{"title":"Stress and Coping among College Students during a COVID-19 Red Alert Status on Campus","authors":"Jessica Samuolis, Emma Higley, Julia Leone","doi":"10.1080/19325037.2023.2186985","DOIUrl":"https://doi.org/10.1080/19325037.2023.2186985","url":null,"abstract":"ABSTRACT Background High rates of stress have been found among college students during the COVID-19 pandemic and research on students’ use of coping strategies during the pandemic is needed, particularly during periods of extensive restrictions on campus. Purpose The current study examined stress and coping during a campus red alert at a mid-sized U.S. university. Methods Data collected from an online survey sent out to undergraduate students 30 days after a COVID-19 red alert status (akin to a campus lockdown) was instituted on a college campus in the Fall of 2020 were analyzed. The survey included scales assessing coping strategies and perceived stress. Results Regression analyses indicated that stress during the red alert was associated with several maladaptive coping strategies, such as denial, substance use and behavioral disengagement. Whereas stress was inversely associated with positive coping strategies, such as active coping, planning, and acceptance. Discussion Health education efforts during campus lockdowns should include screening for stress, increased access to mental health services, coping skills-related informational workshops, and virtual recreational and social opportunities. Translation to Health Education Practice The study highlights how assessing stress and coping among college students during public health events can guide health education activities for college students.","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"54 1","pages":"242 - 249"},"PeriodicalIF":1.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44769297","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}
Ayron E. Walker, M. Olfert, S. Scarneo-Miller, D. Totzkay, E. Claydon
{"title":"Nutrition-Specific Dissemination and Implementation Science Training Development and Feedback","authors":"Ayron E. Walker, M. Olfert, S. Scarneo-Miller, D. Totzkay, E. Claydon","doi":"10.1080/19325037.2023.2164942","DOIUrl":"https://doi.org/10.1080/19325037.2023.2164942","url":null,"abstract":"ABSTRACT Background There is a critical need to build knowledge among community nutrition and health educators to ensure that nutrition interventions are appropriate. Purpose Assess experts’ perceptions on a novel D&I training for nutrition and health education. Methods Experts were recruited by a selective sample in nutrition implementation science. Experts reported their opinions about learning objectives and a training syllabus by responding to 7-point Likert scale questions and qualitative feedback on the curriculum. Quantitative data were analyzed for descriptive statistics and frequency analysis. Qualitative survey results from the expert review and feedback were analyzed and categorized into topic and theme. Results Respondents (n = 31) were female (94%), White (81%), and Registered Dietitian Nutritionists (71%). Most respondents categorized the learning strategies and syllabus as generally positive (4–7) on the Likert scales. Key components of the course – including case study assignments, projects, and guided reading questions – as beneficial for student learning. Discussion Application-based learning and activities are essential components to this D&I training and assist in translating learning objectives to behavioral outcomes. Translation to Health Education Practice This course offers a practical solution for health educators to meet competencies needed for credentialing and continuing education in implementing nutrition and health interventions.","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"54 1","pages":"75 - 85"},"PeriodicalIF":1.0,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41665392","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}
Stephanie Bryan, Maryellen Hamilton, Jay C. Garrels, Mia Ruhlen, G. Zipp
{"title":"Innovation in Health Programming: College Students Benefit from an Array of Complementary Approaches to Health Improvement Framed by the Biopsychosocial-Spiritual Model","authors":"Stephanie Bryan, Maryellen Hamilton, Jay C. Garrels, Mia Ruhlen, G. Zipp","doi":"10.1080/19325037.2022.2163009","DOIUrl":"https://doi.org/10.1080/19325037.2022.2163009","url":null,"abstract":"ABSTRACT Background The American Psychological Association reports that Generation Z are suffering mentally and physically more than any other group. Purpose Measure the effects of a 16-week, online college-level “Complementary Therapies in Health Course” through the lens of the biopsychosocial-spiritual model on measures of health and aspects of well-being in college students. Methods A mixed method, controlled, repeated measures study delivered in an online synchronous college-level health course. The course curriculum included the science and practice of compassion, happiness, mindfulness, meditation, yoga, service, gratitude, longevity, movement, and more. Results 42 students 18–23 participated. A significant