Subjects -> EDUCATION (Total: 2346 journals)
    - ADULT EDUCATION (24 journals)
    - COLLEGE AND ALUMNI (10 journals)
    - E-LEARNING (38 journals)
    - EDUCATION (1996 journals)
    - HIGHER EDUCATION (140 journals)
    - INTERNATIONAL EDUCATION PROGRAMS (4 journals)
    - ONLINE EDUCATION (42 journals)
    - SCHOOL ORGANIZATION (14 journals)
    - SPECIAL EDUCATION AND REHABILITATION (40 journals)
    - TEACHING METHODS AND CURRICULUM (38 journals)

EDUCATION (1996 journals)            First | 1 2 3 4 5 6 7 8 | Last

Showing 601 - 800 of 857 Journals sorted alphabetically
Ganesha Journal     Open Access  
Gazi Üniversitesi Gazi Eğitim Fakültesi Dergisi     Open Access  
Gelanggang Pendidikan Jasmani Indonesia     Open Access  
Geographical Education     Full-text available via subscription   (Followers: 2)
Georgia Educational Researcher     Open Access  
Georgia Journal of College Student Affairs     Open Access  
Gestión de la educación     Open Access  
Gifted Child Quarterly     Hybrid Journal   (Followers: 6)
Gifted Education International     Hybrid Journal   (Followers: 7)
Global Education Review     Open Access   (Followers: 3)
Global Journal of Educational Research     Full-text available via subscription   (Followers: 2)
Global Journal of Educational Studies     Open Access  
Global Studies of Childhood     Full-text available via subscription   (Followers: 2)
Globalisation, Societies and Education     Hybrid Journal   (Followers: 12)
Góndola, Enseñanza y Aprendizaje de las Ciencias. (Bogotá, Colombia)     Open Access  
Graduate School Journal Chiang Rai Rajabhat University     Open Access  
Greater Faculties: A Review of Teaching and Learning     Open Access  
Grief Matters : The Australian Journal of Grief and Bereavement     Full-text available via subscription   (Followers: 12)
GSTF Journal on Education     Open Access  
Hachetetepé. Revista científica de Comunicación y Educación     Open Access  
HAMUT'AY     Open Access  
Harvard Educational Review     Full-text available via subscription   (Followers: 21)
HCU Journal     Open Access  
Headteacher Update     Full-text available via subscription   (Followers: 6)
Health Education & Behavior     Hybrid Journal   (Followers: 14)
Health Education Research     Hybrid Journal   (Followers: 18)
Health Professions Education     Open Access   (Followers: 2)
Herausforderung Lehrer_innenbildung     Open Access  
High Ability Studies     Hybrid Journal   (Followers: 3)
High School Journal     Full-text available via subscription   (Followers: 4)
Higher Education     Hybrid Journal   (Followers: 135)
Higher Education Abstracts     Full-text available via subscription   (Followers: 18)
Higher Education in Europe     Hybrid Journal   (Followers: 13)
Higher Education Policy     Hybrid Journal   (Followers: 31)
Higher Education Quarterly     Hybrid Journal   (Followers: 126)
Higher Education Research & Development     Hybrid Journal   (Followers: 131)
Hikma : Journal of Islamic Theology and Religious Education     Hybrid Journal  
Histoire de l'éducation     Open Access   (Followers: 5)
História & Ensino     Open Access  
Historical and Social-educational Ideas     Open Access  
Historical Studies in Education / Revue d'histoire de l'éducation     Open Access   (Followers: 3)
History of Education Quarterly     Hybrid Journal   (Followers: 11)
History of Education Review     Hybrid Journal   (Followers: 10)
History of Education: Journal of the History of Education Society     Hybrid Journal   (Followers: 39)
HONAI : International Journal for Educational, Social, Political & Cultural Studies     Open Access  
Hoosier Science Teacher     Open Access  
Horyzonty Wychowania     Open Access  
HOW Journal     Open Access  
HSE - Social and Education History     Open Access  
Human Studies: a collection of scientific articles of the Drohobych Ivan Franko State Pedagogical University. Series of “Pedagogy”     Open Access  
Humanidades : Revista de la Universidad de Montevideo     Open Access  
Huria : Journal of the Open University of Tanzania     Full-text available via subscription   (Followers: 2)
i.e. : inquiry in education     Open Access  
IALLT Journal of Language Learning Technologies     Open Access   (Followers: 1)
Ibriez : Jurnal Kependidikan Dasar Islam Berbasis Sains     Open Access  
IE Revista de Investigación Educativa de la REDIECH     Open Access  
IEEE Potentials     Full-text available via subscription   (Followers: 42)
IEEE Revista Iberoamericana de Tecnologias del Aprendizaje     Hybrid Journal  
IEEE Transactions on Education     Hybrid Journal   (Followers: 11)
IJ-ATL (International Journal of Arabic Teaching and Learning)     Open Access   (Followers: 1)
IJEE (Indonesian Journal of English Education)     Open Access  
IJEM - International Journal of Educational Leadership and Management     Open Access   (Followers: 13)
IJERI : International Journal of Educational Research and Innovation     Open Access   (Followers: 1)
IJLRES : International Journal on Language Research and Education Studies     Open Access  
IJOLTL : Indonesian Journal of Language Teaching and Linguistics     Open Access  
Ilmu Pendidikan: Jurnal Kajian Teori dan Praktik Kependidikan     Open Access  
Imagens da Educação     Open Access  
Impact : The Philosophy of Education Society of Great Britain     Free   (Followers: 4)
Impacting Education : Journal on Transforming Professional Practice     Open Access   (Followers: 1)
Improvement : Jurnal Ilmiah Untuk Peningkatan Mutu Manajemen Pendidikan     Open Access  
Improving Schools     Hybrid Journal   (Followers: 6)
Indian Journal of Continuing Nursing Education     Open Access   (Followers: 3)
Indivisa. Boletin de Estudios e Investigacion     Open Access  
INDONESIA : Jurnal Pembelajaran Bahasa dan Sastra Indonesia     Open Access  
Indonesia Performance Journal     Open Access  
Indonesian Basic Education Journal     Open Access  
Indonesian Journal Of Civil Engineering Education     Open Access  
Indonesian Journal of Contemporary Education     Open Access  
Indonesian Journal of Curriculum and Educational Technology Studies     Open Access   (Followers: 2)
Indonesian Journal of Early Childhood Education Studies     Open Access   (Followers: 2)
Indonesian Journal of Educational Review     Open Access   (Followers: 1)
Indonesian Journal of Educational Studies     Open Access  
Indonesian Journal of Guidance and Counseling     Open Access  
Indonesian Journal of Learning Education and Counseling     Open Access  
Indonesian Journal of Pharmaceutical Education     Open Access  
Indonesian Journal of Science and Mathematics Education     Open Access   (Followers: 2)
Indonesian Journal of Sociology and Education Policy     Open Access   (Followers: 1)
Indonesian Journal on Learning and Advanced Education     Open Access  
Industrial Management & Data Systems     Hybrid Journal   (Followers: 8)
Industry and Higher Education     Full-text available via subscription   (Followers: 10)
Infancia y Aprendizaje : Journal for the Study of Education and Development     Hybrid Journal  
Infancias Imágenes     Open Access  
Inferensi : Jurnal Penelitian Sosial Keagamaan     Open Access  
INFORMS Transactions on Education     Open Access  
Innoeduca. International Journal of Technology and Educational Innovation     Open Access  
Innovación educativa     Open Access  
Innovaciones Educativas     Open Access  
Innovation in Language Learning and Teaching     Hybrid Journal   (Followers: 35)
Innovations in Education and Teaching International     Hybrid Journal   (Followers: 24)
Innovations in Practice     Open Access  
Innovative Higher Education     Hybrid Journal   (Followers: 84)
Innovative Journal of Curriculum and Educational Technology     Open Access   (Followers: 6)
İnönü Üniversitesi Eğitim Fakültesi Dergisi     Open Access  
İnönü University Journal of the Graduate School of Education     Open Access  
INOPENDAS : Jurnal Ilmiah Kependidikan     Open Access  
Inspiramatika     Open Access  
Instructional Science     Hybrid Journal   (Followers: 13)
Integral Transforms and Special Functions     Hybrid Journal  
Interacções     Open Access  
InterActions: UCLA Journal of Education and Information     Open Access   (Followers: 11)
Interchange     Hybrid Journal   (Followers: 2)
Intercultural Education     Hybrid Journal   (Followers: 10)
Interdisciplinaridade. Revista do Grupo de Estudos e Pesquisa em Interdisciplinaridade     Open Access  
Interdisciplinary Journal of e-Skills and Lifelong Learning     Open Access   (Followers: 3)
Interdisciplinary Journal of Education Research     Open Access   (Followers: 3)
Interdisciplinary Journal of Information, Knowledge, and Management     Open Access   (Followers: 12)
Interdisciplinary Journal of Problem-based Learning     Open Access   (Followers: 5)
Interdisciplinary Research in Education     Open Access   (Followers: 1)
Interdyscyplinarne Konteksty Pedagogiki Specjalnej     Open Access  
Interespe. Interdisciplinaridade e Espiritualidade na Educação     Open Access  
Interface - Comunicação, Saúde, Educação     Open Access   (Followers: 1)
Interfaces : Revista de Extensão da UFMG     Open Access  
Interfaces da Educação     Open Access  
International Developments     Open Access   (Followers: 3)
International e-Journal of Educational Studies     Open Access  
International Education Studies     Open Access   (Followers: 7)
International Educational Research     Open Access   (Followers: 1)
International Electronic Journal of Environmental Education     Open Access   (Followers: 1)
International Journal for 21st Century Education     Open Access  
International Journal for Educational and Vocational Guidance     Hybrid Journal   (Followers: 7)
International Journal for Educational Integrity     Open Access   (Followers: 2)
International Journal for Lesson and Learning Studies     Hybrid Journal   (Followers: 2)
International Journal for Research in Vocational Education and Training     Open Access   (Followers: 7)
International Journal for Talent Development     Open Access  
International Journal for the Scholarship of Teaching and Learning     Open Access   (Followers: 9)
International Journal of Academic Research in Education     Open Access   (Followers: 2)
International Journal of Active Learning     Open Access  
International Journal of Advanced Multidisciplinary Research and Review     Open Access  
International Journal of Aquatic Research and Education     Hybrid Journal  
International Journal of Art & Design Education     Hybrid Journal   (Followers: 24)
International Journal of Assessment Tools in Education     Open Access   (Followers: 3)
International Journal of Bilingual Education and Bilingualism     Hybrid Journal   (Followers: 20)
International Journal of Bullying Prevention     Hybrid Journal   (Followers: 1)
International Journal of Business, Humanities, Education and Social Sciences     Open Access   (Followers: 1)
International Journal of Child Care and Education Policy     Open Access   (Followers: 3)
International Journal of Chinese Education     Hybrid Journal   (Followers: 1)
International Journal of Christianity & Education     Full-text available via subscription   (Followers: 2)
International Journal of Cognitive Research in Science, Engineering and Education     Open Access   (Followers: 8)
International Journal of Comparative Education and Development     Hybrid Journal  
International Journal of Construction Education and Research     Hybrid Journal   (Followers: 2)
International Journal of Contemporary Educational Research     Open Access   (Followers: 1)
International Journal of Continuing Engineering Education and Life-Long Learning     Hybrid Journal   (Followers: 4)
International Journal of Critical Pedagogy     Open Access   (Followers: 5)
International Journal of Culture and Modernity     Open Access  
International Journal of Curriculum and Instruction (IJCI)     Open Access   (Followers: 3)
International Journal of Cyber Ethics in Education     Full-text available via subscription   (Followers: 2)
International Journal of Designs for Learning     Open Access   (Followers: 6)
International Journal of Disability, Development and Education     Hybrid Journal   (Followers: 33)
International Journal of Distance Education Technologies     Full-text available via subscription   (Followers: 7)
International Journal of Early Childhood     Hybrid Journal   (Followers: 12)
International Journal of Early Years Education     Hybrid Journal   (Followers: 9)
International Journal of Education     Open Access   (Followers: 16)
International Journal of Education and Development using Information and Communication Technology     Open Access   (Followers: 9)
International Journal of Education and Literacy Studies     Open Access   (Followers: 7)
International Journal of Education in Mathematics, Science and Technology     Open Access   (Followers: 10)
International Journal of Education Policy and Leadership     Open Access   (Followers: 1)
International Journal of Educational Administration and Policy Studies     Open Access   (Followers: 7)
International Journal of Educational and Psychological Researches     Open Access   (Followers: 4)
International Journal of Educational Development     Hybrid Journal   (Followers: 14)
International Journal of Educational Psychology     Open Access   (Followers: 18)
International Journal of Educational Reform     Full-text available via subscription  
International Journal of Educational Research     Hybrid Journal   (Followers: 29)
International Journal of Educational Research Open     Open Access  
International Journal of Educational Technology     Open Access   (Followers: 11)
International Journal of Electrical Engineering Education     Hybrid Journal   (Followers: 5)
International Journal of Emerging Technologies in Learning     Open Access   (Followers: 10)
International Journal of English Language Education     Open Access   (Followers: 13)
International Journal of English Language Teaching     Open Access   (Followers: 4)
International Journal of Ethics Education     Hybrid Journal   (Followers: 1)
International Journal of Evaluation and Research in Education     Open Access   (Followers: 5)
International Journal of Foreign Language Teaching and Research     Open Access   (Followers: 2)
International Journal of Health Administration and Education Congress (Sanitas Magisterium)     Open Access  
International Journal of Health Promotion and Education     Hybrid Journal   (Followers: 11)
International Journal of Holistic Early Learning and Development     Open Access   (Followers: 1)
International Journal of Inclusive Education     Hybrid Journal   (Followers: 26)
International Journal of Indonesian Education and Teaching     Open Access   (Followers: 1)
International Journal of Information and Operations Management Education     Hybrid Journal   (Followers: 6)
International Journal of Innovation in Education     Hybrid Journal   (Followers: 8)
International Journal of Innovative Research in Education     Open Access   (Followers: 1)
International Journal of Instructional Technology and Educational Studies     Open Access   (Followers: 1)
International Journal of Knowledge and Learning     Hybrid Journal   (Followers: 4)
International Journal of Language Teaching and Education     Open Access  
International Journal of Leadership in Education: Theory and Practice     Hybrid Journal   (Followers: 23)
International Journal of Learning and Development     Open Access   (Followers: 3)
International Journal of Learning and Intellectual Capital     Hybrid Journal   (Followers: 1)
International Journal of Lifelong Education     Hybrid Journal   (Followers: 11)
International Journal of Lower Extremity Wounds     Hybrid Journal   (Followers: 4)
International Journal of Management Education     Hybrid Journal   (Followers: 11)
International Journal of Management in Education     Hybrid Journal   (Followers: 6)
International Journal of Mathematical Education in Science and Technology     Hybrid Journal   (Followers: 9)

