JournalTOCs

Health Promotion Practice
Journal Prestige (SJR): 0.596

Citation Impact (citeScore): 1
Number of Followers: 16

Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1524-8399 - ISSN (Online) 1552-6372
Published by Sage Publications

[1176 journals]

Improving Public Health Emergency Communication Along the U.S. Southern
Border: Insights From a COVID-19 Pilot Campaign With Truck Drivers
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  Authors: Sarah Evans, Bianca Rubio, Chris Piat, Hallimah Kamara, Pearl Owen, Bryan Duff, Ana Chavez, Leticia R. Bligh
  Abstract: Health Promotion Practice, Ahead of Print.
  Tens of thousands of trucks cross the U.S.–Mexico border every day. Cross-border truckers’ high mobility puts them at risk of acquiring and transmitting infectious diseases and creates challenges reaching them with emergency public health messaging due to their everchanging locations and limited English proficiency. Despite this community-level transmission risk and documented health disparities related to various infectious and noninfectious diseases experienced by truckers themselves, little has been published to provide practical recommendations on better reaching this audience through innovative outreach methods. This article describes a COVID-19 health promotion campaign that aimed to (1) identify, pilot test, and evaluate effective messages, channels, sources, and settings for reaching truckers on both sides of the U.S.–Mexico border and (2) build capacity and sustainability for messaging around future health emergencies. The pilot program ran for 6 weeks, June to August 2023, in three key commercial border crossings and delivered approximately 50,000,000 impressions, nearly 45% more impressions than expected. Considerations for practitioners include the areas of design, implementation, and evaluation. The results provide insight into how to design health promotion messages that resonate with cross-border truckers and how to place these messages where they will be seen, heard, and understood. This includes working effectively with community health workers (CHW), known locally as promotores; identifying local partners that allow CHW to set up onsite; and, working with partner organizations including employers. Practical insights for building evaluation metrics into traditional and grassroots outreach strategies to facilitate real-time optimization as well as continued learning across efforts are also described.
  Citation: Health Promotion Practice
  PubDate: 2024-08-09T05:06:43Z
  DOI: 10.1177/15248399241265311
IRB Consent Guidelines: Potential Barriers to Diversity in Research
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  Authors: Evan Decker, Tana Chongsuwat
  Abstract: Health Promotion Practice, Ahead of Print.
  Despite initiatives aimed at improving study participation and inclusion among ethnic and racially minoritized and marginalized populations, participation remains low. While necessary to ensure ethical practice in human participant research, certain Institutional Review Board (IRB) guidelines may introduce additional barriers in research involving these populations. This work outlines guidelines pertaining to consent translation for non-English speaking populations and offers discussion on a greater emphasis for more inclusive methods for marginalized communities. The University of Wisconsin’s IRB approved alternative oral consent processes after the community partner determined that standard translation processes would be inefficient. Researchers used translated consent materials for four different ethnic groups (Hmong, Karen, Karenni, and Burmese). We provided recorded consents in each respective language to participants before study participation and obtained verbal consent prior to study participation at the study location. We experienced time and resource constraints in both access to translators and the consent-translation process itself. Furthermore, many participants were unable to read in their native language making standard written consent processes both difficult and impractical. Oral discussion and verbal consent processes were efficient. Adjustments to consent-related guidelines may prevent and eliminate time and resource-related barriers in consent processes. In eliminating such barriers, subsequent improved efficiency in both study design and study promotion areas can work to better promote diversity in research among populations that emphasize oral language and in instances where literacy rates in written non-English language may be lower.
  Citation: Health Promotion Practice
  PubDate: 2024-08-02T08:40:40Z
  DOI: 10.1177/15248399241268327
Employing a Youth Internship Model to Identify Goals to Reduce Barriers to
Active Living
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  Authors: Judit Sarai Alvarado, Edith De Jesus-Sanchez; AS, Jessica Colon, Kevin Giff, Seth Lajeunesse, Molly De Marco
  Abstract: Health Promotion Practice, Ahead of Print.
  Active lifestyles are vital for promoting health. In this practice note, we describe the implementation of an active living intervention designed to engage youth in identifying barriers to being physically active and developing recommendations to address these barriers. Youth interns were compensated for their time. Through this project, the community obtained street striping for the first time, secured a community center when the police substation building was turned over to the community, and had sidewalk funding prioritized for one of their busiest streets. Lessons learned while developing and implementing this youth internship program focused on making the internship program work well given youth schedules and focusing on supporting the voice of youth to advocate for changes to the built environment in an intentionally excluded community.
  Citation: Health Promotion Practice
  PubDate: 2024-07-27T09:20:37Z
  DOI: 10.1177/15248399241263579
Challenges in Disseminating Evidence-Based Health Promotion Programs in
Faith Community Settings: What We Need to Include
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  Authors: Sharon C. Jones, David Schlundt, Neely Williams, Meredith Smalls, Korab Idrizi, Leah Alexander, Monique Anthony, Rebecca Selove
  Abstract: Health Promotion Practice, Ahead of Print.
  BackgroundEffective dissemination of information about evidence-based programs (EBPs) is essential for promoting health equity. Faith-based and other community organizations have difficulty locating EBPs for implementation in their settings. A research team engaged in a systematic search to identify a menu of EBPs that could be offered to African American FBOs as part of a community-engaged implementation study. Methods. A four-stage process was developed to search for EBPs meeting seven inclusion criteria for dissemination in faith-based organizations (FBOs). Criteria included relevance to identified health disparity topics, endorsement on a federal website, free access to downloadable program materials, facilitator guidance, no requirements for health care providers, and culturally relevant materials for African American communities.ResultsNineteen government websites were searched. Sixty-six potential EBPs were identified. Six EBPs met all inclusion criteria.DiscussionThe search for EBPs that met seven criteria for implementation in African American FBOs demonstrated challenges that have been described in the literature. Researchers encountered a lack of standardized terminology for identifying EBPs on federal websites, frequent requirement for health care providers or clinics and/or fees for training and materials. FBOs are supportive and safe places to offer EBPs to promote health, and EBPs need to be designed and disseminated to meet the needs and preferences of FBOs. Including members of FBOs and others in the community in EBP development, design, and dissemination, such as searchable health promotion EBP registries, can increase the likelihood that effective programs intended to address health disparities are readily accessible to FBOs for implementation.
  Citation: Health Promotion Practice
  PubDate: 2024-07-27T09:19:10Z
  DOI: 10.1177/15248399241259688
Strengthening Youth Emotional and Behavioral Well-Being Through
Community–Academic Partnership: The EMPOWER Project
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  Authors: Alice-Simone Balter, Nicole Racine, Dina Al-Khooly, Indika Somir, Emerald Bandoles, Clementine Utchay, Desiree Sylvestre, Annabel Sibilus, Anjali Suri, Sandra Pierre, Sheldon Parkes, Shannon Quesnelle, Sabrina Brodkin, Brendan F. Andrade
  Abstract: Health Promotion Practice, Ahead of Print.
  The onset of mental health issues frequently starts during adolescence, where one third of adolescents who are 14 years and younger receive a mental health diagnosis. The state of youth mental health is a major public health concern. The EMPOWER project was developed during the COVID-19 pandemic to address youth mental health. The EMPOWER project is a partnership between two after-school programs and an academic mental health hospital in Toronto, Canada, that aims to bolster youth mental well-being. In this Practice Note, we share our community-based participatory research process of how we built the EMPOWER partnership and highlight our lessons learned so far. Through EMPOWER, we aim to codesign, deliver, and evaluate a scalable, evidence-based, and community-informed youth mental wellness curriculum that will be implemented in after-school programs.
  Citation: Health Promotion Practice
  PubDate: 2024-07-27T09:18:00Z
  DOI: 10.1177/15248399241255372
Evaluating Mental Health First Aid for Illinois Agricultural Communities
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  Authors: Samantha J. Iwinski, Courtney A. Cuthbertson, Cheri A. Burcham, Karla L. Belzer, Josie M. Rudolphi
  Abstract: Health Promotion Practice, Ahead of Print.
  Introduction. Mental Health First Aid (MHFA) was created to teach individuals how to identify, understand, and respond to signs of mental illnesses and substance use disorders. Programs like this may be essential for agricultural communities where suicide rates have increased, and mental health stigma has been a barrier to this population. This study evaluated how effective MHFA and Youth MHFA were for participants from agricultural communities. Methods. Participants completed the MHFA (N = 38) and Youth MHFA (N = 66) programs in 2021–2022, and Extension educators offered both programs as a part of outreach efforts within agricultural contexts. Participants completed pre-, post-, and post-only evaluations as standardized by the National Council for Mental Wellbeing. Results. After completing the MHFA and Youth MHFA training, participants increased their knowledge, confidence, and skills in various mental health topics. This includes early indicators of mental health challenges, the ability to have supportive conversations, and how to provide resources to others. For example, most participants felt they became more knowledgeable about MHFA (69%) and the ability to recognize the signs and symptoms of mental health or substance use challenges (65%). Conclusion. This research has implications for supporting agricultural workers through additional mental health training, managing farm stress, and understanding mental health stigma within this community.
  Citation: Health Promotion Practice
  PubDate: 2024-06-25T05:35:09Z
  DOI: 10.1177/15248399241259687
Evaluation of Health Education Events With a Peer-to-Peer Component in
Public High Schools
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  Authors: Tai Metzger, Alex Zepeda, Naomi Wilcox
  Abstract: Health Promotion Practice, Ahead of Print.
  Despite many improvements in childhood health outcomes, many children experience chronic health conditions and engage in unhealthy behaviors that can negatively affect the rest of their lives. School-based health education is one strategy to promote healthier lifestyles among children. Although health education is very prevalent in the United States, the methods used for this education are not well studied. Health education events such as voluntary tabling events (booths) were held by peer student educators and adult allies from the LA Trust for Children’s Health. This program evaluation studied the effects of voluntary peer-to-peer health education tabling events and a more traditional mandatory school-based health presentation. We analyzed survey responses from 343 high school students who attended 19 health education events at 8 public high schools in Los Angeles County. The results showed that health education tabling events at schools were viewed positively by students, allowing the vast majority to report learning useful information. The impact of the tabling events varied somewhat between grade levels and health topics. These findings can assist schools, health organizations, and health care providers in tailoring their programming to better disseminate health education materials and information, as well as understanding which health topics are interesting to students.
  Citation: Health Promotion Practice
  PubDate: 2024-06-19T07:31:51Z
  DOI: 10.1177/15248399241258462
The Emerging Landscape of Social Media Influencers in Public Health
Collaborations: A Scoping Review
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  Authors: Alexandra E. Michel, Emily S. Miller, Prachi Singh, Gretchen Schulz, Rupali J. Limaye
  Abstract: Health Promotion Practice, Ahead of Print.
  Social media content creators or “influencers” are an increasingly influential voice in the public discourse generally, including global perceptions and practices related to health. In response, public health entities are increasingly embracing social media influencers (SMIs) as potential health promotion collaborators. Despite burgeoning interest in the potential of these partnerships, research evaluating this strategy remains limited. To address this gap, we conducted a scoping review to characterize and describe the current landscape of health promotion collaborations with SMIs with a focus on current practices. A search of six electronic databases (PubMed, SCOPUS, Communication & Mass Media Complete, CINAHL Plus, Web of Science, and APA PsycINFO) revealed wide-ranging and inconsistent approaches to these partnerships, including their optimal practices, data reported, and their evaluation criteria. Among the 658 articles initially identified, 15 publications met our inclusion criteria, spanning 7 countries, 8 social media platforms, 11 distinct health topics, and 21 different outcome measures. Basic information necessary for comparing across interventions was often lacking. We noted a lack of consensus on what constitutes an SMI with 53% of included studies lacking any definition or criteria. Although SMIs offer substantial promise as an emerging opportunity for health promotion, particularly for populations that may be otherwise difficult to identify or reach, this review highlights how the current lack of standardized methodologies and metrics prevents meaningful comparisons between collaborations and evaluations of their effectiveness. Based on these findings, we propose four key criteria to aid practitioners in the implementation and evaluation of SMI collaborations.
  Citation: Health Promotion Practice
  PubDate: 2024-06-14T06:05:06Z
  DOI: 10.1177/15248399241258442
Educating Families on Urgent Maternal Warning Signs: Learning From a Pilot
to Improve Training and Tools for Maternal and Child Home Visiting
Programs
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  Authors: Elizabeth K. Stierman, Thomasina Watts, Shari M. Lawson, Teneele M. Bruce, Maxine Reed-Vance, Kelly M. Bower, Andreea A. Creanga, Jennifer A. Callaghan-Koru
  Abstract: Health Promotion Practice, Ahead of Print.
