Health Education & Behavior最新文献

Gynecologic Cancer Screening: Understanding Barriers Through Social Cognitive Theory and Health Belief Model. 妇科癌症筛查：通过社会认知理论和健康信念模型理解障碍。

IF 2.1 3区医学

Health Education & Behavior Pub Date : 2025-10-01 Epub Date: 2025-04-03 DOI: 10.1177/10901981251328590

Shaheen Mansori, Akalpita Tendulkar, Mehran Rostamzadeh

{"title":"Gynecologic Cancer Screening: Understanding Barriers Through Social Cognitive Theory and Health Belief Model.","authors":"Shaheen Mansori, Akalpita Tendulkar, Mehran Rostamzadeh","doi":"10.1177/10901981251328590","DOIUrl":"10.1177/10901981251328590","url":null,"abstract":"Despite advancements in screening technologies, gynecologic cancers remain among the deadliest and most overlooked cancers. Early detection is crucial, but many women are reluctant to undergo screening due to various barriers and misconceptions. This study explores the motivations and barriers influencing women's decisions regarding early gynecologic cancer screening in Malaysia. In-depth interviews were conducted with 20 professional women from diverse backgrounds using a qualitative approach. Data were analyzed through open and axial coding to identify key themes. An empathy map and user journey map captured the psychological and behavioral aspects of decision-making. The study identified themes such as lack of knowledge, reliance on social media and health care professionals, financial and time constraints, fear of results, and cultural stigmas. Participants with higher awareness were more likely to undergo screening, while those with personal or family cancer experiences showed greater vigilance. The findings emphasize the importance of culturally sensitive communication and health care professionals' role in reducing stigma and promoting early screening. The study's insights contribute to developing strategies to encourage early detection and improve health outcomes for women. These strategies align with the United Nations' Sustainable Development Goals (SDGs), particularly SDG 3 (Good Health and Well-being) and SDG 5 (Gender Equality), promoting health equity and empowering women. As emphasized by SDG 17 (Partnerships for the Goals), achieving these goals requires strong partnerships and collaborative efforts to create a supportive environment for early cancer screening initiatives. Policymakers can use these insights to foster health equity and empower women through supportive screening environments.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"561-571"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preventing Child Drowning in Indonesia: A Community-Informed Health Promotion Perspective. 预防印度尼西亚儿童溺水：社区知情的健康促进观点。

IF 2.1 3区医学

Health Education & Behavior Pub Date : 2025-10-01 Epub Date: 2025-04-23 DOI: 10.1177/10901981251330487

Muthia Cenderadewi, Richard C Franklin, Prima B Fathana, Susan G Devine

{"title":"Preventing Child Drowning in Indonesia: A Community-Informed Health Promotion Perspective.","authors":"Muthia Cenderadewi, Richard C Franklin, Prima B Fathana, Susan G Devine","doi":"10.1177/10901981251330487","DOIUrl":"10.1177/10901981251330487","url":null,"abstract":"Child drowning is a significant public health issue in Indonesia; however, there remains a lack of understanding within communities of the risks and how to prevent it. This qualitative study aimed to explore existing and suggested actions undertaken by parents and communities to prevent child drowning. Seven focus group discussions were conducted, comprising 62 participants, with parents of children below 5 years and village community leaders from seven villages on Lombok Island, West Nusa Tenggara, Indonesia. Participants were recruited with purposive and snowball sampling methods. The thematic analysis used both deductive, applying the Health Belief Model and the Health Promotion Framework, and inductive approaches. The results highlighted the focus that participants placed on individual-focused, behavioral drowning interventions, particularly through swimming lessons for school-age children and educational programs on life-saving skills for parents and community members. While participants acknowledged the importance of midstream interventions, such as safety measures around water bodies and community-based safe places for children, alongside population-based upstream interventions such as advocating for policies, regulations, and intergovernmental agency collaboration, there was limited understanding on the roles of the education and health departments in preventing child drowning. Participants reported inconsistent and insufficient implementation of swimming lessons in schools. Further research into formal integration of swimming training into school curricula and its impact on reducing child drowning rates, development of contextually relevant water safety promotion approaches, and alignment of cross-sector partnerships is imperative to ensure effective and sustainable drowning prevention efforts in Indonesia.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"572-583"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pro-Vax, Anti-Vax, or Shades of Gray? Segmenting Consumers Based on Attitudes to Vaccination. 支持疫苗接种，反对疫苗接种，还是灰色地带？根据对疫苗接种的态度对消费者进行细分。

