Health Promotion Perspectives最新文献

{"title":"Assessing universal considerations in infant mortality across the globe: A descriptive observational study of sudden infant death syndrome knowledge and reduction coverage on YouTube.","authors":"Aysha Jawed, Amy Hess, Molly Rye, Catherine Ehrhardt","doi":"10.34172/hpp.43055","DOIUrl":"10.34172/hpp.43055","url":null,"abstract":"<p><strong>Background: </strong>Sudden unexpected infant death (SUID) remains one of the leading causes of infant mortality worldwide and is largely driven by sudden infant death syndrome (SIDS). Although SIDS has received coverage and examination of content spanning Instagram, Facebook, and Twitter across the published academic literature, there is no study to date that has examined SIDS related content on YouTube.</p><p><strong>Methods: </strong>This descriptive observational study was conducted from December 2023 through January 2024 and sought to describe the sources, formats and content covered across the 100 widely viewed videos pertaining to SIDS on YouTube.</p><p><strong>Results: </strong>The majority of the videos published were by organizations (N=64) including healthcare systems, the American Academy of Pediatrics (AAP) and police departments. Several of the widely viewed SIDS-related content was disseminated by professionals (N=42). Multiple videos presented content on the symptomology pertaining to SIDS as well as contributing environmental risk factors. A wide range of resources were depicted as SIDS reduction measures. Notably, there was substantial emphasis on SIDS reduction postnatally across the widely viewed videos. There was limited representation of content on SIDS awareness and reduction outside of the United States.</p><p><strong>Conclusion: </strong>Clinical, public health, and organizational implications and recommendations are presented to inform future targets for intervention that can harness findings from this study on widely covered and uncovered content to address the totality of risk factors for SIDS. Future directions in health promotion across the SIDS reduction landscape are also reviewed to account for digital spaces globally, thereby contributing towards reducing infant mortality worldwide.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 3","pages":"248-257"},"PeriodicalIF":2.4,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781315","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}

{"title":"Effects of propolis supplementation on prooxidant-antioxidant balance, oxidative stress biomarkers, and body composition in obese patients with NAFLD: A double-blind randomized controlled clinical trial.","authors":"Hamideh Nazari-Bonab, Mahlagha Nikbaf-Shandiz, Helda Tutunchi, Mehrangiz Ebrahimi-Mameghani","doi":"10.34172/hpp.42549","DOIUrl":"10.34172/hpp.42549","url":null,"abstract":"<p><strong>Background: </strong>Oxidative stress is one of the main hits in the pathogenesis of non-alcoholic fatty liver disease (NAFLD). Propolis (PRP), a natural substance made by bees from plant extracts, has been reported to have antioxidant properties. The present clinical trial investigated the effect of Iranian PRP on prooxidant-antioxidant balance (PAB), oxidative stress biomarkers, and body composition in obese patients with NAFLD.</p><p><strong>Methods: </strong>In the present double-blind, randomized controlled clinical trial, 44 obese patients with NAFLD were randomly allocated to either Iranian PRP (1500 mg/d) or placebo (1500 mg/d) accompanied by a calorie-restricted diet (CRD) for eight weeks. PAB, oxidative stress biomarkers, and body composition were assessed at baseline and the end of the study.</p><p><strong>Results: </strong>There was a significant reduction in PAB levels over the trial in both groups. However, the between-group difference was not significant at the endpoint. At the end of the study, the inter-group comparison showed a significant decrease in serum glutathione peroxidase level in the placebo group compared to the PRP group after adjusting for confounding variables based on models 1 (<i>P</i>=0.027) and 2 (<i>P</i>=0.028). No significant within- or between-group differences in other studied oxidative stress biomarkers were found. Moreover, no between-group differences were observed for body composition and dietary intakes of energy and antioxidant micronutrients.</p><p><strong>Conclusion: </strong>Iranian PRP supplementation (1500 mg/d) for eight weeks could prevent the reduction of glutathione peroxidase levels compared to the control group. However, it could not affect other oxidative stress biomarkers, body composition, or dietary intakes of energy and antioxidant micronutrients.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 3","pages":"286-296"},"PeriodicalIF":2.4,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781327","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}

