Health Promotion Practice最新文献

{"title":"Development and Pilot Testing of a Novel Training for Doulas Addressing Intimate Partner Violence.","authors":"Maria Camila Arbelaez Solano, Amber Edmunds, Christy Cozby, Patience Williamson, Caitlin Donahue, Ta'lor L Pinkston, Ashley Woolheater, Felicia Savage Friedman, Joseph Amodei, Cynthia Salter, Virginia Duplessis, Dara D Méndez, Maya I Ragavan","doi":"10.1177/15248399261481153","DOIUrl":"https://doi.org/10.1177/15248399261481153","url":null,"abstract":"<p><p>Intimate partner violence (IPV) impacts one in four individuals during the perinatal period. Doulas are instrumental sources of support; however, there are few trainings created by and for doulas on healthy relationship education and addressing IPV. In this practice note, we describe the development and evaluation of a mixed-media, hybrid, longitudinal training for a cohort of English- and Spanish-speaking community doulas on supporting IPV survivors during pregnancy, birth, and postpartum. A multidisciplinary team of IPV advocates, IPV survivors, doulas, community leaders, artists, and researchers co-created the training. The training comprised videos, podcasts, in-person sessions, and a longitudinal learning collaborative. Eleven doulas completed the training and provided feedback via surveys and semi-structured interviews. Participants found the training to be engaging, interactive, and insightful in learning about IPV. They valued hearing their colleagues and friends facilitate the training and appreciated the opportunity to reflect on their own experiences with IPV. Participants also described the importance of creating a linguistically affirming space and noted that complex topics like IPV require continuous skills-building opportunities, learning, and community support. Next steps include continuous learning and team building for the doulas through the longitudinal learning collaborative and revising and expanding the training based on doulas' experiences working with IPV survivors. We also aim to incorporate training feedback for future doula cohorts and enhance its sustainability and community-building aspects by using a train-the-trainer model.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261481153"},"PeriodicalIF":1.5,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992023","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":"Implementation of Community-Based <i>Helicobacter pylori</i> Screening and Navigation in High-Risk Immigrant Communities.","authors":"Chul S Hyun, Ala Roh, You Jeong Lee, Sara Soonsik Kim","doi":"10.1177/15248399261484613","DOIUrl":"https://doi.org/10.1177/15248399261484613","url":null,"abstract":"<p><p>Gastric cancer remains a major prevention gap in the United States, disproportionately affecting immigrants from high-incidence regions. Although <i>Helicobacter pylori</i> is the leading modifiable risk factor for non-cardia gastric cancer, systematic and equitable pathways for testing, treatment, and eradication confirmation are lacking, and evidence on downstream implementation outside hospital settings remains limited. These findings suggest that community-based <i>H. pylori</i> screening paired with sustained navigation is feasible, and that the principal losses in gastric cancer prevention occur downstream rather than at risk identification or therapeutic efficacy. Approaches that explicitly address multistep, time-lagged care delivery are essential for translating <i>H. pylori</i> eradication into population-level gastric cancer prevention in high-risk immigrant communities. We conducted a pragmatic, descriptive implementation evaluation of a culturally and linguistically tailored, community-anchored <i>H. pylori</i> screening and navigation program, with outcomes assessed over a 6-month follow-up period in partnership with community and faith-based organizations serving Korean American populations. The workflow included multilingual outreach, a brief survey, on-site urea breath testing, privacy-protective result disclosure, and active navigation to support clinical evaluation, treatment completion, and post-treatment assessment. Among 323 participants screened, 58 (18.0%) had active <i>H. pylori</i> infection, and all (100%) were successfully contacted for confidential result disclosure. Within 6 months, 31 (53.4%) completed clinical evaluation, 15 (25.9%) completed eradication therapy, and nine (15.5%) completed post-treatment retesting; eradication was confirmed in eight of nine retested participants (88.9%). Attrition occurred across the care cascade and primarily reflected structural and logistical barriers rather than treatment failure.