  Early recognition of the warning signs of pregnancy-related complications and provision of timely, quality care could prevent many maternal deaths. We piloted a maternal warning signs education intervention with five Maryland-based maternal, infant, and early childhood home visiting programs serving populations disproportionately affected by adverse maternal outcomes. The intervention included a 1.5-hr online training for home visitors, monthly collaborative calls with program managers, and a client education toolkit with a 3-min video, illustrated handout of 15 urgent maternal warning signs, magnet with the same, and discussion guide for home visitor–client interactions. A mixed-methods formative evaluation assessed the acceptability, feasibility, and utilization of different components of the intervention. Home visiting program staff reported that the materials were highly acceptable and easily understood by diverse client populations. They valued the illustrations, simple language, and translation of materials in multiple languages. Program managers found implementation a relatively simple process, feasible for in-person and remote visits. Despite positive reception, not all components of the toolkit were used consistently. Program managers and staff also identified the need for more guidance and tools to help clients communicate with health care providers and advocate for their health care needs. Feedback from pilot sites was used to adapt the training and tools, including adding content on patient self-advocacy. Home visiting programs have a unique ability to engage families during pregnancy and the postpartum period. This pilot offers lessons learned on strategies and tools that home visiting programs can use to improve early recognition and care-seeking for urgent maternal warning signs.
  Citation: Health Promotion Practice
  PubDate: 2024-06-14T06:03:20Z
  DOI: 10.1177/15248399241256691
Optimizing Professional Development for New York State Public Health
Association Members: Findings From a Mixed Methods Assessment of Public
Health Professionals
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  Authors: Brett R. Harris, Amanda Horner
  Abstract: Health Promotion Practice, Ahead of Print.
  The COVID-19 pandemic placed significant burden on public health professionals, with many experiencing burnout and leaving the profession. The New York State Public Health Association (NYSPHA) recognized the impact of the pandemic on the state’s public health workforce and sought professional development opportunities to support current and future generations of public health professionals. To achieve this goal, NYSPHA solicited input from its members and potential members via survey and focus groups as part of its New Directions Initiative. Seventy individuals participated in listening sessions, and 850 responded to the survey. While more than half felt that NYSPHA is invested in the health and wellness of New Yorkers, fewer considered NYSPHA a leader in public health or a go-to source for public health information. Only about one-third felt connected to NYSPHA as a public health professional. Participants identified multiple professional development opportunities that would encourage them to join or renew their membership including sections or special interest groups (57.4%), opportunities to gain leadership experience (56.7%), volunteering (58.1%), a new committee that addresses public health in the community (55.9%), and mentorship (48.4%). NYSPHA used the results of the survey and focus groups to provide several professional development opportunities including a mentorship program, a new Public Health in Action Committee, and special interest groups in mental health and climate change that have already made a difference in local New York State communities. Similar organizations may use NYSPHA’s experience as an example for supporting their workforce to maximize impact on the communities they serve.
  Citation: Health Promotion Practice
  PubDate: 2024-06-11T06:39:09Z
  DOI: 10.1177/15248399241258725
My Way to School Through a Camera Lens: Involving Children to Inform a
Policy Recommendation on Active School Travel
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  Authors: Stina Rutberg, Malin Henriksson, Mathias Andersson, Annie Palstam, Anna-Karin Lindqvist
  Abstract: Health Promotion Practice, Ahead of Print.
  Active school travel (AST) is an effective approach for increasing children’s physical activity and independent mobility, but policy supporting AST is lacking. This study aims to explore children’s experiences of AST to inform a policy recommendation. Photovoice methodology with a qualitative approach was applied, with children taking pictures on their way to school. This was followed by focus groups where the children explored their experiences of AST based on their photos. The data were analyzed using qualitative content analysis. The results show that the children valued independent mobility and wanted to be involved in decisions about their travels; they also expressed feelings of increased responsibility and personal growth as a consequence. Although the children recognized areas of improvement regarding infrastructure, especially regarding heavy traffic that jeopardized travel safety, they continued using AST. Finally, the children talked about the value of the health and environmental benefits of AST. Opportunities for friendship, play, and making decisions about their own time were highlighted as important incentives. The benefits from AST are many for children, as well as for society. The result has informed policy recommendations for AST, and the children’s input will be used to communicate the recommendations. Listening to the voices of children could be a steppingstone toward forming future healthy mobility initiatives. In that process, it is key to include children’s perspectives when formulating the AST policy for successful adoption and implementation.
  Citation: Health Promotion Practice
  PubDate: 2024-06-07T05:59:19Z
  DOI: 10.1177/15248399241255376
Fostering LGBTQ+ Mental Health Promotion in Non-Health Academic Programs:
A Filipino Perspective
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  Authors: Rowalt Alibudbud
  Abstract: Health Promotion Practice, Ahead of Print.
  This article emphasized the urgency of promoting LGBTQ+ mental health in the Philippines, a nation known for its friendly attitude toward LGBTQ+ individuals. Despite this, a significant portion of the population maintains negative attitudes, fostering persistent stigmatization and discrimination against gay men and lesbians. These adverse social conditions, coupled with the absence of comprehensive LGBTQ+ rights protection, exacerbate mental health disparities among LGBTQ+ individuals. Recognizing the pivotal role of educational institutions, this article explores the integration of an elective course, “LGBT+ Mental Health,” within an applied behavioral science program. The curriculum was based on international reports and local studies, employing frameworks like Minority Stress and Intersectionality to scrutinize factors influencing LGBTQ+ mental health disparities. The course’s blended approach encourages student engagement through discussions, group work, and assessments. Insights from the course reveal students’ capacity to develop organizational programs and policies that promote mental health and inclusivity. Recommendations include expanding LGBTQ+ mental health integration beyond health-related degrees, providing support and resources, fostering a cultural shift toward acceptance within educational institutions, and tailoring the course to better respond to local LGBTQ+ needs. Moreover, the paper emphasizes the critical role of educational institutions in addressing LGBTQ+ mental health disparities, serving as a model for future progress and inclusivity. Overall, this integration of LGBTQ+ mental health promotion in a non-health academic degree program can serve as a model for institutions to advance the well-being of LGBTQ+ individuals and dismantle systemic barriers.
  Citation: Health Promotion Practice
  PubDate: 2024-06-06T07:07:44Z
  DOI: 10.1177/15248399241255377
Systematic Screening and Assessment of Hospital-Based Youth Violence
Prevention Programs
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  Authors: Esther Piervil, Leslyn Wong, Khiya J. Marshall, Tara Earl, Scotti Leonard, Malikah Waajid, Tiffany Jones, Nicole Katapodis, Alexis Marbach, Stephanie Schneiderman, Brad Bartholow
  Abstract: Health Promotion Practice, Ahead of Print.
  Youth violence is a preventable public health issue. Few hospital-based programs intentionally focus on youth violence prevention. This project aimed to describe the Systematic Screening and Assessment (SSA) methodology used to identify existing hospital-based youth violence prevention (HBYVP) programs ready for future rigorous evaluation. To identify promising HBYVP programs currently in use and assess readiness for evaluation, data from the 2017 American Hospital Association (AHA) Annual Survey of Hospitals was used to identify hospitals with Level I-III trauma centers with reported HBYVP programs. Information for each program was gathered via environmental scan and key informant interviews. A total of 383 hospital-based violence prevention programs were identified. Two review panels were conducted with violence prevention experts to identify characteristics of programs suitable for an evaluability assessment (EA). Fifteen programs focused on youth (10–24 years old) and were identified to be promising and evaluable. Three of the 15 programs were determined to have the infrastructure and readiness necessary for rigorous evaluation. Lessons learned and best practices for SSA project success included use of streamlined outreach efforts that provide program staff with informative and culturally tailored project materials outlining information about the problem, project goals, proposed SSA activities, and altruistic benefit to the community at the initial point of contact. In addition, success of review panels was attributed to use of software to streamline panelist review processes and use of evaluation and data analysis subject matter experts to serve as panel facilitators. Communities experiencing high youth violence burden and hospitals serving these communities can improve health outcomes among youth by implementing and evaluating tailored HBYVP programs.
  Citation: Health Promotion Practice
  PubDate: 2024-05-31T01:06:25Z
  DOI: 10.1177/15248399241255375
Reach, Adoption, and Implementation Strategies of a Telehealth Fall
Prevention Program: Perspectives From Francophone Communities Across
Canada
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  Authors: Jennifer O’Neil, Nathalie Dionne, Sylvie Marchand, Dominique Cardinal, Grant Handrigan, Jacinthe Savard
  Abstract: Health Promotion Practice, Ahead of Print.
  Introduction. A fall may impact a person’s physical, emotional, and psychological well-being. Fall prevention programs are being implemented to reduce these negative outcomes. However, linguistic barriers in health services may reduce access to such prevention programs. A telehealth fall prevention program was designed to increase access to such programs in French for Francophone minority communities in Canada. This capacity-building project aimed to support community partners to deliver this telehealth program and document strategies used to reach, adopt, and implement the program within various Francophone and Acadian Minority Communities. Methods. A sequential explanatory mixed methodology was used to document reach, adoption, and implementation strategies and describe the lived experiences of program facilitators and organization representatives. Reach, adoption, and implementation were documented and analyzed descriptively, while lived experiences were analyzed using content analysis following the Consortium Framework for Implementation Research. Results. Twelve organization representatives or program facilitators from eight organizations operating in four different provinces participated in the study. Three themes emerged from the qualitative data on reach and adoption: external context, internal context, and capacity building. Four themes were identified as barriers and facilitators to implementation: level of preparation and time management, interpersonal relations and telepresence, exercise facilitation and safety, and technological problem-solving. Conclusion. Using tailored reach and adoption strategies such as prioritizing provinces with higher proportions of needs and training local community program facilitators may lead to the successful implementation of a new telehealth fall prevention program. Results from this study could potentially inform other primary prevention programs or telehealth program implementation.
  Citation: Health Promotion Practice
  PubDate: 2024-05-17T12:53:10Z
  DOI: 10.1177/15248399241252807
COVID-19 Implications on Worksite Wellness Programming
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  Authors: Renee A. Underwood, Angela R. Wood, Ralph J. Wood, Rylie B. Broussard, Stephanie T. Broyles
  Abstract: Health Promotion Practice, Ahead of Print.
  As multi-racial and multi-ethnic populations are anticipated to be 11.6% of the U.S. population by 2060, it is essential that public health research and practice find ways to effectively capture and reach these diverse groups. Single racial identification has been a norm in public health practice; however, this method has limitations for capturing the health of multi-racial and multi-ethnic individuals. Drawing on personal experience of the author and multi-disciplinary scholarship, this research commentary examines the limitations of single-race identification and how this influences the processes of racialization. The author provides important implications for public health research by suggesting more complex and effective ways to capture personal racial identification and racial perceptions and addresses how to reach multi-racial and multi-ethnic groups through public health interventions where individuals might identify with multiple cultural identities.
  Citation: Health Promotion Practice
  PubDate: 2024-05-14T10:03:34Z
  DOI: 10.1177/15248399241251831
Association Between Institution ZIP Code Characteristics and NIH Funding
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  Authors: Ryan Huebinger, Ryan A. Coute, Mandy J. Hill, Audrey L. Blewer, Marina Del Rios
  Abstract: Health Promotion Practice, Ahead of Print.
  Introduction. While racial NIH funding disparities have been identified, little is known about the link between community demographics of institutions and NIH funding. We sought to evaluate the association between institution zip code characteristics and NIH funding. Methods. We linked the 2011-2021 NIH RePORTER database to Census data. We calculated the funding to each institution and stratified institutions into funding quartiles. We defined out independent variables as institution ZIP code level race/ethnicity (White, Black, and Hispanic), and socioeconomic status (household income, high school graduation rate, and unemployment rate). We used ordinal regression models to evaluate the association between institution ZIP code characteristics and grant funding quartile. Results. We included 731,548 grants (US$271,495,839,744) from 3,971 ZIP codes. The funding amounts in millions of U.S. dollars for the funding quartiles were fourth – 0.25, third – 1.1, second – 3.8, first – 43.5. Using ordinal regression, we found an association between increasing unemployment rate (OR = 1.03 [1.02, 1.05]), increasing high school graduation rate (OR = 3.6 [1.6, 8.4]), decreasing proportion of White people (OR = 0.4 [0.3, 0.5]), increasing proportion of Black people (OR = 1.3 [0.9, 1.8]), and increasing proportion of Hispanic/Latine people (OR = 2.5 [1.7, 3.5]) and higher grant funding quartiles. We found no association between household income and grant funding quartile. Conclusion. We found ZIP code demographics to be inadequate for evaluating NIH funding disparities, and the association between institution ZIP code demographics and investigator demographics is unclear. To evaluate and improve grant funding disparities, better grant recipient data accessibility and transparency are needed.