{"title":"Validity and reliability study of the Turkish adaptation of the Food Craving Acceptance and Action Questionnaire.","authors":"Kerim Kaan Gokustun, Nurcan Yabanci Ayhan","doi":"10.34172/hpp.42811","DOIUrl":"10.34172/hpp.42811","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study is to evaluate the validity and reliability of the Food Craving Acceptance and Action Questionnaire (FAAQ) in university students.</p><p><strong>Methods: </strong>The study included 394 undergraduate students at Ankara Yıldırım Beyazıt University. The study included individuals who volunteered to participate, were at least 18 years old, and did not have any severe psychological issues. Explanatory and confirmatory factor analyses of the scale were conducted by dividing the data set into two groups. Cronbach's α coefficient was analyzed and a test-retest was conducted with 94 students.</p><p><strong>Results: </strong>It was determined that the Food Craving Acceptance and Action Questionnaire had 2 factors (acceptance and willingness). The fit values of the scale were found to be CMIN/df=2.26; GFI=0.92; AGFI=0.87; CFI=0.85; RMSEA=0.08. The acceptance, willingness subscales and total Cronbach α coefficients of the scale were 0.761, 0.716 and 0.761, respectively. Intraclass correlation coefficient (ICC) values were 0.84, 0.81 and 0.80 for acceptance, willingness and total scale score, respectively. Statistically significant negative correlations were found between the 'acceptance', 'willingness' subscale and total DEBQ, FCQ-T scores, subscale scores and mYFAS 2.0 symptom count (<i>P</i><0.05).</p><p><strong>Conclusion: </strong>The FAAQ was found to have a two-factor structure and the fit values were found to be within the acceptable range. The age range for university students is considered to be that of adults, and this scale can also be applied to adults in general.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 3","pages":"268-274"},"PeriodicalIF":2.4,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781382","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}

{"title":"Preferences and expectations of end-users from a mental health educational portal: A qualitative study.","authors":"Sara Pourrazavi, Somayeh Azimi, Ali Fakhari, Habibeh Barzegar, Mostafa Farahbakhsh","doi":"10.34172/hpp.43077","DOIUrl":"10.34172/hpp.43077","url":null,"abstract":"<p><strong>Background: </strong>Digital technologies play an essential role in health systems by providing new solutions to reduce the burden of mental illnesses and disorders. However, in many cases, user preferences and expectations are not considered in the design of portals. This study aims to explore the preferences and expectations of end-users from the features and capabilities of mental health educational portals.</p><p><strong>Methods: </strong>This qualitative study was conducted from January 2022 to January 2023 using the conventional content analysis approach. The participants were 20 individuals, selected through purposive sampling, ranging in age from 18 to 61, all of whom had prior experience using an educational portal. Data were collected via individual semi-structured interviews. Qualitative analysis was performed using MAXQDA 10 software.</p><p><strong>Results: </strong>After analyzing the data, the preferences and expectations of end-users were categorized into five main themes: to be reliable, mutual interaction capability, to be accessible, creating a stylish and attractive design, and attention to the quality and structure of the content.</p><p><strong>Conclusion: </strong>Considering the expectations and needs of users will enhance their acceptance and satisfaction with the portals. From the end-users' perspectives, the content, appearance, and structural or technical features a mental health educational portal are crucial for its effectiveness.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 3","pages":"297-303"},"PeriodicalIF":2.4,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781402","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}

