Subjects -> HEALTH AND SAFETY (Total: 1478 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (700 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (358 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (112 journals)
    - PHYSICAL FITNESS AND HYGIENE (117 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (700 journals)            First | 1 2 3 4     

Showing 201 - 203 of 203 Journals sorted alphabetically
Health Policy OPEN     Open Access  
Health Promotion International     Hybrid Journal   (Followers: 23)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 7)
Health Promotion Practice     Hybrid Journal   (Followers: 15)
Health Prospect     Open Access  
Health Psychology     Full-text available via subscription   (Followers: 59)
Health Psychology Bulletin     Open Access   (Followers: 1)
Health Psychology Research     Open Access   (Followers: 21)
Health Psychology Review     Hybrid Journal   (Followers: 46)
Health Research Policy and Systems     Open Access   (Followers: 15)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access   (Followers: 1)
Health Sciences and Disease     Open Access   (Followers: 1)
Health Security     Hybrid Journal   (Followers: 1)
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 6)
Health Systems & Reform     Open Access   (Followers: 2)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 13)
Health, Risk & Society     Hybrid Journal   (Followers: 11)
Health, Safety and Environment     Open Access   (Followers: 34)
Healthcare     Open Access   (Followers: 2)
Healthcare Quarterly     Full-text available via subscription   (Followers: 9)
Healthcare Technology Letters     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription   (Followers: 1)
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
Histoire, médecine et santé     Open Access   (Followers: 1)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 5)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 3)
Horizonte Medico     Open Access  
Horizonte Sanitario     Open Access  
Hua Hin Sook Jai Klai Kangwon Journal     Open Access  
Human Nutrition & Metabolism     Open Access   (Followers: 1)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 5)
IISE Transactions on Occupational Ergonomics and Human Factors     Hybrid Journal  
IJS Global Health     Open Access  
Implementation Science     Open Access   (Followers: 22)
Implementation Science Communications     Open Access   (Followers: 4)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences and Biomedical Research KLEU     Open Access   (Followers: 2)
Indian Journal of Youth and Adolescent Health     Open Access  
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Indonesian Journal of Public Health     Open Access  
Infodir : Revista de Información científica para la Dirección en Salud     Open Access  
interactive Journal of Medical Research     Open Access  
International Archives of Health Sciences     Open Access  
International Health     Hybrid Journal   (Followers: 5)
International Health Trends and Perspectives     Open Access  
International Journal for Equity in Health     Open Access   (Followers: 10)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 39)
International Journal of Applied Behavioral Sciences     Open Access   (Followers: 1)
International Journal of Behavioural and Healthcare Research     Hybrid Journal   (Followers: 8)
International Journal of Child Development and Mental Health     Open Access   (Followers: 2)
International Journal of Circumpolar Health     Open Access   (Followers: 2)
International Journal of Community Medicine and Public Health     Open Access   (Followers: 3)
International Journal of E-Health and Medical Communications     Full-text available via subscription   (Followers: 2)
International Journal of Environmental Research and Public Health     Open Access   (Followers: 22)
International Journal of Evidence-Based Healthcare     Hybrid Journal   (Followers: 8)
International Journal of Food Safety, Nutrition and Public Health     Hybrid Journal   (Followers: 20)
International Journal of Growth and Development     Open Access   (Followers: 1)
International Journal of Health & Allied Sciences     Open Access   (Followers: 3)
International Journal of Health Care Quality Assurance     Hybrid Journal   (Followers: 13)
International Journal of Health Economics and Management     Hybrid Journal   (Followers: 10)
International Journal of Health Geographics     Open Access   (Followers: 7)
International Journal of Health Policy and Management     Open Access   (Followers: 11)
International Journal of Health Professions     Open Access   (Followers: 3)
International Journal of Health Promotion and Education     Hybrid Journal   (Followers: 11)
International Journal of Health Research     Open Access   (Followers: 4)
International Journal of Health Sciences     Open Access  
International Journal of Health Sciences Education     Open Access   (Followers: 2)
International Journal of Health Services     Full-text available via subscription   (Followers: 7)
International Journal of Health System and Disaster Management     Open Access   (Followers: 4)
International Journal of Healthcare     Open Access  
International Journal of Healthcare Delivery Reform Initiatives     Full-text available via subscription   (Followers: 1)
International Journal of Healthcare Information Systems and Informatics     Hybrid Journal   (Followers: 6)
International Journal of Healthcare Management     Hybrid Journal   (Followers: 14)
International Journal of Healthcare Policy     Hybrid Journal   (Followers: 1)
International Journal of Hygiene and Environmental Health     Hybrid Journal   (Followers: 7)
International Journal of Indigenous Health     Open Access   (Followers: 5)
International Journal of Kinesiology in Higher Education     Hybrid Journal  
International Journal of MCH and AIDS     Open Access  
International Journal of Medicine and Health Development     Open Access   (Followers: 4)
International Journal of Mens Social and Community Health     Open Access  
International Journal of Mental Health     Full-text available via subscription   (Followers: 24)
International Journal of Practice-based Learning in Health and Social Care     Open Access   (Followers: 1)
International Journal of Prevention and Treatment     Open Access   (Followers: 1)
International Journal of Public Health Research and Management     Hybrid Journal   (Followers: 5)
International Journal of Public Health Science     Open Access   (Followers: 6)
International Journal of Scientific Reports     Open Access   (Followers: 3)
International Journal of Sexual Health     Hybrid Journal   (Followers: 3)
International Journal of Social Welfare     Hybrid Journal   (Followers: 18)
International Journal of Spa and Wellness     Hybrid Journal  
International Journal of Telerehabilitation     Open Access   (Followers: 1)
International Journal of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
International Research in Children's Literature     Hybrid Journal   (Followers: 4)
Internationale Revue Fur Soziale Sicherheit     Hybrid Journal   (Followers: 1)
InterScientia     Open Access  
Investigaciones Andina     Open Access  
Iranian Journal of Health and Environment     Open Access  
Iranian Journal of Public Health     Open Access  
Israel Journal of Health Policy Research     Open Access  
İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi     Open Access  
JAMA Health Forum     Open Access  
JBI Evidence Implementation     Full-text available via subscription   (Followers: 4)
JBI Evidence Synthesis     Hybrid Journal   (Followers: 5)
Jeugd en Co     Hybrid Journal  
JGZ Tijdschrift voor jeugdgezondheidszorg     Hybrid Journal   (Followers: 2)
JMIR Human Factors     Open Access   (Followers: 4)
JMIR Public Health and Surveillance     Open Access  
JMIR Serious Games     Open Access   (Followers: 8)
Jornal Brasileiro de TeleSSaúde     Open Access  
Jornal de Ciências da Saúde do Hospital Universitário da Universidade Federal do Piauí     Open Access   (Followers: 3)
Journal Health NPEPS     Open Access  
Journal of Advances in Environmental Health Research     Open Access   (Followers: 2)
Journal Of Allied Health     Full-text available via subscription   (Followers: 7)
Journal of Behavior, Health & Social Issues     Open Access   (Followers: 8)
Journal of Behavioral Addictions     Open Access   (Followers: 5)
Journal of Behavioral Health Services & Research     Hybrid Journal   (Followers: 15)
Journal of Biology, Agriculture and Healthcare     Open Access   (Followers: 2)
Journal of Charoenkrung Pracharak Hospital     Open Access  
Journal of Child Sexual Abuse     Hybrid Journal   (Followers: 61)
Journal of Communication in Healthcare     Hybrid Journal   (Followers: 3)
Journal of Community Health     Hybrid Journal   (Followers: 9)
Journal of Community Medicine and Primary Health Care     Open Access   (Followers: 4)
Journal of Consumer Health on the Internet     Hybrid Journal   (Followers: 4)
Journal of Creativity in Mental Health     Hybrid Journal   (Followers: 13)
Journal of Developing Areas     Full-text available via subscription   (Followers: 5)
Journal of Development Effectiveness     Hybrid Journal   (Followers: 5)
Journal of Dr. NTR University of Health Sciences     Open Access  
Journal of Earth, Environment and Health Sciences     Open Access   (Followers: 2)
Journal of Eating Disorders     Open Access   (Followers: 14)
Journal of Education and Health Promotion     Open Access   (Followers: 4)
Journal of Environment Pollution and Human Health     Open Access   (Followers: 3)
Journal of Epidemiology & Community Health     Hybrid Journal   (Followers: 64)
Journal of Epidemiology and Public Health     Open Access   (Followers: 4)
Journal of Ergonomics     Open Access   (Followers: 8)
Journal of Evolution and Health : An Ancestral Health Society Publication     Open Access  
Journal of Exercise & Organ Cross Talk     Open Access   (Followers: 4)
Journal of Exercise Science & Fitness     Open Access   (Followers: 24)
Journal of Family & Consumer Sciences     Full-text available via subscription  
Journal of Family Medicine and Primary Care     Open Access   (Followers: 11)
Journal of Family Social Work     Hybrid Journal   (Followers: 12)
Journal of Family Strengths     Open Access   (Followers: 3)
Journal of Fasting and Health     Open Access   (Followers: 1)
Journal of Global Health     Open Access   (Followers: 2)
Journal of Health and Social Behavior     Hybrid Journal   (Followers: 27)
Journal of Health Care Chaplaincy     Hybrid Journal   (Followers: 3)
Journal of Health Design     Open Access   (Followers: 1)
Journal of Health Disparities Research and Practice     Open Access   (Followers: 2)
Journal of Health Economics and Outcomes Research     Open Access   (Followers: 2)
Journal of Health Policy and Management     Open Access   (Followers: 2)
Journal of Health Promotion     Open Access   (Followers: 1)
Journal of Health Psychology     Hybrid Journal   (Followers: 57)
Journal of Health Research     Open Access  
Journal of Health Research and Reviews     Open Access  
Journal of Health Science     Open Access   (Followers: 3)
Journal of Health Science and Alternative Medicine     Open Access   (Followers: 1)
Journal of Health Science and Community Public Health     Open Access  
Journal of Health Science and Medical Research     Open Access  
Journal of Health Science and Prevention     Open Access  
Journal of Health Science Research     Open Access  
Journal of health sciences     Open Access  
Journal of Health Sciences     Open Access  
Journal of Health Sciences and Medicine     Open Access  
Journal of Health Sciences and Surveillance System     Open Access  
Journal of Health Sciences Scholarship     Open Access  
Journal of Health Service Psychology     Full-text available via subscription   (Followers: 1)
Journal of Health Services and Education     Open Access  
Journal of Health, Population and Nutrition     Open Access   (Followers: 13)
Journal of Healthcare Informatics Research     Hybrid Journal   (Followers: 2)
Journal of Healthcare Risk Management     Hybrid Journal   (Followers: 10)
Journal of Human Health     Open Access   (Followers: 1)
Journal of Human Trafficking     Open Access   (Followers: 29)
Journal of Ideas in Health     Open Access   (Followers: 1)
Journal of Immigrant and Minority Health     Hybrid Journal   (Followers: 8)
Journal of Industrial Safety Engineering     Full-text available via subscription   (Followers: 6)
Journal of Infection and Public Health     Open Access   (Followers: 4)
Journal of Integrated Care     Hybrid Journal   (Followers: 18)
Journal of Integrated Health Sciences     Open Access   (Followers: 4)
Journal of Interprofessional Education & Practice     Full-text available via subscription   (Followers: 5)
Journal of Law and Health     Open Access   (Followers: 8)
Journal of Manmohan Memorial Institute of Health Sciences     Open Access  
Journal of Medical and Health Studies     Open Access   (Followers: 2)
Journal of Mental Health Counseling     Full-text available via subscription   (Followers: 8)
Journal of Multidisciplinary Healthcare     Open Access   (Followers: 6)
Journal of Multidisciplinary Research in Healthcare     Open Access   (Followers: 2)
Journal of Muslim Mental Health     Open Access   (Followers: 6)
Journal of Nanotheranostics     Open Access  
Journal of Nursing & Interprofessional Leadership in Quality & Safety     Open Access   (Followers: 5)
Journal of Occupational Health     Open Access   (Followers: 1)
Journal of Occupational Health Psychology     Full-text available via subscription   (Followers: 39)
Journal of Occupational Science     Hybrid Journal   (Followers: 27)
Journal of Oral Health and Craniofacial Science     Open Access  
Journal of Patan Academy of Health Sciences     Open Access  
Journal of Prevention and Health Promotion     Full-text available via subscription  
Journal of Preventive Medicine and Public Health     Open Access   (Followers: 1)
Journal of Primary Prevention     Hybrid Journal   (Followers: 7)
Journal of Psychosexual Health     Open Access  
Journal of Public Child Welfare     Hybrid Journal   (Followers: 8)

  First | 1 2 3 4     

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Health Promotion Practice
Journal Prestige (SJR): 0.596
Citation Impact (citeScore): 1
Number of Followers: 15  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1524-8399 - ISSN (Online) 1552-6372
Published by Sage Publications Homepage  [1174 journals]
  • “We Are So Both and Oneful”: Why Reviewing Manuscripts Matters

    • Free pre-print version: Loading...

