Long-Term Conditions Network & Health Navigator Charitable Trust
ISSN: 1197-6693 No.52: February 2020
News and upfront
Addressing inequity in primary care - using gout as an example

This video and the accompanied facilitator guide feature Susan Reid from Health Literacy NZ and provides a brief introduction to equity, followed by a discussion of a widely seen inequity across the country for the treatment of gout.

View the video here
Maori Health Review 

Issue 82 of Māori Health Review with contributing expert Dr Matire Harwood is OUT NOW!

This latest edition includes a review of Māori consumer experiences of health services and programmes & how to address inequities.

Other highlights include:
• Mate wareware: Understanding ‘dementia’ from a Māori perspective.
• Poor outcomes in methamphetamine-associated cardiomyopathy.
• Keratoconus prevalence among NZ high school children.
View online

Pre-drinking behaviour of people in the night-time economy

This report looks at pre-drinking behaviour (the consumption of alcohol before a night out or event) in Hamilton’s Central Business District at night. The research found that most people who had consumed alcohol had been pre-drinking, and that pre-drinkers had significantly higher breath alcohol than non-pre-drinkers throughout the night.

Find out more here
Second-hand gambling harm and concern about gambling within the community

This infographic presents key findings from the 2018 Health and Lifestyles Survey concerning respondents’ experiences of second-hand gambling harm for themselves or for others close to them and their concern about the level of gambling within their communities. 

Find out more here
Aspirin decision aid for primary prevention of CVD

It is based on a New Zealand Cohort of 245,028 patients, this online aspirin bleeding risk calculator has been developed by a team at the Auckland University. It helps estimate a patient’s own 5-year risk of a cardiovascular disease (CVD) event and the risk of a major bleed for primary prevention patients with and without aspirin.

View the tool here

Useful resources
Training & CME updates
Medsafe e-learning module: Adverse Drug Reactions

The module is endorsed by the Royal New Zealand College of General Practitioners (RNZCGP) and has been approved for up to 2.0 hours Continuing Medical Education (CME) for General Practice Educational Programme 2/3 (GPEP) and Continuing Professional Development (CPD) purposes.

Find out more here
Goodfellow Gems

View a range of Goodfellow gems on different topics chosen by Dr Bruce Arroll, you can also sign up for fortnightly gems by entering your email.

Find out more here
Articles & trends of interest
Association of health literacy and diabetes self-management: a systematic review

This review concludes that health literacy is key for T2DM self-management, but customised, structured and community-based interventions are more likely to yield better outcomes.

View the article here
Educational weight loss interventions in obese and overweight adults with type 2 diabetes: a systematic review and meta‐analysis of randomized controlled trials

Low‐calorie, low‐carbohydrate meal replacements or diets combined with education appear the most promising interventions to achieve the largest weight and BMI reductions in people with type 2 diabetes.

View the article here
Utilising clinical settings to identify and respond to the social determinants of health of individuals with type 2 diabetes

The review highlights the importance of identifying current and individually relevant social determinant‐related issues, and whether they are perceived as barriers to T2DM self‐management. 

View the article here
What's on
Acceptance and Commitment Therapy Workshops

Acceptance and Commitment Therapy, known as ‘ACT’ (pronounced as the word ‘act’) is a mindfulness based cognitive behavioural therapy that has a major emphasis on values, forgiveness, acceptance, compassion, living in the present moment, and accessing a transcendent sense of self. 

ACT has proven effective with a variety of problems including pain, addictions, depression, obsessive compulsive disorder, anxiety and stress. More information can be found on the event website
Public Health Summer School 

The Public Health Summer School offers practical 1–2 day courses to anyone who wants to develop their knowledge and skills. It has been providing this training for over 20 years and has grown to become the largest and longest running summer school of its type in the Southern Hemisphere.

Wellington 10th - 28th February 2020
More information can be found here
Goodfellow Symposium 28 - 29 March 2020

Auckland's primary care CPD event, packed with Skills for Next Monday: Developed by your peers, with you in mind, and focussing on the principles of equity, stewardship and connectedness.

This symposium is tailor-made for GPs, urgent care physicians, nurses, nurse practitioners and registrars.

Auckland 28 - 29 March 2020
More information can be found here
World Public Health Nutrition Congress

Held every 4 years, the World Public Health Nutrition Congress was established by the World Public Health Nutrition Association (WPHNA) to bring together the international public health nutrition sector for an international congress free from funding from conflicted sources. The Congress acts as a pathway to strengthen the knowledge base, partnerships and commitment for effective action to improve nutrition related health, particularly among vulnerable populations in the world.

Brisbane 31st March - 2nd April 2020
More information can be found here
Subscription information
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Editors: Pat Flanagan and Dr Janine Bycroft
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