Health Promotion Perspectives最新文献

{"title":"Exploring Australian Health Promotion Practitioners' Awareness, Understanding and Application of Theories of the Policy Process in Health Promotion Practice: A Qualitative Study.","authors":"Rhian Jones, Kara Lilly, Rachel Cole","doi":"10.34172/hpp.45504","DOIUrl":"10.34172/hpp.45504","url":null,"abstract":"<p><strong>Introduction: </strong>Theories of the policy process provide structured ways to understand, navigate and influence political landscapes using evidence-based approaches. While influencing policy is a core function of the health promotion discipline, little is known about how practitioners engage with these theories. This study aims to address this gap by examining health promotion practitioners' awareness, understanding, and application of theories of the policy process in practice, and factors influencing health promotion practitioners' engagement in policy processes.</p><p><strong>Methods: </strong>A thematic qualitative study was used to explore perspectives and experiences of health promotion practitioners practicing in Queensland, Australia using online, semi-structured interviews. Data were analysed with NVivo software using a reflexive thematic analysis to identify key themes.</p><p><strong>Results: </strong>Four key themes were generated; 1) health promotion practitioners understand policy process complexity but have limited awareness of theories of the policy process, 2) health promotion practitioners implicitly apply constructs of theories of the policy process in their practice, 3) organisational context shapes the extent to which health promotion practitioners' are positioned to engage in policy processes, and 4) industry-level factors influence health promotion practitioners' engagement in policy processes.</p><p><strong>Conclusion: </strong>Opportunities exist for health promotion practitioners to more explicitly draw from theories of the policy process to inform their practice in influencing healthy public policy for population health and equity outcomes. Stronger inclusion of theories of the policy process within tertiary education and professional development, including formalising industry accreditation, may support strengthening and maintaining practitioner skills to meet industry core competencies.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"16 1","pages":"101-110"},"PeriodicalIF":4.4,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608556","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":"Institutionalizing Health Literacy as a Governance Mechanism in Low- and Middle-Income Countries: A Transformative Roadmap from the MENA Region.","authors":"Parisa Hajibadali, Hamid Allahverdipour","doi":"10.34172/hpp.45753","DOIUrl":"10.34172/hpp.45753","url":null,"abstract":"<p><p>Health literacy (HL) is increasingly recognized not merely as an individual asset, but as a structural determinant of health equity and a critical governance instrument for sustainable health systems. While frameworks for \"health literate organizations\" are well-established in high-income contexts, low- and middle-income countries (LMICs) face similar systemic barriers-including centralized governance, fragile social trust, and resource constraints-that require distinct implementation roadmaps.In this perspective we argue that for health systems in the Middle East and North Africa (MENA) region to succeed, they must pivot from a didactic, education-centric paradigm toward an empowerment-oriented governance model. Accordingly, we articulate a multidimensional framework structured around five interdependent pillars: 1. structural reform and high-level advocacy, 2. mobilizing social capital and trust, 3. human resource empowerment, 4. primary health care transformation, and 5. sustainable financing. Drawing on global evidence-including WHO frameworks, the Ottawa Charter, and Health in All Policies-this paper proposes a multidimensional roadmap that institutionalizes HL as a core accountability mechanism within reginal health governance in the MENA region. This model offering a politically astute and transferable framework for LMICs seeking to embed health equity within the architecture of the state.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"16 1","pages":"8-13"},"PeriodicalIF":4.4,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608583","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":"Development and Content Validation of The Health Promoting Sports Club Observational Tool.","authors":"Stacey Johnson, Petra Ozbolt, Louana Friche, Kevin Barros, Florance Rostan, Thierry Fauchard, Aurélie Van Hoye, Susanna Geidne, Anne Vuillemin","doi":"10.34172/hpp.45562","DOIUrl":"10.34172/hpp.45562","url":null,"abstract":"<p><strong>Introduction: </strong>A lack of rigorous, objective measurement of health promotion (HP) in sports clubs has been identified. This study developed and validated content of an observational tool for sports managers to evaluate HP within their clubs.