Health Education & Behavior最新文献_第6页

Development of a Health Insurance Navigation Program for Long-Term Childhood Cancer Survivors 为儿童癌症长期幸存者制定健康保险导航计划

IF 4.2 3区医学

Health Education & Behavior Pub Date : 2024-09-19 DOI: 10.1177/10901981241275628

Echo L. Warner, Giselle K. Perez, Austin R. Waters, Karely M. van Thiel Berghuijs, Perla Vaca Lopez, Allyson Foor, Nicole Ray, Karen Donelan, Karen A. Kuhlthau, Anne C. Kirchhoff, Elyse R. Park

引用次数: 0

Development and Evaluation of a Blended Self-Management Program for Metabolic Syndrome in Patients With Rheumatic Diseases. 类风湿性疾病患者代谢综合征混合自我管理程序的开发和评估。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-08-01 Epub Date: 2023-07-30 DOI: 10.1177/10901981231188136

BoAe Im, HyunSoo Oh, SooHyun Kim, HyeSun Jeong, WhaSook Seo

{"title":"Development and Evaluation of a Blended Self-Management Program for Metabolic Syndrome in Patients With Rheumatic Diseases.","authors":"BoAe Im, HyunSoo Oh, SooHyun Kim, HyeSun Jeong, WhaSook Seo","doi":"10.1177/10901981231188136","DOIUrl":"10.1177/10901981231188136","url":null,"abstract":"Rheumatic diseases are known to be associated with the development of metabolic syndrome, which increases mortality rates due to cardiovascular complications. Although a variety of self-management programs for rheumatic diseases have been developed, few have concentrated on metabolic syndrome. This study aimed to develop and verify a blended (a mixture of telephone and online interventions) metabolic syndrome self-management program. The program was developed in four stages: analysis to identify program contents, website design, website development, and validity testing. A quasi-experimental nonequivalent control group, pretest-posttest design was adopted to verify the program effectiveness in 54 patients with rheumatic disease. The program was initially implemented via telephone for 4 weeks and then self-administered via a web-based platform for 20 weeks. Indices of metabolic syndrome and self-management and quality of life scores were measured as outcome variables. Data were collected three times: before intervention, after 4 weeks of telephone interventions, and after 20 weeks of online self-interventions. The devised program had a significant overall effect on metabolic syndrome indices, metabolic syndrome-related self-management behaviors, and quality of life. Detailed analysis showed the program effectively reduced body mass index, waist circumference, systolic blood pressure, and blood glucose levels and improved metabolic syndrome self-management behaviors. Based on our findings, it can be expected that the use of this program may retard or prevent the progression of metabolic syndrome by improving some metabolic syndrome indices and metabolic syndrome-related self-management behaviors, which are key components of care in rheumatic disease patients with metabolic syndrome. This web-based program appears to be beneficial in public health care settings because it is cost-effective, readily available, and may provide long-term support.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"625-635"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10255610","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

Assessing Fear, Embarrassment, and Disgust in Colonoscopy: The Development of Measurement Instruments and Psychometric Evidence. 评估结肠镜检查中的恐惧、尴尬和厌恶：测量工具的开发和心理测量学证据。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-08-01 Epub Date: 2023-06-09 DOI: 10.1177/10901981231177075

Wei Peng, Jocelyn McKinnon-Crowley, Qian Huang, Bingjing Mao

{"title":"Assessing Fear, Embarrassment, and Disgust in Colonoscopy: The Development of Measurement Instruments and Psychometric Evidence.","authors":"Wei Peng, Jocelyn McKinnon-Crowley, Qian Huang, Bingjing Mao","doi":"10.1177/10901981231177075","DOIUrl":"10.1177/10901981231177075","url":null,"abstract":"Background: Avoidance of colonoscopy is often associated with fear, embarrassment, and disgust aroused in screening procedures. However, each emotion can be linked to different challenges faced by patients. More research is needed to evaluate and address the causes of these respective emotions.Aim: The purpose of this study was to develop and assess the scales of three negative emotions (i.e., fear, embarrassment, and disgust) caused by specific issues in colonoscopy screening.Method: The measurement items were developed based on multiple common barriers in colonoscopy screening procedures. An online sample of 232 adults aged 45-75 was recruited from Amazon Mechanical Turk to test the scales. Explorative and confirmatory factor analyses were conducted to validate the measurement models.Results: Psychometric evidence demonstrated the factor structures of three negative emotions. Each emotional factor was caused by unique combinations of barriers in the preparation, screening, and recovery stages of colonoscopy. Most of the emotional factors were associated with attitudes and screening intention.Conclusion: This study showed different dimensions of negative emotions and their underlying causes in colonoscopy. These findings will help assess specific causes of negative emotions in colonoscopy and develop effective interventions to improve screening uptake.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"601-612"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9593129","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

