Health Promotion Practice最新文献

{"title":"Engaging Community Health Workers in the Centers for Disease Control and Prevention's COVID-19 Public Health Response to Address Health Disparities and Build Community Resilience.","authors":"Stacy De Jesus, Elizabeth A Rohan, Amy DeGroff, Marla Vaughan, Nikki Hayes, Letitia Presley-Cantrell, Rebekah Buckley, Lisa C Richardson, Gregory Crawford, Karen Hacker","doi":"10.1177/15248399241267969","DOIUrl":"https://doi.org/10.1177/15248399241267969","url":null,"abstract":"<p><p>In 2021, the Centers for Disease Control and Prevention's (CDC) National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) funded community health workers (CHWs) for COVID Response and Resilient Communities (CCR). CCR is a 3-year, $350 million initiative to implement CHW strategies aimed at reducing COVID-19 impacts, building resilience, and improving health equity by addressing health-related social needs. This paper describes the CCR initiative and experiences to date, underscoring CHWs' critical role in CDC's pandemic response. CCR funds 67 recipients to reach communities who are disproportionately affected by long-standing health disparities (hereafter, priority populations). CCR aims to decrease the impact of COVID-19 and increase community resilience to respond to COVID-19 and future public health emergencies. Recipients implement three strategies: train CHWs to support the COVID-19 response, increase the workforce of CHWs to manage the spread of the disease, and improve utilization of community and clinical resources to engage CHWs to help strengthen communities' resilience to mitigate the impact of COVID-19. We funded three additional organizations to provide technical assistance to CCR recipients and collaborate with us on a national evaluation of the program. CCR recipients hired about 950 CHWs and integrated these CHWs into over 1,000 organizations and care teams. At the end of the second program year, CHWs made over 250,000 referrals to social services and over 150,000 referrals to address specific health conditions. CCR demonstrates that CHWs can be quickly mobilized to participate in a public health emergency and reach those most affected by COVID-19.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917784","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":"Improving Public Health Emergency Communication Along the U.S. Southern Border: Insights From a COVID-19 Pilot Campaign With Truck Drivers.","authors":"Sarah Evans, Bianca Rubio, Chris Piat, Hallimah Kamara, Pearl Owen, Bryan Duff, Ana Chavez, Leticia R Bligh","doi":"10.1177/15248399241265311","DOIUrl":"https://doi.org/10.1177/15248399241265311","url":null,"abstract":"<p><p>Tens of thousands of trucks cross the U.S.-Mexico border every day. Cross-border truckers' high mobility puts them at risk of acquiring and transmitting infectious diseases and creates challenges reaching them with emergency public health messaging due to their everchanging locations and limited English proficiency. Despite this community-level transmission risk and documented health disparities related to various infectious and noninfectious diseases experienced by truckers themselves, little has been published to provide practical recommendations on better reaching this audience through innovative outreach methods. This article describes a COVID-19 health promotion campaign that aimed to (1) identify, pilot test, and evaluate effective messages, channels, sources, and settings for reaching truckers on both sides of the U.S.-Mexico border and (2) build capacity and sustainability for messaging around future health emergencies. The pilot program ran for 6 weeks, June to August 2023, in three key commercial border crossings and delivered approximately 50,000,000 impressions, nearly 45% more impressions than expected. Considerations for practitioners include the areas of design, implementation, and evaluation. The results provide insight into how to design health promotion messages that resonate with cross-border truckers and how to place these messages where they will be seen, heard, and understood. This includes working effectively with community health workers (CHW), known locally as <i>promotores</i>; identifying local partners that allow CHW to set up onsite; and, working with partner organizations including employers. Practical insights for building evaluation metrics into traditional and grassroots outreach strategies to facilitate real-time optimization as well as continued learning across efforts are also described.