N. Ezzeddin, N. Kalantari, F. Zayeri, P. Amiri, M. Abdollahi
{"title":"Process Evaluation of a Nutrition-sensitive Agriculture Program in Rural Areas of Tehran Province, Iran","authors":"N. Ezzeddin, N. Kalantari, F. Zayeri, P. Amiri, M. Abdollahi","doi":"10.14485/hbpr.10.1.4","DOIUrl":"https://doi.org/10.14485/hbpr.10.1.4","url":null,"abstract":"Objective: A nutrition-sensitive agriculture program was developed and implemented in Iran, to improve the nutrition status of rural and nomadic women. We conducted a process evaluation to show the program implementation status. Methods: This is a mixed-methods cross-sectional study conducted in Tehran Province. We acquired qualitative data from documents, in-depth semi-structured interviews, and focus group discussions. We collected quantitative information through program reports and a cross-sectional study. We performed a thematic content analysis to analyze the qualitative data using MAXQDA software and used SPSS to analyze the quantitative data. Results: Program implementation was adversely affected by the COVID-19 pandemic. In addition to the pandemic, context evaluation also recognized other barriers including recourse and structural-cultural constrains. The previous knowledge and experience of rural women and their readiness to accept the program were some facilitators of the program implementation. Based on the cross-sectional study results, about 21% and 23.8 % of women definitely received both trainings (nutrition and vegetable gardening) and vegetables seeds respectively. Conclusions: Our results provide evidence for policymakers and planners that could be effective in program redesign or improving the implementation process.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47807615","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}
Maritza Salazar Campo, Nicole Miovsky, Margaret Schneider, Amanda Woodworth, Michelle DeHaven, Pamela Kahn, Michael Weiss, Dan M Cooper
{"title":"Formative Evaluation of a Student Symptom Decision Tree for COVID-19.","authors":"Maritza Salazar Campo, Nicole Miovsky, Margaret Schneider, Amanda Woodworth, Michelle DeHaven, Pamela Kahn, Michael Weiss, Dan M Cooper","doi":"10.14485/hbpr.10.1.1","DOIUrl":"10.14485/hbpr.10.1.1","url":null,"abstract":"<p><strong>Objectives: </strong>In support of schools restarting during the COVID-19 pandemic, some schools partnered with local experts in academia, education, community, and public health to provide decision-support tools for determining what actions to take when presented with students at risk for spreading infection at school.</p><p><strong>Methods: </strong>The Student Symptom Decision Tree, developed in Orange County, California, is a flow chart consisting of branching logic and definitions to assist school personnel in making decisions regarding possible COVID-19 cases in schools which was repeatedly updated to reflect evolving evidence-based guidelines. A survey of 56 school personnel evaluated the frequency of use, acceptability, feasibility, appropriateness, usability, and helpfulness of the Decision Tree.</p><p><strong>Results: </strong>The tool was used at least 6 times a week by 66% of respondents. The Decision Tree was generally perceived as acceptable (91%), feasible (70%), appropriate (89%), usable (71%) and helpful (95%). Suggestions for improvement included reducing the complexity in content and formatting of the tool.</p><p><strong>Conclusions: </strong>The data suggest that school personnel found value in the Decision Tree, which was intended to assist them with making decisions in a challenging and rapidly evolving pandemic.</p>","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"10 1","pages":"1140-1152"},"PeriodicalIF":0.5,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10156065/pdf/nihms-1878492.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9777454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Gakh, T. Grigsby, C. Coughenour, Malcolm Ahlo, Kacie Washburn, S. Gerstenberger
