American Journal of Health Education最新文献

{"title":"Perceived Body Weight and Weight Management-Related Behaviors among Young Adults: Mediating Effects of Body Mass Index","authors":"Peijia Zha, G. Mahat, Y. Chao, C. Iovino","doi":"10.1080/19325037.2022.2120120","DOIUrl":"https://doi.org/10.1080/19325037.2022.2120120","url":null,"abstract":"ABSTRACT Background Understanding the relationship between the perceived body weight, body mass index (BMI), and weight management-related behaviors is critical to preventing obesity in young adults. Purpose To explore the relationship between perceived body weight and weight management-related behaviors and to assess the mediating effects of BMI between perceived body weight and weight management-related behaviors among young adults. Methods Using data (n = 4882) from the National Longitudinal Study of Adolescent to Adult Health, multiple linear regression and a series of mediation analyses were applied to analyze the data. Results Both perceived body weight and BMI were significantly associated with breakfast consumption and sleep for overall participants (p < .001; p < .001). Perceived body weight and BMI were significantly associated with breakfast consumption among young female adults (p < .001). Perceived body weight and BMI were significantly associated with sleep among young male adults (p = .03). BMI is found to mediate the relationship between perceived body weight and breakfast consumption. Discussion The study demonstrated both perceived body weight and BMI contribute to certain weight management-related behaviors. BMI could be the inflammatory mechanism of health behavior change. Translation to Health Education Practice Development of tailored interventions or culturally appropriate weight management educational programs are needed for young adults. Findings of this study could have implications for public health education. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"53 1","pages":"381 - 393"},"PeriodicalIF":1.0,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48299337","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":"Heart Disease Knowledge Questionnaire: Psychometric Properties in Brazilian Adults","authors":"Fernanda Maria Alves Lima, M. Jamas, H. Miot, M. A. Garcia de Avila","doi":"10.1080/19325037.2022.2120121","DOIUrl":"https://doi.org/10.1080/19325037.2022.2120121","url":null,"abstract":"ABSTRACT Background The assessment of knowledge about cardiovascular diseases through instruments helps to identify gaps and educational needs of the target audience. Purpose To validate and verify the psychometric properties of the Brazilian version of the Heart Disease Knowledge Questionnaire (HDKQ-BR) for adults in Brazil. Methods Cross-sectional methodological study carried out in a Brazilian city with 300 participants. Internal consistency, temporal stability (test-retest) and convergent structural validity were verified. Item Response Theory (IRT) was used to determine parameters a (discrimination) and b (difficulty) of each item and the unidimensionality of the instrument and the differential item functioning (DIF) for sex, education and age. Results The internal consistency of the HDKQ-BR was 0.694. The test-retest reliability was confirmed by the intraclass correlation coefficient (ICC = 0.779). According to the IRT, parameter a was between 0.176 and 1.175 and parameter b between −10.834 and 4.969. Discussion The HDKQ-BR showed unidimensional structure and adequate psychometric performance for its application in populations with the same profile in Brazil. Translation to Health Education Practice To assess the knowledge of an adult population about CVDs is important for improving the health literacy. The study focused on Area I of Responsibilities for Health Education Specialists (Assessment of Needs and Capacity).","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"53 1","pages":"394 - 401"},"PeriodicalIF":1.0,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48591775","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":"Mental Health Interventions for Elite-Level Athletes in a Sport-Specific Context: A Systematic Review","authors":"Danae Delfin, Haleigh Gray, Amanda H. Wilkerson","doi":"10.1080/19325037.2022.2105764","DOIUrl":"https://doi.org/10.1080/19325037.2022.2105764","url":null,"abstract":"ABSTRACT Background Athletes comprise a unique population for mental health (MH) interventions given their increased physical and mental demands paired with the closed culture of athletics. Purpose The purpose of this study was to determine the quality and effectiveness of MH interventions administered within a sport-specific context for varying levels of elite athletes. Methods Studies published from January 2010 to March 2022 were identified using four databases: APA PsychInfo, CINAHL, MEDLINE, and SPORTDiscus. Inclusion was limited to intervention studies that targeted MH, well-being, or mindfulness; were administered in a sport-specific context; involved elite-level athletes; and assessed at least one MH-related outcome. Results Nine studies satisfied the inclusion criteria and recruited successful-elite (n = 3) and semi-elite (n = 6) athletes. Intervention activities included knowledge acquisition (n = 7), skills/mindfulness training (n = 6), and group discussion (n = 8). Statistically significant improvements in MH symptoms (n = 2), knowledge (n = 3), stigma (n = 3), and stress (n = 3) were reported. Discussion Intervention efficacy may be improved by aligning intended outcome(s), measurement tools, and modalities for a sport-specific context. Future research should consider larger sample sizes and examine individual versus team sport/between-sport differences. Translation to Health Education Practice Interventions appear to improve MH outcomes for athletic populations; however, inconsistencies with measurement tools and lack of utilization of theoretical frameworks exist.","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"53 1","pages":"297 - 311"},"PeriodicalIF":1.