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Writing to be Read: Publishing the Results of Health Promotion Activities Lynette Saeck, John B Lowe

Abstract

Issue addressed:
Indigenous and non-Indigenous health promoters have shown an interest in
being provided with guidance on how to write for publication. This article
addresses the questions most asked by authors, and provides tips authors have
found most useful.
Methods:
The development of writing skills is outlined and information provided to
assist an author's progress through the publication process is provided. Writing
requirements are presented with recommendations on how to achieve the desired
writing outcomes.
So what?
The process of writing for publication can be rewarding. Just as for a multitude
of other tasks within our work environment, writing for publication can be
assisted by developing a set of skills and knowledge.
Key words:
Writing, publication, health promotion
Introduction
This special issue of the Health Promotion Journal Of Australia focuses
on health promotion in Aboriginal and Torres Strait Islander communities.
While assisting new authors to publish their articles in this special issue
a number of questions about writing and publishing were asked by those authors.
In the past other new authors had asked similar questions. This article provides
answers to those questions and tips authors have found most useful.
Writing styles
Articles in health-based peer-review journals are mostly written in a succinct,
scientific data presentation style. This style is for a specific readership
and provides no space for creative writing or glimpses into the personalities
of the writer or the project participants. An enriched style of article presentation
can, however, be produced by combining the Indigenous oral tradition of passing
on information with the succinct article/report-writing technique. In this
way a 'storytelling' style can be accepted for its difference and meet the
criteria for peer-reviewed journals.
Writing skills

Focussing the writing
Before beginning to write it is important to clarify the main message to
be conveyed to, and remembered by, the reader. Journals/publishers are particularly
interested in what is unique about a project and anything which may assist
other health promotion practitioners in their work. What is the relevance
of your work to health promotion?
It is also important to select the audience, for example, which journal the
paper will be sent to, who will read the paper, what is their level of expertise,
what is their interest in the topic?
A strategy often used to identify the focus of a paper is to write, on a
large sheet of paper, all thoughts about the importance of the findings, and
new approaches used. These thoughts can be used when preparing the outline
of the paper (described in detail below).
Writing should be clear and unambiguous. There are two ways to achieve this.
Firstly, by using clear language and putting thoughts in order within sentences.
This can be achieved through practice, by reading then rewriting, by getting
someone else to read it, by reading it out aloud, and by reading other journal
articles. Secondly, the use of an outline and headings will direct the writing
process and the reader through the story, argument or evidence being presented.
Structuring the writing

Templates and outlines:
Some journals provide templates or lists of headings they prefer to be used.
This journal has a brief report template and two templates were developed
specially for this issue which focuses on health promotion in Aboriginal and
Torres Strait Islander communities. Neville Ehan, Territory Health Services
- Alice Springs, was instrumental in the development of a template which could
be used by communities, while a separate template was developed for use by
health promotion officers. Both templates provide a list of headings which
assist the process of information gathering and facilitate rewriting of this
information into an article format.
The conventional structure for research papers uses the 'IMRaD' outline.
Introduction -why the program or evaluation was done; methods - how it was
carried Out: results - what happened or what was found; and discussion - what
the author thinks it means (such as, the significance of the findings or the
implications for further research). This format can be used with adjustments
to present most types of project reports.
I: In the introduction or background the reader is provided with information
about the problem or issue being discussed and why this issue warrants special
attention. The importance of an issue can be shown by referring to work done
by other people in the field, although absolute neglect of an issue may be
the very reason the project is worthwhile. Most often these references will
be to published articles. The scene can be set by describing the location,
basic infrastructure or population.
M: The methods section describes exactly how the intervention, program
and/or evaluation were done. It provides enough information for the reader
to be able to do the program themselves, or to decide whether the methodology
was strong enough to support the conclusions drawn. If there was no evaluation
undertaken, or only minimal evaluation, the reasons for this need to be made
clear.
R: Results of the program, evaluation or analysis are usually presented
as a separate section which describes the most important findings of the work.
If the paper is not describing research, the results will be an outline of
the outcome of the program.
D: A discussion section will talk about the results and their implications
and provide reflection, comparison, conclusions and finally, recommendations.
Headings:
Headings are used to direct the focus of the writing and to direct the reader
through the article. They are particularly useful if the concepts being described
are complicated.
If the writing becomes confused, paragraphs can be given headings of their
own which state what they are about. The article can then be reordered by
placing similar paragraphs together. If there is a paragraph for which no
heading can be found it probably has an incomplete thought or is of little
use to the overall argument or story After rewriting the article, unwanted
headings can be removed. Most word-processing packages have a function for
collating headings into a computer-generated table of contents which may assist
in this process.
The writing process
When writing the article, the outline should be followed, being careful to
maintain the focus of the paper.
Once the article has been drafted, it can be shown to one or more colleagues
who are asked to determine whether the writing is clear and unambiguous, whether
there are any gaps, whether the focus of the paper is clear and to provide
recommendations for improvement. Writing in a team will bring more expertise
and ideas to the article.
Guidelines for Authors
The Guidelines for Authors of the journal the article will be submitted to
should be read before the article is written. Prior to submission to a journal
the article should be presented as requested by the journal in that journal's
Guidelines for Authors (for this journal they appear on the last two pages
of each issue). Particular attention should be paid to the referencing style
of the journal. It should be copied as closely as possible taking care to
include all necessary information. Presenting the article in this way makes
it easier for the editorial office and reviewers to carry out their tasks.
A covering letter to the editor, including the first author's contact details,
a brief description of the project and its importance to health promotion,
should be enclosed.
The review process

Value of the review process
The process of peer review and feedback is extremely valuable, not only to
the author's article, but also to the author's future methodology. Comments
by reviewers include recommendations on how to improve the article and may
also suggest areas where methods could be improved.
An outline of the review process
Every manuscript is read by the Editor, other members of the Editorial Board
and often an external reviewer. Two or three reviews are undertaken.
'Right of reply' to reviewers
Reviewers nearly always recommend changes to be made to an article. In each
case, authors are given the opportunity to make these changes and resubmit
the article. When resubmitting, all authors have the 'right of reply' to a
reviewer; that is, if authors disagree with criticisms or recommended changes
they can outline their reasons. If they agree with recommended changes they
can edit their article and provide details of the changes made.
Dependent on the time taken by reviewers and authors to respond to requests
made by the journal, the review process takes between three and six months.
Further Reading
Most public libraries will have books on writing for publication, for example,
Robert Day's "How to write and publish a scientific paper" and
Edward Huth's "How to write and publish papers in the medical sciences".
Authors
Lynette Saeck, John B Lowe
Health Promotion Journal of Australia Brisbane, Queensland
References
- Day R,4. How to write and publish a scientific paper, 4th edn. Cambridge.Cambridge
University Press, 1995.
- Huth EJ. How to w?ite and publish papers in the medical sciences, 2nd
edn. Baltimore: Williams and Wilkins, 1982.
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