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261484613"},"PeriodicalIF":1.5,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991985","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":"Reflections From a Case Study Engaging LGBTQ+ College Youth in Research on Vaping.","authors":"Omolayo Anjorin, Fidelis Zumah, August Huynh, Archana Vardhan, Ethan Gary Terceros, Linh Tran, Siri Nikku, Alexis McCaffrey, Rachael King, Ateeqa Ijaz, Lisa L Lindley, Ebbie Kalan, Rima Nakkash","doi":"10.1177/15248399261484597","DOIUrl":"https://doi.org/10.1177/15248399261484597","url":null,"abstract":"<p><p>This study centered the voices of lesbian, gay, bisexual, transgender, queer, and other (LGBTQ+) college students in vaping prevention research focused on electronic nicotine delivery systems (ENDS). We used a participatory approach guided by Centers for Disease Control and Prevention best practices to establish a Youth Council (YC) of six LGBTQ+ students (ages 18-24) from George Mason University and other Virginia colleges from August 2023. The recruitment strategy was purposeful and occurred through institutional emails, social media, and newsletters. Data included YC meeting minutes and a Zoom-based focus group with three members. The FGD transcript was inductively coded, and preliminary themes were validated by YC members Three themes emerged: (a) motivation; members sought research experience and valued contributing to inclusive projects; (b) challenges; scheduling conflicts, inconsistent attendance, and limited faculty interaction; and (c) perceived impact and sustainability; YC members perceived that the council expanded outreach and promoted inclusion but emphasized that continued faculty support, flexible engagement, and digital outreach were needed to ensure sustainability. Findings underscore the value of participatory frameworks for equitable engagement of LGBTQ+ youth in health research.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261484597"},"PeriodicalIF":1.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971693","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":"Coupling the Breast Cancer Control and Management With Dissemination and Implementation Science: Philippine Perspective.","authors":"Darwin Z Angcahan, Allan B de Guzman","doi":"10.1177/15248399261481792","DOIUrl":"https://doi.org/10.1177/15248399261481792","url":null,"abstract":"<p><p>The increasing rates of breast cancer are often linked to a lack of awareness among women about prevention strategies, limited access to comprehensive, multidisciplinary treatment, and challenges related to resources and infrastructure needed for early detection, diagnosis, and treatment. Despite the availability of research and medical interventions, these advancements have not yet been fully integrated into practice and policy, particularly in the Philippines. This underscores the importance of dissemination and implementation (D&I) science in advancing the use of evidence-based interventions for breast cancer, with the ultimate goal of enhancing patient outcomes. The proposed D&I framework focuses on enhancing public and community engagement, as well as fostering the implementation of clinical practices aimed at breast cancer control. This article proposes a framework for coupling D&I science with breast cancer control and management initiatives in the Philippines.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261481792"},"PeriodicalIF":1.5,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957007","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":"Feasibility, Acceptability, and Preliminary Outcomes of Participatory Contraceptive and Sexual and Reproductive Health Stigma-Reduction Workshops for Adolescent Girls and Young Women in Tanzania: A Mixed-Methods Pilot Study.","authors":"Rachel Di Iorio, Nicola West, Anisia E Kiwelu, Doreen A Mruma, Elizabeth G Ngolle, Mwasiti K Jumanne, Isabell Kearn, Carmen H Logie, Karen Yeates","doi":"10.1177/15248399261483600","DOIUrl":"10.1177/15248399261483600","url":null,"abstract":"<p><p>Adolescent girls and young women in Tanzania experience stigma related to sexual and reproductive health (SRH) and contraceptive use, which can discourage care-seeking and constrain reproductive autonomy. This mixed-methods pilot study assessed the feasibility, acceptability, and preliminary outcomes of participatory stigma-reduction workshops delivered in urban and rural Kilimanjaro, Tanzania. Data were collected between February 7 and March 7, 2025. Forty adolescent girls and young women aged 15 to 20 participated in a 3-day workshop series facilitated by trained local female facilitators. The workshops were adapted from an established stigma-reduction curriculum and used participatory dialogue, critical reflection on gender norms, and peer learning. Participants completed pre- and post-workshop surveys assessing contraceptive use stigma, broader adolescent SRH stigma, and sexual double standards. Focus group discussions with participants and facilitators explored workshop experiences, acceptability, and perceived impacts. All participants completed the workshops and surveys, and qualitative findings indicated that the participatory format was engaging and acceptable. Contraceptive Use Stigma scores decreased from pre- to post-workshop (<i>p</i> < .001; Cohen's <i>d</i> = -0.76), whereas changes in broader adolescent SRH stigma and sexual double standards were not statistically significant. Qualitative findings suggested increased comfort discussing SRH, reduced moral judgment toward contraceptive use, and greater confidence communicating with peers and adults, while community- and provider-level barriers persisted. These pilot findings support the feasibility and acceptability of participatory stigma-reduction workshops and justify longer-term evaluation using a controlled design.