Exploring sexual health among young Black men who have sex with men in New York City
Young Black men who have sex with men (YBMSM) account for approximately 10% of the total HIV infection in the United States but represent <1% of the population. Few interventions exist that address their unique needs, and those that do adopt a narrow, risk-based framework for prevention. Qualitative data from the Brothers Connect Study were analyzed to explore how a Sexual Health Model (SHM) developed by Robinson et al. (The sexual health model: application of a sexological approach to HIV prevention. Health Educ Res 2002; 17:43–57) could be used as a framework for HIV prevention in YBMSM. Content analysis identif...
Source: Health Education Research - May 18, 2016 Category: Research Authors: Martos, A. J., Valera, P., Bockting, W. O., Wilson, P. A. Tags: ORIGINAL ARTICLES Source Type: research
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Source: Health Education Research - May 18, 2016 Category: Research Tags: Cover Standing Materials Source Type: research
A qualitative analysis of the concepts of fidelity and adaptation in the implementation of an evidence-based HIV prevention intervention
Continued debate about the relative value of fidelity versus adaptation, and lack of clarity about the meaning of fidelity, raise concerns about how frontline service providers resolve similar issues in their daily practice. We use SISTA (‘Sisters Informing Sisters on Topics about acquired immune deficiency syndrome’), an evidence-based human immunodeficiency virus (HIV) prevention intervention for African American women, to understand how facilitators and program directors interpret and enact implementation fidelity with the need for adaptation in real-world program delivery. We conducted 22 in-depth, semi-str...
Source: Health Education Research - March 21, 2016 Category: Research Authors: Owczarzak, J., Broaddus, M., Pinkerton, S. Tags: ORIGINAL ARTICLES Source Type: research
Pilot evaluation of a web-based intervention targeting sexual health service access
Sexual health service access is fundamental to good sexual health, yet interventions designed to address this have rarely been implemented or evaluated. In this article, pilot evaluation findings for a targeted public health behavior change intervention, delivered via a website and web-app, aiming to increase uptake of sexual health services among 13–19-year olds are reported. A pre–post questionnaire-based design was used. Matched baseline and follow-up data were identified from 148 respondents aged 13–18 years. Outcome measures were self-reported service access, self-reported intention to access service...
Source: Health Education Research - March 21, 2016 Category: Research Authors: Brown, K. E., Newby, K., Caley, M., Danahay, A., Kehal, I. Tags: ORIGINAL ARTICLES Source Type: research
Building young womens knowledge and skills in female condom use: lessons learned from a South African intervention
In this study we explored whether training in FC insertion and partner negotiation influenced young women’s FC use. 296 female students at a South African university were randomized to a one-session didactic information-only minimal intervention (n = 149) or a two-session cognitive-behavioral enhanced intervention (n = 147), which received additional information specific to partner negotiation and FC insertion. Both groups received FCs. We report the ‘experiences of’ 39 randomly selected female students who participated in post-intervention qualitative interviews. Two-thirds of women reported FC use. Most...
Source: Health Education Research - March 21, 2016 Category: Research Authors: Schuyler, A. C., Masvawure, T. B., Smit, J. A., Beksinska, M., Mabude, Z., Ngoloyi, C., Mantell, J. E. Tags: ORIGINAL ARTICLES Source Type: research
Knowledge and practice of sun protection in schools in South Africa where no national sun protection programme exists
Interventions in primary schools that increase sun-protective behaviours and decrease ultraviolet radiation exposure, sunburn incidence and skin cancer risk can be effective. SunSmart School Accreditation Programmes (SSAP) are recommended. Prior to SSAP implementation in South Africa, we explored the feasibility of obtaining national baseline information and investigated possible associations between strategies regarding sun protection in schools and students’ responses to a questionnaire. Principals from randomly selected urban government schools in all nine South African provinces completed a questionnaire and 679 ...