  First | 1 2 3 4 5 6 7 8 | Last

Similar Journals
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Health Education & Behavior
Journal Prestige (SJR): 0.881
Citation Impact (citeScore): 2
Number of Followers: 14  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1090-1981 - ISSN (Online) 1552-6127
Published by Sage Publications Homepage  [1174 journals]
  • Exploring Intended and Unintended Reactions to Healthy Weight and
           Lifestyle Advertisements: An Online Experiment

    • Free pre-print version: Loading...

      Authors: Michelle Jongenelis, Helen Dixon, Maree Scully, Belinda Morley
      Abstract: Health Education & Behavior, Ahead of Print.
      BackgroundTo address concerns that healthy weight and lifestyle campaigns (HWLCs) could have unintended psychological or behavioral consequences, this study tested reactions to TV advertisements from two HWLCs: LiveLighter® (employs graphic health effects messaging) and Swap It Don’t Stop It (employs animation and light-hearted messaging).MethodsAn online between-subjects experiment tested reactions to one of five advertisements: “Toxic Fat”; “Sugary Drinks” (both from LiveLighter); “Become a Swapper”; “How to Swap It” (both from Swap It); and “HSBC Bank” (control) among 2,208 adults from Western Australia and Victoria, Australia. Responses assessed were cognitive and emotional reactions, behavioral intentions, internalized weight bias, antifat attitudes, self-esteem and body dissatisfaction.ResultsThe HWLC advertisements prompted favorable cognitive reactions and weak to neutral positive and negative emotional responses. HWLC advertisements promoted stronger intentions to engage in adaptive lifestyle behaviors compared with the control advertisement. Intention to engage in maladaptive behaviors (e.g., skipping meals) was low overall and did not differ by condition. Compared with the control condition, participants who saw LiveLighter “Sugary Drinks” showed weaker disagreement with antifat attitudes; however, mean antifat attitude scores were still at the low end of the scale. HWLC advertisements did not promote internalized weight bias, reduced self-esteem or body dissatisfaction compared with the control advertisement.ConclusionsOverall, HWLC advertisements performed favorably compared with the control advertisement and showed no clear evidence of adverse impacts. Findings suggest HWLC advertisements may not promote negative psychological and behavioral consequences and can continue to be used in obesity prevention efforts.
      Citation: Health Education & Behavior
      PubDate: 2022-06-25T10:15:48Z
      DOI: 10.1177/10901981221104727
       
  • Assessing Readiness for Campus Hazing Prevention

    • Free pre-print version: Loading...

