Health Education & Behavior最新文献

Acknowledgment of Members of Health Education & Behavior's Review Panel. 感谢健康教育与行为审查小组成员。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2025-05-16 DOI: 10.1177/10901981251335026

引用次数: 0

Health Literacy Among Sexual and Gender-Diverse Adolescents in New York City. 纽约市性和性别多样化青少年的健康素养

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2024-12-30 DOI: 10.1177/10901981241307616

Abby Marshall, Grace Mackson, Farnaz Kaighobadi, Neal D Hoffman, Adam Ciarleglio, Theo G M Sandfort

{"title":"Health Literacy Among Sexual and Gender-Diverse Adolescents in New York City.","authors":"Abby Marshall, Grace Mackson, Farnaz Kaighobadi, Neal D Hoffman, Adam Ciarleglio, Theo G M Sandfort","doi":"10.1177/10901981241307616","DOIUrl":"10.1177/10901981241307616","url":null,"abstract":"This study explored sexual orientation and gender identity as predictors of health literacy among adolescents attending New York City (NYC) public high schools. Many studies have demonstrated disparities in sexual health among sexual and gender minority (SGM) adolescents. However, little is known about their health literacy. Health literacy, defined as the capacity to acquire, understand, appraise, and apply health information, especially in health decision-making, is a known predictor of health. Data came from a quantitative cross-sectional survey (N = 1,438) collected at 15 high schools in the Bronx, NYC. Four aspects of health literacy were explored: (1) knowledge of sexually transmitted infections (STIs), (2) knowledge of sexual health rights in New York State, (3) health access literacy and self-efficacy, and (4) health communication. Linear regression analysis was used to test predictors of health literacy. Contrary to our hypothesis, SGM adolescents did not score significantly lower on the health literacy variables compared with cisgender heterosexual adolescents. SGM adolescents scored significantly higher on knowledge of STIs and knowledge of health rights compared with cisgender heterosexual young men. Adolescents who were questioning their sexual identity scored significantly lower compared with both SGM and cisgender heterosexual adolescents on all four health literacy scales. Interventions are needed to ensure that in-school curricula are inclusive and address health literacy among questioning adolescents and cisgender heterosexual young men. Addressing the health needs of questioning adolescents is particularly important because adolescence is a critical time of decision-making around sexuality and health.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":"52 3","pages":"289-298"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077749","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

Optimism Bias Among Gun Owners: Associations With Firearm Injury Prevention Practices and Policy Support. 枪支所有者的乐观偏差：枪支拥有者的乐观偏差：与枪支伤害预防措施和政策支持的关联。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2024-07-30 DOI: 10.1177/10901981241267212

Amanda J Aubel, Garen J Wintemute, Aaron B Shev, Nicole Kravitz-Wirtz

{"title":"Optimism Bias Among Gun Owners: Associations With Firearm Injury Prevention Practices and Policy Support.","authors":"Amanda J Aubel, Garen J Wintemute, Aaron B Shev, Nicole Kravitz-Wirtz","doi":"10.1177/10901981241267212","DOIUrl":"10.1177/10901981241267212","url":null,"abstract":"Optimism bias is common across health risk assessments, including firearm injury risk, and can have behavioral consequences. Using data from the 2018 California Safety and Wellbeing Survey, we examine whether optimism bias influences firearm injury prevention practices and policy support by comparing the characteristics, behaviors, and opinions of gun owners who believed having a gun at home is comparatively safer for themselves than for similar others (Optimism Bias group) with (1) those who unequivocally believe guns increase safety for themselves and others (Always Safer group), and (2) those who said they \"don't know\" or \"it depends\" in both the self and other scenarios (Uncertain group). Weighted multinomial logistic regression results indicated that gun owners in the Optimism Bias group were more often female, members of minoritized racial or ethnic groups, and new gun owners than the Always Safer and Uncertain groups; they also demonstrated greater support for 4 of 5 firearm injury prevention policies/interventions. Despite similar prevalence of owning a gun for protection, gun owners in the Optimism Bias group less often carried a loaded firearm or stored a gun in an unsecure way compared with the Always Safer group. Findings suggest that gun owners characterized by optimism bias, who acknowledged some risk associated with firearms, even if only or more so for others than for themselves, may represent a \"movable middle\" that is more receptive to firearm injury prevention efforts. Public health messages emphasizing other-oriented (vs. personal) risk and collective responsibility may be perceived as less threatening to the symbolic significance of guns to individual identity, thus enhancing effectiveness.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"266-277"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855371","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

