Evaluation of the Red Apple Program: a healthy lifestyle program for disadvantaged families & young people piloted in the Wide Bay Burnett Queensland, 2011-2012

Project report


Yuginovich, Trudy, Hossain, Delwar, Lambden, Joanne, Gibson, Maurine and Allen, Rowena. 2013. Evaluation of the Red Apple Program: a healthy lifestyle program for disadvantaged families & young people piloted in the Wide Bay Burnett Queensland, 2011-2012 . Towoomba, Australia. University of Southern Queensland.
Title

Evaluation of the Red Apple Program: a healthy lifestyle program for disadvantaged families & young people piloted in the Wide Bay Burnett Queensland, 2011-2012

Report TypeProject report
AuthorsYuginovich, Trudy (Author), Hossain, Delwar (Author), Lambden, Joanne (Author), Gibson, Maurine (Author) and Allen, Rowena (Author)
Institution of OriginUniversity of Southern Queensland
Year2013
PublisherUniversity of Southern Queensland
Place of PublicationTowoomba, Australia
Abstract

Poor nutrition and sedentary lifestyle contribute to the statistics of 7.4 million overweight Australian adults with over a third of those being obese(1). Middle age (45-64) Australians have the highest combined rates of overweight and obesity compared to other age groups. Data collected from 14,000 adults throughout Australia on National Blood Pressure Screening Day in June 2007 showed that around 35% of middle aged women and 50% of middle age men were overweight (defined as having a BMI in the 25-30 range) and it is estimated that over the next 20 years 700,000 hospital admissions and 123,000 deaths will be a direct consequence of overweight in middle aged Australians(2).

The central focus of the Red Apple Healthy Lifestyles Pilot Program was the delivery of practical activities around the topics of healthy eating, shopping, cooking, physical activities, promoting sustainable changes in health and shopping behaviours among low socio economic families and young people in regional/ rural communities by community service providers. The aims of the evaluation project were to answer the questions; how do the activities offered by the Red Apple program in the Wide Bay- Burnett (Fraser Coast & North Burnett) regions lead to;
a) increased knowledge and skills of participants to better adopt healthy eating behaviours, b) increased participants’ ability to better adopt healthy Physical Activity (PA) behaviours, and ;
c) increased parents’ ability to establish healthy eating and PA behaviours in their children?

The study also aimed to identify any barriers to healthy choices adoption by participants in relation to food choices or physical activity.

The pilot project was a Department of Health Queensland funded project. It encompassed support for people who live with social disadvantage. The intervention was piloted by engaging 176 participants across at least two locations in the Wide Bay Burnett Region. The program was facilitated by workers from existing service delivery agencies that currently provide a range of programs for this target group in partnership with the Hervey Bay Neighbourhood Centre and Uniting Care Community Fraser District.

These services already operate programs and services to the client group and the program was incorporated in their broader servicing of these client groups. This community development based arrangement provided the advantage that those delivering the program have an existing relationship with the clients. Intended benefits to participants included improvements to knowledge and skills to adopt healthy eating behaviours; improved ability to adopt healthy physical activity behaviours; and increased parents' ability to establish healthy eating and physical activity behaviours among children early in life.

Community Service Providers were very positive in their reception of the Red Apple Pilot Program and in implementing healthy lifestyles information as part of an holistic approach to supporting clients as were the program recipients. The main impact that emerged from the

both the qualitative and quantitative findings was that people are now more aware of healthy food choices for themselves and their children and that together with regular physical activity, this helps to maintain a healthy lifestyle. Participants now appear to better understand the benefits of participating in regular exercise, as well as the importance of selecting healthy fresh food, eating breakfast and cooking meals at home rather than eating fast food. More than half of the participants stated they were more confident in planning and shopping for healthy meals, finding ways to buy healthier food, cooking healthy meals, preparing healthy lunchboxes for children and knowing about the suitable food for babies. Around one quarter of participants stated they were a little more confident in these healthy eating processes. The confidence level of participants has been sustained in all 5 domains after the 3 month survey and even further increases in the area of children’s healthy lunchboxes increasing from 57% to 80%, and understanding suitable food for babies from 50% to 70%.

