Health Promotion Practice最新文献

{"title":"Barriers and Facilitators to Program Evaluation and Dissemination: A Qualitative Study to Inform Implementation Strategies.","authors":"Laura E Balis, Shelly Palmer, Maryan Isack, Amy L Yaroch","doi":"10.1177/15248399251362163","DOIUrl":"https://doi.org/10.1177/15248399251362163","url":null,"abstract":"<p><p>Implementation strategies support the adoption, implementation, and maintenance of evidence-based interventions in community settings. However, strategies often conclude when funding ends, leaving implementers without assistance to maintain interventions. Implementation strategies focused on program evaluation and dissemination-factors that lead to program maintenance-are needed. The goal of this study was to understand barriers and facilitators to evaluation and dissemination in community-based organizations to inform relevant implementation strategies. Semi-structured interviews were conducted using an interview guide based on Consolidated Framework for Implementation Research (CFIR) constructs hypothesized to influence evaluation and dissemination: complexity, self-efficacy, culture, available resources, leadership engagement, organizational incentives and rewards, external policies and incentives, reflecting and evaluating, and champions. The guide also queried implementation strategy preferences. A rapid deductive approach was used to analyze the data through a template aligned with the interview guide. Nine interviewees shared barriers around reflecting and evaluating (e.g., data collection challenges), available resources (e.g., organizational capacity), and organizational incentives and rewards (e.g., lack of recognition). Interviewees favored ongoing consultation, tools or plans, problem-solving support, and peer sharing. Based on these results, a technical assistance (TA) protocol was developed to include monthly consultation meetings and quarterly learning collaboratives to build capacity in project partner (UnitedHealthcare) grantees. Future work should evaluate the TA protocol for effectiveness in alleviating the identified barriers and improving program implementers' evaluation and dissemination capacity. If successful, this model could be used in other community settings experiencing similar barriers, ultimately leading to improved maintenance of evidence-based interventions.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251362163"},"PeriodicalIF":1.2,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838264","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":"Centering the Voices of Community Health Workers Through Digital Storytelling.","authors":"Shenazar Esmundo, Erin Martinez, Patricia A Valverde","doi":"10.1177/15248399251358763","DOIUrl":"https://doi.org/10.1177/15248399251358763","url":null,"abstract":"<p><p>Community health workers (CHWs) are an integral part of the health care and public health system. CHW programs are known for their significant outcomes and impacts on health disparities, yet we rarely learn about the experiences of CHWs. This project highlights CHWs' work and importance in public health through digital storytelling videos. Four CHWs from Colorado were featured to share their experiences and perspectives as a CHW. Digital storytelling can be an effective tool for advocating and raising awareness of the CHW workforce to inspire health care workers, influence policy changes, and dismantle systemic barriers.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251358763"},"PeriodicalIF":1.2,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822897","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":"Hybrid Delivery of a Heritage-Based Nutrition Education Program for Black Older Adults.","authors":"Tia Jeffery, Amy Schweitzer, Lillie Monroe-Lord, Carolyn Miller","doi":"10.1177/15248399251354955","DOIUrl":"https://doi.org/10.1177/15248399251354955","url":null,"abstract":"<p><p><b>Background:</b> The mortality rate for African Americans living in Washington DC is 2.5 times higher than that for Caucasians suffering from the same morbidity. To promote healthy and sustainable eating patterns associated with disease prevention, this project explores heritage models as change agents in the traditional notion of healthy diets. The purpose of this study is to evaluate participant affinity to a non-traditional nutrition intervention among seniors with African descent. <b>Methods:</b> We implemented the Black Wellness Matters-Nutrition Series (BWM-NS), a heritage-based curriculum promoting nutrition messages through poems, storytelling, games, skits, music, and narrative problem-solving scenarios. Thirty-five seniors from two senior-serving organizations participated in interactive virtual and hybrid sessions. We evaluated participant feedback through a process evaluation with 5-point Likert-type-scale and open-ended items. <b>Results:</b> Seventeen participants completed the sessions and feedback surveys. Of these, 94%-100% reported that content information was clear and motivational with respect to eating healthier. Qualitative feedback included appreciation for historical content and enjoyment of the creative arts/storytelling. The virtual-only hybrid participants experienced technical issues. In-person participants had a 100% response rate on the process evaluation. <b>Conclusion</b>: The BWM-NS resonated with participants and fostered motivation for healthy behaviors. Challenges included technological glitches and limited survey responses among virtual participants. Non-traditional interventions with storytelling and cultural relevance offer potential promise in addressing health inequities among seniors with African descent. Federal nutrition policy should include culturally adaptive tools to promote healthy eating patterns, and future research should explore broader populations and leverage emerging technologies for effective program delivery and measuring health outcomes.