      Authors: Stephanie A. Swan, Elizabeth J. Allan
      Abstract: Health Education & Behavior, Ahead of Print.
      This case study examined community readiness in a cohort of U.S. universities. Drawing on the Community Readiness Model (CRM), the extent to which a campus was ready to implement a comprehensive hazing prevention plan was assessed. The study was designed to help build the knowledge base using the CRM to systematically assess the cohort’s work to prevent hazing. Methods. Utilizing the CRM, key informants were interviewed. Interview data were scored using CRM rating scales and then coded following basic interpretive methods of qualitative analysis. Scores determined levels of readiness while data were analyzed for emergent themes related to a comprehensive approach to hazing prevention. Results. The CRM assessment revealed preplanning stages of readiness, meaning campus staff considered hazing prevention to be important and asking what should be done. Emergent themes that may strengthen and sustain hazing prevention in higher education are identified and discussed. Conclusions. Indications that the CRM may be useful for hazing prevention research and practice can contribute to the development of a knowledge base to support efficacy and assist campus communities in focusing their work while directing efforts toward higher levels of readiness.
      Citation: Health Education & Behavior
      PubDate: 2022-06-16T08:30:27Z
      DOI: 10.1177/10901981221101357
       
  • Who Volunteers' Results From an Internet-Based Cognitive Monitoring
           Study of Community-Based Older Adults

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      Authors: Britney Veal, Nasreen A. Sadeq, Taylor J. Atkinson, Ross Andel
      Abstract: Health Education & Behavior, Ahead of Print.
      Objectives. Volunteering promotes well-being and may provide added purpose to life after retirement. Limited evidence exists regarding the characteristics and study adherence among those who participate in longitudinal studies while also volunteering outside the study. We assessed characteristics and adherence of older adults who volunteered outside of participation in a regular monthly cognitive monitoring study. Method. All 124 participants with complete data were included. Participants were from a regular cognitive monitoring study that required completion of a 15-min monthly online cognitive assessment. Analysis of covariance and logistic regression analysis were performed to examine differences between volunteers and nonvolunteers. Results. Those who volunteered outside the study were significantly less likely to be college-educated (although all participants were highly educated) but the two groups were cognitively similar. Volunteers had significantly lower scores for neuroticism. Those who volunteered also were significantly less likely to drop out but had poorer study adherence. The most frequent type of volunteering was religious activities. Volunteers were motivated mainly by altruism, although most reported multiple reasons. Conclusion. Older adults who enroll in a longitudinal research study and volunteer outside the study have similar personal characteristics as those who opt out of additional volunteering, with somewhat less education and more favorable personality traits. However, they may be more likely to drop out and need more reminders. Therefore, those who volunteer outside a study may need more attention from study administrators and potentially a more individualized schedule that works around their volunteer obligations.
      Citation: Health Education & Behavior
      PubDate: 2022-06-15T11:23:57Z
      DOI: 10.1177/10901981221101355
       
  • Stakeholder-Engaged Development of a Theory-Driven, Feasible, and
           Acceptable Approach to Concussion Education

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      Authors: Emily Kroshus, Sara P. D. Chrisman, Tamerah Hunt, Rachel Hays, Kimberly Garrett, Alexis Peterson, Frederick P. Rivara, George Chiampas, Dane Ramshaw; BA, Ann Glang
      Abstract: Health Education & Behavior, Ahead of Print.
      Concussion education is widely mandated and largely ineffective. Recent consensus guidance on concussion education asserts the importance of (1) theory-driven programming that targets the team as a system and (2) working with end users throughout the development process, and considering issues such as feasibility, acceptability, and sustainability. Consistent with this guidance, and in collaboration with youth sport stakeholders in two regions of the United States, we developed a novel approach to concussion education: Pre-game safety huddles. Safety huddles have the following two core components: (1) athletes, coaches, and other stakeholders come together before the start of each game and (2) opinion leaders (coaches, referees) affirm the importance of care seeking for suspected concussion. The aim of this article is to provide an overview of the collaborative process through which we refined the safety huddle concept into an acceptable and feasible intervention with potential for sustainable implementation in diverse youth sports settings with minimal resource demands. In describing our process and discussing challenges and opportunities, we hope to provide an example for others seeking to develop and implement injury prevention interventions in youth sports settings.
      Citation: Health Education & Behavior
      PubDate: 2022-06-15T11:21:49Z
      DOI: 10.1177/10901981221099886
       
  • Correlates of Moderate-to-Vigorous Physical Activity in Children With
           Physical Illness and Physical–Mental Multimorbidity

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      Authors: Chloe Bedard, Sara King-Dowling, Joyce Obeid, Brian W. Timmons, Mark A. Ferro
      Abstract: Health Education & Behavior, Ahead of Print.
      This study measured physical activity (PA) and explored its correlates among children with multimorbidity (co-occurring chronic physical and mental illness; MM) versus those with chronic physical illness only (PI). This study used baseline data from the Multimorbidity in Children and Youth Across the Life Course (MY LIFE) study, an on-going cohort study following 263 children with a PI 2 to 16 years of age (mean age: 9.8 years, SD = 4.0; 47.7% female). PA was measured using accelerometry, and demographic and psychosocial variables were collected using questionnaires. Of the 55 children with MM and the 85 with PI with valid accelerometer data, 38.1% and 41.2%, respectively, met average daily PA guidelines. Correlates of moderate-to-physical PA (MVPA) among children with MM were age, ρ(53) = −0.45, p = .001, body mass index (BMI), ρ(48) = −0.28, p = .04, self-perceived behavioral conduct, ρ(24) = −0.45, p = .02, physical health-related quality of life, ρ(51) = 0.56, p < .001, and peer support, ρ(52) = 0.27, p = .04. Correlates of MVPA among children with PI were age, ρ(83) = −0.40, p < .001, sex, ρ(83) = −0.26, p = .01, self-perceived social competence, ρ(31) = 0.42, p = .02, self-perceived athletic competence, ρ(31) = 0.48, p = .005, physical health-related quality of life, ρ(83) = 0.34, p = .001, participation in community sport, ρ(31) = 0.41, p = .02, and family functioning, ρ(83) = 0.26, p = .02. These results demonstrate that children with PI and MM are insufficiently active and their PA is correlated with demographic and psychosocial factors.
      Citation: Health Education & Behavior
      PubDate: 2022-06-13T11:10:59Z
      DOI: 10.1177/10901981221100697
       
  • Contributing Factors of Sugar-Sweetened Beverage Intake in the Latinx
           Population: A Narrative Review Using the Social-Ecological Model

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      Authors: Diana Cuy Castellanos, Beth Miller, Jamie Zoellner
      Abstract: Health Education & Behavior, Ahead of Print.
      Sugar-sweetened beverage (SSB) consumption in the Latinx population has been a topic of increasing interest due to higher rates of consumption in this population, as well as higher prevalence of chronic health conditions, such as diabetes and obesity. SSB behaviors are influenced by multiple factors across the socio-ecological model. Understanding these factors can inform future intervention development and improve SSB consumption and overall health. Therefore, this narrative review identifies factors contributing to SSB consumption, as well as interventions conducted to address SSB consumption in the Latinx population residing in the United States. Contributing factors that are not currently addressed in published interventions are highlighted with the intent to inform the development of future comprehensive interventions.
      Citation: Health Education & Behavior
      PubDate: 2022-06-09T06:05:50Z
      DOI: 10.1177/10901981221097053
       
  • Early Childhood Dietary Intake and Subsequent Socioemotional and Cognitive
           School Readiness Among Australian Children

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      Authors: Megan L. Hammersley, Limin Buchanan, Huilan Xu, Li Ming Wen
      Abstract: Health Education & Behavior, Ahead of Print.
      Dietary intake can affect the physical, cognitive, and socioemotional development of young children. Few studies have explored the relationships between dietary intake and the cognitive and socioemotional dimensions of school readiness. This study aimed to investigate the longitudinal associations between children’s dietary intake in early childhood, and cognitive and socioemotional school readiness indicators at age 4–5 years using data from the Longitudinal Study of Australian Children. A total of 4,253 children were included in the analysis. Multiple linear regression models were built to investigate whether dietary intake (measured by questionnaire at parent interview) at age 2–3 years predicted school readiness indicators of socioemotional and behavioral functioning (measured by parent-reported Strengths and Difficulties Questionnaire [SDQ total score and pro-social scale]), verbal (assessed by Peabody Picture Vocabulary Test–Third Edition [PPVT-III]) and nonverbal (assessed by “Who Am I” test [WAI] cognitive skills) at age 4–5 years. Furthermore, using cross-sectional data at age 4–5 years, four multiple linear regression models were built to investigate if dietary intake was correlated with the aforementioned school readiness indicators. All models were adjusted for potential confounders. It was found that every one-point increase in child dietary intake score at age 2–3 years led to a decrease in SDQ total score by 0.19 (95% confidence interval [CI] = [0.10, 0.28], and an increase in SDQ pro-social scale, WAI score and PPVT score by 0.07 (95% CI = [0.03, 0.10]), 0.27 (95% CI = [0.13, 0.41]), and 0.20 (95% CI = [0.09, 0.30]), respectively, at age 4–5 years. Children’s dietary intake was also a correlate of their school readiness at age 4–5 years. These results add to the limited evidence base suggesting that children’s early dietary intake may play an important role in later socioemotional and behavioral development, and the development of cognitive skills, which are critical school readiness indicators.
      Citation: Health Education & Behavior
      PubDate: 2022-06-07T05:22:01Z
      DOI: 10.1177/10901981221096100
       
