An exploration of constructs related to dissemination and implementation of an early childhood systems-level intervention
This study used qual itative methods to evaluate intervention-, organizational- and individual-level factors within a dissemination and implementation framework that may be related to the implementation of a health-promoting intervention in early childhood education settings. Intervention-level factors, including feasib ility and adaptability, organizational-level factors, including staff and leadership engagement, and individual-level factors, including attitudes, skills and knowledge, were identified as constructs that impacted the successful implementation of the intervention. These findings provide insight into core di...
Source: Health Education Research - October 1, 2020 Category: Research Source Type: research
A positive deviance-based qualitative study of stress, coping, and feeding practices among low-income, Hispanic mothers whose children do versus do not meet guidelines for fruit and vegetable intake
AbstractLess than 1% of children in the United States concurrently meet guidelines for fruit/vegetable intake, physical activity, screen time, and sugar-sweetened beverages. Prior evidence suggests that parents of this 1% potentially cope with stress differently. This qualitative study used a positive deviance-based approach to locate mothers whose children avoided negative feeding outcomes despite being ‘high-risk’ for obesity. Semi-structured interviews were conducted in Spanish for two groups: low-income, Hispanic mothers whose children were normal weight and met recommendations for fruits/vegetables and physical ac...
Source: Health Education Research - October 1, 2020 Category: Research Source Type: research
Identifying dimensions of empowerment in patients with inflammatory bowel disease: a qualitative study
AbstractThe role of patients ’ empowerment in enhancing the quality of life of chronic patients is undeniable and its importance in health policy making and health care is increasing day by day. However, no guidelines have been defined to empower people with inflammatory bowel disease (IBD). The purpose of this study was to i dentify the dimensions of IBD patients’ empowerment. Semi-structured interviews were conducted with 26 participants who were purposefully selected from 2 IBD clinics in Tehran and Shiraz cities to gain diversity in the clinical and demographic characteristics. The data were analyzed based on the G...
Source: Health Education Research - September 30, 2020 Category: Research Source Type: research
A web-based health education module and its impact on the preventive practices of health-care workers during the COVID-19 pandemic
AbstractProper training on the preventive measures against COVID-19 among health-care workers is crucial for mitigating the spread of viral infection. The present study evaluated the efficacy of a brief web-based module on the practice of hand hygiene and respiratory etiquette among respective health-care workers. A comparative study was conducted with a total of 500 participants. A self-reported questionnaire was used for both pre- and post-intervention evaluation. The post-intervention assessment was conducted 1 –2 weeks following the intervention. The difference in the practice of hand hygiene and respiratory etique...
Source: Health Education Research - September 20, 2020 Category: Research Source Type: research
Schools as centers for health educational initiatives, health behavior research and risk behavior for dengue infection in school children and community members: a systematic review
The objective of this study is to provide an update on the status of health education on dengue in schools and provide new perspectives on health behavior research in order to reduce the proliferation of mosquitoes and spread of arboviral diseases among school-aged children and other community members. A systematic review about health educational initiatives was carried out. This research discusses the effectiveness of these strategies in educating students about dengue disease and mosquito control and how the school is relevant for community-based participation in research on dengue education. The study found that employi...
Source: Health Education Research - September 20, 2020 Category: Research Source Type: research
‘It’s kinda bad, honestly’: Australian students’ experiences of relationships and sexuality education
AbstractRelationships and sexuality education for young people in Australia and elsewhere is a controversial topic. Numerous studies in Australia have focused on curriculum, policy, teachers, schools, sexting and other behaviours, and knowledge regarding sexually transmitted infection (STI)/human immunodeficiency virus (HIV) and pregnancy prevention. Few large-scale national studies have engaged with young people about what they want out of their sex education, and what they suggest would be most valuable for future programs in Australia. Data for the study included qualitative comments about experiences of sex education (...
Source: Health Education Research - September 15, 2020 Category: Research Source Type: research
A social network analysis approach to group and individual perceptions of child physical activity
This study examines associations between child networks, perception of their own PA and the network’s perception of their PA. Children (n = 89, M age = 10.00, SD = 1.34) at a summer care program reported demographics (54% female; 46% Black), PA, and physical skill competency. Children indicated up to five people they interacted with the most while at the program and how active they perceived each person to be. Multilevel modeling was used to determine significant associations between skill competency, network measures, and child’s perception of their own PA, the network’s perception of their PA, and the a...
Source: Health Education Research - September 11, 2020 Category: Research Source Type: research
‘I will welcome this one 101%, I will so embrace it’: a qualitative exploration of the feasibility and acceptability of HIV self-testing among men who have sex with men (MSM) in Lagos, Nigeria
AbstractMen who have sex with men (MSM) are disproportionately affected by HIV in Nigeria. A key strategy in reducing transmission is to increase HIV testing uptake and linkage to treatment for those who test positive. HIV self-testing (HIVST) is an innovative strategy with the potential to increase uptake of HIV testing among key populations at higher risk for HIV. We conducted 23 in-depth-interviews with MSM and two focus group discussions with key opinion leaders to explore perceptions about the feasibility and acceptability of oral HIVST among MSM in Lagos, Nigeria. HIVST was highly acceptable because it was considered...
