Health Promotion Practice最新文献

{"title":"Situational Analysis and Planning of a Community-Based Multicomponent Intervention to Prevent Adolescent Alcohol Use: The Prev.Action Study.","authors":"Luís Eduardo Soares-Santos, Matheus de Carlos Silva Oliveira, Marília M Mendes-Sousa, Sheila C Caetano, Juliana Y Valente, Zila M Sanchez","doi":"10.1177/15248399251366355","DOIUrl":"https://doi.org/10.1177/15248399251366355","url":null,"abstract":"<p><p>Alcohol consumption among adolescents is a critical public health concern, leading to numerous adverse health, social, and economic consequences, which underscores the need for effective prevention strategies. This study aimed to conduct a situational analysis and produce a knowledge synthesis in the initial phase of the Prev.Action study, a multicomponent co-produced community intervention aimed at reducing alcohol use among Brazilian adolescents. This mixed-methods study conducted a comprehensive situational analysis to assess adolescent alcohol use in a Brazilian municipality, corresponding to Phase 1 of the Implementation Research Cycle. We employed three types of triangulation: data source, methodological, and investigator. Data were collected from five sources: a school-based survey (1,210 adolescents), focus groups (144 adolescents), semi-structured interviews with stakeholders (26 participants), a community web-based survey (516 participants), and stakeholder workshops (20 participants). Quantitative data were analyzed using descriptive statistics, whereas qualitative data underwent thematic analysis, ensuring a thorough understanding of community needs and intervention barriers. Key findings revealed that 54% of middle school and 73% of high school students had experimented alcohol. In addition, 13% of students reported binge drinking in the last 30 days. The primary methods of alcohol acquisition were self-purchase (30%) or receipt from parents (40%). Priority issues identified by the community, such as easy access to alcohol, cultural acceptance, and inadequate law enforcement, were key in designing a three-arm multicomponent intervention: school-based programs, family programs, and environmental strategies. The Prev.Action study underscores the importance of community involvement and tailored strategies to reduce adolescent alcohol consumption effectively.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251366355"},"PeriodicalIF":1.2,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145055885","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":"Multi Methods Assessment of Technical Assistance for Community-Based Food Access Organizations.","authors":"Shelly Palmer, Laura E Balis, Emily Shaw, Amy Yaroch","doi":"10.1177/15248399251363961","DOIUrl":"https://doi.org/10.1177/15248399251363961","url":null,"abstract":"<p><p>The U.S. foundations contribute billions of dollars each year to community-based organizations (CBOs). Showing the impact of the funding and return on investment within the communities served is beneficial to both funders and CBOs. However, often due to limited capacity for staff and resources, program evaluation can be challenging within CBOs, and technical assistance (TA) on implementing robust program evaluation and dissemination practices can build capacity. This study assessed the effectiveness and implementation of TA for evaluation and dissemination provided from June 2023 to July 2024 to UnitedHealthcare grantees implementing healthy food access interventions. The effectiveness of individual monthly TA meetings was qualitatively evaluated through post-TA interviews. TA implementation was evaluated through qualitative analysis by coding meeting notes according to the topics addressed: evaluation plan, evaluation measures, dissemination plan, and dissemination channels. A total of 41 individual TA meetings were conducted. Among the five interviewees, grantees mentioned changes to evaluation practices including developing an evaluation plan, refining surveys and cost-effectiveness analysis, and expanding data collection to include qualitative measures. There were fewer changes to dissemination practices, including expanding information in funder reports, adding one-pagers for referral partners, and creating internal quarterly reports. TA topics discussed included evaluation measures (n = 16 mentions), evaluation planning (n = 13), other content areas (n = 10), dissemination planning (n = 3), and dissemination strategies (n = 3). Findings illustrate that TA can positively impact grantees' practices, especially on program evaluation. Overall, the partnership between the funder, TA providers, and grantees preliminarily shows the benefit of TA to support robust program evaluation.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251363961"},"PeriodicalIF":1.