The self-reported benefits of participants involved in the program are summarized as follows:
a) improved knowledge and lifestyle skills
b) the adoption of healthy eating behaviours
c) improved ability to adopt healthy physical activity behaviour
d) increased parent ability to establish healthy eating and physical activity patterns among children early in life
e) increased self-reliance in relation to aspects of health food choices.

The key messages (behaviours) reinforced throughout the Manual, the program and its resources are based on then current (in 2011-2012 during program development) recommendations largely sourced from the Australian Guide to Healthy Eating (AGTHE), Food Plate as well as the Physical Activity Guidelines from the Department of Health and Ageing. Main recommendations for areas of improvement in program materials and the delivery focused on:
• More multi-cultural food samples and recipes would be good for some groups such as rice based meals-to improve delivery to diverse groups
• It would be good not to have such intensive evaluation paperwork in a future program but do keep some evaluation going
• Inclusion of specific content for older people
• The program would work better and be more interesting for some young people if they were able start with the cooking.
• Simplify facilitator materials as much as possible.

Keywordshealthy lifestyle, healthy eating; physical activity
ANZSRC Field of Research 2020420305. Health and community services
Public Notes

File reproduced in accordance with the copyright policy of the publisher/author.

Byline AffiliationsCentre for Rural and Remote Area Health
Joanne Lambden and Associates, Australia
Hervey Bay Community Centre, Australia
Permalink -

https://research.usq.edu.au/item/q26q2/evaluation-of-the-red-apple-program-a-healthy-lifestyle-program-for-disadvantaged-families-young-people-piloted-in-the-wide-bay-burnett-queensland-2011-2012

Download files


Published Version
  • 1696
    total views
  • 122
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