      Authors: Kathleen M. Roe
      Pages: 353 - 355
      Abstract: Health Promotion Practice, Volume 23, Issue 3, Page 353-355, May 2022.

      Citation: Health Promotion Practice
      PubDate: 2022-05-11T07:34:17Z
      DOI: 10.1177/15248399221089680
      Issue No: Vol. 23, No. 3 (2022)
       
  • A Pregnant Pause: System-Level Barriers to Perinatal Mental Health Care

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      Authors: Stephanie R. Morain, Leah R. Fowler, J. Wesley Boyd
      Abstract: Health Promotion Practice, Ahead of Print.
      Perinatal mood and anxiety disorders, defined as mood and anxiety disorders during pregnancy and the year following birth, affect one in five pregnant and postpartum individuals in the United States and are associated with substantial morbidity and mortality for both pregnant individuals and their infants. Despite this tremendous prevalence and associated disease burden, the overwhelming majority of those affected do not receive treatment. Although prior research has identified several patient-level barriers to effective treatment, the contributions of system-level factors have been underappreciated. We present a pilot study using a simulated patient approach to describe the accessibility and affordability of mental health care through the 18 clinics affiliated with U.S. reproductive psychiatry fellowship programs. Based on our experience, a prospective patient seeking care from these 18 clinics without a prior referral would only have been successful half of the time—and even then may have to wait as long as 2 months for an initial appointment. These data underscore the need for clinicians, public health professionals, and institutions to address system-level barriers that undermine effective referrals for care, including implementing “warm-handoffs” to mental health providers and ending practices that restrict appointments to existing patients within a health care system. They also reinforce the importance of contemporary federal policy efforts to address maternal health, particularly among low-income and racially minoritized communities. Key policies include expanding postpartum insurance coverage, which plays a critical role in reducing insurance disruptions that can undermine the accessibility of mental health care and other vital health services.
      Citation: Health Promotion Practice
      PubDate: 2022-06-21T07:26:06Z
      DOI: 10.1177/15248399221101373
       
  • A Layer Plus Approach to Implementation Research and Collaboration for
           Long-Acting Injectable Pre-Exposure Prophylaxis for HIV Prevention

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      Authors: Nanlesta A. Pilgrim, Tammeka M. Evans, Maggie Czarnogorski
      Abstract: Health Promotion Practice, Ahead of Print.
      In 2020, the HIV prevention clinical trials, HPTN (HIV Prevention Trials Network) 083 and 084, reported that long-acting injectable cabotegravir (CAB-LA) for HIV prevention was statistically superior to daily oral tenofovir disoproxil fumarate/emtricitabine (TDF/FTC) for pre-exposure prophylaxis (PrEP) in cisgender men and transgender women who have sex with men, and cisgender women. However, clinical efficacy does not translate to real-world effectiveness and clinical practice as evidenced by current global use of oral PrEP. There are ~626,000 users of PrEP, which is significantly below the 3 million goal set by UNAIDS for 2020. Implementation will be key to ensuring that CAB-LA reaches those who desire to use it. We describe the Layer Plus Approach for CAB-LA for PrEP dissemination and implementation. The “Layer” is focused on integrating CAB-LA into existing PrEP models of care and understanding the best delivery channels that could be established in existing programs. Important implications of layering include preparing health professionals to provide CAB-LA, improving access for potential users, and addressing existing PrEP structural and facility barriers. “Plus,” which accounts for the existing disparities in PrEP access and use, means expanding CAB-LA to reach individuals for whom HIV prevention options have not been accessible or who have lapsed on oral PrEP. Implications for Plus include the development of new structures, systems, policies, and processes. A key aspect to the Approach is building collaborations to aid successful implementation. The Layer Plus Approach is a simple but strategic framework or a tailored approach to guide dissemination research and implementation.
      Citation: Health Promotion Practice
      PubDate: 2022-06-17T11:00:16Z
      DOI: 10.1177/15248399211053584
       
  • “Something Fun to Look Forward to”: Lessons From Implementing the
           Prescription for Health Farmers’ Market Initiative in Rural Upper
           Michigan

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      Authors: Carly A. Joseph, Michelle L. Seguin
      Abstract: Health Promotion Practice, Ahead of Print.
      Fruit and vegetable (FV) prescription programs are an increasingly popular community-based approach to addressing food insecurity and improving nutrition by connecting local health care and food systems. The Prescription for Health farmers’ market FV prescription program was piloted in a rural, low-access low-income Michigan community in 2017. The program enrolled 33 adult participants with chronic disease and provided weekly farmers’ market FV vouchers, educational nutrition handouts, and seasonal healthy recipes over 10 weeks. Weight, blood pressure, and the following self-rated variables were assessed pre- and post program: dietary habits, food literacy, physical health, and mental health. While most metrics remained generally unchanged, one of the strongest findings from our data included significant improvement in quality of life. Increased social interaction as a result of the attending the farmers’ market was a prominent theme from informal open-ended participant feedback. Given the ongoing public health crisis of loneliness and social isolation, this finding led us to consider the farmers’ market as an avenue for creating opportunities for meaningful social connection among participants and farmers. To this end, we discuss health outcomes of the Prescription for Health pilot program, reflect on unique aspects of implementing this program in a rural area, and explore future opportunities for farmers’ market prescription programs as an innovative form of nature-based social prescribing.
      Citation: Health Promotion Practice
      PubDate: 2022-06-17T09:53:27Z
      DOI: 10.1177/15248399221093966
       
  • Reducing Youth Vaping: A Pilot Test of the Peer-Led “Youth Engaged
           Strategies for Changing Adolescent Norms!” (YES-CAN!) Program

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      Authors: Nancy L. Asdigian, Nathanial R. Riggs, Patricia A. Valverde, Lori A. Crane
      Abstract: Health Promotion Practice, Ahead of Print.
      Effective prevention interventions are needed to stem the rising tide of nicotine vaping among adolescents. We conducted a quasi-experimental, non-equivalent comparison group pilot study of the effectiveness of the “Youth Engaged Strategies for Changing Adolescent Norms” (YES-CAN!) program for reducing risks for youth nicotine vaping. YES-CAN! is an innovative peer-led program that supports older adolescents in developing and delivering short narrative prevention videos and related prevention education to younger adolescents. High-school and middle-school program participants and non-program comparison group students completed pre and post surveys assessing vaping susceptibility, behavioral intentions, resistance, knowledge, attitudes, perceived harm, and normative beliefs. Vaping knowledge and the perceived number of friends and classmates who vape showed significantly greater pre- to post-program increases among high-school participants compared to non-participants, and positive vaping attitudes demonstrated significantly greater decreases. Among middle-school students, vaping knowledge increased significantly more among program participants compared to non-participants. The findings from this study indicate that the YES-CAN! program holds promise for reducing risks of nicotine vaping among adolescents. This contributes to a growing body of evidence regarding the utility of peer-led approaches to adolescent health promotion. Further evaluation of the YES-CAN! program in a large-scale randomized control trial is warranted to determine its effectiveness in curbing the escalation of youth nicotine vaping that has characterized the past decade. Future studies should monitor program effect on perceptions of vaping prevalence to ensure participation and/or exposure does not inadvertently promote vaping by increasing perceptions that others vape.
      Citation: Health Promotion Practice
      PubDate: 2022-06-09T01:34:03Z
      DOI: 10.1177/15248399221100793
       
  • Using Community-Based Participatory Research to Design a Patient and
           Practitioner-Centered Group Prenatal Care Model

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      Authors: Lauren Lessard, Christy Oberholtzer, Amber Shaver, Gail Newel, Ellen Middleton, Miriam Kuppermann, Jonathan Fuchs, Mary A. Garza, Larry Rand, John Capitman
      Abstract: Health Promotion Practice, Ahead of Print.
      In response to disproportionately high rates of infant mortality and preterm birth among women of color and women in poverty in Fresno County, California, community and academic partners coordinated a community-based participatory research (CBPR) project with local residents. Social isolation and stress, inaccessible prenatal care, and dissatisfaction with care experiences were identified as leading predictors of poor birth outcomes. The PRECEDE-PROCEED framework was used to lead the CBPR effort that resulted in the development of a model of group prenatal care, named Glow! Group Prenatal Care Program (Glow! Program). Group prenatal care (GPNC), which focuses on pregnancy health assessments, education, and peer support, has the potential to address the health and social priorities of women during pregnancy. As a result of the employed CBPR process and the extensive participation from stakeholders, this modified GPNC model responds to the unique needs of the at-risk community members, the agencies aiming to improve maternal-child health experiences and outcomes, and the prenatal care providers offering it to their patients. The methods from this study can be applied in the design and implementation of community-based health care interventions. Returning to community partners throughout the design, implementation, and evaluation phases underscored that health care interventions cannot be designed in silos, and require flexibility to respond to factors that promote improved maternal and infant outcomes, which affect the end goal for the intervention.
      Citation: Health Promotion Practice
      PubDate: 2022-06-04T12:30:39Z
      DOI: 10.1177/15248399221098015
       
  • A Community-Engaged Process for Adapting a Proven Community Health Worker
           Model to Integrate Precision Cancer Care Delivery for Low-income Latinx
           Adults With Cancer

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      Authors: Emily H. Wood, Maria Leach, Gerardo Villicana, Lisa Goldman Rosas, Ysabel Duron, Dale G. O’Brien, Zachary Koontz, Manali I. Patel
      Abstract: Health Promotion Practice, Ahead of Print.
      IntroductionDisparities in precision cancer care delivery among low-income Latinx adults are well described. In prior work, we developed a community health worker-led goals of care and cancer symptom assessment intervention. The objective of this study was to adapt this intervention for a community setting, incorporating precision cancer care delivery.MethodsWe used a two-phased systematic approach to adapt an evidence-based intervention for our community. Specifically, we used the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to identify barriers and facilitators to precision cancer care delivery via 1-hr interviews with Latinx adults with cancer, Latinx caregivers, community leaders, primary care and oncology clinicians, and community health workers. Interviews were recorded, transcribed, and analyzed using the constant comparative method and grounded theory analysis. Phase 2 involved interviews with key community advisors using the Expert Panels Method to decide on final adaptations.ResultsUsing this community-engaged approach, we identified specific intervention adaptations to ensure precision cancer care delivery in a community setting, which included: (a) expansion of the intervention inclusion criteria and mode of delivery; (b) integration of low-literacy precision cancer care intervention activities in Spanish in collaboration with community-based organizations; (c) ensuring goals reflective of patient and community priorities.ConclusionsThis systematic and community-engaged approach to adapt an intervention for use in delivering precision cancer care strengthened an evidence-based approach to promote the needs and preferences of patients and key community stakeholders.
      Citation: Health Promotion Practice
      PubDate: 2022-06-04T11:56:26Z
      DOI: 10.1177/15248399221096415
       
