Health Promotion Practice最新文献

{"title":"The DRIVE Framework for Theory-Integrated Health Communication Development: An Application to Rural Colorectal Cancer Screening.","authors":"Dannell Boatman, Abby Starkey, Susan Eason, Marisa Watson, Raimah Hossain, Zachary Jarrett, Eden Williams, Amy R Allen, Stephenie Kennedy-Rea","doi":"10.1177/15248399261489195","DOIUrl":"https://doi.org/10.1177/15248399261489195","url":null,"abstract":"<p><p>Health communication campaigns increase awareness but do not consistently produce behavior change, in part because theory is not systematically integrated across communication development. This article introduces the <i>DRIVE</i> Framework (<i>Discover</i>, <i>Refine</i>, <i>Investigate</i>, <i>Validate</i>, <i>Execute</i>), a staged approach designed to intentionally link formative research, message development, testing, and real-world implementation through structured theory integration. Colorectal cancer screening (CRCS) messaging for newly eligible rural adults aged 45 to 49 in West Virginia served as an application example using data collected from 2024 to 2026. During <i>Discover</i> (<i>N</i> = 345), a cross-sectional survey guided by the Health Belief Model identified low perceived threat, lower self-efficacy, and elevated barriers. These findings informed theory-aligned message development in <i>Refine</i> using the Extended Parallel Process Model to increase urgency while reinforcing efficacy. In <i>Investigate</i> (<i>N</i> = 104), theory-informed messages significantly increased CRCS intention and motivation (<i>p</i> < .001) compared with predominant messaging in an experimental survey. In <i>Validate</i> (<i>N</i> = 600), patients from a partner health system were randomized to receive either a theory-informed postcard or a postcard reflecting the predominant communication approach. Theory-informed postcards significantly increased CRCS referral rates (<i>p</i> < .001). Completion rates were also higher (<i>p</i> = .050). Finally, <i>Execute</i> integrated validated strategies into an existing statewide initiative. Across stages, the theory functioned diagnostically, generatively, evaluatively, and operationally, demonstrating how staged integration can enhance transparency, strengthen message effectiveness, and support real-world implementation. For practice and policy, <i>DRIVE</i> offers a structured pathway to strengthen communication effectiveness and improve return on investment across population-based health promotion programs.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261489195"},"PeriodicalIF":1.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167654","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 an Artificial Intelligence-Assisted HIV Educational Video for Improving HIV Health Literacy Among Indonesian Adolescents.","authors":"Angga Wilandika, Perla Yualita, Nur Elsa Zahrotunnaqiyah","doi":"10.1177/15248399261492240","DOIUrl":"https://doi.org/10.1177/15248399261492240","url":null,"abstract":"<p><p>Adolescents in low- and middle-income countries continue to face substantial barriers in accessing effective HIV education, despite global efforts in prevention. This study evaluated the effectiveness of a culturally adapted HIV educational video developed using artificial intelligence (AI)-assisted video production tools. The intervention assessed in this study was the educational video itself rather than direct interaction with a generative AI system. A quasi-experimental design with pre- and posttests and a control group was used to evaluate the intervention among 60 high school students. Participants were randomly assigned to either a group that received a 10-min AI-generated educational video or a control group that received no intervention. The video was designed to improve HIV health literacy by addressing four domains: access to information, comprehension of core concepts, evaluation of risks, and application of knowledge in real-life decisions. Quantitative data were collected in May 2024 using a validated scale and analyzed with nonparametric tests and analysis of covariance. Students who received the AI-assisted educational video demonstrated significantly higher posttest HIV health literacy scores than the control group (Mann-Whitney <i>U</i> = 206.5, <i>p</i> < .001). After adjustment for baseline scores, analysis of covariance confirmed a significant group effect (<i>F</i>(1,57) = 21.70, <i>p</i> < .001, partial η² = 0.28), indicating a large adjusted effect size. The findings highlight the potential of generative AI as an innovative, scalable tool for adolescent health education, particularly in resource-limited settings. This approach may offer new opportunities for integrating digital strategies into school-based health promotion programs.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261492240"},"PeriodicalIF":1.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171056","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":"Lessons Learned From a Multi-State Community Engagement Approach to Rural Primary Care Research Readiness.","authors":"Cynthia M Killough, Rachel Taylor, Alexandra Roesch, Kelly Camden, Donna Sedillo, Marnie Nixon, Jarod Peterman, Randall Benally, Alberta S Kong, Karen Lutrick, Andrew Sussman, Nancy Pandhi","doi":"10.1177/15248399261493512","DOIUrl":"https://doi.org/10.1177/15248399261493512","url":null,"abstract":"<p><p>Primary care serves as the first point of contact for many patients and offers important opportunities to expand participation in clinical and translational research among rural and less visible communities. However, geographic distance, workforce limitations, competing clinical demands, and limited alignment between research and local priorities have constrained rural primary care participation in research activities. In 