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Evaluation of a Workplace Diabetes Prevention Program Delivered via Distance Learning: A Qualitative Study. 对通过远程学习开展的工作场所糖尿病预防计划的评估:定性研究。
IF 2.7 3区 医学
Health Education & Behavior Pub Date : 2024-10-06 DOI: 10.1177/10901981241285433
Carolyn M Audet, Lance J Roller, Muktar H Aliyu, Lori Rolando, Maria Alva, Mohammad Ali, Jonathan S Schildcrout, Rosette Chakkalakal
{"title":"Evaluation of a Workplace Diabetes Prevention Program Delivered via Distance Learning: A Qualitative Study.","authors":"Carolyn M Audet, Lance J Roller, Muktar H Aliyu, Lori Rolando, Maria Alva, Mohammad Ali, Jonathan S Schildcrout, Rosette Chakkalakal","doi":"10.1177/10901981241285433","DOIUrl":"https://doi.org/10.1177/10901981241285433","url":null,"abstract":"<p><p>Little is known about how distance learning impacts delivery of the National Diabetes Prevention Program (DPP) despite a rapid shift to this platform during the coronavirus disease 2019 (COVID-19) public health emergency. We explored how a workplace DPP, delivered via distance learning, impacted knowledge, motivation, and behavioral skills of participants throughout the program. We conducted repeated qualitative interviews with distance learning participants at baseline, 6 months, and 12 months from September 2020 to July 2022. Three study team members coded interview data using individual responses as the unit of analysis. We used a thematic approach, using the information-motivation-behavioral skills framework, to analyze responses and generate understanding of the program's impact. The 27 individuals who participated in the interviews (89% women, mean age 56 years) reported the distance learning platform was effective in changing their behavior. The program's focus on food logging and setting limits on specific types of caloric intake was perceived as essential. Education on ideal levels of fat and sugar consumption, lessons on how to read food labels, and dissemination of recipes with healthy food substitutions allowed participants to initiate and sustain healthy decision-making. Strategies to increase physical activity, including breaking up exercise throughout the day, made reaching their goals more feasible. Participants reported food logging and weight reporting, as well as group support during sessions, either sustained or increased their motivation to adhere to the program over time. A workplace DPP delivered via distance learning successfully prompted improvements in the knowledge, motivation, and behavioral skills necessary to increase healthy eating and physical activity among participants.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"10901981241285433"},"PeriodicalIF":2.7,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380704","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
Identifying Factors That Influence Physical Activity and Healthy Aging Among Older Latino Adults. 确定影响拉丁裔老年人体育活动和健康老龄化的因素。
IF 2.7 3区 医学
Health Education & Behavior Pub Date : 2024-10-01 Epub Date: 2024-02-08 DOI: 10.1177/10901981241228221
Elena Luna, Andrew Springer, Denise Herrera, Maria Elena Garcia, Louis Brown, Steven H Kelder
{"title":"Identifying Factors That Influence Physical Activity and Healthy Aging Among Older Latino Adults.","authors":"Elena Luna, Andrew Springer, Denise Herrera, Maria Elena Garcia, Louis Brown, Steven H Kelder","doi":"10.1177/10901981241228221","DOIUrl":"10.1177/10901981241228221","url":null,"abstract":"<p><strong>Background: </strong>For older Latinos, some benefits of leisure-time physical activity (LTPA) include enhanced cognitive functioning, decreased loneliness, and reduced premature mortality. Despite LTPA benefits, adults ≥50 years are one of the most inactive age groups in the United States.</p><p><strong>Methods: </strong>This qualitative study aimed to add to the limited evidence of LTPA in older Latino adults by exploring the barriers and facilitators for fitness class uptake and park use. Guided by a Social-Ecological Model of Health and Social Determinants of Health theoretical and a phenomenological research design, qualitative research data were collected via 27 personal interviews with Latino adults using a semistructured interview guide. Participants were recruited using purposive sampling strategies in collaboration with community partners. Bicultural data collectors conducted the semistructured interviews over Zoom. Thematic analysis was performed using Dedoose, following an inductive and deductive approach.</p><p><strong>Results: </strong>The main barriers to fitness class attendance and park use were family and/or work commitments, perceived safety, and perceived discrimination. Conversely, the critical facilitators for participation were socialization into a group, social connectedness with group members, fitness instructor characteristics, and exercise history.</p><p><strong>Conclusions: </strong>Findings from this study hold important implications for the design of fitness programming and park-based recreation, including the need to increase the cultural diversity of recreation staff and culturally relevant programming. Future research is needed on time poverty related to family/work commitments and whether discriminatory practices at fitness centers, like ageism and race/ethnicity, influence physical activity behavior.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"700-709"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139702385","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