Effectiveness of a Digital Health Game Intervention on Early Adolescent Smoking Refusal Self-Efficacy. 数字健康游戏干预对青少年早期拒绝吸烟自我效能感的影响。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-08-01 Epub Date: 2024-03-18 DOI: 10.1177/10901981241237788

Johanna Nyman, Sanna Salanterä, Miko Pasanen, Heidi Parisod

{"title":"Effectiveness of a Digital Health Game Intervention on Early Adolescent Smoking Refusal Self-Efficacy.","authors":"Johanna Nyman, Sanna Salanterä, Miko Pasanen, Heidi Parisod","doi":"10.1177/10901981241237788","DOIUrl":"10.1177/10901981241237788","url":null,"abstract":"Smoking poses a significant threat to adolescent health because of its immediate and long-term detrimental health effects. Smoking refusal self-efficacy predicts smoking behavior in adolescence. In adolescents' health education, digital interventions are potential tools to support smoking refusal self-efficacy. The aim of this two-arm cluster randomized controlled trial was to evaluate the effectiveness of a digital health game intervention compared with a no-intervention control group on smoking refusal self-efficacy in 10- to 13-year-old Finnish early adolescents. The early adolescents (n = 781) were randomized to the control group (n = 394) and the health game intervention group (n = 387). Smoking refusal self-efficacy, sources of smoking and snus refusal self-efficacy, and motivation to decline smoking and snus use in the future were measured at baseline, 2-week postintervention, and 3-month follow-up. Data were analyzed using linear mixed model and Wilcoxon rank-based test for clustered data. According to the results, the intervention group made improvements in sources of smoking and snus refusal self-efficacy between baseline and postintervention, and in sources of snus refusal self-efficacy between baseline and follow-up, compared with the control group. The intervention group showed improvements in smoking refusal self-efficacy among 12-year-olds between baseline and follow-up, and postintervention and follow-up compared with the control group. Similar improvements were also found among those with a smoking friend or a smoking parent between postintervention and follow-up. The results were promising for the use of digital health game interventions to promote early adolescent smoking refusal self-efficacy and preventing smoking experimentation. Further research can evaluate the long-term effects for adolescents.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"562-572"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11193316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140143312","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

Predictors of U.S. Adults' Opinion Toward an R-Rating Policy for Movies With Cigarette Smoking. 美国成年人对有吸烟行为的电影实行 R 级政策的预测因素。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-08-01 Epub Date: 2024-03-22 DOI: 10.1177/10901981241239933

Nikhil Ahuja, Asos Mahmood, Satish Kedia, Patrick J Dillon

{"title":"Predictors of U.S. Adults' Opinion Toward an R-Rating Policy for Movies With Cigarette Smoking.","authors":"Nikhil Ahuja, Asos Mahmood, Satish Kedia, Patrick J Dillon","doi":"10.1177/10901981241239933","DOIUrl":"10.1177/10901981241239933","url":null,"abstract":"Recently, multiple health organizations and advocacy groups have pushed for giving an R-rating for movies depicting tobacco imagery. This study examined several predictors of U.S. adults' opinion toward an R-rating policy for movies depicting cigarette smoking. We used data from the Health Information National Trends Survey (2020 cycle), for a nationally representative sample of 3,865 US adults (aged ≥ 18). The outcome variable was opinion toward an R-rating policy (support, neutral, and oppose) for movies depicting cigarette smoking. A weighted adjusted multinomial logistic regression analysis with comparisons of support versus oppose, support versus neutral, and neutral versus oppose was performed. About 48.2% of respondents were supportive of, 31.1% were neutral toward, and 20.7% were opposed to an R-rating policy. Adults aged 50 to 64 years (adjusted odds ratio [aOR] = 2.28, p = .008) and ≥65 years (aOR = 4.54, p <.001) (vs. 18-34 years) were more likely to support the R-rating policy than oppose it. Non-Hispanic Black respondents (vs. non-Hispanic Whites) were 1.74 times more likely to support than oppose the policy (aOR = 1.74, p = .04), whereas adults with a household annual income of US$75,000 or more (vs. <$20,000) and those with moderate (vs. liberal) political viewpoints were more likely to be neutral than oppose the policy. Former and current e-cigarette users (vs. never users) were less likely to support than oppose the policy. Tailored messaging addressing the rationale behind R-rating policy should be directed towards communities based on age, race/ethnicity, household income, e-cigarette usage, and political ideologies.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"573-582"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140193668","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

