"Drugs and alcohol get talked about, why not betting?" Young men's qualitative insights about strategies to prevent gambling harm.

ISSUES ADDRESSED: Research is needed to understand young people's perspectives about public health promotion strategies relevant for their health and wellbeing. This study provides suggestions from young male gamblers about sports betting harm prevention and reduction strategies. METHODS: In-depth interviews were conducted with 16 young men aged 18 to 24 years, from Melbourne, Victoria, who regularly engaged in sports betting. A critical qualitative inquiry approach, using methods of constructivist grounded theory guided the study. Reflexive thematic analysis was used to interpret and construct themes from the data. RESULTS: Participants indicated three main harm prevention strategies. These were online consumer protection and regulatory strategies, public education campaigns that highlighted sports betting risks and harms and the creation of formal and informal support networks to reduce stigma and encourage help seeking. They also supported being engaged in the development of harm prevention strategies and suggested ways to help reduce barriers to engagement. CONCLUSION: Young men recognise the need for regulatory, education and engagement responses to counter the risks posed by new gambling products. Young men may be difficult to engage in formal prevention activities, however, youth-led and informal interactive mechanisms may help to overcome this barrier, and contribute to a comprehensive public health approach to gambling harm prevention. SO WHAT?: Young men can draw upon their lived experiences of gambling to provide insights relevant for public health promotion. Mechanisms should be developed to engage young people in the co-production of strategies and policies aimed at gambling harm prevention and reduction.

A cross-sectional study of infant feeding practices in Vietnamese-born mothers living in Australia.

BACKGROUND: Infant feeding practices are a key modifiable risk factor for childhood overweight and obesity; and important for lifelong health and wellbeing. Despite the growing Australian immigrant population, it is unclear how infant feeding practices may differ between ethnicities living in Australia. Few studies have examined the infant feeding practices of Vietnamese mothers who migrate and give birth to infants in Australia - termed Vietnamese-born mothers. The aim of this study was to examine differences in infant feeding practices (breastfeeding, formula feeding and complementary feeding (other fluids and solids)) in Vietnamese-born mothers compared with Australian-born mothers living in Australia. METHOD: This study analysed the Australian National Infant Feeding Survey dataset (2010-11), a large national cross-sectional survey measuring feeding practices of infants aged 0-24 months old. Infant feeding practices of Vietnamese-born mothers (n = 261) and a random sub-sample of Australian-born mothers (n = 261) were compared. Associations between ethnicity and infant feeding practices were examined through logistic and linear regression adjusting for maternal age, socioeconomic status, body mass index (BMI) at start of pregnancy, infant age at survey completion and parity. Compliance with the Australian national infant feeding guidelines was also assessed. RESULTS: Compliance with infant feeding guidelines was low, with differences in infant feeding practices between groups. At the time of survey completion, when infants were on average 7.2 months old, compared with infants of Australian-born mothers, infants to Vietnamese-born mothers were significantly younger when first exposed to fruit juice (b = -2.41, 95%CI: -4.54- -0.28); less likely to be exposed to solids (AOR: 0.15, 95%CI: 0.05-0.44) and more likely to be exposed to formula milks (AOR: 2.21, 95%CI: 1.10-4.43); toddler milks (AOR: 16.72, 95%CI: 3.11-90.09) and fruit juice (AOR: 2.37, 95%CI: 1.06-5.32) (p < 0.05). CONCLUSION: Low adherence with breastfeeding (low breastfeeding and high infant formula use) and other fluids (toddler milks and fruit juice) recommendations outlined by the Australian infant feeding guidelines were observed in this group of Vietnamese-born mothers. To optimise feeding and growth in Vietnamese-Australian children, culturally appropriate infant feeding support targeting breastfeeding durations, reducing reliance on infant formula, and reducing inappropriate introduction to other fluids should be the focus of infant feeding promotion within these mothers.

Physical activity knowledge, attitudes and behaviours of pre-clinical medical students attending an Australian university.