  • Development of a Nudge Program at One Alaska Food Pantry

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      Authors: Amanda K. Walch, Kiana Holland, Leslie C. Redmond
      Abstract: Health Promotion Practice, Ahead of Print.
      Food pantry clients experience many health disparities, including elevated incidence of diabetes, heart disease, and other nutrition-related conditions. Nutrition education interventions in the form of a nudge can be an effective method to increase nutrition knowledge and healthy pantry food selection. Currently there is no nutrition education program at the largest food pantry in Alaska. The goal of this project was to develop a nutrition intervention in the form of a nudge to increase the selection of nutritious foods by pantry clients. Methods included the development of nudges, or environmental cues, within the pantry as well as client education handouts and recipes for clients to take home. Implications for practice include the potential to increase staff and client knowledge and nutrition education, as well as for impacting the overall health and food security of the clients and their families. Additional implications include the availability of the program and resources for other food pantries across the state to customize for use in their facilities. After the program has been implemented, it can be evaluated across each site and its efficacy determined to implement into policy.
      Citation: Health Promotion Practice
      PubDate: 2022-05-25T07:12:06Z
      DOI: 10.1177/15248399221096418
       
  • “All in Breastfeeding”: An Approach to Improving Breastfeeding Support
           at the Rainbow Center for Women and Children

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      Authors: Sarah Remer, Rebekah Russell, Lydia Furman
      Abstract: Health Promotion Practice, Ahead of Print.
      It has been well documented in the literature that breastfeeding has many benefits for mothers and their infants. The American Academy of Pediatrics (AAP) recommends exclusive breastfeeding for the first 6 months of life and continued breastfeeding until the age of 1 or longer as desired by the mother and infant; however, many mothers face barriers to achieving this goal. More specifically, we noticed that at our Rainbow Center for Women and Children (the Center), few mothers were able to achieve exclusive or sustained breastfeeding. This study aimed to determine stakeholder views at the Center regarding barriers to breastfeeding in an underserved patient population and to develop a Breastfeeding Intervention Bundle from these responses to improve breastfeeding rates. We then surveyed participants including mothers, providers, and staff about support and comfort with knowledge gained over the period of the Intervention. While our study was unable to document a clear or sustained improvement in participant support or comfort related to breastfeeding over a 6-month period, we furthered our knowledge about barriers to breastfeeding and concluded that interventions to improve breastfeeding rates will likely need to be initiated at the systems level, not only at the individual patient and provider level, and with joint support from all stakeholders.
      Citation: Health Promotion Practice
      PubDate: 2022-05-25T07:09:16Z
      DOI: 10.1177/15248399221096414
       
  • Just-in-Time, but Still Planned: Lessons Learned From Speeding up the
           Development and Implementation of an Intervention to Promote COVID-19
           Vaccination in University Students

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      Authors: Gill A. ten Hoor, Tugce Varol, Ilse Mesters, Francine Schneider, Gerjo Kok, Robert A. C. Ruiter
      Abstract: Health Promotion Practice, Ahead of Print.
      The process of developing a behavior change intervention can cover a long time period. However, in times of need, this development process has to be more efficient and without losing the scientific rigor. In this article, we describe the just-in-time, planned development of an online intervention in the field of higher education, promoting COVID-19 vaccination among university students, just before they were eligible for being vaccinated. We demonstrate how intervention development can happen fast but with sufficient empirical and theoretical support. In the developmental process, Intervention Mapping (IM) helped with decision-making in every step. We learned that the whole process is primarily depending on the trust of those in charge in the quality of the program developers. Moreover, it is about applying theory, not about theory-testing. As there was no COVID-19-related evidence available, evidence from related fields helped as did theoretical knowledge about change processes, next to having easy access to the target population and important stakeholders for informed qualitative and quantitative research. This project was executed under unavoidable time pressure. IM helped us with systematically developing an intervention, just-in-time to positively affect vaccine acceptance among university students.
      Citation: Health Promotion Practice
      PubDate: 2022-05-23T05:36:01Z
      DOI: 10.1177/15248399221095077
       
  • Using the Practical Robust Implementation and Sustainability Model (PRISM)
           to Identify and Address Provider-Perceived Barriers to Optimal Statin
           Prescribing and Use in Community Health Centers

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      Authors: Margaret Meador, R. Curtis Bay, Eboni Anderson, Debosree Roy, J. Aaron Allgood, Joy H. Lewis
      Abstract: Health Promotion Practice, Ahead of Print.
      Statins are an important but underutilized therapy to prevent cardiovascular events, particularly in high-risk patients. To increase use of statin therapy in high-risk patients, the Centers for Disease Control and Prevention funded a project led by the National Association of Community Health Centers to discover reasons for statin underuse in health centers and identify possible leverage points, particularly among vulnerable and underserved patients. The project further sought to develop training and educational materials to improve statin prescribing for and acceptance in eligible high-risk patients. As a first step, investigators implemented a questionnaire to clinical providers (n = 45) at health centers participating in the project to obtain their perspective on barriers to optimal statin use. We used the practical robust implementation and sustainability model (PRISM) domains to frame the overall project and guide the development of our questionnaire. This paper summarizes top perceived barriers to patient and health system/provider statin initiation and sustainment, as well as facilitators to prescribing, using PRISM as an organizing framework. Our questionnaire yielded important suggestions related to public awareness, education materials, health information technology (HIT)/data solutions, and clinical guidelines as key factors in optimizing statin use. It also informed the design of patient education resources and provider training tools. Future directions include using the full application of the PRISM implementation science model to assess how well our educational and training resources help overcome barriers to statin use in high-risk patients, including evaluating how key contextual factors influence successful implementation.
      Citation: Health Promotion Practice
      PubDate: 2022-05-23T05:27:36Z
      DOI: 10.1177/15248399221088592
       
  • Mental Health Among College Students During the COVID-19 Pandemic at a
           Hispanic-Serving Institution

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      Authors: Gabriel Ibarra-Mejia, Mark Lusk, Emre Umucu
      Abstract: Health Promotion Practice, Ahead of Print.
      This study examines the prevalence and severity of stress, anxiety, depression, and substance use among college students during the COVID-19 pandemic at a Hispanic-serving institution. The aim of the study is to increase knowledge about student mental health during a public health emergency in order to help develop strategies that promote student success. Using the Perceived Stress Scale-4 (PSS-4) and the Patient Health Questionnaire for Depression and Anxiety–4 (PHQ-4), we found high levels of stress, depression, and anxiety in the sample. Based on these findings, we propose a greater investment of time and resources to promote mental health and positive coping strategies among college students through culturally competent mental health and supportive programs.
      Citation: Health Promotion Practice
      PubDate: 2022-05-18T08:47:03Z
      DOI: 10.1177/15248399221092750
       
  • Factors That Support Sustainability of Health Systems Change to Increase
           Colorectal Cancer Screening in Primary Care Clinics: A Longitudinal
           Qualitative Study

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      Authors: Dara Schlueter, Amy DeGroff, Cindy Soloe, Laura Arena, Stephanie Melillo, Florence Tangka, Sonja Hoover, Sujha Subramanian
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundFrom 2015 to 2020, the Centers for Disease Control and Prevention’s Colorectal Cancer Control Program (CRCCP) supported 30 awardees in partnering with primary care clinics to implement evidence-based interventions (EBIs) and supporting activities (SAs) to increase colorectal cancer (CRC) screening. This study identified factors that facilitated early implementation and sustainability within partner clinics.MethodsWe conducted longitudinal qualitative case studies of four CRCCP awardees and four of their partner clinics. We used the Consolidated Framework for Implementation Research (CFIR) to frame understanding of factors related to implementation and sustainability. A total of 41 semi-structured interviews were conducted with key staff and stakeholders exploring implementation practices and facilitators to sustainability. Qualitative thematic analysis of interview transcripts identified emerging themes across awardees and clinics.ResultsQualitative themes related to six CFIR inner setting constructs—structural characteristics, readiness for implementation, networks and communication, culture, and implementation climate—were identified. Themes related to early implementation included conducting readiness assessments to tailor implementation, providing moderate funding to clinics, identifying clinic champions, and coordinating EBIs and SAs with existing clinic practices. Themes related to sustainability included the importance of ongoing electronic health record (EHR) support, clinic leadership support, team-based care, and EBI and SA integration with clinic policies, workflows, and procedures.ImplicationsFindings help to inform future scale-up of and decision-making within CRC screening programs and other chronic disease prevention programs implementing EBIs and SAs within primary care clinics and also highlight factors that maximize sustainability within these programs.
      Citation: Health Promotion Practice
      PubDate: 2022-05-18T08:45:37Z
      DOI: 10.1177/15248399221091999
       
  • “I Wear a Mask. I Wear It All the Time. The Kids Don’t Wear Masks”:
           Early Childhood Education Mask-Wearing During COVID-19 in Florida

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      Authors: Joanna Farrer Mackie, Heewon L. Gray, Jennifer Marshall, David Himmelgreen, Abbey Alkon, Russell S. Kirby
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundNew federal health guidance was issued for early childhood education (ECE) programs to reduce the risk of COVID-19 in March 2020. The Centers for Disease Control and Prevention recommended mask-wearing for adults and children aged 2 years and older. Wearing masks was a new practice for teachers and children, and this study investigated when and how masks were worn in ECE centers in Florida.MethodsThis study was part of a larger assessment of the impact of COVID-19 on mealtime routines in ECE centers. Two statewide surveys based on the Trust Model were sent to directors and teachers via Florida Department of Children and Families. Only teachers were interviewed. Data were collected from August to October 2020. The analysis included survey results and interview responses related to mask-wearing.ResultsSurveys were completed by 759 directors and 431 teachers, and 29 teachers were interviewed. Survey results indicated that more teachers than children wore masks during pre- and postmeal activities. Interviews revealed three models that explain mask-wearing: (1) teachers only, in which teachers were required to wear a mask, but children were not; (2) teachers and children, in which teachers and children were required to wear a mask; and (3) masks optional, in which teachers and children could choose to wear a mask.ConclusionUnderstanding how decisions about mask-wearing were made at the center level can inform training and support health and safety in ECE. Use of personal protective equipment (such as masks) is effective for reducing risk of pathogen transmission for children and adults in ECE settings.
      Citation: Health Promotion Practice
      PubDate: 2022-05-14T07:47:41Z
      DOI: 10.1177/15248399221093972
       
  • Implementation Strategies to Support Built Environment Approaches in
           Community Settings

