{"title":"Addressing Community Health Worker Wellness and Self-care: A Formative Evaluation","authors":"Chelsey Kirkland, J. Hallam","doi":"10.14485/hbpr.10.3.2","DOIUrl":"https://doi.org/10.14485/hbpr.10.3.2","url":null,"abstract":"Objective: Community health workers (CHWs) experience higher than average risks for chronic diseases and poor health and are disproportionately affected by the COVID-19 pandemic due to being from historically marginalized populations. Despite limited literature, these factors indicate a need for CHW-specific support programming for wellness and self-care. Therefore, we conducted formative evaluation using virtual focus groups (N = 5) using descriptive and interpretive qualitative research methods to inform a program called “HANS KAI.” Methods: The focus groups included CHWs (N = 35) and CHW supervisors (N = 5) to explore CHW-support programming needs and understand their perceptions of HANS KAI. Two moderators followed a semi-structured focus group guide with questions and prompts focused on 5 primary domains: (1) Intervention Initiation, (2) Impact of Agency Culture, (3) HANS KAI Meeting Details, (4) HANS KAI Meeting Topics, and (5) Intervention Incentives. Audio-transcribed data were aggregated and analyzed for each domain with inductive codes involving iterative cycles of descriptive and in vivo coding. Salient themes and sub-themes were developed based on the domains. Results: We developed 8 salient themes within the domains. Conclusion: Our findings reveal that CHW HANS KAI components reflect CHWs’ needs, may benefit CHWs, and provide insights into CHW-specific programming.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" 10","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41253638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alyssa Mayer, T. McCune, J. McDaniel, Diana Gill, R. McDermott
{"title":"Active Duty to Veteran: Challenges Faced by Service Men and Women Reintegrating to Civilian Life in the South Carolina Lowcountry","authors":"Alyssa Mayer, T. McCune, J. McDaniel, Diana Gill, R. McDermott","doi":"10.14485/hbpr.10.3.5","DOIUrl":"https://doi.org/10.14485/hbpr.10.3.5","url":null,"abstract":"Objective: One in 4 active-duty US military personnel report needing support for mental health issues. This proportion increases to 41% of all US military veterans, suggesting mental health status may worsen by the transition from active duty to civilian life. In this study, we explore the lived experiences of veterans in the South Carolina Lowcountry as they transition from active service to civilian life, with an emphasis on identifying services and support for this population. Methods: We used a qualitative design employing a grounded theory approach. We conducted semi-structured interviews with 20 veterans in the first year of reintegration to civilian life that examined the following areas: (1) social isolation; (2) physical isolation; and (3) self-reported levels of mental distress. Results: Thematic saturation was reached with the following emerging themes: (1) perceived mental distress due to social and physical isolation, (2) difficulty transitioning from the military “family” to one’s actual family, (3) confusion regarding identity and place in society, and an expressed (4) need for services to support this critical period in a veteran’s life. Conclusions: Our interview data provide insight about the experiences of military veterans as they return to civilian life and offer evidence for the need for better integration into the social and physical fabric of the population using both existing and enhanced community-based support programs","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47071084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amkita Agarwal, Emily Burwell, W. Romine, Tanvi Banerjee
{"title":"Dynamic Topic Modeling to Mine Themes and Evolution during the Initial COVID-19 Vaccine Rollout","authors":"Amkita Agarwal, Emily Burwell, W. Romine, Tanvi Banerjee","doi":"10.14485/hbpr.10.3.1","DOIUrl":"https://doi.org/10.14485/hbpr.10.3.1","url":null,"abstract":"Objective: In this paper, we identify the topics in the form of themes being discussed on Twitter about the COVID-19 vaccine during the period of initial rollout of the vaccines and their evolution every month with the scientific advancement and major events on the COVID-19 vaccine timeline. Methods: We collected tweets from Twitter API over a period of 3 months from December 1, 2020 to February 28, 2021 using the keyword, \"COVID-19 vaccine: and implemented dynamic topic modeling to identify topics in the form of themes being discussed. We then visualized the evolution of these themes every month with the news events during that time. Results: We found that 8 themes were discussed on Twitter during the initial rollout of COVID-19 vaccines. Within each theme, there were some unique key words found in a particular month or new key words that emerged from the previous month. These themes evolved with the trending news during that time period. Conclusions: Public discussions and health behavior of people about COVID-19 vaccines across different themes evolved over time. There was a dynamic and temporal shift in the perception of people regarding these vaccines coinciding with the scientific advancement and news events around the development, distribution, and administration of these vaccines.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"31 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66727715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicola Manalili, Jackson Schenone, Mariel Linskey, Alijah Brooks, Lauren Brucker, A. Lent