BACKGROUND: Through the provision of advice and counselling, general practitioners (GPs) play an important part in promoting physical activity (PA). Lack of knowledge is a key barrier to engaging in such practice. Little is known about the knowledge and attitudes of current medical students and their preparedness to engage in PA promoting practice in the future. This study aimed to investigate the PA knowledge, attitudes and behaviours of medical students attending an Australian university. METHODS: A sample of 107 pre-clinical medical students from an Australian university completed an online survey. Questions asked about age, sex and past-week PA behaviour (using the International Physical Activity Questionnaire-Short form) as well as understanding of key PA messages and perceptions of the role of a GP, confidence to engage in PA promoting practices and satisfaction with current medical school training (responses were on 5-point Likert scale). Descriptive statistics (proportions, means) were used to summarise demographic and attitudinal measures. RESULTS: Almost all students (92%) were categorised as being moderately or highly active in the past-week. Knowledge of key PA messages was moderate (3.6 ± 0.9), however understanding of key messages about the dose of PA varied (ranging from 0% to 80.4% agreement). GPs were regarded as having a role to play in promoting PA; with high agreement that discussing the benefits of PA is a part of the role of a GP (4.7 ± 0.5). There was only moderate agreement that participants had received training in the health benefits of PA (3.1 ± 1.0) and in PA counselling (3.2 ± 1.0). Students indicated lower levels of satisfaction with this training (2.5 ± 0.9). CONCLUSIONS: Students in this study were typically physically active, had positive attitudes toward PA and felt that it was the role of the GP to engage in PA promoting practices. Students understood key PA messages, and while they reportedly received some training in providing PA counselling, they were somewhat dissatisfied with this training.

Young men's perceptions about the risks associated with sports betting: a critical qualitative inquiry.

BACKGROUND: Gambling is an inherently risky activity. New technologies have led to the development of new, online forms of gambling such as sports betting, with round the clock availability and accessibility. While young men have been identified as a group that may be particularly vulnerable to the harms associated with these new online products, few studies have qualitatively explored young men's perceptions of the risks associated with these products. Using concepts associated with the sociology of risk, this paper sought to explore the range of factors that may influence how 18-24 year old young Australian men conceptualise the risks associated with sports betting. METHODS: Using a critical qualitative inquiry approach, in-depth interviews were conducted with sixteen participants in Victoria, Australia, who engaged in sports betting at least monthly. The data interpreted for this study included questions relating to awareness of gambling, the contexts associated with early gambling experiences; the factors that influenced current gambling behaviours, and why they engaged in gambling. A reflexive approach to thematic analysis was used to interpreted themes from the data. RESULTS: Four key themes were constructed from the data relating to the factors that influenced risk perceptions. These included: 1) 'The role of early experiences', including exposure to gambling advertising in sport, and the gambling behaviours of social networks; 2) 'The influence of peer rivalry and competition', in which sports betting was used to form connections within and across peer groups; 3) 'The normalisation of gambling', including the embedding of gambling in everyday activities; and 4) 'The influence of perceptions of knowledge, skill, and control', including the belief that they could engage in responsible behaviours and stop gambling if they needed to. CONCLUSION: This study indicated that a range of factors may influence how young men conceptualise the risks and benefits associated with sports betting. Current public health strategies for gambling that focus on individual determinants and responsibility paradigms must be broadened to target the social and commercial factors that influence young men's attitudes towards, and engagement in sports betting.

A profile of the skills, attributes, development, and employment opportunities for sport scientists in Australia.