Hesitant or Confident: A Qualitative Study Examining Latinos' Perceptions of COVID-19 Vaccines in Arizona. 犹豫还是自信？亚利桑那州拉美裔对 COVID-19 疫苗看法的定性研究》（A Qualitative Study Examining Latinos' Perceptions of COVID-19 Vaccines in Arizona）。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-08-01 Epub Date: 2024-05-28 DOI: 10.1177/10901981241255619

Micaela Mercado, Gilberto Lopez, Matt Ignacio, Stephanie Ayers, Ann Carver, Kathryn Hamm, Wendy Wolfersteig, Sabrina Oesterle

{"title":"Hesitant or Confident: A Qualitative Study Examining Latinos' Perceptions of COVID-19 Vaccines in Arizona.","authors":"Micaela Mercado, Gilberto Lopez, Matt Ignacio, Stephanie Ayers, Ann Carver, Kathryn Hamm, Wendy Wolfersteig, Sabrina Oesterle","doi":"10.1177/10901981241255619","DOIUrl":"10.1177/10901981241255619","url":null,"abstract":"This study aimed to understand vaccine hesitancy and confidence toward the COVID-19 vaccines among Latino adults in Arizona. Latinos (n = 71) aged 18 years or older who resided in Arizona participated in 14 focus groups between February and June 2021. Theoretical thematic analysis was used to examine drivers of these two behaviors, namely, vaccine hesitancy and confidence toward the COVID-19 vaccines, using the COM-B model, comprising capability, opportunity, and motivation factors that generate a behavior. Vaccine hesitancy stemmed from the need for vaccine information (capability factor) and fear of the vaccines, religious beliefs, and perceived barriers stemming from government mistrust (motivation factors). Vaccine confidence arose from trust in science and doctors (capability factor), and a fear of getting sick, protection against COVID-19, getting vaccinated as a civic duty, and a desire to return to normal life (motivation factors). The influence of opportunity factors, such as having access to vaccinations, were not discussed as contributing to vaccine confidence or hesitancy. As predicted by the COM-B model, factors reflecting capabilities and motivations contributed to vaccine hesitancy and confidence, all of which need to be considered in public health messaging. These factors can be targeted to facilitate efforts to promote vaccine uptake and reduce the spread of COVID-19.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"512-520"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158155","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

Impact of a College Sexual Violence Prevention Program on Condom Use: A Mediation Analysis. 大学性暴力预防计划对安全套使用的影响：中介分析

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-08-01 Epub Date: 2024-03-08 DOI: 10.1177/10901981241234640

Anne Laterra, Dennis Reidy, Laura Salazar

{"title":"Impact of a College Sexual Violence Prevention Program on Condom Use: A Mediation Analysis.","authors":"Anne Laterra, Dennis Reidy, Laura Salazar","doi":"10.1177/10901981241234640","DOIUrl":"10.1177/10901981241234640","url":null,"abstract":"College-age students are disproportionately impacted by sexually transmitted infections. Campus programs that reduce sexual violence have received recent investment, are increasingly common, and may offer a platform to increase condom use, but this has not yet been investigated. We explore this novel question through a secondary analysis of a randomized control trial of RealConsent, a web-based, sexual assault program for college women, on three college campuses. By estimating single and multiple-mediator models we examine the relationships between study assignment, the hypothesized mediators: self-efficacy to discuss safer sex, and clarity and assertiveness in sexual communication, and consistent condom use at follow-up. In the single mediator models, self-efficacy for safer sex communication (aOR: 1.11, 95% CI: 1.03-1.19, p = .004), assertiveness in sexual communication (aOR: 1.06, 95% CI: 1.02-1.11, p =.004), and clarity in sexual communication (aOR: 1.03, 95% CI: 1.00-1.05, p = .026) demonstrated significant direct effects on condom use. No statistically significant relationships between RealConsent and the mediators, nor indirect effects were found. In the multimediator model, there were no statistically significant associations identified. Self-efficacy, assertiveness, and clarity in communication about sex may have a positive impact on condom use but we did not find evidence that RealConsent impacted these mediators and thus no mediated effect was identified. Additional research is needed to develop and assess college-based sexual violence prevention programs that include an additional focus on skills specifically related to condom negotiation and use to understand if these widespread programs offer an efficient and effective platform to reduce the impact of sexually transmitted infections (STIs) among this high-risk population.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"544-552"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140059223","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

Social Support and Physical Activity in College and University Students: A Meta-Analysis. 大学生的社会支持与体育锻炼：元分析

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-08-01 Epub Date: 2024-02-02 DOI: 10.1177/10901981231216735

