Subjects -> HEALTH AND SAFETY (Total: 1562 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (86 journals)
    - HEALTH AND SAFETY (740 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH FACILITIES AND ADMINISTRATION (390 journals)                  1 2 | Last

Showing 1 - 200 of 397 Journals sorted alphabetically
ACI Open     Open Access  
Acta Bioquimica Clinica Latinoamericana     Open Access   (Followers: 1)
Administration and Policy in Mental Health and Mental Health Services Research     Partially Free   (Followers: 22)
Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi     Open Access   (Followers: 1)
Advanced Healthcare Materials     Hybrid Journal   (Followers: 17)
Advances in Dual Diagnosis     Hybrid Journal   (Followers: 48)
Advances in Human Factors/Ergonomics     Full-text available via subscription   (Followers: 26)
Advances in Medical Education and Practice     Open Access   (Followers: 34)
Advances in Mental Health and Intellectual Disabilities     Hybrid Journal   (Followers: 89)
Advances in Nursing Science     Hybrid Journal   (Followers: 43)
Advances in Simulation     Open Access   (Followers: 7)
African Journal of Primary Health Care & Family Medicine     Open Access   (Followers: 6)
AIDS and Behavior     Hybrid Journal   (Followers: 18)
American Journal of Hospice and Palliative Medicine     Hybrid Journal   (Followers: 48)
American Journal of Managed Care     Full-text available via subscription   (Followers: 13)
Analytical Methods     Full-text available via subscription   (Followers: 14)
Anthropologie et santé     Open Access   (Followers: 5)
Applied Clinical Informatics     Hybrid Journal   (Followers: 5)
Applied Health Economics and Health Policy     Full-text available via subscription   (Followers: 24)
Applied Research in Quality of Life     Hybrid Journal   (Followers: 13)
Archives of Public Health     Open Access   (Followers: 13)
Asian Journal of Health     Open Access   (Followers: 4)
Australasian Journal of Paramedicine     Open Access   (Followers: 7)
Australian and New Zealand Journal of Public Health     Hybrid Journal   (Followers: 17)
Australian Health Review     Hybrid Journal   (Followers: 7)
Australian Journal of Primary Health     Hybrid Journal  
Australian Journal of Rural Health     Hybrid Journal   (Followers: 18)
Autism     Hybrid Journal   (Followers: 350)
Avicenna     Open Access   (Followers: 3)
Balint Journal     Hybrid Journal   (Followers: 2)
Bereavement Care     Hybrid Journal   (Followers: 13)
BJR     Hybrid Journal   (Followers: 21)
BMC Medical Informatics and Decision Making     Open Access   (Followers: 25)
BMC Oral Health     Open Access   (Followers: 7)
BMJ Leader     Hybrid Journal  
BMJ Quality & Safety     Hybrid Journal   (Followers: 69)
BMJ Supportive & Palliative Care     Hybrid Journal   (Followers: 50)
British Journal of Healthcare Assistants     Full-text available via subscription   (Followers: 33)
British Journal of Healthcare Management     Full-text available via subscription   (Followers: 19)
British Journal of Hospital Medicine     Full-text available via subscription   (Followers: 18)
British Journal of Nursing     Full-text available via subscription   (Followers: 298)
British Journal of School Nursing     Full-text available via subscription   (Followers: 14)
Bruce R Hopkins' Nonprofit Counsel     Hybrid Journal   (Followers: 2)
Building Better Healthcare     Full-text available via subscription   (Followers: 1)
Canadian Nurse     Full-text available via subscription   (Followers: 8)
Cardiac Electrophysiology Clinics     Full-text available via subscription   (Followers: 1)
Children and Schools     Hybrid Journal   (Followers: 8)
Chinese Medical Record English Edition     Hybrid Journal  
CIN : Computers Informatics Nursing     Hybrid Journal   (Followers: 11)
Clinical Audit     Open Access   (Followers: 4)
Clinics and Practice     Open Access  
Cognition, Technology & Work     Hybrid Journal   (Followers: 14)
Communication & Medicine     Hybrid Journal   (Followers: 5)
Community Based Medical Journal     Open Access  
Conflict and Health     Open Access   (Followers: 8)
Contemporary Nurse : A Journal for the Australian Nursing Profession     Hybrid Journal   (Followers: 7)
Critical Public Health     Hybrid Journal   (Followers: 26)
Culture, Health & Sexuality: An International Journal for Research, Intervention and Care     Hybrid Journal   (Followers: 17)
Current Opinion in Supportive and Palliative Care     Hybrid Journal   (Followers: 28)
Das Gesundheitswesen     Hybrid Journal   (Followers: 10)
Death Studies     Hybrid Journal   (Followers: 22)
Dental Nursing     Full-text available via subscription   (Followers: 3)
Disaster Health     Hybrid Journal   (Followers: 1)
DoctorConsult - The Journal. Wissen für Klinik und Praxis     Full-text available via subscription  
Droit, Déontologie & Soin     Full-text available via subscription   (Followers: 3)
E-Health Telecommunication Systems and Networks     Open Access   (Followers: 2)
East and Central African Journal of Surgery     Open Access  
Éducation thérapeutique du patient     Full-text available via subscription   (Followers: 1)
eGEMs     Open Access  
Emergency Radiology     Hybrid Journal   (Followers: 10)
Enfermería Clínica     Full-text available via subscription   (Followers: 3)
Epidemiologic Methods     Hybrid Journal   (Followers: 4)
Ergonomics     Hybrid Journal   (Followers: 24)
Escola Anna Nery     Open Access   (Followers: 1)
Ethnicity & Health     Hybrid Journal   (Followers: 15)
European Journal of Public Health     Hybrid Journal   (Followers: 27)
European Journal of Work and Organizational Psychology     Hybrid Journal   (Followers: 35)
European Research in Telemedicine / La Recherche Européenne en Télémédecine     Full-text available via subscription   (Followers: 2)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 11)
Evidence-Based Nursing     Hybrid Journal   (Followers: 74)
Evolution, Medicine, and Public Health     Open Access   (Followers: 12)
Expert Opinion on Therapeutic Patents     Hybrid Journal   (Followers: 12)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family Practice Management     Full-text available via subscription   (Followers: 5)
Focus on Health Professional Education : A Multi-disciplinary Journal     Full-text available via subscription   (Followers: 7)
Frontiers in Public Health Services and Systems Research     Open Access   (Followers: 5)
Future Hospital Journal     Full-text available via subscription   (Followers: 2)
Gastrointestinal Nursing     Full-text available via subscription   (Followers: 5)
Geron     Full-text available via subscription  
Global & Regional Health Technology Assessment     Open Access   (Followers: 1)
Global Health Action     Open Access   (Followers: 12)
Global Health Management Journal (GHMJ)     Open Access   (Followers: 1)
Global Health Research and Policy     Open Access   (Followers: 4)
Global Journal of Hospital Administration     Open Access   (Followers: 1)
Global Public Health: An International Journal for Research, Policy and Practice     Hybrid Journal   (Followers: 21)
Globalization and Health     Open Access   (Followers: 9)
Handbook of Practice Management     Hybrid Journal   (Followers: 2)
Health     Open Access   (Followers: 5)
Health & Social Care In the Community     Hybrid Journal   (Followers: 54)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 16)
Health and Interprofessional Practice     Open Access   (Followers: 6)
Health and Technology     Hybrid Journal   (Followers: 4)
Health Care Analysis     Hybrid Journal   (Followers: 17)
Health Care Management Review     Hybrid Journal   (Followers: 16)
Health Economics     Hybrid Journal   (Followers: 59)
Health Expectations     Open Access   (Followers: 16)
Health Facilities Management     Free   (Followers: 10)
Health Informatics Journal     Hybrid Journal   (Followers: 28)
Health Information : Jurnal Penelitian     Open Access   (Followers: 5)
Health Information Science and Systems     Open Access   (Followers: 4)
Health Policy and Management     Open Access   (Followers: 7)
Health Policy and Planning     Hybrid Journal   (Followers: 27)
Health Professions Education     Open Access   (Followers: 3)
Health Promotion International     Hybrid Journal   (Followers: 28)
Health Promotion Practice     Hybrid Journal   (Followers: 18)
Health Psychology     Full-text available via subscription   (Followers: 62)
Health Psychology Review     Hybrid Journal   (Followers: 46)
Health Reform Observer : Observatoire des Réformes de Santé     Open Access   (Followers: 2)
Health Research Policy and Systems     Open Access   (Followers: 16)
Health Science Journal of Indonesia     Open Access   (Followers: 2)
Health Services Research and Managerial Epidemiology     Open Access   (Followers: 3)
Health, Risk & Society     Hybrid Journal   (Followers: 14)
Healthcare : The Journal of Delivery Science and Innovation     Full-text available via subscription   (Followers: 1)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Management Forum     Hybrid Journal   (Followers: 8)
Healthcare Policy / Politiques de Santé     Full-text available via subscription   (Followers: 5)
Healthcare Quarterly     Full-text available via subscription   (Followers: 10)
Healthcare Risk Management     Full-text available via subscription   (Followers: 5)
HealthcarePapers     Full-text available via subscription   (Followers: 2)
Hispanic Health Care International     Full-text available via subscription  
História, Ciências, Saúde - Manguinhos     Open Access   (Followers: 2)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 3)
Hospital     Open Access   (Followers: 3)
Hospital a Domicilio     Open Access  
Hospital Medicine Clinics     Full-text available via subscription   (Followers: 2)
Hospital Peer Review     Full-text available via subscription   (Followers: 1)
Hospital Pharmacy     Partially Free   (Followers: 18)
Hospital Practice     Hybrid Journal   (Followers: 2)
Hospital Practices and Research     Open Access  
Housing, Care and Support     Hybrid Journal   (Followers: 9)
Human Factors : The Journal of the Human Factors and Ergonomics Society     Full-text available via subscription   (Followers: 39)
Human Resources for Health     Open Access   (Followers: 12)
ICU Director     Hybrid Journal  
Ids Practice Papers     Hybrid Journal  
IEEE Pulse     Hybrid Journal   (Followers: 5)
IISE Transactions on Healthcare Systems Engineering     Hybrid Journal   (Followers: 2)
Independent Nurse     Full-text available via subscription   (Followers: 3)
Index de Enfermeria     Open Access   (Followers: 7)
Indian Journal of Public Health     Open Access   (Followers: 1)
Informatics for Health and Social Care     Hybrid Journal   (Followers: 10)
Innovation and Entrepreneurship in Health     Open Access   (Followers: 1)
INQUIRY : The Journal of Health Care Organization, Provision, and Financing     Open Access   (Followers: 1)
Interface - Comunicação, Saúde, Educação     Open Access   (Followers: 1)
International Archives of Health Sciences     Open Access  
International Journal for Equity in Health     Open Access   (Followers: 9)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 41)
International Journal of Care Coordination     Hybrid Journal   (Followers: 7)
International Journal of Computers in Healthcare     Hybrid Journal   (Followers: 3)
International Journal of Electronic Healthcare     Hybrid Journal   (Followers: 2)
International Journal of Environmental Research and Public Health     Open Access   (Followers: 27)
International Journal of Health Administration and Education Congress (Sanitas Magisterium)     Open Access  
International Journal of Health Care Quality Assurance     Hybrid Journal   (Followers: 15)
International Journal of Health Economics and Management     Hybrid Journal   (Followers: 12)
International Journal of Health Governance     Hybrid Journal   (Followers: 27)
International Journal of Health Planning and Management     Hybrid Journal   (Followers: 6)
International Journal of Health Sciences Education     Open Access   (Followers: 2)
International Journal of Health Services Research and Policy     Open Access   (Followers: 1)
International Journal of Health System and Disaster Management     Open Access   (Followers: 3)
International Journal of Healthcare     Open Access   (Followers: 1)
International Journal of Healthcare Technology and Management     Hybrid Journal   (Followers: 7)
International Journal of Hospital Research     Open Access  
International Journal of Human Factors and Ergonomics     Hybrid Journal   (Followers: 20)
International Journal of Human Rights in Healthcare     Hybrid Journal   (Followers: 5)
International Journal of Medicine and Public Health     Open Access   (Followers: 6)
International Journal of Migration, Health and Social Care     Hybrid Journal   (Followers: 12)
International Journal of Occupational and Environmental Medicine, The     Open Access   (Followers: 16)
International Journal of Palliative Nursing     Full-text available via subscription   (Followers: 32)
International Journal of Positive Behavioural Support     Full-text available via subscription   (Followers: 38)
International Journal of Prisoner Health     Hybrid Journal   (Followers: 14)
International Journal of Privacy and Health Information Management     Full-text available via subscription   (Followers: 3)
International Journal of Public and Private Healthcare Management and Economics     Full-text available via subscription   (Followers: 4)
International Journal of Qualitative Studies on Health and Well-Being     Open Access   (Followers: 22)
International Journal of Reliable and Quality E-Healthcare     Full-text available via subscription   (Followers: 1)
International Journal of Research in Nursing     Open Access   (Followers: 12)
International Journal of Technology Assessment in Health Care     Hybrid Journal   (Followers: 16)
International Journal of Telemedicine and Clinical Practices     Hybrid Journal   (Followers: 5)
International Journal of Telework and Telecommuting Technologies     Full-text available via subscription  
International Journal of Therapy and Rehabilitation     Full-text available via subscription   (Followers: 42)
International Journal of User-Driven Healthcare     Full-text available via subscription   (Followers: 1)
International Journal on Disability and Human Development     Hybrid Journal   (Followers: 23)
Irish Journal of Paramedicine     Open Access   (Followers: 3)
JAAPA     Hybrid Journal   (Followers: 3)
Jaffna Medical Journal     Open Access  
Joint Commission Journal on Quality and Patient Safety     Hybrid Journal   (Followers: 41)
Journal for Healthcare Quality     Hybrid Journal   (Followers: 28)
Journal of Advanced Nursing     Hybrid Journal   (Followers: 252)
Journal of Advances in Medical Education & Professionalism     Open Access   (Followers: 10)
Journal of Aging and Health     Hybrid Journal   (Followers: 27)
Journal of Ambulatory Care Management, The     Hybrid Journal   (Followers: 4)
Journal of Applied Arts and Health     Hybrid Journal   (Followers: 1)

        1 2 | Last

Similar Journals
Journal Cover
Health Promotion Practice
Journal Prestige (SJR): 0.596
Citation Impact (citeScore): 1
Number of Followers: 18  
Hybrid Journal Hybrid journal   * Containing 2 Open Access Open Access article(s) in this issue *
ISSN (Print) 1524-8399 - ISSN (Online) 1552-6372
Published by Sage Publications Homepage  [1149 journals]
  • The Power of Words 2.0
    • Authors: Holly J. Mata, Kathleen M. Roe
      Pages: 293 - 294
      Abstract: Health Promotion Practice, Volume 22, Issue 3, Page 293-294, May 2021.

      Citation: Health Promotion Practice
      PubDate: 2021-04-26T09:49:20Z
      DOI: 10.1177/15248399211001068
      Issue No: Vol. 22, No. 3 (2021)
  • Physician Athletes Promoting Physical Fitness Through Social Media During
           the COVID-19 Pandemic
    • Authors: Fatima Cody Stanford, Arghavan Salles
      Pages: 295 - 297
      Abstract: Health Promotion Practice, Volume 22, Issue 3, Page 295-297, May 2021.
      The COVID-19 pandemic has had an unprecedented impact on our daily lives and functioning. To reduce the potential transmission, countries throughout the world practiced social distancing. Unfortunately, this social distancing often contributed to a sense of social isolation and physical inactivity. Two physician athletes on opposite coasts of the United States sought to change this narrative by promoting physical activity among the general population with the #SocialDistancingFitnessChallenge. During the height of the COVID-19 pandemic in March and April 2020, these physicians would post exercises during the 5-day workweek—one would post yoga/flexibility exercises, while the other would post high-intensity cardio and strength exercises on two social media platforms. Some posts would amass over 100,000 views. They received daily feedback on how this challenge not only encouraged others to be engaged in physical activity during the most challenging pandemic of our lifetimes, but it also improved their mental health and outlook on the future amid great uncertainty.
      Citation: Health Promotion Practice
      PubDate: 2021-01-20T04:34:14Z
      DOI: 10.1177/1524839920988261
      Issue No: Vol. 22, No. 3 (2021)
  • People Living With Human Immunodeficiency Virus During the COVID-19
           Pandemic: Experiences With Telemedicine
    • Authors: Dagan Coppock, Christine Quimby, Jonathan Nunez, Cynthia Whitener, John Zurlo
      Pages: 298 - 299
      Abstract: Health Promotion Practice, Volume 22, Issue 3, Page 298-299, May 2021.
      Preserving routine primary care for people living with human immunodeficiency virus (PLWH) has been an important challenge during the COVID-19 pandemic. Telemedicine platforms have offered novel means through which care for these individuals may be maintained. Opt-In for Life is a unique mobile health application that contains telemedicine capabilities as well as other features designed specifically for the care of PLWH. Opt-In for Life was implemented early in the pandemic at Hershey Medical Center, although the center is now using a different telemedicine platform across its health care system. Institutional decisions regarding telemedicine platforms are complex. Opt-In for Life contains features that may improve the care of PLWH where telemedicine software alone may be limited.
      Citation: Health Promotion Practice
      PubDate: 2021-03-12T11:35:21Z
      DOI: 10.1177/15248399211001071
      Issue No: Vol. 22, No. 3 (2021)
  • On Mining Words: The Utility of Topic Models in Health Education Research
           and Practice
    • Authors: Danny Valdez, Andrew C. Picket, Belinda-Rose Young, Shelley Golden
      Pages: 309 - 312
      Abstract: Health Promotion Practice, Volume 22, Issue 3, Page 309-312, May 2021.
      Written language is the primary means by which scientific research findings are disseminated. Yet in the era of information overload, dissemination of a field of research may require additional efforts given the sheer volume of material available on any specific topic. Topic models are unsupervised natural language processing methods that analyze nonnumeric data (i.e., text data) in abundance. These tools aggregate, and make sense of, those data making them interpretable to interested audiences. In this perspective piece, we briefly describe topic models, including their purpose, function, and applicability for health education researchers and practitioners. We note how topic models can be applied in several contexts, including social media–based analyses, and mapping trends in scientific literature over time. As a tool for studying words, and patterns of words, topic models stand to improve our understanding of events prior and those occurring in the moment and help us look ahead into the future.
      Citation: Health Promotion Practice
      PubDate: 2021-03-24T12:47:05Z
      DOI: 10.1177/1524839921999050
      Issue No: Vol. 22, No. 3 (2021)
  • Toward a Culture of Health in the United States: Introducing the HPP Arts
           in Public Health Supplement
    • Authors: Jill Sonke, Lourdes Rodríguez, Melissa A. Valerio-Shewmaker
      Pages: 5S - 7S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 5S-7S, May 2021.
      The arts—and the arts and culture sector—offer fertile ground for achieving a culture of health in the United States. The arts and artists are agents of change and can help enable this vision and also address the most critical public health issues we are contending with, including COVID-19 and racism. The arts provide means for engaging dialogue, influencing behaviors, disrupting paradigms and fueling social movements. The arts uncover and illuminate issues. They engage us emotionally and intellectually. They challenge assumptions. They call out injustice. They drive collective action. They heal—making arts + public health collaboration very relevant in this historic moment. In this special Health Promotion Practice supplement on arts in public health, you’ll find powerful examples and evidence of how cross-sector collaboration between public health and the arts can advance health promotion goals and impacts, and make health promotion programs not only more accessible to diverse populations but also more equitable and effective in addressing the upstream systems, policies, and structures that create health disparities. You will see how the arts can empower health communication, support health literacy, provide direct and measurable health benefits to individuals and communities, and support coping and resilience in response to COVID-19. This issue itself exemplifies cross-sector collaboration, as it was created through partnership between Health Promotion Practice, the Society for Public Health Education, ArtPlace America, and the University of Florida Center for Arts in Medicine, and presents voices from across the public health, arts, and community development sectors.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:18Z
      DOI: 10.1177/15248399211002512
      Issue No: Vol. 22, No. 1_suppl (2021)
  • The Arts and Public Health: Changing the Conversation on Health
    • Authors: Sandro Galea
      Pages: 8S - 11S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 8S-11S, May 2021.

      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:16Z
      DOI: 10.1177/1524839921996341
      Issue No: Vol. 22, No. 1_suppl (2021)
  • Perspectives on Racism: Reflections on Our Collective Moral Responsibility
           When Leveraging Arts and Culture for Health Promotion
    • Authors: Shanaé R. Burch
      Pages: 12S - 16S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 12S-16S, May 2021.
      In this commentary essay, I examine the collective moral responsibility of leveraging arts and culture for health promotion, and the role ethical storytelling can play in reframing how health educators promote “good health” with specific regard to the next generation of the workforce. I reflect on the impact of racism, White supremacy, and anti-Blackness when merging the arts and culture sector with public health disciplines, and close with a call to action as our niche field expands. I argue that no matter our role as artists, cultural workers, heritage holders, and/or focus within public health education and health promotion, our work is both an art and a science. Just as the language we use forms a story, the collection of scholars we choose to cite exposes a narrative. I hope this commentary encourages readers to reflect on opportunities in their work to close the health equity gap with recognition of the knowledge, skills, abilities, and capital within and across Black culture while also lifting up the community cultural wealth that exists in Indigenous, Latinx, and Asian and Pacific Islander communities.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:13Z
      DOI: 10.1177/1524839921996073
      Issue No: Vol. 22, No. 1_suppl (2021)
  • PARTICULATES//Tulips: (Or, Estimating Respiratory Effects of Ambient Air
    • Authors: Ryan J. Petteway
      Pages: 17S - 19S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 17S-19S, May 2021.
      Through poetry, I offer a creative, critical analysis of the intersections of COVID-19, structural racism, and racialized police violence—situating present COVID-19 discourse within a broader historical arc of respiratory distress within communities of color, all while centering Earth Day and climate change as both metaphor and corollary. In doing so, I enact poetry as praxis, reflecting critically on the racialized contexts and consequences of overlapping threats to our health, while simultaneously crafting counternarrative to public health’s ahistoric, apolitical, and racist proclivities in times of public health crises
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:17Z
      DOI: 10.1177/1524839921996263
      Issue No: Vol. 22, No. 1_suppl (2021)
  • Poetry as Praxis + “Illumination”: Toward an Epistemically Just Health
           Promotion for Resistance, Healing, and (Re)Imagination
    • Authors: Ryan J. Petteway
      Pages: 20S - 26S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 20S-26S, May 2021.
      Health promotion is facing a most challenging future in the intersections of structural racism, COVID-19 (coronavirus disease 2019), racialized police violence, and climate change. Now is a critical moment to ask how health promotion might become more responsive to and representative of people’s daily realities. Also how it can become a more inclusive partner in, and collaborative conduit of, knowledge—one capable of both informing intellects and transforming hearts. It needs to feel the pulse of the “fierce urgency of now,” and perhaps nothing can reveal this pulse more than the creative power of art—especially poetry. Drawing from critical and Black feminist theory, I use commentary in prose to conceptualize and call for an epistemically just health promotion guided by poetry as praxis—not just as method. I posit that, as praxis rooted in lived realities, poetry becomes experiential excavation and illumination; a practice of community, communion, and solidarity; a site and source of healing; and a space to create new narratives of health to forge new paths toward its promotion. I accordingly suggest a need to view and value poetry as a critical scholarship format to advance health promotion knowledge, discourse, and action toward a more humanized pursuit—and narrative—of health equity.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:12Z
      DOI: 10.1177/1524839921999048
      Issue No: Vol. 22, No. 1_suppl (2021)
  • Tell Me What You See: An Arts-Based Health Education Program for Youth
    • Authors: Bonnie J. Edmondson
      Pages: 27S - 30S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 27S-30S, May 2021.
      A cross-sector collaboration among a community-based organization, a prison arts program, and state departments of Public Health, Education, and Correction was established to address critical health education prevention efforts for at-risk high school–aged youth. The Tell Me What You See initiative utilizes artwork and poetry created by incarcerated youth to promote sexually transmitted disease (STD), HIV, and hepatitis prevention with students in public high schools and juvenile justice facilities. This innovative intervention integrates functional health knowledge and skills-based education through an art-based interdisciplinary approach reaching various populations of youth in multiple settings across a state. Evaluation results indicated that the materials effectively engage youth and open up a critical dialogue among peers and adults by addressing the role personal behavior can have in the prevention of STDs, hepatitis, and HIV. Lessons learned and recommendations are provided.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:20Z
      DOI: 10.1177/1524839921996634
      Issue No: Vol. 22, No. 1_suppl (2021)
  • Theatre Connect: Key Strategies for Facilitating LGBTQQ Youth Theatre
    • Authors: Jeffrey Pufahl, Camilo Reina-Munoz, Hannah Bayne
      Pages: 31S - 34S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 31S-34S, May 2021.