Unfinished business: the impact of single nurse clinics on the delivery of Primary Health Care in remote communities
Yuginovich, Trudy and Hinspeter, Lyn. 2007. Unfinished business: the impact of single nurse clinics on the delivery of Primary Health Care in remote communities. Toowoomba, QLD. University of Southern Queensland.
Nursing assessment: visual and auditory systems
Yuginovich, Trudy and Chong, Sarah. 2005. "Nursing assessment: visual and auditory systems." Brown, Dianne and Edwards, Helen (ed.) Lewis's medical surgical nursing: assessment and management of clinical problems. Sydney, Australia. Elsevier. pp. 418-479
We said what? The silence of the RANS
Yuginovich, Trudy E.. 2004. "We said what? The silence of the RANS." CRANA 21st National Conference. Alice Springs, Australia Sep 2004 Alice Springs.
When the dust settles: a comparative history of remote area nursing in Queensland
Yuginovich, Trudy E.. 2000. "When the dust settles: a comparative history of remote area nursing in Queensland." Infront outback: Second International Congress of Rural Nurses (2000). Toowoomba, Australia 24 - 26 Feb 2000 Toowoomba.
Preparation of Australian and Spanish nursing students for intimate partner violence
Gorman, Don, Cuadra, Assumpta Rigol, Perez, Maria Honrubia, Zaplana, Isabel Sanchez, Martin, Dolors Rodriguez, Bujosa, Neus Tur, Beccaria, Lisa, Martyn, Julie A, Dawson, Rhonda, Beccaria, Gavin and Hossain, Delwar. 2016. "Preparation of Australian and Spanish nursing students for intimate partner violence." Journal of Nursing Education and Practice. 6 (12), pp. 131-135. https://doi.org/10.5430/jnep.v6n12p131
Assessing the mental health issues of climate variability affecting rural and remote communities in southern Queensland
Hossain, Delwar, Gorman, Don, Chapelle, Betti, Saal, Rod, Mann, Wayne and Penton, Geoff. 2014. "Assessing the mental health issues of climate variability affecting rural and remote communities in southern Queensland." Brumbay, Susan (ed.) Sowing the seeds of farmer health. Ballarat, Victoria. VURRN Press Inc.. pp. 35-54
Impact of Red Apple Healthy Lifestyles Program on healthy eating behaviour of low socio-economic participants in rural and regional communities in Australia
Hossain, Delwar, Yuginovich, Trudy, Lambden, Joanne, Gibson, Maurine and Allen, Rowena. 2015. "Impact of Red Apple Healthy Lifestyles Program on healthy eating behaviour of low socio-economic participants in rural and regional communities in Australia." International Journal of Health Promotion and Education. 53 (3), pp. 136-146. https://doi.org/10.1080/14635240.2014.971189
Training needs assessment of Bangladesh Agricultural Institute teachers
Hossain, M. Delwar, Haque, Enamul and Ullah, Saadat. 1992. "Training needs assessment of Bangladesh Agricultural Institute teachers ." Annals of Bangladesh Agriculture. 2 (2), pp. 97-103.
Live Life Healthy program - Fraser Coast Regional Council evaluation report
Hossain, Delwar, Murphy, Maureen and Macdonald, Bethany. 2014. Live Life Healthy program - Fraser Coast Regional Council evaluation report. Towoomba, Australia. University of Southern Queensland.
Impact of healthy lifestyle program: an intervention study among rural and regional communities in Australia
Hossain, D., Allen, R., Gibson, M., Lambden, J. and Yuginovich, T.. 2014. "Impact of healthy lifestyle program: an intervention study among rural and regional communities in Australia." International Public Health Forum. 1 (1), pp. 8-14.
Lean thinking in dementia care through smart assistive technology: an evaluation
Yuginovich, Trudy and Soar, Jeffrey. 2014. "Lean thinking in dementia care through smart assistive technology: an evaluation." Wickramasinghe, N., Al-Hakim, L., Gonzalez, C. and Tan, J. (ed.) Lean thinking for healthcare. New York, NY. United States. Springer. pp. 143-167
Impact of the mining industry on the mental health of landholders and rural communities in southwest Queensland
Hossain, Delwar, Gorman, Don, Chapelle, Betti, Mann, Wayne, Saal, Rod and Penton, Geoff. 2013. "Impact of the mining industry on the mental health of landholders and rural communities in southwest Queensland." Australasian Psychiatry. 21 (1), pp. 32-37. https://doi.org/10.1177/1039856212460287
Evaluation of the red apple program: a healthy lifestyle program for disadvantaged families and young people piloted in the Wide Bay Burnett Queensland, 2011-2012