  Citation: Health Promotion Practice
  PubDate: 2024-05-11T12:11:58Z
  DOI: 10.1177/15248399241246550
Implementing a Safe Sleep Shelter and Baby Bundle Kit Distribution Program
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  Authors: Trina C. Salm Ward, Terri J. Miller
  Abstract: Health Promotion Practice, Ahead of Print.
  The Georgia Department of Public Health developed the Safe Sleep Shelter Program to expand Georgia Safe to Sleep campaign efforts. The program focused on engaging with housing support agencies, homeless shelters, and domestic violence shelters. The program offered a menu of resources that agencies could choose from, including portable cribs for agency use and distribution to families, safe sleep education for staff, assistance with creating/updating agency safe sleep policies, and Baby Bundle Safe Sleep kits with education and resources for families. The program showed promising results: 44 agencies across the state applied, serving an estimated 20,950 individuals annually. Agencies expressed strong interest in expanding safe sleep education and resources for the families they served. Most agencies reported that the program filled gaps in services, including having enough cribs to meet demand and limited safe sleep education and resources. Agencies reported that parents appreciated the cribs and Baby Bundle Safe Sleep kits as most did not have money to purchase an infant sleep surface. Agencies reported that the resources provided new information to infant parents, facilitated discussion, and reinforced safe sleep messaging. Evaluation challenges included difficulties collecting distribution data and a low response rate for parent surveys. Implications are discussed for others interested in implementing such a program, including to develop processes for communicating updated recommendations, leverage existing relationships to engage additional agencies, evaluate efforts to refine program components, and consider strategies to increase parent survey response rates.
  Citation: Health Promotion Practice
  PubDate: 2024-05-08T05:23:33Z
  DOI: 10.1177/15248399241252801
Creativity in Health Communication to Promote Blood Lead Testing in
Children
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  Authors: Brad Love, Calandra Lindstadt, Joshua N. Cone, Christian H. Bazan, Kathrynn Pounders, Anjum Khurshid
  Abstract: Health Promotion Practice, Ahead of Print.
  Low rates of blood lead level screening among young children persist as a public health issue in the United States, including in Texas where levels remain below the national average. This article describes a multiyear, multipartner initiative aimed at increasing screening rates through a creative, community-informed social media campaign. Interviews with parents, providers, and state health department staff revealed a common perception that lead poisoning was a relic of the past. Using these insights, the team developed humorous social media messaging comparing extinct animals to lead poisoning to capture attention and change attitudes about lead’s current relevance. The “#GetLeadCheckedTexas” campaign ran on state health department channels during National Lead Poisoning Prevention Week in October 2020. Colorful graphics depicted extinct creatures like dinosaurs along with their babies, playing on childhood enthusiasm for such animals while evoking protective feelings in parents. Messaging highlighted lead’s dangers for young children and encouraged viewers to discuss testing with providers. Website analytics showed the campaign drove substantial increases in page views for lead screening resources, particularly among providers. While originally designed with a parent audience in mind, the campaign seemed to resonate more with providers, likely due to timing during an awareness week and use of official health department channels. The initiative demonstrates the value of creative communications approaches employed in traditional advertising to raise awareness and promote public health priorities. Audience research, thoughtful use of humor, and designing human-focused messaging helped cut through information clutter and drive engagement with an important childhood health issue.
  Citation: Health Promotion Practice
  PubDate: 2024-05-07T12:34:35Z
  DOI: 10.1177/15248399241249950
Lift Yourself Up: The Short-Term Associations Between Strength Training
and Mood States and the Longer Term Development of Physical Capital and
“Grit” Among People Recovering From Substance Use Disorders
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  Authors: Christopher Fitzgerald, Calum Webb, Christopher McNally
  Abstract: Health Promotion Practice, Ahead of Print.
  Mind Body Connect is a charity that delivers community-based physical exercise (PE) classes to people in recovery from substance use disorders. This study aimed to identify the contribution that strength training played in the development of positive short- and long-term psychological attributes for people recovering from substance use disorders by assessing (a) the short-term associations between participation in group exercise classes (N = 43, t = 2,940) and (b) the prospective long-term association between strength development and individuals’ self-assessed level of “grit” among participants for whom strength training became a habitual activity (N = 13, median 8 weeks supported training). Participants completed demographic, Profile of Mood States—Adapted Short Form, and Short Grit Scale questionnaires before and after each strength training session over a period of 45 noncompulsory training sessions between February 2020 and March 2021. Weekly training logs recording the weight lifted were normalized into a measure of physical capital development. Short-term associations were tested using multilevel regression models predicting change in mean Grit score with interactions for gender; long-term associations were assessed through the use of latent growth models. We found that training sessions were associated with weak to moderate reductions ([math] = −0.112 to −0.533) in many negative mood states but elevated fatigue ([math] = 1.071, [math] = 0.397). Latent growth in recorded strength was strongly associated with latent growth in self-assessed grit ([math] = 0.674). The findings suggest that PE classes and supported long-term strength training may assist with the development of recovery capital.
  Citation: Health Promotion Practice
  PubDate: 2024-04-30T09:50:55Z
  DOI: 10.1177/15248399241245051
Esengo ya Bosembo (“Joy of Equity”): Development of an Advocacy Video
to Reduce Stigma and to Promote Sexual and Reproductive Health and Rights
of Women Sex Professionals in Pointe-Noire, Congo Republic
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  Authors: Sarah Van Borek, Carmen H. Logie, Bibiche Mbende, Laure Stella Ghoma Linguissi, Frannie MacKenzie, Anaïs Ouedraogo, Anoushka Lad, Anicet Boumba, Lesley Gittings, Hugues Loemba
  Abstract: Health Promotion Practice, Ahead of Print.
  Sex workers experience elevated risks of sexual and gender-based violence (SGBV) from intimate partners, clients, and community members that harms health and human rights. While SGBV contributes to poorer sexual and reproductive health (SRH) outcomes among sex workers, including elevated human immunodeficiency virus (HIV) vulnerabilities, stigma targeting sex workers reduces SRH service access and uptake. The Congo Republic is an exemplar context to address stigma toward sex workers. Sex workers’ HIV prevalence (8.1%) in Congo Republic is double the national prevalence, yet research indicates that nearly one-fifth (17.2%) of sex workers in Congo Republic avoid health care because of stigma and discrimination. This Resources, Frameworks, & Perspectives article describes the process of developing Esengo ya Bosembo (“Joy of Equity”), a culturally tailored advocacy video that aims to reduce health care and community stigma toward women sex professionals (e.g., sex workers) in Pointe-Noire, Congo Republic. This knowledge translation product stems from a participatory mapping intervention with sex professionals in Pointe-Noire that revealed the need for sensitization tools and activities to reduce sex work stigma among health care providers and community members. The video incorporates three overarching key messages: (1) sex professionals are human beings with equal rights to dignity, protection, and health services; (2) elevated risks of SGBV and stigma targeting sex workers reduce SRH service access and uptake; and (3) participatory mapping is a potential way to empower sex professionals to share their experiences and recommendations for change. This article details how health promotion practitioners and sex professionals may use the video to advocate for change.
  Citation: Health Promotion Practice
  PubDate: 2024-04-25T10:34:50Z
  DOI: 10.1177/15248399241245053
Moving Beyond Single Racial Identification: Considering Multiracial and
Multiethnic Identification in Public Health
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  Authors: Tessa R. Pulido
  Abstract: Health Promotion Practice, Ahead of Print.
  As multiracial and multiethnic youth populations are anticipated to be 11.3% of the U.S. population by 2060, it is essential that public health research and practice find ways to effectively capture and reach these diverse groups. Single racial identification has been a norm in public health practice; however, this method has limitations for capturing the health of multiracial and multiethnic individuals. Drawing on personal experience of the author and multidisciplinary scholarship, this research commentary examines the limitations of single race identification and how this influences the processes of racialization. The author provides important implications for public health research by suggesting more complex and effective ways to capture personal racial identification and racial perceptions and addresses how to reach multiracial and multiethnic groups through public health interventions where individuals might identify with multiple cultural identities.
  Citation: Health Promotion Practice
  PubDate: 2024-04-25T06:03:41Z
  DOI: 10.1177/15248399241248409
Cost and Activity Analysis of Patient Navigation for Persons With HIV:
Comparing Health Department and Health Clinic Delivered Interventions
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  Authors: Joseph S. Lightner, Erik Moore, Travis Barnhart, Serena Rajabiun
  Abstract: Health Promotion Practice, Ahead of Print.
  BackgroundHousing and employment are key factors in the health and well-being of people with HIV (PWH). Patient navigation programs to improve housing and employment show success in achieving viral suppression. Replicating patient navigation interventions to improve population health is needed. Understanding costs associated with patient navigation is a key next step. Therefore, the purpose of this study is to describe the costs associated with delivering patient navigator interventions in two different organizations to improve housing and employment for PWH.MethodsWe conducted a cost analysis of two models of patient navigation. Costs were collected from two sites’ payroll, invoices, contracts, and receipts. Pre-implementation and implementation costs and utilization of service costs are presented. Potential reimbursement costs were calculated based on salaries from the Department of Labor.ResultsThe health clinic’s pre-implementation costs were higher ($169,133) than the health department’s ($22,018). However, costs of patient navigation during the 2-year intervention were similar between health clinic and health department ($264,985 and $232,923, respectively). The health clinic reported more total time spent with clients (16,013.7 hours) than the health department (1,883.8 hours). The costs per additional person suppressed were $20,632 versus $37,810 for the health department and health clinic, respectively, which are lower than the average lifetime cost of HIV treatment.DiscussionReplicability and scalability of a patient navigation intervention are possible in both health clinic and health department settings. Each site had specific costs, client needs, and other factors that required adaptations to successfully implement the intervention. Future programs should consider tailoring costs to site-specific factors to improve outcomes. Policymakers and public health officials should consider using these results to improve planning and investment in HIV treatment and prevention interventions.
  Citation: Health Promotion Practice
  PubDate: 2024-04-12T05:55:31Z
  DOI: 10.1177/15248399241245059
Move and Thrive: Development of an Adolescent Friendly and Inclusive
Online Fitness Resource
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  Authors: Kathleen K. Miller, Laura Hooper, Sarah M. Kaja
  Abstract: Health Promotion Practice, Ahead of Print.
  While physical activity (PA) is a strong protective factor for adolescents, many youth experience discrimination and intimidation in traditional fitness spaces. This is especially true for youth of color, youth in larger bodies, and transgender youth. This manuscript describes the development of Move and Thrive, an online resource for PA promotion designed specifically for adolescents prioritizing inclusivity and diversity. Working with Community and Youth Advisory Boards, we developed guiding principles of Move and Thrive: to create resources that are 1) youth and community driven; 2) inclusive of diverse representation; 3) body and weight neutral; 4) trauma informed; and 5) accessible. We developed a guide for PA instructors to use trauma informed approaches; avoid mention of weight talk or physical appearance; use gender inclusive language; and offer multiple options to improve accessibility. Specific care was taken to hire instructors diverse in body size, race, ethnicity, and gender identity. The first iteration of Move and Thrive was launched in March 2021, and the current resource contains 72 PA videos. Over the course of 12 months, the site had more than the site had over 9,000 views in over 40 countries, including six continents. Users have reported high levels of satisfaction with Move and Thrive, and physicians have responded enthusiastically to sharing Move and Thrive as a free resource for adolescents. University of Minnesota Move and Thrive Project is currently available on an ad-free YouTube Channel. We believe that Move and Thrive has the potential to reach populations historically excluded from PA resources.
  Citation: Health Promotion Practice
  PubDate: 2024-04-09T06:48:28Z
  DOI: 10.1177/15248399241245055
Community Health Builders Program: A Collaborative Model Connecting
National Health Thought Leaders With Community-Level Champions
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  Authors: Linda A. Animashaun, Judith R. Greener, Jessica Seyfried, Evelyn Botwe
  Abstract: Health Promotion Practice, Ahead of Print.
  Make Well Known Foundation (MWKF), a nonprofit organization focused on supporting the health of minoritized and underserved populations, piloted the Community Health Builders (CHB) program. This connected MKWF Steering Committee members—national thought leaders in health—with leaders of underserved populations in Greensboro, NC, with the goal of translating research into practice. Steering Committee members provided education, instruction, and resources to community leaders that could then be transferred to area residents to cultivate better health. A roundtable meeting was first organized to allow community leaders to share insights into the highest priority needs of Greensboro’s Black residents. Four topics resulted that became the focus of the training modules (called “accelerator forums”) that formed the core of the CHB program. Each accelerator forum was led by Steering Committee members and local-level topic experts to educate and share resources with community leaders. The program concluded with a local health and resource fair, which exposed Greensboro residents to the resources shared during CHB program trainings. Overall, the CHB program pilot demonstrated success in the collaborative engagement between national- and community-level leaders based on measures of increased knowledge and self-efficacy in supporting Greensboro residents in the four accelerator forum topics. In a final debrief session, CHB participants shared their perspective that the progress achieved in the community needed to be sustained through continued national- and community-level collaboration and ongoing community training. This key insight and the need for sustained engagement will be incorporated into all future programs.