Integrating Theory With a User-Centered Design Approach to Maximize mHealth Acceptability and Usability. 整合理论与以用户为中心的设计方法，以最大限度地提高移动医疗的可接受性和可用性。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2025-01-08 DOI: 10.1177/10901981241311232

A Susana Ramírez, Guadalupe Xochitl Ayala, Mary Murillo, Debora C Glik, Alma D Guerrero

{"title":"Integrating Theory With a User-Centered Design Approach to Maximize mHealth Acceptability and Usability.","authors":"A Susana Ramírez, Guadalupe Xochitl Ayala, Mary Murillo, Debora C Glik, Alma D Guerrero","doi":"10.1177/10901981241311232","DOIUrl":"10.1177/10901981241311232","url":null,"abstract":"Mobile phone interventions are evidence-based methods for preventing obesity among Latino adults and school-aged children; however, few such interventions exist to improve the obesogenic behaviors of children in the developmentally critical preschool years (ages 2-5). Focusing on this age group is important since over one-quarter of 2- to 5-year-old Latino children are overweight or obese. Moreover, most documented interventions target mothers exclusively, ignoring the influence that other caregivers such as fathers and grandparents have on the environment and the child's behaviors. We describe the development and refinement of a theory-informed mobile phone intervention using an iterative, user-centered approach that supports healthy weight-related behaviors in preschool-aged Latino children by engaging mothers, fathers, and grandparents. The resulting intervention, Familias Unidas, Niños Sanos (FUNS), is a culturally centered bilingual (Spanish/English), 12-week, web-based mobile phone intervention grounded in family systems theory. Through three to four weekly text messages and links to web-based interactive multi-media content, caregivers of 2- to 5-year-old Latino children learn evidence-based practices to support specific child behaviors in three domains: healthy eating, media viewing, and physical activity. Development of specific messages is grounded in social cognitive theory. Participants can connect with a virtual coach and other participants. The prototype received high levels of acceptability and usability among members of the target audience and is ready for feasibility testing. The systematic process of development and refinement of the intervention can serve as a model for other mHealth interventions, addressing the ongoing critique of the general lack of theoretical application in such intervention work.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"329-339"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947813","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

Acknowledgment of Members of Health Education & Behavior's Review Panel. 感谢健康教育与行为审查小组成员。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2025-05-16 DOI: 10.1177/10901981251334579

引用次数: 0

Effectiveness of Health Coaching in Early-Stage Chronic Kidney Diseases in Patients With Diabetes. 健康指导对糖尿病患者早期慢性肾病的疗效

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2024-12-29 DOI: 10.1177/10901981241303697

Ching-Ling Lin, Yao-Tsung Chang, Li-Chi Huang, Ruey-Yu Chen, Shwu-Huey Yang

{"title":"Effectiveness of Health Coaching in Early-Stage Chronic Kidney Diseases in Patients With Diabetes.","authors":"Ching-Ling Lin, Yao-Tsung Chang, Li-Chi Huang, Ruey-Yu Chen, Shwu-Huey Yang","doi":"10.1177/10901981241303697","DOIUrl":"https://doi.org/10.1177/10901981241303697","url":null,"abstract":"This study aimed to look into the effectiveness of a 6-month health coaching intervention on kidney function in treating patients with type 2 diabetes and early-stage chronic kidney disease (CKD). It was conducted via a two-armed, randomized-controlled trial involving 92 diabetic patients who were regularly followed under the shared care system at a medical center in Taiwan. The intervention group had health coaching and usual care, while the control group had usual care only. During the 6 months, there was a significant improvement in kidney function in those patients who experienced significant worsening of eGFR prior to enrollment. The intervention group significantly improved their eGFR up to 7.92 (SD = 8.32, p = .003) and 7.63 mL/min/1.73 m2 (SD = 9.71, P < .001) within the 3-month and 6-month coaching, respectively, and the control group, neither eGFR nor urinary albumin/creatinine ratio (UACR) changed significantly during the trial. In addition, concurrent use of nutrition supplements at baseline is an essential factor in the effectiveness of intervention in this study. Based on the results of this study, health coaching may help protect kidney function for some patients with type 2 diabetes with early-stage CKD. It should raise awareness and attention to early-stage CKD and public education on the proper use of healthy nutrition supplements. Further studies on this issue with higher-quality evidence and a larger sample size are needed.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":"52 3","pages":"278-288"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077748","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

Caregivers' Perspectives on Supporting Sexual and Gender-Diverse Youth in Adolescent Relationship Abuse Prevention. 照顾者在青少年关系虐待预防中支持性和性别多元化青少年的观点。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2025-01-24 DOI: 10.1177/10901981241311216

