Subjects -> HEALTH AND SAFETY (Total: 1464 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (686 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (358 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (112 journals)
    - PHYSICAL FITNESS AND HYGIENE (117 journals)
    - WOMEN'S HEALTH (82 journals)

OCCUPATIONAL HEALTH AND SAFETY (112 journals)                     

Showing 1 - 111 of 111 Journals sorted alphabetically
AIDS and Behavior     Hybrid Journal   (Followers: 16)
American Journal of Industrial Medicine     Hybrid Journal   (Followers: 15)
American Journal of Occupational Therapy     Partially Free   (Followers: 236)
Annals of Rehabilitation Medicine     Open Access   (Followers: 1)
Annals of Work Exposures and Health     Hybrid Journal   (Followers: 10)
Applied Research in Quality of Life     Hybrid Journal   (Followers: 11)
Australian Occupational Therapy Journal     Hybrid Journal   (Followers: 173)
BMC Oral Health     Open Access   (Followers: 5)
BMJ Quality & Safety     Hybrid Journal   (Followers: 65)
British Journal of Occupational Therapy     Hybrid Journal   (Followers: 235)
Canadian Journal of Occupational Therapy     Hybrid Journal   (Followers: 184)
Ciencia & Trabajo     Open Access  
Cognition, Technology & Work     Hybrid Journal   (Followers: 13)
Conflict and Health     Open Access   (Followers: 8)
Counseling Outcome Research and Evaluation     Hybrid Journal   (Followers: 12)
Ergonomics     Hybrid Journal   (Followers: 25)
ergopraxis     Hybrid Journal   (Followers: 2)
Ethnicity & Health     Hybrid Journal   (Followers: 16)
European Journal of Social Work     Hybrid Journal   (Followers: 34)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 11)
Families, Systems, & Health     Full-text available via subscription   (Followers: 8)
Frontiers in Neuroergonomics     Open Access  
Globalization and Health     Open Access   (Followers: 7)
Health & Social Care In the Community     Hybrid Journal   (Followers: 49)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 19)
Health Care Analysis     Hybrid Journal   (Followers: 12)
Health Communication     Hybrid Journal   (Followers: 17)
Health Promotion International     Hybrid Journal   (Followers: 26)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Health Psychology     Full-text available via subscription   (Followers: 63)
Health Psychology Review     Hybrid Journal   (Followers: 47)
Health Research Policy and Systems     Open Access   (Followers: 15)
Health, Risk & Society     Hybrid Journal   (Followers: 11)
Hong Kong Journal of Occupational Therapy     Open Access   (Followers: 61)
Human Resources for Health     Open Access   (Followers: 9)
IISE Transactions on Occupational Ergonomics and Human Factors     Hybrid Journal  
Indian Journal of Occupational and Environmental Medicine     Open Access   (Followers: 1)
Indonesian Journal of Occupational Safety and Health     Open Access   (Followers: 2)
International Journal for Equity in Health     Open Access   (Followers: 11)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 39)
International Journal of Emergency Mental Health and Human Resilience     Open Access   (Followers: 2)
International Journal of Emergency Services     Hybrid Journal   (Followers: 22)
International Journal of Health Care Quality Assurance     Hybrid Journal   (Followers: 13)
International Journal of Human Factors Modelling and Simulation     Hybrid Journal   (Followers: 20)
International Journal of Industrial Ergonomics     Hybrid Journal   (Followers: 12)
International Journal of Nuclear Safety and Security     Hybrid Journal   (Followers: 1)
International Journal of Occupational and Environmental Health     Hybrid Journal   (Followers: 15)
International Journal of Occupational and Environmental Safety     Open Access   (Followers: 4)
International Journal of Occupational Health and Public Health Nursing     Open Access   (Followers: 5)
International Journal of Occupational Hygiene     Open Access   (Followers: 5)
International Journal of Occupational Medicine and Environmental Health     Hybrid Journal   (Followers: 19)
International Journal of Occupational Safety and Ergonomics     Hybrid Journal   (Followers: 14)
International Journal of Occupational Safety and Health     Open Access   (Followers: 35)
International Journal of Workplace Health Management     Hybrid Journal   (Followers: 7)
Joint Commission Journal on Quality and Patient Safety     Hybrid Journal   (Followers: 42)
Journal of Accessibility and Design for All     Open Access   (Followers: 12)
Journal of Community Health     Hybrid Journal   (Followers: 9)
Journal of Ecophysiology and Occupational Health     Open Access   (Followers: 1)
Journal of Environmental Science and Health, Part C : Toxicology and Carcinogenesis     Hybrid Journal   (Followers: 1)
Journal of Epidemiology & Community Health     Hybrid Journal   (Followers: 64)
Journal of Geriatric Physical Therapy     Hybrid Journal   (Followers: 15)
Journal of Global Responsibility     Hybrid Journal   (Followers: 3)
Journal of Health Care for the Poor and Underserved     Full-text available via subscription   (Followers: 9)
Journal of Health Psychology     Hybrid Journal   (Followers: 59)
Journal of Human Performance in Extreme Environments     Open Access   (Followers: 2)
Journal of Immigrant and Minority Health     Hybrid Journal   (Followers: 8)
Journal of Interprofessional Care     Hybrid Journal   (Followers: 14)
Journal of Mental Health Training, Education and Practice, The     Hybrid Journal   (Followers: 9)
Journal of Occupational & Environmental Medicine     Hybrid Journal   (Followers: 20)
Journal of Occupational Health Engineering     Open Access   (Followers: 4)
Journal of Occupational Health Psychology     Full-text available via subscription   (Followers: 40)
Journal of Occupational Medicine and Toxicology     Open Access   (Followers: 12)
Journal of Professional Counseling: Practice, Theory & Research     Hybrid Journal  
Journal of Religion and Health     Hybrid Journal   (Followers: 14)
Journal of Safety Studies     Open Access  
Journal of Social Work in Disability & Rehabilitation     Hybrid Journal   (Followers: 14)
Journal of Urban Health     Hybrid Journal   (Followers: 12)
Journal of Vocational Health Studies     Open Access   (Followers: 1)
Karaelmas İş Sağlığı ve Güvenliği Dergisi / Karaelmas Journal of Occupational Health and Safety     Open Access   (Followers: 2)
Learning in Health and Social Care     Hybrid Journal   (Followers: 11)
Musik- Tanz und Kunsttherapie     Hybrid Journal  
New Zealand Journal of Occupational Therapy     Full-text available via subscription   (Followers: 71)
Nordic Journal of Music Therapy     Hybrid Journal   (Followers: 8)
Nordic Journal of Working Life Studies     Open Access  
Occupational and Environmental Medicine     Hybrid Journal   (Followers: 18)
Occupational Medicine     Hybrid Journal   (Followers: 13)
Occupational Therapy in Health Care     Hybrid Journal   (Followers: 80)
Occupational Therapy International     Open Access   (Followers: 102)
Perspectives in Public Health     Hybrid Journal   (Followers: 13)
Perspectives interdisciplinaires sur le travail et la santé     Open Access   (Followers: 3)
Physical & Occupational Therapy in Geriatrics     Hybrid Journal   (Followers: 57)
PinC | Prevenzione in Corso     Open Access  
Population Health Metrics     Open Access   (Followers: 5)
Preventing Chronic Disease     Free   (Followers: 3)
Psychology & Health     Hybrid Journal   (Followers: 33)
QAI Journal for Healthcare Quality and Patient Safety     Open Access   (Followers: 5)
Qualitative Health Research     Hybrid Journal   (Followers: 33)
Reabilitacijos Mokslai : Slauga, Kineziterapija, Ergoterapija     Open Access   (Followers: 2)
Research in Social Stratification and Mobility     Hybrid Journal   (Followers: 13)
Revista Brasileira de Saúde Ocupacional     Open Access  
Revista Herediana de Rehabilitacion     Open Access   (Followers: 1)
Revista Inspirar     Open Access  
Revue Francophone de Recherche en Ergothérapie RFRE     Open Access   (Followers: 2)
Safety and Health at Work     Open Access   (Followers: 75)
Scandinavian Journal of Occupational Therapy     Hybrid Journal   (Followers: 80)
Sociology of Health & Illness     Hybrid Journal   (Followers: 29)
System Safety : Human - Technical Facility - Environment     Open Access   (Followers: 2)
The Journal of Rural Health     Hybrid Journal   (Followers: 7)
Work, Employment & Society     Hybrid Journal   (Followers: 53)
Workplace Health and Safety     Full-text available via subscription   (Followers: 8)
Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie. Mit Beiträgen aus Umweltmedizin und Sozialmedizin     Full-text available via subscription   (Followers: 1)

           

Similar Journals
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Health Promotion Practice
Journal Prestige (SJR): 0.596
Citation Impact (citeScore): 1
Number of Followers: 16  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1524-8399 - ISSN (Online) 1552-6372
Published by Sage Publications Homepage  [1176 journals]
  • Kenya’s Experience: Factors Enabling and Impeding the COVID-19
           Response

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      Authors: Jemimah Mwakisha, Ben Adika, Susan Nyawade, Peter Malekele Phori, Noemie Nikiema Nidjergou, Cleph Silouakadila, Stephen Fawcett
      Abstract: Health Promotion Practice, Ahead of Print.
      This case study describes the country-level response to the COVID-19 pandemic in Kenya between February 2020 and May 2021. We organize the presentation of COVID-19 response strategies across the five stages of (a) engagement, (b) assessment, (c) planning, (d) action/implementation, and (e) evaluation. We describe the participatory monitoring and evaluation (M&E) process implemented in collaboration with the WHO Regional Office for Africa Monitoring and Evaluation Team. The M&E system was used to organize and make sense of emerging data regarding specific response activities and changing COVID incidence. We share the results of that collaborative sensemaking, with particular attention to our analysis of the factors that facilitated and those that impeded our pandemic response. We conclude with lessons learned and practical implications from Kenya’s experience to help guide future country-level responses to rapidly changing public health crises.
      Citation: Health Promotion Practice
      PubDate: 2023-02-03T11:05:49Z
      DOI: 10.1177/15248399221117566
       
  • Process Evaluation of a Collaborative Social Media Health Campaign: An
           Analysis of Partner and User Engagement

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      Authors: Heather J. Hether, Elizabeth O’Connor-Coates, Robyn Crittendon
      Abstract: Health Promotion Practice, Ahead of Print.
      Collaborative health promotion campaigns are advantageous because they extend the resources and reach of any single organization. Yet, they can be challenging because they require partner commitment and compromise. On social media, however, these campaigns are especially beneficial due to the high demand for ongoing content that facilitates user engagement. This study is a content analysis of an annual collaborative campaign, Preteen Vaccine Week, conducted by the California Department of Public Health (CDPH) to promote preteen immunizations. Campaign partners are encouraged to use creative assets provided by CDPH and to follow a themed content calendar. Message characteristics and audience engagement were evaluated for 2 years of the campaign (2019–2020). Results indicate that when there was a specific health issue scheduled as the daily theme, 85% of posts reflected that health topic. However, when the theme was general awareness, only 15% of posts aligned. Furthermore, the majority of posts included supplemental audiovisual assets of which nearly half were provided by CDPH. These findings suggest partners attempted to work together. Analyses of message characteristics indicate there was little effort to encourage online user engagement; however, a majority of messages included a call-to-action. These findings indicate that health organizations continue to use social media much like they use mass media: for information dissemination and behavioral recommendations.
      Citation: Health Promotion Practice
      PubDate: 2023-02-01T09:16:01Z
      DOI: 10.1177/15248399231152469
       
  • The Cost of Diversity: An Analysis of Representation and Cost Barriers in
           Stock Photo Libraries for Health Education Materials, 2021

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      Authors: Zachary A. Chichester, Michelle A. Jewell, Catherine E. LePrevost, Joseph G. L. Lee
      Abstract: Health Promotion Practice, Ahead of Print.
      Introduction. Ineffective health communication can drive health disparities and limit the effectiveness of interventions to reduce them. Stock photo libraries are a critical tool for developers of patient education, health education, and intervention materials. It is not clear how well stock photo libraries represent communities bearing disproportionate burdens of disease. Method. We conducted a search using five popular stock image libraries (Adobe Stock Images, Canva, Getty Images, Microsoft Office Image Library, and Pixabay) in November 2021 to evaluate diversity and representation in health-related stock photos. We searched for the following five key preventive health topics: healthy eating, exercising, quitting smoking, vaccination, and pregnancy. The images (N = 495) were coded for age, gender presentation, representation of perceived minoritized racial/ethnic identity, skin color using the Massey–Martin skin color scale, markers of high socioeconomic status (SES), and access costs. Results. The representation of perceived minoritized people, darker skin color, and inclusion of markers of high SES varied greatly by the search term and library. Images predominately portrayed young adults and adults, with limited representation of other age groups. Images in libraries with any paywall were significantly more likely to depict a person of perceived minoritized racial/ethnic identity and depict darker skin colors, and were significantly less likely to contain markers of high SES identity than images in libraries that were free to use. Discussion. We found that it costs more to develop culturally relevant health education materials for minoritized populations and groups that do not represent high SES populations. This may hinder the development of effective communication interventions.
      Citation: Health Promotion Practice
      PubDate: 2023-02-01T09:07:02Z
      DOI: 10.1177/15248399221150788
       
  • Understanding Physical Distancing and Face Mask Use Across High-Risk
           African American Subgroups During the COVID-19 Pandemic: Application of
           Health Belief Model

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      Authors: Jamal Moss, Leah Alexander, Iman Barré, Imari Parham, Taneisha Gillyard, Jamaine Davis, Jennifer Cunningham-Erves
      Abstract: Health Promotion Practice, Ahead of Print.
      Physical distancing and face masks remain frontline prevention strategies due to suboptimal vaccine uptake and the highly infectious COVID-19 variants. Communities of color are disproportionately impacted by a chronic disease burden that places them at higher risk of severe COVID-19 disease. Therefore, they can greatly benefit from face mask use and physical distancing, especially if the individual(s) have not received the vaccine. We applied the Health Belief Model to explore barriers and motivators influencing physical distancing and face mask use among high-risk, Black American subgroups during the early COVID-19 pandemic stages. We conducted 62 semi-structured interviews among four Black American subgroups: young adults, individuals with underlying medical conditions, essential workers, and parents. Thematic analysis, guided by the Health Belief Model, yielded six themes: (1) Knowledge on Face Mask Use and Physical Distancing, (2) Perceived Susceptibility and Severity Varies by Subgroup, (3) Experience with and Perceived Self-Efficacy to Engage in Preventive Behavior, (4) Perceived Benefits to engaging in preventive behaviors, (5) Perceived Barriers to engage in preventive behaviors, and (6) Cues to action to increase participation. Each subgroup’s unique experience informed multilevel, tailored approaches that can be used by health promotion practitioners to improve face mask use and physical distancing among uniquely vulnerable Black American subgroups in the current and future pandemic.
      Citation: Health Promotion Practice
      PubDate: 2023-01-30T06:22:53Z
      DOI: 10.1177/15248399221151176
       
  • Highlighting Trans Joy: A Call to Practitioners, Researchers, and
           Educators

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      Authors: Brendon T. Holloway
      Abstract: Health Promotion Practice, Ahead of Print.
      This practice note is a call to practitioners, researchers, and educators to reconsider how they approach work with trans and nonbinary communities. Drawing on previous work done by Tuck, and shuster and Westbrook, I encourage readers to move from a deficit-based lens to a lens where joy is part of the narrative, an aspect of trans and nonbinary lives that is often missing from much of the research on trans communities. Furthermore, I urge readers to move beyond seeing trans and nonbinary communities as primarily social and political issues to be addressed and to see and embrace the complex and nuanced humanity and lived experiences of trans and nonbinary people.
      Citation: Health Promotion Practice
      PubDate: 2023-01-28T05:24:39Z
      DOI: 10.1177/15248399231152468
       
  • The Key to Pivoting and Adapting: Networked Partnerships, Long-Standing
           Relationships, and Functioning Program Infrastructure

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      Authors: S. René Lavinghouze, Terrence P. O’Toole, Ruth Petersen
      Abstract: Health Promotion Practice, Ahead of Print.

      Citation: Health Promotion Practice
      PubDate: 2023-01-28T05:22:40Z
      DOI: 10.1177/15248399221150781
       
  • From Health Disparities to an Agenda for Anti-Racism in Health Promotion

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      Authors: Keon L. Gilbert, Kathleen M. Roe
      Abstract: Health Promotion Practice, Ahead of Print.

      Citation: Health Promotion Practice
      PubDate: 2023-01-28T05:21:00Z
      DOI: 10.1177/15248399221148135
       
  • A Community Participatory Approach to Creating Contextually Tailored
           mHealth Notifications: myBPmyLife Project

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      Authors: Abby Katherine Hellem, Amanda Casetti, Kaitlyn Bowie, Jessica R. Golbus, Beza Merid, Brahmajee K. Nallamothu, Michael P. Dorsch, Mark W. Newman, Lesli Skolarus
      Abstract: Health Promotion Practice, Ahead of Print.
      Just-in-time adaptive interventions (JITAIs) are a novel approach to mobile health (mHealth) interventions, sending contextually tailored behavior change notifications to participants when they are more likely to engage, determined by data from wearable devices. We describe a community participatory approach to JITAI notification development for the myBPmyLife Project, a JITAI focused on decreasing sodium consumption and increasing physical activity to reduce blood pressure. Eighty-six participants were interviewed, 50 at a federally qualified health center (FQHC) and 36 at a university clinic. Participants were asked to provide encouraging physical activity and low-sodium diet notifications and provided feedback on researcher-generated notifications to inform revisions. Participant notifications were thematically analyzed using an inductive approach. Participants noted challenging vocabulary, phrasing, and culturally incongruent suggestions in some of the researcher-generated notifications. Community-generated notifications were more direct, used colloquial language, and contained themes of grace. The FQHC participants’ notifications expressed more compassion, religiosity, and addressed health-related social needs. University clinic participants’ notifications frequently focused on office environments. In summary, our participatory approach to notification development embedded a distinctive community voice within our notifications. Our approach may be generalizable to other communities and serve as a model to create tailored mHealth notifications to their focus population.
      Citation: Health Promotion Practice
      PubDate: 2023-01-27T09:08:13Z
      DOI: 10.1177/15248399221141687
       
  • Using a Community-Informed Translational Model to Prioritize Translational
           Benefits in Youth Concussion Return-to-Learn Programs

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      Authors: Julian Takagi-Stewart, Aspen Avery, Shyam J. Deshpande, Stephanie Andersen, Todd Combs, Monica S. Vavilala, Laura Prater
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundThe Translational Science Benefit Model (TSBM) was developed to broadly capture systematic measures of health and societal benefits from scientific research, beyond traditional outcome measures. We aimed to develop a systematic process for the application of the TSBM and to then provide an example of a novel application of the TSBM to an ongoing Return-to-Learn (RTL) after youth concussion project involving partnerships with community stakeholders.MethodsWe invited investigators, project advisory board, and participants of the RTL project to participate in a modified Delphi process. We first generated a list of potential translational benefits using the indicators of the TSBM as guideposts. We then prioritized the benefits on an adapted Eisenhower matrix.ResultsWe invited 35 concussion care or research experts to participate, yielding 20 ranked translational benefits. Six of these recommendations were ranked high priority, six were regarded as investments, and eight were ranked as either low yield or low priority.DiscussionThis study found that activities such as education and training of stakeholders, development of policy and consensus statements, and innovation in dissemination, were perceived as higher priority than other activities. Our approach using a modified Delphi process and incorporating the TSBM can be replicated to generate and prioritize potential benefits to society from research studies.
      Citation: Health Promotion Practice
      PubDate: 2023-01-27T06:03:08Z
      DOI: 10.1177/15248399221150911
       
  • “We’re Here to Take Care of Our Community”: Lessons Learned From the
           U.S. Federal Health Center Covid-19 Vaccine Program