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      Authors: Laura E. Balis, Jessica Vincent
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundBuilt environment approaches are recommended to improve population physical activity levels. Implementation strategies are needed to improve uptake, but little is known about effective strategies to translate research to practice in community settings.PurposeInform implementation strategies through understanding delivery agents’ perceptions of (1) built environment approaches, (2) a toolkit developed to support implementation, and (3) other required implementation strategies.MethodA toolkit was developed to detail the process of partnering to change the built environment and provide examples of built environment approaches (e.g., walking paths, traffic calming). Data were collected through focus groups (N = 3) with Extension Agents (n = 46) in 2020. The semi-structured focus group script was based on the Consolidated Framework for Implementation Research and the Technology Acceptance model. Rapid content analysis techniques and a deductive, grounded theory approach were used to interpret the data. Results. Focus groups generated meaning units coded into themes of perceptions of the intervention (subthemes: barriers, resources needed, and facilitators) and perceptions of the toolkit (subthemes: components to add, positive perceptions, and helpful components). The most common resources needed were coalition guidance and funding.ConclusionAgents experience barriers and facilitators to implementing built environment approaches and have specific needs for support. Based on the results, we created implementation strategies: (1) Places for Physical Activity toolkit, (2) Coalition Coaching, and (3) Mini-Grants. Future work is needed to investigate the effectiveness of these implementation strategies.
      Citation: Health Promotion Practice
      PubDate: 2022-05-13T12:01:41Z
      DOI: 10.1177/15248399221081835
       
  • Social-Ecological Correlates of Loneliness Among Young Adult U.S. Males

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      Authors: Kathy E. Rovito, R. Patti Herring, W. Lawrence Beeson, Thelma Gamboa-Maldonado, Jerry W. Lee
      Abstract: Health Promotion Practice, Ahead of Print.
      PurposeSocial disconnection, such as loneliness, is recognized as a significant public health concern in the United States, and young adult males may carry the greater burden of this issue when compared with their female peers. Little is known about the correlates of loneliness for this population. This study examines the social-ecological correlates of loneliness in young adult males.MethodsMales, aged 18 to 25 years, in the United States were recruited to take part in a cross-sectional electronic survey. Loneliness was assessed as a composite measure. The social-ecological correlates consisted of intrapersonal-level (e.g., social-demographic characteristics), interpersonal-level (e.g., adverse childhood experiences), community-level (e.g., life expectancy at the county level), and societal-level (e.g., idealized masculine gender) variables. A four-block hierarchical regression was performed with each block representing the respective social-ecological level.ResultsAmong the study sample (n = 495), the intra- and interpersonal variables significantly shared 10% and an incremental 3%, respectively, of the explained variance in loneliness. Mental health diagnosis (β = 1.06, 95% confidence interval [CI]: [0.54, 1.59]), childhood physical and emotional abuse (β = 0.21, 95% CI: [0.02, 0.39]), and childhood sexual abuse (β = 0.30, 95% CI: [0.01, 0.60]) were significantly associated with greater loneliness.ConclusionThe findings highlight that the micro-level (intra- and interpersonal) correlates may be most important in predicting loneliness in young adult males. Specifically, young males with a mental health diagnosis and those with greater experiences of childhood adversity are at potentially greater risk for loneliness. Implications for research, programming, and policy are highlighted.
      Citation: Health Promotion Practice
      PubDate: 2022-05-11T01:01:50Z
      DOI: 10.1177/15248399221092753
       
  • Parenting and Lead Mitigation at Home: A Multifaceted Community
           

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      Authors: Alison L. Miller, Rachel Varisco, Simone Charles, Paul Haan, Sara F. Stein, Jacklyn Hernandez, Hurley O. Riley, Rebeccah Sokol, Phoebe Trout, Laura Arboleda, Julie Ribaudo, Karen E. Peterson
      Abstract: Health Promotion Practice, Ahead of Print.
      Young children are at high risk of lead poisoning, which can damage early cognitive and behavioral development and have long-lasting impacts. Home environments are persistent sources of exposure for children in urban, low-income settings. Community–academic partnerships are essential for public health intervention strategies addressing residential household lead exposure, yet community organization staff and home visitors often experience strain and burnout. We describe Parenting and Lead Mitigation at Home, a multifaceted partnership project to (a) develop and implement a community-based, peer-delivered education program for parents of young children in neighborhoods at risk for home lead exposure and (b) support the home visitors delivering programming. We developed, delivered, and initially evaluated Lead 101, a lead-exposure prevention curriculum informed by the Community Organizing and Family Issues (COFI) model. The goals were to educate parents around lead exposure risks and empower parents to reduce their child’s risk. We developed a novel Reflective Practice pilot curriculum designed to provide emotional support to peer educators and community organization staff who delivered home-based programming. We trained 11 peer educators who delivered Lead 101 to 62 families. We pilot-tested the Reflective Practice curriculum with five community organization staff. The implementation process and pilot evaluation data suggest increased parent knowledge and self-efficacy regarding mitigation of home-based lead hazards, and high satisfaction with reflective practice. Using this model to develop multifaceted partnerships among universities, community-based organizations, and focal communities may facilitate community-engaged program development for families and systematic support for individuals working directly with families, thereby indirectly promoting child health and well-being.
      Citation: Health Promotion Practice
      PubDate: 2022-05-09T06:28:01Z
      DOI: 10.1177/15248399221092998
       
  • From the Field to the Patient: A Rural Food Recovery–Based Produce
           Rx Program

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      Authors: Brandon J. Stroud, Lauren R. Sastre
      Abstract: Health Promotion Practice, Ahead of Print.
      Poor nutrition is a major risk factor for chronic diseases, and emerging produce prescription (PRx) programs are a growing approach to addressing gaps in diet quality to promote health. This article describes a food recovery–based PRx framework called Farm to Clinic (F2C). The F2C program includes a partnership between the North Carolina Association of Free and Charitable Clinics (NCAFCC), Society of Saint Andrews (SoSA), and a local food bank. Patients (n = 4,691) were rural, uninsured, and received care at one of three NCAFCC clinics in Eastern North Carolina. Student volunteers gathered gleaned and/or salvaged produce and delivered it to clinics and/or patients directly. Successes of the current model include complementing chronic disease management and health promotion in a cost-effective way that also assists with reducing food waste. In addition, the patients who participate in the program are connected with produce at their primary care clinic and do not have to drive to an additional community site for produce. Some challenges have included consistency with gleaning; therefore, the program has switched to primarily salvaged produce. Areas for expansion and improvement on the F2C model are also outlined and include incorporating a more prioritized eligibility criteria, provision of additional complimentary resources such as nutrition education and culinary support, as well as improved formal evaluation (e.g., use of food and clinical impact). Finally, the F2C model utilizes community partners that have been established nationwide which allows for replication of a framework in other geographic areas.
      Citation: Health Promotion Practice
      PubDate: 2022-05-09T06:25:40Z
      DOI: 10.1177/15248399221091546
       
  • High Impact for Whom' A Qualitative Analysis of Organization Concerns
           About the Transition to High-Impact Prevention Policy

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      Authors: Miranda J. Reid, Emmanuel K. Tetteh, Lucy M. Ingaiza, Cory D. Bradley, M. Margaret Dolcini, Virginia R. McKay
      Abstract: Health Promotion Practice, Ahead of Print.
      HIV represents a significant health burden in the United States. In 2012, the Centers for Disease Control and Prevention (CDC) stopped recommending many once-promoted interventions as part of a shift from one HIV intervention policy, Diffusion of Effective Behavioral Interventions (DEBI), to another, High Impact Prevention (HIP). Twenty-nine staff members from 10 organizations were interviewed to explore how organizations reacted to this shift. Three major themes emerged: (1) Personal experience, community assessment, and epidemiological evidence influenced organizations’ perceptions of efficacy and preference for earlier interventions. (2) Organizations were concerned that HIP interventions were not a good fit for their priority populations. (3) Organizations were frustrated with the top-down approach by the CDC prioritizing HIP interventions over earlier interventions. These results indicate that organizations continue to see value in and provide DEBI interventions. In addition, a more participatory process incorporating qualitative evidence and organizations’ experiences may be necessary to achieve widespread de-implementation of DEBI interventions.
      Citation: Health Promotion Practice
      PubDate: 2022-05-09T06:24:09Z
      DOI: 10.1177/15248399221091537
       
  • A Call for Health Education Specialists: Addressing Racism Through an
           Ecological Framework

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      Authors: Michele L. Pettit, Sarah E. Pember
      Abstract: Health Promotion Practice, Ahead of Print.
      In the wake of the COVID-19 pandemic, racism has emerged as a priority area for the public health community. Due to systemic racism, persons of color have faced decades of inequities in education, health care, employment, transportation, housing, and other realms. These inequities have resulted in numerous disparities in health status and most recently have manifested in the disproportionate number of deaths from COVID-19 and inadequate access to COVID-19 vaccines among persons of color. We highlight historical and contemporary public health implications of racism and present strategies health education specialists can employ to address racism at each level of the ecological model.
      Citation: Health Promotion Practice
      PubDate: 2022-05-07T01:24:26Z
      DOI: 10.1177/15248399221088594
       
  • Promoting Health Literacy Among Adult ELLs Virtually During COVID-19

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      Authors: Sannidhi Shashikiran, Janessa M. Mendoza, Amy Facklam, Joan B. Riley
      Abstract: Health Promotion Practice, Ahead of Print.
      The adult English language learner (ELL) population is often overlooked in health literacy discussions, which can result in perpetuating low health literacy and unfamiliarity with and low access to community resources. Health literacy interventions can reduce the impacts of social determinants of health. We examine the experience of a virtual health literacy educational course, Health in the English Language, for ELLs at Alaska Literacy Program (ALP), an Anchorage nonprofit. Our class was designed to help students navigate interactions with health care services, including medical care, pharmacy, health insurance, and nutrition resources. After 2 years of in-person teaching by university undergraduates, COVID-19 required a pivot to virtual instruction in Zoom in the summer of 2020. Instructors describe lessons learned and adjusting to student needs, community-building and personal connections, and the complexities of the topic of health literacy. ALP collaboration with university students continues to be a successful partnership to build health literacy capacity. Adoption of virtual instruction during COVID demonstrated the role that partnerships between nonprofits and university students can play to benefit all partners in the collaboration.
      Citation: Health Promotion Practice
      PubDate: 2022-05-06T07:19:30Z
      DOI: 10.1177/15248399221086871
       
  • Community College Mental Health Navigators: A Pilot Program to Improve
           Access to Care

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      Authors: Sang Leng Trieu, Richard Chen
      Abstract: Health Promotion Practice, Ahead of Print.
      The California Community College (CCC), the largest system of higher education and provider of workforce training in the nation, serves approximately 2.1 million students across its 116 campuses. CCCs work to reduce barriers to academic success by providing mental health services (MHS). However, CCCs provide MHS on a short-term model because of limited staffing and high demand with most campuses placing a restriction of six to eight sessions per academic term. A referral list of local agencies is typically provided for students who need continued care, though students often do not know how to explore options or navigate their health insurance benefits. During the 2020-2021 academic year, an MH navigator program was piloted at four community colleges in a San Francisco Bay Area county. Participants included 10 students with academic/career interests in social work, nursing, and the social sciences. Fall Semester 2020 focused on increasing students’ knowledge on mental health topics, while Spring Semester 2021 focused on experiential learning through case management of student clients. The navigator pilot program showed promising results with navigators gaining practical experience and exposure to mental health careers while assisting their peers from campus-based to community-based care. Future efforts will focus on cultivating stronger relationships between navigators and MH liaisons. Doing so will help staff develop greater familiarity of the navigator’s role, thus ensuring an increase in usage of its services and allowing the student–client a smoother transitioning experience from campus-based to community-based care.
      Citation: Health Promotion Practice
      PubDate: 2022-05-04T08:52:08Z
      DOI: 10.1177/15248399221090917
       
  • The Standards of Practice for Health Promotion in Higher Education:
           Critical Wording, Content, and Significance to the Field