Yuginovich, Trudy, Hossain, Delwar, Lambden, Joanne, Gibson, Maurine and Allen, Rowena. 2013. Evaluation of the red apple program: a healthy lifestyle program for disadvantaged families and young people piloted in the Wide Bay Burnett Queensland, 2011-2012 . Toowoomba, Australia. University of Southern Queensland.
Distance and devices: potential barriers to use of wireless handheld devices
Martyn, Julie, Larkin, Kevin, Sander, Teresa, Yuginovich, Trudy and Jamieson-Proctor, Romina. 2014. "Distance and devices: potential barriers to use of wireless handheld devices." Nurse Education Today. 34 (3), pp. 457-461. https://doi.org/10.1016/j.nedt.2013.04.021
Impact analysis of smart assistive technologies for people with dementia
Yuginovich, Trudy, Soar, Jeffrey and Su, Ying. 2012. "Impact analysis of smart assistive technologies for people with dementia." Su, Ying (ed.) 7th International Conference on Cooperation and Promotion of Information Resources in Science and Technology (COINFO 2012): Information Sharing in the Cloud. Nanjing, China 23 - 25 Nov 2012 Beijing, China.
Physician in practice clinic: educating GPs in endocrinology through specialist-outreach
Moffatt, Jennifer, Hossain, Delwar and Hansford, Garry. 2012. "Physician in practice clinic: educating GPs in endocrinology through specialist-outreach." Rural and Remote Health. 12 (2265), pp. 1-14.
Capacity building of rural and remote communities to manage their mental health
Hossain, Delwar, Chapelle, Betti, Gorman, Don, Mann, Wayne, Penton, Geoff, Saal, Rod, Woods, Mary and Goddard, Robyn. 2012. Capacity building of rural and remote communities to manage their mental health. Barton, Australia. Rural Industries Research and Development Corporation.
Information literacy and its application in nursing education
Hossain, Delwar, Perrin, Cheryl and Cumming, Kaye. 2012. "Information literacy and its application in nursing education." International Journal of Modern Education and Computer Science. 10, pp. 1-8. https://doi.org/10.5815/ijmecs.2012.10.01
Providing mental health services for men in rural areas
Gorman, Don, Eley, Robert and Hossain, Delwar. 2012. "Providing mental health services for men in rural areas ." Bryant Smalley, K., Warren, Jacob C. and Rainer, Jackson P. (ed.) Rural mental health: issues, policies, and best practices . New York, NY. United States. Springer. pp. 267-280
Nursing students' perceptions and understanding of intimate partner violence
Beccaria, Gavin, Beccaria, Lisa, Dawson, Rhonda, Gorman, Don, Harris, Julie A. and Hossain, Delwar. 2013. "Nursing students' perceptions and understanding of intimate partner violence." Nurse Education Today. 33 (8), pp. 907-911. https://doi.org/10.1016/j.nedt.2012.08.004
Perceived value of the Physician in Practice Clinic approach to patients
Hossain, Delwar, Moffatt, Jennifer and Hansford, Garry. 2012. "Perceived value of the Physician in Practice Clinic approach to patients." International Journal of Health Promotion and Education. 50 (4), pp. 194-202. https://doi.org/10.1080/14635240.2012.703390
Factors that impact on rural and remote students’ participation in higher education
Hossain, Delwar, Gorman, Don, Lawrence, Jill and Burton, Lorelle. 2012. "Factors that impact on rural and remote students’ participation in higher education." International Journal of Modern Education and Computer Science. 4 (7), pp. 1-8. https://doi.org/10.5815/ijmecs.2012.07.01
Learning at times and places chosen by the learner: adapting to study with mobile digital devices
Jamieson-Proctor, Romina, Albion, Peter, Larkin, Kevin, Redmond, Petrea, Harris, Julie, Fasso, Wendy, Sander, Teresa, Yuginovich, Trudy and Maxwell, Andrew. 2012. "Learning at times and places chosen by the learner: adapting to study with mobile digital devices." Newhouse, Paul and Pagram, Jeremy (ed.) 2012 Australian Computers in Education Conference: ITs Time: Information Technology in Schools Time (ACEC 2012). Perth, Australia 02 - 05 Oct 2012 Perth, Western Australia.
AAARRRGGHH! Can't do Primary Health Care
Yuginovich, Trudy E. and Hinspeter, Lyn. 2005. "AAARRRGGHH! Can't do Primary Health Care." 25th National CRANA Conference 2005. Broken Hill, Australia Sep 2005 Australia.
Mental health of farmers in Southern Queensland: issues and support
