Health Promotion Practice最新文献

{"title":"Promoting Vegetarian Choices in the Cafeteria Using the Behavior Change Wheel Model.","authors":"Isabelle Carrard, Valeria A Bertoni Maluf, Carolina Cerqueira Azevedo, Sidonie Fabbi","doi":"10.1177/15248399261445957","DOIUrl":"https://doi.org/10.1177/15248399261445957","url":null,"abstract":"<p><p>Current diets in Western countries are unsustainable. Reducing meat consumption can benefit both human health and the environment. This study aimed to design and evaluate an intervention to promote vegetarian menu choices in a Swiss university cafeteria, using the Behavior Change Wheel methodology. The intervention was designed based on barriers and facilitators to vegetarian menu choices, which were collected from students and staff in a previous study. Using the COM-B (Capability, Opportunity, Motivation-Behavior) model, we identified key determinants and designed the intervention. The impact of the intervention was evaluated quantitatively by comparing the percentage of vegetarian menus sold to all menus at four measurement points, using the Kruskal-Wallis nonparametric statistical test, and qualitatively with focus groups (<i>n</i> = 7 participants), using thematic analysis. The intervention focused on enhancing capability and motivation through healthy eating and protein diversity activities in a 1-week stand to address limited knowledge about vegetarian foods while being considerate of those opposed to vegetarianism. Sales data indicated that the intervention was not sufficient to increase purchases, with no significant difference in the proportion of vegetarian menus sold. Focus groups revealed positive feedback on the educational stand, mixed opinions on how pricing affects menu attractiveness, and a preference for \"flexitarian\" labeling. Future efforts should focus on combining educational approaches with practical strategies, as well as making vegetarian menus more appealing. The use of a theoretical framework was crucial to help us avoid missteps when designing an intervention to promote vegetarian menus in a sensitive context.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261445957"},"PeriodicalIF":1.2,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844049","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":"Influence of Social Determinants of Health Across the Lifespan for Individuals With Sickle Cell Disease.","authors":"Kasey Jordan, Shannon Phillips, Christina M Abrams, Greg Hall","doi":"10.1177/15248399251330215","DOIUrl":"10.1177/15248399251330215","url":null,"abstract":"<p><p>Social determinants of health (SDOH) are known to be important influences on health outcomes for individuals with sickle cell disease (SCD), but the breadth of SDOH can make it challenging for health care professionals to engage meaningfully in assessment and intervention activities. The purpose of this descriptive qualitative study was to identify what SDOH were most impactful to health care decision-making during different life stages for individuals with SCD who had experienced a gap in accessing medical care. Results indicated that perceptions of SDOH varied according to childhood, transitional, and adulthood life stages. Impactful SDOH in childhood relate to family support, peer relationships, academic experiences, and positive experiences in the health care system. During the transition life stage, peer support for independence and interactions with the health care system were impactful. Adulthood revealed that employment and experiences in the health care system influenced health care decisions. Health care professionals can use this information by prioritizing assessment related to SDOH relevant to each life stage. Additional research is needed to further explore SDOH by life stage and support intervention development.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"493-502"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081341","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":"Perceptions and Experiences of Uninsured Latinx Adult Participants in a Community Health Worker-Delivered Intervention to Address Depression.","authors":"Monica Guerrero Vazquez, Marzena Maksym, Sarah Polk, Suzanne M Dolwick Grieb","doi":"10.1177/15248399251335582","DOIUrl":"10.1177/15248399251335582","url":null,"abstract":"<p><p>Latinx immigrants have an increased risk of depression and other negative mental health problems. Community health workers (CHWs) have a history of bridging the divide between marginalized communities and health care systems. Since 2019, we have been implementing and evaluating a ten 1-hour-sessions intervention delivered by a CHW and adapted from cognitive behavioral therapy, mindfulness exercises, and behavioral activation to treat mild to severe depressive symptoms and anxiety. There has been little research on the subjective experiences of the participants receiving mental health services delivered by CHW. Our study's purpose was to explore the perceptions and experiences of participants in the intervention. To better understand the experiences of Latinx participants in the intervention, we conducted in-depth 1-hour interviews with participants who completed the 10 intervention sessions. Twenty-nine participants provided responses. Participant discussions about their experience with the intervention centered around three main themes: desperation as a motivator to accept the intervention, changed perceptions of self, and feelings of support. Results show that participants perceived the program as beneficial for their mental health and well-being by influencing their sense of self and self-worth and by feeling supported by the CHW. CHWs have the potential to address gaps in mental health service access experienced among Latinx immigrants. However, more research needs to continue investigating effective engagement strategies for treating depression and anxiety among Latinx immigrant patients.