IF 2.1 3区医学

Health Education & Behavior Pub Date : 2025-10-01 Epub Date: 2025-05-14 DOI: 10.1177/10901981251334105

Davide Rigoni, Timothy Desmet, Malaika Brengman

引用次数: 0

Understanding and Supporting the Health Education Specialist Role in Clinical Settings. 理解和支持健康教育专家在临床环境中的作用。

IF 2.1 3区医学

Health Education & Behavior Pub Date : 2025-08-01 Epub Date: 2025-03-18 DOI: 10.1177/10901981251322389

Lakeshia Brown, Joshua Bernstein

{"title":"Understanding and Supporting the Health Education Specialist Role in Clinical Settings.","authors":"Lakeshia Brown, Joshua Bernstein","doi":"10.1177/10901981251322389","DOIUrl":"10.1177/10901981251322389","url":null,"abstract":"There is a persistent misunderstanding in the interdisciplinary field of public health, particularly regarding the roles and titles associated with health education specialists. The confusion necessitates a focus on collaboration, professional development, and standardizing terms within the realm of public health, health education, and health education specialists. To contribute to clarifying these roles, a qualitative exploratory case study was conducted, specifically examining the challenges and skills of health education specialists in clinical care or hospital settings. During three virtual focus group discussions, 13 participants who were selected through convenience sampling from the National Commission for Health Education Credentialing expressed their perspectives. Thematic analysis revealed key themes associated with challenges that included respect, buy-in, and prioritization. Concerning skills, the data indicated an overlap when assessing the most and least utilized skills of health education specialists. The application of skills correlated to size of the health care system or clinical care setting as well as the title and function of the health education specialist. Those working in larger health care systems primarily utilized fewer skills as their tasks and efforts were more concentrated. The implications for practice suggest that health care organizations can fully utilize and integrate health education specialists with concerted efforts on buy-in from executive leadership, professional growth, and clear communication to promote awareness of the role. These efforts will empower health education specialists to elevate their expertise, bring awareness to the profession, and enhance the quality of patient education.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"392-403"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Applying Social Marketing Principles for Community-Based Cancer Screening Programs: Two Case Studies. 将社会营销原则应用于社区癌症筛查计划：两个案例研究。

IF 2.1 3区医学

Health Education & Behavior Pub Date : 2025-08-01 Epub Date: 2025-03-18 DOI: 10.1177/10901981251322806

Simona C Kwon, Julie A Kranick, Nadia S Islam, Laura C Wyatt, Shilpa Patel, Gulnahar Alam, Perla Chebli, Joseph Ravenell, Perry Pong, Sara S Kim, Victoria H Raveis, Chau Trinh-Shevrin

{"title":"Applying Social Marketing Principles for Community-Based Cancer Screening Programs: Two Case Studies.","authors":"Simona C Kwon, Julie A Kranick, Nadia S Islam, Laura C Wyatt, Shilpa Patel, Gulnahar Alam, Perla Chebli, Joseph Ravenell, Perry Pong, Sara S Kim, Victoria H Raveis, Chau Trinh-Shevrin","doi":"10.1177/10901981251322806","DOIUrl":"10.1177/10901981251322806","url":null,"abstract":"Minoritized communities often experience worse health outcomes on the cancer continuum. Mainstream strategies may have limited reach and utility to populations experiencing inequities in real-world settings. Through the combined use of community-based participatory research (CBPR) and social marketing strategies, which highlight community-centered and culturally adapted processes, we provide an approach to inform future intervention research across various health topics that has been successful in engaging minoritized and understudied communities. We present two case studies that used participatory social marketing principles to culturally adapt evidence-based cancer screening programs for two communities in New York City. The first program is a campaign to increase screening and vaccination for hepatitis B among Korean and Chinese American immigrants. The second is a culturally adapted program to increase breast and cervical cancer screening among a multiracial and ethnic population of Muslim women. These case studies illustrate the benefits of integrating social marketing and CBPR approaches as a key strategy when developing public health campaigns to effectively reach and influence health behaviors in partnership with communities that have been socially marginalized and historically underserved.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"382-391"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations. 认知负荷理论在健康与行为改变项目设计中的应用：原则与建议。