      Youth who identify as lesbian, gay, bisexual, transgender, queer, or questioning (LGBTQQ) often experience heterosexism, homophobia, prejudice, and bullying in addition to the typical demands of adolescent development. Applied theatre programs have been shown to empower youth, improve mental health and well-being, and create positive identity and interpersonal relationships and, as such, have the potential to strengthen a range of protective factors for LGBTQQ youth. However, when programs engage participants in personal narratives, practitioners must be prepared to deftly navigate between the two domains of theatre in health and drama therapy. Since 2017, the University of Florida’s (UF) Center for Arts in Medicine has offered an afterschool theatre program for LGBTQQ youth in partnership with clinicians from UF Health’s Youth Gender Clinic and faculty in the Mental Health Counseling training program in the College of Education. Theatre practitioners lead the program in partnership with mental health professionals, who participate in sessions and are “on call” for participants. Program facilitators have developed a set of guidelines for organizations attempting to start LGBTQQ or other youth theatre programs in their local communities, which include the following recommendations: (1) prioritize safe and ethical practice through creating sustainable partnerships between mental health counsellors, experienced theatre practitioners, and local LGBTQQ organizations; (2) develop a clear contract between participants and facilitators regarding program goals; (3) utilize Baim’s drama spiral as a conceptual tool and limit program activities to the first four spiral rings; (4) emphasize “play” and skill building rather than LGBTQQ topics.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:13Z
      DOI: 10.1177/1524839921996290
      Issue No: Vol. 22, No. 1_suppl (2021)
  • Designing a Graphic Novel: Engaging Community, Arts, and Culture Into
           Public Health Initiatives
    • Authors: Sarah Febres-Cordero, Athena D. F. Sherman, Joseph Karg, Ursula Kelly, Lisa M. Thompson, Kylie Smith
      Pages: 35S - 43S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 35S-43S, May 2021.
      The opioid epidemic was declared a national public health emergency in 2017. In Georgia, standing orders for the opioid antagonist, naloxone, have been implemented to reduce mortality from opioid overdoses. Service industry workers in the Atlanta, Georgia, inner-city community of Little Five Points (L5P) have access to naloxone, potentially expanding overdose rescue efforts in the community setting. To explore the issues facing L5P, our research brings together qualitative descriptive inquiry, ethnography, community-based research, a community advisory board, and a local artist to maximize community dissemination of research findings through a graphic novel that describes encountering an opioid overdose. This format was chosen due to the ethical responsibility to disseminate in participants’ language and for its potential to empower and educate readers. This article describes the process of working on this study with the community and a local artist to create sample pages that will be tested for clarity of the message in a later phase. Working with an artist has revealed that while dissemination and implementation for collaboration begin before findings are ready, cross-collaboration with the artist requires early engagement, substantial funding, artist education in appropriate content, and member checking to establish community acceptability altering illustrations that reinforce negative stereotypes. By sharing the experiences of actions taken during an opioid overdose in L5P through a graphic novel, we can validate service industry workers’ experiences, acknowledge their efforts to contribute to harm reduction, and provide much-needed closure to those who encounter opioid overdoses in the community.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:14Z
      DOI: 10.1177/1524839921996405
      Issue No: Vol. 22, No. 1_suppl (2021)
  • An Integrative Review of Arts-Based Strategies for Addressing Pain and
           Substance Use Disorder During the Opioid Crisis
    • Authors: Julie A. Leis, Colleen I. Morrison
      Pages: 44S - 52S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 44S-52S, May 2021.
      In October 2017, the U.S. Department of Health & Human Services declared the opioid crisis a national public health emergency and prioritized identifying effective, evidence-based strategies for pain management and the prevention and treatment of substance use disorder (SUD). Increasingly, the arts have become more widely established and accepted as health-promoting practices in the United States and around the world. As the U.S. health care system moves toward greater integration of physical and behavioral health, arts-based interventions should be considered among potential complementary approaches for managing pain and preventing and treating SUD. We conducted an integrative literature review to summarize and synthesize the evidence on the role of the arts in the management of pain and in the prevention and treatment of SUD, including opioid use disorder. The available evidence suggests that music interventions may reduce participants’ pain, reduce the amount of pain medication they take, improve their SUD treatment readiness and motivation, and reduce craving. Few studies examined art forms other than music, limiting the ability to draw conclusions for those art forms. Given the critical need to identify effective strategies for managing pain and preventing and treating SUD, future research on arts-based interventions should examine maintenance of pain management and SUD treatment benefits over time and outcomes related to SUD prevention.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:18Z
      DOI: 10.1177/1524839921996065
      Issue No: Vol. 22, No. 1_suppl (2021)
  • Systematic Review of Arts-Based Interventions to Address Suicide
           Prevention and Survivorship in Australia, Canada, the United Kingdom, and
           the United States of America
    • Authors: Jill Sonke, Kelley Sams, Jane Morgan-Daniel, Andres Pumariega, Faryal Mallick, Virginia Pesata, Nicola Olsen
      Pages: 53S - 63S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 53S-63S, May 2021.
      Study Objective. Suicide is a serious health problem that is shaped by a variety of social and mental health factors. A growing body of research connects the arts to positive health outcomes; however, no previous systematic reviews have examined the use of the arts in suicide prevention and survivorship. This review examined how the arts have been used to address suicide prevention and survivorship in nonclinical settings in Australia, Canada, the United Kingdom, and the United States of America. Design and Setting. Ten bibliographic databases, five research repositories, and reference sections of articles were searched to identify published studies. Articles presenting outcomes of interventions conducted between 2014 and 2019 and written in English, were included. Primary Results. Nine studies met inclusion criteria, including qualitative, quantitative randomized controlled trials, quantitative nonrandomized, quantitative descriptive, and mixed-methods studies. The programs studied used film and television (n = 3), mixed-arts (n = 3), theatre (n = 2), and quilting (n = 1). All nine interventions used the arts to elicit emotional involvement, while seven also used the arts to encourage engagement with themes of health. Study outcomes included increased self-efficacy, awareness of mental health issues, and likelihood for taking action to prevent suicide, as well as decreases in suicidal risk and self-harming behaviors. Conclusions. Factors that influence suicide risk and survivorship may be effectively addressed through arts-based interventions. While the current evidence is promising with regard to the potential for arts programs to positively affect suicide prevention and survivorship, this evidence needs to be supplemented to inform recommendations for evidence-based arts interventions.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:10Z
      DOI: 10.1177/1524839921996350
      Issue No: Vol. 22, No. 1_suppl (2021)
  • Dance as Lifeline: Transforming Means for Engagement and Connection in
           Times of Social Isolation
    • Authors: Maria Portman Kelly, David Leventhal
      Pages: 64S - 69S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 64S-69S, May 2021.
      Over the past 20 years, dance has emerged as a safe, effective, and evidence-based community intervention that helps thousands of people living with Parkinson’s disease around the globe maintain well-being and improve quality of life. From its initial emergence to the present, COVID-19 has posed fundamental challenges to people living with Parkinson’s, forcing them to balance the need and desire to stay active and socially connected with the requirement to adhere to strict shelter-at-home orders. As cities and towns worldwide began shutting down in early 2020, people living with Parkinson’s found themselves unable to access live dance activities that had provided consistent, reliable physical support; joyful cognitive stimulation; emotional connection; and social engagement. Government sanctioned closures and stay-at-home orders increased the potential for apathy, isolation, anxiety, and stress—factors that are already heightened in people with Parkinson’s. COVID-19 also exacerbated disparities based on race, language, socioeconomic background, and age, inequities already present in the Parkinson’s community and in Parkinson’s-focused dance programming. In this article, the authors provide a description and analysis of ways one dance for Parkinson’s program addressed multiples challenges through three key initiatives: online group classes in English and Spanish, telephone-based resources for people without internet access, and robust online training opportunities for teaching artists. The authors outline ways in which the pandemic has increased the inclusive nature of dance for Parkinson’s programming and suggest that changes implemented during the pandemic will permanently alter program delivery for the better when it is safe to restore group classes in community settings.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:11Z
      DOI: 10.1177/1524839921996332
      Issue No: Vol. 22, No. 1_suppl (2021)
  • A Framework for Integrating Arts, Science, and Social Justice Into
           Culturally Responsive Public Health Communication and Innovation Designs
    • Authors: Theo Edmonds, Hannah Drake, Josh Miller, Nachand Trabue, Cameron Lister, Sonali S. Salunkhe, Molly O’Keefe, Sahal Alzahrani, Kelsey White, Amanda Levinson
      Pages: 70S - 82S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 70S-82S, May 2021.
      Objectives. To increase the scale and efficacy of health promotion practice, culturally responsive approaches to well-being are needed in both communication and practice innovation. This mixed-methods evaluation sought to identify specific mechanisms used in a promising practice model and offers a potential theoretical framework to support public health programs in integrating culture and social justice into communication and intervention programs. Study Design. Rooted at the intersection of ethnographic and phenomenological worldviews, this mixed-methods, retrospective process evaluation used publicly available empirical and experiential data centered on the arts, science, and social justice to identify critical mechanisms used and incorporate them into an emergent theoretical framework. Method. The retrospective process evaluation used an ethnography-informed approach combined with scientific literature reviews. To integrate adjacent ideas into the emergent theoretical framework, a phenomenologically informed theme development approach was used. Results. The evaluation resulted in a five-step framework, called MOTIF, with the potential to be utilized in diverse situational and geographic contexts. Data that surfaced from related literature reviews revealed adjacent mechanisms from positive psychology, critical consciousness theory, and innovation design that were incorporated into the emergent framework. Conclusion. MOTIF may offer a culturally responsive public health communication and innovation process capable of promoting health equity through the cultivation of relationships between artists, community participants, and public health agencies and researchers who collectively endeavor to craft innovative solutions for population health and well-being.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:11Z
      DOI: 10.1177/1524839921996796
      Issue No: Vol. 22, No. 1_suppl (2021)
  • Artists on the Research Team: An Interdisciplinary Approach to Team
           Science, Research Rigor, and Creative Dialogue
    • Authors: Stacey Springs, Jay Baruch
      Pages: 83S - 90S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 83S-90S, May 2021.
      In an arts in public health research team, artists may be undervalued as key research collaborators because of the difficulties in skillful integration of experts who possess not only different bodies of knowledge but also different ways of examining and valuing the world. Under the stewardship of two Rhode Island state agencies, an innovative research-driven enterprise, comprising researchers, clinicians, and community artists, was brought together to integrate arts-based interventions into statewide public health policy and practice. Here, we examine our work with the Rhode Island Arts and Health Advisory Group as a case study to illuminate our experiences in collaborating with artists on public health policy and practice research. Using existing frameworks from the literature, we define the attributes of, and challenges to, successful research collaborations and identify from our work how these apply to interdisciplinary collaborations between artists and public health practitioners. To support others working at the nexus of arts in public health, we include key experiences that were specific to the engagement of artists in research teams.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:18Z
      DOI: 10.1177/1524839921996301
      Issue No: Vol. 22, No. 1_suppl (2021)
  • Leveraging Arts for Justice, Equity, and Public Health: The Skywatchers
           Program and Its Implications for Community-Based Health Promotion Practice
           and Research
    • Authors: Rabbi Nancy E. Epstein, Anne Bluethenthal, Deirdre Visser, Clara Pinsky, Meredith Minkler
      Pages: 91S - 100S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 91S-100S, May 2021.
      Arts have long addressed the conditions that cause ill health, such as poverty, social inequality, and structural racism, and have recently taken on increased significance for public health. This article illuminates the potential for cross-sector collaboration between community-based health promotion and community-engaged arts to address the social determinants of health and build neighborhood assets at multiple levels of the social-ecological model. It features Skywatchers, a collaborative community arts ensemble of artists and residents of the culturally rich but economically poor Tenderloin neighborhood in San Francisco, California, and its original values-based “relational, durational, conversational, and structural” methodology focused on process over product and leveraging arts for justice and equity. Now, 10 years into its work, Skywatchers offers lessons about building reciprocal relationships, cocreating artworks, and promoting arts-based advocacy to improve the conditions that foster poor health in the neighborhood. The article discusses implications for community-based health promotion practice that delineate commitments and challenges shared between the two fields, their distinct roles and tools, and the potential for more widespread partnerships. It concludes with implications for policy and advocacy and a vision for expanded community-based participatory research to better understand the impact of arts on community health and well-being.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:16Z
      DOI: 10.1177/1524839921996066
      Issue No: Vol. 22, No. 1_suppl (2021)
  • Creating a Scalable Physical Activity Breaks Resource Through the
           Multisensory Multilevel Health Education Model: H.Y.P.E. The Breaks!
    • Authors: Ewelina M. Swierad, Lori Rose Benson, Olajide Williams
      Pages: 101S - 110S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 101S-110S, May 2021.
      Physically active children have lower rates of obesity, diabetes, hypertension, and depression than their inactive counterparts, and further evidence suggests that integrating physical activity breaks into the school day improves children’s classroom behavior, fitness, and cognitive functions. The current article focuses on the development and implementation of free, scalable, short activity breaks called H.Y.P.E. The Breaks! (Helping Young People Energize)—a series of 2-, 6-, and 10-minute-long dance and hip-hop–based physical activity videos, which can be used in the classroom or at home. H.Y.P.E. The Breaks! is deconstructed through the lens of the multisensory multilevel health education model, which leverages art, culture, and science in the design and implementation of health programs, and highlights the importance of framing and operationalizing program components across the different behavioral levels of influence of the socioecological model. The article also discusses the uptake of H.Y.P.E. The Breaks! during the COVID-19 (coronavirus disease 2019) pandemic, when major declines in children’s physical activity were observed.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:15Z
      DOI: 10.1177/1524839921996348
      Issue No: Vol. 22, No. 1_suppl (2021)
  • Exploring Community Art and Its Role in Promoting Health, Social Cohesion,
           and Community Resilience in the Aftermath of the 2015 Nepal Earthquake
    • Authors: Sara E. Baumann, Monica M. Merante, Marie-Ange Sylvain-Holmgren, Jessica G. Burke
      Pages: 111S - 121S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 111S-121S, May 2021.
      A magnitude 7.8 earthquake struck Nepal in 2015, followed by hundreds of aftershocks that led to physical destruction, loss, and negative mental health outcomes. Yet, in the days, months, and years following the disaster, numerous forms of community art rose from the rubble, such as urban murals, spoken word poetry, public dance performances, and sacred art. This study explored the relationship between community art and health, social cohesion, and community resilience in postearthquake Nepal. We utilized photography and audio recorders to capture 19 unique artworks/projects created in the aftermath of the earthquake and conducted in-depth interviews with 19 artists and/or experts about the relationship between art and health in postdisaster contexts. The 19 postearthquake artworks/projects ranged from contemporary paintings to Buddhist ritual dance and reflected the unique combination of the traditional and contemporary necessary for salvaging and restoring Nepali heritage. Findings revealed three key themes regarding linkages between art and mental health in the context of postearthquake Nepal. First, community art offers relief and is a mechanism for coping, through the creation or observation of art. Second, community art can be used as a means of communication, both as a tool for promoting connections and conversations in the community and by communicating messages of hope. Third, community art can promote community cohesion and ultimately serve as a tool to create physical and emotional safe spaces. Overall, there is promise for initiatives that engage artists and communities in arts-based initiatives following traumatic events, such as natural disasters, which can positively affect health. Funding support and development of partnerships with grassroots artists and creators should be promoted in health and development programming, especially for risk reduction and recovery after disasters.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:19Z
      DOI: 10.1177/1524839921996083
      Issue No: Vol. 22, No. 1_suppl (2021)
  • Changing Health Practices Through Research to Practice Collaboration: The
           Farm Dinner Theater Experience
    • Authors: Deborah B. Reed, Debra McCallum, Deborah T. Claunch
      Pages: 122S - 130S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 122S-130S, May 2021.
      Production agriculture ranks as one of the most hazardous occupations in the United States, with older producers suffering 3.5 times the fatalities compared with their younger counterparts. Previous interventions have not significantly improved the health or work behaviors of farmers. Through careful collaboration among academics and Cooperative Extension agents, we developed, tested, and expanded a unique educational experience, Farm Dinner Theater (FDT), for farmers aged 45 years and more and their families across three states (n = 8 communities, 573 participants). More than 50% of the participants made health or safety changes following the theater. Communities requested more theater events, noting the realism and applicability of the content and the engaging atmosphere for discussion. Participants remarked that the theater should be used across all age-groups. The FDT project created a community of “champions” that synergized the initial research project and fostered expansion and sustainability of the intervention. Process evaluation guided refinement of the theater intervention and built trust, respect, and further cooperative work among all collaborators. Members of the FDT partnership have received national recognition and funding to upscale the concept. The number of FDTs has expanded under local leadership. A toolkit that resulted from the project is available to the public and is constantly updated as more adopters contribute insight and scripts. This article describes the collaborative theater concept and demonstrates how sustained translation from research to practice can be accomplished through continued community engagement, collaboration, and outreach.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:09Z
      DOI: 10.1177/1524839921996298
      Issue No: Vol. 22, No. 1_suppl (2021)
  • Arts, Culture, and Creativity as a Strategy for Countering the Negative
           Social Impacts of Immigration Stress and Gentrification
    • Authors: Carolyn Leung Rubin, Virginia Rall Chomitz, Cynthia Woo, Giles Li, Susan Koch-Weser, Peter Levine
      Pages: 131S - 140S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 131S-140S, May 2021.
      Background. This article looks at the role that arts, culture, and creativity play in promoting social cohesion and community well-being. It presents research on the role that a community arts center plays in an ethnic enclave that is under stress of immigration and gentrification. Method. An academic–community research partnership conducted this research. A mixed-methods approach was used. Twenty-four interviews were conducted with stakeholders (including community leaders, neighborhood residents, and business owners). Surveys (n = 102) were done of community members and those who participate in the Center activities. Results. Interviewees and survey respondents point to the importance of the ethnic enclave as a close-knot community that helps to foster a sense of belonging, security, and cultural identity. Arts, culture, and creativity plays a role in maintaining this sense of social cohesion, despite the threat of gentrification. Engagement in the arts and creative practice are important for buffering the stress of immigration. Discussion. The center has an important role as a critical cultural, civic, and creative space for the neighborhood and the broader community who sees the ethnic enclave as their cultural home.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:20Z
      DOI: 10.1177/1524839921996336
      Issue No: Vol. 22, No. 1_suppl (2021)
  • Addressing Inequity Through Public Health, Community Development, Arts,
           and Culture: Confluence of Fields and the Opportunity to Reframe, Retool,
           and Repair
    • Authors: Maria Rosario Jackson
      Pages: 141S - 146S
      Abstract: Health Promotion Practice, Volume 22, Issue 1_suppl, Page 141S-146S, May 2021.
      As the public health field deepens its focus on social and environmental determinants of health and, as that field expands its attention to finding allied interests in the community development field, a critical opportunity to better understand the power of arts and culture in pursuit of shared goals has emerged. This is an extraordinary time in which the confluence of public health, community development, and the arts can lead to transformational ways of working, resulting in changes in industry standards in all three fields and most importantly, more healthy, just, and equitable communities. Drawing from 30 years of work to better understand the roles of arts and cultural activity in historically marginalized communities, this article presents reasons for and ways in which these fields can and should be allied. Specifically, it calls attention to gaps in community development and planning that have resulted in the fields’ lack of attention to historic and present harm in the form of often racialized dehumanization. It also draws attention to the role of the arts in the critical collective work of reframing community concerns and conditions, retooling or finding new more effective ways of working toward repair—the redress of historic and current harm experienced in low-income and historically marginalized communities. The essay lifts up the possibility of transformational work and also presents important barriers that must be overcome by stakeholders from all three fields.
      Citation: Health Promotion Practice
      PubDate: 2021-05-04T09:45:14Z
      DOI: 10.1177/1524839921996369
      Issue No: Vol. 22, No. 1_suppl (2021)
  • Are Training and Experience Adapting Evidence-Based Interventions
           Associated With Self-Efficacy and Attitudes' A Cross-Sectional Survey
           of Students and Practitioners With Varying Levels of Adaptation Experience
    • Authors: Cam Escoffery, Maya Foster, María E. Fernández, Regine Haardörfer, Patricia Dolan Mullen
      Abstract: Health Promotion Practice, Ahead of Print.
      Increasing use of evidence-based interventions (EBIs) in local settings will help reduce the research-practice gap and improve health equity. Because adaptation to new settings and populations is essential to effective EBI use, frameworks to guide practice are receiving more attention; most, however, only provide broad guidelines without instructions for making adaptations in practice. Therefore, practitioners may need additional training or technical assistance (TA) to implement and adapt EBIs. This study explores whether practitioners’ and students’ general EBI training or TA and level of adaptation experience are associated with self-efficacy in adapting EBIs and with attitudes toward EBI use. We analyzed baseline survey data of participants in an evaluation of IM-Adapt Online, a newly developed decision support tool. We asked about previous training on EBIs, general and specific adaptation behaviors, and attitudes toward EBIs and found an association between previous training or TA in using EBIs with higher self-efficacy for using and adapting EBIs. Respondents with prior EBI training were significantly more likely to have higher self-efficacy in EBI behaviors across subdomains and in total than those without training. Respondents reported lowest self-efficacy for planning adaptations (M = 3.35) and assessing fit of EBIs to their local context (M = 3.41). This study suggests the importance of EBI adaptation training and TA to increase adoption and adaptation of EBIs, subsequently. More adaptation-specific training is warranted to assist students, practitioners, and researchers undertaking the adaptation process and implement EBIs. Future training on EBI adaptation can help practitioners tailor EBIs to meet the specific needs of their populations.
      Citation: Health Promotion Practice
      PubDate: 2021-04-28T05:57:42Z
      DOI: 10.1177/15248399211006490
  • Advancing Trans-Affirming Practice to Recognize, Account for, and Address
           the Unique Experiences and Needs of Transgender Sexual Assault Survivors
    • Authors: Janice Du Mont, Joseph Friedman Burley, Robyn Hodgson, Sheila Macdonald
      Abstract: Health Promotion Practice, Ahead of Print.
      Transgender (trans) persons are sexually assaulted at high rates and often encounter barriers to equitable services and supports. The receipt of timely and appropriate postassault care, provided increasingly by specialized forensic nurses around the world, is critical in ameliorating the harms that accompany sexual assault. In order to adequately respond to the acute health care needs of trans clients and attend to longer term psychosocial difficulties that some experience, forensic nurses not only require specialized training but must also cultivate collaborative relationships with trans-positive health and social services in their communities. To meet this need, we describe our strategy to advance trans-affirming practice in the sexual assault context. We outline the design and evaluation of a trans-affirming care curriculum for forensic nurses. We also discuss the planning, formation, and maturation of an intersectoral network through which to disseminate our curriculum, foster collaboration, and promote trans-affirming practice across health care and social services in Ontario, Canada. Our approach to advancing trans-affirming practice holds the potential to address systemic barriers experienced by trans survivors and transform the response to sexual assault across other sectors and jurisdictions.
      Citation: Health Promotion Practice
      PubDate: 2021-04-24T09:43:10Z
      DOI: 10.1177/15248399211009183
  • Racial/Ethnic Inequities in Adverse Childhood Experiences and Selected
           Health-Related Behaviors and Problems Among Maryland Adolescents
    • Authors: Renee M. Johnson, Ashley V. Hill, Vanya C. Jones, Terrinieka W. Powell, Lorraine T. Dean, Tamika D. Gilreath
      Abstract: Health Promotion Practice, Ahead of Print.
      We examined racial/ethnic inequities in the prevalence of adverse childhood experiences (ACEs) and examined the association between ACEs and selected health-related behaviors and problems. Data for this cross-sectional study come from the 2018 Maryland Youth Risk Behavior Survey/Youth Tobacco Survey, a statewide survey of high school students (n = 40,188). ACEs included caregiver verbal abuse and household food insecurity, substance use or gambling, mental illness, and involvement with the criminal justice system. We estimated the prevalence of ACEs overall and by race/ethnicity, and then used multiple logistic regression to determine associations between ACEs and emotional/behavioral problems, adjusting for race/ethnicity. Outcome variables included emotional distress, poor school performance, suicidal ideation, fighting, alcohol use, and marijuana use. More than one fifth of students reported each individual ACE. Differences in the prevalence of ACEs by race/ethnicity were statistically significant (p < .001). More than one fourth (25.8%) reported one of the five ACEs, 15.1% reported two, and 15.4% reported three or more. For each ACE, reporting having experienced it (vs. not) was associated with a>30% higher prevalence for each of the outcome variables. Among students who reported three or more ACEs (relative to none), the odds of emotional distress and suicidal ideation were more than 8 times greater. Among Maryland adolescents, ACEs are common, are inequitably distributed by race/ethnicity, and are strongly linked to behavioral health. Findings suggest the need to monitor ACEs as a routine component of adolescent health surveillance and to refocus assessment and intervention toward “upstream” factors that shape adolescent health.
      Citation: Health Promotion Practice
      PubDate: 2021-04-24T09:40:31Z
      DOI: 10.1177/15248399211008238
  • Developing Community-Based Mentorship: Supporting Health Science Training
           in Historically Marginalized Communities
    • Authors: Thistle I. Elias, Jessica R. Thompson, Brandi Boak, Joy Cannon
      Abstract: Health Promotion Practice, Ahead of Print.
      Community mentors can play a unique and critical role in developing and supporting graduate and health professional student learning in underresourced community-based settings. These mentors can benefit from extra preparation for a potentially unfamiliar role as teachers about complex social and structural challenges faced by the populations with which they work. Encouraging mentors to recognize and share their valuable expertise while developing their teaching skills can (1) improve mentors’ abilities to work effectively with graduate-level and health science students from multiple disciplines, (2) bolster student learning about important historical social and structural determinants of participants’ health, and (3) help students understand the broader context within which organizations serving vulnerable populations operate. As such, in one full-time, community-engaged, interdisciplinary practicum program, Bridging the Gaps-Pittsburgh, part of the multiinstitutional Bridging the Gaps Network, a half-day mentor workshop has been required for two decades for new community mentors to develop their capacity to be community-based teachers of largely graduate-level health science students. Additionally, program staff aim to support mentors and connect them to faculty and community resources in a variety of ways. Our model supports the argument that applied learning by health professional students in community settings can be significantly enhanced through building and supporting the capacity of community mentors to act as recognized teachers in areas of community expertise.
