on their effects.
Publisher: Wiley
Date: 19-10-2020
DOI: 10.1002/HPJA.421
Publisher: Informa UK Limited
Date: 20-07-2023
Publisher: Oxford University Press (OUP)
Date: 13-08-2016
Abstract: To conduct a systematic review of studies exploring the relationship between exposure to Internet-based alcohol-related content and alcohol use among young people. Searches of electronic databases and reference lists of relevant articles were conducted to retrieve studies of relevance up until December 2015. Full texts of the studies that met the inclusion criteria were read, appraised for quality using the Kmet forms and guidelines, and included in this review. Fifteen relevant studies were identified. The included studies were a mix of cross-sectional, longitudinal, experimental and qualitative studies conducted in the USA, the UK, Australia and New Zealand. The age range of the participants involved in these studies was 12-25 years. Included studies employed a variety of study designs and a range of different exposure variables and outcome measures. Studies demonstrated significant associations between exposure to Internet-based alcohol-related content and intentions to drink and positive attitudes towards alcohol drinking among young people. Exposure to alcohol-related content on the Internet might predispose young people to patterns of alcohol use by promoting alcohol as a natural and vital part of life. However, the research exploring the influence of this novel form of advertising on young people's alcohol use is emergent, and comprised primarily of cross-sectional studies. To evaluate the direction of the association between exposure to online alcohol-related content and alcohol use, we call for further research based on longitudinal designs. From 15 relevant studies identified, this review reports significant associations between exposure to Internet-based alcohol-related content and intentions to drink and positive attitudes towards alcohol drinking among young people, with different influences found at different stages of alcohol use.
Publisher: Springer Science and Business Media LLC
Date: 07-01-2021
DOI: 10.1186/S12889-020-10141-5
Abstract: There is a lack of qualitative gambling research on lived experience, help-seeking, and gamblers and affected others’ views on the regulatory environment in the Northern Territory (NT), Australia. This study provides 1) lived experience of in iduals who reported experiencing harms from gambling, 2) insights into help-seeking for gambling issues, 3) and people’s views on current legislation on gambling in the NT. The results of this study begin to establish an evidence base that could be used to inform targeted interventions for people experiencing harms from gambling in the NT. Semi-structured interviews were conducted with a targeted selection of respondents from the 2015 and 2018 NT Gambling Prevalence and Wellbeing Surveys. The s le ( n = 27 age 18+ years Aboriginal (The term of ‘Aboriginal’ has used been used throughout the manuscript to reflect Aboriginal and Torres Strait Islander, Indigenous, or First Nations people for purposes of brevity. We respect the ersity among these populations.) and Non-Aboriginal) included weekly (online and venue-based electronic gambling machine (EGM)) gamblers, non-regular gamblers, and those negatively affected by others’ gambling. A Framework Analysis approach was used for data analysis. Appropriate ethics approval was obtained. Negative impacts and harms from gambling were experienced by both gamblers and non-gamblers. These included monetary losses, relationship conflicts, emotional distress, and decrements to health. A lack of self-realisation of gambling issues and awareness of the available services, shame, and embarrassment, were reported as the main barriers to help-seeking. Where help was sought, it was primarily informal (e.g., family) and was rarely preventive. In many instances, self-help strategies were successful in controlling one’s own gambling. Gamblers suggested regulations should set limits on the daily number of hours of playing, the bet size, and reduced access to EGM. The need for strengthening the existing awareness and education interventions was emphasised. Viewing the findings from a public health lens, targeted approaches based on specific circumstances may have the potential to minimise harms from gambling, but only for those already experiencing harms. The treatment, policy, and regulatory approaches need to be tailored to address the causes and impacts of harms experienced by people.
Publisher: Springer International Publishing
Date: 2023
Publisher: Informa UK Limited
Date: 21-04-2017
Publisher: Springer International Publishing
Date: 2023
Publisher: Informa UK Limited
Date: 03-07-2023
Publisher: Hindawi Limited
Date: 10-08-2022
DOI: 10.1111/HSC.13952
Abstract: The existing psychosocial Support activities in the Northern Territory, Australia, are mostly delivered through in idualised outreach and client-centred Support programs and do not currently have a strong Peer focus. To address this gap, a Peer-Led Education Pilot was developed and implemented in Darwin, Australia. The pilot was comprised of three separate but overarching stages, and each stage was independently evaluated. In this article, results from Stage 1 will be presented, with a specific focus on the role of Peer-to-Peer communication in improving participants' mental health and Recovery skills. This stage involved the delivery of the My Recovery program to self-nominated participants, and the evaluation was aimed at reporting on the appropriateness and effectiveness of the program. The evaluation was qualitative in design involving in idual pre- and post-program interviews with program participants (n
Publisher: Springer Science and Business Media LLC
Date: 16-01-2018
Publisher: Springer Science and Business Media LLC
Date: 13-06-2018
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Himanshu Gupta.