Source: Health Education Research - March 21, 2016 Category: Research Authors: Wright, C. Y., Reeder, A. I., Albers, P. N. Tags: ORIGINAL ARTICLES Source Type: research
School district wellness policy quality and weight-related outcomes among high school students in Minnesota
Weight-related outcomes were examined among high school students in Minnesota public school districts according to the quality of district wellness policies. Wellness policy strength and comprehensiveness were scored using the Wellness School Assessment Tool (WellSAT) for 325 Minnesota public school districts in 2013. The associations between WellSAT scores and district-level means of high school student responses to a statewide survey of health behaviors were examined in this ecologic study. WellSAT Total Strength and Total Comprehensiveness scores were positively associated with both student mean Body Mass Index (BMI) pe...
Source: Health Education Research - March 21, 2016 Category: Research Authors: Hoffman, P. K., Davey, C. S., Larson, N., Grannon, K. Y., Hanson, C., Nanney, M. S. Tags: ORIGINAL ARTICLES Source Type: research
Implemented or not implemented? Process evaluation of the school-based obesity prevention program DOiT and associations with program effectiveness
This study investigates if and to what extent the Dutch Obesity Intervention in Teenagers (DOiT) program was implemented as intended and how this affected program effectiveness. We collected data at 20 prevocational education schools in the Netherlands. We assessed seven process indicators: recruitment, reach, dosage, fidelity, satisfaction, effectiveness and continuation. Data collection involved teacher questionnaires (n = 110), adolescent questionnaires and adiposity measures (n = 938). Using multi-level confirmatory factor analyses, we applied an innovative method to obtain explorative implementation index scores. The ...
Source: Health Education Research - March 21, 2016 Category: Research Authors: van Nassau, F., Singh, A. S., Hoekstra, T., van Mechelen, W., Brug, J., Chinapaw, M. J. M. Tags: ORIGINAL ARTICLES Source Type: research
Sustainability of physical activity promoting environments and influences on sustainability following a structural intervention in residential childrens homes
This study examines the sustainability of PA promoting environments and influences on sustainability within RCHs. A sustainability survey was administered to 14 RCHs 2 years after receiving ENRICH. Variables included sustainability of PA promoting environments, Organizational Influences, perceived organizational and individual benefits, and implementation of PA and general (i.e. Global) wellness activities. Activities reported as sustained and barriers were used descriptively to inform sustainability. Path analyses explained the relationship between sustainability influences and sustainability of PA promoting environments....
Source: Health Education Research - March 21, 2016 Category: Research Authors: Dominick, G. M., Tudose, A., Pohlig, R. T., Saunders, R. P. Tags: ORIGINAL ARTICLES Source Type: research
A youth mentor-led nutritional intervention in urban recreation centers: a promising strategy for childhood obesity prevention in low-income neighborhoods
This article evaluates the implementation of the BHCK intervention in recreation centers, and describes lessons learned. Sixteen youth leaders delivered bi-weekly, interactive sessions to 10- to 14-y olds. Dose, fidelity and reach are assessed, as is qualitative information regarding what worked well during sessions. Dose is operationalized as the number of interactive sessions, and taste tests, giveaways and handouts per session; fidelity as the number of youth leaders participating in the entire intervention and per session and reach as the number of interactions with the target population. Based on a priori set values, ...
Source: Health Education Research - March 21, 2016 Category: Research Authors: Sato, P. M., Steeves, E. A., Carnell, S., Cheskin, L. J., Trude, A. C., Shipley, C., Mejia Ruiz, M. J., Gittelsohn, J. Tags: ORIGINAL ARTICLES Source Type: research
Long-term effects of physically active academic lessons on physical fitness and executive functions in primary school children
Integrating physical activity into the curriculum has potential health and cognitive benefits in primary school children. The aim of this study was to investigate the effects of physically active academic lessons on cardiovascular fitness, muscular fitness and executive functions. In the current randomized controlled trial, 499 second and third graders within 12 primary schools (mean age = 8.1 ± 0.7) were randomized to the intervention (n = 249) or control condition (n = 250). The physically active academic lessons were given for 2 consecutive school years, 22 weeks per year, three times a week, with a duration of 2...
Source: Health Education Research - March 21, 2016 Category: Research Authors: de Greeff, J. W., Hartman, E., Mullender-Wijnsma, M. J., Bosker, R. J., Doolaard, S., Visscher, C. Tags: ORIGINAL ARTICLES Source Type: research