  Citation: Health Promotion Practice
  PubDate: 2024-04-09T06:45:17Z
  DOI: 10.1177/15248399241245052
Examining the Perceptions of mHealth on Racial and Ethnic Disparities in
Postpartum Health for Black Women: A Scoping Review
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  Authors: Natalie Hernandez-Green, Morgan V. Davis, Merna S. Beshara, Kaitlyn Hernandez-Spalding, Sherilyn Francis, Andrea Parker, Oluyemi Farinu, Rasheeta Chandler
  Abstract: Health Promotion Practice, Ahead of Print.
  Background. Several disparities exist for Black mothers during the postpartum period, including but not limited to increased maternal mortality and morbidity rates, decreased access to care, and limited access to resources. Given the racial discrepancies in attention to postpartum care, coupled with the critical importance of the postpartum period for preventing adverse maternal health outcomes, research is warranted to explore how mobile health (mHealth) applications may help to alleviate maternal health disparities by optimizing postpartum care and addressing barriers to care for postpartum Black women. Thus, this review examines the perceptions of mHealth applications and their utility in health outcomes among postpartum Black women. Methods. We undertook a comprehensive literature search using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. We included peer-reviewed articles published between 2010 and 2022 that were written in English, utilized mHealth as a primary intervention, and focused on postpartum health and access to resources, primarily among Black women in the United States. Results. A total of eight articles were included in our synthesis, encompassing mobile phone-based interventions for Black women. Cultural tailoring was included in five studies. Interventions that incorporated tailored content and fostered interactions reported high rates of follow-up. Conclusions. Tailored mHealth interventions can effectively promote behavior change and improve health care outcomes for Black women. However, there is a critical need for more research to assess user engagement and retention and whether these improvements indicate long-term sustainability.
  Citation: Health Promotion Practice
  PubDate: 2024-04-01T04:25:51Z
  DOI: 10.1177/15248399241234636
Expanding the Public Health Pipeline Through the Public Health Influencers
Summer Institute
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  Authors: Matthew Fifolt, Jessica Chambliss, Meena Nabavi, Paulisha Holt, Lisa C. McCormick
  Abstract: Health Promotion Practice, Ahead of Print.
  The need for a robust public health system in the United States is critical for safeguarding population health. However, current data suggest an insufficient number of individuals entering or staying in the governmental public health workforce. Expanding the public health pipeline requires creative thinking about recruitment and training activities. To attract students to public health and other health-related fields, including medicine, one institution in the Southeast recently initiated the Public Health Influencers Summer Institute (PHISI), a program that addresses the beginning of the career development continuum: recruitment of high school students. For this investigation, we reviewed evaluation data of the PHISI and provided descriptive analyses and selected quotes to reflect student learning. Participants reported increased familiarity with all public health topics after participating in the program, with the greatest increases in public health policy and social determinants of health. In addition, all participants reported increased or significantly increased understanding of public health after participating in the program. While interest in the field of public health increased due to the COVID-19 pandemic, there are not enough individuals entering or staying in the public health workforce, leaving a critical shortfall. Introducing high school students to the field of public health may increase their interest in entering the public health workforce in the future, thereby strengthening the overall public health infrastructure. We propose that the PHISI may be an innovative strategy for increasing both the number and diversity of students interested in pursuing a career in public health.
  Citation: Health Promotion Practice
  PubDate: 2024-03-30T10:21:12Z
  DOI: 10.1177/15248399241240402
“The Design and Acceptability of a Hip Hop Themed Integrated Nutrition
Math Curriculum for Minoritized 5th Grade Students Using the Multisensory
Multilevel Health Education Model”
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  Authors: Ewelina M. Swierad, John C. Rausch, Vanessa Sawyer, Gabriela Drucker, Olajide Williams
  Abstract: Health Promotion Practice, Ahead of Print.
  Digital technology creates new opportunities to design multisensory learning experiences. Evidence suggests that digital innovation can greatly benefit health education, including nutrition programs. The COVID-19 pandemic disrupted the education sector, forcing schools to modify standard practices from exclusively in-person delivery to online or blended learning. Digitalized curriculums became particularly useful as an Emergency Remote Teaching tool. This article focuses on developing and implementing a multimedia, multisensory, and scalable Hip-Hop Healthy Eating and Living in Schools (H.E.A.L.S.) Nutrition–Math Curriculum (NMC). NMC comprises 20 lessons—music-based multimedia resources used in the classroom or at home. Fourteen lessons represent self-directed online modules (asynchronous learning) hosted on a Learning Management System (LMS) called “Gooru.” The remaining six lessons are teacher-facilitated (in person or using Zoom) review sessions (synchronous learning). The article discusses (1) the development of NMC through the lens of the Multisensory Multilevel Health Education Model (MMHEM), (2) the high acceptability of NMC evaluated using a mixed-methods design among minoritized fifth-grade students attending an after-school program, and (3) the students’ completion and mastery rates of the NMC modules based on LMS data. Multimedia nutrition education programs integrated with common core curriculum content, such as NMC, may be a promising avenue for disseminating health education to minoritized children living in New York City and similar high fast-food density cities.
  Citation: Health Promotion Practice
  PubDate: 2024-03-27T10:00:30Z
  DOI: 10.1177/15248399241240431
A Scoping Review of Breastfeeding Interventions and Programs Conducted
Across Spanish-Speaking Countries
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  Authors: Silvana Blanco, Basil H. Aboul-Enein, Nada Benajiba, Elizabeth Dodge
  Abstract: Health Promotion Practice, Ahead of Print.
  Breastfeeding is vital to a child’s lifelong health and has significant positive benefits to mother’s health. World Health Organization recommends beginning exclusively breastfeeding within the first hour after birth and continuing during the first 6 months of infant’s life. The purpose of this review is to identify and examine breastfeeding interventions conducted across the Spanish-speaking countries. A scoping review of the literature was conducted across 14 databases for relevant publications published through April 2023 to find studies in Spanish-speaking countries that involved breastfeeding as an intervention component. A total of 46 peer-reviewed articles were included in this review, across 12 Spanish-speaking countries. Participants ranged from pregnant women, mothers, mother-infant pair, and health care professionals. Intervention at the individual level in combination with support from trained health care professionals or peer counselors seemed to have higher improvements in breastfeeding rates. The greatest improvement in exclusively breastfeeding for 6 months was seen in interventions that included prenatal and postnatal intensive lactation education, for a period of 12 months. The most effective interventions that improved rates of any breastfeeding included promotional activities, educations workshop, and training of health care staff along with changes in hospital care. Breastfeeding promotion is an economical and effective intervention to increase breastfeeding behavior and thereby improving breastfeeding adherence across Spanish-speaking countries.
  Citation: Health Promotion Practice
  PubDate: 2024-03-26T05:06:51Z
  DOI: 10.1177/15248399241237950
Developing Community-Level Implementation Networks to Connect Older Adults
to Evidence-Based Falls Prevention Programs
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  Authors: Sato Ashida, Abby Hellem, Rebecca Bucklin, McKyla Carson, Carri Casteel
  Abstract: Health Promotion Practice, Ahead of Print.
  Background: Evidence-based falls prevention programs are available in many communities, but participation in such programs remains low. This study aimed to develop community-based referral networks of organizations to facilitate the uptake of evidence-based falls prevention programs through engaging older adults at risk for falls with the RememberingWhen™ program and connecting them to evidence-based programs in Midwestern communities. Methods: Guided by the Practical, Robust Implementation and Sustainability Model (PRISM), referral networks were developed in two Midwestern communities (urban and micropolitan) through a seven-step community engagement plan: establishing and operationalizing the State-level Advisory Board (SAB), identifying falls prevention resources, conducting community assessments, developing Local Advisory Groups (LAG), operationalizing the LAG, developing referral network and protocols, and implementing the network. Semistructured interviews guided by the RE-AIM framework were conducted with members of the SAB, LAG, administrators and staff from organizations that participated in networks, and older adult participants. Results: After participating in the development of referral networks, participants felt they learned important skills that they can use to develop additional collaborations and networks in the future, emphasized the benefits of building community capacity among organizations with common missions. Interview data yielded strategies on enhancing the referral network’s reach, impact, adoption, implementation efficiency, and maintenance. Conclusion: Future sustainability studies of such networks should explore identified challenges and strategies to sustain efforts. Results highlight the importance of ongoing funds to support the efforts of organizational networks in communities.
  Citation: Health Promotion Practice
  PubDate: 2024-03-21T06:53:56Z
  DOI: 10.1177/15248399241237953
Enhancing Behavioral Health Implementation in a Care Coordination Program
at a Federally Qualified Health Center: A Case Study Applying
Implementation Frameworks
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  Authors: Kelsey S. Dickson, Tana Holt, Elva M. Arredondo
  Abstract: Health Promotion Practice, Ahead of Print.
  Federally Qualified Health Centers are charged with providing comprehensive health care in traditionally underserved areas, underscoring their importance in caring for and promoting health equity for the large portion of historically marginalized communities in this setting. There is a significant need to ensure Federally Qualified Health Centers are equipped to appropriately address the immense behavioral health needs common among patients served. Care coordination is an evidence-based model that is increasingly utilized in Federally Qualified Health Centers to improve care equity and outcomes. Addressing and supporting behavioral health needs is a key aspect of such care coordination models. Context-specific considerations and programmatic supports, particularly those that address the needs of care coordinators and the complex patients they serve, are needed to ensure such models can appropriately meet and address the behavioral health concerns of the diverse populations served. The goal of this study was to present a mixed-methods case study that systematically applies implementation frameworks to conduct a needs and context assessment to inform the development and testing of evidence-based practice strategies and implementation support as part of a care coordination program within a partnered Federally Qualified Health Center.
  Citation: Health Promotion Practice
  PubDate: 2024-03-20T05:10:48Z
  DOI: 10.1177/15248399241237958
Corrigendum to “Navajo Nation Stores Show Resilience During COVID-19
Pandemic”
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  Abstract: Health Promotion Practice, Ahead of Print.
  
  Citation: Health Promotion Practice
  PubDate: 2024-03-19T09:43:30Z
  DOI: 10.1177/15248399241241064
Corrigendum to “Implementation of Indigenous Food Tax Policies in Stores
on Navajo Nation”
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  Abstract: Health Promotion Practice, Ahead of Print.
  
  Citation: Health Promotion Practice
  PubDate: 2024-03-19T09:43:11Z
  DOI: 10.1177/15248399241241057
Identifying Social Network Characteristics Associated With Youth Physical
Activity Skill Competency at a Summer Care Program
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  Authors: Deja Jackson, Jeong-Hui Park, Megan S. Patterson, M. Renée Umstattd Meyer, Tyler Prochnow
  Abstract: Health Promotion Practice, Ahead of Print.
  While literature suggests that youth physical activity (PA) behaviors are affected by network influences, less is known about network influences on perceived skill competency, a component of physical literacy and self-efficacy. This study aims to provide an understanding of potential network characteristics which are associated with youth PA skill competency. Youth (n = 158) between the ages of 8 and 12 years recruited from two summer care programs (i.e., Boys & Girls Clubs) participated in researcher-administered surveys. Youth self-reported their age, sex, involvement in team sports, weekly PA, and skill competency assessed using a version of the PLAYself measure. Youth were also asked to report up to five people in the summer program and five out of the program with whom they interacted the most. Linear regression was used to evaluate associations between skill competency and demographics, PA, and social network characteristics. Skill competency was significantly associated (R2 = .17) with age (β = −.06, p = .01), sex (β = −.06, p = .01), sports team involvement (β = .16, p < .001), and weekly PA (β = −.20, p < .001). Skill competency was also significantly associated with the number of connections with whom the youth played frequently (β = .09, p < .001), the number of connections that helped the youth to be active (β = .18, p < .001), and the heterogeneity of the type of relationships within the youth’s network (β = .11, p < .001). Skill competency scores were significantly associated with both individual variables and social network composition. In addition, youth with networks comprising several types of relationships (heterogeneity) reported a significantly high skill competency. PA interventions can be most effective when considering the reinforcing aspects of networks and skill competency.
  Citation: Health Promotion Practice
  PubDate: 2024-03-19T04:42:27Z
  DOI: 10.1177/15248399241237961
100 Years of the American Public Health Association’s Public Health
Education and Health Promotion Section: Celebrating the Past, Forging the
Future
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  Authors: M. Elaine Auld, Regina A. Galer-Unti, Melissa Alperin, Angela Mickalide
  Abstract: Health Promotion Practice, Ahead of Print.