{"title":"Facilitators of a Campus Tobacco-free Policy: Navigating the Politics","authors":"M. Gakh, T. Grigsby, C. Coughenour, Malcolm Ahlo, Kacie Washburn, S. Gerstenberger","doi":"10.14485/hbpr.10.1.3","DOIUrl":"https://doi.org/10.14485/hbpr.10.1.3","url":null,"abstract":"Objective: In this paper, we discuss prioritization, formulation, and adoption of a comprehensive campus tobacco-free policy on a large, diverse campus at a public university in the United States. Methods: We examined the comprehensive campus tobacco-free policy experience through Kindgon’s Multiple Streams Framework, which stipulates that policy change can happen when problem, policy, and politics align. We focus on the factors that led the political stream to align with the problem and policy streams to create a “window of opportunity” for adopting this policy. Results: The campus experience with COVID-19 helped spur policy adoption. Support from leadership, a committed faculty-administration team, engagement with stakeholders and community partners, knowledge of the policy adoption process, and sustained advocacy all contributed to policy adoption. Conclusions: Campus tobacco-free policy advocates can navigate the politics of prioritizing, formulating, and adopting a campus smoke-free policy by knowing the context and process, being comfortable with policy work, engaging with tobacco prevention stakeholders, sustaining their efforts and advocating in multiple ways, and considering implementation and evaluation early.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48581777","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}
Matthew Taing, Kathy Le, Maggie Britton, Tzuan A Chen, Michael C Parent, Irene Tamí-Maury, Isabel Martinez Leal, Anastasia Rogova, Bryce Kyburz, Teresa Williams, Mayuri Patel, Lorraine R Reitzel
{"title":"Smoking Intervention Practices in Texas Healthcare Centers with Sexual and Gender Minority Patients.","authors":"Matthew Taing, Kathy Le, Maggie Britton, Tzuan A Chen, Michael C Parent, Irene Tamí-Maury, Isabel Martinez Leal, Anastasia Rogova, Bryce Kyburz, Teresa Williams, Mayuri Patel, Lorraine R Reitzel","doi":"10.14485/hbpr.9.6.1","DOIUrl":"10.14485/hbpr.9.6.1","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluated the use of evidence-based practices (EBPs) for smoking cessation in centers providing behavioral healthcare for patient populations that included some proportion of sexual and gender minorities (SGMs).</p><p><strong>Methods: </strong>Healthcare providers from 75 healthcare centers across Texas serving SGMs with behavioral health needs participated in a survey assessing their center's tobacco control policies and practices.</p><p><strong>Results: </strong>Nearly half (N = 36) of participating centers had a comprehensive tobacco-free workplace policy, 30.67% employed ≥1 tobacco treatment specialist, 73.91% employed ≥1 prescriber, 80.82% mandated screening for patient tobacco use at intake, and 57.53% provided a template for tobacco use assessments. Overall, 70.67% of providers asked patients about smoking status, 69.33% advised patients to quit, 64.00% assessed patients' interest in quitting, 58.67% assisted patients with quit attempts, and 36.00% arranged follow-up. Providers' ability to tailor interventions for special populations like SGMs ranged from very low/0 to very high/10 (M = 4.63 ± 2.59).</p><p><strong>Conclusions: </strong>There are opportunities to improve policy implementation, standardization and usage of evidence-based interventions, and intervention tailoring within settings providing care to SGM patients in Texas to better address their tobacco use inequities.</p>","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"9 6","pages":"1074-1088"},"PeriodicalIF":0.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9910434/pdf/nihms-1869733.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9735225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandra D Vamos, Tiffany Lee, Hyun Bin Kang, Rumour Piepenbrink, C. Vamos
{"title":"Mental Health and Unhealthy Behaviors among Health College Students during the COVID-19 Pandemic","authors":"Sandra D Vamos, Tiffany Lee, Hyun Bin Kang, Rumour Piepenbrink, C. Vamos","doi":"10.14485/hbpr.9.6.4","DOIUrl":"https://doi.org/10.14485/hbpr.9.6.4","url":null,"abstract":"Objective: The purpose of this study was to examine the associations between mental health concerns, positive and negative feelings, and engagement in unhealthy behaviors among US college students during the pandemic. A secondary purpose was to explore positive changes in health and well-being. Methods: College students completed a 45-item online survey in the fall of 2020 that examined demographics, health literacy, health behaviors, overall health and well-being, and academic and financial impacts. Median-unbiased estimation for odds ratio and exact mid-p method inference methods were conducted using R version 4.0.3. We conducted content analysis for qualitative open-ended survey responses. Results: Gender, degree program, and religiosity were associated with having mental concerns. These socio-demographic variables, along with age and ethnicity, were linked to positive and negative feelings. Participants who felt threatened, afraid, stressed, and sad were likely to report mental concerns. Participants who felt cheerful, calm, rested, and full of interests were likely to report no mental concerns. Students who felt sadder, less calm, and less full of interests were likely to engage in unhealthy behaviors. Conclusions: Findings contribute to an increased understanding of mental health and engagement of unhealthy and healthy behaviors among students informing recommendations for services across campuses and communities.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48668247","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}