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"544-553"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053348","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":"Facilitators and Barriers to Equitable Implementation of Telehealth PrEP Delivery: A Qualitative Descriptive Study of Program Staff and Stakeholders.","authors":"Stephen Bonett, Anna Sweeney, Qian Li, Dovie L Watson, José Bauermeister, Brian Hernandez, Javontae Williams, Kathleen A Brady","doi":"10.1177/15248399251347253","DOIUrl":"10.1177/15248399251347253","url":null,"abstract":"<p><p>Expanding access to pre-exposure prophylaxis (PrEP) is crucial for ending the HIV epidemic in the United States and reducing disparities in HIV incidence among marginalized populations. Telehealth models for the delivery of PrEP have the potential to improve access, acceptability, and adherence. In 2022, Philadelphia established the Philadelphia TelePrEP Program to deliver HIV prevention services through telehealth. This qualitative descriptive study aims to identify implementation determinants for telehealth PrEP services in Philadelphia. We completed nine in-depth interviews with staff at the Philadelphia TelePrEP Program (n = 5) and external stakeholders in the HIV prevention workforce (n = 4) using a semi-structured interview guide based on the Consolidated Framework for Implementation Research (CFIR). Thematic analysis was used to identify key facilitators and barriers to implementation. Interviews revealed that telePrEP improved convenience and flexibility in accessing PrEP, but online marketing may exclude certain populations with limited digital presence. Dedicated patient navigators and ongoing staff training were key facilitators, whereas limited provider capacity was a challenge. Sustainable funding through grants and 340B revenue enabled the Philadelphia TelePrEP Program to serve uninsured patients. The digital divide, lack of PrEP awareness, and competition from commercial telePrEP providers were identified as potential barriers to engaging priority populations. TelePrEP has the potential to expand the availability of PrEP services and reach communities that currently face barriers to access. However, overcoming key structural and social barriers around public awareness, technology access, and organizational capacity will be critical for successful implementation.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"564-575"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12666864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327282","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":"Piloting a Virtual Yoga and Mindfulness Program for Juvenile Court Involved Youth.","authors":"Amanda Cruce, Ebonie Slade, Felicia Savage Friedman, Maya Savage, Elizabeth Miller, Nicholas Szoko","doi":"10.1177/15248399241278975","DOIUrl":"10.1177/15248399241278975","url":null,"abstract":"<p><p>Juvenile court-involved youth (JCIY) face unique psychosocial challenges, with a higher prevalence of mental health concerns and substance use disorders. The COVID-19 pandemic intensified these challenges, prompting a need for interventions that address trauma and discrimination experienced by this vulnerable population that could be delivered virtually during the pandemic. This study describes implementation and evaluation of a Raja yoga and mindfulness program among JCIY, with particular attention to barriers and facilitators to participation to inform next steps in this work. The nine-session program aimed to promote mindfulness practices, build coping skills, and address elements of JCIY's emotional health and well-being. Despite challenges in participant retention, participants expressed intent to use skills they learned in the future. Challenges related to implementation included technological barriers, staff turnover, and competing responsibilities; abrupt closure of the county juvenile detention center further strained resources. Successes included providing real-time resources during the early pandemic stages and building relationships between program facilitators and juvenile court staff. Involving youth and court personnel in program design and evaluation, adopting implementation science approaches to refine program delivery, and developing tailored support systems for JCIY are among the key lessons learned. Given the many structural inequities that make JCIY more vulnerable to poor health outcomes, insights may inform broader efforts to improve receipt of relevant services and programs to enhance their well-being, including use of virtual modalities.