Hossain, Delwar, Eley, Rob, Coutts, Jeff and Gorman, Don. 2008. "Mental health of farmers in Southern Queensland: issues and support ." Australian Journal of Rural Health. 16 (6), pp. 343-348. https://doi.org/10.1111/j.1440-1584.2008.01013.x
Supporting indigenous sexual and reproductive health via the internet
Soar, Jeffrey and Yuginovich, Trudy. 2006. "Supporting indigenous sexual and reproductive health via the internet." IPSI Bgd Transactions on Advanced Research. 2 (2), pp. 10-14.
Evaluation: is the physician in practice clinic effective? Final report
Moffatt, Jennifer, Hossain, Delwar and Boucher, Donna. 2011. Evaluation: is the physician in practice clinic effective? Final report. Australia. GP Connections.
Evaluation: is pit stop effective? Final report
Moffatt, Jennifer, Hossain, Delwar and Boucher, Donna. 2010. Evaluation: is pit stop effective? Final report. Toowoomba, Australia. GP Connections.
A stocktake of existing aged care clinical placements for undergraduate nursing students in Australia
Neville, Christine C., Yuginovich, Trudy and Boyes, Joanne. 2008. "A stocktake of existing aged care clinical placements for undergraduate nursing students in Australia." Australian Journal of Advanced Nursing. 26 (2), pp. 17-26.
A potted history of nineteenth century remote area nursing in Australia and, in particular, Queensland
Yuginovich, Trudy. 2000. "A potted history of nineteenth century remote area nursing in Australia and, in particular, Queensland." Australian Journal of Rural Health. 8 (2), pp. 63-67. https://doi.org/10.1046/j.1440-1584.2000.00223.x
Attitudes of agriscience teachers in Michigan toward internationalizing agricultural education programs
Hossain, Delwar, Moore, Eddie and Elliot, Jack. 1995. "Attitudes of agriscience teachers in Michigan toward internationalizing agricultural education programs." 8th Annual Meeting of the Association for International Agricultural and Extension Education 1992. Columbus, United States 12 - 16 May 1992 College Station, TX. United States.
Value of mental health first aid training of advisory and extension agents in supporting farmers in rural Queensland
Hossain, D., Gorman, D., Eley, R. and Coutts, J.. 2010. "Value of mental health first aid training of advisory and extension agents in supporting farmers in rural Queensland." Rural and Remote Health. 10 (4 ), pp. 1593-1603.
Attitudes of advisory and extension agents towards people with mental health problems
Hossain, Delwar, Eley, Robert, Gorman, Don and Coutts, Jeff. 2010. "Attitudes of advisory and extension agents towards people with mental health problems." Journal of International Agricultural and Extension Education. 17 (3), pp. 19-30. https://doi.org/10.5191/jiaee.2010.17302
Identifying the key factors that impact on rural and remote students’ participation in higher education at USQ
Hossain, Delwar, Burton, Lorelle J., Lawrence, Jill and Gorman, Don. 2010. Identifying the key factors that impact on rural and remote students’ participation in higher education at USQ. Toowoomba, Australia. University of Southern Queensland.
More than time and place: using historical comparative research as a research tool for nursing
Yuginovich, Trudy. 2000. "More than time and place: using historical comparative research as a research tool for nursing." International Journal of Nursing Practice. 6 (2), pp. 70-75. https://doi.org/10.1046/j.1440-172x.2000.00183.x
An unusual occupation
Yuginovich, Trudy and Hinspeter, Lyn. 2008. "An unusual occupation." 24th National CRANA Conference. Hobart, Australia
Enhancing the knowledge and skills of advisory and extension agents in mental health issues of farmers
Hossain, Delwar, Gorman, Don and Eley, Robert. 2009. "Enhancing the knowledge and skills of advisory and extension agents in mental health issues of farmers ." Australasian Psychiatry. 17 (1), pp. 116-120. https://doi.org/10.1080/10398560902948365
Voices in the dust
Yuginovich, Trudy. 2009. Voices in the dust. Alice Springs, Australia. CRANAplus.
Enhancing the knowledge and skills of advisory and extension agents in mental health issues of farmers
Hossain, Delwar, Gorman, Don, Eley, Robert and Coutts, Jeff. 2009. Enhancing the knowledge and skills of advisory and extension agents in mental health issues of farmers. Toowoomba, Australia. University of Southern Queensland.
Staff perceptions of an alternative educational model for at risk adolescents in Queensland