M. Martinasek, Allison V Calvanese, Frederic B. Montz, Nicole M Tosto, Kimberly P. Dobrinski
{"title":"Indoor Carbon Monoxide Levels of Hookah Lounges","authors":"M. Martinasek, Allison V Calvanese, Frederic B. Montz, Nicole M Tosto, Kimberly P. Dobrinski","doi":"10.14485/hbpr.9.6.3","DOIUrl":"https://doi.org/10.14485/hbpr.9.6.3","url":null,"abstract":"Objective: Waterpipe tobacco smoking results in the inhalation of carcinogens, bacteria and heavy metals; however, despite the negative health effects, waterpipe tobacco smoking or hookah smoking continues to be a favored social smoking behavior for young adults. High levels of carbon monoxide can impair normal brain function and put individuals at increased health risk. The purpose of this study was to measure the carbon monoxide levels in the ambient air of 10 hookah lounges surrounding college campuses in the metropolitan area of Tampa, Florida. Methods: The study consisted of repeated measurements of ambient air carbon monoxide inside the hookah lounges over 4 hours during peak times of use. Results: Of the 10 hookah bars, 7 had levels above what is considered harmful to human health. These data provide evidence of high levels of CO produced in indoor hookah lounges that varied and were not predictable based on cigarette smoking allowed, ventilation systems, and whether doors were opened or closed. Conclusions: Stricter regulation is needed in hookah lounges to avoid toxic exposures by patrons.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43410907","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}
L. Bloom, Leily Saadat-Lajevard, Andrew E Myers, Mary Kathryn Malone, B. Zimmerman
{"title":"Increasing and Retaining Tween Knowledge of Proper Medicine Use","authors":"L. Bloom, Leily Saadat-Lajevard, Andrew E Myers, Mary Kathryn Malone, B. Zimmerman","doi":"10.14485/hbpr.9.6.5","DOIUrl":"https://doi.org/10.14485/hbpr.9.6.5","url":null,"abstract":"Objective: OTC Medicine Safety, a free, easily accessible, in-classroom educational program available through Young Minds Inspired (https://ymiclassroom.com/lesson-plans/otcmedsafety), was developed to improve adolescents’ knowledge of safe use of medicines. In a proof-of-concept study, students increased knowledge about safe, appropriate use of over-the-counter (OTC) medicines. In this study, we assessed whether the OTC Medicine Safety program effectively increased students’ knowledge and if students retained this knowledge over time. Methods: We measured student knowledge before implementation (baseline, Quiz 1) immediately after implementation (Quiz 2), and 10 weeks after baseline (Quiz 3) in 3 test schools. We measured knowledge at similar intervals in 3 control schools (no program implementation). Results: Baseline knowledge was low (average 39.3% of 36 questions answered correctly). Among intervention schools, scores significantly improved immediately (average correct 62.9%) after implementation and were retained at 10 weeks (59.8%) (p < .001). Change in score from baseline among intervention schools immediately after the lesson implementation was significantly higher than corresponding changes from baseline among control schools (intervention: +23.0 vs control: -3.2) and at 10 weeks (intervention: +19.9 vs control: -2.9), p < .001. Conclusion: The OTC Medicine Safety Program effectively improved students’ knowledge of safe medicine-taking practices and students retained this knowledge at 10 weeks.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44584147","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}
Merissa Ferrara, Stephanie Boye, Chels Hagan, A. Foster
