Health Promotion Practice最新文献

{"title":"Community-Based Intervention to Promote Awareness and Implementation Accuracy of Food and Beverage Tax Policies in Stores on Navajo Nation.","authors":"Carmen George, Brianna John, Robert Alsburg, Renaldo Fowler, Malyssa Egge, Sharon Sandman, Rachel Whitman, Cameron Curley, Hendrik de Heer, Craig Manning, Caleigh Curley, Gloria Begay, Del Yazzie, Simental Francisco, Sonya Shin","doi":"10.1177/15248399251357619","DOIUrl":"https://doi.org/10.1177/15248399251357619","url":null,"abstract":"<p><strong>Background: </strong>Unhealthy food and beverage taxes are gaining global momentum, but implementation complexities at the retailer level are poorly understood. The only such policy in the United States, a 2014 Navajo Nation legislation, applies a 2% tax to unhealthy foods and beverages, while exempting healthy foods and beverages from their 6% Navajo sales tax. In 2019, approximately half of small stores had not implemented both taxes correctly, primarily the tax exemption. Therefore, this study aimed to provide culturally-informed promotional materials to enhance implementation accuracy in these stores and test the impact.</p><p><strong>Methods: </strong>Stores (N = 20) were randomly assigned to receive early promotional materials versus a waitlist group. Three to 6 months later, we visited all stores to purchase healthy and less healthy items, at which time waitlist stores received materials. Implementation accuracy of the junk food tax and exemption were tracked and compared.</p><p><strong>Results: </strong>Overall implementation accuracy of both taxes increased from 0% to 20% at follow-up (p = .013). Tax waiver accuracy increased from 5% to 30% (p = .065). Comparing intervention versus waitlist stores, we observed no difference in implementation of tax exemption and a non-significant increase in accuracy of added tax on unhealthy foods and beverages (90% vs. 70%, p = .284). The study process revealed strengths and barriers to impactful store outreach.</p><p><strong>Discussion: </strong>Grounded in community partnership, we explored a promotional outreach strategy to enhance accurate implementation of Navajo Nation food and beverage taxes. Our findings suggest store outreach and promotional materials could address confusion issues, while barriers related to store capacity merit further exploration.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251357619"},"PeriodicalIF":1.2,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785627","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":"Nursing Students' Perceptions, Knowledge, and Experience in Providing Care to Transgender and Gender-Nonconforming Persons: A Qualitative Study.","authors":"Ilaria Basile, Daniele Rusconi, Livia Pellegatta, Marco Ghezzi, Maria Luisa Pancheri, Letteria Consolo","doi":"10.1177/15248399251354963","DOIUrl":"https://doi.org/10.1177/15248399251354963","url":null,"abstract":"<p><p>Transgender and gender-nonconforming individuals need access to diverse health services in welcoming, affirming, clinically appropriate, and culturally sensitive environments. Nursing students often feel underprepared due to limited knowledge and attitudes about transgender and gender nonconforming issues, and despite growing interest, research on their care remains limited. This study explores the perspectives of nursing students nearing graduation on providing care to transgender and gender-nonconforming persons. We conducted a qualitative descriptive exploratory study at the Fondazione IRCCS Istituto Nazionale dei Tumori, part of the University of Milan's Bachelor's School of Nursing. Individual semi-structured interviews were transcribed and analyzed using NVivo Version 14.23.2. Thematic analysis by Braun and Clarke was employed to derive themes from the data. Nineteen interviews were conducted, uncovering three main themes and eight subthemes related to students' knowledge, perspectives, and experiences on transgender and gender-nonconforming care. The findings indicated that the current curriculum often neglects transgender and gender-nonconforming specific issues, leading to insufficient practical experience and contributing to students' feelings of inadequacy. The participants highlighted the significant impact of societal attitudes and cisnormativity of the health care system on transgender and gender-nonconforming care. Furthermore, a generational gap was observed in attitudes toward transgender and gender-nonconforming individuals, with older health care providers often lacking sensitivity and knowledge compared with their younger counterparts. This study underscored the urgent need for educational reforms and ongoing professional development to address transgender and gender-nonconforming health issues, improve nursing education, and bridge generational gaps, thus fostering a more inclusive and equitable health care system to effectively address the unique needs of this population.