</p><p><strong>Methods: </strong>First, a rapid literature review identified sports club HP observational tools and their development process. Second, a 3-round Delphi study gathered feedback from 69 sports stakeholders to design a checklist. Round 1 created items and observation areas; Round 2 obtained feedback, item suggestions and reformulations; Round 3 structured items into a checklist and rated them on three indicators. Third, experts categorized items into health determinants from the health promoting sports club (HPSC) model and drafted a user's guide.</p><p><strong>Results: </strong>The rapid review yielded 11 studies, including tools for injury surveillance, coaching behaviours, alcohol management, referee-athlete interaction and motivation, but none directed at HP. The Delphi study round 1 included 18 respondents formulating 24 items organized into: Locker room, Website, Cafeteria & Food Offerings and Facilities & Surroundings. Round 2 included 31 respondents validating 43 items and reformulating 'Locker room' into 'Locker and Restrooms'. Round 3 included 21 respondents validating 36 items separated into the four areas. Five researchers categorized items into Economic (n=5), Environmental (n=16), Organizational (n=17) and Social (n=9) health determinants. The HPSC Observational Tool includes a user's guide, a checklist including scoring methods and recommendations.</p><p><strong>Conclusion: </strong>This study provides an innovative observational tool for sports managers to assess their club's HP. Sports managers can directly evaluate specific areas and follow recommendations for improvement.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"16 1","pages":"63-73"},"PeriodicalIF":4.4,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608534","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":"Explaining Maternal Preventive Behaviors for Home Accident Risk in Children Under Five Years: An Application of the Health Belief Model.","authors":"Nasrin Beyzaei Nasrabadi, Mohammad Ali Morowatisharifabad","doi":"10.34172/hpp.45257","DOIUrl":"10.34172/hpp.45257","url":null,"abstract":"<p><strong>Introduction: </strong>Home accidents are a major global health concern for children under five. This study aimed to determine the prevalence of home accidents and to identify the predictors of mothers' preventive behaviors based on the Health Belief Model (HBM) in Yazd, Iran.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in 2023 on 200 mothers with children under five years, selected via multi-stage cluster sampling from five comprehensive health centers in Yazd. A researcher-made questionnaire based on HBM, including locus of control, was used for data collection. Its validity and reliability were confirmed (CVR>0.75, CVI>0.79, Cronbach's alpha>0.68). Data were analyzed using SPSS-21 with independent t-tests, ANOVA, Pearson correlation, and linear regression, considering the design effect.</p><p><strong>Results: </strong>Totally, of 212 studied children, 163 (76.9%, 95% CI: 71.2-82.6) had experienced at least one home accident. The most common accidents were cuts (39.6%), falls (33.0%), and burns (30.7%). Accident occurrence was significantly associated with older child age (mean difference: 8.25 months, 95% CI: 3.38-13.12, <i>P</i>=0.005) and higher household income (<i>P</i>=0.008). Mothers of children without accidents had significantly higher self-efficacy (mean difference: 5.49, 95% CI: 1.48-9.50, <i>P</i>=0.018), lower perceived barriers (mean difference: -5.92, 95% CI: -10.84 to -1.00, <i>P</i>=0.027), and higher preventive behavior scores (mean difference: 1.78, 95% CI: 0.72-2.84, <i>P</i>=0.017). Linear regression showed that perceived barriers (β=-0.297, <i>P</i><0.001), perceived benefits (β=0.250, <i>P</i><0.001), powerful others locus of control (β=-0.226, <i>P</i><0.001), and chance locus of control (β=-0.156, <i>P</i>=0.019) were significant predictors, explaining 35.8% of the variance in preventive behaviors.</p><p><strong>Conclusion: </strong>The HBM was found to be an effective framework for explaining maternal preventive behaviors. Interventions should focus on reducing perceived barriers, enhancing perceived benefits, and modifying external locus of control beliefs to prevent home accidents in children.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"16 1","pages":"95-100"},"PeriodicalIF":4.4,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608537","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 Unseen Wounds: Why the Middle East's Mental Health Catastrophe is a Regional Emergency.","authors":"Hamid Allahverdipour","doi":"10.34172/hpp.45874","DOIUrl":"10.34172/hpp.45874","url":null,"abstract":"","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"16 1","pages":"1-2"},"PeriodicalIF":4.4,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608549","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":"Toward a Unified Understanding: A Literature Review of Self-Care Conceptualization for the General Population.","authors":"Alexandra Marques-Pinto, Sofia Oliveira, Karina Moutinho, Mirela Ricarte, Carla Zambaldi, Sirley Almeida, Pompéia Villachan-Lyra, Ana Maria Fonte Alves, Taciana Breckenfeld, Maria Carolina Marques Dos Santos, Joana Sampaio de Carvalho, Ari Gómez-Borges","doi":"10.34172/hpp.45126","DOIUrl":"10.34172/hpp.45126","url":null,"abstract":"<p><strong>Introduction: </strong>The study and conceptualization of self-care have a longstanding history. However, a clear conceptualization of self-care remains contested due to the plurality of perspectives and diversity of definitions, particularly when considering the general population regardless of pathology. Our literature review aimed to better understand how to conceptualize self-care for the general population, drawing on existing scientific literature on self-care theory and conceptualization.