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      Authors: Johanna T. Crane, Rachel Fabi, Danielle Pacia, Carolyn P. Neuhaus, Nancy Berlinger
      Abstract: Health Promotion Practice, Ahead of Print.
      Equitable access to vaccination is crucial to mitigating the disproportionate impact of Covid-19 on low-income communities and people of color in the United States. As primary care clinics for medically underserved patients, Federally Qualified Health Centers (FQHCs) emerged as a success story in the national effort to vaccinate the U.S. public against Covid-19. In February 2021, the Federal Health Center Covid-19 Vaccine Program began allocating vaccine supply directly to FQHCs in an effort to improve vaccine equity. This qualitative study documents how FQHCs in two states successfully mitigated barriers to vaccine access, responded to patient concerns about vaccination, and worked to maintain and grow community trust in a climate of uncertainty and fear during early vaccine roll-out to the general population. Using a socio-ecological model, we show how FQHCs intervened at multiple levels to advance vaccine equity, revealing valuable lessons for health promotion practice in primary care settings or underserved communities. Our findings provide descriptive context for existing quantitative evidence showing FQHCs’ greater success in vaccinating people of color, and foreground valuable and innovative strategies for trustworthy health communication practices and equitable resource allocation to medically underserved patients and populations.
      Citation: Health Promotion Practice
      PubDate: 2023-01-23T10:52:03Z
      DOI: 10.1177/15248399221151178
       
  • Grounding the Work of Grassroots MCH Leaders in Storytelling

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      Authors: Ashley Irby, Erin Macey, Naomi Levine, Jenna Rae Durham, Jack E. Turman
      Abstract: Health Promotion Practice, Ahead of Print.
      Our Grassroots Maternal and Child Health (MCH) Initiative works to build the capacity of individuals and organizations in zip codes with persistently high infant mortality rates to bring about systems change that will improve maternal and child health (MCH) outcomes. Foundational to the Initiative is the training and mentoring of local women to become Grassroots MCH Leaders. We greatly honor that these women possess community expertise, essential to the Initiative’s success. Our training equips them with strategies they can use to bring about changes in social, economic, political, and/or cultural systems that underlie poor birth outcomes. One impactful strategy they learn is the use of critical narrative intervention (CNI). This approach, grounded in the crafting and sharing of stories, complements statistical, behavioral, and medical approaches to improve MCH outcomes. This article describes the impact of CNI within the Grassroots MCH Initiative. Drawing from 14 Grassroots MCH Leaders’ narratives, we present five significant maternal traumas and influential supports in their surrounding contexts. We explore the leaders’ reflections on the impact of story development and dissemination. Our findings reveal that situating CNI within the context of a grassroots initiative provides opportunities for leaders to use their stories to advocate for systems change. Personal MCH narratives provide a powerful and respectful approach to public health promotion, as they highlight important systems-level failures that need to be addressed to sustainability improve MCH outcomes.
      Citation: Health Promotion Practice
      PubDate: 2023-01-23T10:50:04Z
      DOI: 10.1177/15248399221151175
       
  • Group-Based Medical Mistrust in Adolescents With Poorly Controlled Asthma
           Living in Rural Areas

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      Authors: Sarah I. Leonard, Connor T. Pizii, Yihong Zhao, Amarilis Céspedes, Sharon Kingston, Jean-Marie Bruzzese
      Abstract: Health Promotion Practice, Ahead of Print.
      Black youth and rural adolescents are two groups who experience asthma disparities. Racism and discrimination in health care likely lead to group-based (systems-level) medical mistrust for some adolescents. Group-based medical mistrust, one pathway by which racism drives health inequities, is associated with poorer outcomes for patients with chronic conditions. Despite its potential importance in adolescent asthma, previous research has not considered group-based medical mistrust in this population. To fill this gap, we characterize group-based medical mistrust among rural adolescents with poorly controlled asthma, examining demographic differences. We analyzed baseline data from a school-based clinical trial in which 164 adolescents (mean age = 16.3; 76.2% Black) completed the Group-Based Medical Mistrust Scale (GBMMS). Using linear regression, we tested associations with race, gender, and age, controlling for recent medical visits and insurance status. The total GBMMS mean score was 2.3 (SD = 1.22); subscale scores ranged from 2.3 to 2.4. Black adolescents reported significantly higher total GBMMS scores (β = .45, p = .003) and significantly higher scores on two GBMMS subscales: suspicion of health care providers (β = .56, p = .007) and lack of support from health care providers (β = .36, p = .007). Gender and age were not associated with GBMMS scores. Health care providers need to consider medical mistrust and its role in their clinical care. Together with their institutions, health care providers and researchers should work toward changing systems that perpetuate racism to build trust as a means of reducing asthma disparities among adolescents.
      Citation: Health Promotion Practice
      PubDate: 2023-01-19T11:37:36Z
      DOI: 10.1177/15248399221150913
       
  • The Time to Act Is Now: Investing in LGBTQIA2S+ Student Mental Health in
           K-12 Schools With a Youth-Centered Approach

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      Authors: lauren Cikara, Amy Gatto, Ashley Hill, Annie Hobson
      Abstract: Health Promotion Practice, Ahead of Print.
      Compared to youth a decade ago, today’s youth experience increased rates of mental health concerns as well as greater severity of mental health issues. Prior to the COVID-19 pandemic in 2020, over a third of youth reported feeling sad and hopeless and one in five reported having seriously considered suicide. With this grim reality, schools and communities are no longer able to ignore how mental health affects the daily lives, social and emotional development, and identify formation of their youth. When schools implement mental health promotion programs and policies, they not only promote academic success but also increase protective factors that establish an environment supportive of help-seeking behaviors. Active Minds is committed to improving mental health outcomes for youth, specifically LGBTQIA2S+ students, enrolled in K-12 schools across the United States. These recommendations, grounded in evidence-based best practices, provide support for schools as they work to improve student mental health. These recommendations include the following:Implementing the Whole School, Whole Child, Whole Community (WSCC) model;Centering youth voices in mental health promotion;Participating in surveillance efforts;Ensuring mental health support for students with diverse identities and needs;Providing space to address individual biases and stigma;Developing and aligning policies and culture to support youth mental health.
      Citation: Health Promotion Practice
      PubDate: 2023-01-19T11:30:36Z
      DOI: 10.1177/15248399221150815
       
  • How to Get to Where They Are: Notes From an Open Group With Unhoused
           LGBTQIA2S+ Youth

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      Authors: E. B. Gross
      Abstract: Health Promotion Practice, Ahead of Print.
      Mental health professionals aim to engage our clients with “accurate empathy”: a nonjudgmental understanding of each person’s starting point and experiences that is in tune with their perspective. This article explores the challenges and importance of developing this type of engagement in complex contexts, using the lens of group work with a disparate set of LGBTQIA2S+ young adults whose identities, backgrounds, and experiences differed from one another and from the facilitator. The author reflects on experiences from a grant-based position creating and running a trauma-informed support group in an emergency shelter for unhoused LGBTQIA2S+ young adults in a major U.S. city, including the impact of common issues in the field such as staff turnover, confusion about roles and needs, and support. The article describes lessons learned about the importance of language choice, self-reflection, and the need to confront and build on differences to create a shared process of support.
      Citation: Health Promotion Practice
      PubDate: 2023-01-17T11:51:20Z
      DOI: 10.1177/15248399221150784
       
  • Inoculating Black/African American and LGBTQ Communities Against the
           Tobacco Industry: The Role of Community Connectedness and Tobacco
           Denormalization Beliefs

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      Authors: Christopher W. Wheldon, Chris Skurka, Nicholas Eng
      Abstract: Health Promotion Practice, Ahead of Print.
      The purpose of this study was to explore how connectedness to Black/African American or lesbian, gay, bisexual, transgender and queer (LGBTQ) communities can promote anti-tobacco industry beliefs and to examine the role of targeted anti-tobacco industry messaging (i.e., tobacco industry denormalization [TID] messages).We hypothesized that community connectedness would predict anti-tobacco industry motivation (H1) and that this effect would be mediated by community-specific anti-industry beliefs (H2). We also hypothesized that these effects would be greater (i.e., moderated) for individuals exposed to targeted TID messages (H3). This study was a secondary analysis of data from a web-based experiment focused on the effects of counter-industry messages (data collected in 2020). The sample consisted of 430 Black/African Americans and 458 LGBTQ young adults. Hypotheses were tested using structural equation modeling. In support of hypothesis 1, community connectedness was associated with anti-tobacco industry motivation for both the LGBTQ and Black/African American subsamples. Hypothesis 2 was also supported. The associations between community connectedness and anti-industry motivations were partially mediated by anti-industry beliefs. Hypothesis 3 was not supported. Exposure to counter-industry messages did not modify the structural model; however, counter-industry messages increased anti-industry beliefs in both subsamples. Fostering community connectedness may help to mobilize community-based tobacco control efforts. Furthermore, interventions targeting anti-tobacco industry beliefs may be effective at reducing tobacco-related disparities. Anti-tobacco industry beliefs can be increased using brief targeted TID messages. Collectively, these findings suggest that community-based approaches rooted in consciousness-raising action may provide a useful model for future tobacco control interventions.
      Citation: Health Promotion Practice
      PubDate: 2023-01-17T11:49:20Z
      DOI: 10.1177/15248399221146553
       
  • “Do No Harm”: Promoting Anti-Racist Policing in Pediatric Emergency
           Departments Through 20 Practice Change Considerations

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      Authors: Jordee M. Wells, Valencia P. Walker
      Abstract: Health Promotion Practice, Ahead of Print.
      Children represent some of the most vulnerable and most valuable members of society. When acutely ill or injured, pediatric emergency departments (EDs) provide first line, specialized care for children and adolescents. Unique and unpredictable, the pediatric ED environment requires a wide range of health care professionals to care for children and their families and often includes hospital-employed security professionals and local law enforcement personnel to ensure safe and protective spaces paramount for optimal patient care. However, an active policing presence within environments designed to promote healing can paradoxically contribute to harm, particularly for Black and Brown patients. As health care systems pledge to dismantle structural racism and achieve health equity, efforts must include anti-racist reforms of threat management systems within clinical environments. We propose assessment and evaluation of current security and police encounters within pediatric EDs. We call for institution of policies that mitigate biases, address medical mistrust, distinguish clinical from criminal aggression, and minimize punitive contact with police. We outline a multitiered, patient-centered approach to disruptive and violent acts that prioritizes prevention, early intervention, and de-escalation strategies with a goal of reducing the perceived need for policing presence in pediatric EDs.
      Citation: Health Promotion Practice
      PubDate: 2023-01-17T11:44:21Z
      DOI: 10.1177/15248399221145160
       
  • Rural Perspectives on Health Services for Transgender and Gender Diverse
           Youth

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      Authors: Perice Z. Manns, Cierra Buckman, Dmitry Tumin, Angie Mathai, Colby Dendy
      Abstract: Health Promotion Practice, Ahead of Print.
      As the world grows more diverse, physicians and public health practitioners must become adept at providing care to everyone, including people who identify as transgender or gender diverse (TGD). Although this population is growing in all age demographics, there is a large increase in young TGD individuals who require pediatric health care providers to improve their practices. While a few comprehensive care clinics have been established to serve the TGD community, they are mostly located in urban areas. In addition to the unique barriers faced by rural TGD youth, providers must care for their patients with limited resources. In this commentary, we offer a set of recommendations to improve provider education, build connections between the health system and community, address the fragmentation of health services in rural areas and improve the transition from pediatric to adult health care.
      Citation: Health Promotion Practice
      PubDate: 2023-01-16T08:44:55Z
      DOI: 10.1177/15248399221146805
       
  • Distracted and Impaired Driving Among U.S. Adolescents, 2019, USA

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      Authors: R. Andrew Yockey, Tracey E. Barnett
      Abstract: Health Promotion Practice, Ahead of Print.
      Distracted driving, the act of focusing on something else while operating a vehicle, is a significant health problem among adolescents. Although some studies have reported on prevalence among adolescents in the United States, limited studies have examined differences by sexual identity status. The purpose of the present study was to examine past 30-day distracted driving by sexual identity status among a large, national sample of adolescents ages 14 to 18 years. A secondary analysis was conducted on the 2019 Youth Risk Behavioral Surveillance System (YRBSS) data, and associations between distracted driving and demographics (e.g., biological sex, age, race/ethnicity) were assessed with weighted logistic regression analyses. A total of 13,590 adolescents ages 14 to 18 years were part of the final analytic sample. Twenty-three percent of adolescents reported distracted driving in the past 30 days. Compared with heterosexual adolescents, gay/lesbian (14.3%), bisexual (18.1%), and questioning (12.9%) adolescents reported lower distracted driving in the past 30 days. Findings through a health equity approach may inform harm reduction efforts and behavioral interventions.
      Citation: Health Promotion Practice
      PubDate: 2023-01-13T05:17:58Z
      DOI: 10.1177/15248399221150814
       
  • Practices for Promoting Affirming Health Care for Transgender and Gender
           Diverse Youth

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      Authors: Juan Pablo Zapata
      Abstract: Health Promotion Practice, Ahead of Print.
      Transgender and gender diverse (TGD) youth, particularly transgender youth of color, experience barriers to most, if not all, types of care across the United States. Consequently, clinicians are concerned about the increase of anti-transgender policies in the United States, with many states now restricting gender-affirming care. In this manuscript, we suggest several empirically based techniques to provide quality clinical care. We also share resources to support TGD youth and their families, while accommodating for some of these newer restrictions on the care that clinicians are able to provide. Ongoing training and awareness in these techniques will allow clinicians and their health care institutions to more effectively and immediately respond to anti-transgender policies and be able to provide care. By continuing to advocate for some of these strategies, there is potential to reduce the health inequities that many TGD youth experience. Prioritizing screening for gender discrimination, creating a safe space for TGD youth, and providing immediate clinical strategies to reduce distress can reduce symptoms of depression and suicide. These changes, albeit small, will allow clinicians to feel more comfortable providing gender affirming care through holistic changes in clinical practices and care.
      Citation: Health Promotion Practice
      PubDate: 2023-01-13T05:15:36Z
      DOI: 10.1177/15248399221147873
       
  • A Worksite Health Promoting Program for Early Head Start and Head Start
           Workforce

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      Authors: Alma D. Guerrero, Ariella Herman
      Abstract: Health Promotion Practice, Ahead of Print.
      Introduction:Early Head Start (EHS) and Head Start (HS) staff comprise a large segment of the public sector workforce and experience numerous risk and chronic factors for medical conditions or symptoms. Few health and wellness workplace interventions, however, specifically focus on EHS/HS staff.Methods:A train-the-trainer (TTT) approach was used to build capacity among directors and staff from 57 EHS/HS programs on how to strategically plan and implement a health promoting worksite program focusing on improving nutrition and physical activity practices among EHS/HS staff. Baseline and 3-month post-training questionnaires assessed EHS/HS staff changes on knowledge and practices related to nutrition and physical activity. Paired t-tests or chi2 statistics assessed changes in questionnaire responses over time.Results:1,363 staff from 57 programs completed baseline and follow-up surveys. Staff had high knowledge regarding healthful dietary patterns at baseline. Over one-third of staff reported drinking soda with meals and almost 50% identified soda as their most common drink. Roughly one-third of staff also reported no physical activity in the prior week at baseline. Staff demonstrated significant improvements in dietary, nutrition, and physical activity practices. Staff also improved grocery shopping behaviors.Implications for Practice:The TTT approach to disseminate an EHS/HS staff-focused health promotion program, “Eat Healthy, Stay Active!’ provides a potentially promising strategy to build upon and disseminate more broadly to reach the over>300,000 EHS/HS staff workforce.
      Citation: Health Promotion Practice
      PubDate: 2023-01-13T05:13:18Z
      DOI: 10.1177/15248399221142897
       
  • Effectiveness of a Breast Cancer Education Screening and NavigaTion (BEST)
           Intervention among Hispanic Women

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      Authors: Jennifer C. Molokwu, Alok Dwivedi, Adam Alomari, Navkiran Shokar
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundIn the United States, breast cancer remains one of the most diagnosed cancers among females and remains the second leading cause of cancer death. In addition, breast cancer is most likely diagnosed at an advanced stage among Hispanic females in the United States due to lower mammogram utilization.AimsThe objective of this study was to determine the effectiveness of a multilevel, multicomponent community-based breast cancer screening intervention called the Breast Cancer Education Screening and NavigaTion (BEST) program. The primary outcome was the completion of a screening mammogram 4 months post-intervention.MethodWe used a pragmatic approach for evaluation, utilizing a quasi-experimental delayed intervention design. We recruited women from the community aged between 50 and 75, uninsured or underinsured, and overdue for screening.ResultsSix hundred participants were recruited (300 intervention and 300 control). Among completers, the screening rate was 97% in the intervention group and 4.4% in the control group (RR = 22.2, 95% CI: 12.5–39.7, p < .001). In multivariable analysis, age ≥ 65 (RR = 1.29, p = .047), perceived benefits (RR = 1.04, p = .026), curability (RR = 1.24, p < .001), subjective norms (RR = 1.14, p = .014), and fatalism (RR = .96, p = .004) remained significantly associated with screening outcome.ConclusionA multicomponent, bilingual, and culturally tailored intervention effectively facilitated breast cancer screening completion in an underserved population of Hispanic women. Individuals with improved screening outcomes were more likely to have higher positive beliefs. Our study has important implications regarding using multicomponent interventions in increasing breast cancer screening completion in poorly screened populations. It also highlights differences in health belief motivation for breast cancer screening completion.
      Citation: Health Promotion Practice
      PubDate: 2023-01-13T05:10:59Z
      DOI: 10.1177/15248399221135762
       
  • Charitable Pharmacies as Catalysts for Coordinated Care: Pharmacist
           Management of Blood Glucose Among Under-Resourced Patients With Type 2
           Diabetes

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      Authors: Jennifer Langhinrichsen-Rohling, Fallon Richie, Marlena Kelley, Candice Selwyn, Shearie Archer, Emily Blejwas
      Abstract: Health Promotion Practice, Ahead of Print.
      This community-academic-pharmacy partnership evaluated the impact of a pharmacist-led approach to diabetes management in under-resourced charitable pharmacy patients. Charitable pharmacies serve a large volume of under-resourced patients; pharmacist involvement may improve blood glucose management due to the frequency with which patients access the pharmacy for medications. The purpose of this study was to examine the impact of a pharmacist-led approach to diabetes management (measured by blood glucose levels) by providing medication therapy management (MTM) and leveraging communication between the pharmacist and patients’ primary care providers (PCPs). Study participants were Federally Qualified Health Center (FQHC) patients with type 2 diabetes who obtained free diabetes-related medications from the pharmacy. Participants were randomly assigned to treatment as usual (TAU), MTM, or MTM plus coordinated care between the pharmacist and the patient’s PCP. The blood glucose levels of patients who received MTM remained stable throughout the duration of the study while blood glucose levels for TAU patients significantly increased. A previously non-existent communication channel between pharmacists and FQHC providers was established and recommendations were exchanged. This relatively small investment on behalf of the pharmacy (e.g., routinely checking blood glucose, sharing medication recommendations) led to a return on health outcomes for a high-risk, low-resource patient population. This study yielded a beneficial change in practice as the pharmacy has institutionalized measuring at-risk patients’ blood glucose levels during pharmacy visits. The pharmacy has also continued to enhance their relationship with the FQHC to provide integrated, patient-centered care to this shared vulnerable patient population.
      Citation: Health Promotion Practice
      PubDate: 2023-01-11T05:14:09Z
      DOI: 10.1177/15248399221115082
       
  • A Collaborative Pilot to Support Patients With Diabetes Through Tailored
           Food Box Home Delivery

