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Measures of patient satisfaction are used in the assessment of quality of healthcare, but the influence of patient‐based factors on reported satisfaction has been little described. This paper aims to quantify associations between reported satisfaction with GP services and measures of socio‐demographic and health status and the effect of adjusting for these factors in comparing satisfaction measured at the level of primary care organisations (PCOs).

Cross‐sectional analysis of the 1998 Welsh Health Survey, response rate 61 per cent. The 20,380 respondents, aged between 18 and 74 years reporting contact with their GP in the previous 12 months formed the study population. Satisfaction was defined as being “very” or “fairly satisfied” with GP services. Crude odds ratios were calculated(95 per cent confidence intervals) for reported satisfaction for the 22 PCOs in Wales and adjusted odds ratios were calculated for socio‐demographic variables and LLTI in logistic regression.

Satisfaction varied with age, gender, employment status, marital status, and reported LLTI. The rank order of reported satisfaction for PCOs changed by up to five places after adjusting for these factors.

The generalisability of this study should be assessed through further research on the impact of adjusting for patient based factors when using other validated measures of satisfaction.

Comparing measures of satisfaction between organisations to assess relative performance may not be valid unless differences in socio‐demographic composition are taken into account.

Highlights the importance of caution in using measures of patient satisfaction to assess performance.

The purpose of this paper is to use Soar, Elinor, a 2011 NCSS notable trade book, to teach a short unit on remarkable women in traditionally male dominated fields. Students will research trailblazing women, create a project to teach others about their chosen trailblazer and represent their choice at a trailblazing women banquet.

Students will be supported in their research into trailblazing women through reading books about women who struggled to realize their dreams of succeeding in difficult professions.

This lesson plan gives students an opportunity to investigate the struggles of women throughout history to enter male dominated professions.

The value of this lesson plans is to provide students an opportunity to study women who have made a difference through breaking down barriers. Students will be able to learn about a variety of different women, who are not often studied in social studies classes.

This content analysis examines the historical representation of Margaret Sanger within trade books. From the framework of the historiography, this paper unpacks how common curricular resources depict an American icon with a complicated past.

In this paper, the author conducted a content analysis of biographies and expository compilations featuring Sanger. The entire data pool were sampled and analyzed.

The trade books, particularly the biographies, historically represented Sanger in most categories. Sanger's international direct action and eugenics were two misrepresented areas. Expository compilations, with more limited space than biographies, contained more omissions and minimized or vague depictions of key areas. Findings did not appear dependent upon date of publication.

This study explores an icon of America's free speech battles and birth control rights at a time when culture wars are shaping current events. No researchers have previously explored Sanger's historical representation within trade books.

Hybrid work is changing modern conceptions of work as workers move between their office space and alternate spaces such as a home office. Social aspects of work are therefore also changing, and this study aims to explore the implications arising for workplace fun when workspaces become dispersed.

We undertook ethnographic research into two different companies to explore in depth the concept of fun at work and how it is being adapted for hybrid work. Data were collected through full immersion into both companies and gathered using mixed qualitative methods comprising semi-structured interviews, participant observations and evidence from organizational online platforms. A structured coding system was used in the analysis with an interpretive approach.

Our themes include (1) artefacts, (2) organizing fun and space and (3) loss of fun and these provide the underpinning for our theoretical contribution.

We had limited access to online channels and identified opportunities for future research to explore fun in online platforms including chat functions, meme, gifs and other places where workplace fun may be enacted.

Work has changed for workers and managers, and this impacts fun which needs to adapt to hybrid work models.

Hybrid work is changing workplace social interactions, particularly, for fun and play. We depict how workers navigate the changing context of work and the significance of emerging elements of workplace fun and the implications for fun cultures.

Our contribution is in a re-theorization of workplace fun arguing that sharing and supporting the creation and promotion of fun among workers at all levels offers new opportunities for organizations that value a fun culture. Our theorization of workplace fun shows its adaptation to new hybrid work contexts that deemphasize co-location and physical presence. We outline the significance of artefacts and depict the variability of workplace fun in hybrid work.

The purpose of this study is to respond to calls to increase levels of theory application and extend understanding beyond individuals ensuring social and structural environmental considerations are taken into account. Social cognitive theory (SCT) was applied across two settings to examine its potential to explain breakfast eating frequency.

A cross-sectional survey was conducted in two institutional feeding populations [military (n = 314) and mining (n = 235)]. Participants reported key SCT constructs including breakfast eating behaviour (self-efficacy, skills, practice), cognitive aspects (knowledge, attitude, expectations) and their perceptions regarding environmental constructs (access, social norms, influence). These were measured and analysed through SPSS and structural equation modelling (SEM).

Results indicated that 71% males and 90% females in the military do not eat breakfast at work, and in the mining, 23% males and 24% of females do not eat breakfast at work. Furthermore, SEM modelling found only a satisfactory fit for SCT as operationalised in this study. Within the models, behavioural aspects of self-efficacy, skills and practice were significant influences on breakfast eating. Cognitive influences and perceptions of environmental influences exerted little to no effect on breakfast eating. Study results indicate that SCT, as measured in this study using a selection of environment, cognitive and behavioural constructs, does not offer sufficient explanatory potential to explain breakfast eating behaviour.

The value of this paper is to deliver a complete application of Social Cognitive Theory, ensuring multiple constructs are measured to examine the explanatory behaviour of breakfast eating frequency in workplace institutional settings.