IF 2.1 3区医学

Health Education & Behavior Pub Date : 2025-08-01 Epub Date: 2025-03-27 DOI: 10.1177/10901981251327185

Kimberley A Baxter, Nidhi Sachdeva, Sabine Baker

{"title":"The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations.","authors":"Kimberley A Baxter, Nidhi Sachdeva, Sabine Baker","doi":"10.1177/10901981251327185","DOIUrl":"10.1177/10901981251327185","url":null,"abstract":"Health and behavior change programs play a crucial role in improving health behaviors at individual and family levels. However, these programs face challenges with engagement and retention and typically show modest efficacy. Cognitive load theory is an established and highly used educational theory that proposes individuals have a finite capacity to process new information (\"working memory\"). Learning, engagement, and performance are negatively impacted when working memory is exceeded. Cognitive load theory is grounded in an understanding of human cognition and conceptualizes different types of cognitive loads imposed on individuals by a learning experience. Cognitive load theory aims to guide the design of learning experiences, considering how the human mind works, leading to more meaningful and effective learning. Cognitive load theory is increasingly applied to domains outside the classroom, such as designing patient and clinical education. Applying cognitive load theory to the design of health programs, their materials, and interfaces can provide insights. By considering the cognitive demands placed on individuals when interacting with health programs, design can be optimized to reduce cognitive load and better facilitate learning and behavior adoption. This may enhance engagement, retention, and effectiveness of programs. Cognitive load theory may be particularly valuable for individuals with diminished working memory due to high levels of mental load and stress. Design principles are presented to consolidate knowledge from cognitive load theory and existing approaches to guide researchers, policymakers, and health programmers. Further research and interdisciplinary collaboration are needed to realize the potential of cognitive load theory in health.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"469-477"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12246501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Socio-Ecological Approach to Promoting Physical Activity in a Low-Income Neighborhood: A Randomized Controlled Pilot Trial. 促进低收入社区体育活动的社会生态学方法：一项随机对照试点试验。

IF 2.1 3区医学

Health Education & Behavior Pub Date : 2025-08-01 Epub Date: 2025-02-19 DOI: 10.1177/10901981251316858

Navin Kaushal, Rafael A Alamilla, NiCole R Keith

{"title":"A Socio-Ecological Approach to Promoting Physical Activity in a Low-Income Neighborhood: A Randomized Controlled Pilot Trial.","authors":"Navin Kaushal, Rafael A Alamilla, NiCole R Keith","doi":"10.1177/10901981251316858","DOIUrl":"10.1177/10901981251316858","url":null,"abstract":"Physical activity (PA) helps prevent several diseases; however, individuals residing in low-income neighborhoods have lower PA participation rates due to social disparities, as outlined in the social-ecological model. The purpose of this pilot study was to apply the social-ecological framework to test the effectiveness of a six-month, community-based PA program in a low-income neighborhood. Participants (n = 45) lived in a low-income neighborhood near a community fitness center. Those randomized to the experimental arm (n = 23) received gym access and attended monthly on-site workshops (Months 1-3) designed to enhance PA determinants such as planning and habit formation. The remaining participants (n = 22) were assigned to a wait-listed control group. PA, body composition, and fitness data were collected using accelerometers, BODPOD, and on-site fitness assessments at baseline, Month 3, and Month 6. Compared to the control group, participants in the experimental arm engaged in more moderate-to-vigorous PA (d = .48, d = .74), total PA (d = .41, d = .99), and steps (d = .48, d = .92) at Months 3 and 6, respectively. The experimental group also showed improvements in fitness tests, including the 30-s chair test (d = .29, d = .23) and the 8-foot up-and-go test at Month 3 (d = -.23), though these gains were not sustained at Month 6. Overall, this pilot study supports the feasibility of promoting PA and improving fitness outcomes in a low-income neighborhood. Notes for improvement and future directions are provided such as tracking PA exclusively performed at the community center to better assess program impact.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"371-381"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Designing Gender-Responsive Health Promotion Programs for Men: A Scoping Review. 为男性设计性别敏感的健康促进计划：范围审查》。

IF 2.1 3区医学

Health Education & Behavior Pub Date : 2025-08-01 Epub Date: 2025-03-17 DOI: 10.1177/10901981251322391