Validating a Conceptual Model on Topical Fluoride Hesitancy With Latino Parents. 验证拉丁裔家长对局部氟化物犹豫不决的概念模型。
IF 2.7 3区 医学
Health Education & Behavior Pub Date : 2024-10-01 Epub Date: 2024-02-19 DOI: 10.1177/10901981241231500
Stephanie Cruz, Haley Holland, Donald L Chi
{"title":"Validating a Conceptual Model on Topical Fluoride Hesitancy With Latino Parents.","authors":"Stephanie Cruz, Haley Holland, Donald L Chi","doi":"10.1177/10901981241231500","DOIUrl":"10.1177/10901981241231500","url":null,"abstract":"<p><p>Fluoride hesitancy is a growing public health challenge and interventions to address it may need to be tailored for minoritized subgroups to address oral health inequities. The goals of this qualitative study were to investigate the extent to which an existing conceptual model on topical fluoride hesitancy is applicable to Latino parents and whether applicability differed between Spanish-speaking Latino (SL) and English-speaking Latino (EL) parents. We conducted semi-structured one-on-one interviews with non-Latino English-speaking parents (<i>N</i> = 50), SL parents (<i>n</i> = 8), and EL parents (<i>n</i> = 8). We coded the transcripts deductively and compared our findings both qualitatively and quantitatively to an existing model on topical fluoride hesitancy comprising 21 categories classified into six domains. We compared frequencies across model domains and categories for Latino versus non-Latino parents as well as for SL versus EL parents. Latino parents were represented across all six domains and 21 categories of the conceptual model. Comparing Latino and non-Latino parents, representation was similar across Domains 1 to 3 (necessity, chemicals, and harm); Latino parents were more highly represented in Domains 4 to 6 (uncertainty, pressure, and choice) compared with non-Latino parents. A larger proportion of EL parents thought a healthy diet was more important than fluoride (Category 1d) and a larger proportion of SL parents felt they did not know enough about fluoride (Category 4a). An existing conceptual model on topical fluoride hesitancy was generally a good fit for SL and EL parents. However, differential representation across model categories suggests that fluoride-related communication and intervention approaches may need to be tailored to Latino parents based on language preference.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"719-732"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139899709","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
Effects of Racist Microaggressions and Sexual and Gender Minority Stress on Mental Health Among Latinx Lesbian, Gay, Bisexual, Transgender, and Queer or Questioning + Young Adults. 拉美裔女同性恋、男同性恋、双性恋、变性者、同性恋或质疑者 + 青年中的种族主义微词以及性和性别少数群体压力对心理健康的影响。
IF 2.7 3区 医学
Health Education & Behavior Pub Date : 2024-10-01 Epub Date: 2024-05-17 DOI: 10.1177/10901981241254068
John P Salerno, Charles H Lea, Carmela Alcántara
{"title":"Effects of Racist Microaggressions and Sexual and Gender Minority Stress on Mental Health Among Latinx Lesbian, Gay, Bisexual, Transgender, and Queer or Questioning + Young Adults.","authors":"John P Salerno, Charles H Lea, Carmela Alcántara","doi":"10.1177/10901981241254068","DOIUrl":"10.1177/10901981241254068","url":null,"abstract":"<p><p>This study examines the effects of racist microaggressions and lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ)-related minority stressors (i.e., identity concealment, family rejection, internalized LGBTQ-phobia, victimization, and racialized heterosexism/cisgenderism) on psychological distress among Latinx LGBTQ+ young people, specifically college students. Participants are a Latinx subset (<i>n</i> = 80) from a national online nonprobability cross-sectional survey of LGBTQ+ college students. The study aim was examined using linear/logistic regression. Findings indicated that racist microaggressions and family rejection were associated with psychological distress. In addition, racist microaggressions were the only stressor associated with clinically significant psychological distress that may warrant psychiatric/psychological treatment. Therefore, racist microaggressions and family rejection are unique stressors that may saliently affect mental health among Latinx LGBTQ+ students. There is a great need to integrate minority stress theory with other critically-oriented theories, such as intersectionality, in research and intervention to eliminate mental health inequities faced by Latinx LGBTQ+ young people.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"691-699"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140955992","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
Effects of Prenatal Breastfeeding Education on Breastfeeding Duration Beyond 12 Weeks: A Systematic Review. 产前母乳喂养教育对 12 周后母乳喂养持续时间的影响:系统回顾