</p><p><strong>Methods: </strong>We followed The Cochrane Collaboration's and PRISMA-P Group's methodological guidelines for the conceptualization, analysis, and reporting of literature reviews.</p><p><strong>Results: </strong>Our results reaffirmed the varied and evolving interpretations of self-care and provided insights into conceptualizing and promoting self-care among the general population. The analysis, based on three main criteria (definitions, antecedents, and consequences), highlighted a continuous renewal of the self-care concept across various disciplines and demographic groups. For the general population, self-care is fundamentally intentional and purpose-driven, encompassing a wide spectrum of purposes from health management to enhancing overall well-being. This multifaceted concept integrates actions, abilities, and socio-cognitive processes and emphasizes the importance of understanding the multiple antecedents of self-care to develop effective policies and interventions that enhance well-being and quality of life across diverse groups.</p><p><strong>Conclusion: </strong>From our perspective, the conceptualization of self-care for the general population benefits from a systemic, ecological view. Moreover, promoting self-care outcomes, such as autonomy, independence, and self-efficacy, can yield benefits, including improved health and well-being for the general population. We advocate for a multi-tiered approach to self-care promotion, implemented through schools, workplaces, and broader community contexts, to maximize benefits across society.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"16 1","pages":"48-62"},"PeriodicalIF":4.4,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608523","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":"Life Expectancy in Asian Muslim-Majority Countries: A Comparative Perspective.","authors":"Mohammad Shafi Mohammadi","doi":"10.34172/hpp.44337","DOIUrl":"10.34172/hpp.44337","url":null,"abstract":"<p><p>This study examines life expectancy in Asian Muslim-majority countries from a comparative perspective, with a particular focus on the role of socioeconomic and health-related determinants. Using secondary data from the World Bank and other international databases across countries which are categorized by income levels. The findings reveal substantial disparities among countries, where high-income Gulf nations such as Qatar, the United Arab Emirates, and Kuwait exhibit higher life expectancy, lower mortality, and improved child health outcomes, primarily due to advanced healthcare systems and economic prosperity. In contrast, low-income and conflict-affected countries such as Afghanistan, Yemen, and Pakistan experience lower life expectancy, higher mortality, and elevated fertility rates, driven by poverty, political instability, and limited access to healthcare services. Middle-income countries demonstrate transitional patterns with gradual improvements in health indicators. Overall, the study highlights a strong association between economic status and life expectancy, emphasizing the need for targeted health policies, improved healthcare access, and socioeconomic development to reduce disparities across the region. These findings provide important insights for policymakers aiming to enhance population health and promote equitable development in Asian Muslim-majority countries.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"16 1","pages":"5-7"},"PeriodicalIF":4.4,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608599","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":"Cross-Border Cooperation for One Health in Central Asia: Strengthening Systems and Securing Futures through Regional Health Diplomacy.","authors":"Vijay Kumar Chattu, Nidhi Nagabhatla, Alma Nurtazina, Philippe De Lombaerde, Altay Dyussupov","doi":"10.34172/hpp.45299","DOIUrl":"10.34172/hpp.45299","url":null,"abstract":"<p><p>Central Asia faces mounting challenges from emerging infectious diseases, antimicrobial resistance, and food insecurity. This article examines regional cooperation in the One Health approach as a transformative strategy for strengthening regional health security through Regional Health Diplomacy (RHD). The Central Asia One Health Framework for Action represents a paradigmatic shift from fragmented national health strategies to an integrated regional approach. We argue that 'RHD' serves as the critical catalyst for implementing the One Health Framework. We call for the strategic implications to extend beyond health outcomes to encompass broader regional integration, establishing Central Asia as a pioneer in multi-sectoral health governance and a potential knowledge hub for One Health implementation.