2024, the National Institutes of Health launched the CARE for Health™ initiative to integrate research within routine primary care settings and engage rural communities. As part of this initiative, the Primary Care-Building Research Integration in Different Geographic Environments research hub was established within the Southwest Center for Advancing Clinical and Translational Innovation, the Clinical and Translational Science Award that serves New Mexico and Arizona. Primary Care-Building Research Integration in Different Geographic Environments uses community-engaged approaches to support rural primary care research readiness by aligning research efforts with clinic workflows, community priorities, and local capacity. Engagement activities included clinic-based discussions, Community Engagement Studios, learning collaboratives, and partnerships with community engagement professionals, Health Extension Regional Officers, and primary care practices across New Mexico and Arizona. This article presents engagement-informed and practice-oriented insights from engagement activities and introduces key domains of rural primary care research readiness, including relationship infrastructure, workflow capacity, communication preferences, digital readiness, and community alignment. Lessons learned may inform other translational science programs, practice-based research networks, and health research initiatives seeking to strengthen rural community-centered research partnerships.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261493512"},"PeriodicalIF":1.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138717","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":"Cultural Adaptation of Oral Health Educational Materials in Two AI Communities.","authors":"Christine Kirby, Carolyn Camplain, Heather Thomas, Kristan Elwell, Skyler Bordeaux, Sara Young, Gerlinda Morrison, Stephanie Hyeoma, Julie A Baldwin","doi":"10.1177/15248399261483654","DOIUrl":"https://doi.org/10.1177/15248399261483654","url":null,"abstract":"<p><p>Early childhood caries is one of the most common chronic diseases in children under age 6 and is especially prevalent in Indigenous communities. To help prevent early childhood caries, the team conducted a feasibility study with two tribal communities to adapt an oral health education program using social determinants of health as a guiding framework. This article describes the process used to develop and culturally tailor educational materials for the intervention. The team adapted materials from past oral health projects and analyzed data from early interviews and feedback from community advisory members. These materials were then refined based on a pilot study to ensure they reflected community knowledge, priorities, and culture. Key findings include the importance of establishing trust with the community, drawing on the knowledge of community leaders, and using interviews with community members to gain a fuller understanding of their day-to-day lives. These insights were used to shape the oral health materials in ways that were meaningful, culturally grounded, and locally appropriate. Although there are standard dental care guidelines to prevent tooth decay in children, putting those guidelines into practice varies widely across communities. Our work shows that local social and cultural factors must be considered when designing education programs. By partnering closely with the communities involved, we were able to develop materials that responded to their lived experiences and specific barriers to oral health. This process highlights how culturally tailored education may help reduce oral health disparities in Indigenous populations.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261483654"},"PeriodicalIF":1.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138687","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":"Is Online Pregnancy Exercise Advice Fit for Purpose? A Content Analysis of Australian Consumer Webpages.","authors":"Filippe Falcao-Tebas, Tazrian Mostafa, Billie Bradford","doi":"10.1177/15248399261488364","DOIUrl":"https://doi.org/10.1177/15248399261488364","url":null,"abstract":"<p><p>Digital health information is an important source of preventive health advice during pregnancy. Its public health value depends on whether advice is guideline-concordant, safe, transparent and understandable. This study aimed to assess the guideline concordance, content coverage, safety information, transparency and readability of Australian consumer-facing webpages providing advice about physical activity during pregnancy. We conducted a systematic, cross-sectional audit of English-language, freely accessible webpages affiliated with Australian organisations that provided substantive advice about physical activity or exercise during pregnancy. Searches were undertaken between June and July 2025, with data collection continuing until September 2025. Data were extracted using a structured checklist mapped to Australian pregnancy physical activity guidelines. Transparency was assessed using Journal of the American Medical Association (JAMA) benchmarks and readability using Flesch Reading Ease (FRE), Flesch-Kincaid Grade Level (FKGL) and Simplified Measure of Gobbledygook (SMOG). Sixty webpages were included. Most encouraged physical activity during pregnancy, but practical guidance and essential safety information were often incomplete. Fourteen webpages (23.3%) reported weekly exercise volume consistent with current guidelines. Fourteen (23.3%) included no warning signs, relative contraindications or absolute contraindications, and only four (6.7%) covered all three safety domains. Transparency was limited: authorship was reported by 12 webpages (20.0%), attribution by 16 (26.7%), disclosure by three (5.0%), and currency by none. Readability exceeded recommended levels for consumer materials; no webpage met the SMOG threshold of 8 or below. Australian online information about physical activity during pregnancy is often not fit for purpose as public-facing preventive health guidance. Minimum standards for safety content, transparency and readability may improve the quality and accessibility of digital antenatal health information.