IF 2.7 3区 医学
Health Education & Behavior Pub Date : 2024-10-01 Epub Date: 2024-01-19 DOI: 10.1177/10901981231220668
Megan K Oggero, Cathy L Rozmus, Geri LoBiondo-Wood
{"title":"Effects of Prenatal Breastfeeding Education on Breastfeeding Duration Beyond 12 Weeks: A Systematic Review.","authors":"Megan K Oggero, Cathy L Rozmus, Geri LoBiondo-Wood","doi":"10.1177/10901981231220668","DOIUrl":"10.1177/10901981231220668","url":null,"abstract":"<p><p>The proportion of infants in the United States who are breastfed at 1 year remains well below the Healthy People 2030 target. The health implications of suboptimal breastfeeding durations are significant, including increased risk of childhood leukemia and maternal Type 2 diabetes. Prenatal breastfeeding education provides an opportunity to improve breastfeeding self-efficacy among pregnant individuals and to establish their coping skills in case future breastfeeding problems arise. Although prenatal breastfeeding education is known to improve breastfeeding self-efficacy, characteristics of prenatal breastfeeding education interventions that are successful at increasing breastfeeding duration have not been well defined. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and the Health Action Process Approach, we conducted a systematic review of the literature examining the impact of prenatal breastfeeding education interventions on breastfeeding duration measured at least 12 weeks postpartum. Twenty-one studies were identified. Prenatal breastfeeding education was most likely to increase breastfeeding duration when education interventions integrated psychological components (Health Action Process Approach coping planning) or were paired with in-person postpartum breastfeeding support. Additional research is needed to examine the role of psychological components in breastfeeding education interventions in diverse populations and to determine the specific psychological intervention components with the greatest impact on breastfeeding duration.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"665-676"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11420594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139489956","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
Education and Financial Knowledge in Health-Related Financial Decisions. 与健康相关的财务决策中的教育和财务知识。
IF 2.7 3区 医学
Health Education & Behavior Pub Date : 2024-10-01 Epub Date: 2024-01-23 DOI: 10.1177/10901981241227168
Sean Hubbard
{"title":"Education and Financial Knowledge in Health-Related Financial Decisions.","authors":"Sean Hubbard","doi":"10.1177/10901981241227168","DOIUrl":"10.1177/10901981241227168","url":null,"abstract":"<p><p>The high cost of health care in the United States creates complex decisions where suboptimal choices may negatively affect an individual's physical and financial health. The challenge for patients is that the complex nature of health-related financial decisions requires specialized knowledge to avoid these suboptimal choices. While the benefits of improved health literacy are well documented, the connection between health care and household finances may mean that there is a role for education and financial knowledge in improving outcomes. This study uses data from the Financial Industry Regulatory Authority's Financial Capability Survey in a binomial logistic regression to examine the role of education and financial knowledge in health-related financial decisions. The results show that both higher levels of education and financial knowledge are related to a higher likelihood of obtaining health insurance coverage and a lower likelihood of having medical debt and engaging in cost avoidance. Income disparities remain, however, especially for those in the middle-income brackets. These results raise the possibility that increases in general education and financial knowledge may improve health outcomes, but those facing the most complex health care decisions may need more specialized knowledge. This implies that given the connection between health care and personal finances, increasing objective and subjective knowledge may lead to better outcomes for patients' financial and physical health.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"710-718"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139519766","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
Effects of an Animation-Based Comprehensive Sexuality Education Package: A 2-Year Repeated Intervention Study. 基于动画的全面性教育综合教材的效果:为期两年的重复干预研究。
IF 2.7 3区 医学
Health Education & Behavior Pub Date : 2024-10-01 Epub Date: 2024-04-18 DOI: 10.1177/10901981241236415
Hui Zhou, Hanxiyue Zhang, Angela Y Xiao, Lei Yu, Kun Tang