  • Perspectives of Persons With Type 2 Diabetes Toward Diabetes
           Self-Management: A Qualitative Study

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      Authors: Manal M. Othman, Noor A. Al-Wattary, Hanan Khudadad, Ragae Dughmosh, Luis Furuya-Kanamori, Suhail A. R. Doi, Suhad Daher-Nashif
      Abstract: Health Education & Behavior, Ahead of Print.
      Background. The global increase in type 2 diabetes (T2D) poses a significant public health challenge worldwide. Due to the chronic and complex nature of the disease, management does not depend on pharmacotherapy alone; rather, a comprehensive medical and self-management plan is required. Diabetes Self-Management Education programs should address diabetes-specific behaviors and be grounded in patients’ perceptions of their disease and its consequences. Aim. The study aims to understand perceptions of diabetes self-management (DSM) among persons of different nationalities with T2D living in Qatar. Method. A phenomenological qualitative study was implemented using four focus group interviews using Triandis Interpersonal Behavior Model to understand factors influencing DSM perceptions and behaviors. Therefore, deductive content analysis was used, also inductive content analysis used to find new emerging themes. Twenty-nine participants with T2D of 12 different nationalities were recruited. Results. Content analyses revealed that participants were mainly motivated to manage their diabetes by fear of future health complications—and the resulting impact on their families—triggered by witnessing these complications on other family members and friends. Factors that influenced DSM included cultural factors such as food content and holidays’ customs, weather conditions, psychological distress, and social factors such as lack of family support. Furthermore, access to healthy food, number of working hours and time, and cost of DSM supplies were found to be among the barriers to DSM. Conclusion. Understanding and considering patients’ perspectives is a core component of culturally competent and evidence-based DSM programs, and it should be considered in any DSM program.
      Citation: Health Education & Behavior
      PubDate: 2022-06-06T12:10:31Z
      DOI: 10.1177/10901981221098373
       
  • Effects of a Fruit and Vegetable Prescription Program With Expanded
           Education for Low-Income Adults

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      Authors: Nicholas Slagel, Taylor Newman, Laurel Sanville, Jackie Dallas, Edda Cotto-Rivera, Jessie Moore, Alexis Roberts MPH, Jung Sun Lee
      Abstract: Health Education & Behavior, Ahead of Print.
      Fruit and Vegetable Prescription (FVRx) Programs combine produce prescriptions and nutrition education to reduce fruit and vegetable consumption barriers and promote health among low-income patient populations. This study examined whether a multi-level FVRx intervention model with intensive education improves dietary behaviors, food security, and health outcomes over single-level interventions alone. A 6-month nonrandomized, parallel, controlled trial was conducted with one intervention, FVRx (n = 31) and two comparison groups, Ad hoc Nutrition Education (n = 13) and Control (n = 16). The FVRx group received produce prescriptions (US$1/day/household member) redeemable at a farmer’s market, two SNAP-Ed programs, one financial literacy program, and monthly health screenings. The Nutrition Education (NE) group participated in one SNAP-Ed program, and the Control group received safety-net clinic care only. Surveys assessed dietary intake, food security, food purchasing practices, and financial and food resource management. Pre–post clinical biomarkers (blood lipid and hemoglobin A1c) and monthly biometrics (anthropometrics and blood pressure) were measured. Descriptive analysis and one-way analysis of variance (ANOVA) were conducted. Compared with comparison groups, FVRx participants significantly increased the frequency of consuming dark green vegetables, FVRx (0.36 ± 0.72); NE (0.14 ± 0.33); Control (−0.09 ± 0.19) cups/day (p < .05). FVRx participants significantly improved multiple healthful food purchasing practices, and the ability to afford more utilities (FVRx (33%); NE (0%); Control (10%); p < .05). Limited changes were observed in food security and clinical biomarker outcomes between groups. Combining expanded nutrition and financial literacy education with produce prescriptions improves low-income adults’ financial and food resources, preference, knowledge, purchase, and consumption of locally grown vegetables over single-level interventions.
      Citation: Health Education & Behavior
      PubDate: 2022-05-10T08:59:31Z
      DOI: 10.1177/10901981221091926
       
  • Urban-Rural Differences in Children’s and Adolescent’s Physical
           Activity and Screen-Time Trends Across 15 Years

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      Authors: Carina Nigg, Christoph Weber, Jasper Schipperijn, Markus Reichert, Doris Oriwol, Annette Worth, Alexander Woll, Claudia Niessner
      Abstract: Health Education & Behavior, Ahead of Print.
      BackgroundUrban and rural areas have been experiencing major demographic and structural changes, characterized by an aging population in rural areas and a growth of cities in number and size. However, it is poorly researched how children’s physical activity and screen time developed in urban and rural areas. To address this deficit, we investigated physical activity and screen-time trends in Germany’s pediatric population across four urbanicity levels (rural, small town, medium-sized town, city).MethodWe obtained weighted data at three cross-sectional timepoints between 2003 and 2017, representative for Germany’s child and adolescent population. Physical activity and screen time were self-reported. We analyzed trends using a structural equation modeling framework for the overall sample and calculated interactions between the trends and age and gender, respectively.ResultsIn total, 12,161 children and adolescents between 4 and 17 years participated in the study. Children and adolescents in rural areas experienced a downward trend in total physical activity. Outdoor play and leisure-time physical activity decreased across all areas, with the strongest decline in rural areas. Computer and gaming time increased across all areas except for cities, with the sharpest increase in rural areas. The decline in outdoor play and the incline in computer and gaming time were driven by adolescents. Females showed stronger increases in computer and gaming time than males.ConclusionOur findings suggest that in a representative sample of children and adolescents in Germany, detrimental trends in children’s physical activity and screen time occur at a higher rate in rural areas compared with urban environments. This provides critical information for health policy: While all children and adolescents should be targeted for physical activity promotion, a special focus should be on tailoring interventions for rural areas to prevent and mitigate inequalities in physical activity across urban and rural areas.
      Citation: Health Education & Behavior
      PubDate: 2022-05-04T12:31:41Z
      DOI: 10.1177/10901981221090153
       
  • Impact of Smoking and Vaping in Films on Smoking and Vaping Uptake in
           Adolescents: Systematic Review and Meta-Analysis

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      Authors: Zeinab M. Hassanein, Alexander B. Barker, Rachael L. Murray, John Britton, Sanjay Agrawal, Jo Leonardi-Bee
      Abstract: Health Education & Behavior, Ahead of Print.
      Prevention of smoking uptake in young people is an essential public health target. We have previously reported a systematic review and meta-analysis of the effect of exposure to smoking imagery in films on the risk of smoking uptake in young people. This study updates that review, and includes studies of the effects of exposure to media vaping imagery on vaping uptake. Four electronic databases (MEDLINE, EMBASE, PsycINFO, and IBSS) were searched to August 2020 for studies reporting the association between exposure to smoking/vaping in films and smoking/vaping uptake in adolescents. Two authors independently screened papers, extracted data, and assessed quality. This review included 26 studies. Exposure to high levels of smoking imagery in films was associated with an increased likelihood of having ever smoked in nine cross-sectional studies and of smoking uptake in 11 longitudinal studies. Vaping imagery in films was associated with increased likelihood of ever vaping in two cross-sectional studies and vaping uptake in five longitudinal studies. This review concluded that exposure to smoking imagery in films increases the risk of smoking among young people. It is likely that a similar association exists between exposure to vaping imagery and vaping uptake. Therefore, this review recommends introduction of new policies to minimize the impact of this in films which contain smoking or vaping and are likely to be viewed by children and adolescents.
      Citation: Health Education & Behavior
      PubDate: 2022-05-03T07:24:11Z
      DOI: 10.1177/10901981221086944
       
  • Behavioral Activation, Depression, and Promotion of Health Behaviors: A
           Scoping Review

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      Authors: David May, Boris Litvin, John Allegrante
      Abstract: Health Education & Behavior, Ahead of Print.
      Diverse approaches to the treatment of depressive disorders are necessary to improve evidence-based practice and maximize treatment outcomes. As a result, a range of behaviors and other factors associated with the onset and course of depressive disorders should be examined more comprehensively. Behavioral activation (BA) is a treatment approach to these disorders that can be tailored to address certain health behaviors within the context of depression in an attempt to promote health behaviors whose adoption and maintenance can prove complementary in the treatment of depression. We conducted a scoping review of published studies in which BA-based interventions were used to promote certain health behaviors in individuals with depression. Our search of Medline and the Web of Science identified 336 potential candidate studies. Following screening and with the application of inclusion and exclusion criteria to isolate potentially eligible full-text records, we ultimately identified and evaluated 20 papers that report the nature and efficacy of these modified interventions. Across various domains, including substance use, exercise, medication adherence, and occupational and social success, we found evidence that many—but not all—of the studies we reviewed demonstrated that BA-based interventions were efficacious in promoting the health behavior of interest as well as reducing depressive symptomatology in participants. Implications for more widespread dissemination of such interventions, especially via mobile and web-based platforms due to their accessibility and affordability, are discussed. More research on the feasibility and efficacy of BA-based interventions tailored toward various determinants of health behavior and comorbidities of depressive disorders is warranted.
      Citation: Health Education & Behavior
      PubDate: 2022-04-29T07:09:58Z
      DOI: 10.1177/10901981221090157
       