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      Authors: Sarah E. I. Menefee, Padma R. Entsuah, Alicia K. Czachowski, Joleen M. Nevers, Emily A. Matson
      Abstract: Health Promotion Practice, Ahead of Print.
      The Standards of Practice for Health Promotion in Higher Education (Standards of Practice), is a guiding document for the field of Health Promotion. This article, written by Standards of Practice revision authors, highlights important wording, content, and structure within the current edition of the document. By understanding the importance and rationale of these elements, readers will understand how the Standards of Practice illustrates current and future trends in the field.
      Citation: Health Promotion Practice
      PubDate: 2022-04-15T12:15:10Z
      DOI: 10.1177/15248399221088811
       
  • Implementation of a 2-for-1 Price Incentive for Fruits and Vegetables in a
           Grocery Retail Setting

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      Authors: R. L. Franckle, R. J. Boulos, A. N. Thorndike, A. J. Moran, N. Khandpur, D. Blue, J. Greene, J. P. Block, E. B. Rimm, M. Polacsek
      Abstract: Health Promotion Practice, Ahead of Print.
      Background and PurposeThere is growing interest in expanding healthy eating interventions in the retail setting. The purpose of this study was to evaluate the implementation of a successful 2-for-1 price incentive for fruits and vegetables (F&V), including frozen and canned, that took place in partnership with a large chain grocery retailer in Maine. Intervention Approach. A randomized controlled trial (RCT) pilot study was conducted in 2015–2016, followed by a larger RCT in 2016–2017, to assess whether a supermarket double-dollar F&V incentive increased purchases of these items.Evaluation MethodsA convergent, parallel mixed-methods design was used to examine barriers and facilitators to implementing the interventions, using six implementation outcomes: acceptability, adoption, appropriateness, feasibility, implementation fidelity, and perceived cost.ResultsThe intervention was deemed highly acceptable, appropriate, and feasible by shoppers, retailers, and researchers. The F&V discount had a high rate of initial adoption. There was a moderate degree of fidelity, which improved over time based on lessons learned from the pilot and applied to the subsequent RCT. Specific costs associated with implementation from the research perspective are reported. Implications for Practice, Policy, and Research. Partnerships between academic researchers and retailers can be an effective model for improving healthful purchases among shoppers. These findings are relevant for investigators, public health advocates, and retailers interested in implementing similar grocery retail-based interventions.
      Citation: Health Promotion Practice
      PubDate: 2022-04-13T07:00:32Z
      DOI: 10.1177/15248399221086880
       
  • Preexposure Prophylaxis Implementation in a Reproductive Health Setting:
           Perspectives From Planned Parenthood Providers and Leaders

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      Authors: Brittany Wilbourn, Damon F. Ogburn, Cara B. Safon, Rachel W. Galvao, Trace S. Kershaw, Tiara C. Willie, Tamara Taggart, Abigail Caldwell, Clair Kaplan, Nicole Phillips, Sarah K. Calabrese
      Abstract: Health Promotion Practice, Ahead of Print.
      Integrating pregnancy and HIV prevention services would make reproductive health care settings an optimal venue for the promotion and delivery of preexposure prophylaxis (PrEP) to cisgender women. However, these settings have been slow to adopt PrEP. Planned parenthood clinicians and leaders possess critical insight that can help accelerate PrEP implementation in reproductive health care settings and elements of the Consolidated Framework for Implementation Research (i.e., relative priority of the intervention to staff, implementation climate, available resources to implement the intervention, and staff access to knowledge and information about the intervention) can shed light on elements of Planned Parenthood’s inner setting that can facilitate PrEP implementation. In this study, individual 60-min interviews were conducted with clinical care team members (n = 10), leadership team members (n = 6), and center managers (n = 2) to explore their perspectives on PrEP implementation and associated training needs. Transcripts were transcribed verbatim and thematically analyzed. Despite having variable PrEP knowledge, participants (100% women, 61% non-Hispanic White) expressed positive attitudes toward implementing PrEP. Barriers and facilitators toward providing PrEP were reported at the structural, provider, and patient levels. Participants desired PrEP training that incorporated culturally competent patient-provider communication. Although participants identified ways that Planned Parenthood uniquely enabled PrEP implementation, barriers must be overcome to optimize promotion and delivery of PrEP to cisgender women.
      Citation: Health Promotion Practice
      PubDate: 2022-04-13T06:58:09Z
      DOI: 10.1177/15248399221086616
       
  • Development and Pilot Test of the Competency Assessment for Sexual Assault
           Prevention Practitioners

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      Authors: AnnaMarie S. O’Neill, Joie D. Acosta, Matthew Chinman, Andra L. Tharp, Beverly L. Fortson
      Abstract: Health Promotion Practice, Ahead of Print.
      Sexual assault is a preventable problem that is widespread and particularly prevalent for certain populations (e.g., female college students, Native American women). Despite the gravity of this public health priority, most individuals tasked with the primary prevention of sexual assault are not adequately trained for the job (e.g., professionals often trained solely in sexual assault response). To achieve optimal outcomes, professionals responsible for implementing sexual assault prevention must possess certain core competencies, or knowledge and skills essential for job performance, which include those needed for any primary prevention effort in addition to those specific to sexual assault prevention. The purpose of this study was to develop and assess the construct validity of a competency assessment tool for sexual assault prevention practitioners. An existing assessment tool, which was designed for injury and violence prevention practitioners, was tailored to reflect competencies needed by sexual assault prevention practitioners as informed by the literature. The newly tailored measure was pilot tested with 33 individuals with varying levels of expertise with sexual assault prevention. These individuals were categorized into three groups based on self-rated sexual assault prevention expertise (low, medium, or high) to assess group differences. As expected, the high expertise group rated higher knowledge in all the competencies than the medium and low expertise groups (except for the competency pertaining to developing and maintaining competency). Data collection and analyses were conducted in 2020. Implications for how the assessment tool can be used to identify gaps among individual practitioners and teams of practitioners are discussed.
      Citation: Health Promotion Practice
      PubDate: 2022-04-11T09:53:58Z
      DOI: 10.1177/15248399221084228
       
  • Growing and Glowing: A Digital Media Campaign to Increase Access to
           Pregnancy-Related Health Information for Black Women During the COVID-19
           Pandemic

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      Authors: Erika Bonnevie, Chelsea Barth, Jamillah May, Toni Carey, Savannah B. Knell, Ellen Wartella, Joe Smyser
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundLow birthweight is a health issue disproportionately experienced by Black women. In Hillsborough County, Florida, Black women experience higher rates of low birthweight compared to the rest of Florida. This study examines the feasibility of a second attempt to use a digital low birthweight campaign to increase knowledge about low birthweight and pregnancy among Black women in Hillsborough.MethodsContent for the Growing and Glowing campaign was delivered on social media through a web series with local prenatal care providers and educational images. Two cross-sectional surveys examined changes in pregnancy-related knowledge, attitudes, and behaviors among Black women in Hillsborough. Digital metrics showed campaign reach and engagement.ResultsGrowing and Glowing attained 1,234 followers, 805,437 impressions, and a reach of 19,875. Web series videos were viewed almost 27,000 times, with 89% average viewer retention. The website attracted 2,634 unique page views. Evaluation surveys showed significant improvements in positive pregnancy-related intentions. Women aware of the campaign showed significantly higher awareness of the importance of prenatal care, and higher awareness of local resources.ConclusionResults from the second study of this campaign approach suggest that using a highly targeted digital intervention can be a well-received and potentially effective way to deliver pregnancy-related health information to Black women, even during a global pandemic. This approach has numerous benefits in reaching women who may fall outside traditional health marketing approaches.
      Citation: Health Promotion Practice
      PubDate: 2022-04-08T07:06:37Z
      DOI: 10.1177/15248399221083844
       
  • Promoting Smoking Cessation Among Lesbian and Bisexual Women: Lessons
           Learned From a Location-Based Media Campaign in Western North Carolina

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      Authors: Karen Knight Caldwell, Ann Houston Staples, Lindsey Bnadad, Joseph G. L. Lee
      Abstract: Health Promotion Practice, Ahead of Print.
      Despite well-documented inequities in tobacco use for lesbian, gay, bisexual, and transgender populations, there is little practical guidance for local public health officials on developing and implementing media campaigns that prioritize lesbian, gay, bisexual, transgender, and queer (LGBTQ) communities. In this practice note article, we describe the development and lessons learned from a location-based media campaign to promote tobacco use cessation and raise awareness of QuitlineNC among lesbian and bisexual women in Western North Carolina. The campaign used a digital approach based on cell phone locations and marketing profiles to deliver messages across 4 years (2018–2021). Considerations for practitioners include how our project required messaging adaptation to meet Google’s restrictions against using the word “yours” and the importance of addressing privacy protection concerns with state officials to enable collection of outcome evaluation measures via a conversion pixel (code for capturing metrics).
      Citation: Health Promotion Practice
      PubDate: 2022-04-08T06:30:16Z
      DOI: 10.1177/15248399221083833
       
  • Navigating the Demands of Tenure-Track Positions

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      Authors: Ashley S. Love, Duston Morris, Anita Sego
      Abstract: Health Promotion Practice, Ahead of Print.
      Navigating a tenure-track position can sometimes feel like walking the high wire, teetering from side to side wondering when that next overload course, research paper, or service project will topple you from your scholarly perch. Many of these positions lack significant formalized mentorship and guidance to help navigate and balance the workload of academia. Even with experience, the tenure and promotion process can be ambiguous. Workload balance is imperative to achieve tenure and promotion. Once you are in a tenure-track position, it is important to balance and understand the tenure and promotion process and its value. We provide a roadmap for early career academic professionals on how to balance their teaching, research, and service to obtain tenure and promotion. We inform the next generation of academicians about how researchers address public health problems through teaching, scholarship, and service. Finally, we explore five critical areas relevant to successful tenure and promotion: (a) classification and organizational culture, (b) the “Big Three” (teaching, research, and service), (c) professional development and network, (d) mentorship, and (e) work–life balance.
      Citation: Health Promotion Practice
      PubDate: 2022-04-06T11:34:10Z
      DOI: 10.1177/15248399221084225
       
  • Nutrition-Related Information Shared by Latine Influencers: A YouTube
           Content Analysis

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      Authors: Laura Clark, Egla-Irina D. Lopez, Lauren Woods, Andrew Yockey, Rochelle Butler, Cristina S. Barroso
      Abstract: Health Promotion Practice, Ahead of Print.
      Latines are the fastest growing populace in the United States. Latine is a new, inclusive term for Hispanic and Latino populations regardless of gender identity. When compared with non-Latine counterparts, Latines have higher prevalence rates of obesity, diabetes, chronic liver disease, and kidney disease, which are associated with poor dietary behaviors. More research is warranted into the factors behind Latines’ understanding of nutrition and potential sources of health information that influence dietary behaviors. This study describes the nutrition-related health information shared through YouTube by English-speaking Latine individuals between the ages of 18 and 49. For this content analysis, a cross-sectional study design was used. A four-step search strategy identified eligible YouTube channels and their corresponding video blogs (vlogs): discovery, screening, eligibility, and included. NVivo 1.0 was used to qualitatively code the nutrition-related information. A total of 68 vlogs were identified and reviewed. Five main themes emerged from the data (what vloggers discussed): Nutrition Philosophies, Inaccurate Information, Product Promotion, Recommendations based on the 2020–2025 Dietary Guidelines for Americans (DGA), and Recommendations not based on the 2020–2025 DGA. Although some of the nutrition-related information shared followed the 2020–2025 DGA, not all information were in line with these guidelines. Misinformation can undermine the scientific work done by health professionals and can threaten the health and lives of the citizenry by creating barriers for accessing, understanding, and utilizing evidenced-informed guidance in making health decisions. This study revealed that more research is warranted into specific aspects of social media and how they influence health behavior.
      Citation: Health Promotion Practice
      PubDate: 2022-04-06T08:56:12Z
      DOI: 10.1177/15248399221083302
       
