Increased knowledge levels of  patients with diabetes in resource-limited communities after receiving peer-led education
AbstractDiabetes self-management education through peer support has been beneficial, especially in regions with limited medical resources. Studying the effects of education offered by trained peers  of patients will facilitate tailoring the peer-led education programs to the regions’ specific needs. Here, we evaluated changes in diabetes-related indicators in Filipino patients who received a peer-led education. We used data on 23 patients (age, 67.83 ± 6.69 years; 82.6% female) who p articipated in all five surveys performed every 6 months from March 2017 to March 2019. After the second survey until the end of ...
Source: Health Education Research - June 26, 2023 Category: Research Source Type: research

Examining the feasibility of a youth advocacy program promoting healthy snacking in New York City: a mixed-methods process evaluation
AbstractAdolescents from urban communities are at risk for unhealthy snacking behaviors. Youth advocacy interventions are shown to improve certain adolescent health behaviors, such as substance use. However, it remains unclear if youth advocacy is a feasible method to promote healthy snacking. As such, the aim of this study was to examine the feasibility of a youth advocacy program promoting healthy snacking among adolescents in New York City by conducting a mixed-methods process evaluation. Adolescents (12 –18 years) at a Boys and Girls Club in New York City were recruited to participate in a 12-session adaptation of ...
Source: Health Education Research - May 10, 2023 Category: Research Source Type: research

Health-care providers ’ perspectives on an HIV patient navigation training to improve uptake of PrEP among Black sexual minority men
This article examines implementational factors associated with an HIV patient navigation training intervention for health care professionals working with Black sexual minority men to improve access to and uptake of HIV prevention services among Black MSM. Utilizing qualitative analysis to better understand healthcare professionals ’ perceptions of the training program, we conducted a thematic content analysis based on constructs from Professional Network and Reach Model-Systems Model Approach (PNRSMA) framework. Data analysis revealed four major themes: 1) Knowledge and skill building, 2) Novel and Innovation, 3) Barrier...
Source: Health Education Research - May 9, 2023 Category: Research Source Type: research

Group well-child care as a facilitator of psychoeducation: pediatrics residents ’ perspectives
AbstractPsychoeducation, where clinicians teach problem-solving skills in a supportive environment, can help address families ’ social vulnerabilities and promote well-being. Group well-child care (GWCC) may provide unique opportunities for pediatric residents to improve their skills in psychoeducation. Our aim was to characterize pediatric residents’ perspectives and experiences of communication while conducting both individual well-child care and GWCC. We used a longitudinal qualitative study design to conduct 15 semistructured interviews with five pediatric residents who facilitated GWCC. Using the constant comparat...
Source: Health Education Research - April 10, 2023 Category: Research Source Type: research

Examining the impact of a leisure time intervention on participation in organized out-of-school activities among adolescents: a quasi-experimental study in Franklin County, KY, USA
This study examined whether the proportion of students participating in supervised out-of-school activities and sports was higher in the YES Card intervention group compared to a similar group of youth who did not receive the voucher across two time points. Two waves of survey data were collected in one intervention middle school and two geographically and demographically similar comparison schools in 2020 (n for intervention  = 112,n for comparison  = 723) and 2021 (n for intervention  = 134,n for comparison  = 873). The expected age of students ranged between 12 and 15 years. Analyses were conducted usi...
Source: Health Education Research - March 31, 2023 Category: Research Source Type: research

The role of community health advisors ’ cancer history in implementation and efficacy of a cancer control intervention
We examined the relationship between CHA personal and family history of cancer, and implementation and efficacy outcomes in a cancer control intervention trial. Twenty-eight trained CHAs implemented a series of three cancer educational group workshops forN = 375 workshop participants across 14 churches. Implementation was operationalized as participant attendance at the educational workshops, and efficacy as workshop participants’ cancer knowledge scores at the 12-month follow-up, controlling for baseline scores. CHA personal history of cancer was not significantly associated with implementation, nor knowledge outcom...
Source: Health Education Research - March 9, 2023 Category: Research Source Type: research

Correlates of motivation to quit waterpipe tobacco smoking among US young adults: implications for cessation interventions
We examined sociodemographic, behavioral and cognitive factors associated with young adults’ motivation to quit waterpipe smoking u sing a theory-informed approach. We completed a secondary analysis of baseline data on waterpipe tobacco smoking beliefs and behavior collected from 349 US young adults aged 18–30 years. We analyzed sociodemographics, tobacco use and cessation behaviors and perceptions, and theory-related constr ucts associated with motivation to quit waterpipe tobacco smoking using linear regression. Overall, participants reported low motivation (mean = 2.68, SD = 1.56, scale range 1–7) and hi...
Source: Health Education Research - February 28, 2023 Category: Research Source Type: research