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      Authors: Sarah Kempainen, Diana B. Cutts, Ramona Robinson-O’Brien, Alexandra De Kesel Lofthus, David T. Gilbertson, Rebecca Mino
      Abstract: Health Promotion Practice, Ahead of Print.
      We conducted a randomized, controlled prospective pilot study to determine feasibility and impact of food bank and health system collaboration to home-delivered food to adults with type 2 diabetes mellitus experiencing food insecurity. Treatment group received biweekly, ethnically tailored, home-delivered food for 24 weeks. Analysis included intervention feasibility and impact on healthcare utilization, HbA1c, and other health-related measures. Intervention was feasible and successful with high levels of participant satisfaction. At baseline, participants with highest HbA1c reported poorer health, lower medication adherence and self-care, and higher diabetes distress and medicine for food tradeoffs. At 24 weeks, treatment group reported improved food security and health status. There were no differences in HbA1c or healthcare utilization measures between the two groups. It is feasible for a community food bank and nearby hospital to successfully collaborate and provide supplemental food staples to food insecure adults with type 2 diabetes and improve food insecurity and health status. Public policy efforts should utilize and expand this strategy with the goal of improving health and reducing health disparities. Future work could include more comprehensive food support focused on those with poorest glycemic control, and expanded, coordinated interventions directed at other social determinants of health. Future programming and policies should be cocreated with community input to ensure greatest success.
      Citation: Health Promotion Practice
      PubDate: 2023-01-11T05:12:10Z
      DOI: 10.1177/15248399221100792
       
  • COVID-19 Disparities Among Arab, Middle Eastern, and West Asian
           Populations in Toronto: Implications for Improving Health Equity Among
           Middle Eastern and North African Communities in the United States

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      Authors: Mienah Z. Sharif, Neda Maghbouleh, Andrew S. Baback Boozary
      Abstract: Health Promotion Practice, Ahead of Print.
      Introduction:Equity-oriented efforts to mitigate and prevent COVID-related disparities are hindered due to methodological limitations of the categorization of racial and ethnic groups, including Arabs and Middle Eastern and North African (MENA) communities, which remain invisible in national data collection efforts. This study highlights the disparities in COVID-related outcomes in Toronto, Canada and supports ongoing calls to collect public health data among MENA communities in the United States.Methods:Data on racial/ethnic identity and hospitalizations were collected by the Toronto Public Health (TPH) of the Ontario Ministry of Public Health Case between May 20, 2020, and September 30, 2021 from people with a confirmed or probable case of COVID-19.Results:The reported COVID-19 infection rate for Arab, Middle Eastern, West Asians (i.e., categories used to self-identify as MENA in Canada) relative to Whites in Toronto was 3.51. The age-standardized hospitalization rate ratio between Arab, Middle Eastern, West Asians and Whites was 4.59.Discussion:Data from Toronto highlight that Arab, Middle Eastern, and West Asians have higher rates of COVID-19 infections and hospitalizations than their White counterparts. Comparable studies are currently not possible in the United States due to lack of data that can disaggregate MENA individuals. This study underscores the critical need to collect data among MENA communities in the United States to advance our field’s goal of promoting and advancing equity.
      Citation: Health Promotion Practice
      PubDate: 2023-01-10T06:59:31Z
      DOI: 10.1177/15248399221142898
       
  • Implementation and Process Evaluation of Alcohol Free for 40:
           Community-Based Programming to Reduce Alcohol Consumption

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      Authors: Jala Lockhart, Megan B. Knapp, Amy K. Feehan, Savanna Latimer, Anna Walter, Brittany N. Craft, Yvette P. Quantz, Hope Frugé, Maria Sylvester Terry, Erin E. Arceneaux, Molly Kimball
      Abstract: Health Promotion Practice, Ahead of Print.
      Alcohol consumption is known to increase risk for chronic diseases and other negative health outcomes. Abstinence, even temporary, from alcohol consumption can have positive health impacts. In this article, we describe implementation and process evaluation of Ochsner Eat Fit’s Alcohol Free for 40 (AFF40), an annual, 40-day voluntary alcohol abstinence challenge that takes place in six regions of Louisiana. Participants are challenged to abstain from alcohol consumption for 40 days to promote behavior change. To support participants’ success, staff conduct pre and post metrics (physical and laboratory) and host community-based events to encourage replacement behaviors. Process evaluation included measures of reach, recruitment, dose, and fidelity through tracking of participant registrations, an exit survey, media analytics, and program activity logs. In 2021, 493 participants enrolled in AFF40, with 347 completing laboratory metrics and 298 completing physical metrics. Majority of exit survey respondents (74.5%) reported no alcohol consumption during the 40-day challenge and that they planned to participate in AFF40 2022 (90.9%). The Eat Fit team documented moderate engagement (48.7% of enrolled participants) in program events. Social and digital impressions and page views recorded 23,591 hits while print media resulted in over 750,000 impressions. AFF40 has shown to be highly engaging for participants and effective in supporting temporary abstinence from alcohol. Incorporating stronger methods and evaluation will enhance future program implementation and community impact. Lessons learned and implications for practice are transferable to other community-based efforts to reduce alcohol consumption.
      Citation: Health Promotion Practice
      PubDate: 2023-01-05T06:50:26Z
      DOI: 10.1177/15248399221142633
       
  • Changing for Good

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      Authors: Kathleen M. Roe
      Pages: 5 - 8
      Abstract: Health Promotion Practice, Volume 24, Issue 1, Page 5-8, January 2023.

      Citation: Health Promotion Practice
      PubDate: 2022-12-28T05:53:29Z
      DOI: 10.1177/15248399221132578
      Issue No: Vol. 24, No. 1 (2022)
       
  • Dear Health Promotion Scholar: Letters of Life From, for, and About Black
           Women in Academia

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      Authors: LaNita S. Wright, Juliet Iwelunmor, Jeanetta D. Sims
      Pages: 31 - 36
      Abstract: Health Promotion Practice, Volume 24, Issue 1, Page 31-36, January 2023.
      Black women are change agents actively working within their power to combat systemic racism in academia, while constantly battling injustices. Understanding lived realities and experiences of racial ethnic minority women as “outsiders within” is crucial for confronting long-standing racism embedded within academic spaces. Institutions may be outwardly addressing racial injustice, and perpetuating injustices internally, whether known or unknown. Using a relational dialectics framework and letter writing style, the purpose of this commentary is to describe the complexities present in experiences of Black women as they navigate academia as change agents, from the perspectives of tenure track and tenured faculty members in predominately White institutions. Black women academics contend with the push and pull of being in relationship with students, colleagues, and predominately White institutions; these tensions illuminate the experience of both/and-ness creating a constant presence of uncertainty/certainty, pushing/pivoting, and conforming/disrupting among others. Black women faculty are actively working to overcome barriers in research and practice and actively recognizing how racism is acting in academic settings. Black women are dealing with their own personal/professional situations, while also advocating interpersonally through mentorship, institutionally through incorporating underrepresented voices in research/practice, and strategically through addressing policies prompting action. This commentary shares the breadth, scope, and uniqueness of Black women experiences in higher education. This article concludes with implications for practice, including utilizing dialectic introspection to illuminate Black women, disrupting the norm by utilizing letters to center Black women, and building collectives to foster connections.
      Citation: Health Promotion Practice
      PubDate: 2022-12-28T05:53:13Z
      DOI: 10.1177/15248399221126161
      Issue No: Vol. 24, No. 1 (2022)
       
  • Intersectionality in Intervention Development: Insights From Formative
           Work on a Tailored Tobacco Cessation Program for LGBTQIA+ Young Adults

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      Authors: Tamara Stimatze, Raymond A. Ruiz, Isela Garcia, Megan M. Kelly, Edit Serfozo, Erin D. Reilly, Daniella Kim, NFN Scout, Maria Karekla, Jaimee L. Heffner
      Abstract: Health Promotion Practice, Ahead of Print.
      Tailored tobacco cessation interventions focusing on minoritized communities are proliferating, but the extent to which these interventions address the needs of individuals with multiple minoritized social identities is unclear. We developed Empowered, Queer, Quitting, and Living (EQQUAL), an avatar-led digital smoking cessation intervention tailored for lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual, and more (LGBTQIA+) young adults based on acceptance and commitment therapy (ACT), via a multistage user-centered design process. The purpose was to evaluate feedback from EQQUAL development activities using an intersectional lens. Intersectionality is a paradigm created by Kimberlé Crenshaw illustrating the multiple social identities each person possesses along with the marginalization of these different social identities. We conducted a rapid deductive content analysis focused on intersectional design gaps using interviewer notes from user testing (n = 7), a diary study (n = 8), and treatment satisfaction responses from a single-arm trial of the EQQUAL intervention (n = 22). Feedback related to intersectional design fell under three broad themes: (a) inadequate representativeness of the avatar, (2) inadequate representativeness within the program broadly, and (3) non-inclusive ACT intervention content. Feedback on inclusiveness included reference to socioeconomic status, race/ethnicity, religious/cultural affiliation, and ability/disability. Although we previously found that EQQUAL was highly acceptable and showed promise in terms of efficacy in a single-arm pilot trial, we identified several gaps in intersectional design as the iterative intervention development proceeded. Because intersectional design is a critical part of developing interventions with a health equity focus, applying standardized procedures for intersectional design and analysis could improve intervention design and better address tobacco cessation treatment needs of individuals who may experience multiple forms of marginalization.
      Citation: Health Promotion Practice
      PubDate: 2022-12-30T07:08:13Z
      DOI: 10.1177/15248399221141693
       
  • Examining ACCURE’s Nurse Navigation Through an Antiracist Lens:
           Transparency and Accountability in Cancer Care

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      Authors: Ida Griesemer, Alexandra F. Lightfoot, Eugenia Eng, Claire Bosire, Fatima Guerrab, Amanda Kotey, Kimberly M. Alexander, Stephanie Baker, Kristin Z. Black, Crystal Dixon, Katrina R. Ellis, Karen Foley, Christina Goettsch, Antionette Moore, Cleo A. Ryals, Beth Smith, Christina Yongue, Samuel Cykert, Linda B. Robertson
      Abstract: Health Promotion Practice, Ahead of Print.
      There are persistent disparities in the delivery of cancer treatment, with Black patients receiving fewer of the recommended cancer treatment cycles than their White counterparts on average. To enhance racial equity in cancer care, innovative methods that apply antiracist principles to health promotion interventions are needed. The parent study for the current analysis, the Accountability for Cancer Care through Undoing Racism and Equity (ACCURE) intervention, was a system-change intervention that successfully eliminated the Black–White disparity in cancer treatment completion among patients with early-stage breast and lung cancer. The intervention included specially trained nurse navigators who leveraged real-time data to follow-up with patients during their treatment journeys. Community and academic research partners conducted thematic analysis on all clinical notes (n = 3,251) written by ACCURE navigators after each contact with patients in the specialized navigation arm (n = 162). Analysis was informed by transparency and accountability, principles adapted from the antiracist resource Undoing Racism® and determined as barriers to treatment completion through prior research that informed ACCURE. We identified six themes in the navigator notes that demonstrated enhanced accountability of the care system to patient needs. Underlying these themes was a process of enhanced data transparency that allowed navigators to provide tailored patient support. Themes include (1) patient-centered advocacy, (2) addressing system barriers to care, (3) connection to resources, (4) re-engaging patients after lapsed treatment, (5) addressing symptoms and side effects, and (6) emotional support. Future interventions should incorporate transparency and accountability mechanisms and examine the impact on racial equity in cancer care.
      Citation: Health Promotion Practice
      PubDate: 2022-12-30T07:06:26Z
      DOI: 10.1177/15248399221136534
       
  • Creating a Virtual Network to Support LGBTQIA+ Youth in Rural Settings:
           Development of Colorado’s Queer Youth Network

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      Authors: Daniel Martinez, Noah Jansen, Garrett Royer, Heather Kennedy
      Abstract: Health Promotion Practice, Ahead of Print.
      LGBTQIA+ (lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual, and more) youth in rural communities have little to no access to gender or sexuality-affirming support, compared with their peers in the metro areas of Colorado. Without access to support and exposure to bullying or discrimination, many rural LGBTQIA+ youth struggle to find belonging. Staff from One Colorado and the Hub for Justice-centered Youth Engagement partnered to develop Colorado’s Queer Youth Network (CQYN) to foster a virtual community to support rural LGBTQIA+ youth, enhance belonging and acceptance, and feel empowered to make a change in their community. CQYN is offered virtually, every other week during the academic year, to create a consistent safe space for rural LGBTQIA+ youth and to offer opportunities to grow their unique leadership skills and connect with affirming LGBTQIA+ adults. This article highlights the development of the partnership, design of the virtual network, and challenges in recruiting youth who have been pushed to the margins.
      Citation: Health Promotion Practice
      PubDate: 2022-12-26T12:38:57Z
      DOI: 10.1177/15248399221142629
       
  • Utilizing Digital Storytelling to Develop a Public Health Professions
           Pathway for Native American High School Students

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      Authors: Heather Marie Dreifuss, Nicole P. Yuan, Stephanie Russo Carroll, Mark C. Bauer, Nicolette I. Teufel-Shone
      Abstract: Health Promotion Practice, Ahead of Print.
      Digital storytelling is a decentering methodology in health promotion that positions the storyteller as an expert to create a narrative of their lived experiences. This article describes using a two-phase digital storytelling process within the Diné (Navajo) Educational Philosophy framework to guide the development of a culturally grounded curriculum plan that actively engages Diné youth in exploring health professions pathways in their community. The first phase consisted of developing a high school digital storytelling team by training three Diné youth attending high school on the Navajo Nation located in southwest United States, in digital storytelling. In the second phase, the high school digital storytelling team worked collaboratively with seven Diné students enrolled at the local tribal college to develop digital stories about navigating from high school to college. Data from seven completed digital stories were analyzed with assistance from a community advisory board to identify asset-based themes that contributed to positively transitioning from high school to a tribal college. The results revealed several strategies for successful transitions from high school to a public health college major. The culturally relevant strategies and stories were incorporated into a school-based health professions pathway curriculum plan for Diné youth.
      Citation: Health Promotion Practice
      PubDate: 2022-12-24T11:32:15Z
      DOI: 10.1177/15248399221135586
       
  • An Analysis of the Social Determinants of Health in South Carolina’s
           I-95 Corridor

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      Authors: Jennifer Mandelbaum, Jennifer Almeda, Shanikque Blackwell, John W. Hopkins, Kristian Myers, Shauna Hicks, Virginie G. Daguise
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundOne in four South Carolinians lives in a county along a nearly 200-mile stretch of Interstate 95 (I-95). Stretching from North Carolina to Georgia, this region is among the most rural, economically depressed, and racially/ethnically diverse in the state. Research is needed to identify social factors contributing to adverse health outcomes along the I-95 corridor, guide interventions, and establish a baseline for measuring progress. This study assessed social determinants of health in counties in South Carolina’s I-95 corridor relative to the rest of the state.MethodData for South Carolina’s 46 counties were extracted from the Centers for Disease Control and Prevention Minority Health Social Vulnerability Index (SVI), which grouped 34 census variables into six themes: socioeconomic status, household composition and disability, minority status and language, housing type and transportation, health care infrastructure, and medical vulnerability. Each theme was ranked from 0 (least vulnerable) to 1 (most vulnerable). Measures between regions were compared using the Wilcoxon–Mann–Whitney test.ResultsCompared with counties outside the I-95 corridor (n = 29), counties in the corridor (n = 17) scored higher on socioeconomic status vulnerability (.67 and .82, respectively) and medical vulnerability (.65 and .79, respectively). No statistically significant differences were found across other themes.ConclusionIdentifying social determinants of health in South Carolina’s I-95 corridor is a crucial first step toward alleviating health disparities in this region. Interventions and policies should be developed in collaboration with local stakeholders to address distal social factors that create and reinforce health disparities.
      Citation: Health Promotion Practice
      PubDate: 2022-12-22T12:45:52Z
      DOI: 10.1177/15248399221142517
       
  • Long COVID Frameworks: Examining Individual- and Population-Level Models
           to Assess and Improve Patient Care

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      Authors: Christopher Comber
      Abstract: Health Promotion Practice, Ahead of Print.
      Post-COVID conditions, commonly referred to as long COVID, has become of increasing interest to biomedical and public health communities. Patient advocacy is critical to not only advancing quality care outcomes for patients affected by prolonged effects of the disease, but also to contribute to our understanding of lived perspectives to ensure individual voices inform future care approaches. While there has not been a “one-size fits all” approach to standardized care, disease heterogeneity has challenged previous views that the virus is limited to single organ system infections. Stakeholders at all levels have the most impact when they collaborate and organize strategies to offer assessment and treatment in multidisciplinary settings. I propose a framework in which population- and individual-level models are integrated to enable quality outcomes while helping frontline practitioners improve their decision-making in all environments.
      Citation: Health Promotion Practice
      PubDate: 2022-12-22T12:44:32Z
      DOI: 10.1177/15248399221142514
       
  • Visualizing Mental Health Through the Lens of Pittsburgh Youth: A
           Collaborative Filmmaking Study During COVID-19

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      Authors: Sara E. Baumann, Brayden N. Kameg, Christopher T. Wiltrout, Deborah Murdoch, Lindsay Pelcher, Jessica G. Burke
      Abstract: Health Promotion Practice, Ahead of Print.
      Youth mental health has been significantly impacted by COVID-19, with concerns of rising anxiety-related and depressive symptoms and reduced quality of life. This study provides a nuanced understanding of mental health stressors and supports in the lives of youth during the pandemic. Using Collaborative Filmmaking, an embodied, visual, and participatory research method, participants in Pittsburgh, Pennsylvania, were trained to create, analyze, and screen films about mental health. The films elucidated numerous stressors impacting youth mental health, including educational stressors (e.g., academic pressure and relationships with teachers), personal and social stressors (e.g., social and cultural expectations), and current events (e.g., the election and the political system). Supports included individual level supports (e.g., hobbies, self-care, spending time outdoors), and interpersonal level supports (e.g., family and socializing). Several themes were discussed as both stressors and supports, such as family, COVID-19, and social media. Overall, educational stressors are major contributors to adverse mental health symptoms among youth, which have been magnified by the COVID-19 pandemic. Youth discussions of the importance of self-care and engaging in healthy hobbies demonstrated strong awareness about maintaining mental health, though structural-level recommendations are still needed to improve youth mental health. Screening the Collaborative Films with the public illuminated several additional opportunities for action, including structural and social actions (e.g., changing policies and social norms around mental health). Given the structural nature of the stressors mentioned by participants, systemic changes as well as policy level action and programming are needed to address the intersectional nature of current mental health concerns among youth.
      Citation: Health Promotion Practice
      PubDate: 2022-12-22T12:43:33Z
      DOI: 10.1177/15248399221141688
       
  • An Innovative Adaptation of an HIV Status-Neutral, Community-Informed,
           Socioemotional Asset-Building Intervention With the House Ball Community

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      Authors: Sabina Hirshfield, Jeffrey M. Birnbaum, DeAnne Turner, Michael Roberson, Marlon M. Bailey, Martez D. R. Smith, LaRon E. Nelson
      Abstract: Health Promotion Practice, Ahead of Print.
      Black men who have sex with men (MSM) have the highest incidence of new HIV diagnoses compared to other populations and face multiple stigmas. Some have found refuge in the House Ball Community (HBC)—a national network of Black lesbian, gay, bisexual, and transgender (LGBT) kinship commitments (families) that affirm gender expression(s) and sexualities and provide skills-building for its members. Internal and external socioemotional assets influence the health of young Black sexual and gender minorities; building these assets in the HBC is critical to facilitating engagement in health-promoting behaviors. To address this critical gap in HIV prevention, we describe an adaptation of 3MV, a best-evidence, group-level retreat-based risk reduction intervention developed for HIV-negative Black MSM. Clinicians, researchers, HBC members/leaders, and community experts collaborated to adapt 3MV for the HBC. Our Family, Our Voices (OFOV) is an HIV status-neutral, risk-reduction intervention that focuses on asset-building for young, gender-diverse Black HBC members, with the HBC family unit as the focus of the intervention. We describe the collaborative adaptation process and the development of HBC-relevant intervention topics. This novel adaptation and collaborative community model provides a framework for researchers and clinicians to follow when adapting evidence-based interventions for priority populations.
      Citation: Health Promotion Practice
      PubDate: 2022-12-16T10:52:02Z
      DOI: 10.1177/15248399221140794
       
  • Grow502: Centering Community in Medical Education via a Student-Created
           Organization Focused on Cultivating a Healthy Community