  • Exercise in the Treatment of Addiction: A Systematic Literature Review

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      Authors: Megan S. Patterson, Mandy N. Spadine, Taylor Graves Boswell, Tyler Prochnow, Christina Amo, Allison N. Francis, Alex M. Russell, Katie M. Heinrich
      Abstract: Health Education & Behavior, Ahead of Print.
      BackgroundExercise has been recognized as a promising and emerging treatment for individuals recovering from addiction. The purpose of this article was to systematically review scientific studies using exercise as a means to improve, sustain, or treat addictions, and to provide suggestions for the future use of exercise as a treatment method for addiction.MethodsUsing PRISMA guidelines, a database search was conducted for articles that tested the impact of exercise interventions on addiction-related outcomes. To be included, peer-reviewed experimental design studies had to use human subjects to investigate the relationship between exercise and the treatment of or recovery from addiction. Garrard’s Matrix Method was used to extract data from reviewed articles (n = 53).ResultsNearly three quarters of the studies reviewed documented a significant change in addiction-related outcomes (e.g., more days abstinent, reduced cravings) in response to exercise exposure, particularly while someone was receiving treatment at an in or outpatient clinic. Many studies investigated the effect of acute bouts of exercise on nicotine dependence, and many studies had small sample sizes, leaving room for future research on how exercise might benefit people recovering from substance and process addictions.ConclusionResults affirm that exercise can be a helpful aspect of addiction treatment. Future researchers should investigate different exercise settings (e.g., group-based exercise vs individual) and explore exercise maintenance and the long-term outcomes following discharge from treatment facilities.
      Citation: Health Education & Behavior
      PubDate: 2022-04-29T07:07:30Z
      DOI: 10.1177/10901981221090155
       
  • The Association Between Adolescents’ Food Literacy, Vegetable and Fruit
           Consumption, and Other Eating Behaviors

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      Authors: Jasmine LeBlanc, Stephanie Ward, Caroline P. LeBlanc
      Abstract: Health Education & Behavior, Ahead of Print.
      Adolescents’ intake of vegetables and fruits is generally low, and many demonstrate unhealthy eating behaviors. Food literacy may be key to improving adolescents’ nutrition. However, the relationship between food literacy, fruit and vegetable intake, and other healthy eating behaviors remains unclear, as well as how these relationships may differ among boys and girls. This study assessed the relationship between food literacy (including food skills and cooking skills), vegetable and fruit consumption, and other eating behaviors of adolescents. This cross-sectional study included 1,054 students, including 467 boys and 570 girls from five francophone high schools in New Brunswick, Canada. Quantitative data on students’ food and cooking skills, vegetable and fruit consumption, and other eating behaviors were collected with a self-reported questionnaire. Multilevel regressions were used to assess the relationship between food literacy, students’ consumption of vegetables and fruits, and other eating behaviors. Better cooking skills were associated with healthier eating behaviors and greater vegetable and fruit consumption for boys and girls. Better food skills were also associated with healthier eating behaviors and greater vegetable and fruit consumption among both genders. These findings highlight the importance of improving food literacy among adolescents. Public health interventions should focus on increasing cooking and food skills to improve adolescents’ nutrition.
      Citation: Health Education & Behavior
      PubDate: 2022-04-02T09:36:14Z
      DOI: 10.1177/10901981221086943
       
  • “From Health Experts to Health Guides”: Motivational Interviewing
           Learning Processes and Influencing Factors

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      Authors: Sophie Langlois, Johanne Goudreau
      Abstract: Health Education & Behavior, Ahead of Print.
      Motivational interviewing is an evidence-based counseling approach. However, its learning processes and their influencing factors are understudied, failing to address the suboptimal use of motivational interviewing in clinical practice. A participatory action research was conducted in collaboration with 16 primary care clinicians, who encountered similar challenges through their previous counseling approaches. The study aimed to facilitate and describe the clinicians’ professional transformation through interprofessional communities of practice on motivational interviewing (ICP-MI). Data were collected using the principal investigator’s research journal and participant observation of four independent ICP-MIs (76 h) followed by focus groups (8 h). The co-participants performed inductive qualitative data analysis. Results report that learning motivational interviewing requires a paradigm shift from health experts to health guides. The learning processes were initiated by the creation of an openness to the MI spirit and rapidly evolved into iterative processes of MI spirit embodiment and MI skill building. The intrinsic influencing factors involved the clinician’s personal traits and professional background; the extrinsic influencing factor was the shared culture disseminating the expert care model. Previously described in a fragmented manner, motivational interviewing learning processes, and its influencing factors were presented as integrated findings. Considerations in elaborating effective MI training/implementation programs are discussed for clinicians, trainers, and decision-makers. Future areas of investigation are also highlighted calling forth the research community to contribute to knowledge advancement on health education in primary care.
      Citation: Health Education & Behavior
      PubDate: 2022-03-26T10:09:39Z
      DOI: 10.1177/10901981221084271
       
  • The Association Between Duration of School Garden Exposure and
           Self-Reported Learning and School Connectedness

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      Authors: Abby M. Lohr, Melanie L. Bell, Kiera Coulter, Sallie Marston, Moses Thompson, Scott C. Carvajal, Ada M. Wilkinson-Lee, Lynn B. Gerald, Josephine Korchmaros
      Abstract: Health Education & Behavior, Ahead of Print.
      When students feel connected to their school, they experience positive health and academic outcomes. In contrast, school disengagement is a predictor of dropout, delinquency, and substance use. School garden programming has the potential to help children achieve academic outcomes and feel connected to their school. Unfortunately, most school garden research has been conducted with white, affluent study participants. We describe the results of a secondary analysis utilizing data from an evaluation of a university-supported community school garden program (CSGP). Using a cross-sectional survey study design, we examined the impact of school garden programming in Title I schools on primarily Latino/a (Hispanic) elementary student self-reported learning and feelings of school connectedness by comparing students with ≤1 year exposure to those with>1 year. Social cognitive theory formed the conceptual basis for the analysis. Duration of school garden exposure did not have a significant association with self-reported learning or feelings of school connectedness. Regardless of past exposure, fifth-grade students, females, and those who identify as Latino/a (Hispanic) felt that school garden programming improved their learning. Latino/a (Hispanic) students who participate in school garden programming may also feel a greater sense of connection to their teachers and peers at school. Qualitative results demonstrated that most students enjoyed spending time in the garden and indicated that participating in the program helped them learn new things and feel connected to their school. If individuals who may be disadvantaged because of systemic racism, such as Latino/a (Hispanic) students, can benefit from school garden programming, such interventions should be further investigated and prioritized.
      Citation: Health Education & Behavior
      PubDate: 2022-03-21T11:52:37Z
      DOI: 10.1177/10901981221084266
       
  • Evaluation Design for The Two Georgias Initiative: Assessing Progress
           Toward Health Equity in the Rural South

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      Authors: Michelle C. Kegler, April Hermstad, Regine Haardörfer, Kimberly Jacob Arriola, Nicole Gauthreaux, Samantha Tucker, Gary Nelson
      Abstract: Health Education & Behavior, Ahead of Print.
      As persistent inequities in health gained increased attention nationally due to COVID-19 and racial justice protests in 2020, it has become increasingly important to evaluate both the process and outcomes associated with coalition-based efforts to address health inequities. The Two Georgias Initiative supports coalitions in 11 rural counties to (1) achieve greater health equity, (2) improve health and health care, (3) build healthier rural communities and improve social conditions that impact the health of rural populations, and (4) build community, organizational, and individual leadership capacity for health equity. Rural communities suffer significant health disparities relative to urban areas, and also experience internal inequities by race and poverty level. The evaluation framework for The Two Georgias Initiative provides a comprehensive mixed methods approach to evaluating both processes and outcomes. Early results related to community readiness and capacity to address health inequities, measured through a coalition member survey (n = 236) conducted at the end of the planning phase, suggest coalitions were in the preparation stage, with higher levels of readiness among coalition members and organizations/groups similar to the coalition members’ own, lower levels among public officials and other leaders, and the lowest levels among county residents. In addition, coalition members reported more experience with downstream drivers (e.g., access to care) of health than upstream drivers (e.g., affordable housing, environmental or racial justice). By providing a logic model, evaluation questions and associated indicators, as well as a range of data collection methods, this evaluation approach may prove practical to others aiming to evaluate their efforts to address health equity.
      Citation: Health Education & Behavior
      PubDate: 2022-03-19T11:38:08Z
      DOI: 10.1177/10901981211060330
       
  • Health Literacy, Numeracy, and Dietary Approaches to Stop Hypertension
           Accordance Among Hypertensive Adults