      Citation: Health Promotion Practice
      PubDate: 2021-04-23T11:09:58Z
      DOI: 10.1177/15248399211007816
  • Strategies to Support LGBTQ+ Students in High Schools: What Did We Learn
           in Chicago Public Schools'
    • Authors: Elizabeth Jarpe-Ratner, Booker Marshall, Maham Choudry, Marisa Wishart, Bianca Reid, Ernestina Perez, Michael Fagen
      Abstract: Health Promotion Practice, Ahead of Print.
      In 2013, the Chicago Public Schools district received funding from the Division of Adolescent and School Health at the Centers for Disease Control and Prevention (CDC) to implement a series of strategies aimed to reduce HIV, STIs (sexually transmitted diseases), and related risk behaviors among students. One such set of strategies included “safe and supportive environments” (SSE), aimed to support lesbian, gay, bisexual, transgender, questioning, and other LGBTQ+ students. SSE strategies included professional development and technical assistance provided to K–12 school staff (teachers, administrators, social workers, etc.) to implement the following practices: support for transgender and gender nonconforming students in accordance with district guidelines, use of LGBTQ+ inclusive curricula, posting of signs and symbols of support, and creation of Genders and Sexualities Alliance student clubs. To monitor progress and performance, both quantitative and qualitative process measure data were collected. Quantitative data consisted of key metrics such as number of staff trained and surveillance data collected through school health profiles in collaboration with the CDC. Qualitative data were gathered to understand barriers and facilitators to implementation of SSE practices via interviews with 55 school staff members and four focus groups with 31 high school students. Results indicated an increased uptake of all SSE activities across the 5-year funding period. Findings also reveal additional needed supports, such as increased availability and offering of professional development for all staff, support for staff in engaging parents, and ensuring the LGBTQ+ inclusive sexual health education curriculum is experienced as such by students. Current work to address these needs is described.
      Citation: Health Promotion Practice
      PubDate: 2021-04-23T11:08:56Z
      DOI: 10.1177/15248399211006492
  • A Contribution to Measure Partnership Trust in Community-Based
           Participatory Research and Interventions With Latinx Communities in the
           United States
    • Authors: Arelis Moore de Peralta, Victoria Prieto Rosas, Julie Smithwick, Shirley M. Timmons, Myriam E. Torres
      Abstract: Health Promotion Practice, Ahead of Print.
      Given the growing diversity in the United States, responsiveness to the needs of diverse communities is paramount. Latinx communities in the United States often state mistrust in outside institutions because of adverse experiences. Community-based participatory research (CBPR) is considered a trust-building process and is one approach to understand disparities. However, the conceptualization and evaluation of trust as a CBPR outcome are understudied. This article summarizes a community-engaged research process conducted for the cultural and linguistic refinement of a partnership trust survey tool to assess partnership trust as an outcome of CBPR (CBPR-PTS), by using Perinatal Awareness for Successful Outcomes (PASOs) as a case study and cross-cultural cognitive interviewing (CCCI) methodology. The participants were 21 diverse stakeholders of PASOs, a community-based health organization that serves the Latinx population in South Carolina. A modified version of the multidimensional measure of trust model informed instrument development. The team analyzed the CCCI data using compiling informal analysis to identify which survey items’ wordings must be changed or adapted based on the participants’ accounts. Sixteen of 28 questions subjected to CCCI required modifications due to translation errors, culturally specific errors, or general cognitive problems. The new survey instrument has 19 scales and 195 items categorized into nine dimensions of the modified multidimensional measure of trust model. CCCI was a useful tool to address the cross-cultural understanding issues of the CBPR-PTS. Measurement instruments should be able to capture the socioeconomic, cultural, and geographic/environmental variability of community stakeholders to help understand the diversity of the comprehension and views of the communities involved in disparities’ reduction efforts.
      Citation: Health Promotion Practice
      PubDate: 2021-04-23T11:07:40Z
      DOI: 10.1177/15248399211004622
  • Intervention Strategies and Lessons Learned From a Student-Led Initiative
           to Support Lactating Women in the University Setting
    • Authors: Emily Bell, Cristina Hunter, Trista Benitez, Jasmine Uysal, Carey Walovich, Leah McConnell, Christine Vega, Nora Cisneros, LeighAnna Hidalgo, JoAnna Reyes Walton, May Wang
      Abstract: Health Promotion Practice, Ahead of Print.
      The benefits of breastfeeding for mother and baby are strongly supported by research. However, lactating parents who return to school or work soon after delivery face many barriers to continued breastfeeding. This article presents a student-led initiative to support lactation at a large public university that emerged from advocacy efforts of student mothers of color. The socioecological model was used as a framework to understand and address the multifaceted influences on breastfeeding practices. Project activities included providing breastfeeding education to lactating parents and their partners, measuring availability and accessibility of lactation spaces, improving lactation spaces, connecting university stakeholders, and strengthening university lactation policies. The project achieved the following outcomes: formation of a stakeholder group with members across campus departments, improvement in accessibility and appropriateness of lactation spaces, provision of breastfeeding services through workshops and one-on-one appointments with lactation educators, and creation and dissemination of an online toolkit outlining parents’ lactation rights and support available on campus. Comprehensive lactation support at universities is essential to enhance educational and professional equity for women and to promote postpartum and infant health. Throughout the project implementation, the team learned many lessons that can help guide similar university initiatives.
      Citation: Health Promotion Practice
      PubDate: 2021-04-22T09:53:32Z
      DOI: 10.1177/15248399211004283
  • Enhancing Human-Centered Design With Youth-Led Participatory Action
           Research Approaches for Adolescent Sexual and Reproductive Health
    • Authors: Ibidun Fakoya, Claire Cole, Chris Larkin, Melanie Punton, Eleanor Brown, Ahna Ballonoff Suleiman
      Abstract: Health Promotion Practice, Ahead of Print.
      Existing participatory research approaches have failed to identify innovative methods that overcome the persistent barriers to adolescent sexual and reproductive health service demand and access. Increasingly, programmers have turned to human-centered design (HCD), a problem-solving process that centers the needs, perspectives, and experiences of people, when developing solutions to complex SRH challenges. This article describes the application of a youth-engaged version of HCD as part of Adolescents 360, a transdisciplinary initiative to increase 15- to 19-year-old girls’ use of modern contraception in Nigeria, Ethiopia, and Tanzania. Youth-adult design teams (including 111 “youth designers” trained in HCD methods) undertook formative research to inform the design and implementation of interventions. We reflect on the practical implications of using instrumental strategies of HCD with a youth-led participatory approach. Our experience indicates that (1) engaging youth as project partners in transdisciplinary teams requires planned and dedicated financial and human resources; (2) involving youth as action researchers can help identify opportunities to improve program empathy and responsiveness; (3) it is difficult to recruit “extreme users” as project partners because of the high competencies needed in HCD; (4) centering empathy and employing design standards during prototyping can drive decision-making and resolve questions raised by conflicting evidence claims in existing bodies of literature; and (5) testing tangible services and products in real-world settings continues long after the intervention design phase. Youth-adult partnership should continue throughout this iterative and adaptive phase to ensure that the adolescent experience of the intervention remains at the core of intervention delivery.
      Citation: Health Promotion Practice
      PubDate: 2021-04-16T05:23:29Z
      DOI: 10.1177/15248399211003544
  • Medical–Dental Integration in a Rural Community Health Center: A
           Qualitative Program Evaluation
    • Authors: Catherine Pawloski, Juliana Hilgert, Kirsten Senturia, Stephen Davis, Mark Koday, Joana Cunha-Cruz
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundA community health center (CHC) implemented a medical–dental integration (MDI) program where children were seen at a pediatric medical clinic or women, infants, and children program location by medical and dental providers in the same visit. Our study aims were to elicit the perspectives and experiences of providers and administrators involved in the MDI program to assess the acceptability, feasibility, and success of a CHC integration strategy in Eastern Washington.MethodsThis is a qualitative study where we conducted semistructured interviews over the phone over a period of 2 months with 12 medical and dental providers and clinical administrators who were involved with the MDI program. Questions addressed perspectives on workflow, patient identification and engagement, leadership support, and barriers and facilitators of the initiative. Qualitative data were analyzed, and emergent themes were identified.ResultsThe emergent themes included (a) the MDI program is feasible and acceptable albeit with key considerations regarding the setting, including charting and service integration, progressive leadership and effective communication, and appropriate providers; (b) implementation included structural, systemic, and individual behavior barriers, (c) the program is seen as a benefit to the clinic and patients and a success to date as a way to increase access to quality care.ConclusionsFindings from this study helped identify facilitators, such as cultural relevancy and progressive office systems, as well as barriers, such as reimbursement, associated with integrating medical and dental care in a rural CHC setting, is acceptable by providers, and can inform future studies and implementation strategies for others wishing to integrate these services.
      Citation: Health Promotion Practice
      PubDate: 2021-04-15T06:06:01Z
      DOI: 10.1177/15248399211002832
  • Using a Collective Impact Framework to Implement Evidence-Based Strategies
           for Improving Maternal and Child Health Outcomes
    • Authors: Kay Schaffer, Dorothy Cilenti, Diana M. Urlaub, Erin P. Magee, Tara Owens Shuler, Cathy Henderson, Christine Tucker
      Abstract: Health Promotion Practice, Ahead of Print.
      In 2016, the North Carolina Division of Public Health launched the Improving Community Outcomes for Maternal and Child Health program to invest in evidence-based programs to address three aims: improve birth outcomes, reduce infant mortality, and improve health outcomes for children 0 to 5 years old. Five grantees representing 14 counties were awarded 2 years of funding to implement one evidence-based strategy per aim using a collective impact framework, the principles of implementation science, and a health equity approach. Local health departments served as the backbone organization and provided ongoing support to grantees and helped them form community action teams (CATs) comprising implementation team members, community experts, and relevant stakeholders who met regularly. Focus groups with each grantee’s CAT were held during 2017 and 2019 to explore how CATs used a collective impact framework to implement their chosen evidence-based strategies. Results show that grantees made the most progress engaging diverse sectors in implementing a common agenda, continuous communication, and mutually reinforcing activities. Overall, grantees struggled with a shared measurement system but found that a formal tool to assess equity helped use data to drive decision making and program adaptations. Grantees faced logistical challenges holding regular CAT meetings and sustaining community expert engagement. Overtime, CATs cultivated community partnerships and multicounty collaboratives viewed cross-county knowledge sharing as an asset. Future collective impact initiatives should allow grantees more time upfront to form their CAT to plan for sustained community engagement before implementing programs and to incorporate a tool to center equity in their work.
      Citation: Health Promotion Practice
      PubDate: 2021-04-03T07:51:15Z
      DOI: 10.1177/1524839921998806
  • Overcoming Barriers to Walk With Ease Implementation in Community
    • Authors: Leigha H. Vilen, Mary Altpeter, Leigh F. Callahan
      Abstract: Health Promotion Practice, Ahead of Print.
      IntroductionThe Arthritis Foundation’s Walk With Ease (WWE) program has been shown to reduce arthritis symptoms and increase physical performance for up to 1 year. However, research on community-based WWE implementation is limited. The purpose of this study was to examine early implementation at community organizations that received 1-year WWE implementation grants from the Osteoarthritis Action Alliance.MethodProgram managers at five Osteoarthritis Action Alliance grantee organizations participated in 45-minute telephone interviews. Interviewees represented organizations with the highest WWE enrollment at 6 months (n = 3,>30% of goal enrollment) and no enrollment at 6 months (n = 2). The Planning for Sustainability framework guided qualitative analysis of factors affecting early implementation.ResultsAll grantees were confident in WWE’s evidence base, thought it a beneficial supplement to other programming, stressed the importance of senior leadership support for WWE, and engaged community partners for marketing support and as walking sites. Implementation experiences unique to low enrollment grantees were (1) recent major structural changes within their organization, (2) difficulties in communicating logistics internally, and (3) difficulties in balancing WWE with other responsibilities. All organizations experienced barriers that required altering their original implementation plans; however, practical solutions like adapting the program to improve flexibility, training organizational staff as leaders, and utilizing community partnerships served to address multiple barriers simultaneously.DiscussionBuilding organizational capacity by overcoming early barriers is a key element of early implementation. Our findings offer concrete solutions to early WWE implementation barriers and suggest the need for further research on adaptations to improve WWE’s flexibility in community organizations.
      Citation: Health Promotion Practice
      PubDate: 2021-04-02T09:35:36Z
      DOI: 10.1177/15248399211002851
  • How Public Libraries Help Immigrants Adjust to Life in a New Country: A
           Review of the Literature
    • Authors: Suzanne Grossman, Denise E. Agosto, Mark Winston, Rabbi Nancy E. Epstein, Carolyn C. Cannuscio, Ana Martinez-Donate, Ann C. Klassen
      Abstract: Health Promotion Practice, Ahead of Print.
      Public library programs and services offer opportunities to help immigrants navigate daily life in unfamiliar surroundings and a new language. For example, language classes address the social determinants of health as they encourage social participation and community ties and help develop friendships. The purpose of this research was to conduct a narrative literature review to understand how immigrants use public libraries and how public library services influence the social determinants of health for immigrant populations. Keyword searches were conducted on five databases to identify research papers that met the inclusion criteria: empirical studies published in English between 2000 and 2020 related to immigrants’ use of public libraries. Thirty-one articles were included in the analysis. Thematic coding identified cross-cutting themes within the sample using the framework of the social-ecological model. Immigrants commonly use public libraries for programs (e.g., language learning), collections (e.g., borrowing books), and services (e.g., asking librarians questions). Immigrant patrons often reported satisfaction with library programs, services, and collections in the language of the host country. A frequent criticism was the relevance and accessibility of collections in their heritage language. In addition, library staff demographics often did not reflect those of immigrant patrons. Health-enhancing benefits associated with library use included increased confidence and self-esteem, cultural integration and preservation, trust and relationships (e.g., making friends), community awareness and engagement, and political integration. Future research and practice areas include collaboration between public health and library professionals to develop library programming that maximizes health and well-being among immigrants.
      Citation: Health Promotion Practice
      PubDate: 2021-03-31T01:11:14Z
      DOI: 10.1177/15248399211001064
  • Developing Culturally Tailored mHealth Tools to Address Sexual and
           Reproductive Health Outcomes Among Black and Latina Women: A Systematic
    • Authors: Rasheeta Chandler, Dominique Guillaume, Andrea Parker, Jessica Wells, Natalie D. Hernandez
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundIn addressing the sexual and reproductive health (SRH) disparities for Black and Latina women, there is a need for the development of innovative programs, framed using theoretical underpinnings that are culturally and contextually tailored so that they align with lived experiences. Mobile health (mHealth) interventions offer considerable potential as a means of providing effective SRH education and services. However, there has been a lack of research assessing culturally and contextually tailored mHealth SRH interventions for Black and Latina women.MethodA comprehensive literature search was undertaken using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Literature was reviewed to evaluate whether a culturally and contextually tailored approach was utilized in the development and implementation of mHealth interventions for Black and Latina women.ResultsA total of 12 articles were included in our synthesis, which encompassed mobile phone–, telephone-, and computer-based mHealth interventions for Black and Latina women. Cultural and/or gender-specific tailoring was included in 10 studies. Reduction of risky sexual behaviors and increased contraception usage were reported in 92% (n = 11) of the studies. Interventions that incorporated tailored content and fostered interaction reported high rates of follow-up.ConclusionsTailored mHealth interventions can be effective in promoting behavior change and improving SRH outcomes for Black and Latina women. However, there is a need for more research assessing user engagement and retention for Black and Latina women, and whether improvements in SRH outcomes are sustainable over the long term.
      Citation: Health Promotion Practice
      PubDate: 2021-03-27T06:10:29Z
      DOI: 10.1177/15248399211002831
  • Icelandic Prevention Model for Rural Youth: A Feasibility Study in Central
    • Authors: Alfgeir L. Kristjansson, Stephen M. Davis, Jessica Coffman, Rosalina Mills
      Abstract: Health Promotion Practice, Ahead of Print.
      The purpose of this study was to assess the feasibility of implementing the Icelandic model for Primary Substance Use Prevention (IPM) in rural Central Appalachia. Guided by the IPM’s theoretical framework, 26 stakeholders from a single county in West Virginia were purposefully recruited during the spring of 2019 and divided into four focus groups. Interviews were recorded and transcribed verbatim and analyzed into themes based on IPM premises. Focus group material produced seven themes: Drug use overall, Drug treatment and other service needs, Poverty, Parenting/Caregiver practices, Transportation, Downtime/Leisure time activities, and Opportunities for solutions. General support was found for the potential of the IPM in the region. Preferably, the implementation of the model should coincide with attention to the adult population as drug use was reported to be plaguing the whole community. Treatment options were few and mostly far away. General poverty and lack of public transportation further stifled progress and potential for change. Organized leisure time activities and programs for youth were scarce and mostly seasonal. Suggested solutions for the adult community included workforce and skill training, coupled with increased opportunities for organized leisure activities for youth, and access to healthy role models via schools and faith-based organizations. We conclude that implementation of the IPM would be feasible to prevent substance use initiation and progression among youth in the rural Central Appalachia. We present several specific recommendations for policy and practice that address factors unique to this environment to initiate the IPM implementation development and suggest initial model application strategies.
      Citation: Health Promotion Practice
      PubDate: 2021-03-27T06:09:00Z
      DOI: 10.1177/15248399211002827
  • Supporting Health Care Staff With Family Meals During the COVID-19
    • Authors: Jennifer Utter, Sally McCray
      Abstract: Health Promotion Practice, Ahead of Print.
      Family meals provide a unique opportunity for families to eat well and engage positively with each other. In response to the challenges presented by the COVID-19 (coronavirus disease 2019) pandemic, a new initiative to support health care staff to share healthy meals with their families was developed. At a hospital in Queensland, Australia, dietetic staff collaborated with the on-site food service retailer to develop and offer a range of hot meals that staff could take home for their families at the end of their day. The meals were nutritious, reasonably priced, and designed to feed a family of four. The dietetic staff worked with the hospital marketing department and staff health and wellness program to promote the initiative. Over the 3 months that it has been running, nearly 300 meals have been purchased. Anecdotal comments from the food service retailer highlighted that the initiative was a good thing to do for staff to maintain a positive reputation of the business. The staff evening meal initiative is a healthy, affordable, educational, and socially engaging alternative to takeaway meals and food delivery by app, and it is mutually beneficial for health care staff and the on-site food retailer. The initiative also offers a unique opportunity for promoting nutrition and social engagement during stressful times.
      Citation: Health Promotion Practice
      PubDate: 2021-03-24T12:46:37Z
      DOI: 10.1177/15248399211003545
  • A Review of the Exhibit Fix: Heartbreak and Hope: Inside Our Opioid
           Crisis: Finding Common Ground Between Health Promotion and Museum Practice
    • Authors: Ethan Sharp
      Abstract: Health Promotion Practice, Ahead of Print.
      The Indiana State Museum’s Fix: Heartbreak and Hope: Inside Our Opioid Crisis is the first large-scale exhibit dedicated to the opioid epidemic. It involves diverse groups of visitors in learning about the history and science of opioid use disorder, making decisions that will help resolve the opioid crisis, and practicing techniques that for many people are essential to long-term recovery. By reviewing the different components of the exhibit, I show how the exhibit can serve as a basic model for advancing health promotion in museums. The exhibit illuminates the ways interactive health exhibits can engage adult visitors, reduce stigma, provide knowledge that visitors can use to exercise control over their health, and expand awareness of the need for evidence-based approaches to public health crises.
      Citation: Health Promotion Practice
      PubDate: 2021-03-18T10:21:45Z
      DOI: 10.1177/1524839921995472
  • Social Ecology of Hypertension Management Among Latinos Living in the
           U.S.–Mexico Border Region
    • Authors: Lisa Cacari Stone, Victoria Sanchez, Sean Patrick Bruna, Michael Muhammad, Carmen Zamora; MPH
      Abstract: Health Promotion Practice, Ahead of Print.
      IntroductionWhile a growing body of research examines individual factors affecting the prevalence and management of hypertension among Latinos, less is known about how socioecological factors operate to determine health and affect implementation of interventions in rural communities.MethodWe conducted eight focus groups to assess perceived risks and protective factors associated with managing hypertension among Latino adults and their family members living in two rural/frontier counties in the U.S.–Mexico border region. This analysis is part of a larger study, Corazon por la Vida (Heart for Life), which involved multiple data collection strategies to evaluate the effectiveness of a primary care and a promotora de salud intervention to manage hypertension.ResultsOf the 49 focus group participants, 70% were female and 30% were male, 39% were Spanish-only speakers, and 84% had hypertension. Participants’ ages ranged between 18 and 75 years, and 63% reported annual incomes below $30,000. Drawing from a social–ecological framework to analyze focus group data, four major themes and subthemes emerged as factors facilitating or inhibiting disease management: (1) individual (emotional burdens, coping mechanisms), (2) social relationships (family as a source of support, family as a source of stress), (3) health system (trust/mistrust, patient–provider communication), and (4) environment (lack of access to safe exercise environment, lack of affordable food).ConclusionOur findings are relevant to public health practitioners, researchers, and policymakers seeking to shift from individual level or single interventions aimed at improving treatment-modality adherence to multilevel or multiple interventions for rural Latino communities.
      Citation: Health Promotion Practice
      PubDate: 2021-03-12T11:37:05Z
      DOI: 10.1177/1524839921993044
  • From Clinic to Community: Adapting Evidence-Based Weight Management for
           Overweight Latinx Children to Better Address Social Determinants
    • Authors: Lisa Ross DeCamp, Jennifer Acosta, Monica Guerrero Vazquez, Sarah Polk
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundThe U.S. Preventive Services Task Force recommends referral of all obese children to intensive weight management programs. When available, programs are limited to clinical settings and do not address social determinants of health barriers to healthy weight among Latinx immigrant families. Active and Healthy Families, a Spanish-language, culturally tailored group visit intervention has demonstrated effectiveness in decreasing child body mass index but does not address barriers to frequent engagement with the health care system nor social determinants other than immigration. Adapting the intervention for community-based delivery, and to address additional social determinants, may facilitate participation and increase acceptability and engagement among Latinx immigrant families.PurposeTo engage a stakeholder network in planning adaptations of an evidence-based weight management intervention for community-based implementation.MethodGuided by the intervention mapping-adapt process, we solicited feedback from a stakeholder network from August 2018 to March 2020. The stakeholder network assessed fit, planned adaptations and identified essential intervention components using photovoice, a Participatory Action Research method, and meetings incorporating user-centered design approaches.ResultsThe stakeholder network membership included Latinx immigrant families, community leaders, health care delivery experts, and researchers. Planned adaptations included curriculum changes to discuss social determinants barriers to behavior change and goal setting to mitigate them.ConclusionsWe successfully engaged a stakeholder network and, using a systematic process, identified adaptations of an evidence-based weight management intervention to allow for community-based implementation. Sustainably addressing obesity disparities for Latinx children also requires addressing structural factors to reduce social determinants of health barriers at the population level.
      Citation: Health Promotion Practice
      PubDate: 2021-03-05T11:27:03Z
      DOI: 10.1177/1524839921993054
  • A Chronic Care Management Framework Bridging Clinic, Home, and Community
           Care in a Mexican American Population
    • Authors: Maria Zolezzi, Juliana Lopez, Lisa Mitchell-Bennet, Lisa Y. Payne, Joseph B. McCormick, Belinda Reininger
      Abstract: Health Promotion Practice, Ahead of Print.
      Despite evidence that chronic care management improves outcomes, a framework designed for low income, uninsured populations is still needed to improve health disparities and guide further replication. We describe the Innovative Care for Chronic Conditions framework implemented by a coalition of clinics and agencies to address chronic care management for Mexican Americans with Type 2 diabetes mellitus who have low income and primarily uninsured. The core elements of the framework are described by clinic, home and community settings with community health workers playing an essential role in the delivery of community-based services that address the social determinants of health. Promising results are described. This framework expands the understanding of chronic care management approaches and contributes to further replication of the framework in diverse settings.
      Citation: Health Promotion Practice
      PubDate: 2021-03-05T11:25:33Z
      DOI: 10.1177/1524839920987842
  • Pulmonary Health Effects of Electronic Cigarettes: A Scoping Review
    • Authors: Emma Gugala, Chinyere M. Okoh, Somraj Ghosh, Leticia R. Moczygemba
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundThere is global concern regarding the public health impact of electronic cigarettes (ECs). ECs are commonly promoted as safer than conventional cigarettes (CCs), however there is limited knowledge of the long-term health effects. This scoping review examined the pulmonary health effects of ECs reported in the literature from 2009 to 2019.MethodPubMed, CINAHL, and Science Direct databases were used. Search terms included “vaping, electronic nicotine delivery systems, electronic cigarettes, lung diseases, respiratory diseases, and pulmonary.” Original research articles in English that used human subjects between January 1, 2009 and January 31, 2020 and reported pulmonary outcomes were included.ResultsForty-five studies met the inclusion criteria. There were 14 (31.1%) randomized experimental, 7 (15.6%) nonrandomized experimental, 6 (13.3%) cohort, and 18 (40.0%) cross-sectional studies. Sixteen (35.6%) studies were conducted in the United States; the rest were conducted across 11 other countries. The total number of subjects was 1,465,292 and ages ranged from 12 to 99 years across studies. Eligible studies demonstrated an association between EC use and pulmonary symptoms, asthma and chronic obstructive pulmonary disease diagnosis and exacerbations. The degree of this association varied based on the use of additional tobacco products. EC use resulted in worse outcomes than nonsmoking, but resulted in improved outcomes when compared with CC use or dual use of CC and EC.ConclusionEvidence indicates that EC use, especially dual use, leads to negative pulmonary effects and adverse outcomes. Education on the potential risks and publishing of EC ingredients on labels could help improve public health safety communication and reduce EC use.