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      Authors: Mike Onu Udoh, Zoha Mian, Lisa Anakwenze, Chukwudum Okeke, Craig Ziegler, Susan Sawning
      Abstract: Health Promotion Practice, Ahead of Print.
      The COVID-19 pandemic continues to disproportionately impact communities of color and expose health inequities. Minoritized communities experience disparities in chronic diseases, premature death, and cancer, and gaps continue to widen; systemic injustice in housing, nutrition, and environment are major contributors. At the height of the COVID-19 pandemic and racial justice movement, students at the University of Louisville School of Medicine created Grow502 to speak truth to the challenges of health disparities in Louisville, Kentucky. The goal was to pursue a healthier community by raising awareness. Community leaders and health professionals provided expert consultation. This partnership led to the co-creation of a curriculum focused on education, advocacy, community engagement, and creative media. Grow502 sought to support communities impacted by injustices due to racism, limited health literacy, redlining, and limited green space by creating programming centered on education and empowerment. Effective strategies to reduce disparities involve creating interventions with authentic engagement and context. Grow502 involves community stakeholders as active partners. We continue to intentionally seek effective collaborations and interventions that merge our mission and our diverse communities impacted by health disparities.
      Citation: Health Promotion Practice
      PubDate: 2022-12-13T09:30:39Z
      DOI: 10.1177/15248399221136533
       
  • Impact of a Culturally Grounded Running Program on Four Components of
           Wellness Among Indigenous Participants: A Pilot Study of the Running
           Medicine Program

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      Authors: Anthony Fleg, Nicolette Abeyta, Jonathan Houck, Kristen Baca, Cindy Nguyen, Ashleigh Claw, Jaida Shaffer
      Abstract: Health Promotion Practice, Ahead of Print.
      Movement as medicine is the premise behind Running Medicine (RM), a community-based wellness program that began in 2016 in New Mexico. RM is centered in the Indigenous traditions of running and is oriented to improving the four dimensions of wellness—mind, body, spirit, and social. Using retroactive surveys of RM’s Spring 2019 participants, we investigated the program’s effectiveness in the realms of physical, mental, spiritual, and social wellness. Based on data from participant surveys, RM appears to be effective at improving the four realms of wellness. Indigenous participants improved to a greater degree in mental and social wellness than non-Indigenous participants, while the opposite was true for physical and spiritual wellness. For both groups, the largest effect size among the four domains was seen in social wellness. Among our participants, this culturally grounded approach to wellness appears to be effective at improving the four realms of physical, mental, spiritual, and social wellness.
      Citation: Health Promotion Practice
      PubDate: 2022-12-09T06:11:13Z
      DOI: 10.1177/15248399221137804
       
  • From Vaccines to Vitality: The Progression of a Community–Academic
           Collaboration

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      Authors: Maria Krakora, Tyra Townsend, Ximena Alejandra Castillo Smyntek, Lyndsey Sickler, Constanza Henry, Carol Hardeman, Felicia Savage Friedman, Jaime E. Sidani, Joseph Amodei, Monica Ruiz, Daniel Rosen, Ken Ho, Kisha Patterson, Mylynda Massart, Elizabeth Miller, Shannah Tharp-Gilliam, Maya I. Ragavan
      Abstract: Health Promotion Practice, Ahead of Print.
      In this practice note, we document the progression of the Community Vaccine Collaborative (CVC), on which we first published in 2021. The CVC convened to address deep COVID-19-related disparities affecting the Black, Latine, immigrant/refugee, and lesbian, gay, bisexual, transgender, queer, (questioning), intersex, asexual, and (agender) (LGBTQIA+) communities. The COVID-19 pandemic is rooted in centuries of oppression and marginalization leading to inequities and required dedicated focus to support marginalized communities in times of crisis. The CVC comprises community members, community-based organizations, health care providers, researchers, health systems leaders, and public health practitioners (among others), all of whom are dedicated to promoting COVID-19 vaccine equity. As the pandemic shifts and changes, so too has our group, to remain relevant to community needs and priorities. This article details Year 2 of the CVC, focusing on how we have grown and sustained this unique partnership. We also share results from an evaluation of the CVC, documenting participation in the collaborative space and alignment with CVC core principles. Finally, we discuss next steps and implications for the CVC including our pivot from vaccines to community vitality as we expand and sustain our collaborative efforts to address the ongoing COVID-19 pandemic and intersecting public health crises.
      Citation: Health Promotion Practice
      PubDate: 2022-12-09T06:08:13Z
      DOI: 10.1177/15248399221137271
       
  • Results From La Vida Buena (The Good Life): A Quasi-Experimental
           Intervention of a Community Health Worker–Led Family-Based Childhood
           Obesity Program for Latino Children 5–8 Years of Age on the U.S.-Mexico
           Border

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      Authors: Kathryn Tucker, Maia Ingram, Kevin Doubleday, Rosie Piper, Alicia Sander, Roxana Flores, Diana Martinez, Scott Carvajal
      Abstract: Health Promotion Practice, Ahead of Print.
      ObjectiveTo evaluate the effectiveness of the 8-week, community health worker (CHW)–led La Vida Buena childhood obesity program among Latino children 5 to 8 years old in a rural county along the U.S.-Mexico border.MethodsThis quasi-experimental study used a community-based participatory research approach to compare the effectiveness of the La Vida Buena (The Good Life) curriculum as compared with a single educational session. We took anthropomorphic measures and administered parent-reported nutrition and physical activity surveys at baseline, 3 months, and 6 months. The study took place between 2017 and 2020 in Santa Cruz County, Arizona.ResultsChange in body mass index (BMI) z-score was negligible for both groups. The parent-reported behavior indicated a shift toward healthier family behaviors and environment in the intervention group.Implications for PracticeThis study adds to the growing literature of CHW-led childhood obesity interventions. The engagement of the CHWs in all aspects of the intervention helped to facilitate important behavior changes. Future interventions should emphasize health and wellness rather than BMI z-score and include community, socioeconomic, and systems-level interventions to promote healthy environments.
      Citation: Health Promotion Practice
      PubDate: 2022-12-05T10:18:16Z
      DOI: 10.1177/15248399221112691
       
  • Addressing HIV and Homelessness During COVID-19: A Community-Based
           Demonstration Project

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      Authors: Emma Sophia Kay, Josh Bruce, Sherri Foster-Hill, Anne Rygiel, D. Scott Batey
      Abstract: Health Promotion Practice, Ahead of Print.
      People experiencing homelessness are at increased risk for HIV, and people with HIV (PWH) experiencing homelessness are more likely to experience suboptimal HIV health outcomes than PWH with stable housing. Within Alabama, a state prioritized in the Ending the HIV Epidemic initiative, Jefferson County consistently has the highest number of new HIV diagnoses as well as a high percentage of the state’s homeless population. To address the twin epidemics of both HIV and homelessness within the high-priority setting of Jefferson County, Alabama, this 1-year community-based project, Ending the HIV Epidemic: Addressing HIV Health and Homelessness (AH3), sought to increase HIV testing and linkage to care among this population by placing a full-time case manager trained in HIV testing and case management at a homeless shelter. Results demonstrated that HIV testing was highly acceptable: 733 individuals were offered a test, and only 2.7% (n = 20) declined. Nine previously diagnosed, out of care PWH and one newly diagnosed PWH were identified through AH3 testing efforts. Of these, five (50%) were linked to care at a local HIV clinic. The remaining five PWH left the shelter before they could be linked to care. Just 10 shelter guests expressed interest in taking PrEP (just 1.4% of guests who tested negative for HIV), and only one of these linked to PrEP care. Future health promotion programs are needed to address mental health and other ancillary needs among this population, as well as programs that provide access to PrEP and other HIV prevention services.
      Citation: Health Promotion Practice
      PubDate: 2022-11-30T08:59:03Z
      DOI: 10.1177/15248399221135589
       
  • Using LGBTQIA2S+ Inclusive Practices When Filming Sex Education Training
           Videos: Lessons Learned

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      Authors: Mia Barrett, B. A. Laris, Regina Firpo-Triplett, Tamara Kuhn
      Abstract: Health Promotion Practice, Ahead of Print.
      To effectively teach sex education, educators need professional development to develop skills, specifically skills for being LGBTQIA2S+ inclusive. This article describes the lessons learned when developing an LGBTQIA2S+ inclusive collection of training video for sexuality educators. SkillFlix for Educators is a streaming video training resource created to improve educators’ skills in facilitating sexuality education to youth. The creation of this training tool included formative research, design and development, and filming. Lessons learned include avoiding siloing the inclusion, using inclusive design strategies, and creating welcoming workspaces.
      Citation: Health Promotion Practice
      PubDate: 2022-11-29T08:24:07Z
      DOI: 10.1177/15248399221139300
       
  • Incentivizing Pregnant Women to Quit Smoking in the Real World—A
           Community-Based Pilot Intervention

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      Authors: Bethany Yon, Rhonda Williams, Jennifer Wedin, Lisa Underhill, Allison Kurti
      Abstract: Health Promotion Practice, Ahead of Print.
      Smoking during pregnancy is a leading preventable cause of poor pregnancy outcomes. Financial incentives interventions yield quit rates of approximately 30% during pregnancy, versus ~4% in traditional smoking cessation programs. This pilot study assessed the feasibility of translating an efficacious University of Vermont research-based intervention into a rural community setting delivered by the Vermont Department of Health. Pregnant women using tobacco products were recruited from the Women, Infants and Children program and Rutland Women’s Healthcare. Women were provided in-person tobacco cessation counseling during regularly scheduled meetings and received gift cards throughout pregnancy and 3 months postpartum contingent upon biochemically verified smoking abstinence. Cessation counseling and abstinence monitoring began with high frequency (three visits per week), tapering through postpartum to biweekly visits. Gift card values began at $15, increasing by $5 for consecutive negative samples, to $40 maximum. Participants completed three surveys (enrollment, 4–6 weeks postpartum, 6–12 months postpartum) assessing smoking habits, and barriers and facilitators of treatment engagement and success. From 2018 to 2020, we enrolled 20 pregnant women, of whom six self-reported quitting tobacco at some point during the intervention. At study completion, three reported sustained abstinence. Results suggest that it is feasible to translate a research-based smoking cessation program into a community setting. This article discusses the challenges faced and the lessons learned when implementing research in a rural community setting, recruiting and retaining participants, and adapting protocols during the Covid-19 pandemic.
      Citation: Health Promotion Practice
      PubDate: 2022-11-29T08:22:07Z
      DOI: 10.1177/15248399221139299
       
  • Technical Assistance From Public Health Practitioners to Small Food
           Retailers to Implement Minimum Stocking Standards

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      Authors: Liana Schreiber, Teresa Rondeau-Ambroz, Susan Bishop; BFA, Ann Zukoski
      Abstract: Health Promotion Practice, Ahead of Print.
      Implementing minimum stocking standard policies in food retail settings has been one strategy used to address lack of healthy food availability. Policies alone may not be enough to increase healthy options, as barriers may arise during implementation, such as lack of distributors and/or refrigeration. Technical assistance (TA) from public health practitioners (PHPs) can bolster the implementation of such policies. This study describes the impact of a pilot intervention where PHPs provided TA to store managers/owners aimed to increase healthy options through implementing minimal stocking standards. This intervention consisted of TA about healthy products, placement, and promotion from state to county/city PHPs and from PHPs to managers/owners of small food retail stores. Thirteen food retailers and PHPs from 11 different agencies participated in this intervention. PHPs interviewed managers/owners pre- and post-intervention to understand perceptions and practices and collected data about the availability of healthy options. PHPs tracked the TA provided to managers/owners and completed a postsurvey, assessing their experience. During the pilot, stores increased the median number of varieties of healthy options. PHPs provided TA around healthy products, placement; and promotion building relationships with distributors and farmers, and overcoming infrastructure barriers. Finding distributors with healthy options remained challenging for some managers/owners. PHPs indicated that continued TA for managers/owners is necessary for sustainability and additional support around distribution and business/economic challenges is needed. Overall, this pilot indicates that PHPs are valuable partners to small food retailers, and in partnership, they have potential to address healthy food access issues.
      Citation: Health Promotion Practice
      PubDate: 2022-11-29T08:19:47Z
      DOI: 10.1177/15248399221136537
       
  • Formative Evaluation and Adaptation of a Navajo Cancer Survivor Physical
           Activity Intervention to Serve a Broader Native American Cancer Survivor
           Community

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      Authors: Jennifer W. Bea, Brenda Charley, Taylor Lane, Brian Kinslow, Hendrik ‘Dirk’ de Heer, Etta Yazzie, Janet Yellowhair, Jennifer Hudson, Betsy C. Wertheim, Anna L. Schwartz
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundAlthough exercise has been shown to improve cancer survivorship in other communities, cancer exercise studies among Native American communities are rare. We sought to adapt a Navajo-tailored cancer exercise pilot program to serve a broader Native American cancer community.MethodsTribal experts representing 10 different Tribal Nations were engaged in small focus groups (n=2–4) to assess program materials for cultural appropriateness and adaptation to expand tribal inclusiveness. Facilitated by a trained Native American interviewer, focus groups were provided a primer survey and then reviewed intervention materials (protocols, incentives, logo, flyers, etc.). Consensus was reached by the research team on all program adaptations.ResultsThe program name, Restoring Balance, layout, graphics, and symbols were considered culturally appropriate overall. Program exercises and biomarker measurements were viewed as valuable to health improvements in the community. Important color, linguistic, and logistic program modifications were recommended to improve cultural alignment. The order of incentive items was revised to highlight restoration and the logo rotated to align with the four corners of the earth, an important cultural element. Linguistic modifications primarily related to prior traumatic research experiences in Native American communities where data had been taken without adequate community benefit or permission. Program emphasis should be on nurturing, added value and giving.Conclusion and RelevanceThe methodology used for cultural expert review was successful in eliciting adaptations to expand the tribal inclusiveness of Restoring Balance. Culture, as well as historically traumatic research experiences, among Native American populations must be considered when adapting health promotion programming.
      Citation: Health Promotion Practice
      PubDate: 2022-11-26T12:10:05Z
      DOI: 10.1177/15248399221131318
       
  • El Sancocho, la Bandera y la Familia: La vida social de los alimentos y
           sus implicaciones para la salud y el bienestar de los inmigrantes
           dominicanos

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      Authors: Linda Sprague Martínez, Cristina Araujo Brinkerhoff, Bailey Conner, Magalis Troncoso Lama, C. Eduardo Siqueira, Rosalyn Negrón
      Abstract: Health Promotion Practice, Ahead of Print.
      Para comprender mejor los factores que influyen en la salud y el bienestar de los inmigrantes dominicanos, exploramos las formas en que la inmigración influye en las prácticas culturales, el comportamiento de salud y la salud. Los inmigrantes dominicanos (n = 42) participaron en cinco discusiones grupales reflexivas y no estructuradas y (n = 5) participaron en un grupo de fotovoz intergeneracional. La pérdida del contexto familiar y social en el que tradicionalmente se llevan a cabo las prácticas dietéticas dominicanas fue un tema destacado. Para los participantes, comer se convirtió en una actividad apresurada y superficial que involucraba a menos personas y menos socialización. Las prácticas dietéticas en la República Dominicana se establecen en el contexto de las normas familiares y los procesos sociales, que brindan apoyo, así como oportunidades para la socialización y la transmisión de prácticas culturales a través de las generaciones. En los Estados Unidos, las fuerzas sociopolíticas más amplias se enfocan en el individualismo y no apoyan el desarrollo o mantenimiento de patrones culturales para los dominicanos. Las políticas que promueven el equilibrio entre el trabajo y la vida personal pueden tener implicaciones importantes para las prácticas dietéticas en las nuevas comunidades de inmigrantes.
      Citation: Health Promotion Practice
      PubDate: 2022-11-26T12:06:32Z
      DOI: 10.1177/15248399221128801
       
  • LGBTQ+ Youth-Generated Intervention Concepts for Reducing Teen Dating
           Violence Inequities

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      Authors: Robert W. S. Coulter, Rachel E. Gartner
      Abstract: Health Promotion Practice, Ahead of Print.
      Lesbian, gay, bisexual, transgender, queer, nonbinary, and other sexual and gender minority (LGBTQ+) youth are at substantially greater risk than cisgender heterosexual youth for experiencing teen dating violence (TDV) victimization, including emotional, physical, and sexual abuse within dating/romantic relationships. Despite these inequities, there are no evidence-based interventions designed specifically to address TDV among LGBTQ+ youth. To redress this dearth of interventions, we utilized a youth-centric approach, wherein 46 LGBTQ+ youth co-developed intervention concepts for reducing TDV. Participants engaged in a process of generating, prioritizing, and refining intervention concepts for reducing TDV inequities using human-centered design activities. LGBTQ+ youth generated eight intervention concepts, including the name, description, audience, problem focus, goals, and process for each. Their interventions focused on strategies for enhancing education, support systems, and advocacy. The intervention concepts had a wide variety of intended audiences, including LGBTQ+ and non-LGBTQ+ youth, teachers, school administrators, and policymakers. Overall, LGBTQ+ youth sought to improve education and skills pertaining to violence, sexual health, and healthy relationships; enhance support systems and resources for students’ basic, mental health, and safety needs; and build advocacy channels related to “outing” and LGBTQ+ students’ needs. These LGBTQ+ youth-generated programmatic and policy intervention concepts, in addition to our human-centered design approach, can be directly leveraged by health promotion practitioners and prevention experts into future intervention development, implementation, and evaluation efforts to improve LGBTQ+ youth health, well-being, resilience, and advocacy.
      Citation: Health Promotion Practice
      PubDate: 2022-11-24T05:55:36Z
      DOI: 10.1177/15248399221137276
       
  • Sexual and Reproductive Health Advocacy Successes, Failures, and Needs in
           the United States: Perspectives From Key Stakeholders

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      Authors: Meredith Manze, Amy Kwan, Heidi Jones, Lynn Roberts, Diana Romero
      Abstract: Health Promotion Practice, Ahead of Print.
      Physician advocates for sexual and reproductive health (SRH) care have been active in the United States for decades. Despite such activism, access to SRH services has been fraught with persistent restrictions, particularly for abortion care. We sought the perspectives of key stakeholders on what makes for an effective SRH physician advocate and thoughts about the successes, failures, and needs of the abortion advocacy movement. We interviewed 15 SRH key informants (KIs) in sectors with expertise in organizational policy and advocacy (n = 6); clinical leadership and education (n = 3), media (n = 3), and reproductive justice (n = 3). The analytic team coded repeating ideas and conducted a thematic analysis, organizing findings within KI perspectives on the role of physician advocates in the field of abortion and contraception; successes, failures, and needs in abortion and contraception advocacy; and recommendations on the composition and components of an ideal clinician advocacy training program. KIs relayed that skill building related to communication, developing relationships with changemakers, and understanding political systems was critical for effective advocacy. They felt clinician advocacy training programs should include providers other than physicians and be designed for trainees to build relationships with one another over time. KI perspectives can be valuable in informing advocacy training programs and for contributing strategic approaches to increasing equitable and widespread access to SRH services.
      Citation: Health Promotion Practice
      PubDate: 2022-11-24T05:53:56Z
      DOI: 10.1177/15248399221137053
       
  • Trust Black Women: Using Photovoice to Amplify the Voices of Black Women
           to Identify and Address Barriers to Breastfeeding in Southeast Georgia

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      Authors: Nandi A. Marshall, Christina S. Cook
      Abstract: Health Promotion Practice, Ahead of Print.
      Barriers to breastfeeding for Black mothers are well documented in the literature. Local context is crucial for understanding and addressing barriers. Our research used the photovoice method to amplify the voices of Black mothers in Chatham County, Georgia. Guided by the sociol-ecological model, this photovoice project explored and identified the social, cultural, and physical barriers to breastfeeding that the mothers experienced. Two additional themes emerged through data analysis: personal comfort with public breastfeeding and the women’s recommendations for breastfeeding support and normalization. Lack of physical spaces, lack of peer and family support, the need to overcome the stigma associated with breastfeeding, and advocating for more lactation spaces were commonly stated by the participants. These results led to the creation of a policy toolkit, a breastfeeding policy template, a proclamation to make the City of Savannah a Breastfeeding Family Friendly Community, an online photobook to share the experiences of the mothers, and additional paths of dialogue to increase inclusivity and expand health equity within Chatham County.
      Citation: Health Promotion Practice
      PubDate: 2022-11-24T05:50:06Z
      DOI: 10.1177/15248399221135102
       