  The American Public Health Association’s Public Health Education and Health Promotion (APHA PHEHP) Section celebrates its 100th anniversary by reflecting on its humble beginnings and early contributions to the field of health education. This article highlights the often-unsung history of our field and its fledgling beginnings, which is important to scholars and students alike. First codified as the Health Education and Publicity Section in the early 1920s, we trace the history and challenges of using new modes of publicity such as motion pictures and innovative exhibits to help curb the spread of infectious diseases (e.g., tuberculosis, venereal disease). Evart G. Routzahn, credited as the Section’s father, worked tirelessly to increase the Section’s visibility (renamed the Health Education Section in 1927 and the Public Health Education and Health Promotion Section in 1990) and in advancing the professionalization of health education during a time when there were no formal professional preparation programs in health education. Over the years, the Section has played significant roles in strengthening the practice of health education and communication; advancing APHA’s overall leadership, infrastructure, and governance; and contributing to the unified voice and advocacy for the health education profession and health equity. We conclude by describing contemporary initiatives that reflect the continued spirit and vibrancy of the Section in setting the stage for the next 100 years.
  Citation: Health Promotion Practice
  PubDate: 2024-03-19T04:38:29Z
  DOI: 10.1177/15248399241235925
Increasing Employee Physical Activity Using Goal Setting and a Smartphone
App
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  Authors: Debra L. Fetherman, Joan Cebrick-Grossman
  Abstract: Health Promotion Practice, Ahead of Print.
  Physical inactivity is a high-priority public health issue in U.S. worksites. There is evidence that physical activity (PA) goal-setting interventions can be effective. Smartphone apps have also been used to deliver accessible and appealing PA interventions. This article describes the use of goal setting and a no-cost PA smartphone app to pilot an 8-week PA intervention, Project Move 2.0, to increase PA among a nonprofit health and social assistance workforce. The community-based partnership identified intervention strategies that addressed moderators for setting PA goals: feedback, goal commitment, situational factors, and ability. The intervention included the use of a no-cost smartphone app for tracking steps/goal setting, an orientation/health education session, weekly text messages, as well as pre- and post-measures for goal setting for PA behaviors and an intervention evaluation questionnaire. There is limited knowledge on the practical aspects of applying goal setting and the use of a no-cost smartphone app to increase employee PA through a workplace PA intervention. Applying goal setting and the use of a no-cost smartphone app shows promise for workplace health promoters to successfully address employee PA.
  Citation: Health Promotion Practice
  PubDate: 2024-03-14T06:49:16Z
  DOI: 10.1177/15248399241234067
A Systematic Review of the Impacts of Media Mental Health Awareness
Campaigns on Young People
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  Authors: Mallorie T. Tam, Julia M. Wu, Cindy C. Zhang, Colleen Pawliuk, Julie M. Robillard
  Abstract: Health Promotion Practice, Ahead of Print.
  Mental health issues are prevalent among young people. An estimated 10% of children and adolescents worldwide experience a mental disorder, yet most do not seek or receive care. Media mental health awareness campaigns, defined as marketing efforts to raise awareness of mental health issues through mass media, are an effort to address this concern. While previous research has evaluated the outcomes of specific media mental health awareness campaigns, there is limited data synthesizing their overall effects. This study addresses the knowledge gap by reviewing the existing literature on the impact of media mental health awareness campaigns on young people. A search was conducted on MEDLINE, EMBASE, PsychINFO, Web of Science, and Google Scholar for studies published between 2004 and 2022 with results specific to people aged 10 to 24. Out of 20,902 total studies identified and screened, 18 studies were included in the review. The following data were extracted from each study: characteristics and descriptions of the campaign, evaluation design and sampling, and summary of impact. The review identified evaluations of 15 campaigns from eight different countries. Outcome evaluation methods commonly comprised of surveys and quantitative data. The campaigns were generally associated with positive changes in the attitudes, beliefs, and intentions of young people (e.g., reduced stigma) and positive changes in behaviors (e.g., increased help-seeking behaviors). The inclusion of few studies in the review indicates a need for ongoing evaluations of media mental health awareness campaigns for young people to inform good practices in their development and distribution.
  Citation: Health Promotion Practice
  PubDate: 2024-03-12T07:31:03Z
  DOI: 10.1177/15248399241232646
Applying a Language Justice Framework in Research: A Step Toward Achieving
Health Equity
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  Authors: Tran Doan, Gabriela López-Zerón, Guillermo Prado, Maya I. Ragavan
  Abstract: Health Promotion Practice, Ahead of Print.
  People who use languages other than English (LOE) are rarely included in research in the United States. LOE communities face numerous health disparities that are rooted in language injustice and other intersecting oppressions including racism and xenophobia. Equitable inclusion of LOE communities in research is an important step to disrupt health disparities. We propose a new conceptual framework on language justice in research to support researchers in conducting equitable multilingual research. This language justice in research framework comprises six core pillars of best practices required for achieving language justice during all the stages of the research process including conceptualization, budgeting, data collection and analysis, and dissemination. We also present key definitions, examples of how core pillars can be applied, and structural solutions to achieving language justice. The application of the language justice in research framework is designed: (a) to achieve health equity, data equity, and antiracism across the research continuum and (b) to disrupt health disparities in systems and institutions that are disproportionately impacting LOE communities.
  Citation: Health Promotion Practice
  PubDate: 2024-03-11T07:26:18Z
  DOI: 10.1177/15248399241236182
The Culturally Infused Curricular Framework (CICF) for Suicide Prevention
Trainings
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  Authors: Lorna Chiu, Gabriel H. Corpus, Mego Lien, Joyce P. Chu
  Abstract: Health Promotion Practice, Ahead of Print.
  Although suicide prevention trainings (SPT) have been a standard approach for suicide prevention for years, researchers have noted a need for more clarity in the definition of core competencies for SPTs, particularly in the areas of diversity and culture. Recent research has identified key theoretically- and empirically-based cultural considerations for suicide prevention, but translation is needed to infuse these standards for culture-related competencies into SPTs. This study performed a systematic literature review with a thematic synthesis analytic approach to establish a set of curricular guidelines for infusion of cultural considerations into SPTs. The study also examined the extent to which existing community trainings already incorporate cultural components. Based on the thematic synthesis of 39 SPT studies from 2010 to 2020 and seminal reviews of the cultural and suicide literature, results identified three overarching categories of cultural curricular competencies (suicide knowledge and awareness, suicide intervention skills, and curriculum delivery) and 14 core cultural curricular subthemes for community trainings (e.g., culturally informed risk factors and warning signs, systemic inequities, etc.). These three categories with 14 core cultural curricular competencies comprise the Culturally Infused Curricular Framework (CICF) for Suicide Prevention Trainings. The majority of trainings (62%) included five or less out of 14 total possible core cultural competencies in their training curricula, pointing to insufficient integration of cultural components in existing community trainings. This study’s research-based guideline establishes a culture-inclusive framework to strengthen content and approach of community trainings and suicide prevention across cultural groups.
  Citation: Health Promotion Practice
  PubDate: 2024-03-05T08:12:33Z
  DOI: 10.1177/15248399241234064
A Culturally Specific Community Supported Agriculture (CSA) Program to
Improve Diet in Immigrant Communities in Brooklyn, New York
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  Authors: Sze Wan (Celine) Chan, Matthew Chin, Rachel Suss, Kiran Kui, Stanley Z. Lam, Elizabeth Dowd, Calliope Bosen, Steve Mei, Kathleen Barth, Michelle Hughes, Stella S. Yi
  Abstract: Health Promotion Practice, Ahead of Print.
  Anti-Asian and anti-immigrant sentiment has surged in the country in the last 3 years. Food insecurity is also on the rise; in our local needs assessment of n = 1,270 Asian American adults in New York City, accessing food was cited as the number 1 priority among those who needed help. Finally, racial discrimination and food access are related to fear of being attacked—driving feelings of safety and therefore willingness to travel for food. To combat these narratives and leveraging pivots by our community partners, we implemented a community-supported agriculture pilot program (n = 38) to assess whether culturally appropriate food access can improve diet and foster cross-cultural learning among immigrant families in Brooklyn, NY. Over a 20-week period from June to October 2022, participants received Chinese-specific produce and nutrition education. Participants reported eating more and a greater variety of vegetables and had higher vegetable intake measured via skin carotenoid scores. This pilot may inform the adaptation of nutrition interventions to reduce inequities in chronic diseases in immigrant communities.
  Citation: Health Promotion Practice
  PubDate: 2024-02-28T11:26:48Z
  DOI: 10.1177/15248399241234058
Stacked Up Against Us: Using Photovoice and Participatory Methods to
Explore Structural Racism’s Impact on Adolescent Sexual and Reproductive
Health Inequities
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  Authors: Saharra L. Dixon, Elizabeth Salerno Valdez, Jazmine Chan, Mira Weil, Tiarra Fisher, Alya Simoun, Justine Egan, Elizabeth Beatriz, Aline Gubrium
  Abstract: Health Promotion Practice, Ahead of Print.
  While structural racism has profound impacts on adolescent health, little is known about how youth synthesize racialized experiences and work to dismantle systems of oppression. This article provides an overview of a Youth Participatory Action Research study that used Photovoice and community mapping to explore how structural violence, like racism, impacts the sexual and reproductive health of historically excluded youth as they navigate unjust socio-political landscapes. Youth participants used photography and community maps to identify how the experience of bias, profiling, and tokenism impacted their ability to navigate complex social systems. With youth voices prioritized, participants explored ways to address structural racism in their lives. The importance of co-creating opportunities with and for youth in critical reflection of their lived experience is emphasized. Through an Arts and Cultural in Public Health framework, we provide an analysis of the ways structural racism functions as a gendered racial project and fundamental cause of adolescent sexual and reproductive health inequities, while identifying pathways toward liberation in pursuit of health and well-being.
  Citation: Health Promotion Practice
  PubDate: 2024-02-20T07:44:11Z
  DOI: 10.1177/15248399241229641
An Evidence-Based Framework for the Use of Arts and Culture in Public
Health
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  Authors: Tasha L. Golden, Jill Sonke, Alexandra K. Rodriguez
  Abstract: Health Promotion Practice, Ahead of Print.
  ObjectivesIn recent years, increasing efforts have been made to apply arts- and culture-based strategies to public health concerns. Accumulating studies point to the value of these strategies for addressing social determinants of health in ways that center communities, cultures, and lived experiences. However, this work has lacked a common framework to support application and advancement. The objectives of this study were to examine knowledge, experience, and evidence related to the uses of arts and culture in public health in the United States and to develop a pilot version of an evidence-based framework to guide cross-sector development and research.MethodsUsing a convergent mixed-methods design with sequential elements, this study drew upon findings from a national field survey, seven focus groups, eight structured working-group dialogues, and a five-day structured dialogue and writing process with 12 interdisciplinary thought leaders. Data were integrated to develop a pilot evidence-based framework.ResultsThe study identified six broad ways in which arts and culture can be used in public health and 59 specific outcomes that can be addressed through arts and cultural strategies. The framework identifies evidence supporting the effects of arts and culture on each outcome, along with mechanisms that may mediate or moderate these effects.ConclusionThe pilot framework clearly links arts and culture practices with public health outcomes. In doing so, it provides both a resource for current practice and a model for the continued development of interdisciplinary tools that support health researchers and practitioners in utilizing arts and culture resources to advance community health and health equity.
  Citation: Health Promotion Practice
  PubDate: 2024-02-20T07:34:12Z
  DOI: 10.1177/15248399241228831
Describing the Lived Experience and Resource Needs of Individuals With
Long COVID
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  Authors: David Von Nordheim, Mikayla Johnson, Charlene Caburnay, Sarah Alleman, Matthew Kreuter, Amy McQueen
  Abstract: Health Promotion Practice, Ahead of Print.
  Individuals with long COVID report diverse symptoms lasting weeks or months after initial infection, causing significant psychosocial distress. Navigating health care interactions are often difficult for these individuals due to the diffuse nature of their symptoms, a lack of effective treatment options, and skepticism from some providers. To better understand these challenges, this study sought to further describe the lived experience of individuals with long COVID. A survey was conducted with individuals evaluated for long COVID at a specialty clinic (n = 200), which included questions about prior conditions, symptoms, use of medical and support services, and information and resource needs. Participants reported a mean of 10.75 persistent symptoms, the most common being fatigue and difficulty concentrating, with broad effects on daily functioning. Participants saw a mean of 5.92 providers for treatment of their symptoms, and 88.5% identified health care providers as a trusted source of information. Interest in research findings (60.5%) and opportunities for participation (47.5%) were moderate and varied by COVID vaccination status. Unvaccinated individuals (n = 27) also reported less trust in government sources of information, less college education, lower household income, and greater likelihood of having public insurance. Our findings suggest that individuals with long COVID experience many ongoing and complex symptoms with diverse effects on daily living; that health care providers are an important source for public health messaging about long COVID; and that unvaccinated individuals are likely to have differing needs and receptiveness to information than vaccinated individuals with long COVID.