Paul Sharp, Caitlin Sankey, John L Oliffe, Nico Schulenkorf, Cristina M Caperchione

{"title":"Designing Gender-Responsive Health Promotion Programs for Men: A Scoping Review.","authors":"Paul Sharp, Caitlin Sankey, John L Oliffe, Nico Schulenkorf, Cristina M Caperchione","doi":"10.1177/10901981251322391","DOIUrl":"10.1177/10901981251322391","url":null,"abstract":"Over the past decade, there has been an increased emphasis on tailoring men's health promotion programs. To optimize outcomes, participatory action research that involves and elicits feedback from end-users has been highlighted as important to creating gender-responsive interventions. In this scoping review, we examine (a) how participatory action research has been used to design health promotion interventions for men and (b) what constitutes a gender-responsive intervention design. Following a comprehensive search, 53 articles were included in the review, reporting on 35 men's health promotion programs. Our findings suggest that participatory action methods harness varying degrees of end-user involvement, with a large majority limited to post-intervention evaluations rather than co-design and consumer collaboration. In addition, there are inconsistencies for applying gender-responsive approaches within programs, particularly regarding how interventions are targeted, tailored, and promoted to men. We conclude that participatory action research methods translate to varying degrees of gender responsiveness in men's health promotion programs. That said, involving end-users at various stages of intervention design, implementation, and evaluation may increase the likelihood that programs are more attuned to masculinities and better engage participants in promoting healthy behavior change. Efforts to advance gender-responsive designs can benefit from inductively deriving and incorporating men's masculine values.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"439-468"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12246503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143648406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Conservative Control, Scientific Suppression: Hope and the Fight for Public Health. 保守的控制，科学的压制：希望和公共卫生的斗争。

IF 2.1 3区医学

Health Education & Behavior Pub Date : 2025-08-01 Epub Date: 2025-04-14 DOI: 10.1177/10901981251332237

Jesus Ramirez-Valles, Lisa M Kuhns, Lucia Juarez, Hale M Thompson, Rohan Jeremiah, Daniel Canavese de Oliveira, Joey Lightner

引用次数: 0

The Impact of Social Norms on Diffusion Dynamics: A Simulation of E-Cigarette Use Behavior. 社会规范对扩散动力学的影响：电子烟使用行为的模拟。

IF 2.1 3区医学

Health Education & Behavior Pub Date : 2025-08-01 Epub Date: 2025-03-27 DOI: 10.1177/10901981251327189

Sarah E Piombo, George G Vega Yon, Thomas W Valente

{"title":"The Impact of Social Norms on Diffusion Dynamics: A Simulation of E-Cigarette Use Behavior.","authors":"Sarah E Piombo, George G Vega Yon, Thomas W Valente","doi":"10.1177/10901981251327189","DOIUrl":"10.1177/10901981251327189","url":null,"abstract":"Diffusion of innovations theory can be used to understand how to prevent or slow the spread of harmful behaviors, such as e-cigarette use in adolescent social networks. This study explores how different network intervention strategies could impact diffusion dynamics through network simulations based on observed social norms and e-cigarette use data. Simulations were initialized with baseline network data collected from 10 schools in a prospective cohort study of adolescent social networks and health behaviors in Southern California. Diffusion conditions varied by changes in social norms for intervention nodes (pro-e-cigarette, anti-e-cigarette, or neutral norms) and intervention strategy, where greater pro- and anti-tobacco norms were assigned to 15% of the network based on four intervention seeding conditions: opinion leadership, betweenness centrality, segmentation, and random selection. For each network, simulations were run using the netdiffuseR package in R and multivariate generalized linear models were estimated to examine changes in diffusion dynamics. Diffusion prevalence and rate were greater in denser networks and networks with more initial e-cigarette users. Anti-e-cigarette norms significantly decreased average prevalence across all intervention conditions. Strategically selecting high betweenness centrality nodes and opinion leader nodes significantly decreased the average prevalence of e-cigarette use. The results of this study show that achieving a change in norms for 15% of a network can substantially impact e-cigarette use prevalence. Furthermore, this study enhances our knowledge of how personal and network factors affect diffusion dynamics and demonstrates that targeting social norms through network-based interventions is one avenue for slowing the spread of harmful behaviors.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"428-438"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0