  • The Role of Anti-Racist Community-Partnered Praxis in Implementing
           Restorative Circles Within Marginalized Communities in Southern California
           During the COVID-19 Pandemic

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      Authors: Paris B. Adkins-Jackson, Evelyn Vázquez, Frank K. Henry-Ala, Juliana M. Ison, Ann Cheney, Josephine Akingbulu, Christian Starks, Lindsay Slay, Alexander Dorsey, Connie Marmolejo, Alvin Stafford, James Wen, Margaret H. McCauley, Latrese Summers, Llendy Bermudez, Zitlaly L. Cruz-Roman, Itzel Castillo, Michele D. Kipke, Arleen F. Brown
      Abstract: Health Promotion Practice, Ahead of Print.
      The COVID-19 pandemic has exacerbated the adverse influence of structural racism and discrimination experienced by historically marginalized communities (e.g., Black, Latino/a/x, Indigenous, and transgender people). Structural racism contributes to trauma-induced health behaviors, increasing exposure to COVID-19 and restricting access to testing and vaccination. This intersection of multiple disadvantages has a negative impact on the mental health of these communities, and interventions addressing collective healing are needed in general and in the context of the COVID-19 pandemic. The Share, Trust, Organize, and Partner COVID-19 California Alliance (STOP COVID-19 CA), a statewide collaborative of 11 universities and 75 community partners, includes several workgroups to address gaps in COVID-19 information, vaccine trial participation, and access. One of these workgroups, the Vaccine Hesitancy Workgroup, adopted an anti-racist community-partnered praxis to implement restorative circles in historically marginalized communities to facilitate collective healing due to structural racism and the COVID-19 pandemic. The project resulted in the development of a multilevel pre-intervention restorative process to build or strengthen community–institutional partnerships when procurement of funds has been sought prior to community partnership. This article discusses this workgroup’s role in advancing health justice by providing a community-based mental health intervention to marginalized communities in Southern California while using an antiracist praxis tool to develop a successful community–institutional partnership and to live up to the vision of community-based participatory research.
      Citation: Health Promotion Practice
      PubDate: 2022-11-24T05:44:36Z
      DOI: 10.1177/15248399221132581
       
  • Smoke-Free Policy Adoption in Horizon City and El Paso Community College:
           A Strategic Campaign Approach That Turns a “No” Into a “Yes”

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      Authors: Dara O’Neil, Laura King, Joan Enderle, Monica Leal, Eva Olivas
      Abstract: Health Promotion Practice, Ahead of Print.
      Coalitions in Horizon City in El Paso County, Texas and the El Paso Community College (EPCC) had previously attempted to pass smoke-free policies in 2008 and 2016, respectively; however, both policies failed to pass at those times. The coalitions refocused their activities and were successful in passing policies in EPCC in 2020 and in Horizon City in 2021. We employed a participatory case study method to understand what factors changed between the first and second attempts at smoke-free policy adoption in Horizon City and EPCC. Using the Advocacy Coalition Framework as a basis for analysis, we identified the role of coalitions, their beliefs, use of power resources, role of policy brokers, and external events. We identify best practices and make recommendations for coalitions seeking to adopt smoke-free policies in other locations.
      Citation: Health Promotion Practice
      PubDate: 2022-11-24T05:39:13Z
      DOI: 10.1177/15248399221131316
       
  • Demographics, Tobacco Use, and Tobacco Control Measures of California
           Cities With Flavored Tobacco Sales Restrictions

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      Authors: Melanie S. Dove, Shichen Zheng, Sheila Pakdaman, Julia Chen-Sankey
      Abstract: Health Promotion Practice, Ahead of Print.
      In 2020, California passed a flavored tobacco sales restriction (FTSR), but the tobacco companies filed a referendum, and the ban will not be implemented unless approved by voters in November 2022. This study examined the percentage of the California population covered by a city FTSR and identified groups more likely to be covered. Mean demographics as well as tobacco use and control measures were compared for California cities with (n = 93) and without (n = 389) a FTSR, and t tests were used to examine the differences. We calculated adjusted odds ratios using logistic regression models. City FTSR policies covered 20.7% of the California population. Adjusted predictors of having a FTSR included the American Lung Association tobacco control score (odds ratio [OR] = 1.27, 95% confidence interval [CI]: [1.17, 1.38]), voting democratic (OR = 1.06, 95% CI: [1.02, 1.10]). and having a lower adult smoking prevalence (OR = 0.84, 95% CI: [0.72, 0.99]). A state-level policy would cover all populations in California.
      Citation: Health Promotion Practice
      PubDate: 2022-11-23T09:00:28Z
      DOI: 10.1177/15248399221136861
       
  • Physical Activity, Confidence, and Social Norms Associated With
           Teachers’ Classroom Physical Activity Break Implementation

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      Authors: Ann Pulling Kuhn, Elizabeth A. Parker, Hannah G. Lane, Rachel Deitch, Yan Wang, Lindsey Turner, Erin R Hager
      Abstract: Health Promotion Practice, Ahead of Print.
      Despite the benefits of classroom physical activity breaks on student health and academic outcomes, more research is needed to understand what factors may be associated with classroom physical activity break implementation, to bolster buy-in from school stakeholders and increase implementation. This quantitative study examined frequency of classroom physical activity break implementation in relation to (1) objectively measured teachers’ physical activity and sedentary behaviors, (2) confidence for leading classroom physical activity breaks, (3) social norms (perceptions of other teachers’ classroom physical activity break implementation), and (4) teacher- and school-level demographics. In total, 153 classroom teachers in 20 elementary and middle schools completed a survey including classroom physical activity break frequency, confidence, and social norms, one item each, dichotomized (1 = “most/all the time” OR “agree/strongly agree”). Accelerometry assessed total activity and daytime sedentary behavior. Analyses included multilevel binary logistic regression. Teachers were 90% female, 68% White, and 55% in elementary schools. Odds of implementing classroom physical activity breaks were lower among middle school teachers, 14 times greater among those with greater confidence, and over 17 times greater when teachers perceived others frequently implementing classroom physical activity breaks. Teacher activity was not associated with classroom physical activity break implementation. Future interventions to increase classroom physical activity break implementation should focus on increasing teachers’ confidence to lead classroom physical activity breaks and creating more buy-in from classroom teachers to enhance each school’s culture of health. By enhancing teacher confidence and social norms for implementing classroom physical activity breaks, we may increase school-based physical activity opportunities.
      Citation: Health Promotion Practice
      PubDate: 2022-11-23T06:56:29Z
      DOI: 10.1177/15248399221136857
       
  • Building on Community Research Partnerships and Training Students in a
           Multi-Phase Community-Based Participatory Research Study With Young Women
           of Cambodian Heritage in Massachusetts

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      Authors: Jerusha Nelson-Peterman, Lindiwe Sibeko, Ronnie Mouth, Lorraine S. Cordeiro
      Abstract: Health Promotion Practice, Ahead of Print.
      Refugees bring significant economic and cultural benefits to communities and yet face elevated risk of chronic disease and barriers to good health in the U.S. Community-based participatory research (CBPR) can benefit refugee communities and provide training/mentoring opportunities for students. The Cambodian Women’s Health Study was a four-phase, multi-year CBPR university–community collaboration with the Massachusetts Cambodian community that focused on health, nutrition, pregnancy, and food security among primarily young women of Cambodian heritage ages 15–30 years old. Phase 1 was a focus group discussion (FGD, n = 4) and cross-sectional survey (n = 56) with pregnant women. Phase 2 was a cross-sectional survey (n = 107) with nonpregnant women. Phase 3 was a series of FGD (seven FGD, n = 38) with women. Phase 4 was a student-led translational nutrition intervention (three classes) with women (n = 11) and men (n = 10). The study design included compensation and support for the community partner and included structured mentoring of students (six graduates, eight undergraduates) in CBPR methods, adult learning, and cultural humility. Benefits to the community agency included enhanced research capacity, including supervising student research assistants, and robust compensation. Benefits to students included intensive mentoring and training. Successes included cost-effectiveness and strong recruitment and experiences with participants. Challenges included issues with student-led recruitment and organization that required additional mentoring and reflection. To work toward socially just and equitable research and interventions, CBPR collaborative efforts should include intentional meaningful compensation and community capacity-building as well as structured mentoring and training for student researchers and should build on existing work and relationships within communities.
      Citation: Health Promotion Practice
      PubDate: 2022-11-23T06:50:45Z
      DOI: 10.1177/15248399221135116
       
  • “I Use Sunglasses . . . the Sun Can Ruin the Eyes”: Latino Day
           Laborers’ Lay Strategies to Reduce Dangers at Work

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      Authors: Maria Lizette Rangel, Mariana Arevalo, Clara Mercader, Maria Eugenia Fernández-Esquer
      Abstract: Health Promotion Practice, Ahead of Print.
      Latino day laborers (LDLs) are at a high risk for injury and accidents at work and have limited socioeconomic resources to deal with their consequences. While little is known about LDLs’ perceptions of their own vulnerability at the workplace, less is known about the strategies they adopt to confront these risks. The purpose of this qualitative study was to assess LDLs’ perceptions of their workplace dangers and to document the strategies they adopt and endorse to confront them. Guided by a participatory research approach, four focus groups stratified by age were conducted with 34 LDLs in Houston, Texas. Main focus group themes were identified using a combination of qualitative analysis methods involving a thematic analysis conducted by the interview team, LDL advisors, and bilingual Latino researchers. All participants were Latino males (mean age = 40), the majority reported having completed sixth grade or less (64.2%) and having lived in the United States for an average of 12.7 years. We described three categories of strategies to reduce risk for workplace injury generated by local LDLs (practical knowledge and job experience, interpersonal, and personal). These strategies should be explored and encouraged to assist in planning risk-reduction programs, presented in the voice and language of Latino “inside experts” with firsthand experience. The findings of the focus group suggest that LDLs already possess a broad repertoire of strategies to cope with risks at work that can be incorporated in safety programs for LDLs and other immigrant Latino workers.
      Citation: Health Promotion Practice
      PubDate: 2022-11-22T10:46:43Z
      DOI: 10.1177/15248399221135112
       
  • Wicked Bodies: A Health and Well-Being Toolkit Addressing Eating Disorders
           Within LGBTQIA2S+ Communities

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      Authors: Phillip Joy, Olivier Ferlatte, Megan Aston, Hannah Minzloff, John Hillis
      Abstract: Health Promotion Practice, Ahead of Print.
      Wicked Bodies is a toolkit for addressing eating disorder in LGBTQIA2S+ (lesbian, gay, bisexual, transgender, queer, intersex, asexual, Two-Spirit, and other sexual and gender minority) communities, an increasing prevalent issue that can have serious consequences on the health and well-being for LGBTQIA2S+ people. The toolkit consists of a series of short films and a discussion guidebook that provide a template that can be used for engaging with LGBTQIA2S+ youth through a lens of compassion and cultural humility. Wicked Bodies does this by presenting the lived experiences of a diverse range of LGBTQIA2S+ individuals navigating sociocultural pressures, gender expectations, and peer-based ideals around body weight and shape. Feedback from three screening events revealed that Wicked Bodies has the potential to be transformative as a health promotion initiative.
      Citation: Health Promotion Practice
      PubDate: 2022-11-22T10:38:44Z
      DOI: 10.1177/15248399221133734
       
  • Examining Changes in Food Security, Perceived Stress, and Dietary Intake
           in a Cohort of Low-Wage Workers Experiencing an Increase in Hourly Wage

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      Authors: Leah Elizabeth Chapman, Seth A. Berkowitz, Alice Ammerman, Molly De Marco, Shu Wen Ng, Catherine Zimmer, Caitlin E. Caspi
      Abstract: Health Promotion Practice, Ahead of Print.
      ObjectiveTo determine whether an increase in hourly wages was associated with changes in food security and perceived stress among low-wage workers. We also determined whether changes in food security and stress were associated with changes in diet.SettingWages is a prospective cohort study following 974 low-wage workers in Minneapolis, MN, where an ordinance is incrementally increasing minimum wage to US$15/hr from 2018 to 2022, and a comparison community with no minimum wage ordinance (Raleigh, NC). Interaction models were estimated using generalized estimating equations.ParticipantsAnalyses used two waves of data (2018 [baseline], 2019) and included 219 and 321 low-wage workers in Minneapolis and Raleigh (respectively).ResultsAverage hourly wages increased from US$9.77 (SD US$1.69) to US$11.67 (SD US$4.02). Changes in wages were not associated with changes in food security (odds ratio = 1.05, 95% confidence interval [CI] [0.89, 1.23], p = .57) or stress (β = −0.01, 95% CI [−0.04, 0.03], p = .70) after 1 year of policy implementation. Changes in food security were not associated with changes in diet. However, we found significant changes in the frequency of fruit and vegetable intake across time by levels of stress, with decreased intake from Wave 1 to 2 at low levels of stress, and increased intake at high levels of stress (incidence rate ratio = 1.17, 95% CI [1.05, 1.31], p = .01).ConclusionsChanges in wages were not associated with changes in food security or stress in a sample of low-wage workers. Future research should examine whether full implementation of a minimum wage increase is associated with changes in these outcomes.
      Citation: Health Promotion Practice
      PubDate: 2022-11-14T10:46:08Z
      DOI: 10.1177/15248399221128005
       
  • Anti-Racist Violence Prevention: Partnering With Black Youth to Identify
           Intervention Priorities

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      Authors: Briana Woods-Jaeger, Kristin E. Knutzen, Devin Lucas, Nkosi Cave, Saundra K. Latimer, Abreon Adams; HSD, Aceyeah Bates, HSD, Tiffaney L. Renfro
      Abstract: Health Promotion Practice, Ahead of Print.
      In this study, academic researchers partnered with Black youth to engage in critical analysis of the intersection between racism and community violence to promote anti-racist social action that advances health equity. Through youth participatory action research, we examined perspectives and experiences of Black youth to develop a shared understanding of how to approach community violence prevention with an anti-racist lens. Thirteen youth from Kansas City and Atlanta who identified as Black or African American participated in a photovoice project to explore the intersection of racism and community violence. Youth generated photo assignments, took photos that reflected the assignment, shared their photos as a group, and chose one photo to explore in depth each week using a structured method to guide photo-discussion. Qualitative analysis of youth photo-discussions identified themes related to Black youth’s experiences of racism at multiple levels and identified suggestions for anti-racist interventions, including promoting Black history knowledge and nurturing Black mentoring relationships. Grounded in these findings, we propose an anti-racist approach to community violence prevention among Black youth that engages Black youth as equitable partners to build from their expertise and strengths in developing comprehensive solutions.
      Citation: Health Promotion Practice
      PubDate: 2022-11-14T10:45:25Z
      DOI: 10.1177/15248399221129542
       
  • Defining Parenting Practices for Reducing Sugar-Sweetened Beverage
           Consumption Among Preschoolers

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      Authors: Paul Branscum, Paige Keysor
      Abstract: Health Promotion Practice, Ahead of Print.
      While attempts have been made to organize parenting practices in a working system, there are problems that make it difficult to understand how parenting is related to children’s eating behaviors. The purpose of this study was to evaluate the validity and reliability of a new instrument evaluating parenting practices toward sugar-sweetened beverages (SSBs) using the nine intervention functions of the Behavior Change Wheel. Each intervention function (education, persuasion, incentivization, coercion, training, restriction, environmental restructuring, modeling, and enablement) was applied to a parenting practice for having a preschooler consume no more than 8 oz of SSBs per week. A survey was developed to evaluate each practice. Forty-eight parents of preschoolers (2–5 years old) completed the survey, and the most utilized practices were modeling, creating a supportive home environment, persuading children, and restricting SSBs. The framework presented in this study can be useful for determining which parenting practices are acceptable and effective for promoting health behaviors among children.
      Citation: Health Promotion Practice
      PubDate: 2022-11-11T12:42:12Z
      DOI: 10.1177/15248399221135109
       
  • Psychosocial Factors Associated With Past Month Gambling Among
           Adolescents: Results From the 2016–2020 PRIDE Survey

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      Authors: R. Andrew Yockey
      Abstract: Health Promotion Practice, Ahead of Print.
      The present study sought to identify psychosocial factors associated with recent gambling (gambling within the past 30 days). The 2016, 2018, and 2020 Parents’ Institute for Drug Education (PRIDE) data sets were pooled and analyzed, consisting of 108,690 adolescents in 13 local public schools. A sizable percentage (13.1%) of adolescents reported gambling in the past 30 days. Multiple logistic regression analyses found differences based on demographic factors, previous substance use, and psychosocial factors. Adolescents at highest risk were male, non-White, in high school; sold drugs; and participated in violent activities in the past 30 days. The study also found worrying rates of substance use. Findings from the present study can inform harm reduction efforts, prevention messaging, and clinical interventions related to adolescent gambling.
      Citation: Health Promotion Practice
      PubDate: 2022-11-11T12:37:30Z
      DOI: 10.1177/15248399221135101
       
  • An Equity Response to COVID-19 in Allegheny County, Pennsylvania: The
           Development and Work of the Black Equity Coalition

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      Authors: Tiffany L. Gary-Webb, Carlyn Van Dyke, Karen Abrams, Jason Beery, Olivia Bennett, Jamil Bey, Fred Brown, Tracey Conti, Richard Garland, Jerome Gloster, Robert Gradeck, Lisa Issac, Jared Kohler, Ayanna A. King, Mark Lewis, Noble Maseru, Dara Mendez, Mickey McGlasson, Alissa Monette, Kellie Ware, Anne Wright
      Abstract: Health Promotion Practice, Ahead of Print.
      From the onset of the pandemic in the United States, racial disparities in COVID-19 outcomes have been evident. In April 2020, several events prompted a concerned group of colleagues to form the Black Equity Coalition (BEC), a Black-led coalition in Allegheny County, Pennsylvania, which brings together professionals from multiple sectors who aim to ensure an equitable response to the COVID-19 pandemic. Several significant milestones have been achieved, and this article describes the development, functioning, and outcomes of the Coalition in the first 15 months of operation (April 2020–June 2021). COVID-19 was the reason for such an unprecedented effort, but this BEC infrastructure will be needed long after COVID-19 is controlled. In addition to short-term activities and reactive measures to prevent and mitigate COVID-19 in Black populations, the BEC is serving as a crucial link between government, health care stakeholders, and communities to produce long-term systemic change.
      Citation: Health Promotion Practice
      PubDate: 2022-11-11T12:31:12Z
      DOI: 10.1177/15248399221133726
       
  • Multifaceted Scoping Review of Black/African American Transportation and
           Land Use Expert Recommendations on Activity-Friendly Routes to Everyday
           Destinations

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      Authors: Tyler Prochnow, Danny Valdez, Laurel S. Curran, Charles T. Brown, Doreleena Sammons Hackett, M. Elaine Auld
      Abstract: Health Promotion Practice, Ahead of Print.
      Promoting physical activity (PA) at the community level is a complex, multisector approach requiring researchers and practitioners to impact the individual, interpersonal, environment, and policy levels. One such strategy aiming to impact systems, policies, and environments is the Centers for Disease Control and Prevention’s Activity Friendly Routes to Everyday Destinations (Routes to Destinations). This strategy specifically aims to connect pedestrian, bicycle, and public transportation systems with built environment and land use destinations. This article examines Black/African American transportation and land use experts’ perspectives and concerns—across multiple mediums—around inequities that have discouraged PA among Black/African American persons specifically Routes to Destinations strategies. In March 2021, a multifaceted scoping review was conducted of peer-reviewed literature, gray literature, and social media authored by Black/African American transportation and land use experts focusing on policy, system, and environmental changes which promote or discourage equitable and inclusive access to physical activity. Themes from peer-reviewed and gray literature resources included: (1) Assessing Racism, Discrimination, and Segregation; (2) Addressing Equity and Inclusion Through Policy; (3) Community Engagement and Place-Based Interventions; (4) Infrastructure Changes; (5) Safety; and (6) Reporting Health Disparities. Twitter topic models suggested the main topics included elements of race/racism, equity, safety, infrastructure, and advancing social justice. Experts called for systemic and systematic change through new policies and implementation of existing policies as well as enhanced community inclusion in decision-making through ownership of policy and built environment change. Safety was discussed differently between peer-reviewed and gray literature and Twitter discussions indicating a publication bias.
      Citation: Health Promotion Practice
      PubDate: 2022-11-11T12:21:12Z
      DOI: 10.1177/15248399221133725
       
