Challenges in evaluating implementation and effectiveness in real-world settings: evaluation proposal for school-based health-promoting intervention
SummaryThere are various research designs and approaches to investigate how health-promoting activities are implemented in complex, real-world systems, and to identify potential health effects that might occur following implementation. Although literature describes guidelines to perform and report about implementation research and effect evaluations, no specific guidelines exist on analysing and reporting about the combination of effectiveness data and implementation data collected as part of intervention evaluation in complex and diverse settings. This paper describes the evaluation of primary school-based health-promotin...
Source: Health Promotion International - January 7, 2023 Category: International Medicine & Public Health Source Type: research
Qualitative exploration of the reasons for not using nutritional warnings after policy implementation in Uruguay
SummaryNutritional warnings have gained popularity, particularly in the region of the Americas, to facilitate the identification of products with excessive content of nutrients associated with non-communicable diseases and encourage healthier food choices. Although warnings have been shown to be effective, an in-depth understanding of the reasons why some consumers do not use them is still lacking. The aim of the present work was to explore self-reported use of nutritional warnings and to identify the reasons for not considering nutritional warnings for making food purchase decisions after policy implementation in Uruguay....
Source: Health Promotion International - January 7, 2023 Category: International Medicine & Public Health Source Type: research
Health(care) matters: where do the transgender individuals of Kashmir situate themselves?
SummaryWhile employing a phenomenological perspective, the present study aimed to explore the varied experiences of transgender individuals in Kashmir, concerning their health-seeking behavior, and the constraints they face while accessing healthcare resources on a day-to-day basis in their life world. Participants were recruited through the purposive and snowball sampling strategies and the sufficiency of sample size was determined by data saturation. Data were collected using face-to-face in-depth interviews and analyzed through Colaizzi ’s procedure of extracting recurrent themes and their interwoven relationships in ...
Source: Health Promotion International - January 7, 2023 Category: International Medicine & Public Health Source Type: research
Associations of health literacy with missed free influenza immunization in people with chronic diseases
SummaryThere is a gap in understanding specific features of health literacy that might be associated with adherence to influenza immunization. The aim of this study was to examine the association of health literacy with avoidance of influenza immunization and beliefs about the influenza vaccine among people with chronic diseases. Selection of study participants was based on a case –control study design in a population of people with chronic illnesses living in the Foča region (Republic of Srpska, Bosnia and Herzegovina) and who were entitled to receive a free influenza shot in season 2017/2018. The cases represented all...
Source: Health Promotion International - January 7, 2023 Category: International Medicine & Public Health Source Type: research
Attending sporting mega events during COVID-19: mitigation and messaging at UK EURO 2020 matches
We examined the implementation of mitigation and messaging at EURO 2020 matches hosted at venues in the UK. The tournament was postponed from the summer of 2020 and played in June and July of 2021. Structured observations were conducted by 11 trained fieldwork-supporters at 10 matches played at Wembley Stadium, London, or Hampden Park, Glasgow. Fieldwork-supporters observed one-way systems and signage, and hand sanitizing stations inside the stadia, but reported significant variation in the implementation of staggered timeslots, testing upon entry, and procedures for exit. Adherence to planned measures by ticket holders an...
Source: Health Promotion International - January 7, 2023 Category: International Medicine & Public Health Source Type: research
Walking and perception of green space among older adults in Japan: subgroup analysis based self-efficacy
This study investigated the association between walking and perception of green space among older adults with high and low self-efficacy, respectively. We conducted a cross-sectional study among 204 community-dwelling older adults (mean age = 78.3 years, 62.3% females). Using the median split, the participants were divided into high and low self-efficacy groups based on the median score of 12. Walking was measured using the International Physical Activity Questionnaire and ‘more walking’ was defined as ≥150 min of walking time per week. Perception of green space was measured using an 8-item questionnaire. We performe...
Source: Health Promotion International - January 7, 2023 Category: International Medicine & Public Health Source Type: research
Health education in conservatoires: what should it consist of? Findings from workshops with experts (Part II)
This study aimed to document expert discussions on the content of an ideal health education curriculum for HME students in the UK, integrating critical thinking. Four interdisciplinary workshops were conducted, where 67 experts in relevant fields took part, and were asked to discuss four lists of topics and concepts created based on literature reviews (cognitive biases, logical fallacies, critical appraisal tools and health topics). Only the list on health topics is relevant here. Notes taken by the participants and ourselves were thematically analysed. Four themes were identified, two of which are reported in this paper: ...