between subjects cross-over effect demonstrating improvements in the intervention group and deterioration in the control group was found using the Self Compassion Scale (p < .005), Self-Compassion subscale of Judgment (p < .001), Spiritual Well-being Scale (p < .047), and the Pemberton Happiness Index (p < .007). The Self Compassion Scale also revealed a within subjects significant effect (p < .001). Qualitative data revealed improvements in compassion, feelings of happiness, sleep, exercise and health habits, gratitude, mindfulness, spiritual feelings, and more. Discussion Health education predicated on the biopsychosocial-spiritual model is efficacious. Translation to Health Education Practices A whole person, complementary health approach to education programming has widespread, positive effects on college students. 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":"54 1","pages":"135 - 154"},"PeriodicalIF":1.0,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45082496","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":"Association of Cardiovascular Disease and Physical Activity Phenotypes with Falls among Midlife and Older Adults: 2018 Behavioral Risk Factor Surveillance System","authors":"Minsuk Oh, K. Ylitalo","doi":"10.1080/19325037.2022.2163008","DOIUrl":"https://doi.org/10.1080/19325037.2022.2163008","url":null,"abstract":"ABSTRACT Background The role of physical activity (PA) in mitigating fall risk among adults with cardiovascular disease (CVD) is unclear. Purpose We examined the associations of CVD–PA phenotypes with falls. Methods Adults ≥ 45 years (n = 295,282; N = 130,103,093) from the 2018 Behavioral Risk Factor Surveillance System who self-reported CVD, leisure-time PA, and falls were examined. The weighted prevalence ratio (PR) of any, recurrent, and injurious falls across CVD–PA phenotypes (no CVD–PA, no CVD–no PA, CVD–PA, CVD–no PA) was estimated. Results The likelihood of any, recurrent, and injurious falls was higher across unhealthier CVD–PA phenotypes in fully adjusted models. In the total sample, no CVD–no PA (PR: 1.30; 95% CI: 1.10, 1.50), CVD–PA (PR: 1.35; 95% CI: 1.10, 1.60), and CVD–no PA (PR: 1.39; 95% CI: 1.11, 1.67) phenotypes were more likely to report injurious falls than no CVD–PA phenotype. Discussion Engaging in leisure-time PA may be an important lifestyle strategy for fall prevention in midlife and older adults who are at risk of CVD. Translations to Health Education Practice Our findings could be useful for health education in providing evidence on future fall prevention programs in adults who are at risk for CVD and falls.","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"54 1","pages":"109 - 118"},"PeriodicalIF":1.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60060598","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":"Relationship Between Healthy Eating Fixation (Orthorexia) and Past Family Life, and Eating Attitudes in Young Adults","authors":"Gülçe Mutluer, Defne Yilmaz","doi":"10.1080/19325037.2022.2163010","DOIUrl":"https://doi.org/10.1080/19325037.2022.2163010","url":null,"abstract":"ABSTRACT Background In comparison to other eating problems, there is less information on healthy eating fixation (HEF) in the literature. Purpose Understanding the effects of previous family experiences, which have a multidimensional impact on the individual and on other eating disorders, is important to better comprehend the HEF. Methods The current study examined the relationships between HEF and previous family experiences as well as eating attitudes. It is a cross-sectional survey design with a convenience sample of 18–24-year-olds (n = 225) based on a quantitative analysis method. Results Except for “limited social activity,” a sub-factor significantly related to HEF, and “health and social problems,” a sub-factor significantly related to healthy orthorexia (HO), both HEF and HO did not significantly relate to past family life. The outcomes showed that the participants’ eating attitudes had a significant relationship with HEF (r = .57, p < .001) and HO (r = .23, p = .001). Discussion The findings suggest that people with HEF have disordered eating attitudes. Furthermore, practitioners should be aware that family factors may be a risk factor for orthorexia. Translations to Health Education Practice These results may help to educate and increase awareness among health educators and mental health professionals regarding the identification, treatment, and recovery of eating disorders and HEF.","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"54 1","pages":"155 - 167"},"PeriodicalIF":1.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45570663","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}
Maidah Raja, S. Radhakrishnan, Rebecca A. Milan, Deidre Hurse, Caress A. Dean