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251354963"},"PeriodicalIF":1.2,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754879","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":"Evaluating an Adapted Professional Breastfeeding Support Program Targeting a Multidisciplinary Team Working in Community and Health Care Settings.","authors":"Julie A Patterson, Jessica D Rothstein, Nicholas S Keuler, Kevin T Yamamae","doi":"10.1177/15248399251350635","DOIUrl":"https://doi.org/10.1177/15248399251350635","url":null,"abstract":"<p><p>BackgroundA need exists for a flexible evidence-based breastfeeding support program for health professionals (HPs) and community health workers (CHWs) to increase continuity of care across health care and community settings. The online Outpatient Breastfeeding Champion (OBC) program may address this need.MethodThis study explored the strengths and limitations of adapting the in-person OBC program to an online format and its impact on participants' motivation to provide breastfeeding support using five constructs grounded in the Theory of Planned Behavior. HPs and CHWs registered for the OBC training between June 2020 and July 2021 (<i>n</i> = 534) were recruited to complete an online survey before and after training. Quantitative data were analyzed using paired <i>t</i>-tests to explore changes in providing breastfeeding support.ResultsTwo hundred seventy-nine participants completed the survey, of which 60 were paired for the quantitative analysis. There were significant improvements in participants' attitudes (<i>p</i> = .01), beliefs (< .01), and perceived behavioral control (<i>p</i>< .01). The magnitude of improvements remained similar regardless of socio-demographic characteristics. No changes were observed in subjective norms (<i>p</i> = 1.00) and behavioral intentions (<i>p</i> = .14). The online program increased connections among breastfeeding supporters from various geographic locations, disciplines, and levels of education, and facilitated ease of demonstrations. However, individual and systems-level challenges related to connectivity and online technology were present.ConclusionFindings suggest adapting an in-person program to an online format has the potential to positively impact psychosocial factors associated with improved breastfeeding support. Future research should explore barriers and facilitators to the implementation of these programs within health care and community settings.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251350635"},"PeriodicalIF":1.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745531","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":"Assessing Early Impact of the Hear Her® Communication Campaign.","authors":"Patricia Spencer, Lijing Ouyang, Shanna Cox, Heather Tevendale, Sarah Carrigan, Brittany Behm, Jacqueline Rosenthal, Ashley E Thompson, Mike Lakusta, Eric Strunz, Wanda D Barfield","doi":"10.1177/15248399251354966","DOIUrl":"10.1177/15248399251354966","url":null,"abstract":"<p><p>The Hear Her communication campaign was launched nationally in August 2020 to raise awareness of urgent maternal warning signs during and after pregnancy and improve communication between patients and their health care providers. To assess aided campaign awareness during early implementation, an internet panel survey was conducted a month after the campaign launch (Wave 1) with a follow-up survey 7 months later (Wave 2). The survey was fielded nationwide with enhanced recruitment for respondents in the campaign's priority markets: Atlanta, Dallas, New Orleans, New York, and St. Louis. Aided campaign awareness increased 14.2 percentage points overall among pregnant and postpartum survey participants between waves, with the highest increase in awareness among non-Hispanic Black pregnant and postpartum survey participants (19.8 percentage points). Among Wave 2 survey respondents, those aware of the campaign were more likely to search for information when something did not feel right (adjusted prevalence ratio [aPR] = 1.05), discuss concerns with someone close (aPR = 1.14), or desire more information from their health care provider on pregnancy-related complications or warning signs and symptoms (aPR = 1.62)-after adjustment for age, race/ethnicity, education, geographical location (residence in campaign's priority markets for media buys), and household income. These findings suggest that aided awareness of the Hear Her campaign increased among pregnant and postpartum survey participants in the first 7 months of the campaign and was associated with outcomes the campaign may influence. This study provides considerations for measuring outcomes associated with implementation of Hear Her and similar campaigns.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251354966"},"PeriodicalIF":1.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745530","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":"Co-designing physical activity programs with immigrant children and families: a Strengthening Community Roots: Anchoring Newcomers in Wellness and Sustainability (SCORE!) Research Study.","authors":"Natasha Ross, Sanya Vij, Aamina Zahid, Nora Abdalla, Dipika Desai, Russell J de Souza, Deborah DiLiberto, Sujane Kandasamy, Patricia Montague, Diana Sherifali, Sonia S Anand, Gita Wahi","doi":"10.1177/15248399251350925","DOIUrl":"https://doi.org/10.1177/15248399251350925","url":null,"abstract":"<p><p>Physical activity (PA) is a key health promotion strategy for preventing non-communicable diseases such as obesity. However, certain populations, such as immigrants, may participate less and have lower levels of PA. The objective of this study was to co-design a PA program aimed at increasing PA participation