Erin Mickievicz, Callie Laubacher, Coley Alston, Johanna Burnett, Alicyn Simpson, Lynz Sickler, Brian O'Connor, Jesse Mahler, Joseph Amodei, Elizabeth Miller, Daniel Shaw, Robert W S Coulter, Maya I Ragavan

{"title":"Caregivers' Perspectives on Supporting Sexual and Gender-Diverse Youth in Adolescent Relationship Abuse Prevention.","authors":"Erin Mickievicz, Callie Laubacher, Coley Alston, Johanna Burnett, Alicyn Simpson, Lynz Sickler, Brian O'Connor, Jesse Mahler, Joseph Amodei, Elizabeth Miller, Daniel Shaw, Robert W S Coulter, Maya I Ragavan","doi":"10.1177/10901981241311216","DOIUrl":"10.1177/10901981241311216","url":null,"abstract":"Adolescent relationship abuse (ARA) has significant sequelae and is more prevalent among sexual and gender-diverse youth (SGDY). Increased parental involvement and communication has been linked to decreased prevalence of ARA and associated health risks. Parents of SGDY may have unique needs and experiences regarding communicating with their children about ARA, yet little research has examined this area. This study explored caregivers' current practices around supporting their SGDY in healthy relationship formation and ARA prevention; caregivers' perceptions about ARA among SGDY; and their recommendations for developing ARA prevention-focused interventions for caregivers of SGDY. We conducted 24 semi-structured interviews with caregivers of SGDY aged 12 to 19. Transcripts were analyzed using thematic analysis. Some participants reported having positive, open communication with their SGDY about dating, while others struggled to understand and respond to the unique risks of ARA experienced by their adolescent. Caregivers discussed ways systemic discrimination affects SGDY experiences of relationships and ARA, and distinct dating challenges for gender-diverse youth. When considering caregiver-focused ARA prevention, participants supported a program including ARA education, communication skills building, and caregiver affirmation. Participants encouraged the use of digital and in-person mediums, experienced and relatable facilitators, and SGDY involvement. Caregivers of SGDY had significant strengths and challenges when engaging and communicating with their child around dating and ARA prevention. Caregivers at varying stages of acceptance and understanding believed they could benefit from a comprehensive and inclusive education program on SGDY ARA experiences and how they can support their child in preventing ARA.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"319-328"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028699","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

WOOP as a Brief Alcohol Intervention Led by Lay Coaches in College Settings. 在大学环境下由外行教练领导的短暂酒精干预。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2025-01-24 DOI: 10.1177/10901981241310216

Sandra Wittleder, Brianna Bhoopsingh, Peter M Gollwitzer, Melanie Jay, Elizabeth Mutter, Tim Valshtein, Gina Angelotti, Gabriele Oettingen

{"title":"WOOP as a Brief Alcohol Intervention Led by Lay Coaches in College Settings.","authors":"Sandra Wittleder, Brianna Bhoopsingh, Peter M Gollwitzer, Melanie Jay, Elizabeth Mutter, Tim Valshtein, Gina Angelotti, Gabriele Oettingen","doi":"10.1177/10901981241310216","DOIUrl":"10.1177/10901981241310216","url":null,"abstract":"Heavy drinking is a major public health concern, particularly among young adults who often experience fear of being stigmatized when seeking help for alcohol-related problems. To address drinking concerns outside clinical settings, we tested the feasibility of a novel imagery-based behavior change strategy led by student lay interventionists in a college setting. Participants were adults recruited on a college campus and were randomized to either learn the four steps of WOOP (Wish, Outcome, Obstacle, and Plan) or to learn a format-matched Sham WOOP (Wish, Outcome, \"Outcome,\" and Plan). Both WOOP and Sham WOOP interventions were taught by student lay interventionist. We found that the WOOP intervention group reported fewer heavy drinking days (≥ 5 drinks for men or ≥ 4 drinks for women, measured using the Alcohol Timeline Follow-Back Method) compared to the Sham group at the 1-month and 2-month follow-ups. WOOP, when taught by student lay interventionists in a single session, demonstrated the feasibility of reducing heavy drinking. WOOP shows promise as a low-cost and scalable intervention for reducing heavy drinking in nonclinical settings.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"299-308"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028700","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

Theory-Based Message Design for Recruitment of Underrepresented Racial/Ethnic Groups Into Alzheimer's-Focused Research Registries. 基于理论的信息设计，以招募代表性不足的种族/族裔群体加入以阿尔茨海默氏症为重点的研究登记处。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2024-11-19 DOI: 10.1177/10901981241296124