  Citation: Health Promotion Practice
  PubDate: 2024-02-16T07:38:40Z
  DOI: 10.1177/15248399241228823
Building Local Capacity in a Low-Resource Setting to Increase Access to
Health Care: An Evaluation of Blood Pressure Monitoring Training
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  Authors: Sarah Weir, Cassandra May, Alexa Wills, Erin Van Zanten, Kathryn Nesbit, Alexander Ngalande, Ruth Kanjirawaya
  Abstract: Health Promotion Practice, Ahead of Print.
  Cardiovascular risk factors such as hypertension are common and largely uncontrolled in Malawi. In this low-resource setting, Community Health Workers (CHWs) can increase access to home-based blood pressure (BP) monitoring. The purpose of this study is to evaluate the effectiveness of a CHW training focused on BP monitoring and referral criteria, as well as the accuracy of referral decision-making and documentation. The participants were a purposive sample of all active home-based palliative care CHWs at St. Gabriel’s Hospital (n = 60) located in Namitete, Malawi, serving over 250,000 people within a 50 km radius. This was a retrospective cross-sectional study conducted in December 2020 using both quantitative (descriptive, paired t-test) and qualitative (thematic) analysis. Participants showed significantly greater knowledge on the post-test (M = 8.98, SD = 1.213) compared to the pretest (M = 7.96, SD = 1.231), t (54)-5.0557.475, p < .001. All participants who attended both days of training demonstrated competency on a skills checklist in 100% of the rehabilitation and BP monitoring skills taught. Through document analysis of record books, referral decisions for patients with hypertension were 87.57% accurate and 81.07% of entries (n = 713) were complete. Participants reported the lack of both transportation and equipment as barriers to their work. They reported trainings, supplies, and support from the hospital as facilitators to their work. This study shows that BP can be monitored in remote villages, accurate referrals can be made, and stroke prevention education can be provided. These interventions increase the chances of more equitable care for this vulnerable population in a resource-limited setting.
  Citation: Health Promotion Practice
  PubDate: 2024-02-10T11:37:33Z
  DOI: 10.1177/15248399231225444
Understanding Newcomer Challenges and Opportunities to Accessing Nature
and Greenspace in Riverdale, Hamilton, Ontario: A Neighborhood-Centered
Photovoice Study
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  Authors: Sujane Kandasamy, Matthew Y. Kwan, Parsa K. Memon, Dipika Desai, Russell J. de Souza, Patty Montague, Diana Sherifali, Gita Wahi, Sonia Anand
  Abstract: Health Promotion Practice, Ahead of Print.
  BackgroundAccess to and engagement with greenspace is related to improved health benefits. We sought to collaborate with community members as partners in research and co-creators in knowledge to better understand which components within a newcomer-dense community help or hinder individual and community efforts to access greenspace and nature-based activities.MethodsWe used photovoice methodology to engage with local residents in focus groups, photowalks, and photo-elicitation interviews. Themes were developed using direct content analysis.ResultsA total of 39 participants (ages 11–70 years; median years in Canada of 3.25 years) were engaged in this program of research. From the analysis, we developed four themes: (a) peace and beauty; (b) memories of home; (c) safety and cleanliness; and (d) welcoming strengthened and new opportunities. Participants associated nature with peace, citing it as “under-rated” but “vital” to the neighborhood. Via photographs and stories, participants also shared a multitude of safety concerns that prevent their access to green/outdoor spaces for healthy active living programs or activities (e.g., woodchip-covered playgrounds, ample amounts of garbage littering the park and school grounds, lack of timely ice removal on sidewalks, limited safe biking paths, and unsafe motor vehicle practices at the crosswalks surrounding local parks).ConclusionTo translate the key ideas and themes into an informed discussion with policy and decision-makers, we held an in-person exhibition and guided tour where community members, the lead photovoice researcher, and SCORE! principal investigator shared information about each theme in the form of a pseudo-narrative peppered with prepared discussion questions.
  Citation: Health Promotion Practice
  PubDate: 2024-02-06T07:03:23Z
  DOI: 10.1177/15248399231225927
The Radical Welcome Engagement Restoration Model and Assessment Tool for
Community-Engaged Partnerships
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  Authors: Sirry M. Alang, Abby S. Letcher, Mary Louise Mitsdarffer, Autumn Kieber-Emmons, Jose Rivera, Carol Moeller, Nyann Biery, Hasshan Batts
  Abstract: Health Promotion Practice, Ahead of Print.
  People experiencing addiction, houselessness, or who have a history of incarceration have worse health outcomes compared with the general population. This is due, in part, to practices and policies of historically White institutions that exclude the voices, perspectives, and contributions of communities of color in leadership, socio-economic development, and decision-making that matters for their wellbeing. Community-based participatory research (CBPR) approaches hold promise for addressing health inequities. However, full engagement of people harmed by systemic injustices in CBPR partnerships is challenging due to inequities in power and access to resources. We describe how an Allentown-based CBPR partnership—the Health Equity Activation Research Team of clinicians, researchers, and persons with histories of incarceration, addiction, and houselessness—uses the Radical Welcome Engagement Restoration Model (RWERM) to facilitate full engagement by all partners. Data were collected through participatory ethnography, focus groups, and individual interviews. Analyses were performed using deductive coding in a series of iterative meaning-making processes that involved all partners. Findings highlighted six defining phases of the radical welcome framework: (a) passionate invitation, (b) radical welcome, (c) authentic sense of belonging, (d) co-creation of roles, (e) prioritization of issues, and (f) individual and collective action. A guide to assessing progression across these phases, as well as a 32-item radical welcome instrument to help CBPR partners anticipate and overcome challenges to engagement are introduced and discussed.
  Citation: Health Promotion Practice
  PubDate: 2024-01-31T09:29:52Z
  DOI: 10.1177/15248399231223744
Medication Safety Counseling Practices of Pediatric Primary Care
Clinicians
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  Authors: Leticia Manning Ryan, Barry S. Solomon, Michael J. Miller, Eileen McDonald, Anna DiNucci, Elise Omaki, Wendy Shields, Nancy S. Weinfield
  Abstract: Health Promotion Practice, Ahead of Print.
  Medication exposures and poisonings are a major cause of pediatric morbidity and mortality. Unsafe patient practices are well documented despite the American Academy of Pediatrics recommending that pediatric primary care clinicians discuss medication safety with patients. Current clinician counseling practices for pediatric patients are unknown. Studies of adult patients suggest that physician counseling practices often focus on administration but not storage or disposal. To address this gap, we administered a web-based survey to clinically active pediatric primary care clinicians in two mid-Atlantic health care systems. Survey content focused on characteristics of medication safety counseling practices by age group, including safe medication storage, administration, and disposal. Of 151 clinicians emailed, 40 (26.5%) responded. The majority were physicians (93.5%), female (87.1%), and completed residency/clinical training in pediatrics>15 years ago (58.1%). Most (82.5%) reported having>1 pediatric patient (aged < 19 years) in their practice who experienced an unintentional or intentional medication exposure or poisoning event. Reported practices for medication safety counseling often varied by patient age but safe disposal was rarely addressed for any age group. Respondents generally felt less knowledgeable and less comfortable with providing counseling on safe disposal in comparison to safe storage and safe administration. Nearly all respondents (97%) would like to provide more counseling about medication safety, and the majority (81.3%) wanted additional educational resources. In this survey, we identified several modifiable deficits in pediatric medical counseling practices and a need for additional clinician training and resources, most notably in the content area of safe disposal.
  Citation: Health Promotion Practice
  PubDate: 2024-01-30T12:49:33Z
  DOI: 10.1177/15248399241228242
Food Insecurity and Psychosocial Burden in a National Community-Based
Sample of Households Managing Food Allergy
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  Authors: Samantha Sansweet, Anita Roach, Andrea A. Pappalardo, Jennaveve C. Yost, Justine Asante, Christopher Warren
  Abstract: Health Promotion Practice, Ahead of Print.
  BackgroundExperiencing food allergies and food insecurity has been linked to socioeconomic, physical, and mental health-related challenges, but less is known about the intersection of these experiences. This study aims to better understand the impact of food insecurity on food allergy patients and their caregivers, with the intention of informing ongoing efforts to improve screening for food insecurity and mental health concerns and reducing their burden among households managing food allergy.MethodAs part of a community needs assessment, a cross-sectional survey was administered to a large, national sample (N=5,940) of US households with at least one food-allergic individual, The Hunger Vital Sign was utilized to assess food insecurity, the Patient Health Questionnaire (PHQ-4) and Food Allergy Independent Measure (FAIM) were leveraged to measure psychosocial outcomes.ResultsAmong respondents, 69.9% screened at-risk of food insecurity on the Hunger Vital Sign, while 5.6% reported very low food security. Both adults and children with food allergy (FA) from households at risk for food insecurity were more likely to report FA-related anxiety, anger, loneliness, fear of eating, and bullying victimization than their counterparts from households not at risk of food insecurity (p < .0001 for all). Among these specific experiences, FA-related anxiety was the most common (25.4%/30.1% of children/adults). Perceived risk of food allergy-related fatality was positively associated with food insecurity status.ConclusionIndividuals with food allergies who are concomitantly experiencing food insecurity are at greater risk of a variety of mental health concerns, including those specific to food allergy as well as more general anxiety and depressive symptoms.
  Citation: Health Promotion Practice
  PubDate: 2024-01-30T09:33:54Z
  DOI: 10.1177/15248399231223740
The Coalition of National Health Education Organizations: Recent Advances
to Strengthen the Health Education Profession
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  Authors: Heidi Hancher-Rauch, M. Elaine Auld
  Abstract: Health Promotion Practice, Ahead of Print.
  The Coalition of National Health Education Organizations (CNHEO) has existed since 1972, with a mission of bringing together national and international health education organizations who serve within the United States to seek joint actions in support of the health education profession. Much success and collaboration have occurred over the last 50 years, including developing and implementing the 2018–2025 strategic plan. The nine member organizations of the Coalition paused to review individual and collaborative work in addressing shared goals and objectives around policy and mandates, preparation and professional development, credentialing, identity and value of health education, health education workforce and diversity, and research and practice. Findings of this mid-progress strategic plan review suggest that great value is provided to the profession via the collaborative work of organizations (sharing of advocacy alerts and work, supporting training and certification efforts, etc.), but areas for improvement exist (more joint policy statements, better study and support for the profession, etc.). This article outlines important Coalition history for the profession, describes goal and objective accomplishments related to the CNHEO 2018–2025 strategic plan, and makes suggestions for future improvement designed to affect the health of the public and the health education profession.
  Citation: Health Promotion Practice
  PubDate: 2024-01-24T10:01:32Z
  DOI: 10.1177/15248399231223103
Connecting to Community: Violence Prevention Barriers, Geography, and
Preventionist Perceptions of Community Leadership and Opportunities
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  Authors: Agnes Rieger, Jeanna Campbell, Rachel Garthe
  Abstract: Health Promotion Practice, Ahead of Print.
  Violence is a public health concern, negatively impacting individual and community health and safety. Although violence can be prevented, prevention efforts are complex in part because they require addressing community factors. Despite an increase in funding and support for community violence prevention, relatively little is known about what prevention practice barriers may be related to community factors. This study addressed this gap by surveying a statewide sample of violence preventionists. We explored if coordination and logistical barriers and rural geography are associated with perceptions of two community factors: community opportunities and leadership quality. As part of a statewide assessment of violence and prevention efforts, 130 violence preventionists completed surveys. Results showed that both perceived coordination barriers and rural geography were negatively associated with perceptions of existing community opportunities, representative/influential leadership, and leadership commitment. Perceived logistical barriers were positively associated with perceived leadership commitment. Findings suggest that support reducing community coordination barriers in particular—and to support rural violence prevention work more broadly—is needed.
  Citation: Health Promotion Practice
  PubDate: 2024-01-24T09:56:09Z
  DOI: 10.1177/15248399231222468
Physical Activity Policy, Systems, and Environment Change Through
Extension SNAP-Ed: A Multistate Perspective
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  Authors: Jessica Stroope, M. Renée Umstattd Meyer, Kerry Gabbert, Deborah H. John, Debra Kellstedt, Kathryn M. Orzech, Marilyn E. Wende
  Abstract: Health Promotion Practice, Ahead of Print.