  • Infant Safe Sleep in the District of Columbia: Better for Both

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      Authors: Mary Beth Howard, Benjamin T. Parrish, Judith Singletary, Lenore Jarvis
      Abstract: Health Promotion Practice, Ahead of Print.
      Sudden unexpected infant death (SUID) rates within the District of Columbia (DC) vary, with rates 3 times higher in certain geographical areas than the cumulative rate in DC and 7 times higher than the national rate. The majority SUIDs are due to unsafe sleep practices. Although safe sleep education and resources are available in these areas, the high sleep-related infant mortality suggests unmet barriers to infant safe sleep. We sought to investigate potential contributions to local infant mortality through focus groups regarding infant sleep practices among DC caregivers. In this qualitative study, caregivers were probed regarding barriers and facilitators of infant sleep practices. Data were collected until thematic saturation was reached, then coded. Themes were developed and revised in an iterative manner. Fifteen caregivers participated in three focus groups. Themes included sources of infant sleep knowledge, challenges for infant sleep, and motivators for infant sleep choice. All caregivers reported knowledge of safe sleep practices. Infant sleep practices varied, and included unsafe practices such as bed sharing, co-sleeping, and use of swings or bouncers for infant sleep. Challenges of adhering to safe sleep practices included infant needs, competing family demands, the overwhelming nature of newborn sleep, threats, and conflicting information. Motivators for infant sleep practices included better sleep, convenience, safety, tradition, and needs of the infant and caregiver. Although caregivers report knowledge of safe sleep recommendations, actual infant sleep practices vary and include unsafe sleep practices. More focused interventions are needed to address this gap between safe sleep knowledge and practice.
      Citation: Health Promotion Practice
      PubDate: 2022-11-11T12:16:12Z
      DOI: 10.1177/15248399221131834
       
  • Mural Painting to Collect Sensitizing Data and Encourage Research
           Participation Among U.S. Latinos

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      Authors: Adrienne Martinez-Hollingsworth, Jacqueline Hernández, Cristina Edwards, Keosha Partlow
      Abstract: Health Promotion Practice, Ahead of Print.
      PurposeTo describe a mural-based intervention that can be implemented in partnership with community members in Latino neighborhoods in order to improve awareness of barriers to recruitment/retention of U.S. Latinos in clinical research, while augmenting researchers’ access to sensitizing concepts critical for rigorous study design. Background. Latinos in the United States suffer disproportionately from several chronic illnesses but are under-represented as researchers and participants in the National Institutes of Health–funded research. This lack of representation inhibits a nuanced awareness of the health needs of U.S. Latinos and hampers efforts to address a persistent lack of health equity among U.S. Latinos and other communities of color. Art-based interventions implemented in Latino communities are increasingly being recognized for their ability to bridge this gap and positively affect the quality and quantity of research partnerships between clinical researchers and U.S. Latinos.MethodThis article describes a mural-based intervention piloted in two predominantly Latino neighborhoods between 2016 and 2020. The design of this method was guided by community-partnered participatory research practices and involved an Assessment–Diagnosis–Planning–Implementation–Evaluation approach.ResultsMural painting addressed many of the participation challenges often associated with under-representation of Latinos in academic research and allowed for sensitizing interviews with key community members surrounding topics of interest to the research team.ConclusionResearch methods that acknowledge traditional art forms, such as mural painting, create a space for building trust and spark interest in future research participation, while augmenting researchers’ access to sensitizing concepts that may improve the cultural competence of future studies, projects, and interventions.
      Citation: Health Promotion Practice
      PubDate: 2022-11-11T12:12:49Z
      DOI: 10.1177/15248399221125789
       
  • Intersectional Antiracist Advocacy Practice in Health Care Organizations

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      Authors: Kimberly D. Hudson, Sara Matsuzaka, Gita Mehrotra
      Abstract: Health Promotion Practice, Ahead of Print.
      Health care organizations, like individuals, can evolve to become antiracist and promote racial equity within and beyond the organization. In this brief article, we introduce an intersectional antiracist advocacy practice framework applicable to health care organizations that seek restorative and transformative change, as well as participation in social and economic justice action. Becoming an antiracist organization requires an acknowledgment that no organization is impervious to racist and other oppressive ideologies. Organizations can then begin to interrogate, interrupt, and address how racism permeates agency policies, procedures, and culture. The implementation of an intersectional antiracist advocacy practice framework within organizations involves a multifaceted approach, including both internal and external practices. Internally facing practices include providing mandatory antiracist trainings to all employees; promoting a representative and equitable workplace; and developing an organizational power structure based on inclusion, transparency, and accountability. Externally facing practices include fostering nonexploitative, reciprocal community partnerships; contributing to social and economic justice movements; and demonstrating transparency and accountability for the negative impact of operations in Black, Indigenous, and People of Color (BIPOC) communities and lands. We conclude with key questions for health care organizations to consider in regard to their racial equity efforts, specifically around organizational readiness, risk tolerance, and long-term commitment.
      Citation: Health Promotion Practice
      PubDate: 2022-11-08T12:54:44Z
      DOI: 10.1177/15248399221131833
       
  • “Young Women My Age Really Need Boosts Like This”: Exploring Improv as
           a Facilitator of Wellness Among Young Women of Color

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      Authors: Stephanie Begun, Cam Bautista, Brigette Mayorga, Krysta Cooke
      Abstract: Health Promotion Practice, Ahead of Print.
      This project qualitatively examined the potential of scenic improvisation (“improv”) for engaging young women of color as a possible means of promoting and enhancing health and wellness outcomes in this often-overlooked population. Seven young women of color (ages 15–18), accessing virtual after-school programming, participated in a three-session professionally facilitated improv workshop series. Participants provided insights through in-depth pre- and postproject qualitative interviews about their experiences. Participants indicated that improv boosted their self-esteem and strengthened their social connections. Participants were enthusiastic about accessing further improv opportunities, noting that improv should be embedded into other youth-serving programs and health-promotion efforts, as such approaches were deemed as particularly needed among young women of color. Inclusion of improv activities in intervention and prevention efforts would benefit from additional exploration as ways by which health and wellness programs and supports might be innovated and tailored to the specific needs and preferences of young women of color.
      Citation: Health Promotion Practice
      PubDate: 2022-11-08T12:51:25Z
      DOI: 10.1177/15248399221130726
       
  • Exploring Successful Implementation of Organizational Supports at the
           Worksite Environment: A Mixed Methods Approach

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      Authors: Renee A. Underwood, Ralph J. Wood, Alexandra D. Tomchek, Michael D. Celestin, Richard Culbertson, Stephen Phillippi, Stephanie T. Broyles
      Abstract: Health Promotion Practice, Ahead of Print.
      While there is evidence that organizational supports may lead to better employee health, research on implementing such organizational supports is lacking. This research sought to understand organizational supports and implementation of those supports using an Explanatory Sequential Mixed Methods design approach. Employee survey responses (n = 202) were used to classify organizations into “high” and “low” categories for employee-reported health behavior improvement, agreement, and readiness for implementing change. For the qualitative phase of research (organization-level), semi-structured interviews were conducted with organization leads, and data were analyzed through constant comparative analysis procedure. Analyses sought to identify differences between “high” versus “low” organizations. In addition, the researcher used the “high” and “low” classifications to further review themes that emerged, to determine where there may be differences in organizations classified as “high” versus “low.” Study results found the following nine themes to explain how organizations can improve implementing organizational supports: provide a contracted wellness program, formalized programming, and wellness incentives; create a culture of wellness in the organization; provide consistency in the supports offered; provide clear communication to employees; utilize leadership role modeling to show support; focus on leadership support that ensures organizational supports are implemented and sustained; and work to combat employee hesitation of organizational supports. The results of this study show that organizations have the opportunity to improve implementation of their organizational supports by applying the nine themes found.
      Citation: Health Promotion Practice
      PubDate: 2022-11-02T10:56:40Z
      DOI: 10.1177/15248399221127045
       
  • Investing in Community Care Is an Important Goal and Need for Eliminating
           Hepatitis C in the United States: An Abolitionist Perspective

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      Authors: Prashasti Bhatnagar, Sonia L. Canzater
      Abstract: Health Promotion Practice, Ahead of Print.
      Recent nationwide racial justice uprisings following ongoing police violence against Black communities juxtaposed with the COVID-19 pandemic have increased the urgency for a reckoning around the ineffectiveness and harm caused by the carceral apparatus. It is well documented that the correctional system was founded upon and continues the legacy of slavery and white supremacy. Research has shown that incarceration directly contributes to many negative health outcomes, including increased risk and spread of hepatitis C virus (HCV) infections, especially among people who inject drugs. This high burden of HCV disproportionately impacts low-income communities of color, who not only report higher rates of substance use due to pervasive discrimination but are also over-incarcerated as a result of structural racism and the War on Drugs. The COVID-19 pandemic further underscores that correctional facilities are fundamentally structured to promote health inequities. Minoritized communities who are overrepresented in corrections continue to be put at increased risk of COVID-19 in overcrowded facilities, are isolated from social support and medical care, and have been ignored in vaccination strategies. In this perspective, we argue that HCV interventions within the carceral apparatus will remain largely ineffective due to the negative health impacts of incarceration. Instead, we propose adopting abolitionist principles for HCV elimination—divesting from the carceral apparatus to prioritize community-based efforts on promoting HCV screening, treatment, and prevention. In doing so, the nation will have not only the capacity to meaningfully eliminate HCV but also the potential to improve overall societal outcomes.
      Citation: Health Promotion Practice
      PubDate: 2022-10-28T10:38:10Z
      DOI: 10.1177/15248399221129536
       
  • Youth Perspectives on Menthol Sales Restrictions in Minneapolis and
           Duluth, Minnesota

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      Authors: Joanne M. Moze, Erin K. O’Gara, Katie Fritz Fogel, Joanne D’Silva, Chris M. Matter, Eugene M. Nichols
      Abstract: Health Promotion Practice, Ahead of Print.
      Although menthol cigarettes are a starter product for youth, menthol was exempted from the 2009 Tobacco Control Act, which banned all other characterizing flavors. Minneapolis and Duluth, Minnesota, implemented menthol tobacco sales restrictions in 2018 to advance health equity for youth, African American, lesbian, gay, bisexual, trans, and queer (LGBTQ), and other communities adversely affected by menthol. This evaluation assesses the policy impact on youth access to menthol tobacco, exposure to menthol advertising, and tobacco use. A core group of youth aged 14 to 17 years (n = 30) was recruited from Minneapolis and Duluth to gather data through photo voice and peer interviews 2 months before and after policy implementation. This evaluation shares the results of focus groups with these core youth where they reflected on what they observed in the community and heard from peers. The core youth identified and categorized emergent themes using the evaluation questions. Following the focus groups, the evaluation staff used these preliminary themes and coded remaining transcripts. The core youth had mixed reactions to the impact of policies on access and use because many tobacco users in their age group obtain tobacco informally through peers, family members, and online. They observed decreases in retail advertising of menthol cigarettes, although many felt e-cigarettes and online advertising were more significant issues for their age group. Findings show a need for increased education and more comprehensive policy approaches, including addressing use of flavored e-cigarettes, online tobacco sales, and informal access, making youth access to tobacco more difficult.
      Citation: Health Promotion Practice
      PubDate: 2022-10-20T06:24:41Z
      DOI: 10.1177/15248399221127046
       
  • Expanding Applicability of Presentations at Public Health Conferences

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      Authors: Courtney L. Brightharp, Jennifer Mandelbaum
      Abstract: Health Promotion Practice, Ahead of Print.
      As public health practitioners and program evaluators for a state health department, we look forward to public health conferences for the opportunity to hear from leaders in the field and inform our own practice. While we feel that most presentations describe the work and why it matters, many of us leave sessions thinking, “Now what'” In other words, how do we apply what we learned to public health practice' As American Public Health Association (APHA) looks to celebrate its 150th year in 2022, now is an ideal time to focus on expanding the impact of our work. We offer several suggestions for how conference presenters can make their work more applicable to public health practitioners. We ground our recommendations in John Driscoll’s reflective model for health care practitioners. This framework guides the audience through three questions designed to move from a description of what happened (“what'”) to the potential significance of their findings (“so what'”) and finally to the actions we can take as a result (“now what'”). These strategies are meant to help presenters describe processes and implications in addition to outcomes and theory. We hope that public health professionals can continue to look to the APHA Annual Meeting and other public health conferences as not only sources of innovative research but also as forums for practitioners to share the practical applications of their work.
      Citation: Health Promotion Practice
      PubDate: 2022-10-17T08:45:49Z
      DOI: 10.1177/15248399221128807
       
  • Participatory Monitoring and Evaluation of the COVID-19 Response in the
           Africa Region

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      Authors: Peter Malekele Phori, Stephen Fawcett, Noemie Nikiema Nidjergou, Cleph Silouakadila, Ruaa Hassaballa, Deogratias Kakule Siku
      Abstract: Health Promotion Practice, Ahead of Print.
      As the COVID-19 pandemic swept throughout the world, it created a demand for information to help understand the public health response and its effects. Limited capacity to see and interpret data—“sensemaking” with measures of progress—affects the use of data for quality improvement. The World Health Organization Regional Office for Africa (WHO AFRO) supported partners from the Member States in using a participatory monitoring and evaluation system to document and systematically reflect on the COVID-19 response at the country level. The WHO AFRO’s COVID-19 Response Monitoring and Evaluation (M&E) team captured and communicated response activities based on available reports from 35 of the 47 member countries. By reviewing reports and communications, the M&E team documented nearly 8,000 COVID-19 response activities during the study period (January 2020 through July 2021). A “sensemaking” protocol was used to support country partners in identifying factors associated with increases or decreases in both new cases and response activities. This report describes this participatory M&E approach and process of shared sensemaking. We illustrate with a country-level case study of the COVID-19 response in the Africa Region.
      Citation: Health Promotion Practice
      PubDate: 2022-10-11T01:40:06Z
      DOI: 10.1177/15248399221095524
       
  • The Use of a SWOT Analysis to Evaluate a COVID-19 Mitigation Project in
           the Paso del Norte Region

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      Authors: Nora Hernandez, Guillermina Gina Núñez-Mchiri, Josiah Heyman, Adriana Orozco
      Abstract: Health Promotion Practice, Ahead of Print.
      A SWOT (strengths, weaknesses, opportunities, and threats) analysis is a strategic planning and management technique used for project planning. It is sometimes called situational assessment or situational analysis. We applied this tool (with some adaptations) effectively in a health promotion/public health education intervention project in the Paso del Norte region. This region is composed of a predominantly Hispanic population and is marked by a dynamic flow of residents across the border. In this milieu, COVID-19 has disproportionately impacted communities of color and individuals who are economically and socially marginalized. The University of Texas at El Paso (UTEP) has partnered with the National COVID-19 Resilience Network (NCRN) to mitigate the impact of COVID-19 among farm and food production workers (i.e., farmworkers, dairy, and meat packing workers) in El Paso, Doña Ana, and Moore counties. Intervention strategies include: (1) providing culturally and linguistically appropriate COVID-19 information, (2) disseminating protective equipment, and (3) ensuring access to COVID-19 vaccines. After completing year 1 of the project, we conducted a multiple-level SWOT analysis to evaluate, gather insights, and develop actionable strategies that would allow better service delivery to our priority population. We provide this case study to illustrate how a SWOT analysis can be a useful tool for practitioners engaged in the practice of evaluating health promotion and disease prevention programs. Even when attention and energy is absorbed in the immediate course of action, a SWOT analysis can help to achieve positive and effective collaborations resulting in strong service levels.
      Citation: Health Promotion Practice
      PubDate: 2022-10-03T09:19:07Z
      DOI: 10.1177/15248399221118892
       
  • Factors Facilitating Academic–Community Research Partnerships With
           African American Churches: Recruitment Process for a Community-Based,
           Cluster Randomized Controlled Trial During the COVID-19 Pandemic

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      Authors: Kristene Tadese, Sarah Jenkins, Dawn Aycock, Clarence Jones, Sharonne N. Hayes, Lora E. Burke, Lisa A. Cooper, Christi A. Patten, LaPrincess C. Brewer
      Abstract: Health Promotion Practice, Ahead of Print.
      African American (AA) churches are valuable partners in implementing health promotion programming (HPP) to combat health disparities. The study purpose was to evaluate AA church characteristics associated with enrollment into the FAITH! (Fostering African American Improvement in Total Health) Trial, a community-based, cluster randomized controlled trial (RCT) of a mobile health intervention for cardiovascular health promotion among AA churches. Churches located in Minneapolis-St. Paul and Rochester, Minnesota were invited to complete an electronic screening survey and follow-up telephone interview including the PREACH (Predicting Readiness to Engage African American Churches in Health) tool to assess church characteristics and infrastructure for HPP. The primary outcome was church enrollment in the FAITH! Trial. Key predictors included overall PREACH scores and its subscales (Personnel, Physical Structure, Faith-based Approach, Funding), congregation size, and mean congregation member age. Of the 26 churches screened, 16 (61.5%) enrolled in the trial. The enrolled churches had higher overall mean PREACH scores (36.1 vs. 30.2) and subscales for Personnel (8.8 vs. 5.6), Faith-based Approach (11.0 vs. 9.6), and Funding (7.3 vs. 4.8) compared with non-enrolled churches; all differences were not statistically significant due to small sample size. Twelve (75.0%) of the enrolled churches had>75 members versus six (60.0%) of the non-enrolled churches. Twelve (80.0%) of the enrolled churches had an average congregation member age ≤54 years versus six (67.0%) of the non-enrolled churches. AA churches enrolling into a community-based RCT reported greater infrastructure for HPP, larger congregations, and members of younger age. These characteristics may be helpful to consider among researchers partnering with AA churches for HPP studies.
      Citation: Health Promotion Practice
      PubDate: 2022-10-03T09:14:08Z
      DOI: 10.1177/15248399221118394
       
  • Cultivating a Healthier Policy Landscape: The Building Healthy Communities
           Initiative

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      Authors: Juliet Sims, Rob Baird, Manal J. Aboelata, Sarah Mittermaier
      Abstract: Health Promotion Practice, Ahead of Print.
      ObjectiveTo identify effective methods for local public health departments to secure policy and systems changes that will achieve health equity and improve health outcomes across diverse populations.MethodsWe reviewed 220 documents from a philanthropic initiative that funded collaborative efforts to improve conditions for health and equity in 14 California communities from 2010 to 2020. We examined the role of factors associated with movement-building approaches—such as organizing, base-building, investing in organizational capacity, and forming alliances—in securing policy and systems changes that foster more equitable community conditions.ResultsAll 14 sites made progress in implementing policies and systems to improve the social determinants of health, including neighborhood conditions and the built environment, health care access, social and community context, economic stability, and education access. All 14 also shifted processes to be more inclusive of and responsive to community members, who in turn gained capacity to advocate for change and build collective power.ConclusionLocal public health leaders can make progress toward health equity by drawing on movement-building approaches to change policies and systems that affect social determinants of health.
      Citation: Health Promotion Practice
      PubDate: 2022-09-29T07:23:34Z
      DOI: 10.1177/15248399221114341
       
  • Encouraging “Positive Views” of Mental Illness in High Schools: An
           Evaluation of Bring Change 2 Mind Youth Engagement Clubs