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024489","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":"Digital Zines as Mental and Sexual Health Communication Tools for Latina Teens: Format and Content Acceptability and Initial Findings.","authors":"Jenn M Lilly, D'Andrah Almanzar, Susan R Pace, Dante D Bryant","doi":"10.1177/15248399241300570","DOIUrl":"10.1177/15248399241300570","url":null,"abstract":"<p><p>Recognizing the potential of digital zines (defined as self-published, online publications combining artwork and text) as culturally tailored health communication tools, this article examines the acceptability and impacts of two digital zines about mental and sexual health created by Latina young people for Latina teens as a health communication strategy. We conducted an anonymous online survey completed by Latina teens who read the zines (32 for sexual health and 33 for mental health). Data analysis aimed to explore, summarize, and interpret the collected data using an artificial intelligence (AI)-enhanced approach. Survey participants found the zine format and content acceptable and engaging with the zines had several positive impacts on Latina teens, influencing their emotions, knowledge, and perspectives. The digital zines resonated with Latina teens, providing accessible and engaging content for exploring sexual and mental health topics. This study resulted in valuable insights into the use of AI-enhanced approaches to data analysis and the potential effectiveness of digital zines as a health communication strategy among Latina teens. However, further validation through larger-scale studies with more robust methodologies is needed. Our findings show that zines can be leveraged as an effective health communication tool among Latina teens, providing preliminary evidence that can be used to support zine development and dissemination initiatives within additional communities.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":"26 5","pages":"926-945"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822898","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":"A Community-Engaged Research Study to Inform Tailored Programming for Smoking Cessation and Lung Cancer Screening Among At-Risk LGBTQ+ Elders.","authors":"Matthew Triplette, Madison Snidarich, Jaimee L Heffner, Brandon Omernik, Alwiya Ahmed, Elle Brooks, Bekah Telew, Kristina Crothers, Meagan Brown","doi":"10.1177/15248399241296101","DOIUrl":"10.1177/15248399241296101","url":null,"abstract":"<p><p><i>Purpose</i>. Lung cancer is the leading cause of cancer death, with most cases attributable to cigarette smoking. Many communities within the lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ+) umbrella have high rates of smoking, but focused lung cancer prevention is limited. Our objective was to utilize a community-based participatory research (CBPR) approach to guide the development of a program focused on lung cancer prevention in LGBTQ+ elders. <i>Methods</i>. Through community partnerships, we recruited participants who self-identified as LGBTQ+ and were eligible for lung cancer screening (LCS) to participate in semi-structured qualitative discussions with complementary surveys. Qualitative guides were developed to collect data on determinants of smoking cessation and LCS and to elicit feedback on interventions to support lung cancer prevention through a tailored approach to patient navigation. Qualitative data were analyzed using rapid templated analysis to elucidate themes. <i>Results</i>. The 21 enrolled participants had diverse sexual and gender identities and 57% were of minoritized race/ethnicity. Most (81%) had experience with smoking cessation but few (10%) had undergone LCS. Overall themes suggest interest in personalized (to individuals), tailored (to the LGBTQ+ community) and integrated longitudinal programs to support lung cancer prevention. Themes suggest strong endorsement of focused messaging to LGBTQ+ persons and reducing stigma related to LGBTQ+ identity and smoking. <i>Conclusions</i>. Themes highlight the need for integrated tobacco and LCS programming which can provide longitudinal support, and ideally, center community settings and peer support. This formative work will be utilized to adapt a patient navigation program to assist screen-eligible LGBTQ+ elders.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"956-968"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683231","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":"The Role of the Public Health Workforce in Securing Political Commitment for Tackling Childhood Obesity in Local Government.","authors":"Ravita Taheem, Kathyrn Woods-Townsend, Wendy Lawrence, Janis Baird, Keith M Godfrey, Debbie Chase, Mark A Hanson","doi":"10.1177/15248399241294231","DOIUrl":"10.1177/15248399241294231","url":null,"abstract":"<p><p>Local government is well placed to provide leadership for the national ambition in England to halve childhood obesity by 2030 and has delegated authority for many policies thought necessary for effective action. However, with currently constrained local government finances, resources may not be prioritized for the wide range of policies and interventions necessary. Thus, local political commitment is vital for directing local government investment to tackle the issue. This qualitative study investigated how political commitment has been demonstrated in local government, the