OBJECTIVES: The purpose of this study was to document the technical and transferrable skills required for sport scientists, and perceived employment opportunities both currently and in the future with a particular emphasis on comparisons between academic and applied sport scientists. DESIGN: Cross-sectional survey methodology. METHODS: 117 Australian sport science employees completed an online survey capturing demographic information, perceptions about the importance of technical skills, transferable skills, future employment opportunities as well as free-text information on future careers, challenges, and opportunities for the profession. Descriptive statistics were used to summarise information and comparisons made between academic and applied sport science participants. RESULTS: Participants were predominantly male and 35 years or younger, with half reporting they held only one position within the industry. Most technical and transferrable skills were rated as important (>4.0 out of 5.0), with practitioner-focused skills rated somewhat more important by applied sport scientists compared to scientific-focused skills rated somewhat more important by academics, and applied sport scientists generally rating transferable skills as more important compared to academics (d > 0.5). Value and supply/demand were identified as challenges to the industry with discipline-specific roles and non-elite populations considered areas for future jobs. CONCLUSIONS: Participants felt there would be more jobs in the future and that these would be in discipline-specific roles and/or non-elite populations. Both technical and interpersonal skills were considered important for sport scientists. The greatest challenges are how sport science is valued and the potential oversupply of sport science graduates.

Evaluation of Communities That Care-Effects on Municipal Youth Crime Rates in Victoria, Australia: 2010-2019.

Internationally, youth crime is a significant social problem. Violent youth crime has been rising over the past decade in the state of Victoria, Australia. Communities That Care (CTC) is a coalition training process designed to prevent youth crime. There has been limited evaluation outside the USA. Using a non-experimental design, this study employed official state crime statistics to evaluate the impact on crime as the five-phase CTC process was implemented between 2010 and 2019 across communities in Victoria. The standard five-phase CTC implementation cycle was supplemented with universal programs to reduce sales and supply of alcohol to underage youth (under 18 years). Growth models evaluated community trends in youth crime (all, person, property and deception and other), comparing communities that implemented CTC at phase 4 or greater with communities that had not implemented CTC. In accord with the hypotheses, the study found significant reductions in crimes associated with CTC over the period between 2010 and 2019. A 2% annual reduction in risk was observed for crimes against persons for all age groups (IRR = 0.98, 95% CI [0.96, 0.998]). A 5% annual reduction was observed for crimes of property and deception for adolescents aged between 10 and 17 years (IRR = 0.95, 95% CI [0.90, 0.99]). These findings support CTC as an intervention for preventing youth crime at a population level. Future studies should evaluate intervention mechanisms and economic benefits.

Expert by Experience engagement in gambling reform: qualitative study of gamblers in the United Kingdom.

To explore how Experts by Experience (EbyE) conceptualize key priorities for preventing and reducing gambling-related harm in the United Kingdom (UK). To identify barriers and facilitators to EbyE engagement in decisions for gambling research, education, treatment (RET) and policy development. Qualitative study utilizing semi-structured interviews with 20 participants from the UK between March and July 2020. Gamblers aged 29-60 years who self-reported that they had experienced gambling-related harm, and who actively used their experiences to inform strategies to prevent and reduce gambling-related harm in the UK. Participants were motivated to: advocate for gambling reform, and raise awareness of their experiences of gambling addiction or disorder. Gambling regulation was described as not adequately keeping pace with gambling industry practices, with initiatives needed to prevent the harms associated with product design, how individuals engaged with products and marketing practices. The reliance on voluntary contributions by the gambling industry for RET was perceived as a potential barrier to reform. Participants recommended new independent structures which engaged EbyE in meaningful ways in contributing to decision-making. An independent body run by and for EbyE was one mechanism that participants perceived could represent the voices of those impacted by gambling-related harm. Individuals with a lived experience of gambling-related harm, including affected social network members, bring a range of unique experiences and perspectives, and should be seen as valuable stakeholders in co-producing strategies to prevent and reduce gambling-related harm.