{"title":"Smokers with Access to Care are More Likely to Attempt Quitting Smoking","authors":"Nicola Manalili, Jackson Schenone, Mariel Linskey, Alijah Brooks, Lauren Brucker, A. Lent","doi":"10.14485/hbpr.10.3.3","DOIUrl":"https://doi.org/10.14485/hbpr.10.3.3","url":null,"abstract":"Objective: The Affordable Care Act (ACA) increased healthcare access and smoking cessation services. We examined the association between access to care and quit attempts after the ACA. Methods: We analyzed 2015-2018 Behavioral Risk Factor Surveillance System data (N = 209,213). Using logistic regression, independent variables included having a personal healthcare provider and time since last healthcare provider visit. The dependent variable included smoking cessation attempt in the past 12 months (yes or no). Interactions were examined for demographic variables. Results: Smokers with one (OR = 1.27, 95% CI=1.21, 1.33) or more (OR = 1.28, 95% CI=1.28, 1.48) providers were more likely to have a quit attempt versus no provider. Smokers with a recent check-up were more likely to have a quit attempt versus those who never had/had a check-up greater than 5 years ago (OR2-5 years = 1.19, 95% CI = 1.10, 1.29, OR1-2 years = 1.34, 95% CI = 1.25, 1.44, OR1 year = 1.50, 95% CI = 1.42, 1.58). Age and education modified these associations. Conclusions: Instead of disincentive measures, policies should promote healthcare system interactions to support cessation.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42988444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perceiving E-cigarettes as Less Harmful than Cigarettes is Associated with JUUL and Vuse Solo Use Intentions among Young Adult Dual-users","authors":"Kathryn La Capria, Chen Julia","doi":"10.14485/hbpr.10.3.4","DOIUrl":"https://doi.org/10.14485/hbpr.10.3.4","url":null,"abstract":"Objective: In this study, we aimed to examine associations of relative harm perceptions of e-cigarettes versus cigarettes and using or switching to commonly used or FDA-authorized e-cigarettes among young adult dual-users. Methods: We conducted a cross-sectional online survey in 2022 among young adult (ages 18-34) dual-users of cigarettes and e-cigarettes (N = 1821). We used multivariable logistic regressions to examine the associations between the explanatory variable and each response variable, controlling for covariates and stratified by current JUUL or Vuse Solo use. Results: Less than half (40.6%) of the participants perceived e-cigarettes as less harmful than cigarettes. Perceiving e-cigarettes as less harmful was associated with intentions of using and completely switching to JUUL and Vuse Solo. For stratified analysis, perceiving e-cigarettes as less harmful was associated with using and completely switching to JUUL among current and noncurrent JUUL users; it was associated with having intentions of using and completely switching to Vuse Solo among non-current Vuse Solo users. Conclusions: Perceiving e-cigarettes as less harmful than cigarettes was associated with having intentions of using and completely switching to JUUL and Vuse Solo products. Increasing the accurate relative harm perception is important to promote complete product switching to e-cigarettes among young adult smokers.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47211808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Qualitative Study of Health Disorders of Traditional Divers","authors":"T. Utami, D. Agustina, N. Widajati","doi":"10.14485/hbpr.10.2.4","DOIUrl":"https://doi.org/10.14485/hbpr.10.2.4","url":null,"abstract":"Objective: In this study, we examined the characteristics of health problems associated with traditional divers (N = 10) so as to provide responsive prevention and intervention for persons engaged in this informal occupation. Methods: For this qualitative research we used a phenomenological design. We conducted data analysis in 2 ways: (1) we mapped the responses of our participants to interview questions, and (2) we applied ATLAS.Ti22 software for analytic description. Results: Complaints of muscle cramps were felt by 4 participants who consumed < 2 liters of water per day, 2 persons with a body mass index (BMI) in the obese category, and one diver who was overweight. Ear complaints were related to diving depth, diving duration, cigarette smoking, and BMI. Muscle complaints were related to water consumption, dive depth, and BMI is 0.22. Conclusion: Education, surveillance, and policy initiatives are necessary to minimize the negative health effects of traditional diving.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45822912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What the Data Say: The Utility of Better Health Literacy during and beyond COVID-19","authors":"Sandra D Vamos, Michelle M. Vine","doi":"10.14485/hbpr.10.2.5","DOIUrl":"https://doi.org/10.14485/hbpr.10.2.5","url":null,"abstract":"Objective: The aim of this paper was to identify the reported need for health literacy related to the COVID-19 pandemic. We explored the role of health literacy in people’s understanding and acceptance of scientific evidence and digital information during the COVID-19 infodemic and beyond. Methods: We followed PRISMA guidelines to guide our scoping review and synthesize relevant sources of literature related to health literacy and COVID-19. PRISMA guidelines helped to identify inclusion/exclusion criteria to assess time period and quality sources from academic papers. Results: A total of 397 articles were screened, with 44 articles meeting criteria. We identified the necessity of health-literate individuals and data through examples of “information pollution” contributing to the infodemic. We reflected on some key COVID-19 lessons learned, sharing examples and approaches using a health literacy lens in our public health response within our digital landscape. Conclusions: This review highlights the need to enhance health literacy skills among individuals, organizations, and governments to empower citizens and communities by bridging the digital health information gap among scientists, public health officials, and the public. More work is needed for effective health literacy capacity building to navigate science, enhance accurate online health communication, and minimize controversies for future public health crises.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45785316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Shegog, Michelle Zhao, Jamila B. Raja, Evan Shegog, E. Leass, A. Siddiqui
