Carla Bang, Kelly Carroll, Niyati Mistry, Justin Presseau, Natasha Hudek, Sezgi Yanikomeroglu, Jamie C Brehaut
{"title":"Use of Implementation Science Concepts in the Study of Misinformation: A Scoping Review.","authors":"Carla Bang, Kelly Carroll, Niyati Mistry, Justin Presseau, Natasha Hudek, Sezgi Yanikomeroglu, Jamie C Brehaut","doi":"10.1177/10901981241303871","DOIUrl":"10.1177/10901981241303871","url":null,"abstract":"<p><p>Misinformation hinders the impact of public health initiatives. Efforts to counter misinformation likely do not consider the full range of factors known to affect how individuals make decisions and act on them. Implementation science tools and concepts can facilitate the development of more effective interventions against health misinformation by leveraging advances in behavior specification, uptake of evidence, and theory-guided development and evaluation of complex interventions. We conducted a scoping review of misinformation literature reviews to document whether and how important concepts from implementation science have already informed the study of misinformation. Of 90 included reviews, the most frequently identified implementation science concepts were consideration of mechanisms driving misinformation (78%) and ways to intervene on, reduce, avoid, or circumvent it (71%). Other implementation science concepts were discussed much less frequently, such as tailoring strategies to the relevant context (9%) or public involvement in intervention development (9%). Less than half of reviews (47%) were guided by any theory, model, or framework. Among the 26 reviews that cited existing theories, most used theory narratively (62%) or only mentioned/cited the theory (19%), rather than using theory explicitly to interpret results (15%) or to inform data extraction (12%). Despite considerable research and many summaries of how to intervene against health misinformation, there has been relatively little consideration of many important advances in the science of health care implementation. This review identifies key areas from implementation science that might be useful to support future research into designing effective misinformation interventions.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"340-353"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846463","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}
{"title":"Acknowledgment of Members of <i>Health Education & Behavior</i>'s Review Panel.","authors":"","doi":"10.1177/10901981251335025","DOIUrl":"https://doi.org/10.1177/10901981251335025","url":null,"abstract":"","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":"52 3","pages":"356-357"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077746","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}
{"title":"Pro-Vax, Anti-Vax, or Shades of Gray? Segmenting Consumers Based on Attitudes to Vaccination.","authors":"Davide Rigoni, Timothy Desmet, Malaika Brengman","doi":"10.1177/10901981251334105","DOIUrl":"https://doi.org/10.1177/10901981251334105","url":null,"abstract":"<p><p>Vaccination hesitancy remains a prominent global health concern, as recognized by the World Health Organization (WHO). This quantitative study, conducted on a representative sample of the Belgian population (<i>n</i> = 1,030), explores consumer segmentation concerning vaccination attitudes during the COVID-19 pandemic in 2021, identifying five distinct clusters. While 39.6% of the surveyed consumers broadly accepted the COVID-19 vaccine (Convinced Pro-Vaxxers), our analysis revealed that 17.1% were skeptical (Skeptics), 12.7% were fearful of the inoculation procedure (Fearful Doubters), and 7.1% were fully opposed to vaccination (Anti-Vaxxers). Nearly one in four participants (Indifferent Pro-Vaxxers) showed little interest in the pandemic yet remained largely favorable toward vaccination. The variation in cluster size, attitudes, beliefs, and sociodemographic traits highlights the complexity of vaccine hesitancy, indicating it is not a binary issue. These findings underscore the importance of tailored health communication and vaccination campaigns to address hesitancy and improve vaccine uptake.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"10901981251334105"},"PeriodicalIF":2.7,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993165","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}
Tucker Reed, Saania Tariq, Jeremy Auger, Matt Larsen, Justin Lawson, Anna Whaley, Eshleen K Grewal, David Jt Campbell
{"title":"Assessing the Impact of a Community-Based Narrative Film about Diabetes and Homelessness.","authors":"Tucker Reed, Saania Tariq, Jeremy Auger, Matt Larsen, Justin Lawson, Anna Whaley, Eshleen K Grewal, David Jt Campbell","doi":"10.1177/10901981251332235","DOIUrl":"https://doi.org/10.1177/10901981251332235","url":null,"abstract":"<p><p>Stigma prevents societal acceptance, reinforces social inequities, and greatly complicates the management of diabetes for those dealing with homelessness. Various forms of media, such as film, can educate audiences and play a role in reducing stigma, but the effectiveness of such interventions in changing individuals' knowledge, attitudes, and beliefs (KAB) requires further exploration. This study assessed the impact of a film on diabetes and homelessness through pre- and post-surveys of audience members (<i>n</i> = 202) at 12 screening events. The surveys measured changes in KAB through Likert scale questions, with scores ranging from 1 to 5. Statistical analyses, including Wilcoxon signed-rank and Kruskal-Wallis tests, were used to assess differences in KAB before and after viewing the film, as well as variations based on prior familiarity with diabetes and homelessness. Respondents' knowledge increased significantly across all topics related to both diabetes and homelessness. There were significant differences in all questions that assessed respondents' attitudes. Notably, respondents' beliefs changed significantly to be more positive, except for a single question where the pre-scores already demonstrated reasonably high baseline knowledge. In several domains, respondents familiar with diabetes did not have as significant of a change compared with individuals who were less familiar with diabetes at baseline. These findings suggest that narrative films can positively influence audience members' KAB about stigmatized conditions like diabetes and homelessness. Future research will examine the lasting impact of such interventions on audience members' KAB.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"10901981251332235"},"PeriodicalIF":2.7,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968070","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}