{"title":"Perspectives on barriers to traditional sources of sexual and reproductive health information and services: Are mHealth technologies the answer?","authors":"Alexander S Laar, Melissa L Harris, Clare Thomson, Deborah Loxton","doi":"10.34172/hpp.42607","DOIUrl":"10.34172/hpp.42607","url":null,"abstract":"<p><strong>Background: </strong>In Ghana, several qualitative studies have explored users' perspectives on conventional sources of sexual and reproductive health (SRH) information and factors which influence provision of and access in rural settings. However, there is a dearth of qualitative studies on healthcare provider (HCP) perspectives on factors that deter access to conventional sources of SRH information among young people in rural Ghana and innovative ways for addressing barriers. This study explored perspectives on barriers to traditional sources of SRH information and services and innovative ways of using mHealth technologies for addressing provision and access challenges among young people in rural Ghana.</p><p><strong>Methods: </strong>This study used a qualitative approach using in-depth interviews. Semi-structured in-depth interviews were conducted with HCPs in rural areas in three regions of Ghana between May and August 2021. Participants were selected from rural communities using the convenience snowball sampling and were interviewed via Zoom. The interviews explored the experiences and perceptions of HCPs on conventional SRH information and services and young people's access to this information and services. The interviews were audio recorded and transcribed verbatim. Data were analysed thematically using NVivo software version 12, following the approach outlined by Braun and Clarke.</p><p><strong>Results: </strong>Twenty HCPs were interviewed for this study. The participants identified different sources of SRH information and services used by rural young people. Peers or friends, health facilities, health providers, and community settings were reported as the main services and sources of SRH information. Participants reported several barriers and challenges to the provision of and access to SRH information to young people, including socio-cultural norms, religious beliefs, unfriendly health facility environments, negative health providers' attitudes, lack of privacy and confidentiality resulting in unfriendly youth SRH services, distance, and financial challenges due to costs of transportation which limits rural young people's access to, and use of, SRH services. All the participants indicated that in addressing provision and access barriers, the use of mobile phones could be beneficial.</p><p><strong>Conclusion: </strong>This study highlights several barriers and challenges that deter provision of, and access to, SRH information and services for young people in rural Ghana. The findings indicate the use of innovative mobile health (mHealth) technologies may be one solution to some of the barriers and challenges.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 3","pages":"258-267"},"PeriodicalIF":2.4,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781332","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}

{"title":"The effectiveness of an intervention using LAWE (loveliness and well-being of employees) app to improve the employee's mental well-being.","authors":"Mohammad Ali Morowatisharifabad, Abedin Iranpour, Mohammadreza Rajabalipour","doi":"10.34172/hpp.42892","DOIUrl":"10.34172/hpp.42892","url":null,"abstract":"<p><strong>Background: </strong>Organizations are increasingly seeking comprehensive approaches to improve employee mental well-being (EMW). This study aims to evaluate the effectiveness of interventions delivered through the \"Loveliness and Well-being of Employees\" (LAWE) app, focusing on five key predictors: \"Keep Learning,\" \"Connect,\" \"Take Notice,\" \"Be Active,\" and \"Given\".</p><p><strong>Methods: </strong>A quasi-experimental intervention was conducted with 110 participants (53 in the intervention group and 57 in the non-intervention group) from the Kerman University of Medical Sciences in Southeastern Iran. Participants were recruited from a census of all employees at four schools. The intervention involved an Android-based app designed to enhance EMW through pre-designed tasks. Six standard tools were used to assess EMW and its predictors. Data analysis was performed using IBM SPSS Statistics 28, employing Independent Samples T-Test, paired-samples t-test, one-way ANOVA, Spearman correlation coefficient and analysis of covariance (ANCOVA).</p><p><strong>Results: </strong>The intervention group showed a significant increase in mean EMW score, from 52.26±8.61 to 60.01±6.95 (<i>P</i><0.01). Based on ANCOVA analysis, the post-intervention mean score was significantly higher in the intervention group compared to the non-intervention group by 0.219 points (<i>P</i><0.01). The mean score of all predictors, except \"Take Notice\" (<i>P</i>=0.17), also significantly improved in the intervention group. Additionally, post-intervention comparison between the two groups revealed significant differences in mean EMW score (<i>P</i><0.01), as well as in the mean scores for \"Keep Learning\" (<i>P</i><0.05), \"Given\" (<i>P</i><0.01), and \"Connect\" (<i>P</i><0.01).</p><p><strong>Conclusion: </strong>The LAWE app provides a desirable and comprehensive platform for improving the EMW in organizations. It significantly improves most of the key predictors of EMW, making it a valuable resource for organizations aiming to promote employee well-being.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 3","pages":"275-285"},"PeriodicalIF":2.4,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781377","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}