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"393-396"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298767","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":"Parental Grief and Bereavement: Exploring the Impact of Collaboratively Created Films on Audience Members.","authors":"Jessica G Burke, Grace Checo, Annika Agarwal, Betsy Hawley, Leslie P Scheunemann, Cassie M Grassmyer, Tara Hackwelder, Megan Leinbach, Maureen Pentz, Allyson Weber, Renusha Indralingam, Sara Baumann","doi":"10.1177/15248399251327962","DOIUrl":"10.1177/15248399251327962","url":null,"abstract":"<p><p>Film documentaries are an important approach for capturing the public's attention and elevating discussions about uncomfortable or hidden topics such as death and dying, yet little attention has been given to documenting the grief experience of bereaved parents. This article focuses on one specific Collaborative Filmmaking project, Visualizing Loss, and explores the impact of participant-created film from the perspective of the audience members who attended a premiere screening. Audience members were invited to complete a post-screening survey that included questions assessing their knowledge, attitudes and reflections about grief, bereavement, palliative care, and the film. The quantitative data was summarized using descriptive statistics, and the qualitative data was organized and indexed according to common themes, supported by illustrative quotes. Seventy-eight (29%) of the 270 audience members completed the post-screening survey. A majority reported that they were absorbed in the screening (81%) and that the film screening inspired or empowered them (76%). Qualitative comments illustrated that the film deeply resonated with audience members by evoking empathy for parents experiencing loss, offering comfort to those with personal connections, and raising awareness about a rarely discussed issue. These findings underscore the Visualizing Loss film's impact in raising awareness and fostering empathy, making it an effective resource for educating and supporting those affected by grief and loss.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"435-439"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744208","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":"Enhancing Youth Engagement in Health Promotion: Evaluating the Impact and Strategies of a Teen Consultant Program.","authors":"Haley Strouf Motley, Chelsea J Aeschbach","doi":"10.1177/15248399251322436","DOIUrl":"10.1177/15248399251322436","url":null,"abstract":"<p><p>Youth engagement in health promotion and disease prevention is mutually beneficial but often challenging to achieve. The Providers and Teens Communicating for Health (PATCH) Teen Consultant Program addresses these challenges by connecting youth, ages 13-19 years, with youth-serving professionals seeking input on health-related projects, programs, and practices. This mixed-method evaluation, using program records and key informant interviews, assessed the effectiveness of PATCH's youth consulting sessions and identified areas for improvement. Findings indicate that PATCH successfully facilitated meaningful youth engagement. Clients highly valued the creative and impactful feedback from Teen Consultants, which led to improvements in their projects and strategies for engaging youth. Teen Consultants reported significant personal growth, including increased confidence, leadership skills, and a greater understanding of their influence. The evaluation highlights PATCH's effectiveness in overcoming barriers to youth engagement and suggests that similar models could enhance adolescent involvement in health promotion efforts.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"430-434"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504937","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":"Qualitative Experiences of Older Adults Participating in a Student-Delivered Community Outreach TeleheAlth Program for COVID Education and Health Promotion.","authors":"Michelle C Yang, Cam Clayton, Devin Harris, Chelsea Pelletier, Julia Schmidt, Jill G Zwicker, Brodie M Sakakibara","doi":"10.1177/15248399251414647","DOIUrl":"10.1177/15248399251414647","url":null,"abstract":"<p><p>Chronic diseases are prevalent in Canada's aging population (≥65 years), which makes practicing positive health behaviors (e.g., physical activity and healthy diet) critical for the management of chronic diseases (e.g., stroke and heart disease). However, novel coronavirus (COVID-19) prevention strategies of quarantining, social isolation, and physical distancing may compromise one's ability to manage health and engage in daily activities, possibly increasing the risk of adverse health events. The Community Outreach teleheAlth program for Covid education and Health promotion (COACH) program has demonstrated an increase in health-promoting behaviors, but little is known about participants' experiences in participating in the program. The program entailed six telehealth sessions over 2 months that focused on health coaching, behavior change, and COVID education. This study aims to qualitatively describe older adult (≥65 years of age) participants' experiences in the student-delivered COACH program. Twenty-four (n = 24) COACH participants were interviewed one-on-one in 30- to 45-minute audio-recorded, semi-structured interviews through Zoom videoconferencing. Interview recordings were transcribed verbatim and analyzed thematically. The sample's mean age was 73.4 years (58% female) with 75% reporting two or more chronic conditions. Two major themes were identified that described participants' experiences in COACH: (a) \"Knowledge: Gaining New and Reinforcing Old\" and (b) \"Coach: Provider of Motivational Support.