{"title":"Assessing Chronic Kidney Disease Knowledge, Beliefs, and Risk among Detroit Residents","authors":"Maidah Raja, S. Radhakrishnan, Rebecca A. Milan, Deidre Hurse, Caress A. Dean","doi":"10.1080/19325037.2022.2163006","DOIUrl":"https://doi.org/10.1080/19325037.2022.2163006","url":null,"abstract":"ABSTRACT Background In 2020, Detroit residents’ crude kidney disease mortality rate was 1.48 times the state’s rate. Purpose Evaluated Detroit residents’ chronic kidney disease (CKD) knowledge, risk, belief, and preventative practices. Additionally, it examined the association between residents’ CKD knowledge, their sociodemographics, CKD risk and belief. Methods 378 Detroit residents, ages 20 years or older, were recruited from May 2019-August 2021 to complete the Qualtrics survey on their CKD knowledge, beliefs, and risk. Descriptive statistics and multiple linear regression were conducted to meet the study’s purpose. Results Most participants were unaware of dry and itchy skin as a CKD symptom (60%). African Americans (β = −1.5; p = .002) and those with a high school education or less (β = −1.46; p = .038) had lower knowledge scores than White residents and those with higher education. Participants’ knowledge score increased by 0.64 as CKD risk score increased by 1 (β = 0.64; p = .019). Discussion CKD knowledge is low among Detroit residents and associated with race, education, and risk level. Translation to Health Education Practice: African American Detroit residents would benefit from targeted marketing and communication plans that increase their knowledge of CKD prevention. It also depicts key components (e.g., risks factors) that should be communicated in the messages.","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"54 1","pages":"99 - 108"},"PeriodicalIF":1.0,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46619488","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}
Kristina L. Harper, M. Short, S. Bistricky, Isabelle S. Kusters
{"title":"1-2-3! Catch-Up for HPV: A Theoretically Informed Pilot Intervention to Increase HPV Vaccine Uptake among Young Adults","authors":"Kristina L. Harper, M. Short, S. Bistricky, Isabelle S. Kusters","doi":"10.1080/19325037.2022.2163005","DOIUrl":"https://doi.org/10.1080/19325037.2022.2163005","url":null,"abstract":"ABSTRACT Background Human Papillomavirus (HPV) is the most common sexually transmitted infection. Current guidelines recommend HPV vaccination during adolescence, but vaccination rates remain suboptimal. Efforts are needed to increase vaccination among the catch-up group (individuals aged 18–26 years). Interventions have primarily focused on education, with minimal success. Purpose This study enhanced an education-based intervention to directly target Theory of Planned Behavior (TPB) variables and increase catch-up group HPV vaccination. Methods Using a randomized control design, a TPB-informed psychosocial intervention (n = 41) was compared to education-only (n = 35) and no-intervention control groups (n = 35). Results HPV knowledge, HPV Vaccine knowledge, attitudes, subjective norms, vaccination intention, and vaccination uptake were all more profoundly improved in the TPB-informed intervention. Further, regression models including knowledge and TPB variables predicted intention 1 week later (F(6, 110) = 17.13, p < .001) and uptake 6 months later (χ2 = (7, N = 46) = 25.12, p = .001), accounting for 42–67% of the variance. Discussion These outcomes provide support for disseminating TPB-informed interventions to the catch-up group on college campuses. Translation to Health Education Practice: Interventions for HPV vaccination uptake should include both education and TPB factors to address barriers. 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":"54 1","pages":"119 - 134"},"PeriodicalIF":1.0,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47415116","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":"Time Management Behavior Structural Equation Model Predicts Global Sleep Quality in Traditional Entry University Students.","authors":"Adam P Knowlden, Shabnam Naher","doi":"10.1080/19325037.2023.2209617","DOIUrl":"https://doi.org/10.1080/19325037.2023.2209617","url":null,"abstract":"<p><strong>Background: </strong>Poor sleep is commonplace among traditional entry university students. Lifestyle modifications, such as time management behaviors, may improve sleep quality by allocating sufficient time for sleep and mitigating stress-associated sleep latency inefficiencies.</p><p><strong>Purpose: </strong>The purpose of our study was to evaluate time management behaviors as predictors of sleep quality in traditional entry university students. We hypothesized time management behaviors would predict perceived control of time, which in turn, would predict global sleep quality.</p><p><strong>Methods: </strong>A cross-sectional convenience sample of university students (n=302) completed a 73-item instrument comprised of the Pittsburgh Sleep Quality Index and the Time Management Behavior scale. Model building procedures included exploratory factor analysis, confirmatory factor analysis, and structural equation modeling.</p><p><strong>Results: </strong>Our specified model identified significant paths between setting goals and priorities (β= .261; p=.012), mechanics of time management (β=.210; p=.043) and preference for organization (β=.532; p<.001) for perceived control of time (R<sup>2</sup>=.300 p<.001). We further identified a significant path between perceived control of time and global sleep quality (R<sup>2</sup>=.196, p=.022).</p><p><strong>Discussion: </strong>Our study suggests time management behaviors are associated with global sleep quality.</p><p><strong>Translation to health education practice: </strong>Health education interventions addressing sleep quality of traditional entry university students should consider incorporating time management behaviors.</p>","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"54 4","pages":"265-274"},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538951/pdf/nihms-1889964.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153998","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}