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42822018","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 Reviews and Meta-Analyses within Health Education","authors":"Elise K. Eifert","doi":"10.1080/19325037.2022.2097832","DOIUrl":"https://doi.org/10.1080/19325037.2022.2097832","url":null,"abstract":"I am excited to introduce a Special Issue of the American Journal of Health Education (AJHE) on Systematic Reviews and Meta-Analyses within Health Education. The purpose of this special issue was to provide indepth understanding on important topics in health education through systematic reviews and meta-analyses that advance the health education profession. Systematic reviews and meta-analyses have an important role in health education practice by providing comprehensive syntheses of research on specific topics. Systematic reviews and meta-analyses that follow rigorous methodological practices can provide compelling evidence regarding issues currently impacting the health of individuals, communities, and societies. Furthermore, AJHE’s mission is to publish research manuscripts that focus on Health Education and Health Promotion interventions designed to prevent or delay the onset of the major chronic diseases and illnesses that impact population health. Systematic reviews and meta-analyses can assist in identifying populations, places, outcomes, and conditions where a health education/health promotion intervention might be needed or improved. The special issue comprises six articles on an array of topics including physical activity, mental health, alcohol misuse and abuse, diabetes, COPD, and oral health. Different behaviors, geographic regions, theories, and intervention styles including student-led and selfmanagement are explored. Most authors utilized the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines which is the recognized standard for reporting evidence in systematic reviews and meta-analyses. I think every Certified Health Education Specialist and Health Educator will find something of value and professional interest within these articles. Bopp, Vadeboncoeur, Roetert, & Stellefson provide an interesting literature review on a term growing in importance and relevance; physical literacy. They provide an overview of the literature published in the United States on this topic and highlight the scholars, disciplines, and contexts for different studies discussing the topic. It provides a comprehensive overview of the evolution of physical literacy in addition to a valuable discussion on the future implications of physical literacy in the health education profession and beyond. Delfin, Gray, & Wilkerson conducted a systematic review of the literature on mental health interventions for elite athletes. They provided an overview of research related to this topic and population including year, country of origin, specific target population, study purpose, study design, intervention groups, intervention duration, intervention activities, mental health outcome measures, and intervention effects. Additionally, they reviewed the methodological quality of the current research. I found this research particularly relevant given the growing concerns over mental wellness gripping college athletics after the recent deaths","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"53 1","pages":"267 - 268"},"PeriodicalIF":1.0,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42109780","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":"Dental Hygiene Behaviors among Young Adults: A Systematic Review of Surveys Using the Theory of Planned Behavior (TPB)","authors":"J. Moore, L. Turner, M. Stellefson, B. Chaney","doi":"10.1080/19325037.2022.2100847","DOIUrl":"https://doi.org/10.1080/19325037.2022.2100847","url":null,"abstract":"ABSTRACT Background Dental diseases are associated with chronic health conditions and decreased psychological and sociological wellbeing. Young adulthood presents a pivotal stage as dental hygiene behaviors developed and practiced during this time persist into later life. The Theory of Planned Behavior (TPB) is a commonly used theoretical framework to examine intention to engage in dental behaviors. Purpose To systematically summarize research studies using TPB questionnaires to assess predictive factors of oral hygiene behaviors among young adult populations. Methods A four-phase article identification process ensured articles met the inclusion criteria. Quality appraisal assessments were used to evaluate questionnaire construction methodology. Results Twelve articles met the study’s inclusion criteria. Each study incorporated supplemental predictive factors such as oral health knowledge and expected social outcomes in addition to the TPB constructs. Discussion Evidence from this systematic review suggests that TPB is a useful theoretical framework for designing questionnaires that assess dental hygiene behaviors