The focus of this study was to understand the key priorities for preventing and reducing gambling-related harm in the United Kingdom (UK), and the barriers and facilitators to engage individuals with a lived experience of gambling-related harm who are Experts by Experience (EbyE) in the development of gambling research, education, treatment (RET) and policy. The study interviewed EbyE gamblers aged 18 years and older from the UK between March and July 2020, who self-reported they had experienced gambling-related harm, and who had actively used their voice to highlight strategies to prevent and reduce gambling-related harm. Participants recommended strategies to prevent harms associated with gambling products and how individuals interacted with products, and restrictions to gambling marketing. A key barrier to achieving gambling reform was a lack of independent funding structures for gambling (RET). Participants recommended the formation of an independent body free of gambling industry funding and influence, run by and for EbyE (including social network members) to advise on gambling RET, policy and reform initiatives. There should be meaningful structures to engage EbyE (including social network members) in the development of gambling RET and policy. Their unique insights and experiences should be supported and empowered.

Increasing compliance with alcohol service laws in community sporting clubs in Australia.

INTRODUCTION: Many community sporting clubs in Australia sell alcohol, but many do not comply with laws that require verification of age and forbid underage alcohol sales. This study aimed to assess the effectiveness of an intervention that incorporated sales monitoring and community awareness raising to improve compliance with alcohol service regulations in community sporting clubs. METHODS: Non-randomised community trial in 'matched' intervention and comparison communities. A total of 50 sporting clubs from two metropolitan and two regional areas in Victoria, Australia, were selected, and baseline and follow-up purchase observations completed during 2018. Youth who looked underage were monitored as they attempted to purchase alcohol. Intervention clubs received feedback letters regarding staff sales behaviour. Other intervention actions included building awareness of underage supply of alcohol and media coverage of baseline observations. RESULTS: Observations were completed at 46 clubs (intervention = 24; comparison = 22) at baseline and 39 (intervention = 24; comparison = 15) at follow up. Compliance was low but improved at follow up for both groups for age verification (intervention +12.5%; comparison +8.5%) and non-supply of alcohol (intervention +12.5%; comparison +10.6%); but no significant intervention effects were found. DISCUSSION AND CONCLUSIONS: Findings indicated low compliance with age verification checks and underage alcohol sales laws at baseline. Promising improvements in compliance were observed at follow up; however, 'spillover' of intervention activities may have compromised ability to detect significant intervention effects. Further intervention effort and evaluation is recommended to encourage alcohol sales compliance in community sporting clubs.

A Component Evaluation of a Randomised Control Community Intervention to Reduce Adolescent Alcohol Use in Australia.

Despite a decline in Australian adolescents reporting to have consumed alcohol, a high proportion of the adolescent population still consumes alcohol. Community-led prevention interventions that systematically and strategically implement evidence-based programs have been shown to be effective in producing population-behaviour change related to youth alcohol and drug use. This study evaluated the post-intervention effects of a multi-component community intervention in Australia. It comprised social marketing targeting adolescents and parents, and a community intervention to reduce underage alcohol sales. Structural equation modelling was used to examine direct and indirect effects of community intervention components on intention and consumption. Self-report surveys (N = 3377) and community sales data (27 communities) were analysed to evaluate the effect of the intervention components on intention and consumption before the age of 18. The intervention reduced alcohol sales to minors (OR = .82). Exposure to the social marketing was significantly associated with household no-alcohol rules (OR = 2.24) and parents not supplying alcohol (OR = .72). The intervention predicted intention not to consume alcohol before age 18; intention was associated with not consuming alcohol (OR = 5.70). Total indirect effects from the intervention through to intention were significant. However, parents setting a rule and not supplying alcohol were the only significant direct effects to intention. Parents setting a rule was directly associated with lower consumption. Overall, the intervention logic was supported by the data modelling. The study extends prior knowledge of community-based interventions to prevent adolescent alcohol use by identifying critical intervention components and effect mechanisms. ClinicalTrials.gov Identifier: ACTRN12612000384853.

The Relationship Between Prescribed, Perceived, and Actual Delivery Intensity in Cricket Pace Bowling.