Leilani Dodgen, Heather Kitzman, Emily Spence, Abdullah Mamun, Scott T Walters, Diana Cervantes
{"title":"What's theory got to do with it: measuring effects of theory on lifestyle behaviors and weight in the Better Me Within Randomized Trial.","authors":"Leilani Dodgen, Heather Kitzman, Emily Spence, Abdullah Mamun, Scott T Walters, Diana Cervantes","doi":"10.1080/19325037.2022.2163007","DOIUrl":"10.1080/19325037.2022.2163007","url":null,"abstract":"<p><strong>Background: </strong>Knowing which theoretical constructs work best to design effective interventions is essential for populations with increased disease burden. African American women (AAW) experience greater prevalence of chronic diseases and fewer benefits from weight loss interventions compared to White women.</p><p><strong>Purpose: </strong>To examine how theoretical constructs were associated with lifestyle behaviors and weight outcomes in the Better Me Within (BMW) Randomized Trial.</p><p><strong>Methods: </strong>BMW used a tailored diabetes prevention program implemented in churches among AAW with BMI ≥ 25. Regression models assessed relationships between constructs (self-efficacy, social support and motivation), and outcomes (physical activity (PA), calories, and weight).</p><p><strong>Results: </strong>Among 221 AAW (mean (SD) age 48.8 years (11.2); mean weight 215.1 pounds (50.5), several significant relationships were found including an association between change in motivation for activity and change in PA (p=.003), and change in motivation for diet and weight at follow-up (p=<.001).</p><p><strong>Discussion: </strong>The clearest relationships emerged for PA with motivation for activity and weight management social support demonstrating significance in all models.</p><p><strong>Translation to practice: </strong>Self-efficacy, motivation and social support show promise to promote changes in PA and weight among church-going AAW. Opportunities to keep engaging AAW in research are essential for eliminating health inequities in this population.</p>","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"54 2","pages":"86-98"},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10311983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9753183","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}
Ashleigh M. Johnson, E. Kroshus, Kiana R. Hafferty, K. Senturia, K. Garrett, P. Tandon
{"title":"Improving Use of Physical Fitness Testing Data in Middle Schools to Inform Equitable School-wide Physical Activity Practices: A Mixed-methods Approach","authors":"Ashleigh M. Johnson, E. Kroshus, Kiana R. Hafferty, K. Senturia, K. Garrett, P. Tandon","doi":"10.1080/19325037.2022.2142340","DOIUrl":"https://doi.org/10.1080/19325037.2022.2142340","url":null,"abstract":"ABSTRACT Background Most United States schools include school-based physical fitness testing (SB-PFT), yet little evidence shows how it is implemented, perceived, and used. Purpose 1) Explore stakeholders’ experiences with SB-PFT; 2) identify: challenges in analyzing fitness data, ways schools can use fitness data, and predictors of meeting fitness benchmarks. Methods Data were collected in a partner school district (King County, Washington, USA). We conducted and analyzed qualitative interviews with middle schoolers (n = 30), parents (n = 20), and school staff (n = 5); and identified student-level predictors of meeting fitness benchmarks with two-level mixed effects logistic regression models using district’s fitness assessment data (grades 4–8). Results Stakeholders identified challenges and provided feedback on SB-PFT, and predictors of meeting fitness benchmarks were identified. Discussion Findings suggest SB-PFT has potential to be useful in promoting adolescents’ fitness, but opportunities exist to improve the testing process and the ways that results are shared and utilized. Translation to Health Education Practice: Teachers would benefit from resources to understand and discuss the role of SB-PFT in a physically active lifestyle with students, ensure a positive testing experience by conducting assessments more privately and taking the time to practice assessments beforehand, and track testing outcomes and relevant demographics. 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":"54 1","pages":"50 - 61"},"PeriodicalIF":1.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47404618","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}