      Citation: Health Promotion Practice
      PubDate: 2021-03-04T10:28:14Z
      DOI: 10.1177/1524839920985506
  • Implementing Intergenerational Best Practices in Community-Based Settings:
           A Preliminary Study
    • Authors: Lisa A. Juckett, Shannon E. Jarrott, Jill Juris Naar, Rachel M. Scrivano, Alicia C. Bunger
      Abstract: Health Promotion Practice, Ahead of Print.
      Evidence-based intergenerational (IG) programs bring youth and older adults together in shared activities and promote socioemotional health across age-groups. The core components of these IG programs include 14 IG “best practices” that should be implemented during IG program sessions to optimize program effectiveness for both youth and older adult participants. Despite the proliferation of IG programs across the United States, it is unclear the extent to which these IG best practices have been implemented in the community. This preliminary study assesses the implementation of IG best practices at two community-based sites by program leaders who participated in a multifaceted professional education intervention for IG best practice use. Implementation of best practices was measured through the Best Practices Checklist completed by program leaders and trained coders as well as through narrative written comments. Program leaders indicated that they were able to consistently implement six out of the 14 IG best practices in 46 IG sessions, whereas the best practice named “Adaptations to equipment were made” was least likely to be implemented. Analysis of narrative comments indicated that (a) the group arrangement of participants and (b) program leaders’ familiarity with activities also influenced implementation. While many IG best practices can be implemented in the community, some best practices can be implemented with greater ease and consistency. Training resources can support IG best practice implementation; however, our multifaceted professional education intervention may benefit from the addition of case examples or vignettes to depict potential strategies for optimizing evidence-based IG practices.
      Citation: Health Promotion Practice
      PubDate: 2021-03-03T12:01:09Z
      DOI: 10.1177/1524839921994072
  • Using Participatory Methods to Enhance Youth Engagement in Substance Use
    • Authors: Elizabeth S. Valdez, Luis Valdez, David O. Garcia
      Abstract: Health Promotion Practice, Ahead of Print.
      Youth engagement in substance use research is critical to the understanding of correlates that lead to detrimental health and social outcomes for adolescents. In addition to the documented challenges related to youth recruitment for substance use research, Latinx youth living on the U.S.–Mexico border may be difficult for researchers to engage in substance use research because they could face retributory harm if they identify their experiences to any entity perceived as an authority (e.g., researchers). Empirical findings that posit viable strategies to engage marginalized youth in substance use research are lacking. Participatory approaches show promise in increasing participation of historically underrepresented youth in research. Building on previously published work on our youth participatory action research mixed-methods study, this article discusses the youth-led participatory approach used to (1) develop and pilot test a culturally, regionally, and linguistically tailored substance use instrument and (2) engage 445 Latinx youth to participate in a cross-sectional study to assess epidemiological patterns of youth substance use on the U.S.–Mexico border. We share lessons learned related to the youth-led instrument design, youth-led recruitment strategy, and assuring participant confidentiality.
      Citation: Health Promotion Practice
      PubDate: 2021-02-20T11:59:45Z
      DOI: 10.1177/1524839921990005
  • Practices and Perceptions of Local Health Officers/Commissioners Regarding
           Tobacco 21 Policy Advocacy
    • Authors: Ruben Juarez, Salma Haidar, Jodi Brookins-Fisher, Heidi Hancher-Rauch, Mallory Ohneck, Amy Thompson, Daryn Papenfuse
      Abstract: Health Promotion Practice, Ahead of Print.
      Progress has been made in reducing adolescent cigarette smoking. However, the popularity of vaping products has increased concerns regarding tobacco use. One policy recently passed at the national level is Tobacco 21 (T21), which aims to reduce adolescent’s access to tobacco products. Since local health officers/commissioners play a crucial role in the development of policies that protect their respective communities from the harms of tobacco, it is important to characterize their views on the T21 legislation and advocacy activities among them. This was a cross-sectional pilot study of three Midwestern states taken prior to a number of key tobacco-related events in 2019. Results show almost 70% of respondents had high interest in influencing public policy, more than 80% thought the public policy makers’ actions regarding T21 were highly important to the health and well-being of the public, and 89% had in some capacity acted to support a T21 initiative. Involvement with legislative efforts was not high, despite evidence showing high popularity of the measure among the public. The top perceived benefits included a decrease in tobacco use among adolescents, improvements to community or state health, and delay in tobacco use initiation. Top barriers listed were issues with enforcement, lack of money or resources, competing health priorities, and policy makers’ attitudes and values. Respondents overall had significantly lower confidence in performing activities at the state versus local level. Findings suggest there may be a need for more advocacy training on effective advocacy strategies in changing health policy.
      Citation: Health Promotion Practice
      PubDate: 2021-02-03T10:29:14Z
      DOI: 10.1177/1524839921989271
  • The Implementation of an Interpersonal Violence Screening Program in
           Primary Care Settings: Lessons Learned
    • Authors: Erika L. Thompson, Kimberly G. Fulda, Jessica Grace, Annalynn M. Galvin, Emily E. Spence
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundInterpersonal violence (IPV) is a public health issue that disproportionately affects women. IPV screening improves likelihood of survivor disclosure and access to additional support. To enhance primary care IPV screening, Technology Enhanced Screening and Supportive Assistance (TESSA) uses integrated technological systems to deliver bidirectional, evidence-informed health navigation, health management, and safety interventions. This study evaluates TESSA implementation in primary care clinics using the Consolidated Framework for Implementation Research (CFIR).MethodCFIR is a metatheoretical framework used for evaluating clinical intervention implementation. Salient constructs within CFIR’s five domains (intervention characteristics, outer setting, inner setting, characteristics of individuals, and process) were identified (23 constructs), and pertinent implementation details were examined.ResultsKey lessons learned included intervention characteristic constructs like intervention source (e.g., selecting tablets that can screen for items integral to the program’s aims) and adaptability (e.g., ensuring tablets worked with electronic medical records for each clinic), process constructs like engaging champions (e.g., garnering buy-in from key clinic stakeholders and staff), outer setting constructs like patient needs and resources (e.g., addressing pertinent patient resource needs) and external policies and incentives (e.g., incentivizing clinics by addressing clinic needs), and inner setting constructs like leadership engagement (e.g., ensuring buy-in from organizational leaders as leadership changed frequently).ConclusionsCFIR identifies important implementation factors for programs like TESSA that screen for high-risk populations and implement in primary care settings. The TESSA program implementation permits increased IPV screening among primary health care populations, thus promoting access to resources for otherwise hard-to-reach populations.
      Citation: Health Promotion Practice
      PubDate: 2021-01-28T06:23:03Z
      DOI: 10.1177/1524839921989273
  • Addressing Organizational Barriers to Adolescent Access to High-Quality,
           Low-Cost, Confidential Sexual and Reproductive Health Services in a
           Community Health Center
    • Authors: Carolyn M. A. Brandt, Meriel A. Shire, Gina Wilson, Kristin Ito
      Abstract: Health Promotion Practice, Ahead of Print.
      Adolescents face a number of barriers to accessing high-quality, confidential sexual and reproductive health (SRH) services. Although federally qualified health centers (FQHCs), a type of community health center (CHC), are a critical source of health care for medically underserved adolescents, they often lack the capacity and resources to provide specialized SRH services to adolescents. In this article, we describe the development and implementation of an initiative aimed at improving an FQHC’s capacity to provide high-quality confidential SRH services to adolescents. For this initiative, a team of clinical and quality improvement staff developed a set of six strategies to improve adolescent SRH services at an FQHC: (1) building community relationships and galvanizing internal organizational support to improve adolescent access to confidential SRH services, (2) developing a long-acting reversible contraception (LARC) program, (3) training clinic staff on SRH and adolescent health topics, (4) adapting the adolescent patient workflow to improve SRH service delivery during appointments, (5) updating and implementing a universal adolescent health assessment tool, and (6) developing billing and registration policies that allow adolescents to receive confidential SRH services. We identified several factors that we believe were key to the successful implementation of our approach in other CHC settings, including encouraging cross-sector collaboration and community focus, providing training as a tool to engage and empower staff as agents of change, involving interdisciplinary staff, piloting on a small scale, and establishing consistent meetings with a clinic champion and improvement team.
      Citation: Health Promotion Practice
      PubDate: 2021-01-15T09:47:56Z
      DOI: 10.1177/1524839920985505
  • Practical Advice Regarding the Reliability of the Patient Educational
           Materials Assessment Tool for Health Educators
    • Authors: Joseph G. L. Lee, Mahdi Sesay, Paula A. Acevedo, Zachary A. Chichester, Beth H. Chaney
      Abstract: Health Promotion Practice, Ahead of Print.
      The quality of patient education materials is an important issue for health educators, clinicians, and community health workers. We describe a challenge achieving reliable scores between coders when using the Patient Educational Materials Assessment Tool (PEMAT) to evaluate farmworker health materials in spring 2020. Four coders were unable to achieve reliability after three attempts at coding calibration. Further investigation identified improvements to the PEMAT codebook and evidence of the difficulty of achieving traditional interrater reliability in the form of Krippendorff’s alpha. Our solution was to use multiple raters and average ratings to achieve an acceptable score with an intraclass correlation coefficient. Practitioners using the PEMAT to evaluate materials should consider averaging the scores of multiple raters as PEMAT results otherwise may be highly sensitive to who is doing the rating. Not doing so may inadvertently result in the use of suboptimal patient education materials.
      Citation: Health Promotion Practice
      PubDate: 2021-01-13T06:10:34Z
      DOI: 10.1177/1524839920984790
  • Mixed-Methods Evaluation of the Initial Implementation of Advanced Home
           Visits in Chile
    • Authors: Diego Garcia-Huidobro, Alvaro Vergés, Patricia Basualto, Carlos Calvo Miranda, Carolina Boetto, Mauricio Soto, Erika Kopplin, Mayra Martínez, Marcela Aracena
      Abstract: Health Promotion Practice, Ahead of Print.
      Home visiting programs are evidence-based interventions that have a myriad outcomes for mothers and newborns. Chile offers these services as part of the Chile Crece Contigo, a nationwide program. However, implementing home visiting programs in community settings is difficult. In this study, we report clinic, provider, and participant engagement with the implementation of advanced home visits (ViDAs) in Chilean primary care clinics. ViDAs include a high number of visits, external supervision, and the use of technology. In this study, qualitative and quantitative data were collected to assess the initial implementation of the home visiting strategy. Qualitative data consisted of individual interviews and focus groups with directors of city health departments, clinic managers, and providers conducting home visits. Quantitative data included clinic, provider, and participant recruitment. City health departments were approached to authorize the participation of primary care clinics in the ViDAs program. Then, clinic directors were invited to approve the implementation of the home visiting program at their health centers. In total, 16 clinics, 42 practitioners, and 185 participants were recruited. A large amount of resources was needed to recruit clinics, providers, and participants. The intervention had low acceptability, low adoption, and a high implementation cost. Initial program implementation experienced several challenges. Identified facilitators and barriers both highlighted the need for community engagement at all levels for the successful implementation of an innovation in Chilean primary care clinics. In addition, this article provides recommendations for practitioners and researchers regarding the conduct of research in community-based settings.
      Citation: Health Promotion Practice
      PubDate: 2021-01-07T06:08:28Z
      DOI: 10.1177/1524839920982674
  • A Qualitative Exploration of Indicators of Health Equity Embeddedness
           Among Public Health Policy Advocacy Campaigns
    • Authors: Eric E. Calloway, Hollyanne E. Fricke, Leah R. Carpenter, Amy L. Yaroch
      Abstract: Health Promotion Practice, Ahead of Print.
      There are socioeconomic and racial/ethnic health disparities that warrant policy change to advance health equity. The purpose of this qualitative study was to elucidate primary activities and/or tangible characteristics that indicate that a policy advocacy campaign has an embedded health equity focus. Researchers interviewed policy advocacy experts (n = 13) and campaign leaders (n = 9), transcribed audio recordings of interviews, and conducted a thematic analysis to examine health-equity-related processes within policy campaigns. Based on experiences of policy advocacy experts and campaign leaders, mostly within the Voices for Healthy Kids initiative, several objective aspects and activities were identified that indicate that a policy campaign, and the coalition that conducts the campaign, has an embedded health equity focus. It should be stressed that these activities are not intended to represent the extent of all campaign activities, only the subset of activities and aspects of a campaign that indicate a health equity orientation. Broadly, aspects identified were related to what had the campaign done to engage with the community, who in the community was providing input about direction of the campaign, and how had that community input been used. Authentic Community engagement was seen as the foundation of a campaign’s health equity focus. A model synthesizing these findings is included in the results. A major strength of this study is that factors associated with health equity in campaign functioning are not typically assessed. These findings support identification of associated constructs to inform measurement development, and can help guide organizations, campaigns, and researchers working to advance health equity.
      Citation: Health Promotion Practice
      PubDate: 2021-01-06T06:35:12Z
      DOI: 10.1177/1524839920981950
  • Tiny or Tall, Mighty or Small—Music for All! Developing an Interactive
           Online Storybook to Promote Body Positivity in Children
    • Authors: MariaLisa S. M. Itzoe, Rosemary Frasso
      Pages: 300 - 303
      Abstract: Health Promotion Practice, Volume 22, Issue 3, Page 300-303, May 2021.
      Body dissatisfaction and dietary restraint have been demonstrated in children as young as 5 years. Internalization of a thin-ideal is theorized to occur before the onset of body dissatisfaction and both have the potential to influence self-worth and impact multiple aspects of life. Across childhood, body dissatisfaction tends to increase while there is a parallel decline in positive self-concepts. Social comparisons also become more critical after the age of 7 years. Research suggests that early childhood (aged 3–8 years) may be the ideal time to expose children to content that counters unhealthy, unrealistic media ideals about body shape and size. This Practice Note describes the process of creating an evidence-based online storybook, Tiny or Tall, Mighty or Small—Music for All!, written to promote positive body image in children. Multiple steps were taken to complete this project, which required collaboration among experts across fields of public health, children’s literature, and music. The storybook can be downloaded as a PDF file for free, online, and integrates sound clips for each instrument to more fully engage readers. We hope that this electronic platform overcomes potential logistical and financial barriers of accessing a print copy and therefore allows the message of body positivity to reach a wider audience.
      Citation: Health Promotion Practice
      PubDate: 2020-08-25T10:59:27Z
      DOI: 10.1177/1524839920952404
      Issue No: Vol. 22, No. 3 (2020)
  • Promising Practices: Triple M—A Coaching and Mentorship Program for
           Public Health Leadership Development
    • Authors: Hamida Bhimani, Julia Roitenberg, Michelle Suarly
      Pages: 304 - 308
      Abstract: Health Promotion Practice, Volume 22, Issue 3, Page 304-308, May 2021.
      The Triple M (Mobilizing Meaningful Mentorship) program is a leadership development initiative at the public health branch of the Regional Municipality of York (York Region Public Health) that uses individual and team coaching and mentoring strategies. The Triple M program consists of one-on-one mentoring, stretch assignments, a Triple M challenge, team coaching and LEADS seminars. Triple M has the following benefits (a) organization-wide and cross-departmental connections, (b) application of leadership concepts and theory to a practical stretch assignment, (c) guidance and support from mentors to navigate challenges, and (d) the formation of the next generation of public health leaders. The lessons learned from this initiative include (a) that additional time is needed to apply program learnings during stretch assignments and (b) that adequate protected time is required to actively participate in the mentorship component of the program. The next steps for Triple M include (a) exploring ways to increase the duration of stretch assignments and (b) introducing an online platform to promote accessibility to participate in the program.
      Citation: Health Promotion Practice
      PubDate: 2020-07-15T01:32:29Z
      DOI: 10.1177/1524839920940707
      Issue No: Vol. 22, No. 3 (2020)
  • Condom Use and Error Experience Among Young Adolescents: Implications for
           Classroom Instruction
    • Authors: Mia Barrett, B. A. Laris, Pamela Anderson, Elizabeth Baumler, Andrea Gerber, Kari Kesler, Karin Coyle
      Pages: 313 - 317
      Abstract: Health Promotion Practice, Volume 22, Issue 3, Page 313-317, May 2021.
      We examine condom failure and use error experienced by high school youth in two regions of the United States. Data are from a baseline survey of a randomized controlled trial to evaluate FLASH, a sexual health education curriculum for high school students. Participants were 1,597 ninth- or 10th-grade students in health class who had parental consent and who assented to participate in the study. This study examines condom use behavior among students who reported vaginal or anal sex at baseline. Of the 222 participants who reported having vaginal or anal sex in the 3 months prior to baseline survey, 180 of them reported using a condom at least once. Of these youth, 70.6% reported that they did not squeeze the tip of the condom before sex, 25.0% of youth reported that they did not roll the condom all the way down to the base of the penis, and 49.4% reported that they did not hold the base of the penis when pulling out; 36.9% reported experiencing condom breakage or slippage. The frequency of condom error and/or failure reported by young adolescents in this study indicates a need for further education on potential condom use errors with an emphasis on the correct steps for using a condom to prevent condom failure. High rates of error and failure suggest an opportunity for educators to tailor preexisting condom use interventions to further reinforce the skills necessary for effective condom use and to educate on what to do in the event of condom failure.
      Citation: Health Promotion Practice
      PubDate: 2020-06-15T08:45:33Z
      DOI: 10.1177/1524839920935431
      Issue No: Vol. 22, No. 3 (2020)
  • Outcomes and Intentionality of Action Planning in Photovoice: A Literature
    • Authors: Saria Lofton, Alexis K. Grant
      Pages: 318 - 337
      Abstract: Health Promotion Practice, Volume 22, Issue 3, Page 318-337, May 2021.
      Participatory action research methods have been utilized to engage community members in community-driven health promotion projects addressing issues across various socioecological levels. Photovoice is one such participatory action research method that allows participants to use photography to document their experiences and dialogue to eventually influence change and reach policy makers. However, it is unclear how photovoice projects demonstrate intentional action planning and its impact on community-level outcomes. The purpose of this literature review is to understand (1) how action plans are developed, initialized and implemented in the community and (2) describe community-wide changes that occurred in photovoice projects with an action planning process. We searched scholarly databases for peer-reviewed articles that used photovoice with action planning and community-level outcomes. As a result, 19 articles were included in this review. Using the socioecological model to assess the literature, we found that action planning varied at different levels of influence. The intentionality of action planning was described through the use of specific action steps, as well as intentional dissemination to stakeholders, evaluation, and sustainability primarily at the community and organization levels. Our results suggest that the most successful photovoice projects were those that were intentional in action planning. We provide recommendations for photovoice researchers to better incorporate action planning into their methodology and make use of photovoice as an action research tool that can provide a clear, sustainable path toward community-wide changes.
      Citation: Health Promotion Practice
      PubDate: 2020-10-09T11:52:11Z
      DOI: 10.1177/1524839920957427
      Issue No: Vol. 22, No. 3 (2020)
  • Codesigning Parks for Increasing Park Visits and Physical Activity in a
           Low-Socioeconomic Community: The Active By Community Design Experience
    • Authors: Glenn Austin, Mitch J. Duncan, Tanya Bell
      Pages: 338 - 348
      Abstract: Health Promotion Practice, Volume 22, Issue 3, Page 338-348, May 2021.
      The purpose of the Active By Community Design (ABCD) project was to engage residents in the redesign of two public open spaces to increase park visits and park-based physical activity (PBPA). It was anticipated that by adding local preferences to park design considerations along with collected data and available evidence, the study would achieve increased levels of community engagement and subsequent increases in park visits and PBPA. This study summarizes two case studies outlining the community engagement and research translation process. Utilizing a pre–post evaluation design, baseline measures were completed with a series of validated tools for park use and park quality. Baseline data, evidence, community and stakeholder input were synthesized and presented to a “design subcommittee” to translate into “real-world” park redesigns. Park audits, a household survey, and park open days identified the spaces were not designed for the activities residents wanted, while park observations identified usage was low, and those observed were mostly children and adults walking. Park redesigns focused on maximizing access, infrastructure to enable physical activity (PA), PA programs and enhancements to improve aesthetics and safety concerns. The ABCD project successfully demonstrated a process of combining data and community and stakeholder engagement input to translate evidence into the creation of more supportive environments for PA. Stakeholder and resident input to the redesign processes contributed to satisfaction and ownership that residents reported on the redesigned parks, which may increase the likelihood of increased park usage and park-based physical activity.
      Citation: Health Promotion Practice
      PubDate: 2020-02-22T12:38:12Z
      DOI: 10.1177/1524839919900768
      Issue No: Vol. 22, No. 3 (2020)
  • Sexual Health Services in Schools: A Successful Community Collaborative
    • Authors: Heather McCann, Michele J. Moore, Elissa M. Barr, Kristina Wilson
      Pages: 349 - 357
      Abstract: Health Promotion Practice, Volume 22, Issue 3, Page 349-357, May 2021.
      School-based health centers (SBHCs) are an essential part of a comprehensive approach to address the health needs of youth. SBHCs that provide sexual health services (SHS) show promising results in improving reproductive health outcomes among youth. Despite the positive impact SBHCs can have, few school districts have SBHCs, and even fewer provide SHS. This article describes a successful 5-year project to provide SHS through SBHCs in a large county in the southeast United States. A community collaborative, including the schools, health department, community agencies and a local university, was created to address the project goals and objectives. Various steps were taken to plan for the SBHCs, including documenting community support for SHS offered through SBHCs, identifying school sites for SBHCs, and the process for offering pregnancy, STD (sexually transmitted disease), and HIV testing, treatment, and referrals. Protocols for clinic flow, testing, staffing, training, and student recruitment were developed. The staff at the SBHCs were successful in recruiting students to attend educational sessions and to receive testing and treatment. Student feedback was overwhelmingly positive. Lessons learned about the importance of the partnership’s collaboration, using recommended clinic protocol, ensuring clear communication with school staff, and employing youth friendly recruitment and clinic practices are shared.
      Citation: Health Promotion Practice
      PubDate: 2020-01-21T06:01:01Z
      DOI: 10.1177/1524839919894303
      Issue No: Vol. 22, No. 3 (2020)
  • Collaboration and Context in the Design of Community-Engaged Research
    • Authors: Linda Ziegahn, Yvonne Joosten, Lucinda Nevarez, Thelma Hurd, Jill Evans, Jill Dumbauld, Milton “Mickey” Eder
      Pages: 358 - 366
      Abstract: Health Promotion Practice, Volume 22, Issue 3, Page 358-366, May 2021.
      Collaboration between academic researchers and community members, clinicians, and organizations is valued at all levels of the program development process in community-engaged health research (CEnR). This descriptive study examined a convenience sample of 30 projects addressing training in CEnR methods and strategies within the Clinical and Translational Science Awards (CTSA) consortium. Projects were selected from among posters presented at an annual community engagement conference over a 3-year period. Study goals were to learn more about how community participation in the design process affected selection of training topics, how distinct community settings influenced the selection of training formats, and the role of evaluation in preparing training participants to pursue future health research programming. Results indicated (1) a modest increase in training topics that reflected community health priorities as a result of community (as well as academic) participation at the program design stage, (2) a wide range of community-based settings for CEnR training programs, and (3) the majority of respondents conducted evaluations, which led in turn to revisions in the curricula for future training sessions. Practice and research implications are that the collaboration displayed by academic community teams around CEnR training should be traced to see if this participatory practice transfers to the design of health promotion programs. Second, collaborative training design tenets, community formats and settings, and evaluation strategies should be disseminated throughout the CTSA network and beyond. Third, common evaluative metrics and indicators of success for CEnR training programs should be identified across CTSA institutions.
      Citation: Health Promotion Practice
      PubDate: 2020-01-17T08:53:41Z
      DOI: 10.1177/1524839919894948
      Issue No: Vol. 22, No. 3 (2020)
  • Does Scientific Publication Inform Public Discourse' A Case Study
           Observing Social Media Engagement Around Vaccinations
    • Authors: Jordan L. Nelon, Michael Moscarelli, Payton Stupka, Christina Sumners, Taylor Uselton, Megan S. Patterson
      Pages: 377 - 384
      Abstract: Health Promotion Practice, Volume 22, Issue 3, Page 377-384, May 2021.
      In the early 2000s, there was a shift in the use of the internet. Individuals on the internet began seeking information from other creators and creating their own content. These online communities allowed individuals to communicate across the globe, gravitating toward people like them or those who shared similar beliefs. Conversations around vaccinations have been particularly polarizing across social media even though scientific literature continually validates their safety and effectiveness. This study will explore whether online public discourse about vaccinations changes before and after major scientific publications, and will measure what is related to social engagement around vaccinations on Twitter. In September 2018, two weeks’ worth of Twitter posts (n = 2,919) discussing vaccinations were collected, coded, and analyzed before and after two major 2014 scientific publications. Linear regression analyses examined variables related to engagement with vaccination-related Tweets pre- and postpublication. Antivaccine-related Tweets decreased by over 25% after scientific publications, while provaccine Tweets increased by 16.6%. Regression models suggest verification status and number of followers were the strongest predictors of Twitter engagement. Findings indicate that scientific publications might affect what people public health information people share online, and how people engage with online content. In a time when false information is easily spread online, this study suggests the need for continual scientific publication on “hot topics,” and urges researchers to partner with influential individuals on social media to disseminate effective, evidence-based, and user-friendly public health information to the public.