Xiaolin Wang, Xuezhen Yang, Nasnoor Juzaily Bin Mohd Nasiruddin, Shasha Wei, Delong Dong, Shamsulariffin Bin Samsudin

{"title":"Social Support and Physical Activity in College and University Students: A Meta-Analysis.","authors":"Xiaolin Wang, Xuezhen Yang, Nasnoor Juzaily Bin Mohd Nasiruddin, Shasha Wei, Delong Dong, Shamsulariffin Bin Samsudin","doi":"10.1177/10901981231216735","DOIUrl":"10.1177/10901981231216735","url":null,"abstract":"Although physical activity (PA) has a profound impact on health, many college and university students are still physically inactive. There is some evidence to suggest that social support (SS) could impact the PA levels of students, but the internal relationship and specific effects are not very clear. The purpose of this review was to determine the strength of the relationship between SS and PA and examine whether any potential associations differed in terms of age, gender, and region among college and university students. Studies were identified using the following electronic databases: PubMed, SPORTDiscus, Web of Science, and Sociological Abstracts. Moderator analyses investigating the effects of students' age, gender, and region (nation) were performed. This review included 19 articles. The results showed total SS was significantly associated with PA (r = 0.30, 95% confidence interval [CI]: [0.22, 0.37], p < .001). With respect to different types of support, friend support was more strongly associated with PA than family support. Gender factors had a significant moderating effect on the correlation between SS and PA (QM = 17.433, p < .001). Separate analyses examining the moderating effects of gender (percentage of females) found that the association between SS and PA was stronger with the increase in female percentage. In conclusion, SS is an important factor associated with PA levels and should foster SS within intervention programs according to types of SS and gender differences to increase PA levels among college and university students.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"533-543"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139671711","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

A Qualitative Study of Health Equity's Role in Community Coalition Development. 关于健康公平在社区联盟发展中的作用的定性研究。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-08-01 Epub Date: 2023-06-28 DOI: 10.1177/10901981231179755

Sadie Chen, Galya Walt, Alison Aldrich, Ann Scheck McAlearney, Benjamin Linas, Brenda Amuchi, Darcy A Freedman, Dawn Goddard-Eckrich, Erin Gibson, Jeanie Hartman Ms, Julie Bosak, Karsten Lunze, Latasha Jones, Mia Christopher, Pamela Salsberry, Rebecca Jackson, Sandi Back, Mari-Lynn Drainoni, Daniel M Walker

{"title":"A Qualitative Study of Health Equity's Role in Community Coalition Development.","authors":"Sadie Chen, Galya Walt, Alison Aldrich, Ann Scheck McAlearney, Benjamin Linas, Brenda Amuchi, Darcy A Freedman, Dawn Goddard-Eckrich, Erin Gibson, Jeanie Hartman Ms, Julie Bosak, Karsten Lunze, Latasha Jones, Mia Christopher, Pamela Salsberry, Rebecca Jackson, Sandi Back, Mari-Lynn Drainoni, Daniel M Walker","doi":"10.1177/10901981231179755","DOIUrl":"10.1177/10901981231179755","url":null,"abstract":"Opioid overdose deaths are dramatically increasing in the United States and disproportionately affecting minority communities, with the increasing presence of fentanyl exacerbating this crisis. Developing community coalitions is a long-standing strategy used to address public health issues. However, there is a limited understanding of how coalitions operate amid a serious public health crisis. To address this gap, we leveraged data from the HEALing Communities Study (HCS)-a multisite implementation study aiming to reduce opioid overdose deaths in 67 communities. Researchers analyzed transcripts of 321 qualitative interviews conducted with members of 56 coalitions in the four states participating in the HCS. There were no a priori interests in themes, and emergent themes were identified through inductive thematic analysis and then mapped to the constructs of the Community Coalition Action Theory (CCAT). Themes emerged related to coalition development and highlighted the role of health equity in the inner workings of coalitions addressing the opioid epidemic. Coalition members reported seeing the lack of racial and ethnic diversity within their coalitions as a barrier to their work. However, when coalitions focused on health equity, they noted that their effectiveness and ability to tailor their initiatives to their communities' needs were strengthened. Based on our findings, we suggest two additions to enhance the CCAT: (a) incorporating health equity as an overarching construct that affects all stages of development, and (b) ensuring that data about individuals served are included within the pooled resource construct to enable monitoring of health equity.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"613-624"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9683827","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

Teamwork Competencies and Their Influence on Health Literacy and Other Health Variables. 团队合作能力及其对健康素养和其他健康变量的影响。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-08-01 Epub Date: 2023-11-02 DOI: 10.1177/10901981231207079

Iago Portela-Pino, Alejandro Sal-de-Rellán, Lucía Lomba-Portela

引用次数: 0