strategies used to build such political commitment, and the role of the public health workforce. Public health staff from 13 local authorities participated in semi-structured telephone interviews using questions informed by a conceptual framework composed of five previously defined levels of political commitment: rhetorical, institutional, operational, embedded, and system-wide. Thematic analysis showed that public health officers secured a political commitment by framing childhood obesity in line with existing priorities to build support among councillors in a position to advocate for the issue. Public health officers also engaged with multiple stakeholders, gathering data and insights to develop operational and embedded commitment. The study shows that effective health promotion practice requires a skilled and committed public health workforce, acting as policy entrepreneurs to secure system-wide political commitment in local government by proactively navigating local governance and policy processes, to build in opportunities for feedback and accountability.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"891-901"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649348","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":"Beyond Performance: A Mixed-Methods Study of Carnegie Hall's Well-Being Concerts.","authors":"Kimaya Lecamwasam, Elina Bresle, Kristian Moltke Martiny, Manuel Bagorro, Sarah Johnson, Sam Livingston, Morten Kristensen, Ian Koebner","doi":"10.1177/15248399251361095","DOIUrl":"https://doi.org/10.1177/15248399251361095","url":null,"abstract":"<p><p>This study explores the public health potential of music and cultural institutions through an examination of Carnegie Hall's Well-Being Concert series. The series, initiated by the Weill Music Institute, the Hall's education and social impact arm, aims to create immersive concert experiences that amplify the social, physical, emotional, and educational benefits of music engagement. Grounded in the rich historical and cross-cultural relationship between music and well-being, the series embraces holistic approaches to concert design, curating musical, environmental, and experiential elements for both artists and their audiences. Through observations, interviews, focus groups, and surveys, this mixed-methods study describes the development and evaluates the impact of the inaugural season of Well-Being Concerts among two separate audiences: individuals impacted by the justice system and health care workers. Findings highlight how these concerts foster well-being through relaxation, introspection, and interpersonal connection. Participants described their experience as peaceful and novel, allowing for both focus on oneself and social connection. Venue ambiance curation and the communication of the series' intention facilitated a sense of inclusivity and comfort for the audience, while also serving to challenge perceptions of cultural elitism. Quantitative analysis revealed significant increases in perceived well-being from pre-concert expectations to post-concert reflections, underscoring the potential effectiveness of such experiences in helping audiences reach individually identified well-being goals. This study contributes to the growing body of evidence that cultural organizations can be productive public health partners and that musical engagement can promote health and well-being. By harmonizing music and listening with self- and community-care practices, Carnegie Hall's Well-Being Concerts offer a model for an innovative, evidence-informed, and culturally based approach to well-being.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251361095"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974335","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":"Acknowledgment of Members of <i>Health Promotion Practice</i>'s Review Panel.","authors":"","doi":"10.1177/15248399251339657","DOIUrl":"10.1177/15248399251339657","url":null,"abstract":"","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"1029-1030"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310607","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":"Exploring Sexual Harassment in Agriculture From a Socio-Ecological Perspective: A Scoping Review.","authors":"Jody Oomen Early, Vanessa Lani Gordon-Dseagu, Victoria Breckwich Vásquez, Kimberly Prado, Dennise Drury","doi":"10.1177/15248399241305393","DOIUrl":"10.1177/15248399241305393","url":null,"abstract":"<p><p>Workplace sexual harassment (WSH) and other forms of sexual violence are pervasive in the agricultural sector, yet remain overlooked as critical occupational health and safety concerns. In this scoping review, the social-ecological model was used as a framework to examine contributing and protective factors in the literature that inform WSH interventions, policy, and research. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocols, the authors searched eight databases using Boolean terms related to \"sexual harassment\" and \"agriculture.