      Citation: Health Promotion Practice
      PubDate: 2020-02-01T11:13:34Z
      DOI: 10.1177/1524839919899925
      Issue No: Vol. 22, No. 3 (2020)
  • Examining Perceptions of Spanish Language Health Information Among
           Hispanics Living in the United States: A Qualitative Study Assessing
           Videos, Brochures, and Websites
    • Authors: Armando De Alba Rosales, Daniel Schober, Patrik Johansson
      Pages: 385 - 394
      Abstract: Health Promotion Practice, Volume 22, Issue 3, Page 385-394, May 2021.
      BackgroundNationally, Hispanics experience health disparities manifested as a higher prevalence of chronic diseases in comparison to non-Hispanic Whites. Factors that influence health disparities in this population include inadequate dissemination of culturally and linguistically appropriate health information.MethodOur qualitative analysis is based on data obtained from three focus groups with Spanish-speaking Hispanic adults conducted at a clinic in Nebraska. Participants were asked about their perceptions of health information in the form of videos, brochures, and websites. We followed the consolidated criteria for reporting qualitative research and used the theoretical framework of content analysis.ResultsFor videos, attributes associated with higher levels of trust included a friendly health professional, the logo or name of a health care institute, and a reference specifying “se habla Español.” For brochures, attributes associated with trust included use of visual aids, use of numerous colors and big font sizes, the year of printing, and a health care agency logo. For websites, characteristics associated with trust were inclusion of plain language, use of pictures and videos, and date of last update. In all focus groups, participants perceived the use of mixed English/Spanish language in health information from pamphlets and websites as unprofessional. The use of unknown governmental logos in health promotional videos and websites was perceived as untrustworthy information.ConclusionsSpanish-speaking Hispanics prefer health information supported by a health care agency or delivered by a health care professional. Health communication strategies should avoid the use of mixed English/Spanish language in sensitive information especially when combined with governmental logos.
      Citation: Health Promotion Practice
      PubDate: 2020-08-21T02:02:45Z
      DOI: 10.1177/1524839920950029
      Issue No: Vol. 22, No. 3 (2020)
  • Recommendations From Black Sexual Minority Men: Building Trust to Improve
           Engagement and Impact of HIV/STI Research
    • Authors: Suzanne M. Grieb, Kevon-Mark Jackman, Carla Tilchin, Charles Clark, Simone Sawyer, Sarah Rives, LaNisha Childs, Jacky M. Jennings
      Pages: 395 - 403
      Abstract: Health Promotion Practice, Volume 22, Issue 3, Page 395-403, May 2021.
      As demonstrated by the consistently documented disproportionately high rates of HIV and STIs (sexually transmitted infections) among Black sexual minority men (BSMM), current efforts to develop responsive interventions to reduce HIV and other STIs within this population have not been sufficient. It is therefore critical that public health researchers reflect meaningfully on the ways in which they investigate HIV and STIs. Engagement with BSMM is crucial in addressing the disproportionately high rates of HIV and STIs experienced, and thus the goal of the current research was to identify community-developed strategies that may enhance community engagement in research with BSMM. Seven focus groups (N = 38) were held with cisgender BSMM ages 18 to 45 years in Baltimore, Maryland to explore how to better engage this population and improve HIV and STI research. Data analysis of the text was conducted using an iterative, thematic constant comparison process informed by grounded theory. Four distinct themes related to trust-building within the broader community emerged: (1) authentic engagement with the community, (2) increased transparency of the research process, (3) capacity building of research staff from the community, and (4) a balance of research and action. Strategies for researchers to build community trust were identified that are related to, but slightly distinct from, common discussions in the community engaged research literature that are centered more specifically on trust-building within community–academic partnerships. Engagement with BSMM is crucial in addressing HIV and STI health disparities. It is critical that community engagement also be a priority to policy makers, research institutions, and funding institutions.
      Citation: Health Promotion Practice
      PubDate: 2020-08-20T06:15:19Z
      DOI: 10.1177/1524839920947679
      Issue No: Vol. 22, No. 3 (2020)
  • Locally Identified Priorities for Continuous Quality Improvement (CQI)
           During Early Implementation of an Evidence-Based Early Childhood Home
           Visiting Program
    • Authors: Jennifer Gregson, Kimberly M. Byrne, Catherine Gilmore-Zarate, Erica Wilhelmsen, Kristen Rogers
      Pages: 404 - 414
      Abstract: Health Promotion Practice, Volume 22, Issue 3, Page 404-414, May 2021.
      The 2010 Affordable Care Act provided for evidence-based home visiting and an accompanying continuous quality improvement (CQI) process in all states and territories. This is an organizational-level study of one state’s qualitative approach to CQI during early implementation, when data system infrastructure and local agency capacity were still developing. We examined the CQI topics created by local agencies and operationalized through a qualitative, strength-based CQI process. During the first 18 months, state and local site teams (n = 21) participated in 150 CQI teleconferences. We used qualitative content analysis of teleconference notes to identify issues important to sites and that could be addressed through a qualitative CQI process. Seven categories of CQI topics emerged: participant enrollment and retention; administrative infrastructure and capacity; programmatic resources and practices; community advisory boards; home visitor skill development; systems integration and strategic partnerships; and hiring home visiting staff. Sites added local nuances to frame and address CQI topics. When local sites identify their own CQI topics in early implementation, they addressed program need at multiple levels of influence. A few sites addressed individually focused topics traditional to CQI. Most often, sites engaged with institution- or community-focused topics atypical for CQI but nonetheless essential to launching a program: building skills and capacity for administrative and program implementation, and engaging with the local system of services. Oversight agencies should be prepared to address program, organization, partner or system level issues through CQI to foster program establishment. A site-centered, strength-based approach can support programs even when quantitative data are limited.
      Citation: Health Promotion Practice
      PubDate: 2020-05-06T04:20:00Z
      DOI: 10.1177/1524839920915189
      Issue No: Vol. 22, No. 3 (2020)
  • “It’s Not Too Aggressive”: Key Features of Social Branding
           Anti-Tobacco Interventions for High-Risk Young Adults
    • Authors: Gabriela Toledo, Julia McQuoid, Pamela M. Ling
      Pages: 423 - 432
      Abstract: Health Promotion Practice, Volume 22, Issue 3, Page 423-432, May 2021.
      Purpose. Peer crowd–targeted campaigns are a novel approach to engage high-risk young adults in tobacco use prevention and cessation. We elicited the perspectives of young adult key informants to understand how and why two social branding interventions were effective: (1) “COMMUNE,” designed for “Hipsters” as a movement of artists and musicians against Big Tobacco, and (2) “HAVOC,” designed for “Partiers” as an exclusive, smoke-free clubbing experience. Design. Qualitative study (27 semistructured qualitative phone interviews). Setting. Intervention events held in bars in multiple U.S. cities. Participants: Twenty-seven key informants involved in COMMUNE or HAVOC as organizers (e.g., musicians, event coordinators) or event attendees. Measures. We conducted semistructured, in-depth interviews. Participants described intervention events and features that worked or did not work well. Analysis. We used an inductive-deductive approach to thematically code interview transcripts, integrating concepts from intervention design literature and emergent themes. Results: Participants emphasized the importance of fun, interactive, social environments that encouraged a sense of belonging. Anti-tobacco messaging was subtle and nonjudgmental and resonated with their interests, values, and aesthetics. Young adults who represented the intervention were admired and influential among peers, and intervention promotional materials encouraged brand recognition and social status. Conclusion. Anti-tobacco interventions for high-risk young adults should encourage fun experiences; resonate with their interests, values, and aesthetics; and use subtle, nonjudgmental messaging.
      Citation: Health Promotion Practice
      PubDate: 2020-02-29T05:43:43Z
      DOI: 10.1177/1524839920910372
      Issue No: Vol. 22, No. 3 (2020)
  • HIV Patient Navigation in the United States: A Qualitative Meta-Synthesis
           of Navigators’ Experiences
    • Authors: Katherine B. Roland, Darrel H. Higa, Carolyn A. Leighton, Yuko Mizuno, Julia B. DeLuca, Linda J. Koenig
      Abstract: Health Promotion Practice, Ahead of Print.
      Patient navigation is increasingly used to link and (re)engage persons with human immunodeficiency virus (HIV) to care. A more holistic understanding of patient navigation can be achieved by exploring the experiences of navigators, the persons who comprise half of the navigation process. We conducted a meta-synthesis of navigator experiences with HIV patient navigation using a phenomenological approach. We identified nine relevant studies. Data were analyzed using thematic synthesis. Analysis identified two overarching themes relating to (1) the breadth and depth of bidirectional relationships and functional activities that navigators undertake to connect their clients to care and (2) the inherently personal experience of delivering navigation services. From these thematic findings, we recommend that HIV patient navigators exhibit capacity and expertise in developing and maintaining interpersonal relationships with clients and health care systems/providers and develop self-care practices and emotional boundaries with clients. Our review seeks to advance public health research and practice by articulating key experiences and perspectives of HIV patient navigators, drawing findings and recommendations applicable to the development, implementation, and evaluation of HIV patient navigation.
      Citation: Health Promotion Practice
      PubDate: 2020-12-28T05:11:43Z
      DOI: 10.1177/1524839920982603
  • “I Like to Try My Hardest to Keep My Small Family Together”: Housing
           as a Key Resource for Academic Success of Pregnant and Parenting
           College-Aged Students
    • Authors: Christine M. Kava, Lena E. Thompson, Tracy Vo, Darlas Shockley, Jennifer Sabourin, Rima A. Afifi
      Abstract: Health Promotion Practice, Ahead of Print.
      Pregnant and/or parenting students (PPS) face unique challenges to attending college. The prevalence of housing insecurity may be higher among college PPS. Adding to the limited research in this area, our study explores how housing could be a barrier to attending and maintaining academic success in college for PPS. We partnered with a Midwestern community college (CC) to conduct the study, which consisted of (1) an environmental scan of in-state collegiate housing programs available to PPS, (2) an online survey among PPS attending the partner CC, and (3) key informant interviews with providers at agencies serving PPS and high school PPS planning to attend college. Eight of the 18 institutions we identified from our environmental scan offered family housing. Populations most often addressed were married students (56%), families (39%), and single parents (28%). Out of 22 responses from our online survey, about a third of PPS disagreed or strongly disagreed that they felt satisfied with housing support provided by the partnering CC and that housing options offered were family friendly. PPS perceived affordability, proximity to campus and to their children’s school, on-site day care, and amenities as important aspects of housing. Key informant participants (n = 9 interviews) described social support, PPS-specific housing, and access to services as important to college attendance. Community college efforts to meet the needs of PPS must consider the unique barriers PPS face to finding affordable and stable housing. Collaborating with local agencies that offer services for PPS is one approach to ensuring their academic success.
      Citation: Health Promotion Practice
      PubDate: 2020-12-21T11:08:23Z
      DOI: 10.1177/1524839920981957
  • “To Be a Guy Is to Be Human”: Outcomes of the WiseGuyz Program Through
           Photo-Based Evaluation
    • Authors: Deinera Exner-Cortens, Alysia Wright, Marisa Van Bavel, Kathleen C. Sitter, Debb Hurlock, Roseline Carter, Pam Krause
      Abstract: Health Promotion Practice, Ahead of Print.
      Gender-transformative approaches (i.e., approaches that support male-identified individuals to critique and resist stereotypical male gender role norms that negatively affect health and well-being) are increasingly recognized as a key health promotion strategy. However, there is limited evidence to date on gender-transformative interventions for male-identified adolescents. In addition, given the dynamic and socially constructed nature of gender, methods beyond quantitative data collection are needed to gain a holistic understanding of promising gender-transformative health promotion approaches. One newer method to capture lived experiences with adolescents is photo-based evaluation, where youth program participants take pictures to represent their knowledge, attitudes, and/or behaviors before and after a program. The present study presents findings from the photo-based evaluation of a gender-transformative health promotion program called WiseGuyz. WiseGuyz is offered to mid-adolescent, male-identified youth in school and community settings, and is designed to promote mental and sexual health and prevent violence. Six youth photographers from a rural Canadian setting took part in this evaluation, taking photos to represent what being a guy in their world meant before and after WiseGuyz. Youth then participated in an individual visual storytelling interview and a group-based photovoice process. Key themes in relation to masculinities that emerged from these data were around changes to (1) social norms and (2) emotionality following program participation, and the need for a safe program space to support these changes. This study adds to literature demonstrating the promise of gender-transformative approaches with adolescents, with implications for future health promotion research and practice with male-identified youth.
      Citation: Health Promotion Practice
      PubDate: 2020-12-18T07:11:19Z
      DOI: 10.1177/1524839920976382
  • Farmers Market Food Navigator Program: Key Stakeholder Perceptions and
           Program Outcomes
    • Authors: Marci K. Scott, Lila Gutuskey, Teresa Zwemer, Kyli Gallington
      Abstract: Health Promotion Practice, Ahead of Print.
      The Farmers Market (FM) Food Navigator program was designed over 3 years and follows a social ecological framework to increase vulnerable populations’ access to local foods and build confidence to shop in a FM supporting local food systems while promoting fruit and vegetable consumption. Food Navigators followed a program Playbook, though unlike many similar programs, the program did not offer incentives to subsidize FM purchases. To inform program design and understand outcomes, data were collected from Food Navigators, shoppers, FM managers, and FM vendors. Food Navigators supported five to seven FMs each season (May through October), spending 590 days in FMs over three seasons. Due to their interaction with Food Navigators, shoppers in Season 3 (n = 689) indicated that they would: shop more at the FM (80%); eat more vegetables (52%); and purchase more vegetables (50%). Of shoppers who interacted with Food Navigators more than once (n = 55), 26% reported a higher frequency of vegetable consumption on their last survey compared with their first. In Season 3, at least half of FM managers (n = 4, 50%) and vendors (n = 68, 57%) agreed that food navigators helped increase overall market fruit and vegetables sales. Findings indicated the program did influence multiple levels of a social ecological framework as intended. FM nutrition programs can have success at increasing market sales and improving health-related behaviors without offering incentives. As a result, programs could operate with smaller budgets and be more likely to have increased shopper fruit and vegetable consumption sustainably beyond the direct subsidy of purchases.
      Citation: Health Promotion Practice
      PubDate: 2020-12-11T11:30:39Z
      DOI: 10.1177/1524839920978163
  • Waiora: Connecting People, Well-Being, and Environment Through Waka Ama in
           Aotearoa New Zealand
    • Authors: Christina Severinsen, Angelique Reweti
      Abstract: Health Promotion Practice, Ahead of Print.
      Waka ama is unique as a sport because, as well as the physical benefits for paddlers, it also creates opportunities for participants to experience and connect with the natural environment. This research draws on interviews with waka ama paddlers in Aotearoa New Zealand to illustrate how the well-being of the environment connects to the spiritual, cultural, and physical health of people. Results highlight the multifaceted benefits of participating in waka ama. As well as the physical benefits for paddlers, waka ama also has a strong tikanga, which encourages language revitalization with the use of te reo Māori through karakia, waiata, and the general terms used associated with waka. It also creates opportunities for participants to experience and connect with the natural environment and improve their health. The knowledge gained from participants provide evidence of effective ways to improve health and well-being within communities with a particular focus on waiora, the spiritual connection between hauora and the environment.
      Citation: Health Promotion Practice
      PubDate: 2020-12-09T07:59:58Z
      DOI: 10.1177/1524839920978156
  • “Sharing Hope and Healing”: A Culturally Tailored Social Media
           Campaign to Promote Living Kidney Donation and Transplantation Among
           Native Americans
    • Authors: Rebecca K. Britt, Brian C. Britt, Jenn Anderson, Nancy Fahrenwald, Shana Harming
      Abstract: Health Promotion Practice, Ahead of Print.
      In this article, the authors discuss a community-based participatory research (CBPR)–driven and culturally tailored social media campaign to promote living kidney donation and transplantation (LKDT) serving Native American communities, who are disproportionately burdened by kidney failure. The effort represents a collaboration among researchers, tribal leaders and community members, medical centers, and other stakeholders to facilitate health promotion related to LKDT among the broader Native American community. Campaign objectives were collaboratively established by the researchers and stakeholders, and the campaign approach and materials were likewise developed in consultation with the community. The results indicated that the use of success stories about LKDT within campaign materials was a statistically significant predictors of heightened campaign engagement (p = .003, β = .223). Recommendations are offered for partnering with tribal communities and other stakeholders, as well as for building tailored health promotion strategies.
      Citation: Health Promotion Practice
      PubDate: 2020-12-03T07:35:08Z
      DOI: 10.1177/1524839920974580
  • El Sancocho, la Bandera y la Familia: The Social Life of Food and its
           Implications for Dominican Immigrant Health and Well-Being
    • Authors: Linda Sprague Martinez, Cristina Araujo Brinkerhoff, Bailey Conner, Magalis Troncoso Lama, C. Eduardo Siqueira, Rosalyn Negrón
      Abstract: Health Promotion Practice, Ahead of Print.
      In order to better understand factors that influence the health and well-being of Dominican immigrants, we explored the ways in which immigration influences cultural practices, health behavior, and health. Dominican immigrants (n = 42) took part in five reflective and unstructured group discussions and (n = 5) participated in an intergenerational photovoice group. The loss of the familial and social context in which Dominican dietary practices traditionally take place was a salient theme. For participants, eating became a rushed, perfunctory activity involving fewer people and less socializing. Dietary practices in the Dominican Republic are set in the context of familial norms and social processes, which provide support as well as opportunities for socializing and the transmission of cultural practices across generations. In the United States, broader sociopolitical forces are guided by individualism and do not support the development or maintenance of these factors for Dominicans. Policies that promote work–life balance may have important implications for dietary practices in new immigrant communities.
      Citation: Health Promotion Practice
      PubDate: 2020-11-26T07:18:16Z
      DOI: 10.1177/1524839920974603
  • Patterns of Cross-Sector Collaboration in Local Health Departments: A
           Cluster Analysis
    • Authors: Alexis K. Grant
      Abstract: Health Promotion Practice, Ahead of Print.
      Local health departments (LHDs) are positioned to act as the community health strategist for their catchment area, which requires cross-sector collaboration. However, little research exists to understand how much and what types of cross-sector collaboration occur and its impact on LHD practice. Data from 490 LHDs who participated in the 2016 National Profile of Local Health Departments survey were analyzed to identify patterns of cross-sector collaboration among LHDs. In the survey, LHDs reported the presence of collaborative activities for each of 22 categories of organizations. Factor analysis was used to identify patterns in the types of organizations with which LHDs collaborate. Then, cluster analysis was conducted to identify patterns in the types of cross-sector collaboration, and cross-sectional analyses examined which LHD characteristics were associated with cluster assignment. LHDs collaborated most with traditional health care–oriented organizations, but less often with organizations focused on upstream determinants of health such as housing. Three distinct clusters represented collaboration patterns in LHDs: coordinators, networkers, and low-collaborators. LHDs who were low-collaborators were more likely to serve smaller populations, be unaccredited, have a smaller workforce, have a White top executive, and have a top executive without a graduate degree. These findings imply that public health practitioners should prioritize building bridges to a variety of organizations and engage in collaboration beyond information sharing. Furthermore, LHDs should prioritize accreditation and workforce development activities for supporting cross-sector collaboration. With these investments, the public health system can better address the social and structural determinants of health and promote health equity.
      Citation: Health Promotion Practice
      PubDate: 2020-11-23T07:05:41Z
      DOI: 10.1177/1524839920972982
  • Local Data for Action: Statewide Dissemination of School Wellness Policy
           Evaluations in Wisconsin
    • Authors: Erin Skalitzky, Hilary Joyner, Lindsay Weymouth
      Abstract: Health Promotion Practice, Ahead of Print.
      School settings can influence child health, including physical activity and diet, through the promotion of high-quality wellness policies. Many studies have analyzed the quality of school wellness policies, but evidence is lacking regarding the dissemination of the policy evaluation results to school districts. This study describes the process the Wisconsin Health Atlas followed to disseminate tailored school wellness policy data reports and interactive dashboards to school districts throughout the state and the results of the statewide dissemination efforts. Prioritizing the translation of research to practice, the process included collaborating with key stakeholders and partners to provide formative feedback on the dissemination activities. The electronic and hard copy reports were disseminated to 232 districts through email and U.S. mail. Each district received a tailored report featuring an executive summary, local data for action, personalized policy recommendations, best practices, and a unique code to enter into interactive data dashboards to explore additional local, regional, and state-level data. In the utilization follow-up survey (20.3% response rate), respondents indicated that the report will help their district to improve the quality of their school wellness policy. Additionally, respondents who had used the report specified they used the data to identify areas for policy improvement and to support their triennial assessment, suggesting that districts value the technical support. To support school districts in improving the quality of school wellness policies, we recommend researchers prioritize collaborative dissemination efforts and provide actionable policy data when conducting school wellness policy evaluations.
      Citation: Health Promotion Practice
      PubDate: 2020-11-23T07:05:21Z
      DOI: 10.1177/1524839920973650
  • Local and State Policy Action Taken in the United States to Address the
           Emergence of E-Cigarettes and Vaping: A Scoping Review of Literature
    • Authors: Madison O’Connell, Lindsay Kephart
      Abstract: Health Promotion Practice, Ahead of Print.
      IntroductionIn response to rising rates of youth vaping and e-cigarette use, states and localities in the United States have adopted various tobacco control policies and have extended their utility to these emerging products. However, the extent to which these policies have been evaluated for their impact on youth use is unknown.MethodTwo databases (PubMed, Google Scholar) were searched for English language peer-reviewed articles pertaining to electronic cigarette policy evaluation between 2009 and 2020. Primary articles of interest were journal articles that evaluated an e-cigarette policy. Secondary articles of interest were journal articles that identified any e-cigarette policy action without a formal evaluation component, those that evaluated tobacco policy, or those that described e-cigarette behaviors and trends. Tertiary articles included gray literature that provided context for e-cigarette trends and additional policy identification.ResultsThe final sample consisted of 12 relevant articles with an e-cigarette policy evaluation component and 62 relevant articles without such component, and 19 gray literature sources. Findings were synthesized based on policy type: product classification, age restrictions, smoke-free policies, flavor bans, sales restrictions, taxation, packaging, and advertising.ConclusionPolicies that address access and use of e-cigarettes are common on the federal, state, and local level, are mostly reactionary, and mimic tobacco control efforts. Few policies have been formally evaluated for their effectiveness in reducing or preventing youth vaping. Strengthening the evidence base should be a priority for researchers going forward, given the potential of these policies to intervene on social and environmental conditions that affect youth initiation and uptake.
      Citation: Health Promotion Practice
      PubDate: 2020-11-07T09:42:46Z
      DOI: 10.1177/1524839920963691
  • Bridging the GAP: Leveraging Partnerships to Bring Quality Nutrition
           Education to the Gardening Apprenticeship Program
    • Authors: Lillian Orta, Esther Yepez, Nina Nguyen, Rosario Rico, Sang Leng Trieu
      Abstract: Health Promotion Practice, Ahead of Print.
      In the United States, about 12% of households are food-insecure, which can have negative health outcomes for children, including delayed development and early onset of obesity. Although many programs prioritize children, few evidence-based interventions exist for adolescents that address nutrition education. One promising intervention is teaching adolescents how to cook healthy meals. The Los Angeles Trust for Children’s Health partnered with The Los Angeles Neighborhood Land Trust to integrate nutrition education and hands-on cooking demonstrations into an after-school program called the Gardening Apprenticeship Program at a local high school. Designed as a yearlong intervention, the Gardening Apprenticeship Program involves garden-based activities teaching food and environmental justice. Cultivating partnerships with other community-based organizations can help build capacity to pilot and replicate similar programs in other communities in food deserts.
      Citation: Health Promotion Practice
      PubDate: 2020-10-21T11:02:31Z
      DOI: 10.1177/1524839920963583
  • Lessons Learned From Recruiting Latino Fathers in Child Health Research
    • Authors: Ana Cristina Lindsay, Madelyne J. Valdez, Joanna A. Pineda, Mario A. Muñoz
      Abstract: Health Promotion Practice, Ahead of Print.
      Latinos are the largest minority population group in the United States, and Latino children currently account for one fourth of U.S. children under age 18. Family is a core value in the Latino culture, and fathers play a central role within the family, including making decisions that influence their children’s health. Nonetheless, Latino fathers are often underrepresented in child health research. This study was designed to describe effective strategies to recruit Latino fathers into five child health research studies. Using a data recruitment log, we collected quantitative and qualitative data on recruitment strategies used to reach and enroll Latino fathers into five child health research studies from 2016 to 2020. Methods classified as direct recruitment strategies involved interaction between potential participants with research staff, whereas indirect methods involved no interaction with research staff and potential participants. In total 113 Latino fathers, majority low-income, immigrant, participated in the studies. Direct recruitment methods in combination with snowball sampling were the most successful strategies for recruiting Latino fathers, contributing to approximately 96% (n = 107) of the total participants. Indirect methods were much less effective, with social media contributing to only 3.6% (n = 4) of total participants. Not a single participant was recruited through printed materials (e.g., flyers posted or distributed). Furthermore, qualitative findings revealed the importance of culturally and linguistically relevant approaches in efforts to recruit and enroll Latino fathers. Future research should consider directly asking Latino fathers’ preferences for recruitment and participation in child health research.
      Citation: Health Promotion Practice
      PubDate: 2020-10-19T10:06:46Z
      DOI: 10.1177/1524839920963704
  • Using Implementation Mapping to Develop Implementation Strategies for the
           Delivery of a Cancer Prevention and Control Phone Navigation Program: A
           Collaboration With 2-1-1
    • Authors: Lynn N. Ibekwe, Timothy J. Walker, Ebun Ebunlomo, Katharine Ball Ricks, Sapna Prasad, Lara S. Savas, Maria E. Fernandez
      Abstract: Health Promotion Practice, Ahead of Print.