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261488364"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116693","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":"Understanding Colorectal Cancer Screening Behavior: A Biopsychosocial Risk Analysis of Older Adults in Singapore.","authors":"Adrian Ujin Yap, Jia Yi Chee, Hee Hoon Lee, Thong Gan Chee, Jesslyn Hwei Sing Chong","doi":"10.1177/15248399261488319","DOIUrl":"https://doi.org/10.1177/15248399261488319","url":null,"abstract":"<p><p>Colorectal cancer (CRC) is the second most prevalent cancer, yet screening rates in Singapore remain low. This study investigated the demographic and biopsychosocial health risks associated with non-participation in CRC screening and non-compliance with fecal immunochemical test (FIT) usage among adults aged ≥50 years in Singapore. It also assessed the effectiveness of a community-based health worker (CHW) program in promoting CRC screening uptake in a township. Using a quasi-experimental pre/post-design, anonymous data were collected from participants in the CHW program, which raised CRC awareness and provided free FIT kits, between June 2019 and December 2023. The study employed quantitative methods to assess demographic characteristics, biopsychosocial health risks (BioPsychoSocial risk screener), and CRC screening participation/FIT usage rates. Data were analyzed using various statistical techniques, including Chi-square/non-parametric tests and logistic regression (α = .05). The study cohort included 217 individuals with a mean age of 70.8 ± 6.7 years, 69.1% of whom were women. Results showed that older age and biological health risks increased the likelihood of non-participation in CRC screening by 8% and 93%, respectively, while age contributed to a 9% increase in the odds of non-compliance with FIT usage. The CRC screening uptake rate increased from 17.5% to 29.6% after the program implementation. The CHW program was associated with increased CRC screening participation rates, suggesting that future programs should focus on older adults with bio-functional issues to improve screening uptake.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261488319"},"PeriodicalIF":1.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076336","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":"Community-Based Health Promotion Intervention to Improve Household Decision-Making During the Perinatal Period: A Quasi-Experimental Study in Sri Lanka.","authors":"G N Duminda Guruge, H M T P Herath, S M Young, M N Perera, S D Dharmaratne, M W Gunathunga","doi":"10.1177/15248399261485465","DOIUrl":"https://doi.org/10.1177/15248399261485465","url":null,"abstract":"<p><p>Improving household decision-making during the perinatal period is a vital strategy for reducing low birth weight. In Sri Lanka, the prevalence of low birth weight has remained close to 17% for nearly two decades, and evidence on community-based participatory approaches to improving collective decision-making among pregnant women remains scarce. This quasi-experimental study, conducted between January and October 2022, evaluated a community-based health promotion intervention to improve collective household decision-making among 403 pregnant mothers in the North Central Province of Sri Lanka (intervention group: Anuradhapura district; comparison group: Polonnaruwa district). Grounded in an established, community-centred health promotion process model, the intervention was delivered through 71 Neighbourhood Action Committees using six community-developed participatory tools addressing community-identified determinants of poor household decision-making. Collective decision-making during pregnancy was significantly higher in the intervention group than the comparison group for five of six indicators (all <i>p</i> < .05), with the largest differences for \"items to buy for delivery\" (58% vs. 36%) and \"when to seek medical care\" (64% vs. 50%). Postpartum collective decision-making on newborn expenditure and food and clothing spending was also significantly higher in the intervention group; decision-making on social activities and investments did not differ significantly between groups. Qualitative framework analysis identified five themes, including transformed spousal roles, enhanced financial dialogue, and increased maternal agency. Community-based participatory approaches using locally developed monitoring tools can significantly improve household-level collective decision-making during the perinatal period, contributing to greater equity in maternal health. Integration into routine antenatal services in lower-middle-income countries is recommended.