of young adults. Translation to Health Education Practice Health education specialists should administer oral hygiene behavior surveys that utilize TPB and TPB-related constructs to better understand factors associated with improved intentions toward dental hygiene behaviors among young adults.","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"53 1","pages":"312 - 324"},"PeriodicalIF":1.0,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48201855","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":"A Systematic Review of Common Drunkorexia Measures: Examining Gender Differences across Scales","authors":"Shannon Speed, R. Ward, Lauren Haus, Paul Branscum, V. Barrios, Kristen M. Budd, Kayla Lemons, Emma Humenay","doi":"10.1080/19325037.2022.2100846","DOIUrl":"https://doi.org/10.1080/19325037.2022.2100846","url":null,"abstract":"ABSTRCT Background Drunkorexia includes calorie restriction, excessive exercise, and/or purging in combination with alcohol consumption. Exploring drunkorexia by gender could inform potential intervention to address varying rates of drunkorexia, blood alcohol concentrations, and alcohol-related consequences. Purpose The purpose of this systematic review is to examine potential gender differences in drunkorexia among college students. Methods Search engines were used to find studies utilizing college students (2012–2021) and drunkorexia measures, resulting in 22 studies. Results Weighted mean scores and independent-sample t-tests of subscales for both the Compensatory Eating and Behaviors in Response to Alcohol Consumption Scale (CEBRACS) and Drunkorexia Motives and Behaviors Scale (DMBS) showed no significant differences between females and males. Discussion The lack of difference indicates the need to consider diet, purging, and exercise as separate drunkorexia control techniques as opposed to one drunkorexia construct and indicates trends by gender may have evolved over the last decade. Translation to Health Education Practice Understanding the unique direct and secondhand health effects of drunkorexia by gender might assist in counteracting negative alcohol consequences potentially exacerbated by drunkorexia (e.g., overdose, injuries, death), and inform multiple CHES® and MCHES® areas of responsibilities and competencies to improve interventions to reduce risky alcohol consumption among college students.","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"53 1","pages":"342 - 359"},"PeriodicalIF":1.0,"publicationDate":"2022-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43305843","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":"Effectiveness of Student-Led Interventions on Improving Diabetes Outcomes: A Systematic Review","authors":"Jen Nickelson, Ny’Nika McFadden, Paige Johnson, Alex Boucher","doi":"10.1080/19325037.2022.2100020","DOIUrl":"https://doi.org/10.1080/19325037.2022.2100020","url":null,"abstract":"ABSTRACT Background Diabetes education and treatment is a public health priority. Student-delivered strategies have the potential to offer low-cost, high-quality healthcare services to underserved patients while giving students practice experience. However, the effectiveness of these interventions is unknown. Purpose To document study characteristics and the effectiveness of student-delivered interventions on diabetes health outcomes. Methods Databases searched included Medline, CINAHL Plus, and others. Appropriate keywords/subject headings were used to identify studies meeting inclusion criteria. Two reviewers independently extracted data which were compared, and conflicts resolved by discussion. Results Seven studies met inclusion criteria. Six had statistically significant improvement in outcomes including HbA1c, a long-term glycemic control indicator (n = 4), blood pressure (n = 3), physical activity (n = 1), and exercise stage of change (n = 1). Studies involved medical (n = 3), pharmacy (n = 2), nursing (n = 1), and exercise science (n = 1) students. Studies with improved outcomes tended to have more patient contact. Discussion This review provides evidence that student-led diabetes interventions may be effective at improving outcomes, although studies reviewed are limited by lack of comparison groups and representative samples. Translation to Health Education Practice: Student-delivered diabetes interventions may improve outcomes, especially with adequate patient contact time. Studies of theory- and evidence-based student-led diabetes interventions involving health education/promotion students are warranted.","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"53 1","pages":"325 - 341"},"PeriodicalIF":1.0,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42006101","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":"Physical Literacy Research in the United States: A Systematic Review of Academic Literature","authors":"T. Bopp, Joshua D. Vadeboncoeur, E. P. Roetert, M. Stellefson","doi":"10.1080/19325037.2022.2100524","DOIUrl":"https://doi.org/10.1080/19325037.2022.2100524","url":null,"abstract":"ABSTRACT Background Researchers within transdisciplinary fields examine physical literacy; however, substantial changes have been suggested regarding the evaluation and reporting of physical literacy within health education. Purpose This systematic review provides an overview of a) physical literacy literature published in the U.S.; b) scholars, disciplines, and contexts represented in available U.S-based physical literacy