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251354955"},"PeriodicalIF":1.2,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800626","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":"Church Committee Engagement in and Evaluation of an Online Faith-Based Training in a National Implementation Study.","authors":"Sara Wilcox, Ruth P Saunders, Jasmin Parker-Brown, Andrew T Kaczynski, Jessica Stucker, Deborah Kinnard, Kelsey R Day, Caroline Rudisill","doi":"10.1177/15248399251362162","DOIUrl":"https://doi.org/10.1177/15248399251362162","url":null,"abstract":"<p><p>Training is a commonly used implementation strategy to prepare organizational change agents in a variety of settings. Online training has the potential for more efficient and cost-effective scale-up of evidence-based interventions, but in-depth analysis of training engagement, especially in settings such as churches, is lacking. This study reported engagement with and evaluation of an online training for churches in the national implementation study of Faith, Activity, and Nutrition (FAN), an evidence-based program that targets church practices. Churches (N = 107) from 23 U.S. states (74.8% predominantly African American) and 442 committee members enrolled. Church committees, led by FAN coordinators, registered for the eight-lesson online training. Regarding training engagement, committee members completed 4.8±3.7 of eight lessons, and most who started the training finished it. They posted 1.8±3.0 times on the discussion board. Lesson completion and discussion board posts were higher among FAN coordinators and women and those older and not employed (p <.05). Just below half (42%) of churches submitted a FAN program plan, with submission more likely when the FAN coordinator completed the training or when the pastor completed at least one lesson (p <.05). Furthermore, quantitative and qualitative data showed favorable evaluations of the online training. The absence of differences in training engagement by education and race and the more favorable associations with increased age are highly promising indicators that this training can be scaled up to reach diverse learners. FAN coordinators, however, may need strategies to engage other committee members to initiate training.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251362162"},"PeriodicalIF":1.2,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800625","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":"Results From a Four-State Pilot Study of the Childcare Survey of Activity and Wellness (C-SAW), 2021.","authors":"Carrie A Dooyema, Kelly L Dahl, Nora Geary, Margaret West, Marissa Scalia Sucosky","doi":"10.1177/15248399251358765","DOIUrl":"https://doi.org/10.1177/15248399251358765","url":null,"abstract":"<p><p>Approximately 12.5 million young children are cared for in early care and education (ECE) settings at least once per week, making ECE an important setting to support nutrition, physical activity (PA), breastfeeding, and other health and wellness topics. National standards have been developed for the ECE setting, but the extent to which nutrition and PA standards are being translated to everyday policies and practices is unknown, as information has not been collected in a consistent way across states and communities. This brief report provides descriptive data from 221 ECE centers in four states in 2021 using a standardized survey called the Childcare Survey of Activity and Wellness (C-SAW). Information on the development, piloting, resulting descriptive data, and future implications for C-SAW in public health practice are presented in this brief. The C-SAW survey and all ancillary materials are freely available for use by public health professionals in states and communities to better understand ECE programs in their jurisdictions or to evaluate efforts to improve nutrition, PA, breastfeeding, and other health topics over time.