among immigrant children in Canada. This program was developed in partnership with community members (caregivers and children), service providers, and community leaders. Using an experience-based co-design (EBCD) approach, participants identified key issues and challenges related to PA in their community and then co-designed programs and activities that addressed these concerns. Three co-design workshops were held to explore barriers and facilitators to PA and a healthy lifestyle. In small groups, 49 participants led the design of seasonal community programs, including swimming, soccer, gardening, and tennis. Through the workshops, a tailored program was developed in collaboration with the community to address barriers and facilitators to PA for immigrant families. By actively involving relevant community members in the design and development process, the co-design workshops aimed to create a PA program that is more likely to be effective, accepted, and sustainable in promoting PA and a healthy lifestyle for immigrant children and families.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251350925"},"PeriodicalIF":1.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733993","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":"Establishing a University-Based Collaborative for Research and Engagement With Rural Communities.","authors":"Carrie Henning-Smith, Katie Rydberg, Katy Backes Kozhimannil","doi":"10.1177/15248399251357623","DOIUrl":"https://doi.org/10.1177/15248399251357623","url":null,"abstract":"<p><p>Rural people and communities experience disproportionate health and social risks in the United States, and university systems, especially those that are federal land-grant institutions, have an obligation to direct academic attention and resources to all communities, not just the predominantly urban areas where most flagship academic institutions are located. In 2020, the University of Minnesota Rural Health Program established the Rural Collective, a forum for networking and collaboration on rural issues across the university system. We conducted a survey of Rural Collective members in summer 2024 to highlight aspects of the Rural Collective that members find most beneficial. Survey results (N = 66) indicated that members found virtual meetings and weekly emails to be beneficial features of the program. Nearly 90% reported that they have learned something new about rural work since joining, and more than 71% reported that joining the Rural Collective has led to a new connection or collaboration in their rural-focused work. Importantly, 96% of respondents believed that the Rural Collective is addressing an important need at the university, a finding that may be relevant for other institutions where there are obligations and potentially unmet needs related to rural community engagement, rural health promotion, and rural-focused academic work.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251357623"},"PeriodicalIF":1.6,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692048","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":"East Coast Kitchen Party: A Ceilidh-Inspired Program to Reduce Social Isolation and Food Insecurity Among LGBTQIA+ Newcomers.","authors":"Liane Khoury, Laura J Kennedy, Ahrthyh Arumugam, Alyce Casey, Phillip Joy","doi":"10.1177/15248399251355901","DOIUrl":"https://doi.org/10.1177/15248399251355901","url":null,"abstract":"<p><p>East Coast Kitchen Party is a ceilidh-inspired program designed and implemented in 2022 to reduce the impacts of social isolation and food insecurity as a pathway to improving the mental wellness of lesbian, gay, bisexual, transgender, queer or questioning, intersex, and asexual (LGBTQIA+) newcomers in Halifax, Nova Scotia, Canada. Developed through a partnership between Nova Scotia Health Mental Health and Addictions Health Promotion and the YMCA Centre for Immigrant Programs, the program combined cultural cooking activities, nutrition education, and mental wellness workshops. The program emphasized peer-to-peer learning, leadership development, and culturally responsive mental wellness practices. Six sessions were held between June 2022 and February 2023, engaging 6-10 participants each. Each session invited participants to share a culturally significant recipe, fostering pride, storytelling, and connection. Discussions following the meals addressed themes such as transitioning to life in Canada and building community, with interpretation services ensuring accessibility. Evaluation through surveys and oral feedback informed iterative improvements. Challenges included food affordability, participant transience, and varying support needs based on immigration status and time in Canada. Despite these, the program successfully created inclusive spaces for LGBTQIA+ newcomers to connect, share, and heal. The initiative highlighted the importance of meeting participants where they are, recognizing the diversity within the newcomer experience, and using food as a bridge to build trust and community. The success of East Coast Kitchen Party has inspired interest in expanding the model through new partnerships, aiming to deepen connections between LGBTQIA+ newcomers and the broader community.