Health Education & Behavior最新文献_第3页

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":"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

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 2.1 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":2.1,"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

Use of Implementation Science Concepts in the Study of Misinformation: A Scoping Review. 实施科学概念在错误信息研究中的应用：范围综述。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2024-12-18 DOI: 10.1177/10901981241303871

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":"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.","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}

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: 10.1177/10901981251335025

引用次数: 0

Assessing the Impact of a Community-Based Narrative Film about Diabetes and Homelessness. 评估以社区为基础的关于糖尿病和无家可归的叙事电影的影响。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-05-10 DOI: 10.1177/10901981251332235

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":"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 (n = 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.","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}

引用次数: 0

Reactions to Sexual, Substance Use, and Mental Health Surveys Among Rural Sexual Minority Men. 农村性少数男性对性、物质使用和心理健康调查的反应

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-05-08 DOI: 10.1177/10901981251336231

Benjamin N Montemayor, Christopher Owens

引用次数: 0

Effects of a Supplemental Nutrition Assistance Program-Education Campaign on Campaign Awareness, Message Recall, and Behavior. 补充营养援助计划-教育运动对运动意识、信息回忆和行为的影响。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-04-30 DOI: 10.1177/10901981251334149

Laura H Downey, Holli H Seitz, Sylvia H Byrd

{"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":"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 (n = 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.","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}

引用次数: 0

Community Social Networking for Ehlers-Danlos Syndrome. 埃勒斯-丹洛斯综合症社区社交网络。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-04-01 Epub Date: 2024-10-30 DOI: 10.1177/10901981241292275

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":"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.","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}

引用次数: 0

Designing Health Interventions to Meet the Needs and Experiences of Minoritized Adolescents: #DoubleTap4Health. 设计健康干预措施，满足少数民族青少年的需求和经历：#DoubleTap4Health.

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-04-01 Epub Date: 2024-10-31 DOI: 10.1177/10901981241292313

Patrece L Joseph, Sasha A Fleary

{"title":"Designing Health Interventions to Meet the Needs and Experiences of Minoritized Adolescents: #DoubleTap4Health.","authors":"Patrece L Joseph, Sasha A Fleary","doi":"10.1177/10901981241292313","DOIUrl":"10.1177/10901981241292313","url":null,"abstract":"Engagement in preventive health behaviors (PHBs; i.e., healthy eating, sleep, and physical activity) during adolescence is associated with reduced risks for chronic conditions, such as diabetes, in adulthood. Although several interventions seek to improve adolescents' engagement in health promoting behaviors, racial- and income-based disparities across PHBs persist and may be even more pronounced for adolescents with multiple minoritized identities (e.g., Black adolescents in low-income communities). Therefore, targeted interventions that better meet the needs of minoritized adolescents are critical. The design of such interventions should include: (1) adolescent involvement, (2) cultural tailoring, (3) developmental theory, and (4) consideration of the social determinants of health. This article describes how these elements have been successfully incorporated into adolescent preventive health interventions and used to design #DoubleTap4Health, a community-based social media health intervention for Black adolescents from a low-income community. The results of a feasibility pilot of #DoubleTap4Health suggest that (1) attention to these elements in the intervention design process is feasible and advantageous to ensuring that the intervention components are appropriate and well received by adolescents, and (2) the intervention demonstrated promise as adolescents showed improved engagement in PHBs and media literacy skills. Lessons learned and next steps for intervention development are discussed. Including the above four elements in the design of preventive health interventions for adolescents from minoritized communities is critical to promoting health equity.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"166-178"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545075","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