\" COACH supported participants' self-management knowledge, healthy behavior skills, and motivation during COVID-19. COACH acted as an external support strategy for chronic disease management and prevention practices during COVID-19, where student coaches provided motivation and knowledge to support self-management in older adult participants. (ClinicalTrials.gov ID: NCT04492527).</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"483-492"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12996364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146067725","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":"Light a Candle.","authors":"Chandra L Ford","doi":"10.1177/15248399251382833","DOIUrl":"https://doi.org/10.1177/15248399251382833","url":null,"abstract":"<p><p>Light a candle for human animals the people of Gaza;Light a candle because promises were made-\"I have ordered a complete siege on the Gaza Strip. There will be no electricity, no food, no fuel, everything is closed.\"-and kept.Hold a candle in the crevice where a crushed child hopes until her last gasp evaporates.Light a candle to find her fingers, which still wiggle though the arm is feet from the rest of the body.Light a candle and scream.Weep.Then light a candle and stand.Your outrage, your righteous indignation, they will be used against you.So, light a candle to express your compassion meditatively.Light a candle in perpetual vigil.Light a candle while you fast.Light a candle for reason. For the triumph of science over faith, except when it matters.Light a candle if you are afraid to speak.Hold the candle firmly and speak, nevertheless. Genocide.Light a candle for praises on the lips of the dying.Light a candle for unencumbered transitions to the place where souls rest.Light a candle for Mother Earth, fat lady of the Global South.She has yet to sing.To view the original version of this poem, see the supplemental material section of this article online.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":"27 3","pages":"420-424"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822274","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":"Practical Guidance for Preparing for and Conducting Focus Groups and Interviews with Community Members for Cancer Research.","authors":"Xanthia E Bourdaniotis, Susannah K Ayre, Leah Zajdlewicz, Belinda C Goodwin, Elizabeth A Johnston","doi":"10.1177/15248399241275624","DOIUrl":"10.1177/15248399241275624","url":null,"abstract":"<p><p>To support meaningful and productive engagement in cancer research, we provide practical guidance for preparing for and conducting focus groups and interviews with community members. We provide 11 recommendations in two printable resources: (a) a checklist for preparing for focus groups and interviews with community members, and (b) a list of practical strategies to use when conducting the focus groups and interviews. These recommendations are based on our experience facilitating 15 focus groups and 20 interviews with 52 community members to codesign the study materials for a population-wide qualitative survey for understanding the needs and experiences of adults affected by cancer in Queensland, Australia. The checklist includes six recommendations: (1) define and document recruitment procedures, (2) use diverse recruitment methods to recruit a diverse sample, (3) implement multiple strategies to prevent and detect fraudulent participant sign-ups, (4) offer flexible options for research participation, (5) develop and pilot visual session materials, and (6) nominate lead and support facilitators (focus groups only). Practical strategies include five recommendations with examples for how to implement these in practice: (1) allow time to get started, (2) invite focused participation, (3) keep track of time, (4) facilitate productive and insightful conversations, and (5) debrief after sessions for continuous quality improvement. These resources can be used by students, researchers, and health care professionals conducting focus groups and interviews with community members to optimize the consumer's experience of participation in cancer research. The recommendations presented may also be applicable in health research more broadly.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"413-419"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12996358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298768","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}