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      Authors: Eric H. Fein, Geena Agbangnin, Jovita Murillo-León, Marni Parsons, Rie Sakai-Bismark, Adrienne Martinez, Paola F. Gomez, Bowen Chung, Paul Chung, Rebecca Dudovitz, Moira Inkelas, Sheryl Kataoka
      Abstract: Health Promotion Practice, Ahead of Print.
      “Bring Change 2 Mind” (BC2M) high school clubs may destigmatize mental illness among club members, but clubs’ (1) reach and impact on non-club members at the same school, (2) connection to student help-seeking attitudes, and (3) mechanisms by which they destigmatize mental illness, are unknown. This community-partnered evaluation involved pre/post surveys of predominantly Latino (72%) students at three urban public schools and focus groups and interviews with a sample of club members (n = 26/65, 40%) and all club staff (n = 7, 100%). Multivariate regressions tested relationships between variables. In 84% of the student body responded in the Fall (n = 1,040) and Spring (n = 1,031). Non-club member engagement in BC2M (reach) increased from 25% (Fall) to 44% (Spring) (p < .01). Engagement with BC2M clubs was associated with decreased stigma among members (p < .05) but not non-members (p = .19). Decreased stigma was associated with help-seeking attitudes (p < .01). Possible BC2M mechanisms identified by students and staff include the following: (1) fostering a positive campus climate, (2) normalizing mental health discussions, (3) increasing peer support and help-seeking, and (4) increasing awareness of positive coping behaviors. While BC2M clubs likely reduce stigma for members, effects did not reach non-members, challenging the potential of BC2M clubs as a schoolwide strategy to destigmatize mental health services. Future projects could investigate how to reach non-BC2M members, complement BC2M with other school climate interventions to increase impact, and measure BC2M impact alongside other outcomes relevant to schools, such as academic achievement.
      Citation: Health Promotion Practice
      PubDate: 2022-09-26T10:46:18Z
      DOI: 10.1177/15248399221098349
       
  • Caring for People Who Use Drugs: Best Practices for EMS Providers

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      Authors: Stephen Murray, Alexander Y. Walley, Brittni Reilly
      Abstract: Health Promotion Practice, Ahead of Print.
      People who use drugs (PWUD) face stigmatizing treatment and substandard care during all stages of their health care journey, including in the prehospital setting by Emergency Medical Services (EMS) providers. Drawing on the professional and lived experience of the authors, we have developed a training with an intended audience of Emergency Medical Technicians (EMTs) and Paramedics in Massachusetts that will orient them to harm reduction philosophy. The training is delivered online through an asynchronous platform housed at Boston University School of Public Health and centers around several themes including the impact of fentanyl on the drug supply, the role of harm reduction in mitigating the impacts of drug criminalization, and ensuring that EMS providers have access to tools and best practices for improving overdose response, pain management, documentation, and respectful language. The training has been approved for Massachusetts Office of Emergency Medical Services (OEMS) continuing education credit and will be offered for free. We plan to evaluate changes in participant knowledge and attitudes and overall acceptability of the training among EMS providers in Massachusetts.
      Citation: Health Promotion Practice
      PubDate: 2022-09-26T07:11:51Z
      DOI: 10.1177/15248399221126163
       
  • Public Health in the Public Eye: Experiences of Ohio’s Public Health
           Workforce During COVID-19

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      Authors: Jeanelle S. Sears, Lauren Maziarz, Lara Wilken, Michelle Bussard, Kerri Knippen
      Abstract: Health Promotion Practice, Ahead of Print.
      The COVID-19 pandemic was uniquely challenging for public health workers charged with enforcing recommendations. In the United States, media reports highlight frequent outbursts and threats from community members and elected officials regarding masking protocols, vaccine mandates, and other public health measures such as isolation/quarantining recommendations. Given this backdrop, the purpose of this study was to better understand the lived experiences of this critical workforce in the context of COVID-19. We conducted in-depth phone interviews with public health workers in Ohio (N = 11). Questions were designed to illicit workers’ experiences and sense-making of the pandemic experience. We analyzed results using the techniques of interpretive phenomenological analysis. Five major themes focused on how workers experienced public perceptions of COVID-19 and the public health response. Three themes highlight the role of media and social media in polarizing public perceptions. These we note as: Dealing with Deadlock, Feeling Misunderstood and Misrepresented, and The Rollercoaster of Public Opinion. Getting on With the Work reveals strategies used to navigate public perceptions and misperceptions. This ranged from aggressive education and information sharing, to setting boundaries around the controversial or disputed aspects of the pandemic. Finally, After the Dust Settles comments on hopes for postpandemic transformations of public health and public perceptions thereof. These results can inform new pathways for public health. Paramount among these are effective strategies that address public knowledge, values, and worldviews. Such messaging must promote nuanced understanding and customized approaches for local realities, rather than relying on rigid dichotomies that further polarization and distrust.
      Citation: Health Promotion Practice
      PubDate: 2022-09-26T06:34:45Z
      DOI: 10.1177/15248399221124598
       
  • Same, Same but Different: Comparing Program Fidelity at Early Versus Late
           Adopters of a Successful Long-Term School-Based Physical Activity
           Intervention

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      Authors: Jonas Vestergaard Nielsen, Søren Smedegaard, Heidi Klakk, Thomas Skovgaard
      Abstract: Health Promotion Practice, Ahead of Print.
      Schools have been identified as a promising setting for promoting physical activity (PA). Yet, to realize changes at the population level, successful school-based PA programs need to go to scale. The Svendborgproject is an effective school-based program promoting additional physical education (PE) lessons. The aim of this study is to determine program fidelity across different school groups, representing early and late adopters of the Svendborgproject, and how these are adapting the intervention. Three different school groups were identified, covering the original intervention schools and two groups of late adopters consisting of four former control schools, and five normal schools without any previous connection to the program. A PE teacher questionnaire (n = 122) was used to determine school fidelity. The results show that, while the original intervention schools have implemented the program with the highest fidelity, all schools have implemented the program with medium to high fidelity. It is suggested that having front-runner schools achieving early success with the program both strengthens political project support and provides strategies to back late adopters’ implementation of the program. Furthermore, results from the current study suggest that continual promotion of the program by school heads is less important if support is established at the structural and organizational macro level. Finally, we highlight the importance of scaling up organizational capacity when scaling up program reach to assure a workable balance between fidelity and improving the fit to specific contexts.
      Citation: Health Promotion Practice
      PubDate: 2022-09-23T05:57:50Z
      DOI: 10.1177/15248399221100786
       
  • Community–Academic Partnerships: Addressing Health Inequities Through
           Community-Engaged Service Learning

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      Authors: Mary Bernstein, Michael Frintner, Shuang Gao, Theresa Gibbons, Noel Green, Danielle Hildreth, Madison Lustig, Jahari Stamps, Julia Turner, Rebecca Singer, Randi Singer
      Abstract: Health Promotion Practice, Ahead of Print.
      In Chicago, Black men who have sex with men (MSM) and transgender and gender nonconforming (TGNC) individuals experience higher rates of HIV diagnoses. The Southside of Chicago has a thriving house ball culture powered by MSM and TGNC individuals who are disproportionately impacted by HIV. While this community has a history of facilitating health promotion at their events, gaps exist in community-empowered education specific to this community. Through partnership between nursing students from University of Illinois Chicago (UIC) and leaders from the Southside Health Advocacy Resource Partnership (SHARP) and the University of Chicago Center for HIV Elimination (CCHE), we aimed to reduce health disparities experienced by the Black MSM/TGNC community in Chicago. We promoted COVID-19 vaccinations and obtained funding for a community-led project to reduce HIV-related stigma. Our team consisted of two community leaders, seven students, and two professors. We met weekly during the development stages and detailed notes were maintained by students and updated with next steps. Four months of collaboration demonstrated how nursing coursework can facilitate community–academic partnership and yielded a COVID-19 viral vaccination promotion video, community administration of vaccines, and SHARP’s procurement of funding to implement a project to reduce HIV-related stigma. Students learned the importance of community leaders’ presence when bringing health care to communities. Community leaders learned to communicate population needs and best utilize students as a resource. Enriching nursing curriculum using an integrated service-learning format offers the opportunity for student development while simultaneously serving the community.
      Citation: Health Promotion Practice
      PubDate: 2022-09-16T01:11:25Z
      DOI: 10.1177/15248399221102913
       
  • Adapting Adolescent Dating Violence Prevention Interventions to Victims of
           Child Sexual Abuse

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      Authors: Geneviève Brodeur, Mylène Fernet, Martine Hébert, Christine Wekerle
      Abstract: Health Promotion Practice, Ahead of Print.
      Considering the increased risk of revictimization, adolescents who have experienced child sexual abuse (CSA) are a priority subpopulation for the prevention of dating violence. Yet, intervention programs often focus on psychological symptomology associated with CSA; few tackle issues specific to relational violence. Addressing the relational traumatization of adolescents with a history of CSA is essential to prevent their revictimization. Given specific CSA sequelae related to intimacy and engagement in sexual behaviors, there is a need for tailoring interventions to boy and girl survivors. A case study of a group intervention designed for adolescent girls with a history of CSA was conducted. The context adaptation, based on intervention mapping proposed by Bartholomew and colleagues, served as a theoretical framework. Four steps were taken to ensure that the intervention addressed CSA youth needs: (a) needs assessment, (b) analysis of the conceptual framework of the original program, (c) selection of interventions and developing new interventions, and (d) validation with a committee of practitioners. This approach provided an understanding of risk factors and intervention priorities using the problem logic model. The original program was enhanced by adding four interventions addressing the prevention of dating violence. These interventions were then validated by practitioners before implementation in the setting. The approach underscores the relevance of understanding the needs of the clientele and of adopting a collaborative approach to ensure the proposed interventions are relevant.
      Citation: Health Promotion Practice
      PubDate: 2022-09-09T06:46:25Z
      DOI: 10.1177/15248399221083255
       
  • Cardiovascular Disease and Stroke-Focused Competency Assessment Tools for
           Community Health Workers in the United States: A Scoping Review

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      Authors: Janhavi Mallaiah, Reynaldo De Leon, Olajide Williams, John P. Allegrante
      Abstract: Health Promotion Practice, Ahead of Print.
      Cardiovascular disease (CVD) and stroke are major contributors to chronic disease burden in the United States. Despite the high prevalence of stroke, 90% of all stroke events are preventable and can be attributed to seven key modifiable risk factors (MRFs)—high blood pressure (BP), high cholesterol, diabetes mellitus (DM), smoking, obesity, unhealthy diet, and physical inactivity. In the United States, stroke prevention interventions led by community health workers (CHWs) have been proven to be highly effective in preventing the onset of MRFs. We conducted a scoping review of the competency assessment methods used in CVD and stroke-focused CHW training programs. We searched six online databases: PubMed, Cochrane, CINAHL, Embase, Web of Science, and HaPI, from all available years until January 2021. Of the 1,774 initial articles found, we identified 30 eligible articles to be included in the review. Nine of these studies used previously validated instruments, whereas the remaining 21 studies used tools from the training curriculum or independently developed instruments. Only five of these validated tools reported psychometric properties; none of them were designed for the CHW population. Our scoping review of literature revealed that CHW-specific competency assessment methods were limited, with few or no domain-referenced tools on CVD or stroke risk factors that complied with established measurement standards. We conclude that there is an urgent need for the development of a comprehensive and valid assessment instrument in CVD and stroke prevention to evaluate CHW performance and optimize their credibility, representing important first steps toward integrating CHWs into health care systems.
      Citation: Health Promotion Practice
      PubDate: 2022-09-05T10:18:16Z
      DOI: 10.1177/15248399221120809
       
  • Who Engaged in Home-Based Arts Activities During the COVID-19
           Pandemic' A Cross-Sectional Analysis of Data From 4,731 Adults in the
           United States

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      Authors: Jessica K. Bone, Hei Wan Mak, Jill K. Sonke, Meg E. Fluharty, Jenny B. Lee, Anthony J. Kolenic, Heidi Radunovich, Randy Cohen, Daisy Fancourt
      Abstract: Health Promotion Practice, Ahead of Print.
      Arts engagement is a health-related behavior that may be influenced by social inequalities. While the COVID-19 pandemic provided new opportunities for some people to engage in the arts, it might have created barriers for others. We aimed to examine whether there was social patterning in home-based arts engagement during the pandemic in the United States, and whether predictors of engagement differed according to the type of arts activity. We included 4,731 adults who participated in the United States COVID-19 Social Study between April and July 2020. Three types of home-based arts engagement were considered: reading for pleasure, arts or crafts activities, and digital arts activities. Using logistic regression models, we tested cross-sectional associations between a broad range of demographic, socioeconomic, psychosocial, and health-related factors as well as adverse events and worries during lockdown and each type of arts engagement. The factors most strongly associated with all three types of arts engagement were social support, social network size, age, race/ethnicity, keyworker status, and experiencing physical or psychological abuse during the pandemic. However, most socioeconomic and health-related factors were not associated with arts engagement, including household income and mental and physical health problems. Overall, our findings indicate that the social gradient in arts engagement was reduced in the first 4 months of the COVID-19 pandemic in the United States. Given the health benefits of arts engagement, the potential diversification of arts audiences during the pandemic is promising for both population-level health and wellbeing and the future of the arts and cultural sector.
      Citation: Health Promotion Practice
      PubDate: 2022-09-02T06:18:33Z
      DOI: 10.1177/15248399221119806
       
  • Exploring Implementation of Animal-Assisted Interventions as Health
           Promotion Initiatives on University Campuses

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      Authors: Emily Cooke, Elyse Warner, Claire Henderson-Wilson
      Abstract: Health Promotion Practice, Ahead of Print.
      In this study, we aimed to inform implementation of an animal-assisted intervention (AAI) in an Australian university setting by exploring previously implemented university AAIs. Universities internationally have attempted to address growing concerns around student and staff stress and anxiety by adopting AAIs. However, despite stress and anxiety being common among Australian students and staff, studies are yet to investigate the implementation of an AAI as a strategy to promote health and well-being in this context. Twelve academics who had previously implemented AAIs were recruited via purposeful intensity sampling, with data collected via semistructured interviews. Our findings highlight several facilitators to successful implementation of an AAI, along with strategies used to overcome barriers. Understanding how to amplify strengths and minimize challenges will support Australian universities to implement successful AAIs on campus and, in turn, assist in promoting improved student and staff well-being.
      Citation: Health Promotion Practice
      PubDate: 2022-09-02T06:17:16Z
      DOI: 10.1177/15248399221119805
       
  • Identifying Root Causes: Evaluation of a Program to Engage Youth in a
           Social Justice Approach to Tobacco Control

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      Authors: Heather Kennedy, Miguel Trujillo, Amy Ryan, Daiszha Cooley, Daniel Martinez, Bryan McNair, Cerise Hunt
      Abstract: Health Promotion Practice, Ahead of Print.
      Movements designed to engage youth in tobacco control have been an important part of tobacco prevention for decades. Today, young people are increasingly diverse, and their primary issues of concern are gun control, racism, mental health, and climate change. To engage today’s young people, tobacco control programs need to draw connections between youth’s identities, top issues, and tobacco. UpRISE is a social justice youth tobacco control movement that engages diverse youth in identifying the root causes of youth nicotine use. In 2018–2019, 21 youth-serving organizations and schools hosted youth coalitions. Coalitions engaged in a six-session workbook called “Getting to the root cause,” and adults were provided training and reflective supervision. Pre/post surveys with youth participants (n = 180) and end-of-year interviews with adult facilitators (n = 22) were used to assess outcomes. The primary outcomes were supportive adult relationships, youth voice in decision-making, anti-tobacco industry attitudes and beliefs, psychological empowerment, critical consciousness, and global belief in a just world. Quantitative measures of supportive adult relationships, youth voice in decision-making, psychological empowerment, and anti-tobacco industry attitudes and beliefs all increased significantly over time (p < .0001, p < .0001, p < .0001, p = .0034, respectively). Critical consciousness and global belief in a just world did not change significantly. During interviews, adults reported learning how: to engage in youth–adult partnerships, the tobacco industry abused its power, to engage in critical reflection about power. Adults also felt empowered. UpRISE may be a promising approach to increase racially diverse youth’s engagement in social justice-oriented tobacco control efforts that advance equity.
      Citation: Health Promotion Practice
      PubDate: 2022-09-02T06:16:50Z
      DOI: 10.1177/15248399221112456
       
  • Successes and Challenges From a Motivational Interviewing-Informed
           Diabetes Prevention Program Situated in the Community

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      Authors: Tineke E. Dineen, Corliss Bean, Mary E. Jung
      Abstract: Health Promotion Practice, Ahead of Print.
      To manage the rising prevalence of type 2 diabetes mellitus, sustainable diabetes prevention programs are needed. In this study, a process evaluation was conducted to qualitatively understand perceived successes and challenges of a diabetes prevention program situated in the community. This study took place in the first year of a multiyear project. Semistructured interviews were conducted with a sample of women clients (n = 14) postprogram and trainers (n = 10) 9 months into program implementation. Interviews were audio-recoded, transcribed verbatim, and analyzed using a Template Approach. Data were first analyzed deductively into two categories that aligned with the study’s purpose (successes and challenges). Second, an inductive analysis was used to understand program delivery processes within each category. Clients and trainers expressed (a) program successes related to recruitment strategy, outlook on making behavior changes, and communication style used within the program and (b) program challenges surrounding effort of learning and applying the communication strategy, usefulness of program applications and tools, and program fit. This evaluation provides practical implications and future directions for diabetes prevention programs, and has informed tailoring and expansion of the program of focus. Results demonstrate the success of motivational interviewing from both client and trainer perspectives and the impact of community partnerships to increase prediabetes awareness in the community. Overall, the program’s diabetes prevention and behavior change strategies coupled with a client-centered approach facilitated women clients in making diet and exercise modifications.
      Citation: Health Promotion Practice
      PubDate: 2022-09-01T09:18:22Z
      DOI: 10.1177/15248399221115066
       
  • What Kinds of Support are Alaska Native Youth and Young Adults
           Reporting' An Examination of Types, Quantities, Sources, and
           Frequencies of Support

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      Authors: Kelly L. Markowski, Lauren White, Sela R. Harcey, Tara Schmidt, Diane McEachern, Patrick Habecker, Lisa Wexler
      Abstract: Health Promotion Practice, Ahead of Print.
      American Indian and Alaska Native (AI/AN) youth, particularly males, experience disproportionately high rates of suicide compared to other young people in the United States. Therefore, enacting suicide prevention efforts for AI/AN youth is especially important. Since research shows that strengthening social, cultural, and emotional support can reduce suicide risk, many recent prevention efforts focus on these strategies. Yet, to reinforce and to extend the positive impact of these strategies for suicide risk reduction, we argue it is useful to identify baseline levels and other features of already-existing support. Toward this end, we describe the types (i.e., category), quantities (i.e., distribution and average number), sources (i.e., from whom), and frequencies (i.e., how often) of social support that AN young people report receiving, and we examine if these “support profiles” differ by age and sex. We use survey data from 165 ANs under age 30, collected as part of a participatory intervention study focused on Promoting Community Conversations About Research to End Suicide (PC CARES). We find that: 1) most ANs reported receiving nearly all supports, 2) compared with females, males reported receiving fewer supports on average, 3) family was the most selected support source, followed by close friends and service providers, and 4) family (e.g., parents, siblings, and grandparents) provided support regularly (i.e., monthly or more). Though our findings may suggest fruitful avenues for interventions targeted toward AN males, we discuss these findings in relation to the gendered nature of suicide prevention and assessment.
      Citation: Health Promotion Practice
      PubDate: 2022-09-01T09:16:36Z
      DOI: 10.1177/15248399221115065
       
  • Anticipated and Experienced Stigma After Testing Positive for SARS-CoV-2:
           A Qualitative Study