Yuginovich, Trudy and O'Brien, Patrick. 2009. "Staff perceptions of an alternative educational model for at risk adolescents in Queensland." International Journal of Interdisciplinary Social Sciences. 3 (12), pp. 15-26.
Mental health first aid training for advisory and extension agents working with farmers
Gorman, Don, Hossain, Delwar, Eley, Robert and Coutts, Jeff. 2008. "Mental health first aid training for advisory and extension agents working with farmers." Cross, Wendy (ed.) Mental Health Nursing – A Broad Canvas: The Art of Mental Health Nursing in the Age of Technology and Science (2008). Melbourne, Australia 06 - 10 Oct 2008
Farm advisors' reflections on mental health first aid training
Hossain, Delwar, Gorman, Don, Eley, Robert and Coutts, Jeff. 2009. "Farm advisors' reflections on mental health first aid training." Advances in Mental Health. 8 (1).
Bridging the gap: identifying needs and aspirations of indigenous students to facilitate entry to USQ
Hossain, Delwar, Gorman, Don, Williams-Mozley, John and Garvey, Darlene. 2008. Bridging the gap: identifying needs and aspirations of indigenous students to facilitate entry to USQ . Toowoomba, Australia. University of Southern Queensland.
Acute malnutrition in Bangladeshi children: levels and determinants
Rahman, Azizur, Chowdhury, Soma and Hossain, Delwar. 2009. "Acute malnutrition in Bangladeshi children: levels and determinants." Asia-Pacific Journal of Public Health. 21 (3), pp. 294-302. https://doi.org/10.1177/1010539509335399
Nursing students' information literacy skills prior to and after information literacy instruction
Perrin, Cheryl, Hossain, Delwar and Cumming, Kaye. 2008. "Nursing students' information literacy skills prior to and after information literacy instruction ." Orr, Debbie, Danaher, Patrick Alan, Danaher, Geoff and Harreveld, R. E. (Bobby) (ed.) 5th International Lifelong Learning Conference: Reflecting on Successes and Framing Futures. Yeppoon, Australia 16 - 19 Jun 2008 Rockhampton, Australia.
Bridging the gap: identifying needs and aspirations of indigenous students to facilitate their entry to university
Hossain, Delwar, Gorman, Don, Williams-Mozley, John and Garvey, Darlene. 2008. "Bridging the gap: identifying needs and aspirations of indigenous students to facilitate their entry to university." The Australian Journal of Indigenous Education. 37, pp. 9-17.
A study of council community directories and their use for information about local health services
Eley, Robert, Hossain, Delwar and Khatri, Yunus. 2007. A study of council community directories and their use for information about local health services. Toowoomba, Australia. University of Southern Queensland.
Council community directories as a source of information about local health services in rural Australia
Eley, Rob and Hossain, Delwar. 2010. "Council community directories as a source of information about local health services in rural Australia." Journal of Community Informatics. 6 (2), pp. 1-11.
Reducing avoidable hospital admissions of the frail elderly using intelligent referrals
Soar, Jeffrey, Yuginovich, Trudy and Whittaker, Frank. 2007. "Reducing avoidable hospital admissions of the frail elderly using intelligent referrals." Electronic Journal of Health Informatics. 2 (1).
The Glendyne Model: an evidence based evaluation (an evaluation of Glendyne Education & Training Centre Hervey Bay 2006)
Yuginovich, Trudy, O'Brien, Patrick and Miles, Ian. 2006. The Glendyne Model: an evidence based evaluation (an evaluation of Glendyne Education & Training Centre Hervey Bay 2006) . Toowoomba, Australia. University of Southern Queensland.
A model for Internet-based training to support rural and remote Practice Nurses in providing sexual and reproductive health education
Soar, Jeffrey and Yuginovich, Trudy. 2006. "A model for Internet-based training to support rural and remote Practice Nurses in providing sexual and reproductive health education." Milutinovic, V. (ed.) IPSI Conference (2006). Marbella, Spain 10 - 12 Feb 2006 Belgrade.
A stock-take of existing aged care clinical placements for undergraduate nursing students in Australia
Neville, Christine C., Yuginovich, Trudy, Fallon, Anthony Bruce, Soar, Jeffrey, Boyes, Joanne and Grasby, David. 2006. A stock-take of existing aged care clinical placements for undergraduate nursing students in Australia. Toowoomba, Australia. University of Southern Queensland.