  • Improving Fecal Immunochemical Test Return Rates: A Colorectal Cancer
           Screening Quality Improvement Project in a Multisite Federally Qualified
           Health Center

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      Authors: Jamie M. Zoellner, Kathleen J. Porter, Esther Thatcher, Dylan Allanson, Michelle Brauns
      Abstract: Health Promotion Practice, Ahead of Print.
      The goal of this quality improvement project was to improve colorectal cancer (CRC) screening rates in a multicenter federally qualified health center (FQHC) within the Central Appalachian region of rural, southwestern Virginia. Guided by the Plan-Do-Study-Act (PDSA) cycle, the objectives were to (1) evaluate implementation processes and effectiveness of an automated electronic medical record patient reminder system to promote fecal immunochemical test (FIT) completion, compared with live telephone reminders delivered by a care coordinator (i.e., usual care), and (2) explore staff perceptions related to improving CRC screening rates. In total, 119 FITs were distributed with 59 assigned to usual care and 60 to the automated groups. In the usual care group, 79% patients with completed protocol returned their FIT; 9% were positive. In the automated reminder group, 76% patients with completed protocol returned their FIT; 10% were positive. There was no significant difference in the number of contacts per patients between the usual care (2.0, SD = 0.82 contacts/patient) and automated (1.8, SD = 0.98 contacts/patient) groups (p = .248). In total, the usual care and automated groups required 56 and 17 live calls, respectively. Overall, FQHC system–wide CRC screening rates increase from 30.5% to 47.3%. Ten staff interviews revealed perceptions of CRC screening, the QI project, and organizational change processes that may inform future cancer control projects. Researcher and practitioners should consider PDSA quality improvement projects as an initial step to build capacity and improve CRC screening rates, especially when working in FQHC with limited resources to engage in large complex research projects.
      Citation: Health Promotion Practice
      PubDate: 2022-04-06T08:54:12Z
      DOI: 10.1177/15248399221083294
       
  • Reverse Coding of a Common-Sense Physical Activity Intervention for Older
           Adults Using Elements of the Behaviour Change Wheel Framework

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      Authors: Andrew James Powell, Sarah Thomas
      Abstract: Health Promotion Practice, Ahead of Print.
      “Common-sense” physical activity (PA) interventions for older adults may be more effective if developed in accordance with behavior change theory. One way to achieve this is through retrospectively applying a theoretical behavior change framework to “reverse code” an existing intervention and guide its ongoing development. This study aimed to detail a clear and systematic procedure that applied elements of the Behaviour Change Wheel (BCW) framework to reverse code the Active Ageing Pathway (AAP) intervention. The objectives of the procedure were to characterize the content of the AAP and its links to behavior change theory. The content of the AAP was first deconstructed through the examination of “standard operating procedures” documents, in-person observation, and a series of face-to-face discussions with AAP management. Then, the behavior change techniques (BCT) and BCW intervention functions associated with the AAP’s content were identified and coded using the BCT Taxonomy version 1. Forty-one active components were identified within the AAP, which involved numerous professionals, and pertained to a diverse and interlinked range of factors, across various modes of delivery. The components were classified under 20 separate BCT labels, which related to eight of the nine BCW intervention functions. These outcomes were demonstrated to have practical applications for identifying gaps in intervention content as well as for guiding future intervention evaluation. This study supports previous work detailing the usefulness of reverse coding procedures as a tool for developing common-sense interventions, and is the first to do so in the context of a PA intervention for older adults.
      Citation: Health Promotion Practice
      PubDate: 2022-04-06T08:52:42Z
      DOI: 10.1177/15248399221081832
       
  • Promoting Awareness to Counter Damaging Attitudes, Beliefs, and Reactions
           Related to Sexual Assault Against Trans People: A Social Media Campaign
           for Health and Social Service Providers

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      Authors: Joseph Friedman Burley, Janice Du Mont, Alexander Reid, Sheila Macdonald
      Abstract: Health Promotion Practice, Ahead of Print.
      Transgender (trans) people face high rates of sexual assault and often encounter systemic barriers in accessing appropriate care and supports, including, among others, stigma, discrimination, and a lack of provider knowledge. Trans communities and allies in research and the service sector have emphasized the potential of advocacy as a tool to dismantle barriers for trans people; however, to date, few advocacy efforts have been undertaken in the sexual assault context. To address this gap, we developed and implemented #TRANSformativeKnowledge, a social media campaign to promote awareness among providers about the damaging attitudes, beliefs, and reactions that often impede trans survivors’ access to appropriate services. Based on insights from a recorded consultation with trans community members and health and social service professionals, we designed seven posters for circulation on Twitter, each containing a representative quote, key message, and associated call to action. The campaign was launched May 17, 2021, with posters Tweeted twice weekly, including one final summary post on June 30, 2021. The campaign reached approximately 100,000 Twitter users, with almost 2,000 engagements. As demonstrated by these findings, our social media advocacy campaign represents a viable method for disseminating knowledge about sexual assault against trans people, which could be replicated by others aspiring to advance health equity through advocacy.
      Citation: Health Promotion Practice
      PubDate: 2022-03-18T09:49:54Z
      DOI: 10.1177/15248399221074981
       
  • A Proactive, Systematic Approach to Building the Capacity of Technical
           Assistance Providers

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      Authors: Tara Kenworthy, Ariel Domlyn, Victoria C. Scott, Randy Schwartz, Abraham Wandersman
      Abstract: Health Promotion Practice, Ahead of Print.
      Technical assistance (TA) is a major capacity building strategy used by the government sector to promote health outcomes in the United States. However, there is minimal literature about how to develop TA provider capacities. This article describes a systematic and proactive approach for developing TA provider capacity, referred to as Technical Assistance for Technical Assistance Providers (TAFTAP), which draws on three implementation science frameworks (Interactive Systems Framework for Dissemination and Implementation, Getting To Outcomes, and R = MC2). We present an application of TAFTAP within a federal agency providing a readiness-informed TA approach to health departments of states, territories, and tribal areas implementing comprehensive tobacco prevention control programs. Pilot data suggest that TAFTAP is a promising approach for improving the quality of TA delivery. At the end of the 2-year project period, TAFTAP recipients provided generally positive qualitative feedback about the support they received. They chose to sustain the readiness-informed TA by incorporating it into a future funding announcement. Downstream state-level TA grantee recipients reported positive outcomes (e.g., accelerated progress, enjoying more one-on-one time with TA providers) from receiving the TA innovation from TAFTAP recipients. We suggest that funding agencies and training and TA centers consider this approach to bolster the capacity and motivation of TA providers for downstream benefit to health and human services staff and their clients. Practical steps for employing TAFTAP to advance health outcomes are included in this article.
      Citation: Health Promotion Practice
      PubDate: 2022-03-18T09:48:47Z
      DOI: 10.1177/15248399221080096
       
  • Implementing a Produce Prescription Program in Partnership With a
           Community Coalition

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      Authors: Laurel Dolin Stevenson, Jennifer Lucarelli, Scott A. Stewart, Sonia Acosta, Bethany Yoakum, Coleman Yoakum
      Abstract: Health Promotion Practice, Ahead of Print.
      Healthy eating reduces risk for chronic disease, but can be out of reach for many Americans experiencing food insecurity. Produce Prescription Programs (PPPs) have emerged as an intervention to address barriers related to fruit and vegetable consumption. Using a social prescribing model, PPPs connect patients with referrals to community resources to reduce barriers to healthy eating. There is evidence of success of PPPs at improving dietary intake, yet little discussion within the literature of practical aspects of implementation. As interest grows around establishing PPPs within communities, increased attention to strategic planning and implementation remains necessary to develop robust and effective programming. We describe implementing the Pontiac Prescription for Health pilot program, highlighting the participatory planning process with partners. Development and implementation included a program model, recruitment methods and materials, a voucher contract and tracking system with produce vendors, physical activity opportunities, culturally competent health education sessions, and evaluation tools. We offer insight into lessons learned and practical implications for future “on-the-ground” planning and implementation. Engaging in a rigorous participatory planning process with all community partners, allowing adequate time to establish service agreements and a voucher system with vendors, and engaging program participants in different ways and spaces throughout the community can enhance program success.
      Citation: Health Promotion Practice
      PubDate: 2022-03-15T05:54:31Z
      DOI: 10.1177/15248399221081406
       
  • Reconsidering the “Place” in Field Placement

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      Authors: Matthew Fifolt, Lisa C. McCormick, Deanna Zhong, Laura M. Lloyd, Melissa Alperin
      Abstract: Health Promotion Practice, Ahead of Print.
      Site-based, in-person field placement experiences prepare students for real-world community practice through reflection; direct, hands-on experience; and the completion of a project or set of deliverables that add value to the organization. These practice experiences encourage students to integrate classroom learning with the knowledge and skills of a workplace environment. In the Southeast United States, the Region IV Public Health Training Center (R-IV PHTC) provides students with practice experiences through the Pathways to Practice Scholars Field Placement Program. Before COVID-19, these field placement experiences were limited to in-person assignments in which students worked and lived in the communities they served. However, student and mentor experiences during the COVID-19 pandemic demonstrated that remote work arrangements offer a viable alternative to the onsite-only field placement experience. In this article, we describe student experiences with remote and hybrid work arrangements, highlight issues regarding equity and inclusion, and discuss implications for future public health practice.
      Citation: Health Promotion Practice
      PubDate: 2022-03-03T06:37:57Z
      DOI: 10.1177/15248399221079387
       
  • Evaluation Results From the Healthy Work Collaborative: A Cross-Sectoral
           Capacity Building Partnership to Address Precarious Employment

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      Authors: Christina Welter, Elizabeth Jarpe-Ratner, Tessa Bonney, Eve Pinsker, Elizabeth Fisher, Nandini Deb, Anna Yankelev, Devangna Kapadia, Marsha Love, Joseph Zanoni
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundThe COVID-19 pandemic has illuminated the profound health and safety risks of precariously employed workers, many of whom are disproportionately Latinx and Black. Precarious employment (PE) is a social determinant of health (SDOH) characterized by low wages, hazardous conditions, unstable work schedules, no termination protection, and few benefits. Even before COVID-19, calls for more effective health promotion efforts to address SDOH like PE existed.PurposeThe University of Illinois at Chicago Center for Healthy Work, Healthy Communities Through Healthy Work developed the Healthy Work Collaborative (HWC) as an evidence-informed capacity building policy, systems, and environmental change (PSE) initiative. The HWC aimed to facilitate cross-sectoral partnerships between health and labor sector partners. The labor sector provided technical assistance (TA) to participants to improve their ability to address PE through PSE.MethodsThis article reports findings from a mixed-methods evaluation using the Kirkpatrick training model including participants’ reactions, learning, behavior, and outcomes. A pre–post survey was administered to participants (N = 21) and analyzed descriptively; 3-month post HWC interviews were conducted (N = 13) and thematically analyzed.ConclusionFindings included positive results at all Kirkpatrick levels. Participants’ reported that the HWC curriculum and delivery was valuable and well received; they demonstrated gains toward addressing PE through PSE knowledge and skills and increased or strengthened health/labor partnerships. In addition, HWC influenced participants’ application of HWC concepts, and in a few cases, participants’ made changes in policies and plans in their organizational settings. The HWC may serve as a model to address other SDOH through cross-sectoral PSE change.
      Citation: Health Promotion Practice
      PubDate: 2022-02-28T08:26:28Z
      DOI: 10.1177/15248399211069099
       
  • Corrigendum to “Cultural Competence or Cultural Humility' Moving
           Beyond the Debate”

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      Abstract: Health Promotion Practice, Ahead of Print.