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141907944","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":"IRB Consent Guidelines: Potential Barriers to Diversity in Research.","authors":"Evan Decker, Tana Chongsuwat","doi":"10.1177/15248399241268327","DOIUrl":"https://doi.org/10.1177/15248399241268327","url":null,"abstract":"<p><p>Despite initiatives aimed at improving study participation and inclusion among ethnic and racially minoritized and marginalized populations, participation remains low. While necessary to ensure ethical practice in human participant research, certain Institutional Review Board (IRB) guidelines may introduce additional barriers in research involving these populations. This work outlines guidelines pertaining to consent translation for non-English speaking populations and offers discussion on a greater emphasis for more inclusive methods for marginalized communities. The University of Wisconsin's IRB approved alternative oral consent processes after the community partner determined that standard translation processes would be inefficient. Researchers used translated consent materials for four different ethnic groups (Hmong, Karen, Karenni, and Burmese). We provided recorded consents in each respective language to participants before study participation and obtained verbal consent prior to study participation at the study location. We experienced time and resource constraints in both access to translators and the consent-translation process itself. Furthermore, many participants were unable to read in their native language making standard written consent processes both difficult and impractical. Oral discussion and verbal consent processes were efficient. Adjustments to consent-related guidelines may prevent and eliminate time and resource-related barriers in consent processes. In eliminating such barriers, subsequent improved efficiency in both study design and study promotion areas can work to better promote diversity in research among populations that emphasize oral language and in instances where literacy rates in written non-English language may be lower.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876292","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":"Employing a Youth Internship Model to Identify Goals to Reduce Barriers to Active Living.","authors":"Judit Sarai Alvarado, Edith De Jesus-Sanchez As, Jessica Colon, Kevin Giff, Seth Lajeunesse, Molly De Marco","doi":"10.1177/15248399241263579","DOIUrl":"10.1177/15248399241263579","url":null,"abstract":"<p><p>Active lifestyles are vital for promoting health. In this practice note, we describe the implementation of an active living intervention designed to engage youth in identifying barriers to being physically active and developing recommendations to address these barriers. Youth interns were compensated for their time. Through this project, the community obtained street striping for the first time, secured a community center when the police substation building was turned over to the community, and had sidewalk funding prioritized for one of their busiest streets. Lessons learned while developing and implementing this youth internship program focused on making the internship program work well given youth schedules and focusing on supporting the voice of youth to advocate for changes to the built environment in an intentionally excluded community.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767665","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 in Disseminating Evidence-Based Health Promotion Programs in Faith Community Settings: What We Need to Include.","authors":"Sharon C Jones, David Schlundt, Neely Williams, Meredith Smalls, Korab Idrizi, Leah Alexander, Monique Anthony, Rebecca Selove","doi":"10.1177/15248399241259688","DOIUrl":"https://doi.org/10.1177/15248399241259688","url":null,"abstract":"<p><strong>Background: </strong>Effective dissemination of information about evidence-based programs (EBPs) is essential for promoting health equity. Faith-based and other community organizations have difficulty locating EBPs for implementation in their settings. A research team engaged in a systematic search to identify a menu of EBPs that could be offered to African American FBOs as part of a community-engaged implementation study. Methods. A four-stage process was developed to search for EBPs meeting seven inclusion criteria for dissemination in faith-based organizations (FBOs). Criteria included relevance to identified health disparity topics, endorsement on a federal website, free access to downloadable program materials, facilitator guidance, no requirements for health care providers, and culturally relevant materials for African American communities.</p><p><strong>Results: </strong>Nineteen government websites were searched. Sixty-six potential EBPs were identified. Six EBPs met all inclusion criteria.</p><p><strong>Discussion: </strong>The search for EBPs that met seven criteria for implementation in African American FBOs demonstrated challenges that have been described in the literature. Researchers encountered a lack of standardized terminology for identifying EBPs on federal websites, frequent requirement for health care providers or clinics and/or fees for training and materials. FBOs are supportive and safe places to offer EBPs to promote health, and EBPs need to be designed and disseminated to meet the needs and preferences of FBOs. Including members of FBOs and others in the community in EBP development, design, and dissemination, such as searchable health promotion EBP registries, can increase the likelihood that effective programs intended to address health disparities are readily accessible to FBOs for implementation.