{"title":"I Needed To Know: Emerging Adult Experiences with Sexuality Education Related to Well-being","authors":"Merissa Ferrara, Stephanie Boye, Chels Hagan, A. Foster","doi":"10.14485/hbpr.9.6.2","DOIUrl":"https://doi.org/10.14485/hbpr.9.6.2","url":null,"abstract":"Objective: We examined what emerging adults reported they needed to learn from educators and parents regarding sexual health and how being underprepared led to consequences that impacted their well-being. Methods: We conducted a thematic analysis of 147 letters written by emerging adults in November 2021 through March 2022. Results: Eight overarching themes emerged from the analysis in 3 topic areas. Participants shared their preference for open and ongoing communication, raising concerns about detrimental communication. They reported struggles with identity, sexually explicit material, aggressive sexual scripts, consent, and sexual pleasure. They suggested educational changes related to efficacy and parent training. Conclusions: Our findings highlight that emerging adults want more information from and communication with trusted adults. K-12 sexual health programs are too narrow to help emerging adults grapple with the scope of challenges they face. We recommend research that promotes comprehensive content in K-12 and college coursework and workshops. We also suggest research on campaigns and workshops for parents to increase awareness of the scope of sexual health challenges their children face and their efficacy toward creating ongoing, open conversation with their children for better health outcomes.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42331228","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":"Will Social Behavior Have a Mediating Effect on the Relationship between Perfectionistic Tendencies and Athlete Burnout?","authors":"Youngtaek Oh","doi":"10.14485/hbpr.9.5.4","DOIUrl":"https://doi.org/10.14485/hbpr.9.5.4","url":null,"abstract":"Objective: In this study, I investigated the mediating effect of social behavior on the relationship between perfectionistic tendencies and burnout in Taekwondo athletes. Methods: Overall, 239 university and professional athletes registered with the Korean Taekwondo Association in 2020 responded to a series of relevant scales. Results: Perfectionism striving mediated anti-social behavior and had a fully mediating effect on athlete burnout, while perfectionism concern mediated anti-social behavior and had a partial mediating effect on athlete burnout. Conclusions: Taekwondo athletes participating in sports experience various psychological factors that contribute to burnout or social behaviors that favorably influence sports performance. A greater understanding of perfectionist tendencies among Taekwondo athletes is needed to manage and prevent burnout.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48110930","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}
Brian J Carter, Lorraine R Reitzel, Tzuan A Chen, LeChauncy Woodard, Ezemenari M Obasi
{"title":"Engaging the Houston Community in Research: An Early Case Study of a Community Engagement Core in the University of Houston's HEALTH Center for Addictions Research and Cancer Prevention.","authors":"Brian J Carter, Lorraine R Reitzel, Tzuan A Chen, LeChauncy Woodard, Ezemenari M Obasi","doi":"10.14485/hbpr.9.5.2","DOIUrl":"https://doi.org/10.14485/hbpr.9.5.2","url":null,"abstract":"<p><strong>Objective: </strong>The National Institute on Minority Health and Health Disparities-funded U54 Research Center at the University of Houston addresses disparate racial/ethnic health outcomes related to cancer and substance abuse. Of its 4 cores, the Community Engagement Core involves the impacted community in affiliated research. Strategies include implementing community advisory boards, assisting with study design and execution, maintaining a social media presence, and publishing health-related videos for the community. We examine the early effectiveness of these strategies.</p><p><strong>Methods: </strong>Data collection included surveying investigators and community advisory board members and monitoring traffic to videos and social media posts.</p><p><strong>Results: </strong>On a Likert scale survey of investigators (4 = \"agree\" and 5 = \"strongly agree\"), the mean rating for a prompt expressing satisfaction with services received was 4.67 (SD = 0.52; N = 6). On a Likert scale survey of community advisory board members, the mean rating for a prompt expressing belief that feedback was taken seriously was 5.00 (SD = 0.00; N = 9).</p><p><strong>Conclusions: </strong>The Community Engagement Core is building trusting relationships between researchers and community members. We discuss lessons learned that may inform both our growth and others' efforts to implement community-engaged research.</p>","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"9 5","pages":"1017-1036"},"PeriodicalIF":0.8,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9674334/pdf/nihms-1849942.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10801915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}