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      Authors: Sophia P. Lou, Dingfen Han, Marie F. Kuczmarski, Michele K. Evans, Alan B. Zonderman, Deidra C. Crews
      Abstract: Health Education & Behavior, Ahead of Print.
      Background:Health literacy (HL) and health numeracy (HN), the ability to interpret and act on quantitative health information, are important for hypertension self-management such as limiting sodium intake. We examined associations of HL, HN, and Dietary Approaches to Stop Hypertension (DASH) diet accordance.Participants:Among 1,073 hypertensive adults enrolled in a Baltimore, Maryland–based cohort study, we performed a cross-sectional analysis. Rapid Estimate of Adult Literacy in Medicine (REALM) measured HL and Test of Functional Health Literacy in Adults (TOFHLA) numeracy score measured HN.Method:DASH accordance was based on nine key nutrients. Linear regression models estimated associations of HL and HN with DASH total and sodium score, inclusive of dietary supplement data.Results:In our sample, 39% of participants were male, 66% were Black, 40.2% lived in poverty, and 29.5% reported food insecurity. Fully, 32.5% had limited HL and 14.5% had limited HN. Mean DASH score overall was 2 (range = 0–7.5); only 6.9% were DASH accordant (score ≥4.5). In age and sex adjusted models, higher REALM was associated with a higher DASH score in the overall sample; the relationship of HN with DASH was statistically significant among White but not Black participants. Educational attainment appeared to explain both findings. There were no significant associations between HL or HN and DASH sodium scores.Conclusion:Differences in educational attainment explained the relation of higher HL and greater accordance to the DASH diet in a population of hypertensive adults. Understanding these factors is vital to reducing disparities in hypertension and its sequelae.
      Citation: Health Education & Behavior
      PubDate: 2022-03-11T09:18:46Z
      DOI: 10.1177/10901981221079742
       
  • Corrigendum to “Barriers to Healthy Eating and Diabetes Diet Education:
           Divergent Perspectives of Patients and Their Providers”

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      Abstract: Health Education & Behavior, Ahead of Print.

      Citation: Health Education & Behavior
      PubDate: 2022-03-10T10:39:01Z
      DOI: 10.1177/10901981221081528
       
  • Effectiveness of a Digital Intervention in Increasing Flu
           Vaccination–Related Risk Appraisal, Intention to Vaccinate and
           Vaccination Behaviour Among Pregnant Women

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      Authors: Joanne Parsons, Catherine Grimley, Katie Newby
      Abstract: Health Education & Behavior, Ahead of Print.
      BackgroundPregnant women are at increased risk of complications from flu, but uptake of flu vaccination is below 75% targets. Evidence suggests that changing illness risk appraisals may increase vaccination behaviour. In 2018–2019, researchers, public health specialists, and pregnant women co-designed a short animation targeting (unhelpful) beliefs underlying pregnant women’s flu risk appraisals aiming to promote vaccination uptake.AimsThis study aimed to examine effectiveness of a digital intervention (animation) in increasing flu vaccination among pregnant women through changing illness risk appraisals.MethodA prospective study design was used, involving convenience sampling of unvaccinated pregnant women recruited via a Qualtrics Online Panel. Participants received small payments via the panel for survey completion. Risk appraisals and intention to vaccinate were measured at baseline and immediately after intervention presentation (follow-up one). Six months later, a further survey (follow-up two) was administered measuring vaccination behaviour.ResultsBaseline and first follow-up surveys were completed by 411 participants. Watching the animation led to increased appraisals of likelihood of getting flu while pregnant and severity of flu during pregnancy, and increased intentions to accept flu vaccination during pregnancy. Of the 67 respondents who completed follow-up survey two, 38 reported having the vaccination while pregnant.ConclusionsThis study provides evidence supporting the promise of the intervention. Randomized controlled trials are required to produce definitive efficacy evidence. Should such a study prove intervention effectiveness, it could be readily embedded within existing campaigns at national and local levels by public health organizations.
      Citation: Health Education & Behavior
      PubDate: 2022-03-08T07:22:20Z
      DOI: 10.1177/10901981221077935
       
  • Summer Friends and Physical Activity: Social Network Effects on Child
           Self-Reported Physical Activity at Summer Care Programs

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      Authors: Tyler Prochnow, Megan S. Patterson, Christina N. Bridges Hamilton, M. Renée Umstattd Meyer
      Abstract: Health Education & Behavior, Ahead of Print.
      Summer is a time of reduced physical activity (PA) for children; however, summer care programs (SCPs) can provide opportunities for children to be active and foster friendships. This study investigated associations between PA and friendship formation at SCPs. Children (ages 8–12 years) from two SCPs reported demographics, PA, and up to five friends at the program. Exponential random graph modeling determined significant factors associated with connections at each time point and between time points. PA was a significant factor in sending and maintaining friendship connections. A further understanding of the social dynamics which assist in the maintenance of PA behaviors during summer may improve the odds children engage in the recommended amounts of PA during this crucial time.
      Citation: Health Education & Behavior
      PubDate: 2022-03-01T05:38:36Z
      DOI: 10.1177/10901981221076399
       
  • A CBPR-Enhanced Delphi Method: The Measurement Approaches to Partnership
           Success Case Study

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      Authors: Barbara L. Brush, Shoou-Yih D. Lee, Adena Gabrysiak, Megan Jensen, Eliza Wilson-Powers, Chris M. Coombe, P. Paul Chandanabhumma, Melissa Valerio, Barbara A. Israel, Laurie Lachance
      Abstract: Health Education & Behavior, Ahead of Print.
      As part of a 5-year study to develop and validate an instrument for measuring success in long-standing community-based participatory research (CBPR) partnerships, we utilized the Delphi method with a panel of 16 community and academic CBPR experts to assess face and content validity of the instrument’s broad concepts of success and measurement items. In addition to incorporating quantitative and qualitative feedback from two online surveys, we included a 2-day face-to-face meeting with the Expert Panel to invite open discussion and diversity of opinion in line with the CBPR principles framing and guiding the study. The face-to-face meeting allowed experts to review the survey data (with maintained anonymity), convey their perspectives, and offer interpretations that were untapped in the online surveys. Using a CBPR approach facilitated a synergistic process that moved above and beyond the consensus achieved in the initial Delphi rounds, to enhance the Delphi technique and the development of items in the instrument.
      Citation: Health Education & Behavior
      PubDate: 2022-02-22T08:42:05Z
      DOI: 10.1177/10901981221076400
       
  • Implementation of Evidence-Based Disease Self-Management Programs in a
           Rural Region: Leveraging and Linking Community and Health Care System
           Assets

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      Authors: Kristin Pullyblank, Wendy Brunner, Lynae Wyckoff, Nicole Krupa, Melissa Scribani, David Strogatz
      Abstract: Health Education & Behavior, Ahead of Print.
      ContextRural populations experience both a higher prevalence of and risk for premature death from chronic conditions than do their urban counterparts. Yet barriers to implement community-based chronic disease self-management programs persist.ProgramThe Living Well program, a multi-sector collaboration between a rural health care system and a network of community-based organizations, has offered the 6-week evidence-based Chronic Disease Self-Management and Diabetes Self-Management workshops since 2017. The program was a response to a quality improvement initiative to improve hypertension and diabetes outcomes throughout the health care system.ImplementationUsing the rapid cycling quality improvement process, Living Well developed a self-management program recruitment, referral, and coordinating office for a six-county region. Through continuous capacity-building efforts with community partners, as well as leveraging key health care system assets such as the electronic health record and provider detailing, program reach and adoption was increased.EvaluationThe Reach, Effectiveness, Adoption, Implementation, and Maintenance framework was used for the process evaluation. During 3 years, more than 750 individuals engaged with the program, with nearly 600 completing a workshop. The region saw increased engagement by primary care clinicians to refer, and structural changes were embedded into the health care system to facilitate clinic–community partnerships.DiscussionA coordinated, multi-sector approach is necessary to develop solutions to complex, chronic health problems. A regional coordinating hub is an effective strategy for implementing community-based programs in rural areas. However, low health care system engagement and fragmented funding remain as barriers to optimal implementation.
      Citation: Health Education & Behavior
      PubDate: 2022-02-18T11:58:32Z
      DOI: 10.1177/10901981221078516
       
  • Workplace Health Promotion Among Ethnically Diverse Women in Midlife With
           a Low Socioeconomic Position