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261483600"},"PeriodicalIF":1.5,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13680726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946111","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":"Elevating LGBTQ+ Health: Principles and Practices for Affirmative Health Coaching.","authors":"Alex Higgins, Megan Lipsett","doi":"10.1177/15248399261485284","DOIUrl":"https://doi.org/10.1177/15248399261485284","url":null,"abstract":"<p><p>LGBTQ+ populations experience persistent mental and physical health disparities driven by minority stress and structural inequities that increase their risk for chronic disease. Health coaching is well positioned to support behavior change in these populations; however, when not delivered in an affirming manner, coaching practices may replicate bias, undermine engagement, and limit effectiveness. We provide a framework for LGBTQ+ affirmative health coaching that integrates minority stress theory, self-determination theory, and health equity models to identify mechanisms through which structural conditions shape behavior change processes. We propose six core principles and corresponding practices that operationalize affirming coaching across relational, behavioral, and environmental domains, including identity-affirming communication, minority stress-informed reframing, autonomy-supportive goal setting, resilience and social support development, inclusive environment design, and advocacy within and beyond the coaching relationship. In addition, we present recommended revisions to National Board for Health and Wellness Coaching (NBHWC) competencies to shift from general cultural awareness toward observable, equity-oriented skills that support engagement, agency, and continuity of care. Our framework positions affirming health coaching as a mechanism for advancing health equity by aligning behavior change strategies with the structural and psychosocial conditions shaping LGBTQ+ health.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261485284"},"PeriodicalIF":1.5,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913807","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":"Health Insurance Literacy Among Second-Generation Nigerian Americans.","authors":"Omobolanle Kushimo, Cynthia Baur","doi":"10.1177/15248399261481146","DOIUrl":"https://doi.org/10.1177/15248399261481146","url":null,"abstract":"<p><p>Health insurance literacy-the ability to locate, comprehend, and use information about health insurance-is a critical yet understudied dimension of health equity for second-generation Nigerian Americans. Despite health insurance's known role in reducing disparities in preventive care, this population faces unique barriers in navigating the U.S. health system. This qualitative study explores how second-generation Nigerian Americans develop health insurance literacy within familial, environmental, technological, and cultural contexts. Twenty participants aged 18 to 24 were purposively recruited from churches in Metro Atlanta. Thematic analysis of semi-structured interviews identified four major themes: (a) limited knowledge of the health insurance system, (b) confusion and complexity surrounding U.S. health insurance, (c) reliance on parental coverage and knowledge, and (d) the significant impact of health care and insurance costs on health information-seeking and care decisions. Participants reported minimal health insurance education, confusion about complex terminology and processes, and a reliance on their parents for coverage and guidance. Many also reported anxiety about the transition to independent coverage and described how high health care costs drive them to self-care or online information. These findings underscore the urgent need for culturally tailored, accessible educational interventions to build health insurance literacy and confidence among Nigerian American youth. Addressing both practical knowledge gaps and systemic barriers may improve health outcomes and reduce disparities. This study presents actionable implications for educators, health systems, and policymakers to promote health equity within immigrant communities.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261481146"},"PeriodicalIF":1.5,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901408","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":"From Formation to Maintenance: Developing a Community-Led Coalition Within a Center for AIDS Research.","authors":"Emma Sophia Kay, Harriette Reed-Pickens, Donna Porter Crawford, Marvin Cole-Crum, Larry Cowan, Jerome Edwards, Pablo Hernandez, Mary Johnson, Emily Knighton-Akins, Melissa Parker, Brieanna Boyd, Shericka Williams, Joseph Abua, Taliafferio Cureton-Coleman, Steve Dellinger, Tracy Wynne, Renee Heffron","doi":"10.1177/15248399261480044","DOIUrl":"10.1177/15248399261480044","url":null,"abstract":"<p><p>Community-engaged research (CEnR) involves a collaborative research approach between researchers and community members. Community advisory groups, often central to CEnR, have a strong tradition and role in HIV research. Applying an established framework for community group processes, we describe the formation, operation, and maintenance planning of a community-led coalition housed within a Center for AIDS Research (CFAR), whose mission is to support HIV-related