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251355901"},"PeriodicalIF":1.6,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676171","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":"Creating Career Pathways in the Recovery Peer Provider Field for Public Health Professionals.","authors":"Andrea Salis, Lori Conkling, Edward Diller","doi":"10.1177/15248399251355523","DOIUrl":"https://doi.org/10.1177/15248399251355523","url":null,"abstract":"<p><p>This article describes how to create career pathways in the Recovery Peer Provider field for Public Health Professionals. It discusses the training and certification for peer providers who give critical support for persons with substance use disorder. Health Education Specialists and other public health professionals will benefit from understanding the peer provider role, impact and training. They can be educated in and advocate for peer provider professionals as part of a team of health care professionals. Training programs can vary in length of hours and practice so it is important to find out what is provided for this preparation. The authors of this article are higher education faculty and administrators who have a decade of experience developing, implementing and promoting a successful certified recovery peer advocate training program at a community college. The program has trained hundreds of students to work as peer providers. It includes a college-level public health education course in addictions and dependencies and pathways to continued educational pursuits which has become a model for other institutions. This article also offers insights in peer provider educational and research opportunities for professional development and health promotion.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251355523"},"PeriodicalIF":1.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643842","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":"Disrupting Structural Racism in LGBTQ+ Health Organizations Through Equity Committee Work.","authors":"Brittany Brathwaite, Michelina Ferrara, Sadé Swift, Susan B Rietberg-Miller, Brooke A Levandowski","doi":"10.1177/15248399251354954","DOIUrl":"https://doi.org/10.1177/15248399251354954","url":null,"abstract":"<p><p>Diversity, Equity, and Inclusion (DEI) efforts and facilitation have historically been focused on bias awareness, training on microaggressions, individual awareness, and affinity groups. This approach is often devoid of systems-level analysis and more profound work toward the cultural transformation of spaces, organizations, and agencies. To explore adding depth to the work of dismantling white hegemonic culture, we designed an equity committee process at the intersection of public health and social justice. The resulting tool, the Designing Equity Continuum, includes four phases (identity, formation, priorities and strategies, and implementation and evaluation) with two particles each. It was presented at four meetings of 90 staff at 50 nonprofit organizations in New York State. All participants evaluated the presentations as \"very satisfied\" with content. Six implications for practice are given, including varied organizational readiness, inadequate organizational structures, need for advanced capacity building, additional time needed to understand the tool, support for additional racial identity-based affinity groups, and ensuring equity committees operate separately from employee resource groups.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251354954"},"PeriodicalIF":1.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643843","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":"Challenges and Lessons Learned While Conducting a Diabetes Prevention Program Among Black Churches During the COVID-19 Pandemic.","authors":"Erika Karle, Destiny Cozart, Bassema Abu Farsakh, Victor Afolayan, Treasure Ebikwo, Maranda Brooks, Lovoria B Williams","doi":"10.1177/15248399251353516","DOIUrl":"https://doi.org/10.1177/15248399251353516","url":null,"abstract":"<p><p>We share our experiences conducting a 5-year randomized controlled diabetes prevention project among 20 Black churches in central Kentucky during the COVID-19 pandemic and offer strategies to inform future church-based interventions. Researchers have long recognized the potential to reach Black adults in church settings for health promotion interventions and have implemented trials within this socially rich setting. However, there is a dearth of literature that describes the challenges and lessons learned while conducting these trials. We describe the challenges we experienced and the strategies we used to overcome them to successfully conduct the trial. During the study, we maintained detailed field notes and research team meetings. Three team members independently reviewed these documents and compiled a list of the challenges and strategies and categorized them by themes. We then met to reach consensus on the major themes. Three major themes emerged: (1) protocol adaptations, (2) recruitment and communication, and (3) intervention delivery. Solutions included timeline extension, flexibility in training, and codification of team scripts. Our experiences will inform future researchers on the implementation of faith-based interventions.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251353516"},"PeriodicalIF":1.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144620884","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}