{"title":"Effects of an Animation-Based Comprehensive Sexuality Education Package: A 2-Year Repeated Intervention Study.","authors":"Hui Zhou, Hanxiyue Zhang, Angela Y Xiao, Lei Yu, Kun Tang","doi":"10.1177/10901981241236415","DOIUrl":"10.1177/10901981241236415","url":null,"abstract":"<p><strong>Background: </strong>Preadolescents, who are in a transitional phase of development, may experience higher exposure to heterosexual interactions while facing higher risks regarding misinformation in sexual knowledge and unsafe engagement in sexual activities. There is a deficiency in the availability of qualified educators and age-appropriate teaching materials for sexuality education in China.</p><p><strong>Methods: </strong>We implemented an animation-based comprehensive sexuality education package among preadolescents aged 9 to 12 years from eight schools in Anhui, China. The first round of intervention included 1,835 participants, lasting 2 months from September to November 2020. A total of 374 participants, accounting for 52% of the intervention group, received a second round of intervention in September 2021. Participants completed immediate follow-up assessment and 1-year follow-up assessment to assess changes in their sexual knowledge, attitudes, and other outcomes. Propensity score matching and difference-in-difference analysis were performed to determine the short- and long-term impacts.</p><p><strong>Results: </strong>Significant improvements were observed for both sexual knowledge and sexual attitudes in the immediate follow-up. There was no significant effect on pornography-seeking behavior or awareness of experiencing sexual abuse. After 1 year, the effect was sustained for sexual knowledge, but slightly declined for sexual attitudes. The second intervention significantly improved sexual knowledge; however, no significant change in sexual attitudes, pornography-seeking behavior, or awareness of experiencing sexual abuse was observed.</p><p><strong>Conclusions: </strong>Our comprehensive sexuality education package was effective in improving sexual knowledge both immediately and 1 year after the intervention. Repeated intervention can be an effective strategy for promoting preadolescent health development regarding comprehensive sexuality education.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"733-747"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856026","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
Mosques and Public Health Promotion: A Scoping Review of Faith-Driven Health Interventions. 清真寺与公共健康促进:对信仰驱动的健康干预措施的范围审查。
IF 2.7 3区 医学
Health Education & Behavior Pub Date : 2024-10-01 Epub Date: 2024-08-05 DOI: 10.1177/10901981241252800
Wahiba Abu-Ras, Basil H Aboul-Enein, Fatmah Almoayad, Nada Benajiba, Elizabeth Dodge
{"title":"Mosques and Public Health Promotion: A Scoping Review of Faith-Driven Health Interventions.","authors":"Wahiba Abu-Ras, Basil H Aboul-Enein, Fatmah Almoayad, Nada Benajiba, Elizabeth Dodge","doi":"10.1177/10901981241252800","DOIUrl":"10.1177/10901981241252800","url":null,"abstract":"<p><strong>Background: </strong>Religious institutions play a crucial role in health promotion and hold significant influence in the public health field.</p><p><strong>Aim: </strong>The aim of this review is to examine outcomes of health-promoting interventions involving the use of mosques as the intervention venue, its role in promoting health behavior change, and the role of theory in each intervention.</p><p><strong>Methods: </strong>A scoping review was conducted across 17 databases for relevant publications published up to and including August 2023 that involved the use of mosques as the intervention venue. Fourteen articles met inclusion criteria and were reviewed.</p><p><strong>Results: </strong>The studies featured a wide range of interventions. However, only eight of these studies integrated theoretical frameworks into their approaches, indicating a need for more structured guidance in this field. These theoretical frameworks included Participatory Action Research (PAR), the theory of planned behavior, behavior-change constructs, the patient-centered outcomes research (PCOR) framework, and prolonged exposure techniques within Islamic principles. The review identified three main health-focused intervention categories: mental health, prevention, and communication, each providing valuable insights into initiatives within Muslim communities.</p><p><strong>Conclusions: </strong>This review underscores the significance of inclusive and culturally sensitive health interventions, emphasizing the effectiveness of faith-based approaches in improving health outcomes, promoting positive health behaviors, and addressing communication and cultural barriers. The reviews findings stress the need for further research that incorporates theoretical frameworks and tailored interventions to meet the specific cultural needs of these communities, ultimately contributing to enhanced well-being within them.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"677-690"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11416736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141889027","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 Social-Ecological Model Exploring Gestational Diabetes Mellitus Screening Practices Among Antenatal Health Care Providers. 探索产前保健服务提供者妊娠糖尿病筛查做法的社会生态模型。
IF 2.7 3区 医学
Health Education & Behavior Pub Date : 2024-10-01 Epub Date: 2024-02-26 DOI: 10.1177/10901981241232651
Emma Ruby, Sarah D McDonald, Howard Berger, Nir Melamed, Jenifer Li, Elizabeth K Darling, Michael Geary, Jon Barrett, Beth Murray-Davis