\" Articles that were peer-reviewed, empirical, and nonempirical, published in English, available as full-text, and pertaining to agriculture were included in the sample. A total of 93 articles were found, and 20 met inclusion criteria. Results showed most studies were qualitative and exploratory. A number of contributing factors were discussed in the literature, including: harmful gender beliefs and myths, gender inequity and inequality, hierarchical workplace structures, poverty, precarious immigration status, language barriers, permissive workplace climate, fear of retaliation, a need for culturally responsive workplace training, and lack of clear anti-harassment workplace policies. There is also a lack of legal protections for agricultural workers at the state and federal levels, highlighting the need for advocacy and policy reform. The socio-ecological model (SEM) offers a comprehensive approach to understanding and addressing WSH across the spectrum of prevention. More empirical and longitudinal studies are needed to strengthen the evidence base for developing comprehensive solutions to WSH that address the many barriers and risks that agricultural workers face.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"1004-1022"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956261","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":"Exploratory Pilot Study Engages Community Health Workers to Test Drone-Based Package Delivery System for Personal Protective Equipment in High-Risk Appalachia Population.","authors":"Frances J Feltner, William Mace Baker, Beth Bowling, Bart Massey, Sydney Howard, Ellen J Hahn","doi":"10.1177/15248399241300577","DOIUrl":"10.1177/15248399241300577","url":null,"abstract":"<p><p>During the COVID-19 pandemic, high-risk clients' and caregivers' access to essential personal protective equipment (PPE) was limited especially in many remote areas of Appalachia. A multidisciplinary team of community and university partners explored how to coordinate the use of community health workers (CHWs) and drone technologies to increase access to PPE in rural and remote Appalachian regions. CHWs recruited 10 Homeplace clients in an exploratory study of drone-based package delivery of PPE to assess importance and effectiveness of PPE self-efficacy related to PPE use, use of PPE, and ease and acceptability of drone delivery (following delivery only). CHWs educated each participant via in-person and Zoom meetings on the reasons for using PPE and proper use of PPE using Centers for Disease Control and Prevention guidelines. Most participants found the drone delivery of PPE easy and 80% were extremely satisfied with the drone delivery process. The frequency of mask-wearing increased from 60% at baseline to 90% at follow-up. On average, participants rated all types of PPE as effective in preventing the spread of disease. Drone officials used the findings of this pilot study to develop a waiver application to the U.S. Federal Aviation Administration to request permission to fly beyond visual line of sight in remote areas. Aerial drone technology could be a cutting-edge approach to health promotion in remote areas. The study results provide the proof of concept to assist investigators in designing future projects to promote healthy homes by collecting air and water samples and testing novel interventions deploying drone technology in remote Appalachian regions.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"976-984"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872892","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":"Increasing Employee Physical Activity Using Goal Setting and a Smartphone App.","authors":"Debra L Fetherman, Joan Cebrick-Grossman","doi":"10.1177/15248399241234067","DOIUrl":"10.1177/15248399241234067","url":null,"abstract":"<p><p>Physical inactivity is a high-priority public health issue in U.S. worksites. There is evidence that physical activity (PA) goal-setting interventions can be effective. Smartphone apps have also been used to deliver accessible and appealing PA interventions. This article describes the use of goal setting and a no-cost PA smartphone app to pilot an 8-week PA intervention, Project Move 2.0, to increase PA among a nonprofit health and social assistance workforce. The community-based partnership identified intervention strategies that addressed moderators for setting PA goals: feedback, goal commitment, situational factors, and ability. The intervention included the use of a no-cost smartphone app for tracking steps/goal setting, an orientation/health education session, weekly text messages, as well as pre- and post-measures for goal setting for PA behaviors and an intervention evaluation questionnaire. There is limited knowledge on the practical aspects of applying goal setting and the use of a no-cost smartphone app to increase employee PA through a workplace PA intervention. Applying goal setting and the use of a no-cost smartphone app shows promise for workplace health promoters to successfully address employee PA.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"846-848"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121120","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}