  The Supplemental Nutrition Assistance Program-Education (SNAP-Ed) provides nutrition education and support for healthy living in SNAP-qualifying communities. SNAP-Ed supports policy, systems, and environmental (PSE) efforts to make the healthy choice an easier choice. SNAP-Ed implementers have widely adopted healthy eating PSE supports. However, physical activity (PA) PSE strategies are less common, with limited awareness between states of how other SNAP-Ed implementers approach PA-focused PSE work. Physical Activity Policy, Research, and Evaluation Network (PAPREN) Rural Active Living Workgroup project members sought to explore how Extension-based SNAP-Ed implements PA-focused PSE approaches. A sample of Extension-based SNAP-Ed program (n = 8) leaders were purposefully recruited from eligible universities in six of the seven SNAP-Ed regions. An interview guide to systematically collect information about current Extension SNAP-Ed implementation focused on PA PSE strategies was developed iteratively by the PAPREN Rural Active Living Workgroup Extension PA PSE project team. PA PSE Extension SNAP-Ed implementation efforts occurred at the state, county, and community levels and/or within local organizations. PA PSEs included school PA policy change, shared-use agreements, active transportation promotion, park development, walking challenges, and PA-promoting signage. All interviews highlighted the importance of partnerships at local, county, and state levels for PSE efforts. Extension-based SNAP-Ed shows potential to bring community partners together to plan and implement PA-focused PSE approaches. With a focus on SNAP-eligible people and substantial geographic reach, Extension SNAP-Ed is uniquely situated as a public health partner to broadly implement PA PSE changes.
  Citation: Health Promotion Practice
  PubDate: 2024-01-24T09:52:32Z
  DOI: 10.1177/15248399231221779
My Best Alaskan Life: Addressing Adolescent Mental and Reproductive Health
in Alaska
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  Authors: Lauren Lessard, Cornelia Jessen, Sara L. Buckingham, Riley Russell, S. Abigail Morgan, Jennifer Baker
  Abstract: Health Promotion Practice, Ahead of Print.
  IntroductionSince 2020, a multisector research team has coordinated a youth-driven, community-based participatory research project to adapt a reproductive life plan for application in a statewide initiative called My Best Alaskan Life (MBAL). The RLP is adapted for Alaskan youth and is intended to support teens in decision-making processes reflecting cultural priorities, personal goals, and sexual and reproductive health. Background. With 46% of youth in Alaska reporting not having used a condom during their last sexual intercourse and 15% not having used contraception, unintended pregnancy and transmission of STIs will continue. Furthermore, Alaskan youth also cite high rates of hopelessness and suicidality, and research shows that poor mental health among adolescents is correlated with developing and maintaining high-risk sexual behaviors. An intervention focusing on supporting mental wellness and developing personal goals in the context of sexual health decision-making may encourage adolescents to adopt safer sexual health behaviors.MethodsThe MBAL research team completed a statewide pilot assessing the design and implementation of the tool, gathering feedback from over 700 survey responses (youth, ages 14–20); conducted 10 in-depth interviews (adult partners at community organizations and clinics); and hosted two youth-led design review sessions.FindingsQuestionnaire respondents were overwhelmingly positive about the tool (91% “liked or loved” the tool) and its potential applicability in their community (86% cited “very applicable”). Project next steps include incorporating design recommendations, a statewide randomized control trial and ultimately, open source access for all interested parties.
  Citation: Health Promotion Practice
  PubDate: 2024-01-24T09:46:52Z
  DOI: 10.1177/15248399231221769
The Stress of Advancement: A Nurse Practitioner’s Exploration in
Providing Culturally Competent Obesity Prevention Counseling in Black
Women
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  Authors: Jasmine A. Berry, Joan Cranford, Rachel Powell
  Abstract: Health Promotion Practice, Ahead of Print.
  BackgroundBlack women are diagnosed, disabled, and die from obesity and associated chronic diseases at higher rates than any other sex or race. Advanced practice registered nurses (APRN) can potentially improve culturally relevant health education and counseling by using health literacy communication tools.ObjectiveExplore individualized barriers and APRNs’ role in providing obesity prevention education and counseling by assessing the efficacy of the Teach-Back Method (TBM) to understand health habits and attitudes.MethodsBlack women aged 18–45, previously diagnosed as overweight or obese, and identified with perceived barriers were recruited from a predominantly Black church in Atlanta. They engaged in weekly, 1-hour educational sessions via Zoom, addressing four common barriers identified in the literature. Sessions ended with a 5–10 minute Teach-Back session. Pre- and post-intervention Readiness to Change Questionnaire (RCQ) were completed. Descriptive statistics and quantitative data from surveys and pre- and post-RCQ were analyzed.ResultsTwenty women completed the intervention. Paired sample t-test revealed no statistical significance or correlation between pre- and post-RCQ scores after using TBM in educational sessions. However, Pearson’s correlation showed positive associations between elevated body mass index levels as one advances their education and annual income, with a p-value of 0.05.DiscussionIncreased rates of obesity are experienced despite higher educational attainment or pay. Stress and high-coping mechanisms contributed to disordered eating, decreased physical activity engagement, and decreased motivation toward habit change. Clinicians should be held accountable for delivering culturally sensitive care using the TBM, addressing social determinants of health, performing routine stress assessments, and checking their implicit biases.
  Citation: Health Promotion Practice
  PubDate: 2024-01-24T09:39:26Z
  DOI: 10.1177/15248399231221767
Disseminating Community-Engaged Research Involving People Experiencing
Homelessness and Diabetes Using Participatory Theater
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  Authors: Preethiya Sekar, Maren Ward, Susan Gust, Becky R. Ford, Moncies Franco, Edward Adair, Annette Bryant, Denita Ngwu, Jonathan M. Cole, Lelis Brito, Marcia Barnes, Tahiti Robinson, Ali ‘Cia Anderson-Campbell, Joel Gray, Esther Ouray, Alphonse Carr, Katherine Diaz Vickery
  Abstract: Health Promotion Practice, Ahead of Print.
  People experiencing homelessness balance competing priorities resulting in reduced capacity to meet the care demands of chronic conditions, including Type 2 Diabetes Mellitus (T2DM). Arts-based performances present an avenue to expose others to these challenges. This article describes the process of incorporating qualitative research findings in a community-based participatory theater production to expose audiences to the day-to-day realities of living with T2DM while simultaneously experiencing homelessness. We conducted five focus groups and two individual interviews with people living with T2DM who had experienced homelessness with guidance from a community-engaged research team. We then collaborated with a local theater company to present common themes from these focus groups in a co-created play about the experience of managing T2DM while being homeless. We performed a staged reading of the play and assessed audience members’ perceived stigma through a pre- and post-survey to determine if audience engagement within our theatrical production could reduce stigma toward individuals living with diabetes and/or people experiencing homelessness. This theatrical production is titled “Life Heist: Stealing Hope While Surviving Diabetes and Homelessness.” Our work illustrates the feasibility and effectiveness of using participatory theater to disseminate qualitative research findings.
  Citation: Health Promotion Practice
  PubDate: 2024-01-24T09:26:12Z
  DOI: 10.1177/15248399231221731
Community and Organizational Readiness to Adopt a Physical Activity
Intervention in Micropolitan Settings
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  Authors: Nicole Gauthreaux, Rebecca Bucklin, Anna Correa, Eliza Steere, Hanh Pham, Rima A. Afifi, Natoshia M. Askelson
  Abstract: Health Promotion Practice, Ahead of Print.
  BackgroundAssessing community and organizational readiness is key to successfully implementing programs. The purpose of this study was to assess the baseline readiness of micropolitan communities to adopt an evidence-based physical activity (PA) intervention by exploring three dimensions: (1) attitudes and current efforts toward prevention, (2) community and organizational climate that facilitates (or impedes) change, and (3) capacity to implement change.MethodData were collected from community leaders in 14 communities through an online survey in June 2021 (n = 149). Data were analyzed in aggregate using descriptive statistics for multiple-choice responses and content analysis for open ended responses. One-way repeated analyses of variance were used to compare mean score differences.ResultsIn reference to their attitudes prior to the pandemic, respondents said that addressing PA was “somewhat a priority” in their professional positions (M = 2.01, SD = 0.94), their organizations (M = 2.08, SD = 0.91), and their communities (M = 2.28, SD = 0.88). Current PA efforts included statewide initiatives, community sponsored events/clubs, and youth sports leagues. The community climate included both PA facilitators (mainly outdoor PA resources) and barriers (cost, lack of social services, and an unsupportive PA environment). Individual-level capacity (M = 2.94; SD = 1.21) to adopt a PA program was regarded lower than the community’s capacity (M = 3.95; SD = 0.82), and perceptions of capacity at the community level improved even more if technical assistance (M = 3.96; SD = 0.84) or financial support (M = 4.12; SD = 0.80) were provided.ConclusionReadiness varied by dimension, suggesting the need for tailored implementation supports including technical assistance and financial support.
  Citation: Health Promotion Practice
  PubDate: 2024-01-24T09:20:33Z
  DOI: 10.1177/15248399231221728
Comprehensive Sexual Health Educational Learning Modules for College
Students
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  Authors: Alexa Asson, Joni K. Roberts
  Abstract: Health Promotion Practice, Ahead of Print.
  Sexual health education in the United States continues to be a controversial topic of discussion with no federal regulations. Due to this, the sex education students receive before college varies greatly. Our team discovered that no mandatory, comprehensive sexual health education is required for students once they enter the California State University system. At Cal Poly specifically, it was found that students were engaging in risky sexual behaviors. For example, the 2021 American College Health Association—National College Health Assessment III Fall 2021 Data Report revealed that less than half (42.1%) of students reported regularly using condoms during vaginal sex, and a mere 5.1% of students reported barrier method use during oral sex. To fill in the noticed gaps in our students’ sexual health education, our team developed a set of 10 comprehensive sexual health educational learning modules. The modules cover topics ranging from condom use and STIs to pleasure, porn literacy, and having difficult conversations with a partner. This anonymous online resource provides students with easy-to-read written material and engaging graphics. Future research will focus on user engagement and the effect of the resource on sexual health best practices across our campus.
  Citation: Health Promotion Practice
  PubDate: 2024-01-23T10:03:56Z
  DOI: 10.1177/15248399241227172
Assessing the Performance of a Nutrition Knowledge Questionnaire With a
Low Socioeconomic Status Population Using Rasch Analysis
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  Authors: Holly F. Huye, Peter Paprzycki, Carol L. Connell
  Abstract: Health Promotion Practice, Ahead of Print.
  Parents and preschool teachers play a key role in shaping children’s dietary behaviors. Knowledge of nutrition and healthy dietary choices is a key component to improve dietary habits and reduce the prevalence of obesity and associated co-morbidities. Using valid and reliable instruments is necessary for accurate assessment of knowledge to tailor interventions and measure effectiveness specific to the population of interest. The objectives of this paper are to (1) identify potential gaps in the baseline nutrition knowledge among parents and teachers using a previously validated questionnaire prior to a preschool obesity prevention intervention; and (2) assess the instrument’s reliability and construct validity for a low socioeconomic status population using a post hoc Rasch analysis. Participants included 177 parents and 75 teachers who participated in a Head Start intervention study. Knowledge scores, instrument reliability, and item fit and difficulty were assessed using a Rasch analysis; t-tests were used to determine differences in scores between parents and teachers. Parents answered 38% of questions correctly while teachers correctly answered 46% of the questions. Adequate item fit and reliability were indicated for Sections 1 and 2 of the Nutrition Knowledge Questionnaire (NKQ). Section 3 demonstrated less adequate reliability. The items were found to adequately and reliably define the unidimensional measures of the three components of knowledge represented in this instrument, providing evidence of construct validity. However, Rasch measures indicated the NKQ overall was difficult for participants. Recommendations for improving the instrument for nutrition education/intervention and research practice areas related to obesity and obesity-related conditions are addressed.
  Citation: Health Promotion Practice
  PubDate: 2024-01-20T12:07:35Z
  DOI: 10.1177/15248399231222463
Utilizing Local Professional Association Chapters as Pathways for
Leadership Development
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  Authors: Nicole Batista, Deb Risisky, Tara M. Lutz, Ellen Clinesmith, Jahkeeva Morgan
  Abstract: Health Promotion Practice, Ahead of Print.
  In 2019, there was no entity specifically dedicated to health promotion and education practitioners in Connecticut or New England. This made it difficult for health promotion practitioners and students to network, collaborate, and engage in professional development. The purpose of this article is to share our experiences developing the new Connecticut Chapter of the Society for Public Health Education (CT SOPHE), including how we leveraged student interns during the first two years to promote organizational growth. To build our membership, it was important to determine who would be interested in joining CT SOPHE and so we focused on three groups: the current workforce/professionals, future workforce/students, and future leaders/interns. Over the course of these two years, three interns were recruited to help with creating a needs assessment (MPH student) and program development (two BS students); the organization was established by an MPH student as her internship project. Three former interns share how their experience working with the CT SOPHE board has helped them develop crucial leadership skills early in their careers. Embedding student interns into the framework and operations of CT SOPHE demonstrates an intentional and strategic commitment to the sustainability of both the organization and the workforce.