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      Authors: Marjolein Verburgh, Petra Verdonk, Yolande Appelman, Monique Brood-van Zanten, Carel Hulshof, Karen Nieuwenhuijsen
      Abstract: Health Education & Behavior, Ahead of Print.
      Workplace health promotion (WHP) may be an appropriate way to support women with a low socioeconomic position (SEP) during midlife. Little is known about reaching and engaging women in WHP, particularly not at the intersection of midlife, low SEP, and ethnicity. We initiated the ProudWoman project, in which we implemented a WHP intervention aimed at supporting midlife women as a pilot in an academic hospital. We qualitatively evaluated the implementation using the RE-AIM framework. The pilot comprised multiple steps: tailoring the intervention to the needs of ethnically diverse group of midlife women with a low SEP, developing an implementation protocol, implementing the tailored intervention, and evaluating the implementation process. The main findings of our study are: (1) due to a wide range of recruitment activities that were actively deployed, we were able to reach an ethnically diverse group of midlife women with a low SEP; (2) regarding adoption, awareness of the relevance of this topic as an occupational health challenge was not self-evident at the organizational level; (3) according to our participants, various facilitators and barriers should be taken into account in the implementation of the work–life program; and (4) our focus group discussion revealed as maintenance is relevant to these levels in different ways, awareness of midlife and menopause as an occupational health challenge should be raised at four professional levels. We conclude that elements, such as an active and personal recruitment approach, are important in the implementation of WHP for ethnically diverse midlife women with an SEP.
      Citation: Health Education & Behavior
      PubDate: 2022-02-05T09:40:31Z
      DOI: 10.1177/10901981211071030
       
  • Comparison of Narrative Video and Flipchart Presentation to Promote
           Cervical Cancer Screening Among Latinas Along the Border

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      Authors: Jessica Calderón-Mora, Adam Alomari, Navkiran Shokar
      Abstract: Health Education & Behavior, Ahead of Print.
      IntroductionCervical cancer incidence and mortality is higher among Latinas compared with non-Hispanic White women and barriers to screening include lack of knowledge, lack of access to health care, and cultural factors. Both video and printed material have been found effective as health education tools in underserved populations. The purpose of this study was to show no difference between a flipchart presentation facilitated by a community health worker and a narrative video with limited in-person interaction in increasing cervical cancer screening rates among Latinas along the U.S.–Mexico border.MethodsStudy design: Randomized controlled study. Participants: women in a community-based cervical cancer screening program.OutcomesPrimary outcome was screening completion and secondary outcomes were changes in psychosocial variables.ResultsTotal sample size was 500. Most participants were born in Mexico, had a low annual income, preferred Spanish, and did not have a regular doctor. Overall, 371 (74.2%) participants completed screening. There was no significant difference in screening completion between educational delivery modes. The only variable significantly associated with screening completion was age, with 51- to 65-year-olds being 44% more likely than 21- to 40-year-olds to have a Pap test. The only psychosocial variable that was significantly different by delivery mode was perceived susceptibility. The majority of all participants found both the video and flipchart presentation to be acceptable.ConclusionA health promotion program delivered via self-administered video or PowerPoint slides showed no difference in increasing cervical cancer screening rates.
      Citation: Health Education & Behavior
      PubDate: 2022-02-03T10:44:48Z
      DOI: 10.1177/10901981221074918
       
  • Parenthood as a Window of Opportunity for Dietary Changes: Perspectives
           From Uruguayan Parents

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      Authors: Andreia Ferreira Moura, Leticia Vidal, Alejandra Girona, Gastón Ares
      Abstract: Health Education & Behavior, Ahead of Print.
      Research on behavioral and social science has demonstrated that transitions throughout a person’s life course, as the life event of becoming a parent, represent an opportunity for dietary changes. However, research in this area has been mostly restricted to developed European and North American countries and has shown ambiguous results. The present work aimed to gain an in-depth understanding on the changes in eating habits caused by the transition to parenthood and to explore factors influencing those changes in Uruguay, a Latin American country. Forty-two in-depth interviews with Uruguayan parents from diverse social-economic backgrounds were conducted. The narrations by the interviewees evidenced mostly positive changes during three stages in the transition: pregnancy, the first months with the baby, and the beginning of complementary feeding. Most informants perceived changes mainly in terms of increased consumption of fruits, vegetables, and pulses; increased consumption of homemade meals; and decreased consumption of ultra-processed foods, fast foods, and fried foods. Reasons for these changes included adaptation of meals to the child’s needs and schedule, feeling of responsibility for the child’s health, and willingness to be a good role model. Factors influencing changes in eating habits were identified in some levels of the socioecological model and included socioeconomic status; price of fruits, vegetables, and fish; low accessibility of good quality fish; perceived time pressure; father’s low interest on healthy eating; social support; and access to nutrition information. Findings suggest that parenthood represents a window of opportunity for favorable changes in eating habits. However, barriers constraining those changes should be addressed by stakeholders.
      Citation: Health Education & Behavior
      PubDate: 2022-02-03T10:39:46Z
      DOI: 10.1177/10901981221074912
       
  • User Engagement With Mood-Related Content on the National Cancer Institute
           Smokefree.Gov Initiative Cessation Resources

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      Authors: Alexandra Budenz, Kara P. Wiseman, Brian Keefe, Yvonne Prutzman
      Abstract: Health Education & Behavior, Ahead of Print.
      AimsThis study aimed to examine engagement with mood-related content on the Smokefree.gov Initiative’s smoking cessation resources.MethodsSmokefree.gov website analytics (July 2018–July 2019) were analyzed for user interactions with mood content on informational webpages and interactive self-assessment tools (mood quizzes, smoking quit plans). We also examined mood feature engagement (texting or pressing a command button for mood support) among text program and app users (July 2018–July 2019).ResultsMood webpage views comprised 1.5% of all Smokefree.gov webpage views. Depression quizzes represented 82.9% of quiz completions, and stress quizzes represented 0.4% of quiz completions. Stress, anxiety, and low mood were the most reported smoking triggers on quit plans. Approximately 7,000 text program users and 3,000 app users sought real-time mood support.ConclusionsGiven the importance of mood management in the smoking cessation process these findings demonstrate promising opportunities to increase the reach of mood support resources.
      Citation: Health Education & Behavior
      PubDate: 2022-02-03T10:37:35Z
      DOI: 10.1177/10901981211073736
       
  • Anonymous Reporting Systems for School-Based Violence Prevention: A
           Systematic Review

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      Authors: Elizabeth Messman, Justin Heinze, Hsing-Fang Hsieh, Nicole Hockley, Naomi Pomerantz, Alison Grodzinski, Briana Scott, Noah Goldstein, Marc Zimmerman
      Abstract: Health Education & Behavior, Ahead of Print.
      Anonymous reporting systems (ARS) have been widely implemented in schools across the United States as a violence prevention strategy. The current study systematically reviewed the published literature on ARS in U.S. schools (including public and private k-12 schools, colleges, and universities) over the past 25 years to examine the effectiveness of ARS as a school safety and violence prevention strategy. We conducted a comprehensive literature search which identified just four studies pertaining to ARS in schools. Of note, only one of these studies was published in a peer-reviewed journal. Results from this systematic review point to the need for more empirical studies on the effectiveness of ARS as a violence prevention strategy. Findings from this review also highlight the wide variation across schools in the type of ARS used, the mode of implementation, and associated educational and training components. This review is a first step in documenting an evidence-base for ARS which will be useful in guiding educators and policymakers about best practices for the use of ARS in schools.Impact StatementAnonymous reporting systems (ARS) have been used as a violence prevention strategy in schools by providing a means for individuals within a school community to safely and securely report information about potential violence or concerns about mental health, for example, through an anonymous hotline or reporting app. Despite widespread implementation of ARS in schools, as well as mandates for reporting systems in schools in 21 states, there is limited evidence on the effectiveness of ARS for school violence prevention, and information about best practices for ARS implementation is lacking. This systematic review aims to summarize the current research on the effectiveness of ARS as a school safety and violence prevention strategy, which is an important step in building an evidence-base to guide schools and policymakers about best practices.
      Citation: Health Education & Behavior
      PubDate: 2022-01-27T06:13:32Z
      DOI: 10.1177/10901981211073734
       
  • Perceived Message Effectiveness: Do People Need to Think About Message
           Effectiveness to Report the Message as Effective'

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      Authors: Lucy Popova, Yachao Li
      Abstract: Health Education & Behavior, Ahead of Print.
      How people make perceived message effectiveness (PME) judgments remains mostly unexplored. This study assessed whether people need to spontaneously think about message effectiveness to report the message as effective on rating scales and investigated emotions as precursors to PME. After viewing one of four e-cigarette prevention messages, 1,968 adult current and former smokers and nonsmokers freely expressed thoughts about the messages in an open-ended question and answered close-ended PME items. Four expressed PME variables (positive message perceptions, negative message perceptions, positive effect perceptions, and negative effect perceptions) were coded (1 = present, 0 = absent) in the open-ended responses, and all were significantly associated with measured PME. Positive and negative emotions predicted both expressed and measured PME. Negative message perceptions was the only expressed PME construct that mediated the relationships between emotions and measured PME and outcomes (perceived risk and behavioral intentions). This suggests that messages may not need to induce effectiveness thoughts to be reported as effective, but thoughts of message ineffectiveness are a useful indicator deserving further research.
      Citation: Health Education & Behavior
      PubDate: 2022-01-27T06:11:58Z
      DOI: 10.1177/10901981211068412
       
  • North Carolina LGBTQ Domestic Violence Response Initiative: Building
           Capacity to Provide Safe, Affirming Services