{"title":"Reactions to Sexual, Substance Use, and Mental Health Surveys Among Rural Sexual Minority Men.","authors":"Benjamin N Montemayor, Christopher Owens","doi":"10.1177/10901981251336231","DOIUrl":"https://doi.org/10.1177/10901981251336231","url":null,"abstract":"<p><p>Rural gay, bisexual, and other sexual minority men's (SMM) comfort levels answering sensitive health topics are unknown. This online survey explored comfort levels of 399 rural SMM in the Southern United States when responding to five sensitive health topics (sexual behavior, alcohol use, drug use, sexualized drug use, and mental health), as well as examined demographic and behavioral differences in these comfort levels. Multiple linear regression models were analyzed. More than 70% of participants reported being very or somewhat comfortable answering all five health topics. More politically liberal SMM reported higher levels of comfort with sexual behavior and drug use questions. SMM who had condomless anal sex reported more comfortability answering sexual behavior questions, whereas SMM who used alcohol reported lower comfortability levels answering alcohol use questions. Findings have implications for the conduct and approval of health behavior survey research.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"10901981251336231"},"PeriodicalIF":2.7,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980683","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}
{"title":"Effects of a Supplemental Nutrition Assistance Program-Education Campaign on Campaign Awareness, Message Recall, and Behavior.","authors":"Laura H Downey, Holli H Seitz, Sylvia H Byrd","doi":"10.1177/10901981251334149","DOIUrl":"https://doi.org/10.1177/10901981251334149","url":null,"abstract":"<p><p>Obesity is linked to high morbidity and mortality and is particularly prevalent in the southeastern United States. The Supplemental Nutrition Assistance Program-Education (SNAP-Ed), funded by the U.S. Department of Agriculture, provides nutrition education and obesity-prevention programs for individuals who qualify for nutrition assistance programs. This evaluation examines the effect of a statewide SNAP-Ed multimedia social marketing campaign in the southeastern United States on campaign awareness, message recall, and behavioral outcomes. The evaluation employed a cross-sectional design using a survey of the priority population. Participants included SNAP-eligible individuals (<i>n</i> = 671) meeting an income threshold and reporting children under 18 years of age living in the household. Compared to participants who were not aware of the campaign, participants who were aware of the campaign reported more frequent fruit and vegetable consumption and more physical activity, and Mann-Whitney tests of these differences were statistically significant. Mann-Whitney tests also demonstrated that recall of nutrition-related campaign messages (such as \"cook healthy meals at home\") was significantly and positively associated with frequency of fruit and vegetable consumption. These results provide additional evidence that multimedia statewide SNAP-Ed social marketing campaigns are associated with changes in nutrition and physical activity. These findings have implications for others planning health education campaigns related to nutrition and physical activity; this multimedia social marketing campaign shows promise for shaping behavioral outcomes.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"10901981251334149"},"PeriodicalIF":2.7,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980681","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}
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":"https://doi.org/10.1177/10901981251330487","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"10901981251330487"},"PeriodicalIF":2.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jesus Ramirez-Valles, Lisa Kuhns, Lucia Juarez, Hale M Thompson, Rohan Jeremiah, Daniel Canavese de Oliveira, Joseph Lightner
{"title":"Conservative Control, Scientific Suppression: Hope and the Fight for Public Health.","authors":"Jesus Ramirez-Valles, Lisa Kuhns, Lucia Juarez, Hale M Thompson, Rohan Jeremiah, Daniel Canavese de Oliveira, Joseph Lightner","doi":"10.1177/10901981251332237","DOIUrl":"https://doi.org/10.1177/10901981251332237","url":null,"abstract":"","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"10901981251332237"},"PeriodicalIF":2.7,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003376","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}
{"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":"https://doi.org/10.1177/10901981251328590","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"10901981251328590"},"PeriodicalIF":2.7,"publicationDate":"2025-04-03","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}
Elisabeth F Callen, Tarin L Clay, Wendy Cogan, William R Black, Jordan T Jones, Natabhona Mabachi
{"title":"Community Social Networking for Ehlers-Danlos Syndrome.","authors":"Elisabeth F Callen, Tarin L Clay, Wendy Cogan, William R Black, Jordan T Jones, Natabhona Mabachi","doi":"10.1177/10901981241292275","DOIUrl":"10.1177/10901981241292275","url":null,"abstract":"<p><p>While 10% of the U.S. population are afflicted with a rare disease, patients with a rare disease can have a difficult time finding a provider or useful information. Patients with rare diseases are often frustrated by lack of knowledge from their provider, lack of satisfaction with their provider, and lack of available time with their provider. Social connections and networks can be a useful tool for patients with rare diseases to seek and maintain support and information. For this study, a specific rare disease's (Ehlers-Danlos syndrome) support groups in a moderately sized metropolitan area were surveyed about their social interactions with others around their rare disease. The survey was distributed through online support groups on Facebook and was open over a 3-month period. For the 102 respondents that completed the social networking portion of the survey, there were 448 connections. The main modality of networking was in-person, with discussions about their rare disease occurring daily. Providers can utilize these social networks, after engaging with patients, to disseminate educational information and request feedback from patients. The social networks patients create can help them feel a sense of connectedness they might not otherwise feel due to their rare disease.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"199-206"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545074","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}