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261485465"},"PeriodicalIF":1.5,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041345","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":"What Can a Badge Do? A Pilot Study of the Vot-ER Badge in a Community Health Setting.","authors":"Misato Shimizu, Sarah Ortiz-Polanco, Heather Klusaritz, Dominique Ruggieri, Renée M Betancourt","doi":"10.1177/15248399261481144","DOIUrl":"https://doi.org/10.1177/15248399261481144","url":null,"abstract":"<p><p>Civic engagement is an important example of health and health care inequity in the United States, with voting being an active form of civic engagement that allows citizens to be involved in the political processes that directly impact their health. Existing literature indicates that health care workers are willing to assist in voter registration efforts and are a trusted, nonpartisan source for patients. As such, Vot-ER was founded in 2019 to support nonpartisan voter registration efforts through health care sites, initially through emergency departments. Despite improvements in voter representation in recent elections, voter registration rates remain suboptimal in community health settings, where historically marginalized populations, young adults, and people with lower incomes-who may also find voting inaccessible-often go for their health care. We describe the lessons learned from health care workers in our pilot program who were provided Vot-ER badges for use at their community health sites and shared their experiences. The simplified introduction of the Vot-ER badge led to provider and patient use, though limited in number. Our survey of participants revealed that health care workers felt pressed for time and expressed a desire for a dedicated staff member to facilitate this conversation and/or signage and handouts that would act as support and reminders for both the providers and patients. Among this group, resources such as dedicated time, dedicated role, or signage and handouts would be necessary and non-negotiable to increase Vot-ER use. Insights from this pilot will be used to plan subsequent voter registration programs in our community health activities.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261481144"},"PeriodicalIF":1.5,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149008548","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":"Strengthening Youth Crisis Reporting and Response: Development of a Practice-Based Systems Maturity Model.","authors":"Ashley Long, Carol A Leung, Jana Sczersputowski","doi":"10.1177/15248399261485283","DOIUrl":"https://doi.org/10.1177/15248399261485283","url":null,"abstract":"<p><p>Youth suicide prevention and crisis response require coordinated action across public health, behavioral health, education, health care, law enforcement, and community systems. However, local jurisdictions often lack practical tools to assess system readiness and prioritize system improvements across fragmented service systems. This article introduces the Youth Crisis Reporting and Response Maturity Model, a practice-based framework developed through a multicounty pilot initiative in California. The model was informed by participatory system mapping, county reporting data, and iterative input from technical assistance providers, state partners, and community stakeholders. It defines five core domains of system infrastructure: planning and collaboration, prevention and outreach, reporting, response, and data and continuous quality improvement. Together, these components describe a staged progression from fragmented processes to coordinated and standardized practices. During the final year of the pilot, the model was applied as a structured dialogue and technical assistance tool to support counties in assessing infrastructure, identifying gaps, and prioritizing improvements. Application of the framework facilitated cross-sector alignment, clarified roles and processes, and supported incremental system strengthening across domains. Rather than serving as a benchmarking instrument, the maturity model functions as a practical tool for operationalizing system readiness and guiding policy, systems, and environmental change. It provides a shared framework for practitioners and policymakers to sequence system improvements, strengthen coordination, and advance more integrated and equitable youth crisis response systems.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261485283"},"PeriodicalIF":1.5,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992157","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":"Promoting Health Equity Through Tax-Funded Zero-Fare Public Transit: A Survey of Voters From Kansas City, MO.","authors":"Joseph S Lightner, Nancy Ziegler, Jacob Carson, Christiana Sylvaine, Jordan A Carlson, Jannette Berkley-Patton, Steven Chesnut, Amanda Grimes","doi":"10.1177/15248399261486435","DOIUrl":"https://doi.org/10.1177/15248399261486435","url":null,"abstract":"<p><p>Public transportation has positive impacts for both individual and community health, but funding and scalability are political challenges. Understanding civic processes, such as voting, is key to advancing health equity through large-scale policy change. The purpose of this study is to understand voter support for tax-funded public transportation. This study employed a cross-sectional survey of randomly sampled voters in Kansas City, Missouri, collected from October 2023 to January 2024. Of the 2,577 respondents, 79% participated in the election of interest. Two-sample proportion tests for pairwise comparisons of support for taxes were used to calculate test statistics, <i>p</i>-values, and effect sizes. Most participants supported the current (84.43%, <i>n</i> = 1,719) and potential future (72.45%, <i>n</i> = 1,475) taxes to support public transit. Recent bus use and proximity to a bus stop were significantly associated with current and future tax support. Notably, 48.26% of respondents unaware of the free fares supported the current tax compared to 71.06% of those aware (<i>p</i> < .001, h = 0.47). Free fare public transit may be a motivating factor for funding services among voters. Public health professionals and researchers should work to better understand and leverage the interplay between public policy, institutional legitimacy, and civic engagement to improve the upstream determinants of health.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261486435"},"PeriodicalIF":1.5,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992040","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}