PURPOSE: To investigate the relationship between prescribed (preDI), perceived (perDI), and actual delivery intensity (actDI) in cricket pace bowling. METHODS: Fourteen male club-standard pace bowlers (mean [SD]: age 24.2 [3.2] y) completed 1 bowling session comprising 45 deliveries. The first 15 deliveries composed the warm-up, where participants bowled 3 deliveries each at a preDI of 60%, 70%, 80%, 90%, and 95%. Bowlers reported the perDI after each delivery. The fastest delivery in the session was used as a reference to calculate relative ball-release speed for the warm-up deliveries, with this measure representing the actDI. Ball-release speed was captured by a radar gun. RESULTS: For perDI, there was a very large relationship with preDI (rs = .90, P < .001). Similarly, for actDI, there was a large relationship with preDI (rs = .52, P < .001). Higher concordance was observed between perDI and preDI from 60% to 80% preDI. A plateau was observed for actDI from 70% to 95% preDI. CONCLUSIONS: The relationship between perDI and actDI was very large and large with respect to preDI, indicating that both variables can be used to monitor delivery intensity against the planned intensity and thus ensure healthy training adaptation. The optimal preDI that allowed pace bowlers to operate at submaximal perDI but still achieve close to maximal ball-release speeds was 70%. Bowling at the optimal preDI may significantly reduce the psychophysiological load per delivery in exchange for a trivial loss in ball-release speed.

Longitudinal analysis of growth trajectories in young children of Chinese-born immigrant mothers compared with Australian-born mothers living in Victoria, Australia.

BACKGROUND: Chinese immigrants are the third largest immigrant group in Australia. Little is known about growth trajectories of their offspring when moving to a Western country. The aim was to describe the growth trajectories between birth to 3.5 years in children of Chinese-born immigrant mothers compared with Australian-born mothers living in Victoria, Australia. METHODS: Ten nurse measured weights and lengths from birth to 3.5 years were used to examine growth trajectory using linear spline multilevel models. Five knot points were identified at visit 2 (0.5 months), visit 4 (2 months), visit 5 (4.5 months), visit 8 (18 months) and visit 9 (25 months). RESULTS: Ethnic disparities in growth trajectories between these two groups were revealed in models adjusted for birth weight, sex and level of socioeconomic disadvantage. Children of Chinese-born compared with Australian-born mothers revealed different growth rates and significant differences in predicted mean body mass index Z score (zBMI) at all time points from birth to 44 months, except for 12 months. Specifically, when compared with children of Australian-born mothers, children of Chinese-born mothers started with lower predicted zBMI from birth until 0.5 months, had a higher zBMI from 1 to 8 months and a lower zBMI from 12 to 44 months. Early and sharp acceleration of growth was also observed for children of Chinese-born mothers (0.5-2 months) when compared with children of Australian-born mothers (2-18 months). CONCLUSION: Differences in growth trajectories exist between young children of Chinese-born and Australian-born mothers. Better understanding of these ethnically patterned growth trajectories is important for identifying key opportunities to promote healthy growth in early life.

Examining Negative Emotional Symptoms and Psychological Wellbeing of Australian Sport Officials.

Sports officials are exposed to numerous performance and personal stressors, however little is known about their mental health and psychological wellbeing. This study investigated levels of mental health and psychological wellbeing of sports officials in Australia, and the demographic, officiating, and workplace factors associated with these outcomes. An online survey consisting of demographic and officiating questions, and measures of work engagement, mental health and psychological wellbeing was completed by 317 officials. A negative emotional symptoms score was computed. Associations between key demographic, officiating, and workplace factors with negative emotional symptoms and psychological wellbeing were assessed using univariate and multivariate analyses. Officials who were younger, not in a committed relationship, having lower levels of education, and less officiating experience reported higher levels of negative emotional symptoms, while males, older than 50 years, in a committed relationship and more officiating experience had higher levels of psychological wellbeing. The ability to self-manage workload and demonstrate professional autonomy were strongly associated with negative emotional symptoms and psychological wellbeing. Officials reported high negative emotional symptoms, but also high levels of psychological wellbeing. The ability to manage workload and to express professional autonomy are important determinants of mental health and wellbeing levels of sports officials.

Intention to drink and alcohol use before 18 years among Australian adolescents: An extended Theory of Planned Behavior.