Amy Bleakley, Erin K Maloney, Michael Hennessy, Shawnika Hull, Kristin Harkins, Emily Largent, Miriam Ashford, Winnie Kwang, DeAnnah R Byrd, Rachel Nosheny, Jason Karlawish, Jessica B Langbaum

{"title":"Theory-Based Message Design for Recruitment of Underrepresented Racial/Ethnic Groups Into Alzheimer's-Focused Research Registries.","authors":"Amy Bleakley, Erin K Maloney, Michael Hennessy, Shawnika Hull, Kristin Harkins, Emily Largent, Miriam Ashford, Winnie Kwang, DeAnnah R Byrd, Rachel Nosheny, Jason Karlawish, Jessica B Langbaum","doi":"10.1177/10901981241296124","DOIUrl":"10.1177/10901981241296124","url":null,"abstract":"Alzheimer's disease (AD)-focused recruitment research registries can help identify eligible participants for AD studies, but registry participation is limited among racial and ethnic groups most at risk for AD. Using the Reasoned Action Approach (RAA), this study is part of a larger project to design theory-based persuasive recruitment messages that would encourage registry enrollment among underrepresented racial and ethnic groups. National survey data were collected in May/June 2021 from adults aged 50-80 years old living in the United States (n = 1,501) with oversamples of non-Hispanic Black (n = 334) and Hispanic (n = 309) adults for group comparisons. Regression analysis was used to estimate the relationship of the attitudes, norms, and perceived behavioral control on intention to sign up for an AD-focused research registry for each racial/ethnic and sex group (i.e., Black women, Black men, Hispanic female, Hispanic men, non-Hispanic White women, and non-Hispanic White men), followed by an audience segmentation analysis based on intender status. Across almost all target groups, attitudes were an important determinant of intention, and norms and capacity were secondary determinants for Black and Hispanic adults, respectively. There was considerable overlap in attitudinal beliefs most salient to the behavior which focused on benefits to society in some way, either generally (i.e., \"helping others in the future\"; \"advancing science\") or more specifically (i.e., \"helping others like you\"). Differences between groups were more apparent regarding norms and capacity. Targeted recruitment messages based on beliefs that were common across the groups could be an efficient way of recruiting people of color into AD research registries.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"257-265"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675648","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

Development of a Navigator-Delivered Health Insurance Education Program for Hispanic and Latine Communities. 西班牙裔和拉丁裔社区导航员提供的健康保险教育计划的发展。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2025-01-23 DOI: 10.1177/10901981241309629

Austin R Waters, Perla L Vaca Lopez, Luis Rios, Amy Chevrier, Maria Guadarrama, Julie Contreras, Judy Y Ou, Matt Slonaker, Anne C Kirchhoff

{"title":"Development of a Navigator-Delivered Health Insurance Education Program for Hispanic and Latine Communities.","authors":"Austin R Waters, Perla L Vaca Lopez, Luis Rios, Amy Chevrier, Maria Guadarrama, Julie Contreras, Judy Y Ou, Matt Slonaker, Anne C Kirchhoff","doi":"10.1177/10901981241309629","DOIUrl":"10.1177/10901981241309629","url":null,"abstract":"BackgroundEquitable access to health care services for Hispanic and Latine populations requires that systems go beyond working to increase enrollment in health insurance but also addressing health insurance literacy-the knowledge, ability, and confidence to find and use health insurance.MethodsIn collaboration with a local health policy organization, individual interviews were conducted with Hispanic and Latine community members. Group engagement sessions were conducted with key professionals. Interviews and engagement sessions focused on the adaptation of an existing health insurance education program (HIEP) to Spanish-speaking Hispanic and Latine individuals. An outline of the proposed HIEP content was provided prior to each interview or engagement session. Qualitative content was analyzed using an inductive thematic analysis guided by the intervention adaptation literature.ResultsA total of N = 20 professionals participated in an engagement session, while N = 21 community members took part in an interview. Professionals worked in both health care systems (55%) and community organizations (45%). Community members were on average 41 years of age (SD = 13), 81% female, and 100% Hispanic or Latine. Qualitative analysis revealed that participants overwhelmingly supported the adaptation of the HIEP and approved of the proposed topics. Participants also provided recommendations to improve the intervention content and characteristics including a focus on controlling costs, tailoring to the population, ensuring accessibility of content, and specifics regarding the HIEP delivery and facilitator.ConclusionsOverall participants were supportive of the proposed HIEP adaptation and provided a variety of recommendations. Health insurance literacy was perceived as an important next step to enrollment in health insurance.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"309-318"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023248","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