CEnR. While most academically affiliated community groups are led by researchers, our Coalition utilizes a governance structure that prioritizes community leadership. Using a human-centered design framework, we led a 2-hr group meeting on November 25, 2025 in which Coalition members discussed group strengths and weaknesses, opportunities for change, and how to better meet the needs of the community. Human-centered design is an accessible framework used to stimulate group discussion and identify priorities. Participants identified community-led leadership and geographic diversity as major strengths. Although representation of racial, ethnic, sexual, and gender minorities remains insufficient, enhancing diversity of the coalition was identified as both an opportunity for growth and the Coalition's top priority for the coming year. Our Coalition's experience exemplifies the dynamic nature of community groups and the need to continuously revisit group priorities. It also highlights the importance of community-led advisory groups to ensure HIV researchers and their support systems center community needs and prioritize them.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261480044"},"PeriodicalIF":1.5,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13552203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892581","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":"Supporting Student Health and Learning: Outcomes of Vermont School-Based Health Centers.","authors":"Kathleen Bryant, Heidi Schumacher, Adam Matunas, Bernice Raveche Garnett","doi":"10.1177/15248399261477747","DOIUrl":"https://doi.org/10.1177/15248399261477747","url":null,"abstract":"<p><p>Since their inception in the 1990s, School-Based Health Centers (SBHCs) in Vermont have largely been conceived and sustained through the interest and investment of local communities. Vermont does not have a formal SBHC state policy, dedicated funding, or coordinated technical assistance. Recognizing the need to better understand and support SBHCs in our state, we conducted the first exploratory study of SBHC utilization in Vermont. Data were collected from six SBHCs operating in 16 different schools in Vermont over 2 weeks in the winter of 2025. We sought to determine reasons for seeking care as well as the time saved in learning. The main reasons for seeking care in SBHCs in Vermont were acute illnesses, followed by mental health concerns. However, a wide range of services were also provided, including physical therapy and ophthalmological exams. Over 80% of students returned to class after being seen in a Vermont SBHC, saving, on average, 3.67 hr of instructional time compared to seeking that service outside of the school setting. SBHC services thus were shown to reduce time away from school and minimize disruptions for caregivers who might otherwise need to take children to appointments. Findings from this study have the potential to inform future state policy development and underscore the role that SBHCs can play to promote access to care and to reduce school absenteeism.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261477747"},"PeriodicalIF":1.5,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892616","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":"Longitudinal Findings From a Land-Based HIV Prevention Study With Northern and Indigenous Youth, Canada.","authors":"Zerihun Admassu, Carmen H Logie, Aryssa Hasham, Shannen Rowe, Kayley Inuksuk Mackay, Shira B Taylor, Kiera Boulanger-Rowe, Renée Monchalin, Candice L Lys","doi":"10.1177/15248399251368869","DOIUrl":"10.1177/15248399251368869","url":null,"abstract":"<p><p>The high prevalence of sexually transmitted infections (STIs) in the Northwest Territories (NWT), Canada underscores the need for culturally relevant, community-driven sexual health initiatives for HIV and STI prevention that prioritize youth engagement and Indigenous leadership. FOXY (Fostering Open eXpression among Youth), a Northern and Indigenous NWT-based community-based organization, conducted 1-week youth Peer Leader Retreats (PLRs) focused on HIV prevention and leadership using land- and arts-based approaches. We conducted a one-group pretest/posttest with youth PLR participants aged 13 to 17 in the NWT and combined the data across PLRs conducted from 2020 to 2022. Assessments were completed at preretreat baseline, immediately postretreat, and at 6-month follow-up to measure changes in study outcomes (safer sex self-efficacy [SSSE], condom use self-efficacy [CUSE], and HIV knowledge). Of <i>n</i> = 133 participants at baseline, 6-month follow-up data were available for n = 122 (92%) participants. Multivariate analyses showed significant improvements in all study outcomes from baseline to 6-month follow-up. SSSE, CUSE, and HIV knowledge scores increased postretreat and continued to improve at 6 months. These findings suggest that culturally relevant, community-driven peer leadership interventions hold promise in advancing HIV prevention cascade outcomes with Northern and Indigenous youth in the NWT.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"887-893"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13526198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139066","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}