Trudy Sullivan

Subsequent Injury Study (SInS): Improving outcomes for injured New Zealanders

Background Subsequent injury (SI) is a major contributor to disability and costs for individuals and society. Aim To identify modifiable risk factors predictive of SI and SI health and disability outcomes and costs. Objectives To (1) describe the nature of SIs reported to New Zealands no-fault injury insurer (the Accident Compensation Corporation (ACC)); (2) identify characteristics of people underaccessing ACC for SI; (3) determine factors predicting or protecting against SI; and (4) investigate outcomes for individuals, and costs to society, in relation to SI. Design Prospective cohort study. Methods Previously collected data will be linked including data from interviews undertaken as part of the earlier Prospective Outcomes of Injury Study (POIS), ACC electronic data and national hospitalisation data about SI. POIS participants (N=2856, including 566 Māori) were recruited via ACCs injury register following an injury serious enough to warrant compensation entitlements. We will examine SI over the following 24 months for these participants using descriptive and inferential statistics including multivariable generalised linear models and Coxs proportional hazards regression. Discussion Subsequent Injury Study (SInS) will deliver information about the risks, protective factors and outcomes related to SI for New Zealanders. As a result of sourcing injury data from New Zealands ‘all injury’ insurer ACC, SInS includes people who have been hospitalised and not hospitalised for injury. Consequently, SInS will provide insights that are novel internationally as other studies are usually confined to examining trauma registries, specific injuries or injured workers who are covered by a workplace insurer rather than a ‘real-world’ injury population.

Does Charity Begin at Home or Overseas

We conducted a field experiment to find out whether a sample of the New Zealand general public preferred to give money to World Vision, an international development charity, or the Salvation Army, a local charity helping families in need. The majority of participants revealed a preference for giving to the local charity, rather than the international development charity. Participants were given the option of commenting on why they chose the charity they did, and we analyze these responses. We also analyze whether participants’ individual characteristics are correlated with the choice of charity.

Prevalence and characteristics of tobacco purchases in convenience stores: results of a postpurchase intercept survey in Dunedin, New Zealand

Introduction Arguments regarding the importance of tobacco to convenience stores could impede the adoption of tobacco retail reduction policies. Although trade associations argue tobacco constitutes two-thirds of convenience store sales and drives footfall, few studies have tested these claims. We therefore examined the prevalence and characteristics of tobacco purchases at convenience stores in Dunedin, New Zealand. Methods We conducted a postpurchase survey at 20 convenience stores, each visited for three 60 min intervals over a 4-week period. We used descriptive statistics to determine proportions and 95% CIs of transactions that contained tobacco and those that contained only non-tobacco items. We estimated the mean number of items purchased, the mean number of non-tobacco items purchased and mean expenditure on non-tobacco items. Results Fourteen per cent of transactions contained tobacco (n=95/679); of those, 64% comprised tobacco only. Only 5% of all transactions included both tobacco and non-tobacco products. The mean number of non-tobacco items purchased was 1.9 for transactions containing only non-tobacco products and 1.7 for transactions containing both tobacco and non-tobacco products. After excluding the cost of tobacco, people who purchased tobacco and non-tobacco products spent on average

Prioritising the investigation of organised crime

5.11 on non-tobacco items, whereas people who purchased only non-tobacco items spent on average

Economic evaluation of a multi-disciplinary community-based intervention programme for New Zealand children and adolescents with obesity

6.85. Conclusions Tobacco products constitute a small proportion of items purchased from Dunedin convenience stores and are typically not purchased with non-tobacco items. Our findings are inconsistent with arguments that most small retailers rely on tobacco sales.

An eHealth Program for Patients Undergoing a Total Hip Arthroplasty: Protocol for a Randomized Controlled Trial

ABSTRACT Organised crime is becoming increasingly sophisticated and pervasive. Responding effectively to the dynamic and multifaceted nature of organised criminal activity is challenging. Law enforcement agencies need to find new and innovative ways to meet the demands of an ever-increasing and complex workload. Targeting resources is essential if the associated cost of organised crime is to be contained. This paper outlines a novel approach for ranking offenders specifically within the field of organised crime, in terms of investigative priority. Thirteen key people involved in the investigation of organised crime in New Zealand were brought together for a one-day workshop. Prior to attending the workshop participants were asked to rank 12 hypothetical offender profiles in terms of investigative priority. The rankings were used to stimulate discussion on the major issues relating to organised crime. As a result, six criteria were identified, and a discrete choice experiment was completed by consensus to determine the relative importance of the criteria. Community harm was considered the most important criterion (0.26), followed by corruption or infiltration (0.17), geographical influence (0.16), convertible assets (0.15), capability (0.14) and criminal influence (0.12). Fifty front-line investigators subsequently completed the experiment online, and the relative weights were found to be similar to those from the workshop. To assess the practicability of the weights, 10 known high-risk offenders were categorised and ranked using the weighted criteria from the workshop. Senior staff involved in the investigation of these offenders agreed that the resulting ranking of offenders aligned with their personal judgement.

Offender case management: reducing the rate of reoffending by Māori

OBJECTIVE To determine whether Whānau Pakari, a home-based, 12-month multi-disciplinary child obesity intervention programme was cost-effective when compared with the prior conventional hospital-based model of care. METHODS Whānau Pakari trial participants were recruited January 2012-August 2014, and randomised to either a high-intensity intervention (weekly sessions for 12 months with home-based assessments and advice, n=100) or low-intensity control (home-based assessments and advice only, n=99). Trial participants were aged 5-16 years, resided in Taranaki, Aotearoa/New Zealand (NZ), with a body mass index (BMI) ≥98th centile or BMI >91st centile with weight-related comorbidities. Conventional group participants (receiving paediatrician assessment with dietitian input and physical activity/nutrition support, n=44) were aged 4-15 years, and resided in the same or another NZ centre. The change in BMI standard deviation score (SDS) at 12 months from baseline and programme intervention costs, both at the participant level, were used for the economic evaluation. A limited health funder perspective with costs in 2016 NZ

The impact of an increase in excise tax on the retail price of tobacco in New Zealand

was taken. RESULTS The per child 12-month Whānau Pakari programme costs were significantly lower than in the conventional group. In the low-intensity group, costs were NZ

Deadlines, Procrastination, and Inattention in Charitable Tasks: A Field Experiment

939 (95% CI: 872, 1007) (US

Determining Criteria and Weights for Prioritizing Health Technologies Based on the Preferences of the General Population: A New Zealand Pilot Study

648) lower than the conventional group. In the high-intensity intervention group, costs were NZ