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      Authors: Shelley N. Facente, Mariah De Zuzuarregui, Darren Frank, Sarah Gomez-Aladino, Ariel Muñoz, Sabrina Williamson, Emily Wang, Lauren A. Hunter, Laura Packel, Arthur Reingold
      Abstract: Health Promotion Practice, Ahead of Print.
      IntroductionStigma has inhibited public health practitioners’ influence during the COVID-19 pandemic. We explore the experienced and anticipated stigma of people affiliated with a large university in the United States, using the Health Stigma and Discrimination Framework.MethodsWe conducted a qualitative secondary substudy of 20 people who tested SARS-CoV-2 positive and 10 who tested negative in the summer of 2020, selected from a study of 3,324 university students and employees.FindingsNo participants reported anticipated stigmatization prior to testing positive. However, eight of 20 participants recounted stigma marking (being marked by COVID-19 diagnosis or membership in a “high-risk” group) or manifestations of stigma after testing positive, including feelings of guilt or shame, and concerns about being judged as selfish or irresponsible. Three described being denied services or social interactions as a result of having had COVID-19, long after their infectiousness ended. Participants noted that clear public health messaging must be paired with detailed scientific information, rather than leaving people to resort to non-experts to understand the science.DiscussionPublic health messaging designed to mitigate spread of SARS-CoV-2 and protect the community may perpetuate stigma and exacerbate inequities. As a result, people may avoid testing or treatment, mistrust public health messaging, or even use risk-increasing behavior as coping mechanisms.Implications for PracticeIntentional use of language that promotes equity and deters discrimination must be high priority for any COVID-19-related public health messaging. Partnership with community leaders to co-create programs and disseminate messaging is a critical strategy for reducing stigma, especially for historically mistreated groups.
      Citation: Health Promotion Practice
      PubDate: 2022-08-11T11:30:45Z
      DOI: 10.1177/15248399221115063
       
  • “Invisible in the Most Tragic of Ways”: Exploring Internalized
           Transphobia and Coping Through Photovoice

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      Authors: Trenton K. Owens, Lauren Mizock, Alayne J. Ormerod, Annabelle Nelson, Colt St. Amand, Diane Paces-Wiles, Terrence D. Judd
      Abstract: Health Promotion Practice, Ahead of Print.
      Transgender and gender diverse (TGD) individuals experience minority stress that includes internalizing the negative attitudes that exist in society about those whose identities rest outside of the gender binary. The purpose of this study was to gain a better understanding of the experience of internalized stigma and associated coping methods among six TGD adults utilizing photovoice. Thematic and iconographic analysis of 35 works produced by the participants revealed themes involving metaphors for internalized transphobia, internalized social messages, the psychological debt or emotional cost of internalized transphobia, and a range of coping strategies. Specifically, invisibility was a common metaphor used to suggest that a TGD person’s experience may be associated with actively hiding, masking their identity, or failing to be seen as their true self. Participants expressed concern with being accepted by others and noted anxiety about outward expressions of their gender and personal characteristics. The results also revealed that participants experienced loneliness, fear of rejection, and low self-esteem related to internalized transphobia and their TGD identities. Participants reported receiving messages that TGD individuals are often viewed negatively and generally lack support from society and close relations. Coping strategies utilized by participants included withdrawing from others, hiding their TGD identity to avoid rejection or violence, self-exploration, accepting self and others, and connecting to a community of TGD persons and/or allies. Focus group feedback revealed benefits to participants, including an enhanced sense of community and self-esteem, as well as recommendations for future group structure. Implications and future research directions are discussed.
      Citation: Health Promotion Practice
      PubDate: 2022-08-04T06:08:01Z
      DOI: 10.1177/15248399221114340
       
  • Use of Community Engagement Studios to Adapt a Hybrid
           Effectiveness-Implementation Study of Social Incentives and Physical
           Activity for the STEP Together Study

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      Authors: Krista Scheffey, Jade Avelis, Mitesh Patel, Ai Leen Oon, Chalanda Evans, Karen Glanz
      Abstract: Health Promotion Practice, Ahead of Print.
      Physical activity is known to contribute to good health, but most adults in the United States do not meet recommended physical activity guidelines. Social incentive interventions that leverage insights from behavioral economics have increased physical activity in short-term trials, but there is limited evidence of their effectiveness in community settings or their long-term effectiveness. The STEP Together study is a Hybrid Type 1 effectiveness-implementation study to address these evidence and implementation gaps. This paper describes the process of adapting study procedures prior to the effectiveness trial using Community Engagement (CE) Studios, facilitated meetings during which community members provide feedback on research projects. Six CE Studios were held with community members from the priority population. They were conducted remotely because of the COVID-19 pandemic. Fifteen liaisons representing 13 community organizations and 21 community members from different neighborhoods in Philadelphia participated. Three elements of the study design were modified based on feedback from the CE Studios: lowering the age requirement for an ‘older adult’, clarifying the definition of family members to include second-degree relatives, and adding a 6-month survey. These adaptations will improve the fit of the effectiveness trial to the local context and improve participant engagement and retention. CE Studios can be used to adapt intervention strategies and other aspects of study design during hybrid implementation-effectiveness trials. This approach was successfully used with remote online participation due to the COVID-19 pandemic and serves as a model for future community-engaged implementation research.
      Citation: Health Promotion Practice
      PubDate: 2022-07-28T09:20:17Z
      DOI: 10.1177/15248399221113863
       
  • The Forgotten Youth: Responding to Mental Health Needs Among Confined
           Youth in the Time of COVID-19

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      Authors: Mythili Sanikommu, Rebecca L. Fix
      Abstract: Health Promotion Practice, Ahead of Print.
      As COVID-19 sweeps across the country, individuals within the carceral system face an increased risk of contracting the virus, and as a result, heightened risk for mental health symptoms. We discuss how COVID-19 appears to be exacerbating mental health inequities for children within the carceral system and the need to respond accordingly. Children within the carceral system represent a particularly vulnerable population, and the majority of detained or confined youth identify as Black, Indigenous, and People of Color (BIPOC). As juvenile detention centers in multiple states report cases of COVID-19, children who are confined are experiencing higher rates of illness and fear of illness. It is crucial to consider how the mental health of children who are confined will be disproportionately affected compared with the general population. We provide recommendations to revise practices to improve and reduce mental health outcomes among confined children.
      Citation: Health Promotion Practice
      PubDate: 2022-07-28T09:15:25Z
      DOI: 10.1177/15248399221113224
       
  • Perspectives of Pediatric Community Health Workers: Roles, Successes, and
           Challenges

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      Authors: Hanna E. Rogers, Jennifer A. Hershey, Jennifer Morone, Terri H. Lipman, Leigh Wilson-Hall, Kristy Anderson, Colin P. Hawkes
      Abstract: Health Promotion Practice, Ahead of Print.
      This multicenter qualitative study described the roles of 10 pediatric community health workers (CHWs) in their own words through exploration of the role features, successes, and challenges in pediatric health care settings across three urban U.S. cities (Philadelphia, New York City, and Cincinnati). Individual, semi-structured telephone interviews were conducted. Interviews described prominent features of the pediatric CHW role, which included taking a family-centered approach to goal setting and determining support needed, ensuring family goals stayed at the center of the work, and acting as a trusted figure for families to talk openly with. CHWs described their role as rewarding, believing in the work, and feeling a sense of fulfillment, and felt successful when families had positive outcomes, including when barriers were eliminated, resources were obtained, or independence was demonstrated by families. Challenges CHWs faced in their roles included establishing trust with families, managing the ever-changing family circumstances many families experience due to socioeconomic barriers, and managing limitations of protocol and restrictions within their roles. This study demonstrated numerous considerations for CHW practice in pediatric health care settings, in addition to considerations for pediatric-specific CHW program development and management. The primary policy implication of this study included a basis for increased funding for CHW programs in pediatric health care settings. This study also demonstrated a need for further research on the change CHWs effect within child and family systems outside of health care, such as schools and child welfare agencies
      Citation: Health Promotion Practice
      PubDate: 2022-07-25T11:32:00Z
      DOI: 10.1177/15248399221112866
       
  • Mobile Health (mHealth) Interventions to Increase Cancer Screening Rates
           in Hispanic/Latinx Populations: A Scoping Review

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      Authors: Shinobu Watanabe-Galloway, Kendra Ratnapradipa, Roma Subramanian, Athena Ramos, Oluwaseun Famojuro, Cynthia Schmidt, Paraskevi Farazi
      Abstract: Health Promotion Practice, Ahead of Print.
      Hispanic/Latinx persons have disproportionately lower breast, cervical, and colorectal cancer screening rates than non-Hispanic White (NHW) persons. This low participation in cancer screening results in late-stage cancer diagnosis among Hispanic persons compared to NHW persons. Mobile health (mHealth) interventions effectively improve cancer screening rates in the general population; however, few reviews about mHealth interventions are tailored to Hispanic populations. This is important to investigate given that Hispanic persons differ from NHW persons with regard to culture, language, and health care utilization. Therefore, in this study, we investigated: (a) What types of mHealth interventions have been undertaken to increase cancer screening rates among Hispanic persons in the United States' (b) How effective have these interventions been' and (c) What features of these interventions help increase cancer screening rates' Searches conducted during December 2020 identified 10 articles published between January 2017 and December 2020 that met our inclusion criteria. The review revealed that mHealth interventions mainly provided education about cancer and cancer screening using videos, PowerPoint slides, and interactive multimedia. mHealth interventions that effectively improved screening behavior were mainly for easy-to-screen cancers like skin and cervical cancer. Finally, reviewed studies did not provide details on how cultural adaptations were made, and it is unclear what specific features of mHealth interventions increase cancer screening rates among Hispanic persons. Future research should identify and evaluate the effects of different components of culturally tailored interventions on cancer screening. Public health practitioners and health care providers should tailor mHealth approaches to their clients or patients and practice environment.
      Citation: Health Promotion Practice
      PubDate: 2022-07-23T06:06:05Z
      DOI: 10.1177/15248399221103851
       
  • Health Educators in State/Local Public Health Departments: Training Needs
           and Awareness of Emerging Areas of Public Health Practice

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      Authors: Samantha Cinnick, Melissa Gambatese, M. Elaine Auld, Cam Escoffery, Tamira Moon
      Abstract: Health Promotion Practice, Ahead of Print.
      Although great progress has been made to define the field of health education and provide a voluntary certification system for professionals, research about the governmental health educator and health education specialist workforce is limited. The 2017 PH WINS (Public Health Workforce Interests and Needs Survey) provides valuable data on understanding the workforce demographics, attitudes, and training needs of governmental public health workers, including health educators, and informs future investments in workforce development efforts nationally. The purpose of this article is to examine demographics, job engagement and satisfaction, training needs, certification, and other characteristics of health educators and certified health education specialists (CHES®) from PH WINS. We analyzed the data to describe the health educator workforce and compared it with the national governmental workforce across a range of variables. Compared with the national 2017 PH WINS sample, health educators were relatively younger, more ethnically diverse, more likely to be educated with an advanced degree, and were predominately employed in local versus state public health agencies. Health educators sampled were significantly more knowledgeable of all public health concepts compared with the national 2017 PH WINS respondent workforce. Comparison of CHES® versus non-CHES® professionals is also provided, along with practice and policy implications based on the data. This is the first detailed analyses of health educators in state and local health departments, with important findings and implications related to workforce composition, satisfaction, retention, and training. Further cross-sectional workforce research is needed to understand the current strengths and gaps in the health education workforce.
      Citation: Health Promotion Practice
      PubDate: 2022-07-15T12:25:12Z
      DOI: 10.1177/15248399221098345
       
  • Developing, Implementing, and Evaluating a Campus-Wide Pharmacy Vending
           Machine Program

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      Authors: Andrea L. DeMaria, Alexandra T. Hughes-Wegner, Francesca Rogozinski, Taylor Raff, Michelle M. Szabo, Nicole Noel
      Abstract: Health Promotion Practice, Ahead of Print.
      Lack of access to affordable, accessible, over-the-counter medications and health-related items affects school attendance, academic performance, and individual health. Increasing access through innovations, such as Pharmacy Vending Machines (PhVMs), may address the burdens students face in university settings. In January 2021, two PhVMs were placed on Purdue University’s campus to increase access to affordable and dependable 24/7 family planning items, cold/flu remedies, and other popular over-the-counter pharmaceuticals. Based on the success of the initiative and growing student body, the program was expanded to include two additional machines in August 2021. In this article, we detail how Purdue University planned, implemented, and evaluated a campus-wide PhVM program, which was an interdisciplinary collaboration across students, faculty, and staff in the College of Health and Human Sciences and College of Pharmacy. Pharmaceutical product availability in convenient vending machines dispersed throughout a campus contributes to a solution for the increasing demand for health products among consumers in large geographic areas.
      Citation: Health Promotion Practice
      PubDate: 2022-07-15T07:53:22Z
      DOI: 10.1177/15248399221098016
       
  • Equitable Policies Need Equitable Practices: Alcohol- and
           Substance-Exposed Pregnancy as a Case Study

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      Authors: Arielle R. Deutsch, Mohammad S. Jalali, Sarah Stout, Leah Frerichs
      Abstract: Health Promotion Practice, Ahead of Print.
      There is clear need for more effective public health policies. Coupled with calls for more effective policies, increasing demand to address public health disparities experienced by systemically marginalized and historically oppressed groups emphasizes the long-standing need for policies that improve public health equity. Such need is highlighted when examining public health issues such as alcohol- and substance-exposed pregnancy (ASEP): Current policies are ineffective at reducing ASEP, and marginalized groups experience disproportionately lower benefits and higher negative consequences as a result of such policies. Powerful strategies to develop more effective policies that can account for the complexity of such issues, such as systems science methods (SSMs), are becoming popular. However, current best practices for such methods often do not emphasize the additional efforts that will be required to develop equitable, not just effective policies. Using ASEP as an example of a crucial complex issue requiring new policy, we suggest additional steps to include in SSM projects for developing more effective policies that will also help stakeholders determine high-equity policies to reduce health disparities. These steps include modeling structural differences experienced by marginalized groups via systemic racism and oppression, incorporating existing cultural and community sources of strength and resilience as key areas for policy development, and evaluating the sustainability of policies as a dimension of efficacy. We also discuss using community-based participatory approaches as a framework for all SSM processes to ensure that policy development itself is grounded in equitable shared decision-making for marginalized individuals.
      Citation: Health Promotion Practice
      PubDate: 2022-07-02T06:54:27Z
      DOI: 10.1177/15248399221107605
       
  • Home Gardening Resurgence During COVID: Motivations and Perceived Benefits
           of Participating in Grow This!

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      Authors: Kristin McCartney, Gina Wood, Kerry Gabbert, Megan Warner, Nancy O’Hara Tompkins
      Abstract: Health Promotion Practice, Ahead of Print.
      Gardening is associated with a wide array of health benefits. We describe the dissemination of a low-cost social media–based campaign (Grow This!), an intervention intended to reach novice gardeners and which combined elements of old (seeds) and new (Facebook) technology. Grow This! was implemented before (2018, 2019) and during (2020) the COVID pandemic, providing an interesting framework for understanding participants’ motivations for gardening. Pre- and post-surveys assessed a variety of topics, including participants’ motivations for participating in Grow This!, how they planned to participate, previous gardening experience, the main benefits attributed to participation, and intentions to garden in the future. Descriptive statistics and qualitative analysis were used to analyze the survey data. More than 25,000 people participated in Grow This! over the 3 years, with the majority (77%) participating as a family. Participation in the project spiked during COVID. Primary motivations for participating in Grow This! pre-COVID were education, enjoyment, family engagement, and self-sufficiency; during COVID, motivations remained the same, but shifted in rank. Just over a third of participants were novice gardeners. Participants attributed numerous benefits to their participation, including stress reduction/relaxation, more outdoor time, reduced grocery bills, and eating more fruits and vegetables than normal. A total of 83% of respondents reported being highly likely to have a garden in the future. Home gardening as an intervention is ripe for dissemination, particularly in the aftermath of COVID. Public health professionals can benefit from this understanding of people’s motivations to garden and the perceived benefits associated with gardening.
      Citation: Health Promotion Practice
      PubDate: 2022-07-02T06:33:56Z
      DOI: 10.1177/15248399221102919
       
  • 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
       
  • “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
       
  • 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
       
  • 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
       
  • 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
       
  • PRESENCE//Gifted: On Poetry, Antiracism, and Epistemic Violence in Health
           Promotion

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      Authors: Ryan J. Petteway
      First page: 37
      Abstract: Health Promotion Practice, Ahead of Print.
      Through poetry, I offer a critical reflection on the racialized contexts, consequences, and (mis)representations of overlapping pandemics—COVID-19 and structural racism—crafted as counternarrative to public health’s and medicine’s ahistorical, apolitical, and racist proclivities in times of crises (e.g., plague, 1918 flu, HIV/AIDS, addiction, racialized police violence). I weave public health and medical concepts together with Black music, poetry, scholarship, and history to (re)frame/analyze interconnections between COVID-19 and structural racism—centering love, resistance, and solidarity to counter Black erasure within the public health knowledge canon. I contextualize the poem/use of poetry as praxis in public health antiracism discourse through a brief essay, drawing from critical, critical race, and Black feminist theory to position poetry as a space of health equity testimony, and a mode of antiracist praxis to reclaim/center the margin as site of knowing and resistance. Specifically, I discuss testimonial quieting, testimonial smothering, and testimonial incompetence as critical concepts for health promotion scholars, practitioners, and students to engage as germane to interrogating our present knowledge production norms in regards to epistemic violence and its implications for prospects of antiracist public health futures. In doing so, I suggest that poetry can play a critical role in challenging, opening up, and reimagining discourse of antiracism for advancing health equity knowledge and action.
      Citation: Health Promotion Practice
      PubDate: 2022-11-16T12:22:07Z
      DOI: 10.1177/15248399221129535
       
  • Examining the White Supremacist Practices of Funding Organizations for
           Public Health Research and Practice: A Composite Narrative From Female,
           BIPOC Junior Researchers in Public Health

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      Authors: Elizabeth Chen, Deshira Wallace, Cristina Leos, Yesenia Merino
      First page: 45
      Abstract: Health Promotion Practice, Ahead of Print.
      Background. It is challenging for junior public health investigators who identify as Black, Indigenous, or People of Color (BIPOC) to secure funding for projects and research. We used a narrative inquiry approach to understand and present the funding cascade from the perspectives of female, junior BIPOC researchers and provide funders with actionable recommendations to advance their antiracist goals. Approach. We applied a Critical Race Theory (CRT) framework to guide our narrative inquiry approach. The participants were the four co-authors and we each drafted individual narratives around our experience with the funding cascade and subsequently the five stages of narrative analysis. Results. We created a visual representation of key activities for funders and applicants organized by our perceived magnitude of inequities in a journey map, an interpreter table that describes common phrases and barriers encountered, and a composite counternarrative presented as a group text message conversation, elevating common themes including feeling pressured to have our research agendas conform to funders’ interests and receiving limited key information and support in the funding process. Discussion. We discussed how our findings represented manifestations of White supremacy characteristics like power hoarding and paternalism. Implications for practice. We offered specific antidotes for funding organizations to make their processes more antiracist and invited leaders of public health funding organizations to join us to further identify antidotes and share lessons learned in Fall 2023.
      Citation: Health Promotion Practice
      PubDate: 2022-10-29T11:07:17Z
      DOI: 10.1177/15248399221129864
       
  • Civic Education’s Role in Advancing Health Equity for LGBTQIA2S+
           Youth

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      Authors: Leonardo Kattari
      First page: 59
      Abstract: Health Promotion Practice, Ahead of Print.
      A healthy democracy requires civic engagement from citizens. In the current political climate that is hostile toward LGBTQIA2S+ youth, young adults, and individuals of all ages, it is imperative that public health promotion integrate civic education into health education programs to build civic engagement knowledge, skills, and efficacy among young people. In the United States, we are experiencing an alarming increase in state and federal policies designed to censor and erase LGBTQIA2S+ history and visibility, critical race theory, and civic education. Public health practitioners have an opportunity and a responsibility to integrate civic education as a crucial component of health promotion and education not just to advance LGBTQIA2S+ justice but justice and equity in all its forms.
      Citation: Health Promotion Practice
      PubDate: 2022-10-17T08:50:48Z
      DOI: 10.1177/15248399221129887
       
  • 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
      First page: 121
      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
       
 
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