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"16 1","pages":"14-21"},"PeriodicalIF":4.4,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608512","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":"Psychological Impact of Infection Fear on Healthcare Provider during the COVID-19 Pandemic: Considerations for Health Promotion.","authors":"Zohre Ahmadi, Farkhondeh Amin Shokravi, Hormoz Sanaeinasab, Aliakbar Rasekhi","doi":"10.34172/hpp.44248","DOIUrl":"10.34172/hpp.44248","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has imposed substantial psychological pressure on healthcare workers (HCWs), largely due to fear of infection. Understanding the factors associated with this fear is essential for designing effective health promotion interventions. This study aimed to identify determinants of fear of COVID-19 infection among HCWs in Qom Province, Iran.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in 2022 among 385 healthcare workers, including physicians, dentists, nurses, and health specialists. Data were collected using the standard S19-HCPS questionnaire. Fear of COVID-19 infection was considered the primary outcome measure. Data were analyzed using SPSS software, and multiple linear regression analysis was applied to identify significant predictors.</p><p><strong>Results: </strong>Approximately 50% of participants were male. Multiple linear regression analysis indicated that protective behaviors (β=-0.087, <i>P</i>=0.015), attitude toward COVID-19 (β=-0.118, <i>P</i><0.001), perceived health policies (β=-0.773, <i>P</i><0.001), and desire to provide patient care (β=-0.114, <i>P</i><0.001) were significant predictors of fear of COVID-19 infection. These variables collectively explained 66.1% of the variance in fear scores.</p><p><strong>Conclusion: </strong>Fear of COVID-19 infection remains a significant concern among healthcare workers and may adversely affect their well-being and professional performance. Strengthening supportive health policies, promoting protective behaviors, and addressing attitudinal factors should be prioritized to reduce infection-related fear and enhance mental well-being among HCWs during ongoing and future public health emergencies.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"16 1","pages":"121-128"},"PeriodicalIF":4.4,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608531","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":"What Makes Mobile Banking Difficult for Older Adults? A Multi-Layer Usability Investigation.","authors":"Elahe Amouzadeh, Iman Dianat, Javad Faradmal, Maryam Khalili, Mohammad Babamiri","doi":"10.34172/hpp.44884","DOIUrl":"10.34172/hpp.44884","url":null,"abstract":"<p><strong>Introduction: </strong>This study evaluates the usability, accessibility, and ergonomic design of six widely used Iranian mobile banking applications for older adults (aged 60 and above) to enhance digital inclusion and promote healthy aging through improved financial access.</p><p><strong>Methods: </strong>An <i>explanatory sequential</i> mixed-methods approach was utilized, integrating quantitative usability testing with the System Usability Scale (SUS) and qualitative heuristic evaluation using the Smartphone's Usability Heuristics (SMASH) framework. Five Human-Computer Interaction (HCI) experts evaluated the applications in a controlled lab setting, while 1,200 older adults from diverse backgrounds participated in usability testing and semi-structured interviews. Statistical analysis involved ANOVA with post hoc Least Significant Difference (LSD) tests to compare SUS scores across applications and age groups, complemented by thematic analysis of qualitative data.</p><p><strong>Results: </strong>Heuristic evaluation identified 135 usability issues, with error prevention (mean severity: 2.27) and visibility of system status (mean severity: 2.22) being the most critical. SUS scores varied significantly (F(5, 1194)=42.36, <i>P</i><0.001), ranging from 27.50 (SD=7.18) for Bank E to 59.02 (SD=7.94) for Bank A. Younger older adults (60-63 years) reported higher SUS scores (M=54.2) than those aged 72-75 (M=45.3, <i>P</i><0.001). Qualitative findings highlighted cultural mismatches and cognitive overload as key barriers.</p><p><strong>Conclusion: </strong>Poor usability in mobile banking apps widens the digital divide for older adults, hindering financial independence. Tailored designs with simplified interfaces, cultural relevance, and enhanced error prevention can improve digital health literacy, support equitable access and promote mental and social well-being among aging populations.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"16 1","pages":"74-84"},"PeriodicalIF":4.4,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608586","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}