      Cancer prevention and control (CPC) behaviors, such as cancer screening, human papillomavirus vaccination, and smoking cessation, are critical public health issues. Evidence-based interventions have been identified to improve the uptake of CPC behaviors; however, they are often inconsistently implemented, affecting their reach and effectiveness. Patient navigation is an evidence-based approach to increasing CPC behaviors. Nevertheless, there are few navigation programs that use systematically developed implementation strategies to facilitate adoption, implementation, and maintenance, which affects uptake and outcomes. This article describes the development of a multifaceted implementation strategy designed to facilitate delivery of a CPC phone navigation program to increase breast, cervical, and colorectal cancer screening; human papillomavirus vaccination; and smoking cessation among 2-1-1 Texas helpline callers. Using implementation mapping, a systematic approach for developing implementation strategies, we designed a strategy that involved training 2-1-1 information specialists to deliver the program, developed online tracking and quality-monitoring (audit and feedback) systems, and developed and distributed protocols and other materials to support training and implementation. Through this iterative process and our collaboration with 2-1-1 Texas call centers, our project resulted in a comprehensive training program with a robust curriculum of pertinent program content, for which we identified core components and appropriate delivery modes that are culturally relevant to the population. The results of this study can be applied to the development of more systematic, transparent, and replicable processes for designing implementation strategies. The study also demonstrates a process that can be applied to other contexts and other CPC program implementation efforts.
      Citation: Health Promotion Practice
      PubDate: 2020-10-09T11:58:45Z
      DOI: 10.1177/1524839920957979
  • Outcomes of a Community-Wide Health Intervention in a Low-Income,
           Primarily Hispanic Community: The Go! Austin/Vamos! Austin (GAVA)
    • Authors: Nalini Ranjit, Aida Nielsen, Nika Akhavan, Laurence Denis, Kathryn Janda, Christine Jovanovic, Semonti Basu, Aliya Hussaini, Alexandra van den Berg
      Abstract: Health Promotion Practice, Ahead of Print.
      ObjectivesTo describe outcomes of a 4-year physical activity (PA) and nutrition intervention (2013–2017) in Dove Springs, a low-income urban community in Texas.MethodGo! Austin/Vamos! Austin is a place-based intervention targeting the built and social environments of PA and nutrition. Baseline and follow-up measures related to PA and nutrition were obtained from 357 parent–child dyads (final n = 236) in the intervention community and a control community. A three-level dose of exposure measure was created to indicate the amount of exposure to intervention activities across the 4 years. Pre–post changes in key outcomes by level of exposure and contrasts across “high exposure” and “no exposure” categories were obtained using repeated-measures regression, adjusting for important confounders.Results“High exposure” adult participants showed consistently more favorable changes than “no exposure” participants across a variety of indicators, including positive perceptions and utilization of community PA resources, amount of moderate PA, utilization of retail outlets offering fresh produce, and measures of healthy eating. Few improvements were seen in child-level outcomes.ConclusionsCommunity interventions can successfully improve health-promoting behaviors provided they ensure sufficient dose of exposure.
      Citation: Health Promotion Practice
      PubDate: 2020-10-09T11:52:44Z
      DOI: 10.1177/1524839920961365
  • Implementing Play Streets in Low-Income Rural Communities in the United
    • Authors: Keshia M. Pollack Porter, Christina N. Bridges Hamilton, M. Renée Umstattd Meyer
      Abstract: Health Promotion Practice, Ahead of Print.
      Play streets involve the temporary closure of streets that for a specified time create a safe place for active play. Play streets have been implemented primarily in cities; it is unknown if they could be adapted and implemented in rural areas. To learn about implementation, core components of play streets and inform adaptation, we conducted systematic peer-reviewed and grey literature searches and interviews with a purposive sample of key informants. Data were analyzed by theme and used to inform implementation of play streets by four community organizations in low-income rural areas of Maryland, North Carolina, Oklahoma, and Texas from June to September 2017. Core elements of play streets in urban areas were present in rural settings—the content (e.g., activities offered), delivery of the intervention in partnership with community members and local organizations, and reoccurrence of play streets at a single location. There were three key adaptations relating to delivery and context to consider uniquely when implementing play streets in rural areas (1) using locations other than streets, (2) varying locations to account for geographic dispersion, and (3) maximizing participation and resources by coupling play streets with community events. Play streets can be successfully implemented in rural settings with these modifications, which support feasibility, reach, and access. Play streets in rural areas should include activities for active play that are age-appropriate and fun, without necessarily tailoring content for rural areas.
      Citation: Health Promotion Practice
      PubDate: 2020-09-12T06:22:42Z
      DOI: 10.1177/1524839920957228
  • Impact of a Healthy Retail Intervention on Fruits and Vegetables and Total
           Sales in Tribally Owned Convenience Stores: Findings From the THRIVE Study
    • Authors: Mary B. Williams, Wenyu Wang, Tori Taniguchi, Alicia L. Salvatore, William K. Groover, Mariana Wetherill, Charlotte Love, Tamela Cannady, Mandy Grammar, Joy Standridge, Jill Fox, Valarie Blue Bird Jernigan
      Abstract: Health Promotion Practice, Ahead of Print.
      BackgroundHealthy retail interventions are a recommended intervention strategy to address diet-related diseases, such as obesity and diabetes; however, retail managers are concerned about their bottom line. This study’s aim was to assess the impact of a healthy retail intervention on fruits and vegetables (FV) sales, as well as total sales, in tribally owned convenience stores where grocery stores are scarce.MethodWe analyzed weekly sales data over the first 6 months of a healthy retail intervention. We assessed the proportion of sales from two FV baskets. The FV basket included all fresh, canned, and dried FV sold at stores; while the fruits, vegetables, and salads (FVS) basket included all FV items as well as all salads sold. We compared mean weekly sales rates in intervention and control stores over the 6-month period using generalized estimating equations models to account for repeated measures.ResultsMean weekly FV basket sales rates were higher in intervention stores than control stores in both Nations. Mean weekly FVS baskets sales were significantly higher in intervention stores than control stores in one Nation and were higher, but not statistically significant, in intervention stores in the other Nation. Total sales remained steady throughout the intervention period.ConclusionsThe THRIVE (Tribal Health and Resilience in Vulnerable Environments) intervention increased FV sales without negatively affecting total sales. Policy and Practice Implications. Healthy retail interventions in tribal convenience stores, where many Native Americans living in rural areas shop due to scarcity of grocery stores, could improve diet-related disparities without reducing total sales.
      Citation: Health Promotion Practice
      PubDate: 2020-09-11T06:09:01Z
      DOI: 10.1177/1524839920953122
  • Action to Improve Social Determinants of Health: Outcomes of Leadership
           and Advocacy Training for Community Residents
    • Authors: Ashley Wennerstrom, Julia Silver, Miranda Pollock, Jeanette Gustat
      Abstract: Health Promotion Practice, Ahead of Print.
      Racial and ethnic disparities remain a public health problem and are largely due to social determinants of health (SDOH). Using an adapted 36-hour community health worker (CHW) curriculum, we trained 42 lay community residents in New Orleans, Louisiana, neighborhoods experiencing disparities in leadership and advocacy skills to address SDOH. Six months posttraining, 29 participants completed a follow-up survey and interview. Participants described increases in knowledge, self-efficacy, and activities related to leadership and advocacy at all levels of the social ecological model. We also found a significant increase in communicating with Louisiana state senators or representatives (p < .0339). Our findings show that an adapted CHW training curriculum focused on SDOH, leadership, and advocacy can be used to train lay community residents in how to make changes in the community conditions that affect health and prompt new engagement to address SDOH at all levels of the social ecological model. Future efforts to increase lay community participation in addressing SDOH may benefit from providing ongoing support to participants such as organizing meetings with residents interested in similar topics, offering opportunities to “shadow” experienced CHWs, or hosting additional skills building workshops.
      Citation: Health Promotion Practice
      PubDate: 2020-09-11T06:08:29Z
      DOI: 10.1177/1524839920956297
  • Pedagogic Tailoring of a Human Research Ethics Training for
           Community-Engaged Research With Latinos
    • Authors: Patricia I. Documet, William Louth, Ivonne Smith-Tapia, Maria Catrina Jaime, Elizabeth Miller, Sharon E. Taverno Ross
      Abstract: Health Promotion Practice, Ahead of Print.
      Because of the increase in community-engaged research, several human research ethics trainings for laypeople have been developed. We aim to (1) describe the pedagogical tailoring of a research ethics training for laypeople for a research study where promotores—community health workers—delivered an intervention to increase health care access and promote healthy behaviors among Latinos and (2) present results of the application of the training after 4 months in the field. We tailored a previously developed training to Latino community members implementing a research study. Key modifications included (1) translation (2) use of pedagogical tools, such as cooperative learning, role-plays, and inclusion of cultural preferences. One novel addition was to use dialogues that the trainees enacted and then discussed. We evaluated the training with a posttraining survey with eight community liaisons and 13 promotores implementing the intervention, and a focus group with eight promotores, 4 months after working in the field. Trainees said they felt confident obtaining informed consent, felt the dialogues were realistic and helped them remember what they learned, and wanted more feedback from trainers on their performance. Promotores demonstrated the application of ethical principles beyond the training by discussing the possibility of advertising broadly in social media (justice), the risks and benefits of providing community resources to participants (beneficence), and the university’s role in legitimizing their position as promotores (respect). We conclude that a pedagogically tailored ethics research training for laypeople can be successful and that dialogues to be enacted need to be explored further.
      Citation: Health Promotion Practice
      PubDate: 2020-09-05T07:15:46Z
      DOI: 10.1177/1524839920954122
  • Avancemos! Building Partnerships Between Academia and Underserved Latinx
           Communities to Address Health Disparities Through a Faculty-Mentored
           Undergraduate Research Program
    • Authors: Ana Cristina Lindsay
      Abstract: Health Promotion Practice, Ahead of Print.
      Latinx is the largest minority population group in the United States and disproportionately affected by health disparities. Efforts to address such health disparities require a concerted, multipronged approach that should involve training the next generation of Latinx health professionals to become part of a culturally competent workforce. This article describes a formative assessment of a faculty mentored undergraduate research program at the University Massachusetts–Boston, called “Avancemos!: Advancing Research Skills and Professional Career Opportunities in Health Sciences for Latinx Undergraduate Students” designed to provide mentorship, research training, and professional career development skills for undergraduate Latinx students. We employed a mixed-method approach in the formative assessment of the program. Our results showed that over the course of four academic semesters the program served a majority female, first-generation, immigrant low-income Latinx undergraduate students. Our qualitative assessment of students’ perceived benefits of participation in the program suggests positive effects on a number of areas including the acquisition of concrete and marketable research skills, enhanced understanding and application of knowledge gained in other courses, increased network, enhanced sense of belonging to the academic community, increased professional self-confidence, and enhanced preparedness and plans to pursue graduate studies. Furthermore, our findings suggest that participation in community-engaged research activities offered opportunities for students to realize the role research plays in reducing health disparities. Faculty-mentored undergraduate research programs such as the Avancemos! offer essential opportunities to build partnerships between academia and underserved Latinx communities to address health disparities, while contributing to the development of culturally competent health professions workforce.
      Citation: Health Promotion Practice
      PubDate: 2020-08-28T05:04:33Z
      DOI: 10.1177/1524839920953782
  • The Health Equity Framework: A Science- and Justice-Based Model for Public
           Health Researchers and Practitioners
    • Authors: Amy Peterson, Vignetta Charles, David Yeung, Karin Coyle
      Abstract: Health Promotion Practice, Ahead of Print.
      In this article, we describe a science- and justice-based framework for promoting health equity designed for researchers and practitioners working across public health and social science fields. We developed the health equity framework (HEF; in two phases of iterative development. Building on existing models, the HEF illustrates how health outcomes are influenced by complex interactions between people and their environments. The framework centers on three foundational concepts: equity at the core of health outcomes; multiple, interacting spheres of influence; and a historical and life-course perspective. Health equity is defined as having the personal agency and fair access to resources and opportunities needed to achieve the best possible physical, emotional, and social well-being. By centering population outcomes, the HEF encourages researchers and practitioners to think beyond traditional approaches that focus on individual behaviors and choices to assess and identify their gaps in acknowledging and addressing factors from multiple spheres of influence. We identified four, interacting spheres of influence that represent both categories of risk and protective factors for health outcomes as well as opportunities for strategies and interventions that address those factors. The HEF highlights the explicit and implicit interactions of multilevel influences on health outcomes and emphasizes that health inequities are the result of cumulative experiences across the life span and generations. The HEF is a practical tool for leaders and professionals in public health research and practice to reflect on and support a shift toward addressing health inequities resulting from the interplay of structural, relational, individual, and physiological factors.
      Citation: Health Promotion Practice
      PubDate: 2020-08-20T06:14:50Z
      DOI: 10.1177/1524839920950730
  • Capacity Building Together: Shifting Roles for Research and Implementation
           in Health Resilience Among American Indians in Arizona
    • Authors: Lisa J. Hardy, kevin l. shaw, Amy Hughes, Elizabeth Hulen, Priscilla Sanderson, Candi Corrales, Travis Pinn, R. Cruz Begay
      Abstract: Health Promotion Practice, Ahead of Print.
      Community engagement has become a leading framework for supporting health equity. The process of engagement includes groups working together to continually identify and erode existing inequalities to promote a justice-oriented approach to health and wellness for all. Missing from the literature is a fine-grained study of processes that occur between and among project partners building the foundation for ongoing trust and reciprocity. Our project, Health Resilience among American Indians in Arizona, brought new and seasoned researchers together to collect and analyze data on healthcare provider knowledge and American Indian resilience. Four years after the conclusion of the project, central members of the team developed a postproject self-assessment to investigate lasting impacts of project participation using what we call an “Iterative Poly-knowledge Evaluation Cycle approach.” Results highlight the value of flexibility of roles and organic change within projects, the importance of a focus on strengths rather than deficits, and the identification of lasting change on project team members at all levels to build and bolster multisectoral scaffolding for partnerships for health. We present this case study to contribute to an understanding of impacts of community-engaged, Indigenous research projects on people who work together toward challenging existing systems of inequality for better community health.
      Citation: Health Promotion Practice
      PubDate: 2020-08-19T11:06:09Z
      DOI: 10.1177/1524839920947419
  • Pilot Study of an Overdose First Aid Program in Juvenile Detention
    • Authors: Stephanie Chambers, Melanie Baca, Ekaterina Navrotskaya, Annemarie Madaras, Robert L. Rhyne, Jennifer Hettema, Christina Phillips
      Abstract: Health Promotion Practice, Ahead of Print.
      ObjectivesThe purpose of this study was to evaluate the feasibility and short-term impact of a brief opioid overdose prevention and mitigation training administered to detained youth at risk for witnessing an overdose.MethodsAdolescents seen in the medical clinic in a youth detention center were screened to determine risk for witnessing an overdose. Eligible adolescents completed a pretraining assessment that included opioid witnessing experiences and knowledge of and attitudes toward opioid overdose prevention. Participants completed a one-on-one overdose first aid training, received a naloxone (Narcan) kit at release, and completed a posttraining assessment of knowledge and attitudes. At 1 month and 3 months postrelease, participants completed telephone interviews to report satisfaction and application of training concepts.ResultsA total of 39 adolescent residents participated in this pilot study. Rates of recruitment and retention, as well as high rates of witnessing opioid use and overdose, indicate that opioid overdose prevention interventions are warranted with this population. There were significant changes in knowledge, confidence, and readiness to intervene in an opioid overdose from pre- to posttraining. At follow-up, the majority of participants still possessed their naloxone, and all reported sharing information from the training with others and having a plan if they witnessed an overdose. One participant reported completion of an overdose reversal.ImplicationsOpioid overdose prevention training with detained youth is feasible and shows promising impacts on knowledge and application, meriting the need for future research.
      Citation: Health Promotion Practice
      PubDate: 2020-08-18T07:15:27Z
      DOI: 10.1177/1524839920950028
  • Developing a Primary Care–Focused Intervention to Engage Patients With
           Osteoarthritis in Physical Activity: A Stakeholder Engagement Qualitative
    • Authors: Ida Griesemer, Maihan B. Vu, Leigh F. Callahan, Rebecca Cleveland, Yvonne M. Golightly, Kimberlea Grimm, Katie Huffman, Amanda E. Nelson, Jennifer Rees, Kelli Allen
      Abstract: Health Promotion Practice, Ahead of Print.
      Physical activity (PA) is important for managing osteoarthritis (OA), but many patients are inactive. Research is needed on strategies to leverage clinical encounters to engage patients in PA. Guided by the socioecological model of health behavior, this study aimed to engage stakeholders in the process of refining an Osteoarthritis Physical Activity Care Pathway (OA-PCP). Six focus groups and seven individual interviews were conducted with key stakeholders. Focus groups were specific to stakeholder roles and included patients with OA, support partners, and clinic personnel (n = 6 focus groups). Interview participants were local and national PA program representatives (n = 7 interviews). Data were analyzed by thematic analysis. Themes identified in the data included ways the OA-PCP can help patients with OA address challenges to PA engagement, strategies for connecting patients with PA resources, methods for implementing OA-PCP into clinical settings and potential use of PA trackers in the OA-PCP program. Stakeholders’ comments were summarized into key recommendations for OA-PCP. Some recommendations reinforced and led to refinements in planned aspects of OA-PCP, including tailoring to individual patients, involvement of a support partner, and addressing pain with PA. Other recommendations resulted in larger changes for OA-PCP, including the addition of three email- or mail-based contacts and not requiring use of a PA tracker. The refined OA-PCP program is being evaluated in an exploratory trial, with the ultimate goal of establishing a PA program for OA that can be successfully implemented in clinical settings.
      Citation: Health Promotion Practice
      PubDate: 2020-08-12T09:03:08Z
      DOI: 10.1177/1524839920947690
  • Supporting Local Health Departments to Lead Multisectoral Youth Violence
           Prevention Efforts
    • Authors: Allison B. Dymnicki, Jason Katz, Xan J. Young, Mary Thorngren, Jazmine Orazi, Khiya J. Marshall, Corey D. Lumpkin
      Abstract: Health Promotion Practice, Ahead of Print.
      This article examines organizational-level outcomes achieved during a technical assistance (TA) initiative designed to increase the capacity of local health departments (LHDs) to prevent youth violence (YV) via a multisectoral approach. This effort was designed to address the knowledge gap regarding how to provide effective TA to LHDs, specifically in YV. Twelve communities with high rates of YV were selected to participate using a multistage process. TA provided to LHD representatives (and other community partners) included monthly calls with TA specialists, group online learning events, community-of-practice calls, and access to an online portal offering additional resources. Data sources were used to determine the extent to which communities achieved the initiative’s intended outcomes, including increased infrastructure to support youth violence prevention (YVP) at LHDs and the creation of community-wide violence prevention plans. Data sources included an online TA tracking system, annual semistructured group interviews, and point-of-contact surveys. While results indicated variation in TA uptake across sites, several target outcomes were achieved including increased representation and engagement of diverse perspectives in local YVP efforts and strengthened infrastructure and integration of YVP at LHDs. Findings highlight the importance of supporting LHDs to align YVP work with other priorities and funded activities, building a larger role for leadership in providing organizational support for YV, supporting the development of multisector coalitions or partnerships to decrease silos among different sectors focused on similar populations or communities. Implications from this initiative suggest that LHDs can be supported to convene local, multisector YVP efforts, which can be sustained if local YVP infrastructure is enhanced.
      Citation: Health Promotion Practice
      PubDate: 2020-08-07T09:59:13Z
      DOI: 10.1177/1524839920947766
  • Supplementing Substance Use Prevention With Sexual Health Education: A
           Partner-Informed Approach to Intervention Development
    • Authors: Terrinieka W. Powell, Meghan Jo, Anne D. Smith, Beth D. Marshall, Santha Thigpen, Asari Offiong, Sophia R. Geffen
      Abstract: Health Promotion Practice, Ahead of Print.
      Supplementing substance use prevention with sexual health education would allow educators to address the risk and protective factors that influence both health issues. This streamlined approach may minimize the inefficiencies of multisession, single-purpose interventions. Our team developed a supplemental sexual and reproductive health (SRH) unit to align with an existing evidence-based intervention, LifeSkills Training (LST). This goal of this article is to describe our process, final product, lessons learned, and future directions. Our partner-informed approach took place across three key phases: (1) formative insights, (2) unit development, and (3) pilot implementation. The final supplemental SRH unit is ten, 45-minute sessions offered to seventh- and eighth-grade students and includes a set of learning objectives that are aligned with individual sessions. The supplemental SRH unit also mirrors existing LST modules in length, flow, layout, facilitator instructions, focus on prevention, and utilization of a student workbook. Lessons learned include strategies to effectively incorporate a wide range of ongoing feedback from multiple sources and quickly respond to staff turnover. This partnership approach serves as a model for researchers and practitioners aiming to extend the reach of existing evidence-based programs.
      Citation: Health Promotion Practice
      PubDate: 2020-08-05T10:27:16Z
      DOI: 10.1177/1524839920947683
  • Understanding Decision Making by Families About Youth Football
           Participation Postconcussion
    • Authors: Emily Kroshus, Deborah Bowen, Douglas Opel, Sara P. D. Chrisman, Frederick P. Rivara
      Abstract: Health Promotion Practice, Ahead of Print.
      Many families are concerned about their child’s risk of concussion, and some seek counsel from clinicians about whether or not to return to contact sports participation postinjury. The present study sought to identify factors that parents weight most heavily in forming their preferences regarding whether their child should return to contact sport after recovering from a concussion. Survey data were collected from 568 parents of youth football players (aged 7–14 years) in the Pacific Northwest region of the United States (73% response rate). Approximately two thirds (63%) of parents preferred that their child retire from football after one or two concussions. Multivariable linear regression indicated parents above the sample mean in terms of how strongly they valued football participation preferred their child stop after more concussions than parents below the sample mean (β = .44, standard error [SE] = 0.06, p < .001). Factors endorsed by the most parents as making them “much more likely” to want their child to stop playing football included the belief that their child will experience cognitive issues later in life as a result of concussions (65.0%) and that their child will get another concussion while playing football (43.5%). Within the context of a clinical visit postconcussion, physicians may need to help families clarify their values related to football participation and provide information about the potential outcomes of returning to contact sport. A formalized shared decision aid could help support consistent implementation of this potentially challenging conversation.
      Citation: Health Promotion Practice
      PubDate: 2020-07-30T11:06:28Z
      DOI: 10.1177/1524839920945255
  • A Thematic Analysis on the Implementation of Nutrition Policies at Food
           Pantries Using the RE-AIM Framework
    • Authors: Meagan Helmick, Amy L. Yaroch, Paul A. Estabrooks, Courtney Parks, Jennie L. Hill
      Abstract: Health Promotion Practice, Ahead of Print.
      Food pantries are responsible for the direct distribution of food to low-income households. While food pantries may be concerned about the nutritional quality of the food they are serving, they may have limited resources to adopt and implement nutrition policies to support efforts to promote high nutritional quality of the food served. Guided by the RE-AIM (Reach, Effectiveness or Efficacy, Adoption, Implementation, Maintenance) framework, this qualitative study explored the degree of implementation of nutrition policies at food pantries, as well as the barriers to implementation in those pantries that had not adopted a nutrition policy. Semistructured interviews were conducted with 10 food pantry directors: seven pantries with a formal nutrition policy and three with an informal nutrition policy. Using a thematic analysis method, results demonstrated themes from the interviews with policy-adopting pantries to be barriers, enforcement, delivery of the policy, unexpected consequences, and fidelity to the policy. A targeted intervention that builds on this research and focuses on building the capacity of food pantries to develop, adopt, and implement nutrition policies as well as helping to increase fidelity to the policy would be beneficial to continue to improve the food donated and distributed at food pantries. By supporting food pantries in the development, adoption, and implementation of nutrition policies, researchers can play an important role in improving the quality of food in the emergency food network.
      Citation: Health Promotion Practice
      PubDate: 2020-07-27T06:54:26Z
      DOI: 10.1177/1524839920945250
  • What Motivates Engagement in a Community-Based Behavior Change Strategy
           for Overweight Children'
    • Authors: Gemma Enright, Alex Gyani, Karice Hyun, Margaret Allman-Farinelli, Christine Innes-Hughes, Lily Chen, Julie Redfern
      Abstract: Health Promotion Practice, Ahead of Print.
      Introduction. The success of family-based community programs for childhood obesity may be increased by promoting social-cognitive factors that influence motivation and participant engagement. Incentivizing behavior can potentially enhance engagement and encourage behavior change. This research investigated motivators to engagement with a multicomponent incentive-based strategy to improve attendance and health-related behavior change in a family community-based weight management program for overweight and obese children. Method. Qualitative analysis combining; demographic data (n = 512), survey of parents (n = 273), and stakeholder (n = 10) and family interviews (n = 24). Participants were selected from program providers and families participating in an Australian community weight management program during a randomized controlled trial (n = 512 children). Maximum variation sampling (demographics and group characteristics) and inductive thematic analysis were used. Results/Conclusion. Four factors influencing engagement were (1) personal value, (2) achievement, (3) support, and (4) overwhelm. These themes corroborated with social-cognitive factors, fostered by a combination of behavior change components in the program that increased participant accountability and intrinsic motivation. Focusing on autonomous goal planning with parental involvement, tracking of goals, and reviewing of goals may complement existing strategies in child-focused treatment programs. Low-value noncash incentives linked to goal setting for encouraging healthy eating and physical activity were well accepted and may enhance family engagement and attendance.