{"title":"School Art Murals Reflecting the Immigrant Experience: A Mixed-methods Social-ecological Approach to Assess Perceptions of Staff and Students","authors":"R. Shegog, Michelle Zhao, Jamila B. Raja, Evan Shegog, E. Leass, A. Siddiqui","doi":"10.14485/hbpr.10.2.1","DOIUrl":"https://doi.org/10.14485/hbpr.10.2.1","url":null,"abstract":"Objective: The objective of this study was to explore the perceived social-ecological impacts of school-based art mural installations that represented the immigrant and refugee experience in a major urban center in southeast Texas. Methods: We adapted surveys (ixia and National School Climate Center) to assess 4 theory-based individual- and community-level constructs with school personnel (N = 9) and students (N = 23) in 3 ethnically diverse inner-city schools in Houston, Texas. Focus groups and interviews captured their perceptions and experiences with the art murals in their own voice. Results: Most participants (> 90%) agreed that the art murals were socially valuable to the school community, neighborhood, and interpersonal relationships, in addition to providing increased economic value (p < .01). Participants responded that there were better relationships between the school communities and their neighborhoods and increased school pride. Student reflections and behaviors were commensurate with the murals’ inspirational messages. Conclusion: Findings contribute to understanding the benefits of public art in predominantly minority school settings that reflect the immigrant and refugee experience and aspirations for improving health within a community.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44924427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Impact of COVID-19 on Physical Activity and Related Health Outcomes: Where Do We Go from Here?","authors":"Emily Stevens, Paul D Gallo, Jaimy Dyer, E. Balk","doi":"10.14485/hbpr.10.2.3","DOIUrl":"https://doi.org/10.14485/hbpr.10.2.3","url":null,"abstract":"Objective: COVID-19 has presented challenges to public health, including mental and physical health risks attributed to reductions in physical activity (PA) and social isolation that resulted from quarantine. Barriers to community engagement and PA have persisted. In this paper, we review the literature on behavioral changes associated with COVID-19 on aerobic exercise, resistance training, and related mental and physical health outcomes, including barriers to PA, to guide recommendations for post-COVID community-based exercise programming. Methods: We identified 63 relevant studies related to COVID-19 and PA (N = 22), aerobic exercise (N = 11), and discreet resistance exercise (N = 30). We reviewed studies while trying to focus on synthesizing the impact of the pandemic on rates of PA, barriers to PA, and resulting health outcomes to guide recommendations for post-pandemic community-based programming. Results: COVID-19 lockdown resulted in substantial reductions in PA, which led to increased risk for comorbidities attributed to inactivity and social isolation. Typical barriers to PA among adults were exacerbated with closure of gyms and balancing work and family care from home. Conclusion: We recommend moderate physical activity, such as walking and discreet resistance training, for community-based programming in a post-pandemic society. These modes of exercise address key barriers to PA among community-dwelling adults.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43913126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Systematic Review of College-based Bystander Interventions to Reduce Sexual Violence","authors":"Kelsey Banton, Ronald Williams, Jeff M. Housman","doi":"10.14485/hbpr.10.2.2","DOIUrl":"https://doi.org/10.14485/hbpr.10.2.2","url":null,"abstract":"Objective: Up to 20% of female students experience some form of sexual violence while attending college. Bystander intervention programs to reduce sexual violence among university students are increasingly common, yet their effectiveness is not well understood. The purpose of this study was to conduct a systematic review of literature on issues of sexual violence on college campuses, as well as the role of bystander intervention programs and bystander behavior. Methods: Using PRISMA guidelines, database and reference list reviews generated a total of 530 resources from 1972 to 2020. Results: Screenings resulted in a total of 106 resources including peer-reviewed articles, governmental reports, and other scholarly references. Conclusions: Research into campus-based sexual violence has documented the increasing popularity of bystander intervention programs. Although these bystander programs are popular, literature highlights their limited effectiveness in reducing campusbased sexual violence. Future research should explore methods to increase understanding of how bystander intervention programs impact immediate and long-term behavior. Research also should explore motivations to intervene during lower risk situations on the sexual violence continuum which could help explain motivations to intervene during higher-risk situations.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43984769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}