{"title":"Temporal trends in online searches related to COVID-19 vaccine safety: A digital infodemiology study.","authors":"Akshaya Srikanth Bhagavathula, Theodoros Daglis, Vijay Kumar Chattu","doi":"10.34172/hpp.43117","DOIUrl":"10.34172/hpp.43117","url":null,"abstract":"<p><strong>Background: </strong>The rapid development of COVID-19 vaccines may have raised public concerns about their safety and side effects in the United States (US). This study aimed to assess trends in online searches related to the safety and side effects of COVID-19 vaccines in the US from 2021-2022.</p><p><strong>Methods: </strong>Google COVID-19 Vaccination Search Insights was used to analyze searches about COVID-19 vaccine safety and side effects in the US from January 4, 2021, to November 21, 2022 (98 weeks). Data were scaled from 0 (low interest) to 100 (high interest) as a fixed scaling factor called scaled normalized interest (SNI) to indicate relative search interest over time and by location. A joinpoint regression analysis was used to determine the search trends during the study period.</p><p><strong>Results: </strong>Analysis included 709 counties across 38 US states. Searches of COVID-19 vaccine safety and side effects peaked in April 2021 in the District of Columbia (SNI: 35.8), Massachusetts (29.7), New Hampshire (27.4), Connecticut (27.3), and Maine (26.7), then decreased significantly by an average monthly percentage change (AMPC) of -16.6% (95% CI -19.9 to -13.3) until July 2022. Overall AMPC from January 2021 to November 2022 was -8.9% (95% CI -16.2 to -0.9; P<0.001).</p><p><strong>Conclusion: </strong>Online searches related to COVID-19 vaccine safety and side effects decreased dramatically over time, supporting the utility of digital surveillance to track real-time vaccine safety concerns. This study provides insights into public interest in COVID-19 vaccine risks and can help monitor potential safety issues.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 3","pages":"304-311"},"PeriodicalIF":2.4,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781416","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}

{"title":"Blood pressure management protocol based on transtheoretical model effectiveness on self- care: A systematic review.","authors":"Habibeh Barzegar, Sheida Sodagar, Mohammadreza Seirafi, Mostafa Farahbakhsh, Touraj Hashemi","doi":"10.34172/hpp.42814","DOIUrl":"10.34172/hpp.42814","url":null,"abstract":"<p><strong>Background: </strong>Hypertension is a prevalent medical condition associated with cardiovascular and kidney diseases, leading to premature death and disability. Despite medication use, hypertension continues to rise due to unhealthy lifestyles. Self-care strategies play crucial roles in effectively treating hypertension. We aimed to evaluate the effectiveness of interventions based on the transtheoretical model (TTM) in improving self-care, self-efficacy, and health-related quality of life (HRQOL) in hypertensive adults.</p><p><strong>Methods: </strong>A comprehensive search was performed in multiple databases using appropriate search strategies. Two independent reviewers screened articles, and assessed their adherence to the inclusion and exclusion criteria. The risk of bias in randomized controlled trials was assessed by the Cochrane Collaboration tool and quasi-experimental studies using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Quasi-Experimental Studies.</p><p><strong>Results: </strong>The review included 24 studies with a total of 6553 participants. Most interventions aimed to encourage a healthier lifestyle and improve diet and physical activity. The message was delivered through various methods such as slide/tape messages, individual education/counseling sessions, telephone-delivered interventions, and multimedia training software based on the TTM. Control groups received physician visits or attended lifestyle lectures but did not receive specific behavior change programs like the intervention groups.</p><p><strong>Conclusion: </strong>Our results indicated that the TTM and stage of change model can be an appropriate framework for delivering educational messages to patients.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 3","pages":"207-220"},"PeriodicalIF":2.4,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781324","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}