      Citation: Health Promotion Practice
      PubDate: 2020-07-27T06:54:21Z
      DOI: 10.1177/1524839920944859
  • Applying a Social Determinants of Health Approach to the Opioid Epidemic
    • Authors: Ruben Cantu, Dana Fields-Johnson, Sheila Savannah
      Abstract: Health Promotion Practice, Ahead of Print.
      Ohio is one of the hardest-hit states in the United States when it comes to opioid overdose deaths. Confronted with over 4,000 opioid overdose deaths in 2017, the Ohio Department of Mental Health and Addiction Services launched the Community Collective Impact Model for Change (CCIM4C) initiative to encourage 12 Ohio counties to think more deeply about primary prevention. By moving upstream and taking a look at the causes of the opioid crisis, the counties involved in the CCIM4C initiative were able to expand the range of potential partners and potential solutions, moving from emergency response alone to broader efforts to support social connection, economic security, and other social determinants of health. Each county brought together a wide array of partners, including local employers, community colleges, health care organizations, faith leaders, youth-serving organizations, first responders, librarians, school board members, public health officials, parks and recreation staff, and people with lived experience. This article focuses on the efforts of three counties—Ashtabula, Lorain, and Lawrence—to take on the community conditions that increase the risk of unhealthy substance use and addiction. It describes what they learned as they went beyond a sole focus on preventing opioid overdoses and deaths—as critically important as that is—to transforming their communities to support health and well-being in the first place.
      Citation: Health Promotion Practice
      PubDate: 2020-07-27T06:53:57Z
      DOI: 10.1177/1524839920943207
  • Describing the Nature and Correlates of Health Service Providers’
           Competency Working With Sexual and Gender Minority Patients: A Systematic
    • Authors: Corrine N. Wilsey, Robert J. Cramer, James M. Macchia, Frank D. Golom
      Abstract: Health Promotion Practice, Ahead of Print.
      Disparities in the health services delivered to sexual and gender minority (SGM) individuals are widespread across health service disciplines. Many health service providers do not have the knowledge, comfort, or skills necessary to provide health services to SGM individuals. The objective of the current systematic review was to review the correlates of competency (defined as knowledge, attitude, and skill) that health service providers possess for working with SGM individuals. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses was utilized to guide search and reporting strategies. PsycInfo/PsycArticles, PubMed/Medline, and Google Scholar databases were searched to find studies that addressed health service providers’ competency working with SGM individuals. There were 31 studies included in the review. Approximately half of the studies utilized the full definition of competency (knowledge, attitude, and skill). The most common competency assessed was knowledge, and the least common was skill. The majority of the studies addressed health service providers in the social sciences. Health service education needs to emphasize competency working with SGM individuals. Of particular importance is developing skill sets, as many providers reported that they did not have the skills necessary to provide culturally competent health services to SGM individuals.
      Citation: Health Promotion Practice
      PubDate: 2020-07-23T07:05:48Z
      DOI: 10.1177/1524839920943212
  • A Pilot Study and Ecological Model of Smoking Cues to Inform Mobile Health
           Strategies for Quitting Among Low-Income Smokers
    • Authors: Shuo Zhou, Arnold H. Levinson, Xuhong Zhang, Jennifer D. Portz, Susan L. Moore, M. Odette Gore, Kelsey L. Ford, Qing Li, Sheana Bull
      Abstract: Health Promotion Practice, Ahead of Print.
      One crucial factor that leads to disparities in smoking cessation between groups with higher and lower socioeconomic status is more prevalent socioenvironmental smoking cues in low-income communities. Little is known about how these cues influence socioeconomically disadvantaged smokers in real-world scenarios and how to design interventions, especially mobile phone–based interventions, to counteract the impacts of various types of smoking cues. We interviewed 15 current smokers living in low-income communities and scanned their neighborhoods to explore smoking-related experiences and identify multilevel cues that may trigger them to smoke. Findings suggest four major types of smoking cues influence low-income smokers—internal, habitual, social, and environmental. We propose an ecological model of smoking cues to inform the design of mobile health (mHealth) interventions for smoking cessation. We suggest that user-triggered strategies will be most useful to address internal cues; server-triggered strategies will be most suitable in changing perceived social norms of smoking and routine smoking activities to address social and habitual cues; and context-triggered strategies will be most effective for counteracting environmental cues. The pros and cons of each approach are discussed regarding their cost-effectiveness, the potential to provide personalized assistance, and scale.
      Citation: Health Promotion Practice
      PubDate: 2020-07-23T07:05:31Z
      DOI: 10.1177/1524839920942214
  • Productive Struggle: How Community Coalitions Developed Capacity to
           Conduct Qualitative Research Through CBPR
    • Authors: April Schweinhart, Holly Raffle
      Abstract: Health Promotion Practice, Ahead of Print.
      There is a lack of evidence as to how the subcomponents of motivation, innovation-specific capacity, and organizational capacity affect community readiness and the implementation of evidenced-based practices. The Strategic Prevention Framework-Partnerships for Success (SPF-PFS) Initiative in Ohio is guided by a collaboration between the Ohio Department of Mental Health and Addiction Services, Ohio’s SPF-PFS Evaluation Team, Ohio’s Coaching and Mentoring Network, and community coalitions from 10 Appalachian and/or rural communities. To address the goals of the SPF-PFS, we paired an empowerment evaluation framework with a community-based participatory research approach that enabled communities to take complete ownership of local data and research processes. This approach yielded a pedagogical framework in which all 10 community coalitions were able to extend a quantitative needs assessment by examining local conditions contributing to substance use using qualitative research methods. Members of the coalitions became local leaders in conducting qualitative research, which, in turn, enhanced their organizational capacity. Our purpose is to communicate this successful strategy, along with some challenges we encountered, for developing innovation-specific capacity within the participating community coalitions to utilize qualitative research methods in order to obtain information about the local conditions affecting substance misuse. We describe how an empowerment evaluation framework, when paired with community-based participatory research, can also increase organizational capacity by supporting community coalitions as they successfully leveraged new skills related to strategic planning.
      Citation: Health Promotion Practice
      PubDate: 2020-07-16T11:46:01Z
      DOI: 10.1177/1524839920940704
  • Breathe Well, Live Well: Implementing an Adult Asthma Self-Management
           Education Program
    • Authors: Emily A. Gardner, Barbara M. Kaplan, Pamela Collins, Hatice Zahran
      Abstract: Health Promotion Practice, Ahead of Print.
      Asthma remains a significant health problem in the United States. Adults with poorly controlled asthma can affect their community in a number of ways, from lost productivity in the workplace to health care costs to premature death. Asthma self-management education helps individuals achieve better control of their asthma and is critical for the overall health and well-being of individuals with asthma. While there are numerous programs and initiatives targeting children with asthma, there is a lack of comparable focus on the needs of adults with asthma. The American Lung Association developed Breathe Well, Live Well, an adult asthma self-management education program, and launched it nationwide in 2007. The program for adults has a flexible delivery format for community-based implementation. This article describes the development, dissemination, and transformation of the program. Each stage of implementation showed positive changes in asthma self-management practices that contribute to better asthma control, and one local implementation additionally showed decreased reports of missed work and unscheduled health care visits among participants. The findings from the three evaluations support the use of Breathe Well, Live Well for broad community-based implementation to improve asthma self-management efficacy and behaviors.
      Citation: Health Promotion Practice
      PubDate: 2020-07-13T09:10:06Z
      DOI: 10.1177/1524839920933259
  • The Feasibility and Acceptability of the Developing Real Incentives and
           Volition for Exercise (DRIVE) Program: A Pilot Study for Promoting
           Physical Activity in African American Women
    • Authors: Allison M. Sweeney, Dawn K. Wilson, Nicole Zarrett, M. Lee Van Horn, Kenneth Resnicow
      Abstract: Health Promotion Practice, Ahead of Print.
      Background. The purpose of the current article is to demonstrate how formative process evaluation was used in a pilot study to optimize the design and implementation of two motivationally targeted community-based physical activity (PA) interventions for inactive African American women. Method. Fifteen African American women (M age: 41.6 years) were randomized to a challenge-focused program targeted toward high autonomous motivation or a rewards-focused program targeted toward low autonomous motivation. The challenge-focused program targeted enjoyment and valuation of PA and a team-based positive social climate through competitive intergroup activities and team-based goals, whereas the rewards-focused program targeted PA interest, competency, and partner-based social support through a walking program, individual-based goals with financial incentives, and partner-based action-plans. Results. Feedback from participants revealed high levels of acceptability of essential elements. Average weekly attendance exceeded the a priori goal of ≥75% of members in attendance each week. External systematic observation demonstrated that session content dose was ≥93% in both programs. Facilitator-level fidelity exceeded the a priori goal of averaging ≥3 on a 4-point scale for behavioral skills, communication, autonomy support, and session content. The process evaluation also revealed areas for improvement, including facilitator-level social support and behavioral skills at the group-level. Process data collected through FitBits revealed that participants were engaged in self-monitoring PA during the 6-week programs. Conclusions. The formative process evaluation demonstrated adequate levels of feasibility and acceptability and also provided key insights into adjustments needed before proceeding with implementing the motivationally targeted group-based programs in a larger randomized study.
      Citation: Health Promotion Practice
      PubDate: 2020-07-08T02:40:09Z
      DOI: 10.1177/1524839920939572
  • Community Targeting of Uncontrolled Hypertension: Results of a
           Hypertension Screening and Education Intervention in Community Churches
           Serving Predominantly Racial/Ethnic Minority Populations
    • Authors: Heather M. Prendergast, Sandra Escobar-Schulz, Marina Del Rios, Renee Petzel-Gimbar, Charles McPherson, Maya Jackson, KaLynn Terrell, Sara W. Heinert
      Abstract: Health Promotion Practice, Ahead of Print.
      Background. Uncontrolled hypertension is the primary risk factor for the development of cardiovascular complications and particularly burdens racial/ethnic minority populations. Aim. To determine the effectiveness of a community hypertension screening, education, and empowerment intervention on blood pressure (BP) improvement. Method. We screened 152 participants across four churches in predominantly racial/ethnic minority neighborhoods for elevated BP. During this visit, those with BP ≥ 140/90 mmHg were enrolled in the study and completed interventions. Individuals with moderately elevated BP (≥140/90 and
      Citation: Health Promotion Practice
      PubDate: 2020-06-18T06:06:57Z
      DOI: 10.1177/1524839920933897
  • Engaging Youth Through Digital Badges to Promote Health in Underserved
    • Authors: Sara W. Heinert, Nasseef Quasim, Emily Ollmann, Melissa Socarras, Natalia Suarez
      Abstract: Health Promotion Practice, Ahead of Print.
      The CHAMPIONS NETWork program trains Chicago high school students as health advocates while preparing them to become future health professionals. We added digital badging to the curriculum in its third year of programming (2018). This article describes methods and student feedback about digital badging, allowing others to implement similar technology-driven opportunities to engage youth and promote healthy living. Program staff created seven online experiences (XPs) on health advocacy that made up a playlist. Students adopted three adults as clients and completed four XPs themselves and three with clients. Completion of all XPs resulted in a digital badge—an electronic portfolio of health advocacy experiences to be shared with employers and colleges. Following the 2019 cohort’s completion of the digital badge, we conducted two focus groups with students about their feedback on the digital badge. Results showed that students most liked the healthy eating and cardiopulmonary resuscitation XPs. They had more positive reactions to the experience than negative, and especially appreciated aspects of active learning, as well as the badge’s long-term benefits. This technology can potentially help any student with access to an electronic device become a health advocate, and could become a new tool for career development while improving population health.
      Citation: Health Promotion Practice
      PubDate: 2020-06-18T06:03:44Z
      DOI: 10.1177/1524839920934798
  • Readiness for Tobacco-Free Policy in a Statewide University System
    • Authors: Melinda J. Ickes, Amanda T. Wiggins, Mary Kay Rayens, Ellen J. Hahn
      Abstract: Health Promotion Practice, Ahead of Print.
      Background. Almost 2,000 campuses have adopted tobacco-free (TF) policies across the United States. However, there is not a systematic process to help campuses implement successful policies. Readiness assessments can help provide assistance as campuses work to implement successful policies. Purpose. We assessed readiness for TF policies among campuses of a statewide university system and determined factors associated with readiness. Participants. Stakeholders from 23 campuses without 100% TF policies were invited to participate in an online survey. Method. System administrators provided contacts for five to eight stakeholders per campus. Included in the analysis were 10 of 23 campuses (43.5%) with at least three stakeholders completing the survey. Results. Of the 10 campuses, one was in Preplanning, five were in Preparation, and four were in the Initiation stage of readiness. Political Climate was the highest scored dimension on seven campuses (0.74–1.0); Resources was the lowest on eight campuses (0.0–0.67). Campus size and county rurality were each associated with one dimension score. Conclusions. Despite being part of a statewide university system, campuses are in varying stages of readiness for TF policies. Stage-based strategies to advance TF campus policies must be implemented to set campuses up for successful policies.
      Citation: Health Promotion Practice
      PubDate: 2020-06-17T05:44:21Z
      DOI: 10.1177/1524839920934799
  • Good Health and Wellness: Reflections on Implementing Health Promotion in
           Indian Country
    • Authors: Colin Gerber, Sofia Locklear, Kai Stewart, LaTisha Marshall, Gunnar Colleen, Rosalina James
      Abstract: Health Promotion Practice, Ahead of Print.
      In 2014, the Centers for Disease Control and Prevention (CDC) launched “A Comprehensive Approach to Good Health and Wellness in Indian County” (GHWIC) to promote health and chronic disease prevention in tribal communities while facilitating cross-cultural learning and relationship-building. Through GHWIC, CDC aimed to work with American Indian and Alaska Native communities to identify effective health promotion strategies to address chronic disease disparities. Tribal sovereignty, community context, and consideration of tribal histories (e.g., oppression, genocide, and cultural erasure) are key to health improvement efforts and work with tribes. These elements center experience, knowledge, and self-determination to reclaim good health and wellness as Indigenous peoples see it. The Implementation Reflection Project was a qualitative inquiry composed of one-on-one discussions and small group sessions conducted to explore experiences of CDC staff, national partners, and tribal recipients as they implemented GHWIC program activities. The Project documented observations and recommendations for future tribal health funding efforts and identified best practices for effective partnerships with tribes and tribal organizations. Findings centered around tribal experiences with GHWIC, improved program processes, the importance of relationships, and the effects of internal capacity on implementation. Key suggestions for future work with tribal entities included simplifying and clarifying roles, expectations, and administration requirements, and establishing clear and consistent communication between program partners. The approach CDC used with GHWIC recipients was effective and respectful, but room for growth remains. Potential future collaborators in Indian Country should consider these findings when planning health promotion initiatives.
      Citation: Health Promotion Practice
      PubDate: 2020-06-17T05:43:46Z
      DOI: 10.1177/1524839920934811
  • Differences in Substance Use and Sexual Risk by Sexual Orientation and
           Gender Identity Among University and Community Young Adults in a
           U.S.-Mexico Border City
    • Authors: Oralia Loza, Thenral Mangadu, João B. Ferreira-Pinto, Priscilla Guevara
      Abstract: Health Promotion Practice, Ahead of Print.
      Ethnic and sexual minority young adults in El Paso, Texas, are at high risk for substance use, human immunodeficiency virus (HIV), and hepatitis C virus (HCV). In 2014, a Hispanic-serving higher education institution partnered with two community-based organizations to implement integrated substance use interventions and HIV and HCV prevention among young adults on campus and in surrounding communities. Among the 95 young adults, aged 18–24 years, who responded to a needs assessment survey, 91.5% were Hispanic, 53.7% were female, and 27.4% were sexual or gender minorities (SGMs) as defined by behavior and identity. SGMs had significantly higher rates of current smoking, drinking when bored, and of being told they had a drinking problem. Compared with the other young adult survey respondents, SGMs had lower health risk perceptions for tobacco, alcohol, and marijuana use and reported similar or higher rates of lifetime drug use during sex and higher rates of HIV risk behaviors. Study findings have implications for including measures for sexual orientation and gender identity in substance use studies, examining regional and cultural norms that may intersect to shape substance use among SGMs, and incorporating unique risk contexts for SGMs in interventions for substance use.
      Citation: Health Promotion Practice
      PubDate: 2020-06-15T08:47:03Z
      DOI: 10.1177/1524839920933257
  • To Speak to Me, Address Us: Insights From LGBT Young Adults to Inform
           Public Education Campaigns
    • Authors: Leah Hoffman, Janine Delahanty
      Abstract: Health Promotion Practice, Ahead of Print.
      Draft advertising concepts were tested in a series of focus groups among 140 lesbian, gay, bisexual, and transgender (LGBT) young adults aged 18 to 24 in seven U.S. cities in 2015. In this secondary analysis of focus group transcripts, young adult responses to tested concepts belie deeper lessons that have broader application for public education campaigns among LGBT young adult audiences. Respondents valued seeing both individuals who were like them and also unlike them, preferring a diverse portrayal of the fuller spectrum of LGBT communities, a finding which has implications for campaign segmentation of LGBT audiences. More broadly tailored communications for LGBT audiences can be appropriate as long as portrayals are diverse. These young adults expressed the desire to see nuanced, humanizing content that avoids playing into existing stereotypes. These findings also show how qualitative research can benefit segmentation and how research and communications can address the needs of subgroups within diverse segments.
      Citation: Health Promotion Practice
      PubDate: 2020-06-15T08:46:03Z
      DOI: 10.1177/1524839920933893
  • Developing and Implementing Farm Stress Training to Address Agricultural
           Producer Mental Health
    • Authors: Courtney Cuthbertson, Alison Brennan, John Shutske, Lori Zierl, Andrea Bjornestad, Katelyn Macy, Pam Schallhorn, Gwyn Shelle, Jami Dellifield, John Leatherman, Esther Lin, Mark Skidmore
      Abstract: Health Promotion Practice, Ahead of Print.
      Farmers and ranchers (agricultural producers) have higher psychological distress and suicide rates than the general population. Poorer mental health status and outcomes among producers are often attributed to the continuously challenging economic, social, and climate-related changes to agriculture as an occupation and industry. This article describes the development of a training program for agribusiness professionals from the U.S. Department of Agriculture Farm Service Agency (N = 500) who work with producers, as they regularly interact with producers and thus are in a position to readily offer helpful mental health resources. The goal of the program was for agribusiness professionals to build skills and confidence to identify and respond to distressed producers. The educational program was offered primarily online and included a 1-day in-person training to practice skills to communicate with distressed producers and refer them to appropriate mental health resources. Evaluation of the program demonstrated participants experienced gains in knowledge and skills related to identifying and helping distressed producers.
      Citation: Health Promotion Practice
      PubDate: 2020-06-10T05:06:06Z
      DOI: 10.1177/1524839920931849
  • A Community-Based Cultural Adaptation Process: Developing a Relevant
           Cooking Curriculum to Address Food Security for Burundian and Congolese
           Refugee Families
    • Authors: Marissa McElrone, Sarah Colby, Lisa Franzen-Castle, Melissa D. Olfert, Kendra K. Kattelmann, Hillary N. Fouts, Marsha Spence, Katie Kavanagh, Adrienne A. White
      Abstract: Health Promotion Practice, Ahead of Print.
      Refugee-specific nutrition and cooking curricula addressing dietary acculturation barriers to food security are limited. A cooking curriculum was culturally adapted for Burundian and Congolese refugees to address their unique dietary acculturation experiences. A four-phase curriculum adaptation process (information gathering [literature review, researcher informed, and formative interviews; n = 18], preliminary adaptation design [data incorporation and steering committee; n = 5], pilot testing [n = 10 youth/adult dyads], and refinement) was applied to the existing evidence-based iCook 4-H curriculum using a five-strategy (peripheral, evidential, linguistic, constituent-involving, and sociocultural) cultural adaptation framework. A multiphase, two-cycle coding analytic process was completed within NVivo 12, followed by direct content analysis. Seventeen adaptations were made to the iCook curriculum, derived from varying combinations of four data sources (literature review, researcher informed, priority population, and steering committee), applying all five cultural adaptation strategies. A majority of the curriculum adaptations were derived from two or more data sources (71%) and were categorized within multiple adaptation strategies (88%). This study provided a community-based cultural adaptation process that could be used with various populations to address unique barriers and facilitators to food security. This innovative model addresses cultural needs while simultaneously aiming to improve health habits of refugee communities.
      Citation: Health Promotion Practice
      PubDate: 2020-05-25T09:22:20Z
      DOI: 10.1177/1524839920922496
  • The Influence of Socioeconomic Status and Academic Standing on
           Concussion-Reporting Intentions and Behaviors in Collegiate Athletes
    • Authors: Landon B. Lempke, Michelle L. Weber Rawlins, Melissa N. Anderson, L. Stephen Miller, Robert C. Lynall, Julianne D. Schmidt
      Abstract: Health Promotion Practice, Ahead of Print.
      Concussion education have served as a keystone for improving concussion reporting. Numerous factors affecting concussion reporting have been explored; however, the role of socioeconomic status (SES) in reporting has not been established. We examined the influence of SES and academic achievement (high-school grade point average [HS-GPA] and American College Testing [ACT] composite scores) on athletes’ concussion-reporting intentions and behaviors. A cross-sectional study was employed among 191 athletes (94 female; age 19.3 ± 1.2 years). Athletes reported SES metrics (parental education and occupation, household income, HS-GPA, and ACT composite score) prior to their athletic season and completed a survey assessing symptom- and concussion-reporting intentions. Symptom- and concussion-reporting behaviors were assessed among athletes who experienced a concussion within the past year. SES was determined using the Hollingshead Four-Factor Index grouping athletes into SES strata. Athletes were grouped into low/high categories for academic achievement and household income variables. The 191 athletes were included for symptom- and concussion-reporting intentions analyses, while 46 and 41 were included for symptom- and concussion-reporting behavior, respectively. Nonparametric statistics with false discovery rate adjusted p values were employed. We found symptom- and concussion-reporting intentions, and symptom- and concussion-reporting behaviors were not significantly different based on SES strata (all p values ≥.64), household income (all p values ≥.64), HS-GPA (all p values ≥.24), or ACT scores (all p values ≥.25). Overall, SES and academic achievement may not play a role in understanding concussion reporting among middle- to high-SES collegiate athletes. Implementing policies targeting certain SES and academic levels might be an ineffective health care strategy for increasing reporting.
      Citation: Health Promotion Practice
      PubDate: 2020-05-23T06:06:52Z
      DOI: 10.1177/1524839920920289
  • Development, Applications, and Refinement of the Family Nutrition and
           Physical Activity (FNPA) Child Obesity Prevention Screening
    • Authors: Karissa L. Peyer, Lisa Bailey-Davis, Gregory Welk
      Abstract: Health Promotion Practice, Ahead of Print.
      Concerns regarding the continued high prevalence of childhood overweight and obesity have created a need for proactive approaches to behavior change. The Family Nutrition and Physical Activity (FNPA) screening tool was developed for research and clinical use to identify home environments and behaviors that could predispose youth to increased weight. FNPA scores have been shown to correlate with body mass index (BMI) percentiles in first-grade students and to predict unique variance in change in BMI percentiles from first to second grade. The FNPA has been used for family behavior counseling and is now a standard component of well-child visits throughout the Geisinger Health System in Pennsylvania. Parents complete the FNPA prior to annual visits, and providers can discuss areas of concern based on screening results. Children of parents who complete the FNPA have shown smaller increases in BMI z-scores over the following year than children of parents who did not complete the FNPA. The FNPA is also used to inform the arrangement of family-centered obesity treatment for children. Recently, the FNPA has undergone a systematic update to ensure its continued relevance and utility. The updated tool is provided, and current and future users can access more information about the tool at
      Citation: Health Promotion Practice
      PubDate: 2020-05-20T04:57:18Z
      DOI: 10.1177/1524839920922486
  • Promotoras Voice Their Challenges in Fulfilling Their Role as Community
           Health Workers
    • Authors: Pamela Orpinas, Rebecca A. Matthew, Luis R. Alvarez-Hernandez, Alejandra Calva, J. Maria Bermúdez
      Abstract: Health Promotion Practice, Ahead of Print.
      Promotoras de salud (Spanish for female community health workers) are integral to efforts to enhance the health and well-being of Latinx individuals, families, and communities. The purpose of this study was to describe the challenges that promotoras face and the proposed solutions from the perspective of the promotoras themselves. Five promotoras who worked for a year as volunteers in a community-based participatory research study, Lazos Hispanos, participated in two group interviews. Eight challenges emerged—balancing their new work with their family commitments, handling their perceived imbalance of power with men, managing the emotional impact of hearing participants’ problems, facing and handling the barriers imposed by having limited English language skills, feeling discouraged by the perception of ethnocentric beliefs and discrimination from some providers, feeling disheartened by the cultural beliefs of some Latinx participants, handling the lack of transportation for themselves and for the participants, and managing the burden of data collection for the research aspect of the program. The explanation of these challenges and the practical solutions they proposed are embedded in their intersecting identities. The solutions are a valuable addition to the practice of health promotion and community-based participatory research, particularly within Latinx communities.
      Citation: Health Promotion Practice
      PubDate: 2020-05-18T06:33:15Z
      DOI: 10.1177/1524839920921189
  • Assessing the Effectiveness of an Extender Model Partnership in
           Implementing a Multicomponent, School-Based Nutrition Intervention
    • Authors: Rachel E. Scherr, Anna M. Jones PhD, Rachel Colorafi, Shannon Klisch, Jessica D. Linnell, Katherine E. Soule
      Abstract: Health Promotion Practice, Ahead of Print.