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      Authors: Stacy M. Sechrist, Danielle T. Laplace, Paige Hall Smith
      Abstract: Health Education & Behavior, Ahead of Print.
      Intimate partner violence (IPV) is as prevalent or more so as reported by lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals compared with non-LGBTQ individuals. Yet largely due to prior harmful and nonaffirming experiences with service providers, they are reluctant to seek services from domestic violence service providers (DVSP). These factors, combined with the reality that those who do seek services may not be provided with safe, affirming, and effective responses, exacerbate the impact of IPV on LGBTQ health and recovery. The North Carolina (NC) LGBTQ Domestic Violence Response Initiative (NC Initiative) was developed to increase DVSP capacity to serve LGBTQ survivors. This article describes the first four phases of the Initiative’s development: (1) formative focus group research with DVSPs statewide, identifying agencies’ interest in improving their responses to LGBTQ survivors; (2) Initiative launch, including funding and identification of partners; (3) development of capacity assessment tools; and (4) review of baseline capacity assessment findings. The development of tools, specifically designed to assess capacity of DVSPs to serve LGBTQ survivors, is a unique contribution as no tools existed to do so. The common capacity-building needs and data-informed recommendations identified provide a starting point for agencies expanding into LGBTQ-focused work, who may not have the benefit of grant funding, tools, or evaluators to assist. Our findings, lessons learned, and tools may be used by agencies to evaluate and inform their own practices, thereby creating safer, more affirming agencies that are capable provide effective care to meet unique needs of LGBTQ survivors.
      Citation: Health Education & Behavior
      PubDate: 2022-01-19T11:51:35Z
      DOI: 10.1177/10901981211067167
       
  • Intervention Characteristics Considered in Health Educators’
           Adoption Decision-Making Process

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      Authors: Thomas Strayer E., Laura E. Balis, Lauren E. Kennedy, NithyaPriya S. Ramalingam, Meghan L. Wilson, Samantha M. Harden
      Abstract: Health Education & Behavior, Ahead of Print.
      It is well known that perceptions of intervention characteristics (e.g., cost, source, evidence strength and quality) are a critical link from dissemination to implementation. What is less known is the process by which researchers understand the characteristics most valued by key intermediaries (i.e., real-world decision-makers), particularly in the federal system of Cooperative Extension. In Extension, university-based specialists are available to assist county-based agents in program selection, delivery, and evaluation. For this work, a sequential explanatory mixed-methods design was used to conduct surveys and semi-structured interviews, informed by the Diffusion of Innovations theory and Consolidated Framework for Implementation Research. Educators and specialists were recruited across 47 states to identify characteristics of health promotion interventions that facilitate the adoption decision-making process. Analysis of intervention attribute importance survey data was conducted through a one-way ANOVA with Bonferroni post hoc test to determine individual variable differences between responses. Interviews underwent a conventional content analysis. In total, 121 educators and 47 specialists from 33 states completed the survey. Eighteen educators and 10 specialists completed interviews. Educators and specialists valued components such as the community need for the intervention, and potential reach compared with other components including previous delivery settings and external funding of the intervention (p < .05). Qualitative data indicated divergence between educators and specialists; educators valued understanding the intervention cost (time and training) and specialists valued the evidence base and external funding available. Intervention developers should communicate information valued by different stakeholders to improve the adoption of evidence-based interventions.
      Citation: Health Education & Behavior
      PubDate: 2022-01-07T09:53:30Z
      DOI: 10.1177/10901981211067170
       
  • Development and Implementation of a Hybrid Online and In-Person Food
           Sovereignty and Nutrition Education Curriculum for Native American
           Parents: The FRESH Study

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      Authors: Alyson Haslam, Charlotte Love, Tori Taniguchi, Mary B. Williams, Marianna S. Wetherill, Susan Sisson, Ashley E. Weedn, Tvli Jacob, Valarie Blue Bird Jernigan
      Abstract: Health Education & Behavior, Ahead of Print.
      The Food Resource Equity and Sustainability for Health (“FRESH”) study is an Indigenous-led intervention to increase vegetable and fruit intake among Native American children. As part of this study, we developed a hybrid (online and in-person) food sovereignty and nutrition education curriculum for the parents of these children. This 16-week curriculum was developed to promote household- and community-level healthy eating and food sovereignty practices to parents of preschool-aged children residing in Osage Nation, Oklahoma. A total of 81 parent/caregivers participated in the curriculum component of the FRESH study, with a median age of 34 years (range: 23–54 years). Most study participants were female (88.9%) and less than half (45.7%) had an annual household income of more than US$50,000. Most were married or had a significant other (76.5%) and worked full-time (65.4%). The median total number of children in the home
      Citation: Health Education & Behavior
      PubDate: 2022-01-07T09:51:00Z
      DOI: 10.1177/10901981211067168
       
  • In Memoriam: Albert Bandura, PhD (1925–2021)

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      Authors: Lawrence W. Green, Kate Lorig, Patricia Dolan Mullen, David Sleet, Julia M. Alber
      First page: 390
      Abstract: Health Education & Behavior, Ahead of Print.

      Citation: Health Education & Behavior
      PubDate: 2022-03-14T10:10:41Z
      DOI: 10.1177/10901981221082615
       
  • Increases in Muscle-Strengthening Activities Among Latinas in Seamos
           Saludables

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      Authors: Tanya J. Benitez, Shira Dunsiger, Becky Marquez, Britta Larsen, Dori Pekmezi, Bess H. Marcus
      First page: 446
      Abstract: Health Education & Behavior, Ahead of Print.
      Background:Only 17% of Latinas meet national physical activity (PA) guidelines for both moderate-to-vigorous aerobic and muscle-strengthening PA. Additional health benefits are derived from the combination of aerobic and muscle-strengthening PA (vs. aerobic alone), yet there is paucity in research on muscle-strengthening activity in Latinas. The aim of this study was to examine changes in muscle-strengthening activity from baseline to 6 and 12 months in Seamos Saludables, a 12-month PA randomized controlled trial for Latinas.Methods:A secondary data analysis was conducted among 131 Latinas ages 18–65 years, who were randomized to either a PA Intervention or a Wellness Control. Self-reported muscle-strengthening exercise was measured at baseline, 6 months, and 12 months via adapted muscle-strengthening questions from the Behavioral Risk Factor Surveillance System.Results:There was a 16-minute/week difference in median minute/week of muscle-strengthening activity between Intervention and Wellness at 6 months (SE = 7.91, p = .04) and 45-minute/week difference at 12 months (SE = 25.80, p = .06) adjusting for baseline. Significantly more PA Intervention participants met muscle-strengthening guidelines of 2 or more days/week at 6 months versus Wellness Control participants (odds ratio [OR] = 4.29, 95% confidence interval [CI] = [1.03, 17.84]).Conclusion:Results from the current study showed that Latinas engaged in muscle-strengthening activity in an intervention that emphasized primarily aerobic PA outcomes, suggesting they may be interested in engaging in muscle-strengthening activities. Future interventions targeting both aerobic and muscle-strengthening activity could achieve greater health improvements and help more Latinas reach the full national PA guidelines.ClinicalTrials.gov Identifier. NCT01583140
      Citation: Health Education & Behavior
      PubDate: 2022-03-01T07:09:57Z
      DOI: 10.1177/10901981221074908
       
  • Effectiveness of a Promotores Network to Improve Health in an Emerging
           Latino Community

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      Authors: Sharon E. Taverno Ross, Hai-Wei Liang, Jessica Cheng, Andrea Fox, Patricia I. Documet
      First page: 455
      Abstract: Health Education & Behavior, Ahead of Print.
      BackgroundLatinos living in emerging communities (i.e., nontraditional destinations with a small but growing population) face obstacles to their mental and physical health. This study evaluated the effectiveness of a 6-month, promotor-led intervention on access to care, physical activity, dietary practices, and perceived social support among Latino adults living in an emerging community, compared with a nonrandomly assigned control group.MethodParticipants (n = 81 intervention; n = 86 control) were drawn from Allegheny county, Pennsylvania. Promotores used an intervention tool offering nondirective social support to assist participants in developing SMART goals to address their life concerns in eight domains (e.g., social, diet, and exercise/recreation); the control group received printed materials. Participants completed a survey in Spanish at baseline and follow-up to assess outcomes and had their height and weight measured. Adjusted linear mixed effects models compared change in outcomes over time.ResultsThere was a marginally significant improvement in dietary practices in the intervention group at follow-up, and no change in access to care. Both groups experienced an improvement in social support. There was a significant intervention-by-time interaction such that the intervention group increased physical activity by 259 minutes/week compared with the control group.ConclusionThis study demonstrates the potential effectiveness of a promotores network in assisting individuals living in an emerging Latino community to address their life concerns and improve health behaviors. Future studies should include objective and more rigorous measures with a larger sample to replicate these results.
      Citation: Health Education & Behavior
      PubDate: 2022-04-27T06:40:14Z
      DOI: 10.1177/10901981221090161
       
 
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