      Citation: Health Promotion Practice
      PubDate: 2022-02-24T11:36:00Z
      DOI: 10.1177/15248399221079397
       
  • You’ve Got a Friend in Me: Fostering Social Connection Among College
           Students Through Peer-Led Physical Activity

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      Authors: Jessica B. Kirby, Megan Babkes Stellino, Cynthia Lewis, Kimberly Humphrey, Katie Gordon, Keston G. Lindsay
      Abstract: Health Promotion Practice, Ahead of Print.
      Social connection and physical activity (PA) are essential health behaviors necessary for young adults to thrive. The majority of college students in the United States are not meeting PA recommendations and simultaneously report concerning rates of loneliness, depression, anxiety, and fatigue; all factors that contribute to poor psychological well-being and reduce students’ abilities to sustain academic success. These mental and physical health indicators have only worsened due to the stress, isolation, and uncertainty experienced during the COVID-19 pandemic. Fitness Buddies (FB) is a free peer-led PA program designed to combat loneliness, stress, anxiety, depression, and low PA, by providing students the opportunity to connect with one another through PA. FB participants are matched with a peer leader for weekly PA sessions based on activity interests and schedules. The FB program model shifts the focus of traditional PA programs, from prescribing and monitoring PA duration, intensity and modalities, to supporting psychological well-being through satisfaction of the three basic psychological needs of competence, autonomy, and relatedness within peer PA-based relationships. In the first pilot phase of implementation, students reported improved situational affect, to include reduced stress and anxiety, following participation in the FB program for one academic semester. Participants also reported the development of quality peer relationships and a sense of belonging to the campus community, both of which had previously been lacking. The FB program model is an innovative and cost-efficient strategy to supporting college students’ psychological well-being and long-term success.
      Citation: Health Promotion Practice
      PubDate: 2022-02-24T11:34:00Z
      DOI: 10.1177/15248399211072535
       
  • A Survivorship Educational Tool for Latino Adolescent and Young Adult
           Cancer Survivors

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      Authors: Jacqueline N. Casillas, Carl Bolano, Lindsay F. Schwartz, Patricia A. Ganz, Katherine Kahn, Margaret Stuber, Roshan Bastani, Sonia Morales, Joshua Macadangdang, Emma K. Lidington, Karla Quintana, Amri Gonzalez, Esther Casas, Elvia Barboa
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundLow receipt of survivorship care by Latino adolescent and young adult (AYA) cancer survivors necessitates development of age-appropriate and culturally tailored interventions aimed at increasing their perceived need for survivorship care.MethodThis study describes the development and acceptability testing of a culturally tailored intervention, a photonovela, as part of a community-partnered participatory research (CPPR) project. A four-step approach to the photonovela’s development was implemented: (a) literature review, (b) RAND-modified Delphi method, (c) photonovela booklet development, and (d) photonovela acceptability testing through focus groups. Using the CPPR approach, community and academic experts and members worked together at all stages of this project to identify educational domains for the photonovela and ensure that community views and scientific knowledge were equally represented.ResultsCancer survivors and their families described the photonovela as entertaining and relatable. Its story positively reflected their own experiences, and they connected strongly with its characters. Acceptability testing of the photonovela played a significant role in its final script and content, and provided additional new insights into understanding survivorship care perspectives for Latino AYA survivors and their families.ConclusionEqual and shared community and academic involvement through CPPR is essential in identifying unique needs and developing culturally acceptable educational interventions for Latino AYA cancer survivors. The photonovela was seen as an important educational resource in enhancing knowledge and increasing perceived need for survivorship care in this population.
      Citation: Health Promotion Practice
      PubDate: 2022-02-24T11:32:37Z
      DOI: 10.1177/15248399211061709
       
  • Improving Comprehensive Cancer Control State Plans for Colorectal Cancer
           Screening in the Four Corners Region of the United States

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      Authors: Joseph Rodman, Shiraz I. Mishra, Prajakta Adsul
      Abstract: Health Promotion Practice, Ahead of Print.
      Colorectal cancer (CRC) disparities continue to persist in the four corners region (states of New Mexico, Arizona, Utah, and Colorado) of the United States. The Comprehensive Cancer Control (CCC) state plans provide a policy and practice snapshot on how a state identifies and addresses its cancer burden. This study critically examines the four state plans to identify gaps and opportunities for cancer prevention and control. Using a conventional content analysis approach, we reviewed the CCC plans for CRC screening-related information, culminating in a conceptual framework that highlights three themes. First, states reported their cancer burden using national data from American Cancer Society, Centers for Disease Control and Prevention, or the NCI’s Surveillance, Epidemiology, and End Results. Although these data informed specific goals and objectives, not all plans reported state-level data on CRC differences by specific social determinants of health and other characteristics. Second, it was not clear whether the interventions chosen to address state plan objectives were evidence-based and whether or not clearly described criteria were used for the selection of the interventions. Third, very limited information was provided in terms of state-specific contextual challenges and practical implementation of interventions. Study findings highlight opportunities to improve state-level cancer prevention and control efforts: first, by promoting the selection and adaptation of contextually relevant evidence-based interventions for this unique region; and second, through multidirectional engagement with communities, researchers, and policy and practice stakeholders. Such synergies in research and policies are vital for a coordinated and integrated approach to cancer prevention and control.
      Citation: Health Promotion Practice
      PubDate: 2022-02-21T08:39:09Z
      DOI: 10.1177/15248399211073803
       
  • A Food Security Indicator Framework for British Columbia, Canada

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      Authors: Barbara Seed, Melanie Kurrein, Rebecca Hasdell
      Abstract: Health Promotion Practice, Ahead of Print.
      Food security is a determinant of health and increasingly recognized as a focus for health promotion. Led by the Population and Public Health Program, British Columbia Centre for Disease Control, this article outlines the process of development and the evidence-based conceptual framework that guides the systematic selection of food security indicators in the Province. A phased, iterative approach to develop the food security framework was adopted. Phase 1 consisted of a literature search of food security indicator models, and key informant discussions. Phase 2 consisted of modification of the model based on stakeholder consultation. The framework development occurred between January 2016 and April 2019. A structured scan of the literature found no existing conceptual frameworks specific to food security indicators in the Global North. The most relevant and frequently used frameworks for indicator reporting identified were environmental health indicator frameworks. This article presents a matrix framework based on existing environmental health indicator frameworks. It integrates environmental health causal networks (e.g., determinants–current state–impact–response) with food security elements identified as (a) individual and household food insecurity, (b) food systems, and (c) capacity. This framework contributes to food security performance monitoring in the Global North and fills an important gap in evaluating the impact of the public health response to food security. Use of this comprehensive framework can enable program planners and policy makers to be clear about where and how they are attempting to assess, influence and monitor food security, and illustrate the interconnectedness between indicators.
      Citation: Health Promotion Practice
      PubDate: 2022-02-21T05:24:22Z
      DOI: 10.1177/15248399211073801
       
  • Rural Libraries as Resources and Partners for Outside Active Play Streets

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      Authors: Noah Lenstra, Sandra Slater, Keshia M. Pollack Porter, M. Renée Umstattd Meyer
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundUrban and rural areas have different types of built environments and community infrastructure, which lead to different types of successful community-based physical activity initiatives. Temporary Play Streets are a supported way to increase physical activity and perceptions of the built environment as a space for active lifestyles.PurposeWithin the field of public health, public libraries constitute an underutilized community partner. To begin to understand the capacity of rural librarians to support rural Play Streets, a cross-sectional questionnaire was developed for distribution to rural librarians.MethodsThe sampling frame targeted members of the membership-based U.S. Association for Rural & Small Libraries (ARSL). Among respondents, 65% reported offering outdoor physical activity programs in the past, and 61% reported continuing to offer versions of this programming during the COVID-19 pandemic. Librarians work with a broad range of community partners on this programming, and already own much of the equipment necessary for a successful Play Streets initiative.ConclusionsThe results of this study corroborate claims from previous research, which shows that in small and rural communities, public libraries have the capacity to play a role in promoting physical activity through involvement in community partnerships. Additional work is needed to understand, evaluate, and support this opportunity to weave rural librarians into community-based physical activity promotion efforts more fully.
      Citation: Health Promotion Practice
      PubDate: 2022-02-10T09:41:45Z
      DOI: 10.1177/15248399211073602
       
  • Protection Motivation Theory and Intentions to Receive the COVID-19
           Vaccine

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      Authors: Robin M. Kowalski, Nicholas Deas, Noah Britt, Emily Richardson, Sophie Finnell, Kelly Evans, Hailey Carroll, Andrew Cook, Emily Radovic, Tanner Huyck, Isabella Parise, Chelsea Robbins, Hannah Chitty, Sophie Catanzaro
      Abstract: Health Promotion Practice, Ahead of Print.
      Background. Declared a “public health threat of international concern” by the World Health Organization, the COVID-19 virus has caused the deaths of over half a million individuals in the United States in just the first 23 months after detection. The vaccine has recently been introduced to reduce this public health threat. However, due, in part, to the rapidity with which the vaccine was developed, many individuals display vaccine hesitancy. Purpose. The current study examined the utility of the Protection Motivation Theory of Health (PMT) in predicting intentions to receive the COVID-19 vaccine. Method. One hundred twenty-nine unvaccinated respondents (drawn from an initial sample of 255 participants) completed a survey assessing the components of the PMT and intentions to receive the vaccine. Respondents could also provide an open-ended response regarding any concerns they had with the vaccine. Conclusions. The PMT accounted for 76% of the variance in vaccine intentions. Vulnerability, outcome efficaciousness, and maladaptive response rewards each accounted for unique variance. Open-ended responses reflecting concerns with the vaccine fell into 8 categories, with the most common being concern with the long-term side effects of the vaccine. These results suggest that public health campaigns promoting the vaccine should focus on vulnerability to COVID-19, protective functions of the vaccine, and overcoming what people perceive as benefits of not receiving the vaccine.
      Citation: Health Promotion Practice
      PubDate: 2022-02-08T10:01:21Z
      DOI: 10.1177/15248399211070807
       
  • HIV Knowledge and Perceived Risk Among Black Men and Women Who Are
           Incarcerated in Kentucky

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      Authors: S. Thorpe, B. Miller-Roenigk, C. N. Hargons, J. N. Dogan, S. Thrasher, P. Wheeler, C. Oser, D. Stevens-Watkins
      Abstract: Health Promotion Practice, Ahead of Print.
      In the United States, Black men and women who are incarcerated bear a disproportionate and inequitable burden of HIV infection. While HIV knowledge does not consistently predict HIV risk behaviors, HIV knowledge can inform one’s perceptions of their risk for HIV. We examined gender differences in HIV knowledge and perceived risk of contracting HIV (N = 424) among Black men and women who were incarcerated and nearing community reentry from seven prisons in Kentucky. Our results demonstrated that women reported greater levels of HIV knowledge and perceived greater risk for contracting HIV than their male counterparts. Implications for HIV prevention interventions are discussed.
      Citation: Health Promotion Practice
      PubDate: 2022-02-07T11:40:55Z
      DOI: 10.1177/15248399211069091
       
  • A Health Equity Lens Contributes to an Effective Pandemic Response: A
           Canadian Regional Perspective