INTRODUCTION: Preventing adolescent alcohol use is an international public health priority. To further understand adolescent alcohol use, this study tested a model of adolescent intention to consume alcohol that incorporated multiple social systems influences. METHODS: Participants included 2529 Australian secondary school students (Mage = 14.20; 53.7% female). Participants completed a survey about risk and protective factors for alcohol use at individual, family, school and community levels. Structural Equation Modeling (path analysis) was used to evaluate an extended Theory of Planned Behavior (TPB) that incorporated social system determinants of intention to consume alcohol. RESULTS: The final model explained 60% of the variance in adolescent alcohol use intention. All TPB constructs correlated with intention and experience of lifetime alcohol use. More exposure to information about alcohol use had a weak but significant influence on adolescents' stronger perceived behavioral control. Having less friends who use alcohol, stricter parental rules for adolescent alcohol use, and unfavorable parent attitudes towards alcohol use, were associated with stronger adolescent anti-alcohol attitudes and subjective norms. Community level pro-abstinence attitudes predicted unfavorable adolescent attitudes to alcohol and intention to consume alcohol. Parental rules showed significantly stronger influences on alcohol use intention amongst younger adolescents. CONCLUSIONS: Key social systems around adolescents significantly predicted intention to consume alcohol, and the extended TPB model explained the major variance in adolescent alcohol use. The findings emphasize the importance of multi-level approaches to the prevention of alcohol use. Situation-based factors that could trigger impulsive emotional response may be a future intervention focus.

Examining the Mental Well-Being of Australian Sport Coaches.

Background: Research has highlighted the multitude of factors that are negatively associated with coach mental well-being but has failed to investigate how the determinants of mental well-being can affect the coach both positively and negatively. Accordingly, the aim of this study was to investigate levels of mental well-being among sport coaches and assess whether areas of work life-specifically workload and control-are related to levels of mental well-being. Method: An online survey comprising demographic and coaching experience details, the Areas of Work Life Scale (AWS), and the Warwick-Edinburgh Mental Well-Being Scale was completed by 464 Australian coaches involved in a range of sports. Differences in coach mental well-being according to key demographic and coaching-related subgroups were assessed using separate t-test and ANOVA analyses and the magnitude of effects was determined using Cohen's d and the eta-squared (ή2) statistics. Multiple linear regression was used to examine relationships between both workload and control and mental well-being after controlling for age, gender, coaching setting and weekly coaching activity. Results: The findings indicate poorer mental well-being among both male and younger coaches and indicate that coach mental well-being is related to the ability to self-manage the workload associated with their role as a coach as well as greater autonomy over coaching-related tasks and activities. Specifically, a one-unit increase in AWS workload and AWS control were associated with ~three- and ~four-unit increases in coach mental well-being, respectively. Conclusion: Greater provision of resources and education is required to assist coaches to manage their own mental well-being, while being supported by the organisation they coach for. Enabling coaches to balance their coaching requirements and to have control over their environment will improve their ability to constantly coach at a high standard.

Relative effects of postnatal rapid growth and maternal factors on early childhood growth trajectories.

BACKGROUND: A range of postnatal and maternal factors influences childhood obesity, but their relative importance remains unclear. This study aimed to assess the relative impact of postnatal rapid growth and maternal factors on early childhood growth trajectories. SUBJECTS: Secondary longitudinal analysis of pooled data from the Melbourne Infant Feeding Activity and Nutrition Trial (InFANT) Program and the InFANT Extend Program (n = 977) was performed. Children's height and weight were collected at birth, 3, 9, 18, and 36/42 months. Body mass index-for-age and height-for-age z-scores (BAZ, HAZ) were computed using WHO growth standards. Mixed-effect polynomial regression models were fitted to examine BAZ and HAZ trajectories and their determinants. RESULTS: Rapid growth from birth to 3 months, maternal country of birth, and pre-pregnancy BMI were each independently associated with BAZ from 3 to 42 months. Children with rapid growth, those whose mothers were Australian-born, and those whose mothers were overweight/obese pre-pregnancy had higher BAZ from 3 to 42 months. Children with rapid growth had an increase in HAZ growth, but their average HAZ from 3 to 42 months was smaller than children without rapid growth. Children of tall mothers (above average height) had higher HAZ than those of short mothers (below average height). Average HAZ from 3 to 42 months did not differ by maternal country of birth. CONCLUSION: Children who experienced rapid growth from birth to 3 months, whose mothers were Australian-born or whose mothers were overweight/obese pre-pregnancy demonstrated less favourable growth trajectories across early childhood, potentially predispose them for development of future obesity.