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767664","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 Emotional and Behavioral Well-Being Through Community-Academic Partnership: The EMPOWER Project.","authors":"Alice-Simone Balter, Nicole Racine, Dina Al-Khooly, Indika Somir, Emerald Bandoles, Clementine Utchay, Desiree Sylvestre, Annabel Sibilus, Anjali Suri, Sandra Pierre, Sheldon Parkes, Shannon Quesnelle, Sabrina Brodkin, Brendan F Andrade","doi":"10.1177/15248399241255372","DOIUrl":"https://doi.org/10.1177/15248399241255372","url":null,"abstract":"<p><p>The onset of mental health issues frequently starts during adolescence, where one third of adolescents who are 14 years and younger receive a mental health diagnosis. The state of youth mental health is a major public health concern. The EMPOWER project was developed during the COVID-19 pandemic to address youth mental health. The EMPOWER project is a partnership between two after-school programs and an academic mental health hospital in Toronto, Canada, that aims to bolster youth mental well-being. In this Practice Note, we share our community-based participatory research process of how we built the EMPOWER partnership and highlight our lessons learned so far. Through EMPOWER, we aim to codesign, deliver, and evaluate a scalable, evidence-based, and community-informed youth mental wellness curriculum that will be implemented in after-school programs.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767666","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":"Virtual Health Promotion Work-Integrated Learning Placements: A COVID-19 Consequence or Preparation for the Future?","authors":"Teagan Ostrognaj, Claire Bristow, Stavroula Zandes, Dragan Ilic, Bethany Howard","doi":"10.1177/15248399231180560","DOIUrl":"10.1177/15248399231180560","url":null,"abstract":"<p><p>We explored student and industry supervisors' experiences of virtual work-integrated learning (vWIL) health promotion placements during the COVID-19 pandemic. Using a descriptive phenomenological qualitative methodology, we conducted semi-structured interviews with eight students and eight supervisors of undergraduate health promotion-related placements at community, not-for-profit and government organizations. We asked participants about the aspects of their placement they found most enjoyable and challenging, their preparation, workload, and thoughts on placement structure. We audio-recorded and had the interviews transcribed. Our thematic analyses revealed four key themes: (1) the impact of COVID-19 on work and study, (2) benefits of vWIL (real-world application and career clarification, transcending barriers and saving time, and feeling less intimidated), (3) challenges of vWIL (experiencing workplace culture, providing support and guidance to students, and relationship building), and (4) recommendations on the evolution of vWIL (increased preparation and consider a hybrid model). Our findings suggest that vWIL is a viable and sound mode of delivery for health promotion-related placements, particularly in situations that inhibit face-to-face learning. It has the capacity to enhance the work-readiness of health promotion graduates while adding flexibility to professional preparation workplace-based training programs, providing opportunity for capacity building locally across rural and remote areas, as well as globally. Future research should examine the effectiveness, practicality, and feasibility of implementing placements across different models including face-to-face, virtual and hybrid.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9f/1d/10.1177_15248399231180560.PMC10261946.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9640320","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":"Evaluation of a Brief Online Sexual Health Program for Adolescents: A Randomized Controlled Trial.","authors":"Jordyn McCrimmon, Laura Widman, Hannah Javidi, Julia Brasileiro, Jeffrey Hurst","doi":"10.1177/15248399231162379","DOIUrl":"10.1177/15248399231162379","url":null,"abstract":"<p><p>Adolescents are at increased risk of acquiring sexually transmitted infections (STIs) and experiencing unintended pregnancy. In particular, adolescents from marginalized communities experience significant sexual health disparities compared to their more advantaged peers. Digital sexual health programs, such as HEART (<i>Health Education and Relationship Training</i>), may be effective in reducing these risks and addressing these disparities. HEART is a web-based intervention focused on the promotion of positive sexual health outcomes, such as sexual decision-making skills, sexual communication skills, sexual health knowledge, and sexual norms and attitudes. The current study evaluates the efficacy of HEART, and examines whether effects were moderated by gender, socioeconomic status (SES), race, English as a second language, and sexual orientation to ensure the program is effective for diverse groups of adolescents. Participants were 457 high school students (Mean_age=15.06, 59% girls, 35% White, 78% heterosexual, 54% receive free or reduced-price lunch). Students were randomized to HEART or an attention matched control and assessed at pretest and immediate posttest. HEART was effective in increasing sexual assertiveness, sexual communication intentions, HIV/STI knowledge, condom attitudes, and safer sex self-efficacy compared to the control condition. There were no significant interactions by gender, SES, race, English as a second language, or sexual orientation, suggesting the program worked equally well for all groups of youth. The findings of this study suggest that HEART may be a promising avenue for the promotion of positive sexual health outcomes for diverse groups of youth.