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      Authors: Andrew Terence Lam, Kim Bacani-Angus, Krista Richards, Rachel Griffin, Fareen Karachiwalla
      Abstract: Health Promotion Practice, Ahead of Print.
      As cases of COVID-19 began to increase in Ontario, Canada, throughout 2020, early evidence from surveillance and media highlighted disproportionately higher rates of COVID-19 infection, hospitalization and mortality among racialized and low-income populations. This disproportionate impact on underserved populations calls for a shift in approach away from what has traditionally occurred in health protection, that is the use of a universal approach which assumes everyone is affected and benefits equally from the same type and intensity of interventions. In this article, public health agencies are, therefore, being called to consider moving away from using a purely universal approach, often used in the control of communicable diseases, and apply a more tailored approach and use principles of health equity and proportionate universalism to reduce COVID-19 cases and their impacts among underserved groups and address health inequities exacerbated by the pandemic. We highlight examples from York Region Public Health, one of the largest health units in Ontario, to demonstrate areas of possible impact of this paradigm shift. It is clear that with a health equity lens applied to the pandemic response, the impact of COVID-19 can be further reduced and health inequities that predated the global pandemic can improve.
      Citation: Health Promotion Practice
      PubDate: 2022-01-29T08:46:46Z
      DOI: 10.1177/15248399211072530
       
  • Educating for Children’s Health: Lessons Learned on Facilitating Media
           Literacy & Food Marketing Programming

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      Authors: Emily Truman, Lisa Daroux-Cole, Charlene Elliott
      Abstract: Health Promotion Practice, Ahead of Print.
      Food marketing is currently a multi-billion dollar industry. High levels of child-targeted food marketing, including on food packaging, suggests the need for media literacy skills to navigate persuasive techniques on food products. Evidence-based educational content on the topic of Media Literacy & Food Marketing (MLFM) was developed for children in Grades 3 to 9. This MLFM content has been taught to thousands of Canadian children across Canada, both in-person and virtually. This Practice Note highlights key strategies and lessons from implementing the program, and provides valuable insights into effective methods for empowering children’s critical thinking around food promotion.
      Citation: Health Promotion Practice
      PubDate: 2022-01-27T06:21:40Z
      DOI: 10.1177/15248399211072532
       
  • Exploratory Evaluation of Inclusion Wheel Model for Public Health Practice
           to Include People With Disabilities: Implications for Leadership and
           Training to Serve the Whole Community

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      Authors: Adriane K. Griffen
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundThis study evaluated the presence of the Inclusion Wheel Model’s factors and conditions across programs on a variety of public health topics, in which people with disabilities were intentionally included.PurposeWe used an action research approach to facilitate three learning groups and two communities of practice, including participants from the national disability community, nonprofit, university, and government public health partners.MethodWe conducted a qualitative analysis using virtual meetings, meeting notes, and the series of feedback surveys as data sources. A primary coder and secondary coder reviewed, coded, and analyzed each data source according to preset coding schemes, using a previously developed codebook based on the Model. All supports and factors of the Inclusion Wheel were identified, including adaptive leadership supports, readiness for the change of including people with disabilities in public health efforts, capacity building activities, and capacity efforts across settings and topics.ConclusionThis examination has critical implications for public health trainers, leaders, and program designers on the inclusion of people with disabilities and other underserved populations in health promotion efforts. Public health practitioners must serve the whole community, including underserved and marginalized demographic groups, like the one in four Americans living with a disability. The Inclusion Wheel may be used as a model to guide disability inclusion training among public health partners and leaders in nonprofit, corporate, and government sectors, as well as to prioritize involvement of marginalized and underserved population groups in planning health promotion efforts.
      Citation: Health Promotion Practice
      PubDate: 2022-01-19T12:08:39Z
      DOI: 10.1177/15248399211070809
       
  • Assessing the Effects of a Statewide Training Initiative on Local School
           Wellness Policies

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      Authors: Sarah L. McKee, Ran Xu, Marlene B. Schwartz
      Abstract: Health Promotion Practice, Ahead of Print.
      Local district wellness policies are designed to ensure that schools support student health by providing a healthy nutrition environment and opportunities for physical activity. The Kansas State Department of Education (KSDE) developed a 5-year initiative to strengthen wellness policies across their state by offering regional wellness workshops and providing coaches to work with individual districts. KSDE also developed the Wellness Impact Tool (WIT), a self-report measure districts use to document their practices at each school level related to Nutrition, Nutrition Promotion, Physical Activity, and Integrated School-Based Wellness. Kansas districts (N = 286) completed the WIT annually over a 5-year period. The current study evaluates the KSDE wellness initiative by examining the changes in WIT scores over time and by school level, and testing whether greater engagement with wellness supports (i.e., workshops attended and coaching sessions received) predicts higher WIT scores. The findings indicate that district WIT scores increased over the 5-year initiative. Overall, high schools scored higher than elementary or middle schools on Nutrition items, and elementary schools scored higher than other school levels in the domains of Nutrition Promotion, Physical Activity, and Integrated School-Based Wellness. The number of wellness supports utilized by districts each year were significant predictors of subsequent WIT scores. The KSDE’s initiative to support Kansas school districts was associated with significant improvements in the quality of wellness practices across the state and provides a model for consideration by other states.
      Citation: Health Promotion Practice
      PubDate: 2022-01-19T12:00:43Z
      DOI: 10.1177/15248399211070808
       
  • Using Community–Academic Partnerships and a Creative Expression Contest
           to Engage Youth in the Development of Communication Materials for
           Promoting Behaviors That Prevent COVID-19

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      Authors: Jacob Szeszulski, Ghadir Helal Salsa, Paula Cuccaro, Christine M. Markham, Mary Martin, Lara S. Savas, Melissa Valerio-Shewmaker, Timothy J. Walker, Andrew E. Springer
      Abstract: Health Promotion Practice, Ahead of Print.
      Youth can transmit COVID-19 to adults, but few communication materials exist for engaging youth in COVID-19 prevention behaviors. We describe the process of leveraging a community–academic partnership in a rapid response initiative to engage youth in a contest (i.e., Youth-Led Creative Expression Contest to Prevent COVID-19 across Texas) to develop creative public health messaging centered on the prevention of COVID-19 transmission and infection for their peers. Core activities included developing a request for applications that solicited submission of creative expression materials promoting the use of COVID-19 prevention behaviors (mask-wearing, social distancing, handwashing, not touching the face) from Texas youth in elementary, middle, and/or high school; sending the request for applications to 48 organizations in Austin, Brownsville, Dallas, El Paso, Houston, and San Antonio in summer 2020; and recruiting a youth advisory board to score submissions and award prizes. We report on youth engagement in the COVID communication contest across Texas and use statistics (chi-square and t-tests) to characterize and compare youth participants and their creative expression artwork. The contest resulted in 3,003 website views and 34 submissions eligible for scoring. Each submission averaged>2 prevention behaviors. On average, winning submissions included a higher number of prevention behaviors than nonwinning submissions. The prevention behavior “not touching the face” was included more often in winning submissions than nonwinning submissions. Elementary school children were less likely to include a mask in their submission compared with older youth. Existing community–academic networks can engage youth in the development of geographically and age-tailored communication materials.
      Citation: Health Promotion Practice
      PubDate: 2022-01-19T11:58:27Z
      DOI: 10.1177/15248399211070547
       
  • Impact of an Elementary School-Based Wellness Initiative on Child Obesity
           Prevalence: LiveWell Kids

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      Authors: Christian Palacios, Paul Simon, Ali Steward, Tessa Garner, Heena Hameed, Rashmi Shetgiri
      Abstract: Health Promotion Practice, Ahead of Print.
      Despite major public health investments over the past several decades, little progress has been made in reducing the prevalence of obesity among school-aged children in the United States. In 2007, the Redondo Beach Unified School District (RBUSD) and the Beach Cities Health District launched a wellness initiative, LiveWell Kids, that included multi-level interventions to improve nutrition and increase physical activity. The initiative also included annual measurements of height and weight among all kindergartners and first, third, and fifth graders in the eight elementary schools in the RBUSD. To assess trends in obesity prevalence, we analyzed height and weight data collected during the 2008 to 2009 to 2018 to 2019 school years. To more fully assess the impact of the initiative, we conducted a least-squares regression difference-in-differences analysis of data from the California Physical Fitness Testing Program on measured height and weight among fifth graders from the RBUSD, three neighboring school districts, and Los Angeles County overall. Among elementary school students in the RBUSD, obesity prevalence decreased from 13.9% in 2008 to 2009 to 6.4% in 2018 to 2019. Significant declines in prevalence were observed in all eight elementary schools, and across all grade levels and demographic groups. Among fifth graders, a similar decline in obesity prevalence was not observed in the other school districts or the county overall. The findings suggest that interventions that adhere to the socio-ecologic model and engage students, parents, and school personnel at all levels while also addressing school and community environments may reduce obesity prevalence among elementary school-aged children.
      Citation: Health Promotion Practice
      PubDate: 2022-01-19T11:56:02Z
      DOI: 10.1177/15248399211065717
       
  • Emerging Opportunities to Improve Treatment Access for Substance Use
           Disorders and Other Comorbid Health Issues Among Women Enrolled in WIC

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      Authors: Yukiko Washio, Bradley N. Collins, Linda M. Kilby
      Abstract: Health Promotion Practice, Ahead of Print.
      Women living in underserved communities are at an increased risk for substance use disorders and other comorbid health issues, a public health concern that was exacerbated as the COVID-19 pandemic took hold. In response to the challenges the pandemic presented, services delivered by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) adapted nimbly, including WIC nutrition managers’ and counselors’ efforts to provide reactive referrals of clients raising concern about substance misuse and related consequences. This adaptation signaled an opportunity to consider integrating more proactive, evidence-based strategies for substance use disorders such as standardized brief assessments, advice, and referral procedures (i.e., Screening, Brief Interventions, and Referral to Treatment [SBIRT]), as part of routine WIC operations. Integration of such routine practice would improve the quality of care WIC provides to their clients and families, while addressing a major gap in public health by connecting clients at high risk for substance use disorders and substance-related problems to much needed services. Given the adaptability of WIC to reactively manage the wide array of psychosocial and mental health problems that increased during the pandemic, opportunities exist for future research to examine the feasibility, acceptability, and efficacy of proactive implementation of brief screening, advice, and treatment referral to reduce substance-related harm among women living in underserved communities.
      Citation: Health Promotion Practice
      PubDate: 2022-01-07T10:00:05Z
      DOI: 10.1177/15248399211069094
       
  • Community Supported Agriculture, Human Capital, and Community Health

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      Authors: Celina L. Martinez, Daisy Rosero, Tammy Thomas, Francisco Soto Mas
      First page: 407
      Abstract: Health Promotion Practice, Ahead of Print.
      Community supported agriculture (CSA) strengthens the local food system (LFS) and plays a critical role in promoting human capital (HC) and addressing social determinants of health (SDH). Most CSAs develop relationships that build a sense of community, and engage in activities that facilitate access to food and economic opportunities. CSAs may also contribute to personal development, education and income, working experience, and knowledge. CSA principles align with the principles of HC, specifically the pursuit of economic development. While research on the connection between CSA and HC has broadly focused on the economic aspect, the human development dimension has remained at the conceptual level. The purpose of this study was to assess the potential HC contributions by CSA and the implications for health outcomes in central/northern New Mexico. Primary and secondary data were collected through a semi-structured, open-ended questionnaire and an internet search. Purposive sampling was used to select 13 CSAs. Eight (61.5%) responded and reported activities that address HC and SDH such as training, job creation, education, access to healthy food, food security, health education and disease management, social connections, and food justice. Given the potential impact, public health must contribute to CSA by generating evidence on its health and social benefits, training practitioners on supporting local food program, and promoting policy that stimulates the local economy, fosters social relations and food justice, and empowers community members. This study calls for research and practice to take a multilevel perspective on the contribution of LFSs to equity and wellbeing.
      Citation: Health Promotion Practice
      PubDate: 2022-01-08T08:29:07Z
      DOI: 10.1177/15248399211070546
       
 
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