  Citation: Health Promotion Practice
  PubDate: 2024-01-19T11:22:55Z
  DOI: 10.1177/15248399231225930
Inclusion of People With Disabilities in Community Health Needs
Assessments in Florida, United States
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  Authors: Logan S. Roberts, Tyler G. James
  Abstract: Health Promotion Practice, Ahead of Print.
  Community health needs assessments (CHNAs) play a crucial role in identifying health needs of communities. Yet, unique health needs of people with disabilities (PWDs) are often underrecognized in public health practice. In 2010, the Patient Protection and Affordable Care Act (ACA) required the implementation of standardized data collection guidelines, including disability status, among federal agencies. The extent to which guidance from ACA and the U.S. Centers for Disease Control and Prevention has impacted disability inclusion in CHNAs is unknown. This study used a content analysis approach to review CHNAs conducted by local health councils and the top 11 nonprofit hospitals in Florida (n = 77). We coded CHNAs based on mentioning disability in CHNA reports, involving disability-related stakeholders, and incorporating data on disability indicators. Findings indicate that PWDs are widely not included in CHNAs in Florida, emphasizing the need for equitable representation and comprehensive understanding of PWDs in community health planning.
  Citation: Health Promotion Practice
  PubDate: 2024-01-18T12:12:46Z
  DOI: 10.1177/15248399231225642
The Be REAL Framework: Enhancing Relationship-Building Skills for
Community Health Workers
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  Authors: Amelia M. Jamison, Janesse Brewer, Mary Davis Hamlin, Amanda Forr, Robin Roberts, Aleen Carey, Adriele Fugal, Magda E. Mankel, Yazmine Tovar, Stephanie Adams, Katie Shapcott, Daniel Salmon
  Abstract: Health Promotion Practice, Ahead of Print.
  Trust plays an integral part in the effective functioning of public health systems. During the COVID-19 pandemic, distrust of public health fueled vaccine hesitancy and created additional barriers to immunization. Although most Americans have received at least one COVID-19 vaccine, the percentage of fully immunized adults remains suboptimal. To reach vaccine-hesitant communities, it is vital that public health be worthy of trust. As trusted members of their communities, community health workers (CHWs) can serve as ideal messengers and conversation partners for vaccination decision-making. We developed the Be REAL framework and training materials to prepare CHWs to work with vaccine-hesitant communities nationwide. Through the four steps of “Relate,” “Explore,” “Assist,” and “Leave (the door open),” CHWs were taught to prioritize relationship building as a primary goal. In this shift from focusing on adherence to public health recommendations (e.g., get vaccinated) to building relationships, the value of vaccine uptake is secondary to the quality of the relationship being formed. The Be REAL framework facilitates CHWs harnessing the power they already possess. The goal of the Be REAL framework is to foster true partnership between CHWs and community members, which in turn can help increase trust in the broader public health system beyond adherence to a specific recommendation.
  Citation: Health Promotion Practice
  PubDate: 2024-01-08T12:25:48Z
  DOI: 10.1177/15248399231218937
Insights From a Community-Based Strategy to Assess Tobacco and Vape Shop
Retailers’ Implementation of Tobacco 21 Law in El Paso, Texas
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  Authors: Kristen Garcia, Dara O’Neil, Monica Leal, Laura King, Joan Enderle, Laurel Curran, Whitney R. Garney
  Abstract: Health Promotion Practice, Ahead of Print.
  In 2019, the United States Congress passed Tobacco 21 (T21) legislation that raised the minimum legal sales age for tobacco products from 18 to 21. However, although the federal legislation superseded weaker state laws that were already in place in some states, including Texas, local guidance for retailers was inconsistent. Given that retailers are ultimately responsible for policy implementation, the American Heart Association (AHA) initiated a process of assessing retailers knowledge and perceptions of the law through a survey targeting all tobacco retailers and accompanying ethnography of a subset of vape shops in El Paso, Texas. The process yielded lessons learned for assessment of community-based policy implementation including key considerations for personnel and process that are applicable to other community-based assessment processes. While AHA considered an in-person approach ideal, having an alternate online response option was necessary. In addition, a focused approach and in-depth understanding of the purpose was key to responsiveness of the retailers.
  Citation: Health Promotion Practice
  PubDate: 2024-01-05T11:43:20Z
  DOI: 10.1177/15248399231222925
Advancing Inclusive Communication: Implementing an Audit to Center Equity
in SNAP-Ed Programming
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  Authors: Pamela Bruno, Colleen Fuller, Hannah Ruhl, Lori Kaley, Patricia Dushuttle
  Abstract: Health Promotion Practice, Ahead of Print.
  Public health interventions rely on information exchange to influence health outcomes. Increasingly, practitioners are working to be intentional with public health messaging. The language used to communicate program objectives and health recommendations should reflect the community’s lived experience and avoid perpetuating health and social inequities. Words and tone matter, and both should be inclusive and non-stigmatizing. Prioritizing a health equity lens for communication may require a critical review and revision of existing materials. This Practice Note highlights the development and implementation of an audit tool designed to systematically review a cookbook created to support healthy eating for families and individuals experiencing low income and participating in a Supplemental Nutrition Assistance Program–Education (SNAP-Ed) intervention in Maine. The purpose of the audit tool and the collaborative review process was to revise the cookbook content to ensure a weight-neutral, empowering approach to supporting the community’s nutritional needs. The audit process resulted in a comprehensive methodology to examine intervention resources for inclusive communication approaches that avoid deficit framing, use person-first language, and do not overemphasize limited resources or appropriate cultures. The instrument and methodology are conceptually replicable and adaptable. In sharing the process and audit results, the authors seek to provide an example for practitioners to draw from for similar critical reviews of public health intervention resources and promotional materials.
  Citation: Health Promotion Practice
  PubDate: 2024-01-05T11:42:02Z
  DOI: 10.1177/15248399231221773
Engaging Participants Through Hybrid Community-Centered Approaches:
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  Authors: Sujane Kandasamy, Riddhi Chabrotra, Zainab Khan, Dania Rana, Noor Suddle, Dipika Desai, Farah Khan, Rochelle Nocos, Scott A. Lear, Sonia S. Anand
  Abstract: Health Promotion Practice, Ahead of Print.
  Community-centered research studies can improve trust, cultural appropriateness, and accurate findings through meaningful, in-depth engagement with participants. During the COVID-19 pandemic, researchers shifted to implement pandemic-specific guidelines on top of already existing safety practices; these adjustments gave insight into bettering the structure of forthcoming research studies. At the Population Health Research Institute (PHRI)/McMaster University, the COVID CommUNITY study staff took field notes from their experience at the Ontario (ON) and British Columbia (BC) sites navigating an observational prospective cohort study during the pandemic. These field notes are outlined below to provide insight into culturally responsive, trust-centered, and communication-focused strategies used to improve hybrid research. A significant challenge the team overcame was obtaining blood sample collections by executing socially distanced sample collections outside of participants’ homes, coined “Porch Pickups.” Data collection was made more accessible through phone surveys and frequent virtual contact. To enhance recruitment strategies for sub-communities of the South Asian population, staff focused on cultural interests and “gift-exchange” incentives. Cultural awareness was prioritized through correct name pronunciation, conducting data collection in participant preferred languages, and using flexible approaches to data collection. These strategies were developed through weekly team meetings where improvement strategies were discussed, and concerns were addressed in real-time.
  Citation: Health Promotion Practice
  PubDate: 2024-01-05T11:39:42Z
  DOI: 10.1177/15248399231221161
Implementation of a Booster Sexual Health Education Curriculum for Older
Adolescents in Rural Communities
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  Authors: Nancy F. Berglas, Salish Harrison, Julio Romero, Natasha Borgen, Martha J. Decker
  Abstract: Health Promotion Practice, Ahead of Print.
  Ongoing education on sexual health and other health promotion topics is critical as young people transition into adulthood. A “booster” round of education may be an effective strategy to reinforce information previously taught and expand to additional topics relevant later in adolescence. In partnership with a Youth Advisory Council, we co-designed READY, Set, Go!, a booster curriculum for older adolescents with modules covering adult preparation skills, sexual identity, relationships, reproductive health, and mental health. From November 2021 to January 2023, we provided the curriculum to 21 cohorts of 12th grade students (N = 433) in rural communities of Fresno County, CA, and conducted an implementation evaluation to assess its feasibility in school settings, acceptability by participants, and changes in short-term outcomes. Health educators completed implementation logs to track program adaptations. Youth completed pretest/posttest surveys to assess changes in outcomes and participant satisfaction. We used descriptive statistics to examine program adaptations and satisfaction. We used multivariable regression models to examine changes in outcomes, adjusted for sociodemographic characteristics. Health educators completed most activities as planned, with adaptations occurring in response to youth needs and scheduling limitations. Sexual health knowledge, confidence in adult preparation skills, awareness of local sexual and mental health services, and willingness to seek health services all increased significantly from pretest to posttest. Youth feedback was strongly positive. We conclude that booster sexual health education is a promising strategy to address critical knowledge gaps and support health promotion, especially in rural and other under-resourced communities.
  Citation: Health Promotion Practice
  PubDate: 2024-01-05T11:36:23Z
  DOI: 10.1177/15248399231221156
Parents’ and Caregivers’ Support for in-School COVID-19 Mitigation
Strategies: A Socioecological Perspective
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  Authors: Laura Prichett, Andrea A. Berry, Gabriela Calderon, June Wang, Erin R. Hager, Lauren M. Klein, Lorece V. Edwards, Yisi Liu, Sara B. Johnson
  Abstract: Health Promotion Practice, Ahead of Print.
  Informed by the social ecological model, which asserts that health behaviors and beliefs are the result of multiple levels of influence, we examined factors related to parents’ support for in-school COVID-19 mitigation strategies. Using data from a survey of 567 parents/caregivers of public elementary and middle school students in eight Maryland counties, we employed regression models to examine relationships between parent-, child-, family-, school-, and community-level factors and acceptability of mitigation strategies. Acceptance of COVID-19 mitigation strategies was positively correlated with child- and family-level factors, including child racial identity (parents of Black children were more accepting than those of White children, odds ratio [OR]: 2.5, 95% confidence interval [CI] = [1.5, 4.1]), parent receipt of the COVID-19 vaccine (OR: 2.4, 95% CI = [1.5, 3.7]), and parent Democrat or Independent political affiliation (compared with Republican affiliation, OR: 4.2, 95% CI = [2.6, 6.7]; OR: 2.2, 95%CI = [1.3, 3.8], respectively). Acceptance was also positively associated with parents’ perceptions of their school’s mitigation approach, including higher school mitigation score, indicating more intensive mitigation policies (OR: 1.1, 95% CI = [1.0, 1.1]), better school communication about COVID-19 (OR: 1.7, 95% CI = [1.4, 1.9]) and better school capacity to address COVID-19 (OR: 1.9, 95% CI = [1.5, 2.4]). Community-level factors were not associated with acceptance. Child- and parent-level factors identified suggest potential groups for messaging regarding mitigation strategies. School-level factors may play an important role in parents’ acceptance of in-school mitigation strategies. Schools’ capacity to address public health threats may offer an underappreciated and modifiable setting for disseminating and reinforcing public health guidance.
  Citation: Health Promotion Practice
  PubDate: 2024-01-04T12:28:44Z
  DOI: 10.1177/15248399231221160
Hormonal Contraceptive Side Effects and Nonhormonal Alternatives on
TikTok: A Content Analysis
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  Authors: Emily J. Pfender, Kate Tsiandoulas, Stephanie R. Morain, Leah R. Fowler
  Abstract: Health Promotion Practice, Ahead of Print.
  The use of hormonal contraceptives is decreasing in the United States alongside a growing interest in nonhormonal contraceptive options. Social media messaging may be contributing to this trend. TikTok thus offers a novel opportunity to understand how people share information about risks and alternatives for pregnancy prevention. To describe the availability and content of information about hormonal contraceptive side effects and nonhormonal contraceptive options on TikTok, we conducted a content analysis of 100 videos using the hashtags #birthcontrolsideeffects and #nonhormonalcontraception. We found that these videos were popular and often framed hormonal contraceptives and patient–provider interactions negatively, with users frequently discussing discontinuation of hormonal contraception and no plans for uptake of another contraceptive. When uptake of a new contraceptive method is mentioned, creators typically mention a fertility awareness–based method, which requires specialized knowledge to use safely and effectively. The risks and side effects of hormonal options were often overemphasized compared with the possible risks and side effects of nonhormonal options. This framing may suggest opportunities for providers and health educators to reassess how they counsel about contraceptive options. We conclude with recommendations for future research on TikTok and consider the policy implications of these findings.
  Citation: Health Promotion Practice
  PubDate: 2024-01-03T10:12:41Z
  DOI: 10.1177/15248399231221163

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