      Childhood obesity continues to be a problem of national concern; school-based obesity prevention programs that incorporate nutrition education are among the efforts to address this issue. Implementation of these programs is often conducted through partner agencies like the Supplemental Nutrition Assistance Program Education (SNAP-Ed). As educators within these agencies have limited time and many schools qualify for programming, developing programs that extend reach by partnering with classroom teachers to deliver nutrition education is critical. The purpose of this article is to evaluate the effectiveness of a teacher extender model compared with direct nutrition education from trained staff using the research-tested, evidence-based Shaping Healthy Choices Program. Data collected as part of this evaluation in intervention and control groups included nutrition knowledge, body mass index percentile, and vegetable identification in youth; lesson fidelity observations and feasibility from teachers; and demographics from parents. Overall, unequal within variances did not allow for the statistical power to detect change. Generally, teachers enjoyed the program but found it too time-consuming to implement. While results were unclear, important lessons were learned regarding the implementation of extender programs warranting further research. Overall, this study aligns with others in the literature that indicate time is a major barrier to implementing nutrition education in the classroom. This study underscores the need for policy mandating nutrition education in schools.
      Citation: Health Promotion Practice
      PubDate: 2020-05-18T06:32:55Z
      DOI: 10.1177/1524839920920305
  • Formative Research and Cultural Tailoring of a Substance Abuse Prevention
           Program for American Indian Youth: Findings From the Intertribal Talking
           Circle Intervention
    • Authors: Julie A. Baldwin, John Lowe, Jada Brooks, Barbara K. Charbonneau-Dahlen, Gary Lawrence, Michelle Johnson-Jennings, Gary Padgett, Melessa Kelley, Carolyn Camplain
      Abstract: Health Promotion Practice, Ahead of Print.
      Background. Substance use among American Indians (AIs) is a critical health issue and accounts for many health problems such as chronic liver disease, cirrhosis, behavioral health conditions, homicide, suicide, and motor vehicle accidents. In 2013, the highest rates of substance use and dependence were seen among AIs when compared to all other population groups, although these rates vary across different tribes. Among AI adolescents, high rates of substance use have been associated with environmental and historical factors, including poverty, historical trauma, bicultural stress, and changing tribal/familial roles. Our project, the Intertribal Talking Circle intervention, involved adapting, tailoring, implementing, and evaluating an existing intervention for AI youth of three tribal communities in the United States. Formative Results. Community partnership committees (CPCs) identified alcohol, marijuana, and prescription medications as high priority substances. CPC concerns focused on the increasing substance use in their communities and the corresponding negative impacts on families, stating a lack of coping skills, positive role models, and hope for the future as concerns for youth. Cultural Tailoring Process Results. Each site formed a CPC that culturally tailored the intervention for their tribal community. This included translating Keetoowah-Cherokee language, cultural practices, and symbolism into the local tribal customs for relevance. The CPCs were essential for incorporating local context and perceived concerns around AI adolescent substance use. These results may be helpful to other tribal communities developing/implementing substance use prevention interventions for AI youth. It is critical that Indigenous cultures and local context be factored into such programs.
      Citation: Health Promotion Practice
      PubDate: 2020-05-14T10:20:33Z
      DOI: 10.1177/1524839920918551
  • Increasing Community Readiness for Childhood Obesity Prevention: A Case
           Study of Four Communities in Georgia
    • Authors: Erica Heath, Victoria Sanon, Dana Keener Mast, Debra Kibbe, Rodney Lyn
      Abstract: Health Promotion Practice, Ahead of Print.
      The community readiness model (CRM) was used to assess changes in community readiness across four counties in Georgia that were targeted as part of a 3-year Childhood Obesity Prevention Program. Key respondent interviews were conducted with community stakeholders in 2012 (n = 20) and 2017 (n = 18) using a semistructured questionnaire assessing six dimensions of community readiness (i.e., community efforts, community knowledge of efforts, leadership, community climate, community knowledge about the issue, and resources available to support efforts). Interviews were analyzed using the CRM scoring protocol and qualitative methods. Paired t tests were used to compare mean score differences between baseline and follow-up assessments. At baseline, overall mean readiness scores for the four counties ranged from 4.52 to 5.05 on the CRM 9-point scale. At follow-up, overall readiness scores ranged from 6.01 to 6.97 out of 9.00. Data revealed a statistically significant improvement in scores across all communities (+1.70, p = .007; 95% confidence interval [0.87, 2.51]). Data also revealed statistically significant improvements in every dimension of readiness, except community knowledge of the issue. Information gleaned from interviews suggested that investing in staff to support efforts, building awareness to shift the community climate, and cross sector collaboration contributed to improved community readiness among the study communities. The provision of technical assistance, peer learning opportunities, and financial support as part of a cooperative grant initiative holds promise for increasing the capacity of community coalitions to advance childhood obesity prevention efforts in their local communities.
      Citation: Health Promotion Practice
      PubDate: 2020-05-14T10:17:00Z
      DOI: 10.1177/1524839920917127
  • Behavioral Communication Strategies for Global Epidemics: An Innovative
           Model for Public Health Education and Humanitarian Response
    • Authors: Chris Dickey, Emily Holzman, Juliet Bedford, Erma Manoncourt, Clay Shirky, Vincent Petit, Sherine Guirguis, Kiera Bloch, Rafael Obregon
      Abstract: Health Promotion Practice, Ahead of Print.
      In response to a number of growing global health challenges, New York University and UNICEF designed a Behavioral Communication Strategies for Global Epidemics course that brings together United Nations professionals, government staff, and MPH (Master of Public Health) students to design innovative social behavior change communication (SBCC) strategies that address disease outbreaks and humanitarian challenges around the world. Applying a systems approach, participants in the course work on interdisciplinary teams to design strategies, develop skills, and engage in global learning. At the culmination of the course, all teams present strategies to UNICEF country offices for implementation. This innovative model for disease outbreak, public health education, and humanitarian response provides professionals with an opportunity to develop a wide range of competencies, including systems thinking, behavior change, and human-centered design and equips them with the necessary tools to develop more novel approaches to SBCC. As the number of outbreaks and humanitarian challenges increase each year, this format for learning can serve as a model for how professionals can effectively address these complex crises.
      Citation: Health Promotion Practice
      PubDate: 2020-04-16T06:04:22Z
      DOI: 10.1177/1524839920916465
  • Development of a Local Health-Enhancing Physical Activity Policy Analysis
           Tool in France: CAPLA-Santé
    • Authors: Antoine Noël Racine, Aurélie Van Hoye, Amandine Baron, Flore Lecomte, Jean-Marie Garbarino, Bernard Massiera, Marina Honta, Anne Vuillemin
      Abstract: Health Promotion Practice, Ahead of Print.
      The promotion of health-enhancing physical activity (HEPA) has become a key objective in public health policy. Therefore, based on the national HEPA Policy Audit Tool Version 2 (HEPA PAT v2) of the World Health Organization, a tool was designed to support local governments in assessing HEPA policies. This study aims to describe the adaptation and testing of the HEPA policy analysis tool (CAPLA-Santé) at the local level in France. The work was conducted in three stages: (1) an intersectoral group of experts was constituted, and the group adapted each item of the HEPA PAT v2 tool to the local level; (2) a testing phase with seven local governments helped to collect data and feedback on the tool; and (3) a final workshop was organized to adjust and finalize the tool. The final version of CAPLA-Santé contains 21 items divided into six major sections: overview of HEPA stakeholders in the local government area, policy documents, policy contents, funding and political engagement, studies and measures relating to physical activity in the local government area, and progress achieved and future challenges. CAPLA-Santé allows the collection and in-depth analysis of local level policies to assess the progress in promoting HEPA and intersectoral collaboration as well as identifying successful policy levers and remaining challenges.
      Citation: Health Promotion Practice
      PubDate: 2020-04-16T05:55:45Z
      DOI: 10.1177/1524839920916462
  • Master of Public Health Concentrations in Global Health in 2020: Preparing
           Culturally Competent Professionals to Address Health Disparities in the
           Context of Globalization
    • Authors: Kathryn H. Jacobsen, Helen A. Zeraye, Michael S. Bisesi, Meredith Gartin, Rebecca Malouin, Caryl E. Waggett
      Abstract: Health Promotion Practice, Ahead of Print.
      During the 2019-2020 academic year, 37 (17%) of 223 Council on Education for Public Health (CEPH) accredited or applicant schools and programs of public health offered Master of Public Health (MPH) degrees with concentrations in general global health. Concentration-specific competencies build on the foundational competencies required for all MPH students enrolled in CEPH-accredited programs. The most popular global health competencies focus on agencies and organizations, ethics and human rights, program management, social and environmental determinants of health, the global burden of disease, collaboration and partnerships, and cultural competency. There is significant overlap between the current concentration competencies and the ones recommended by the Association of Schools and Programs of Public Health in 2018. The online program descriptions for MPH concentrations in global health feature four key themes: globalization, low-income countries, social justice and equity, and culture and diversity. (1) Most programs emphasize transnational health issues and the effects of globalization on health in countries of all income levels. (2) Some programs have a special focus on preparation for serving low-income countries and other disadvantaged populations, such as refugees. (3) Most programs emphasize the social justice and equity issues underlying local and global health disparities. (4) Most programs promote development of the cultural knowledge, awareness, and skills required for serving diverse populations effectively as rising leaders in the international, national, or local public health workforce. Global health MPH programs prepare students for public health practice in resource-limited settings in their home communities as well as internationally.
      Citation: Health Promotion Practice
      PubDate: 2020-04-03T12:57:32Z
      DOI: 10.1177/1524839920913546
  • Prioritizing Competencies for “Research” Promotores and
           Community Health Workers
    • Authors: Camille Nebeker, Rebeca Espinoza Giacinto, Blanca Azucena Pacheco, Araceli López-Arenas, Michael Kalichman
      Abstract: Health Promotion Practice, Ahead of Print.
      Background. The community health worker (CHW) model is utilized globally to promote health and reduce health disparities in hard-to-reach and underserved communities. The model is deemed successful due to involvement of these natural helpers who are familiar with the local customs, language, and traditions. “Research” CHWs (also known as promotores) serve as cultural mediators between their community and academic researchers and are increasingly involved in the design and implementation of research; yet few of these individuals have received formal training in research methods or ethics. This study identified requisite skills and knowledge needed by research CHWs. Method. Investigators who utilized the CHW/promotor model were recruited to complete a survey and participate in one of four focus group sessions. Participants identified (1) research roles, (2) training received, (3) research competencies, (4) training barriers and facilitators, and (5) assessment preferences. Results. Participants (n = 20) completed a survey with 19 also participating in a focus group session. All participants involved CHWs in research implementation, with nearly half involving CHWs in the study design and/or dissemination of findings phases. Critical thinking skills and application of ethical principles (e.g., demonstrating respect) were prioritized over knowledge of research infrastructure (e.g., institutional review board/ethics review process). Research ethics training designed for academic researchers was deemed inappropriate because sophisticated terminology and web-based delivery were perceived as an access barrier. Self-assessment and contextualized scenarios were recommended to assess critical thinking. Conclusions. Researchers using the CHW model should provide relevant and accessible research competency training.
      Citation: Health Promotion Practice
      PubDate: 2020-03-31T03:48:15Z
      DOI: 10.1177/1524839920913548
  • A Promotor-Led Pilot Study to Increase Colorectal Cancer Screening in
           Latinos: The Juntos Contra El Cáncer Program
    • Authors: Elva M. Arredondo, Jill Dumbauld, Maria Milla, Hala Madanat, Gloria D. Coronado, Jessica Haughton, Felipe Garcia-Bigley, Christian Ramers, Jesse Nodora, Balambal Bharti, Gabriel Lopez, Mirna Diaz, Jessica Marquez, Samir Gupta
      Abstract: Health Promotion Practice, Ahead of Print.
      Background. Latinos have lower colorectal cancer (CRC) screening rates compared to other racial/ethnic groups in the United States, despite an overall increase in CRC screening over the past 10 years. To address this disparity, we implemented a promotor-led intervention to increase CRC screening test adherence in community-based settings, connecting community members with a partnering federally qualified health center. Purpose. To evaluate the Juntos Contra el Cáncer/Together Against Cancer (JUNTOS) intervention, by assessing pre–post changes in (1) CRC screening test adherence and (2) CRC knowledge and perceived barriers to CRC screening. We also assessed the feasibility and acceptability of program activities. Method. JUNTOS was a group-based intervention, delivered by promotores (community health workers), to promote CRC screening test adherence among Latino adults. The intervention consisted of a culturally tailored 2½-hour interactive workshop followed by an appointment scheduling assistance from a promotor. Workshop participants were Latino adults (males and females) aged 50 to 75 years who were not up-to-date with CRC screening guidelines. We conducted interviews before and 6 to 9 months after the workshop to assess program outcomes. Results. Of the 177 participants included, 118 reported completing the CRC screening test (66.7%) by 6 to 9 months postintervention. We observed baseline to 6- to 9-month increase in CRC knowledge and lower perceived barriers to obtaining CRC screening. Furthermore, the intervention was found to be feasible and acceptable. Conclusion. Results suggest that JUNTOS can be feasibly implemented in partnership with a federally qualified health center. The current study supports group-based CRC interventions in community and clinic settings.
      Citation: Health Promotion Practice
      PubDate: 2020-03-23T05:32:17Z
      DOI: 10.1177/1524839920912240
  • “On a Positive Path”: School Superintendents’ Perceptions of and
           Experiences With Local School Wellness Policy Implementation and
    • Authors: Yuka Asada, Alejandro Hughes, Margaret Read, Marlene Schwartz, Rebecca Schermbeck, Lindsey Turner, Jamie Chriqui
      Abstract: Health Promotion Practice, Ahead of Print.
      Renewed federal requirements for local school wellness policies highlighted the continued importance of supporting school districts as they implement and evaluate wellness initiatives. Superintendents—as school district leaders—play a critical role in wellness policy implementation and evaluation; however, to our knowledge, no studies examine their perspectives or experiences with the most recent federal rule or wellness initiatives more broadly. This study qualitatively examined superintendents’ perspectives, experiences, and recommendations with wellness policy implementation and evaluation. Focus groups (n = 39) and follow-up interviews (n = 14 of the focus group participants) were conducted with superintendents from March to July 2017. Coders organized and coded transcript data using Atlas.ti, Version 8 to facilitate thematic analysis. Superintendents had overall positive perceptions of wellness policies and reported that implementation improved over time. Most described wellness approaches beyond typical wellness policy domains, including social-emotional learning and staff wellness. Evaluation of wellness policies was noted to be a challenge, and superintendents requested more tools and resources, as well as opportunities to learn from “best practices.” Increased local and state accountability were recommended to facilitate motivation for other superintendents to engage with wellness. This study adds to the literature on a critical stakeholder in the school wellness field. Advocates and technical assistance providers can apply superintendents’ recommendations to engage more district leaders in these initiatives.
      Citation: Health Promotion Practice
      PubDate: 2020-03-02T08:41:44Z
      DOI: 10.1177/1524839920907559
  • Facilitators and Barriers to Developing, Implementing, and Evaluating
           Healthy Vending Policies in Four Cities
    • Authors: Sarah Green, Karen Glanz, Julie Bromberg
      Abstract: Health Promotion Practice, Ahead of Print.
      Vending machines are a common source of low-nutrient, energy-dense snacks, and beverages. Many cities are beginning to adopt healthy vending policies in public areas, but evidence regarding best practices for developing, implementing, and evaluating these healthy vending polices is limited. This study used a mixed-methods, multiple case study design to examine healthy vending policies and initiatives in four cities. Data were collected between August 2017 and December 2017. Research staff worked with a designated contact person to coordinate site visits to each city where observations of the vending machines were conducted. Semistructured interviews were conducted with multiple stakeholders from each site and documents, including policies, vendor contracts, and nutrition standards, were reviewed. The following elements were identified as being essential to a healthy vending policy or initiative: having a champion and support from leadership, internal and external partnerships, and clear communication. Conducting regular compliance checks of the vending machines and the ability to obtain sales data, especially pre– and post–healthy vending policy sales data, continues to be a challenge. Stakeholders across all cities reported that concerns about profit–loss from the vendor and city revenue and procurement departments are barriers to adopting healthy vending policies. More research and evaluation are needed, as results are mixed regarding the impact on overall revenue/profits. This study yielded a variety of resources and “lessons learned” from those who have developed and implemented healthy vending policies and initiatives. This information should be used by others looking to influence healthier snacking behaviors through vending machines.
      Citation: Health Promotion Practice
      PubDate: 2020-02-24T05:37:45Z
      DOI: 10.1177/1524839919900493
  • Parent Attendance in a Family-Based Preventive Intervention Delivered in
           Latin America and the United States
    • Authors: Lourdes M. Rojas, Lucas G. Ochoa, Marcelo Sánchez Ahumada, Ana Quevedo, Viviana Muñoz, Cecilia Condo, Guillermo Prado
      Abstract: Health Promotion Practice, Ahead of Print.
      In Latin America, there is an increasing interest in the implementation and dissemination of evidence-based, family-centered interventions to prevent youth behavioral problems. While families’ participation in interventions is integral to achieving the interventions’ desired impact, little is known about what predicts Latin American families’ attendance. The current study provides a unique opportunity to explore the participation of families living in the United States, Ecuador, and Chile in an evidence-based intervention, Familias Unidas. We tested for differences in attendance rates, family functioning variables, and adolescent behavioral problem variables, then applied a hierarchical multiple regression to (a) identify which variables significantly predicted program attendance and (b) assess whether the country in which the intervention was implemented in moderated the relationship between predictors and program attendance. On average, Chilean and Ecuadorian parents were more engaged and attended more sessions than parents living in the United States. Across samples, there was significant differences in family functioning and adolescent behavioral problem variables. However, effective parent–adolescent communication was the only significant predictor of lower program attendance. A significant interaction effect revealed that even though Chilean parents had high parent–adolescent communication, they were more likely to attend sessions, compared to parents living in the United States. We highlight the promise of engaging and retaining families, across U.S. and Latin American samples, into a culturally syntonic, family-based intervention, and discuss potential explanations for success in Chile and Ecuador. Researchers interested in implementing interventions in Latin America could utilize these findings to better target participants and intervention efforts.
      Citation: Health Promotion Practice
      PubDate: 2020-02-21T12:02:12Z
      DOI: 10.1177/1524839919900765
  • Nudging Urban Food Pantry Users in Utah Toward Healthier Choices
    • Authors: Casey Coombs, Mateja R. Savoie-Roskos, Heidi LeBlanc, Julie Gast, Jackie Hendrickson
      Abstract: Health Promotion Practice, Ahead of Print.
      Purpose. To evaluate the impact of a nudge program on food pantry clients’ self-reported selection and use of healthy foods. Method. A convenience sample of clients of six urban food pantries in Utah were surveyed about their experience with the Thumbs Up for Healthy Choices nudge program. Chi-square tests were used to identify associations between demographic characteristics and self-reported program impact. Results. Ninety-four percent (n = 158) of respondents agreed that the program made it easier to make healthy choices. Sixty-five percent reported healthier diets since its implementation. Additionally, Hispanic respondents were more likely to report positive impacts than non-Hispanic respondents. Conclusions and Implications. Nudge programs are effective in increasing the selection of healthy foods among pantry clients in Utah. Impacts seemed to be particularly positive for Hispanic pantry users in Utah. Nutrition programs should consider implementing these low-cost strategies to improve dietary quality of pantry users.
      Citation: Health Promotion Practice
      PubDate: 2020-02-20T07:29:48Z
      DOI: 10.1177/1524839920904688
  • Implementación del Modelo Islandés para la Prevención del Uso del
           Sustancias en Adolescentes

         This is an Open Access Article Open Access Article

    • Authors: Alfgeir L. Kristjansson, Michael J. Mann, Jon Sigfusson, Ingibjorg E. Thorisdottir, John P. Allegrante, Inga Dora Sigfusdottir
      Abstract: Health Promotion Practice, Ahead of Print.
      ResumenEsta es la segunda de una serie de dos partes de artículos sobre el Modelo Islandés de Prevención Primaria del Uso de Sustancias (MIP) en Health Promotion Practice. El MIP es una estrategia comunitaria colaborativa que ha demostrado notable efectividad en reducir el inicio del uso de sustancias entres jóvenes de Islandia en los últimos 20 años. Mientras el primer artículo se enfocó en el contexto de fondo, orientación teórica, evaluación y evidencia de su efectividad, y los cinco principios guías del modelo, este segundo artículo describe los 10 pasos centrales en la implementación práctica. Los pasos 1 a 3 se enfocan en cómo construir y mantener la capacidad comunitaria para la implementación del modelo. Los pasos 4 a 6 se enfocan en cómo implementar un sistema riguroso de recolección de datos, como procesarlos, la diseminación de los datos y la traducción de los hallazgos. Los pasos 7 a 9 están diseñados para enfocar la atención de la comunidad y para maximizar el compromiso comunitario en crear y mantener un medioambiente social en el cual la gente joven progresivamente se hace menos proclive a consumir sustancias, e incluye ejemplos ilustrativos de Islandia. Y el paso 10 se enfoca en la naturaleza iterativa, repetitiva y de largo plazo del MIP y describe un amplio y predecible arco de oportunidades y desafíos relacionados con la implementación. Este artículo concluye con una breve discusión sobre las potenciales variaciones en los factores comunitarios para la implementación.
      Citation: Health Promotion Practice
      PubDate: 2020-02-04T07:40:23Z
      DOI: 10.1177/1524839919899086
  • Principios Directrices y Desarrollo del Modelo Islandés para la
           Prevención del Uso de Sustancias en Adolescentes

         This is an Open Access Article Open Access Article

    • Authors: Alfgeir L. Kristjansson, Michael J. Mann, Jon Sigfusson, Ingibjorg E. Thorisdottir, John P. Allegrante, Inga Dora Sigfusdottir
      Abstract: Health Promotion Practice, Ahead of Print.
      ResumenEl uso de sustancias por los adolescentes (i.e. el consumo de alcohol, tabaco, y otras drogas), persiste como un problema global, y se mantiene como un desafío para nuestras sociedades y autoridades de salud pública. Como respuesta a las altas tasas de uso de sustancias en adolescentes en los años ‘90, en Islandia han sido pioneros en el desarrollo del Modelo Islandés Para la Prevención Primaria del Uso de Substancias – un método basado en la teoría y evidencia científica que ha demostrado su efectividad en bajar los niveles de consumo en Islandia en los últimos 20 años. Para documentar este método e informar sobre los procesos basados-en-la-práctica que puedan ayudar en establecer este modelo en otros países, describimos esquemáticamente en esta serie de dos partes la teoría, antecedentes, principios directrices del método, y los pasos centrales en la implementación exitosa del modelo. En este artículo describimos los antecedentes y contexto necesarios, la orientación teórica, el desarrollo del método, y brevemente revisamos los hallazgos y datos publicados. Adicionalmente, presentamos los cinco principios guía en los que se basa el método del Modelo de Prevención Islandés para la prevención del uso de sustancias en adolescentes, y discutimos la evidencia acumulada que apoya la efectividad del modelo. En el siguiente artículo, parte 2, identificamos y describimos procesos clave en el modelo y los diez pasos centrales de la implementación efectiva y basada en la práctica de este modelo.
      Citation: Health Promotion Practice
      PubDate: 2020-02-04T07:40:11Z
      DOI: 10.1177/1524839919899078
  • How Do Military Family Caregivers Who Completed a Supportive Intervention
           Differ From Those Who Dropped Out'
    • Authors: Sherrie Wilcox, Deborah Girasek
      Abstract: Health Promotion Practice, Ahead of Print.
      Background. To create efficacious interventions for military family caregivers (MFCs), it is important to understand the characteristics and predictors of completers and dropouts of newly developed supportive interventions. Aim. The purpose of this study was to examine completion patterns in MFCs enrolled in an educational intervention feasibility study. Method. Baseline data are presented from MFC completers (n = 64) and dropouts (n = 60) of a national feasibility study for an innovative intervention. Measures include depression (Patient Health Questionnaire–2), anxiety (Generalized Anxiety Disorder–7), somatic symptoms (Patient Health Questionnaire–15), quality of life (World Health Organization Quality of Life–Brief), relationship satisfaction (Relationship Assessment Scale), and military care recipient number of injuries. Analysis of variance was used to evaluate differences between completers and dropouts and logistic regression was used to identify predictors of intervention completion. Results. Results indicated that MFCs with greater anxiety, χ2(3) = 10.33, p = .02; depression, χ2(1) = 8.18, p = .004; somatic symptoms, F(1, 106) = 6.26, p = .01; care recipient number of injuries, F(1, 118) = 16.31, p < .001; lower general satisfaction with treatment, F(1, 96) = 4.34, p = .04; and lower satisfaction with accessibility and convenience with treatment, F(1, 89) = 4.18, p = .04, were significantly more likely to complete the intervention. After multivariate analysis, the sole predictor of intervention completion was the number of care recipients’ injuries, χ2(6) = 14.89, N = 77, p < .05. Conclusions. Overall, findings indicate that MFCs who were more “at risk” were more likely to complete the intervention. Findings present patterns of intervention completion and provide insight on areas in need of further investigation on intervention development supporting the needs of MFCs.
      Citation: Health Promotion Practice
      PubDate: 2020-01-27T12:11:09Z
      DOI: 10.1177/1524839920902756
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