Source: Health Promotion International - January 7, 2023 Category: International Medicine & Public Health Source Type: research
Culture-centric narratives of influenza vaccination among high-risk groups in Hong Kong
SummaryDespite the effectiveness of influenza vaccination, the vaccine coverage rate among high-risk groups in Hong Kong is less than optimal. Guided by the Health Belief Model (HBM) and culture-centric narrative approach, we examined the role of cultural specificities in implicit assumptions held by at-risk individuals when the individuals decided whether to receive the vaccine. Data were collected from 29 in-depth interviews with people from high-risk groups in Hong Kong. From their decision narratives, it is evident that the local socio-cultural characteristics and collectivistic ideology are useful in understanding the...
Source: Health Promotion International - January 7, 2023 Category: International Medicine & Public Health Source Type: research
Women, alcohol consumption and health promotion: the value of a critical realist approach
SummaryResearch on women ’s drinking occurs in largely disparate disciplines—including public health, health promotion, psychology, sociology, and cultural studies—and draws on differing philosophical understandings and theoretical frameworks. Tensions between the aims and paradigmatic underpinnings of this research ( across and within disciplines) have meant that knowledge and insight can be frequently disciplinary-specific and somewhat siloed. However, in line with the social and economic determinants of the health model, alcohol research needs approaches that can explore how multiple gender-related factors—b iol...
Source: Health Promotion International - January 7, 2023 Category: International Medicine & Public Health Source Type: research
Effectiveness of Workplace Health Promotion (WHP) interventions in university employees: a scoping review
In conclusion, we have highlighted how the studies on effectiveness of WHP interventions in the university context are few and heterogeneous and need to be encouraged further research in order to build specific guidelines that are effective. (Source: Health Promotion International)
Source: Health Promotion International - January 7, 2023 Category: International Medicine & Public Health Source Type: research
Considering social inequalities in health in COVID-19 response: insights from a French case study
This article provides original insights into consideration for SIH in the design of testing and contact-tracing interventions based upon a qualitative investigation. (Source: Health Promotion International)
Source: Health Promotion International - January 7, 2023 Category: International Medicine & Public Health Source Type: research
Barrier profiles in workplace health promotion in Germany
Lay SummaryWorkplace health promotion (WHP) is often faced with low-participation rates despite high relevance. This limits the potential for creating positive effects for the organization and its staff. Therefore, we investigated the barriers perceived by employees themselves using a representative sample (regarding age, gender and education) in Germany. Data were collected using a quantitative online questionnaire and then analyzed regarding underlying patterns. We found that there are different barrier types, and their importance differs depending on demographic criteria of the participants and the organizations they wo...
Source: Health Promotion International - January 7, 2023 Category: International Medicine & Public Health Source Type: research
The associations among cognitive social factors, eHealth literacy and health-promoting behaviors in Chinese adolescents
This study assessed the associations among cognitive social factors, eHealth literacy, online health information seeking and health-promoting behaviors; and examined the potential mediation effect of online health information seeking and eHealth literacy on the association between cognitive social factors and health-promoting behaviors. A cross-sectional, Internet-based survey was conducted in a sample of Chinese college students (n = 289) during April to June 2018. The structural model fitted the data well: X2/df = 2.27; CFI = 0.95; TLI = 0.94; RMSEA = 0.07 (95% CI: 0.06, 0.08); SRMR = 0.07 and the results showed that per...
Source: Health Promotion International - November 21, 2022 Category: International Medicine & Public Health Source Type: research
Burden of mental distress in the US associated with trust in media for COVID-19 information
SummaryDuring the COVID-19 pandemic, news and social media outlets have played a major role in dissemination of information. This analysis aimed to study the association between trust in social and traditional media and experiences of mental distress among a representative sample of US adults. Data for this study came from National Pandemic Pulse, a cross-sectional, nationally representative survey that sampled participants on the Dynata platform. Participants included 6435 adults surveyed between 15 –23 December 2020. Ordinal logistic regression analyses examined the associations of trust in (i) social media, (ii) print...
Source: Health Promotion International - November 21, 2022 Category: International Medicine & Public Health Source Type: research
The role of the family in health promotion: a scoping review of models and mechanisms
SummaryThe family is an important contributor to the cultural conditions that support health. Current challenges in family health promotion interventions include programme design that is not always guided by theory and change mechanisms. Multifaceted programmes also make it hard to examine what works for whom, given different family roles and the range of lifestyle behaviour and mechanisms examined within diverse conceptual frameworks and cultures. We performed a scoping review on the heterogeneous literature to map and categorize the models and mechanisms by which a family may promote health behaviours among its members. ...
Source: Health Promotion International - November 18, 2022 Category: International Medicine & Public Health Source Type: research