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10966929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9243309","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":"COVID-19 Health Education Activities: An Analysis of a National Sample of Certified Health Education Specialists (CHES^®/MCHES^®) in Response to the Global Pandemic.","authors":"Beth H Chaney, Michael L Stellefson, Melissa Opp, Marianne Allard, J Don Chaney, Kylie Lovett","doi":"10.1177/15248399231184447","DOIUrl":"10.1177/15248399231184447","url":null,"abstract":"<p><p>The National Commission of Health Education Credentialing, Inc. (NCHEC) created the Category 1 COVID-19 Claim Form Opportunity to document how Certified Health Education Specialists (CHES^®) and Master Certified Health Education Specialists (MCHES^®) assisted communities during the COVID-19 pandemic. Using data submitted by CHES^®/MCHES^® (<i>n</i> = 3,098 claim forms), the purpose of this study was to (a) describe the settings where CHES^® and MCHES^® completed their pandemic work and (b) assess differences in the type of pandemic work completed by CHES^® compared with MCHES^® based on specific Areas of Responsibility (AOR) for Health Education Specialists. Findings showed that CHES^® and MCHES^® engaged in seven AOR during the pandemic, with the largest proportion of CHES^® (<i>n</i> = 859; 33%) and MCHES^® (<i>n</i> = 105; 21.9%, documenting COVID-19-related activities in health departments. CHES^® reported higher engagement than MCHES^® in activities such as COVID-19 reporting/tracking, χ² (1, <i>N</i> = 3,098) = 27.3, <i>p</i> < .001; outbreak response, χ² (1, <i>N</i> = 3,098) = 4.3, <i>p</i> = .039; and vaccination, χ² (1, <i>N</i> = 3,098) = 5.2, <i>p</i> = .023. Conversely, MCHES^® reported higher participation than CHES^® in screening/testing, χ² (1, <i>N</i> = 3,098) = 174.2, <i>p</i> < .001; administration of budgets/operations, χ² (1, <i>N</i> = 3,098) = 30.1, <i>p</i> < .001; and adapting educational activities at college/universities, χ² (1, <i>N</i> = 3,098) = 46.1, <i>p</i> < .001. CHES^® were more likely than MCHES^® to indicate working in all AOR except for Area 2-Plan Health Education/Promotion. Results support that employer-verified health education skills in all AOR were transferable during COVID-19, especially for CHES^® employed within state/county health departments.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10357328/pdf/10.1177_15248399231184447.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9862406","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":"Cultivating a Sense of Belonging in Allied Health Education: An Approach Based on Mindfulness Anti-Oppression Pedagogy.","authors":"Francoise A Knox-Kazimierczuk, Brandelyn Tosolt, Kevin V Lotz","doi":"10.1177/15248399231172761","DOIUrl":"10.1177/15248399231172761","url":null,"abstract":"<p><p>To address accreditation standards and to meet a need due to a disparity in health care providers engaged in direct patient care, many institutions of higher education have focused on initiatives to increase the numbers of ethnic and racial minority populations. Despite these efforts, there remains a dearth of diversity in health care. For many underrepresented minority populations (URM), numerous barriers exist to becoming a health professional. Greater levels of discrimination and bias reduce belonging and agency in URM students impacting recruitment and retention. Research has shown that discrimination and bias are antithetical to feeling a sense of belonging on college campuses for URM students. The sense of belonging for URM students has been positively linked to retention and other academic outcomes. Faculty interaction and campus environment have been correlated to sense of belonging. Thus, faculty members as mentors, advisors, and shapers of campus climate have an important role to play in supporting URM students. However, due to socialization in an oppressive society, narratives about race and racism can become entrenched. The entrenchment of racial ideologies, without tools to examine, deconstruct, and reflect, leads to little forward progress. Incorporation of mindfulness anti-oppression pedagogy provides a needed paradigm shift for allied health educators to act with intentionality as they cultivate spaces of belonging for URM students.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9434491","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}