Source: Health Education Research - September 3, 2020 Category: Research Source Type: research
Practice-, provider- and patient-level facilitators of and barriers to HPV vaccine promotion and uptake in Georgia: a qualitative study of healthcare providers ’ perspectives
AbstractGeorgia experiences higher human papillomavirus (HPV)-associated cancer burden and lower HPV vaccine uptake compared with national estimates. Using the P3 model that concomitantly assesses practice-, provider- and patient-level factors influencing health behaviors, we examined facilitators of and barriers to HPV vaccine promotion and uptake in Georgia. In 2018, we conducted six focus groups with 55 providers. Questions focused on multilevel facilitators of and barriers to HPV vaccine promotion and uptake. Our analysis was guided by the P3 model and a deductive coding approach. We found that practice-level influence...
Source: Health Education Research - September 2, 2020 Category: Research Source Type: research
Results of a mixed methods evaluation of the Make Healthy Normal campaign
This study evaluated Phase 2 (2017 –18) of that campaign, using three cross-sectional online surveys with men aged 18–54 years (n = 4352) and six focus groups with men aged 35–54 years and parents with children aged 5–12 years (n = 38), reflecting the campaign’s target audiences. We used linear and logistic regressions to examine changes over time in key outcomes, consistent with the campaign’s theorized hierarchy of effects. Focus group data were analysed thematically and integrated with survey results at the inter pretation stage. Survey results showed reasonable prompted recognition, although u...
Source: Health Education Research - August 18, 2020 Category: Research Source Type: research
Perceived physical fitness mediates the relationship between parental support and physical activity enjoyment in overweight and obese adolescents
AbstractThe relationship between parental support and physical activity enjoyment appears to be mediated by individual-level factors. The aim of this study was to examine whether the relationship between perceived parental support and physical activity enjoyment is mediated by overweight and obese adolescents ’ physical fitness, both subjectively and objectively assessed. A total of 163 participants (mean age =14.30 years, 55.8% boys) with an average body mass index of 28.97 kg/m2 took part in this study. Participants completed a questionnaire of parental influence regarding physical activity, a questionnaire of physi...
Source: Health Education Research - August 18, 2020 Category: Research Source Type: research
The media and health education: Did Nigerian media provide sufficient warning messages on coronavirus disease?
In this study, we recognized the role of time by taking into account how media report differs based on when a global outbreak is confirmed in a country and when it is not. We focused on coronavirus disease 2019 (COVID-19) and examined six media —two TV stations, two newspapers and two radio stations. We content-analysed 537 stories and found that there were few stories about the virus before it was confirmed in Nigeria. But as soon as Nigeria recorded a confirmed case, the number of stories tripled. We also noticed that story format and recommendation on health behaviour were also closely linked to the COVID-19 status of...
Source: Health Education Research - August 9, 2020 Category: Research Source Type: research
The effect of school intervention programs on the body mass index of adolescents: a systematic review with meta-analysis
AbstractEffective obesity interventions in adolescent populations have been identified as an immediate priority action to stem the increasing prevalence of adult obesity. The purpose of this meta-analysis was to make a quantitative analysis of the impact of school-based interventions on body mass index during adolescence. Studies were retrieved from PubMed, Scopus, Science Direct and Web of Science databases. Results were pooled using a random-effects model with 95% confidence interval considered statistically significant. Of the 18 798 possible relevant articles identified, 12 articles were included in this meta-analysis....
Source: Health Education Research - August 7, 2020 Category: Research Source Type: research
Illness representations of chronic obstructive pulmonary disease (COPD) to inform health education strategies and research design —learning from rural Uganda
This study characterizes illness representations for COPD in Nakaseke, Uganda from the perspectives of health care providers, village health teams and community members (CMs) with COPD. We conducted 40 in-depth, semi-structured interviews (16 health care providers, 12 village health teams and 12 CMs, aged 25 –80 years). Interviews were analyzed using inductive coding, and the Illness Representations Model guided our analysis. Stakeholder groups showed concordance in identifying causal mechanisms of COPD, but showed disagreement in reasons for care seeking behaviors and treatment preferences. CMs did not use a distinct ...
Source: Health Education Research - July 23, 2020 Category: Research Source Type: research
Adaptation of public health initiatives: expert views on current guidance and opportunities to advance their application and benefit
AbstractWhile there is some guidance to support the adaptation of evidence-based public health interventions, little is known about adaptation in practice and how to best support public health practitioners in its operationalization. This qualitative study was undertaken with researchers, methodologists, policy makers and practitioners representing public health expert organizations and universities internationally to explore their views on available adaptation frameworks, elicit potential improvements to such guidance, and identify opportunities to improve implementation of public health initiatives. Participants attended...
Source: Health Education Research - July 6, 2020 Category: Research Source Type: research