The Overt Behaviour Scale-Self-Report (OBS-SR) for acquired brain injury: exploratory analysis of reliability and validity.

The objectives were to test the properties, via a psychometric study, of the Overt Behaviour Scale-Self-Report (OBS-SR), a version of the OBS-Adult Scale developed to provide a client perspective on challenging behaviours after acquired brain injury. Study sample 1 consisted of 37 patients with primary brain tumour (PBT) and a family-member informant. Sample 2 consisted of 34 clients with other acquired brain injury (mixed brain injury, MBI) and a service-provider informant. Participants completed the OBS-SR (at two time points), and the Awareness Questionnaire (AQ) and Mayo Portland Adaptability Inventory-III (MPAI-III) once; informants completed the OBS-Adult and AQ once only. PBT-informant dyads displayed "good" levels of agreement (ICC2,k = .74; OBS-SR global index). Although MBI-informant dyads displayed no agreement (ICC2,k = .22; OBS-SR global index), the sub-group (17/29) rated by clinicians as having moderate to good levels of awareness displayed "fair" agreement (ICC2,k = .58; OBS-SR global index). Convergent/divergent validity was demonstrated by significant correlations between OBS-SR subscales and MPAI-III subscales with behavioural content (coefficients in the range .36 -.61). Scores had good reliability across one week (ICC2,k = .69). The OBS-SR took approximately 15 minutes to complete. It was concluded that the OBS-SR demonstrated acceptable reliability and validity, providing a useful resource in understanding clients' perspectives about their behaviour.

The Australian high performance and sport science workforce: A national profile.

OBJECTIVES: The purpose of this study was to provide a profile of the demographics and employment characteristics of the Australian high performance and sport science workforce. DESIGN: This study used a cross-sectional, quantitative survey methodology to collect data about the Australian high performance and sport science workforce. METHOD: 175 Australian high performance and sport science employees completed an online survey which captured demographic information and work-related characteristics such as role, industry sector, income, permanence of employment and hours worked. Descriptive statistics were used to summarise information and some comparisons were made between position titles, industry sectors and sexes. RESULTS: The Australian high performance and sport science workforce is predominantly male (76.0%), ≤35 years of age (50.3%), located on the eastern seaboard of Australia (69%) and have been in their current position for 2-5 years (37.4%). They are mostly employed on a fixed term contract of 2.4 years, by an institute of sport. Income varied, with those working in professional sporting clubs and/or employed as high performance managers earning the highest wage. On average, participants worked well over their contracted hours, with a considerable proportion of these hours outside the standard 9-5 working week. CONCLUSIONS: Employees in the high performance and sport science workforce in Australia face significant professional issues that relate to long and unusual work hours, job insecurity and income disparity. Policy makers and the managers of this workforce should consider the impact of these issues on work-life balance, staff retention rates and the risk of burnout.

Underage alcohol sales in community sporting clubs.