Effectiveness of diabetes education interventions in rural America: a systematic review
AbstractThe purpose of this systematic review is to summarize the characteristics of recent studies on diabetes education interventions in rural areas and identify the relative proportion of studies with characteristics of interest that showed a reduction in glycated hemoglobin (A1C). A systematic literature search was performed in Web of Science, PubMed and PsychInfo, using keywords and Medical Subject Heading terms. Articles conducted in rural areas of the United States tested an educational intervention for people with type 2 diabetes, and reported outcomes were identified. A total of 2762 articles were identified, of w...
Source: Health Education Research - December 30, 2022 Category: Research Source Type: research

The impact of COVID-19 misinformation and trust in institutions on preventive behaviors
We examined whether believing in COVID-19 misinformation at one time point influences engaging in preventive behaviors later. In addition, we investigated the role of trust in institutions. We conducted a two-wave survey in South Korea and examined the association between belief in COVID-19 misinformation at Wave 1 and preventive behaviors at Wave 2 controlling for preventive behaviors at Wave 1. We also analyzed whether there is an interaction between belief in COVID-19 misinformation and trust in institutions. Belief in COVID-19 misinformation at Wave 1 significantly increased avoidance of preventive behaviors at Wave 2,...
Source: Health Education Research - December 24, 2022 Category: Research Source Type: research

Barriers and facilitators to comprehensive, school-based physical activity promotion for adolescents prior to and during the COVID-19 pandemic: a qualitative study
This study aimed to identify barriers and facilitators to comprehensive, school-based physical activity (PA) promotion among adolescents prior to and during the coronavirus disease of 2019 (COVID-19) pandemic, considering the perspectives of students, parents, and school staff. Data were collected from 2020 to 2021 using semi-structured individual interviews with students (n = 15), parents (n = 20), and school staff (n = 8) at a Title I middle school (i.e. high percentage of students from low-income families). Two theoretical frameworks guided analysis: the Comprehensive School Physical Activity Program framew...
Source: Health Education Research - December 1, 2022 Category: Research Source Type: research

A systematic review of the association of diet quality with the mental health of university students: implications in health education practice
AbstractUniversity students are at risk of experiencing mental health problems during the transition from home to university. This transition can also adversely affect their diet quality. This review aims to examine bidirectional associations from observational studies regarding the influence of diet quality on the mental health of university students, and vice versa. The databases PubMed, CINAHL, EMBASE, PsycINFO, The Cochrane Library and Web of Science were searched using relevant search terms. The searches were last updated on 15 July 2022. Majority of studies (36 out of 45) found that good diet quality of students was ...
Source: Health Education Research - November 28, 2022 Category: Research Source Type: research

Impact of a community-based diabetes self-management support program on adult self-care behaviors
This study addresses the impact of the Health Extension for Diabetes (HED) program, a community-based diabetes self-management support program, on adult diabetes self-care behaviors. The Summary of Diabetes Self-Care Activities (SDSCA) was utilized to evaluate improvement in diabetes self-care behaviors. Descriptive statistics, univariate and multivariable regression models were conducted. Significant increases were observed among program participants (N = 149) in all five subscales of the SDSCA (general diet, specific diet, blood glucose testing, exercise and foot care;P-values  <  0.001). A priority of this di...
Source: Health Education Research - November 11, 2022 Category: Research Source Type: research

Adapting a cooking, food budgeting and nutrition intervention for a rural community of American Indians with type 2 diabetes in the North-Central United States
We describe our process of adapting the evidence-based Cooking Matters ® program for use by AI adults with type 2 diabetes in a rural and resource-limited setting in the North-Central United States. We conducted three focus groups with AI adults with diabetes to (i) identify Cooking Matters® adaptations and (ii) gather feedback on appropriateness of the adapted inter vention using Barrera and Castro’s cultural adaptation framework. Transcripts were coded using an inductive, constant comparison approach. Queries of codes were reviewed to identify themes. Contextual considerations included limited access to grocery store...
Source: Health Education Research - November 7, 2022 Category: Research Source Type: research

Trends in the teaching of sexual and reproductive health topics and skills in required courses in secondary schools, in 38 US states between 2008 and 2018
AbstractInformation about state and local education policies regarding sexually transmitted infections, including human immunodeficiency virus, and unintended pregnancy prevention is available, yet less is known about school-level implementation of such policies. We examine trends in the percentage of US secondary schools teaching sexual and reproductive health (SRH) topics in a required course in Grades 6 –8 and 9–12, including healthy relationships, sexual abstinence, condoms and condoms with other contraceptive methods. We analyze representative data from 38 states across six cycles of School Health Profiles (2008â€...
Source: Health Education Research - October 31, 2022 Category: Research Source Type: research

Social media influencers can be used to deliver positive information about the flu vaccine: findings from a multi-year study
AbstractLarge-scale digital flu vaccine campaigns have experienced difficulty increasing vaccination coverage among African Americans and Hispanics, and are routinely inundated by negative responses from vaccine opponents. A digital campaign employing user-generated content from social media ‘micro’ influencers who are predominantly followed by African Americans and Hispanics was implemented during the 2018–19 and 2019–20 flu seasons to disseminate positive information about the flu vaccine. At the time, this constituted the largest influencer-driven health campaign focused on t hese communities in the United State...
Source: Health Education Research - July 7, 2021 Category: Research Source Type: research