studies; and c) explicates the progression of physical literacy in the U.S. over the last 20 years. Methods Utilizing the PRISMA-P 2015, 36 manuscripts met the inclusion criteria. Results Concepts such as health, education, activity, school, development, life, competence, and knowledge were strongly related to physical literacy. Most reviewed studies operationalized the physical literacy construct, applied physical literacy elements to various health and educational contexts, provided overviews and assessments of curricula and program interventions, or delineated between definitions and understandings of physical literacy. Discussion Constructive debate continues over the meaning, purpose, and outcomes of physical literacy, allowing future research endeavors to bridge existing philosophical and pragmatic perspectives by testing new evidence-based interventions. Translation to Health Education Practice This study exposes gaps in knowledge to inform Certified Health Education Specialists (CHES) on how to successfully conceptualize physical literacy in various educational contexts. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"53 1","pages":"282 - 296"},"PeriodicalIF":1.0,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43956585","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":"COPD Self-Management for Adults Living in Rural Areas: Systematic Review of Telehealth and Non-Telehealth Interventions","authors":"M. Stellefson, Caitlin Kinder, Isabelle Boyd, O. Elijah, S. Naher, Ny’Nika McFadden","doi":"10.1080/19325037.2022.2100525","DOIUrl":"https://doi.org/10.1080/19325037.2022.2100525","url":null,"abstract":"ABSTRACT Background Chronic Obstructive Pulmonary Disease (COPD) is more prevalent in rural areas than in non-rural areas due to factors such as limited access to healthcare; however, no known studies have systematically reviewed evidence related to the impact of self-management interventions on rural adults with COPD. Purpose Systematically review telehealth and non-telehealth self-management interventions delivered to adults with COPD in rural areas. Methods Six electronic databases were searched to identify eleven eligible articles. Results Six studies delivered telehealth interventions, while five delivered non-telehealth interventions. Six interventions (54.5%) reported the use of a behavioral theory, and four (36.4%) employed a randomized control trial (RCT) design. Three studies (n = 2 telehealth; n = 1 non-telehealth) reported significant improvements in self-management efficacy, five (n = 3 telehealth; n = 2 non-telehealth) reported improvements in quality of life, four (n = 1 telehealth; n = 3 non-telehealth) demonstrated improved exercise capacity, and four (n = 2 telehealth; n = 2 non-telehealth) reported improved COPD knowledge. Discussion There is promising evidence that telehealth interventions could be as beneficial as non-telehealth interventions for improving COPD self-management in rural areas. Translation to Health Education Practice: Community-based needs assessments in rural areas may help determine the optimal method of delivery (i.e., telehealth and/or non-telehealth strategies) for local COPD self-management interventions. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"53 1","pages":"269 - 281"},"PeriodicalIF":1.0,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45085142","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":"Advertising Effectiveness for Recruitment and Retention in a Trial of Yoga for Smoking Cessation","authors":"S. Dunsiger, B. Bock, S. Horowitz, R. Lantini, E. Jennings, H. Thind","doi":"10.1080/19325037.2022.2071782","DOIUrl":"https://doi.org/10.1080/19325037.2022.2071782","url":null,"abstract":"ABSTRACT Background Few cessation studies have examined their recruitment methods to determine the most effective methods for enrollment and retention. Purpose Data from a randomized controlled trial of yoga for smoking cessation was used to evaluate recruitment methods (e.g., radio, referral) and their relationship to enrollment, participant characteristics, and retention at end of treatment (EOT). Methods Screening data from 1065 adults were analyzed for recruitment method, eligibility, randomization, and retention through EOT using Analysis of Variance and Chi-squared tests. Costs per enrolled participant were calculated. Results Rates of participant accrual from screening through randomization differed by recruitment method (p < .05), although there were no differences in retention post-randomization. Among randomized participants, the majority were recruited via radio (44%) and the least number via newspaper (5%). There were differences in baseline psychosocial (i.e., nicotine dependence, readiness to quit) and demographic (i.e., age, employment) characteristics of randomized participants (n = 227, 55.5% women) across recruitment methods. Differences in costs between recruitment methods (p < .001) were noted. Discussion Recruitment methods differed substantially in their cost and ability to attract individuals who would ultimately enroll. Translation to Health Education Practice: This investigation highlights the need to combine different recruitment methods to attract diverse individuals into cessation treatments. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"53 1","pages":"228 - 236"},"PeriodicalIF":1.0,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45905207","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}