INTRODUCTION AND AIMS: Adolescent alcohol consumption and associated harms are significant public health issues in Australia. One strategy to reduce this problem is restricting alcohol supply to adolescents below age 18. To ensure compliance with laws that forbid underage alcohol sales, effective monitoring systems that operate across a range of settings, including sporting clubs, are required. This study investigated compliance with regulations requiring proof of age identification and refusal of underage alcohol sales in community sporting clubs. DESIGN AND METHODS: Compliance with alcohol sales laws was monitored using a male confederate that appeared under 18 who attempted to purchase alcohol at community sporting clubs in two regional areas of Victoria, Australia during the 2016-2017 sporting seasons. RESULTS: Purchase observations were completed at 43 clubs (observations could not be conducted at 14 clubs); alcohol was purchased at 41 (95%) clubs. Four (9%) clubs asked the confederate-purchaser to provide identification of age-in two instances the purchaser was not sold alcohol and in two instances was sold alcohol after not showing identification. Rates of compliance with proof of age identification and alcohol sales did not vary according to staff- and club-related variables. DISCUSSION AND CONCLUSIONS: This study indicates the need for more rigorous enforcement of alcohol sales regulations in community sporting clubs. Community health agencies could work with sporting clubs to assist them to improve compliance with alcohol sales regulations and to provide information on the significant role clubs play in shaping the adolescent alcohol culture.

Differences in infant feeding practices between Chinese-born and Australian-born mothers living in Australia: a cross-sectional study.

BACKGROUND: Chinese immigrants are the third largest immigrant group in Australia. Recent qualitative evidence from Victorian Maternal and Child Health nurses indicate that infants of Chinese parents commonly have rapid growth trajectories and that high value is placed on rapid growth and having a fatter child; with low breastfeeding rates and overfeeding of infant formula. The aim of this study was to compare infant feeding practices (breastfeeding, infant formula, other liquids, solids) of Chinese-born and Australian-born mothers living in Australia. METHODS: Using the Australian National Infant Feeding Survey dataset (2010-2011), infant feeding data from Chinese-born mothers (n = 602) were compared with a random sub-sample of Australian-born mothers (n = 602). Group differences on feeding practices were tested using Chi-square or t-tests and the effect of ethnicity on infant feeding behaviours assessed using regression. RESULTS: Compared to infants of Australian-born mothers, infants of Chinese-born mothers were younger when they first consumed infant formula, water-based drinks and fruit juice and older when they first ate solid foods (p < 0.05). Furthermore, infants of Chinese-born mothers were less likely to have ever had cow's milk (OR: 0.37 95%CI:, 0.18-0.78) and solids (0.41, 0.25-0.68); but were more likely to have ever had infant formula (2.19, 1.32-3.62), water (2.45, 1.55-3.87), toddler milk (3.39, 1.60-7.18), water-based drinks (e.g. cordial, soft drink, tea; 2.48, 1.12-5.49), and fruit juice (4.03, 2.50-6.51). Those ≤4 months of age were more likely to have had water-based drinks (7.77, 1.96-30.77) and fruit juice (3.44, 1.14-10.38) (p < 0.05) compared to infants of Australian-born mothers. CONCLUSION: Differences in mothers' early infant feeding practices exist between Chinese-born and Australian-born mothers living in Australia. Better understanding these ethnically patterned infant feeding practices is important for identifying key opportunities to promote best nutrition and growth in early life in different ethnic groups within our population.

The development of a tournament preparation framework for competitive golf: A Delphi study.

Tournament preparation in golf is used by players to increase course knowledge, develop strategy, optimise playing conditions and facilitate self-regulation. It is not known whether specific behaviours in tournament preparation should be given priority in education and practice at different stages of competition. This study aimed to achieve consensus on the importance of specific tournament preparation behaviours or "items" to players of five competitive levels. A two-round Delphi study was used, including an expert panel of 36 coaches, high-performance staff, players and academics. Participants were asked to score the relative importance of 48 items to players using a 5-point Likert-type scale. For an item to achieve consensus, 67% agreement was required in two adjacent score categories. Consensus was reached for 46 items and these were used to develop a ranked framework for each competitive level. The developed framework provides consensus-based guidelines of the behaviours that are perceived as important in tournament preparation. This framework could be used by national sport organisations to guide the development of more comprehensive learning environments for players and coaches. It could also direct future studies examining the critical behaviours for golfers across different competitive levels.