{"title":"A Social-Ecological Model Exploring Gestational Diabetes Mellitus Screening Practices Among Antenatal Health Care Providers.","authors":"Emma Ruby, Sarah D McDonald, Howard Berger, Nir Melamed, Jenifer Li, Elizabeth K Darling, Michael Geary, Jon Barrett, Beth Murray-Davis","doi":"10.1177/10901981241232651","DOIUrl":"10.1177/10901981241232651","url":null,"abstract":"<p><p>Gestational diabetes mellitus (GDM) is associated with adverse health outcomes for the pregnant individual and their baby. Screening approaches for GDM have undergone several iterations, introducing variability in practice among healthcare providers. As such, our study aimed to explore the views of antenatal providers regarding their practices of, and counseling experiences on the topic of, GDM screening in Ontario. We conducted a qualitative, grounded theory study. The study population included antenatal providers (midwives, family physicians, and obstetricians) practicing in Hamilton, Ottawa, or Sudbury, Ontario. Semi-structured telephone interviews were conducted and transcribed verbatim. Transcripts were analyzed using inductive coding upon which codes, categories, and themes were developed to generate a theory grounded in the data. Twenty-two participants were interviewed. Using the social-ecological theory, we created a model outlining four contextual levels that shaped the experiences of GDM counseling and screening: Intrapersonal factors included beliefs, knowledge, and skills; interpersonal factors characterized the patient-provider interactions; organizational strengths and challenges shaped collaboration and health services infrastructure; and finally, guidelines and policies were identified as systemic barriers to health care access and delivery. A focus on patient-centered care was a guiding principle for all care providers and permeated all four levels of the model. Patient-centered care and close attention to barriers and facilitators across intrapersonal, interpersonal, organizational, and policy domains can minimize the impact of variations in GDM screening guidelines. Among care providers, there is a desire for additional skill development related to GDM counseling, and for national consensus on optimal screening guidelines.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"748-756"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11411845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139971666","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
Understanding Potential Mechanisms of Vaping Prevention Messages: A Mediation Analysis of the Real Cost Campaign Advertisements. 了解预防吸烟信息的潜在机制:对 "真实成本 "活动广告的中介分析。
IF 2.7 3区 医学
Health Education & Behavior Pub Date : 2024-09-29 DOI: 10.1177/10901981241278565
Talia Kieu, Haijing Ma, Jacob A Rohde, Nisha Gottfredson O'Shea, Marissa G Hall, Noel T Brewer, Seth M Noar
{"title":"Understanding Potential Mechanisms of Vaping Prevention Messages: A Mediation Analysis of the Real Cost Campaign Advertisements.","authors":"Talia Kieu, Haijing Ma, Jacob A Rohde, Nisha Gottfredson O'Shea, Marissa G Hall, Noel T Brewer, Seth M Noar","doi":"10.1177/10901981241278565","DOIUrl":"10.1177/10901981241278565","url":null,"abstract":"<p><p>The U.S. Food and Drug Administration (FDA) developed a public education campaign, <i>The Real Cost</i>, that reduced youth susceptibility to tobacco product use. We sought to identify the mechanisms that may underlie the impact of <i>The Real Cost</i> ads on susceptibility to vaping to inform youth tobacco prevention campaigns. Our online randomized controlled trial (clinicaltrials.gov, identifier NCT04836455) examined a large sample of U.S. adolescents (<i>n</i> = 1,348) who had multiple exposures to <i>Real Cost</i> ads or control videos over a 3-week period in 2021. To examine potential mediating pathways between <i>The Real Cos</i>t ads and susceptibility to vaping, we examined theory-based psychosocial and message-related variables. The largest impact of <i>The Real Cost</i> ads on susceptibility was via more negative attitudes toward vaping (β<sub>a</sub>*β<sub>b</sub> <i>=</i> -0.16; 95% confidence interval [CI] = [-0.25, -0.06]). Other mediation paths were via improved health harm risk beliefs (β<sub>a</sub>*β<sub>b</sub> = -0.08; 95% CI = [-0.13, -0.04]), addiction risk beliefs (β<sub>a</sub>*β<sub>b</sub> = -0.04; 95% CI = [-0.06, -0.01]), injunctive norms against vaping (β<sub>a</sub>*β<sub>b</sub> = -0.05; 95% CI = [-0.09, -0.02]), negative affect (β<sub>a</sub>*β<sub>b</sub> = -0.05; 95% CI = [-0.08, -0.02]), and cognitive elaboration (β<sub>a</sub>*β<sub>b</sub> = -0.03; 95% CI = [-0.05, -0.003]). Our findings suggest that ads that target negative attitudes may decrease susceptibility to vaping among youth. Our findings also introduce normative pressure as a novel factor that may be important for vaping prevention messages.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"10901981241278565"},"PeriodicalIF":2.7,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345581","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
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