Workplace exercise programmes have been shown to increase employee participation in physical activities and improve health and fitness in the short-term. However, the limited breadth of employee engagement across organisations combined with declining exercise adherence within individual studies indicates a need for better-informed programmes. The purpose of this paper is to investigate relationships between employee moderate-vigorous physical activity (exercise) participation and their perceived barriers and facilitators to engagement in onsite exercise, to inform the design and implementation of future workplace exercise interventions.

An online survey identified employee demographics, exercise (International Physical Activity Questionnaire), perceived barriers (Corporate Exercise Barriers Scale) and facilitators to exercise at an Australian university.

Of the 252 full-time employees who responded, most reported meeting (43.7 per cent) or exceeding (42.9 per cent) exercise guidelines over the previous week. A lack of time or reduced motivation (p<0.001), exercise attitude (p<0.05), internal (p<0.01) and external (p<0.01) barriers towards workplace exercise participation were all associated with failure to attain government-recommended volumes of weekly exercise. Personal training (particularly for insufficiently active employees) and group exercise classes were identified as potential exercise facilitators. Walking, gym (fitness centre), swimming and cycling were identified as the preferred modes of exercise training.

Employees not meeting recommended volumes of exercise might require additional support such as individualised gym and cycling programmes with personal supervision to overcome reported exercise barriers to improve exercise participation, health and fitness.

This study identifies specific barriers and facilitators to workplace exercise participation perceived by university employees. These findings can be used to inform the design and implementation of workplace exercise programmes aiming to achieve wider workplace engagement and greater exercise adherence, particularly of less active employees.

This paper aims to extend research applying the principle of market segmentation to gain insight into changing the physical activity behaviour of children, particularly their walk to/from school behaviour. It further examined the utility of employing theory, specifically the theory of planned behaviour (TPB), for this purpose. Childhood obesity is a leading public health concern globally.

An online survey was conducted with 512 caregivers of primary school children. Caregivers were targeted given their control over children’s walk to/from school behaviour. Two-step cluster analysis, based on 14 geographic, demographic, psychographic and behavioural variables, was used to investigate groupings within the data set.

The analysis revealed three distinct segments of caregivers, each with unique beliefs about their children walking to/from school: short-distance frequent walkers, middle-distance sporadic walkers and long-distance non-walkers. Four variables were found to be highly important in distinguishing these segments: distance to school, current walk to/from school behaviour, subjective norms and intentions to increase their child’s walk to school behaviour.

The paper demonstrates the usefulness of behavioural, geographic and psychographic variables, as measured by the TPB, in distinguishing segments, offering an important contrast to prior segmentation studies emphasising demographic variables. This result provides empirical evidence of the value of using the four segmentation bases, extending beyond a demographic focus, and the importance of incorporating behavioural theory in market segmentation. In so doing, this research provides key insights into changing children’s walking behaviour.

Health ambassadors are co-workers assigned to facilitate healthy choices amongst the ambassadors'' colleagues and are increasingly used in workplace health promotion. In a municipality in the southern region of Denmark, occupational health and safety (OHS) representatives were appointed as health ambassadors to facilitate the development of healthy lifestyle initiatives at the ambassadors' workplace and the uptake of various health offers from the municipality's workplace health programme amongst the ambassadors' colleagues. The aim of this study was to understand how employees and managers from the municipality experienced the health ambassador-facilitated implementation of the health programme.

The study was designed as an interview study with (n = 13) semi-structured interviews. Using purposeful sampling, the authors invited participants who held different positions (e.g. managers and regular employees) on two different work teams in the municipality. The work teams (a construction team and a healthcare team) differed in gender profile and work tasks but were both categorised as physically heavy work. Malterud's systematic text condensation was used to devise the strategy for the analysis.

The authors' findings show that the employees considered health a private matter that the workplace should not interfere with, and this challenged the implementation of the health programme. Secondly, the health ambassadors were not properly trained to facilitate health initiatives amongst the ambassadors' colleagues; instead, the managers were the driving force in the implementation of health initiatives.

The study provides useful insights into the processes of implementing health in the workplace and emphasises the importance of involving employees in design and planning of initiatives for workplace health promotion.

Due to the international paucity of empirical evidence, this study aimed to investigate the health metrics and lifestyle behaviours of a staff cohort in a higher education institution (HEI) in Ireland.

Data were collected from 279 (16.4% response rate) HEI staff (academic, management, clerical/support), via a web-based health questionnaire that incorporated validated measures such as the Mental Health Index-5, Energy and Vitality Index, Cohen's Perceived Stress Scale (short form) and the AUDIT-C drinking subscale. A cluster analytical procedure was used to examine the presence of distinct clusters of individuals exhibiting either optimal or sub-optimal health behaviours.

A multitude of concerning patterns were identified including poor anthropometric profiles (64.4% of males overweight/obese), excessive occupational sitting time (67.8% of females sitting for = 4 h per day), hazardous drinking among younger staff (38.2% of 18–34 year olds), sub-optimal sleep duration on weeknights (82.2% less than 8 h), less favourable mean psychometric indices than the general Irish population, and insufficient fruit and vegetable intake (62.1% reporting <5 daily servings). Cluster analysis revealed “Healthy lifestyle” individuals exhibited significantly lower BMI values, lower stress levels and reported fewer days absent from work compared to those with a “Sub-optimal lifestyle”.

In contrast to the abundance of research pertaining to student cohorts, the current study is the first to examine the clustering of health-related variables in a cohort of HEI staff in Ireland. Findings will be used to inform policy at the host institution and will be of broader interest to higher education stakeholders elsewhere. Future longitudinal studies are required to monitor the health challenges experienced by this influential, yet under-researched cohort.