{"title":"Predictors of dropping out from a home tele-exercise programme: A cohort study derived from a randomised controlled trial.","authors":"Gustavo Yuki, Luiz Hespanhol, Lisa Mohr, Adelle Kemlall Bhundoo, David Jiménez-Pavón, Bernhard Novak, Stefano Nuccio, Jose Daniel Jiménez García, Julian David Pillay, Lorenzo Rum, Celso Sánchez Ramírez, Lutz Vogt, Jan Wilke","doi":"10.34172/hpp.42935","DOIUrl":"10.34172/hpp.42935","url":null,"abstract":"<p><strong>Background: </strong>Online home exercises represent opportunities to increase physical activity levels. However, high dropout rates are commonly reported in such programmes. This study aimed to investigate the predictors of dropping out from an online home exercise programme.</p><p><strong>Methods: </strong>A total of 760 individuals from nine countries participated in this 8-week prospective cohort study derived from a randomised controlled trial. The participants were randomised into \"4-week live-streamed exercise ->4-week recorded exercise\" or \"4-week no intervention ->4-week recorded exercise\" group. Repeated measurements using weekly questionnaires were performed. Pain intensity, disability, mental well-being score, exercise motivation, sleep quality, impulsiveness/anxiety, and physical activity level were analysed.</p><p><strong>Results: </strong>A total of 53.8% (95% confidence interval [CI] 50.3%-57.3%) participants dropped out from the programme. The identified predictors of dropping out from the programme were: well-being (odds ratio [OR] 0.94, 95% CI 0.91-0.97) and disability (OR 1.02, 95% CI 1.002-1.04) at baseline considering the first 4 weeks; age (0.98; 95% CI 0.96-1.00) and baseline well-being (0.93; 95% CI 0.89-0.97) considering the entire follow-up (8 weeks); exercise motivation (0.92; 95% CI 0.87 to 0.97) and general impulsiveness/anxiety (1.04; 95% CI 1.01-1.07) repeated measured over time.</p><p><strong>Conclusion: </strong>About half of the participants dropped out from the online home exercise programme. Higher baseline scores in mental well-being and age predicted a reduction in dropping out. Higher baseline disability predicted an increase in dropping out. During the follow-up, higher exercise motivation was associated with a reduction in dropping out, and higher impulsiveness and anxiety were associated with an increase in dropping out.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 3","pages":"238-247"},"PeriodicalIF":2.4,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781337","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}

{"title":"Scoping review meets expert interviews: Key issues of multimodal programs for workplace health promotion in long-term care facilities - <i>\"We can't just run a standard program\"</i>.","authors":"Judith Czakert, Anne Schirmaier, Sarah B Blakeslee, Wiebke Stritter, Anna K Koch, Christian Kessler, Georg Seifert","doi":"10.34172/hpp.42899","DOIUrl":"10.34172/hpp.42899","url":null,"abstract":"<p><strong>Background: </strong>Long-term care facility employees' workload escalation intensifies negative risk for (nursing) staff health, residents, and the economy. Workplace health promotion (WHP) has emerged as a vital approach with positive impacts on employee well-being. This Scoping Review focuses on multimodal WHP programs in long-term care facilities, emphasizing barriers, facilitators, and the integration of complementary and integrative medicine (CIM).</p><p><strong>Methods: </strong>Following the PRISMA-ScR guidelines, a systematic search strategy from February to April 2023 in Medline (PubMed), EMBASE (Ovid), and CINAHL (EBSCOhost) yielded 506 hits. Findings were enriched through semi-structured expert interviews. All data were analyzed with a deductive-inductive qualitative content analysis.</p><p><strong>Results: </strong>Eleven publications met inclusion criteria and eight experts were interviewed based on key topics of the included publications. The integration of the results showed that primary obstacles highlight structural challenges (time, finances, hierarchies) and team dynamics (lack of support, communication issues, low motivation), while effective communication, support from the management, and participatory engagement enhance program success. CIM approaches are not explicitly referenced as such, despite widespread use.</p><p><strong>Conclusion: </strong>An exclusive CIM-focus, with multimodal WHP programs for long-term care facilities is missing and should highlight the necessity of a multimethod approach intervention. While the need for further research about the specific topic of multimodal, CIM-based WHO programs in long-term care facilities - including cross-cultural and international comparisons - is apparent, an appropriate evaluation of complex interventions is challenging given the nature of multimodal WHP programs. A multi-method approach is therefore recommended as standard for further research in this area.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 3","pages":"221-237"},"PeriodicalIF":2.4,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781412","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}