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251358765"},"PeriodicalIF":1.2,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795860","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":"Preparing Public Health Education Advocates.","authors":"Alexis Blavos, Heidi Hancher-Rauch, Antonio J Gardner, Jodi Brookins-Fisher, Amy Thompson","doi":"10.1177/15248399251361103","DOIUrl":"https://doi.org/10.1177/15248399251361103","url":null,"abstract":"<p><p>According to the Health Education Specialist Practice Analysis (HESPA) II (see https://www.sophe.org/resources/hespa-ii-2020/), advocacy is listed as a standalone area of responsibility for health education specialists. Emerging data suggest that public health education faculty are not prepared to meet this responsibility in their pre-professional programs for a variety of reasons. Guidance must be provided to programs on acceptable preparation for advocacy skills in the health education profession. Ways to increase program and faculty readiness for advocacy teaching may include revised faculty training and reframing advocacy work to address political concerns. For example, the Public Health Advocacy Consensus Taskforce (see https://publichealth.jhu.edu/lerner-center/public-health-advocacy-consensus-task-force-ph-act) is diligently working on an Advocacy 2.0 model to help guide programs in the teaching of advocacy. Resources like these can help faculty utilize best practices in advocacy training for future health education specialists.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251361103"},"PeriodicalIF":1.2,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790416","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 Intervention to Promote Awareness and Implementation Accuracy of Food and Beverage Tax Policies in Stores on Navajo Nation.","authors":"Carmen George, Brianna John, Robert Alsburg, Renaldo Fowler, Malyssa Egge, Sharon Sandman, Rachel Whitman, Cameron Curley, Hendrik de Heer, Craig Manning, Caleigh Curley, Gloria Begay, Del Yazzie, Simental Francisco, Sonya Shin","doi":"10.1177/15248399251357619","DOIUrl":"10.1177/15248399251357619","url":null,"abstract":"<p><strong>Background: </strong>Unhealthy food and beverage taxes are gaining global momentum, but implementation complexities at the retailer level are poorly understood. The only such policy in the United States, a 2014 Navajo Nation legislation, applies a 2% tax to unhealthy foods and beverages, while exempting healthy foods and beverages from their 6% Navajo sales tax. In 2019, approximately half of small stores had not implemented both taxes correctly, primarily the tax exemption. Therefore, this study aimed to provide culturally-informed promotional materials to enhance implementation accuracy in these stores and test the impact.</p><p><strong>Methods: </strong>Stores (N = 20) were randomly assigned to receive early promotional materials versus a waitlist group. Three to 6 months later, we visited all stores to purchase healthy and less healthy items, at which time waitlist stores received materials. Implementation accuracy of the junk food tax and exemption were tracked and compared.</p><p><strong>Results: </strong>Overall implementation accuracy of both taxes increased from 0% to 20% at follow-up (p = .013). Tax waiver accuracy increased from 5% to 30% (p = .065). Comparing intervention versus waitlist stores, we observed no difference in implementation of tax exemption and a non-significant increase in accuracy of added tax on unhealthy foods and beverages (90% vs. 70%, p = .284). The study process revealed strengths and barriers to impactful store outreach.</p><p><strong>Discussion: </strong>Grounded in community partnership, we explored a promotional outreach strategy to enhance accurate implementation of Navajo Nation food and beverage taxes. Our findings suggest store outreach and promotional materials could address confusion issues, while barriers related to store capacity merit further exploration.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251357619"},"PeriodicalIF":1.2,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Students' Perceptions, Knowledge, and Experience in Providing Care to Transgender and Gender-Nonconforming Persons: A Qualitative Study.","authors":"Ilaria Basile, Daniele Rusconi, Livia Pellegatta, Marco Ghezzi, Maria Luisa Pancheri, Letteria Consolo","doi":"10.1177/15248399251354963","DOIUrl":"https://doi.org/10.1177/15248399251354963","url":null,"abstract":"<p><p>Transgender and gender-nonconforming individuals need access to diverse health services in welcoming, affirming, clinically appropriate, and culturally sensitive environments. Nursing students often feel underprepared due to limited knowledge and attitudes about transgender and gender nonconforming issues, and despite growing interest, research on their care remains limited. This study explores the perspectives of nursing students nearing graduation on providing care to transgender and gender-nonconforming persons. We conducted a qualitative descriptive exploratory study at the Fondazione IRCCS Istituto Nazionale dei Tumori, part of the University of Milan's Bachelor's School of Nursing. Individual semi-structured interviews were transcribed and analyzed using NVivo Version 14.23.2. Thematic analysis by Braun and Clarke was employed to derive themes from the data. Nineteen interviews were conducted, uncovering three main themes and eight subthemes related to students' knowledge, perspectives, and experiences on transgender and gender-nonconforming care. The findings indicated that the current curriculum often neglects transgender and gender-nonconforming specific issues, leading to insufficient practical experience and contributing to students' feelings of inadequacy. The participants highlighted the significant impact of societal attitudes and cisnormativity of the health care system on transgender and gender-nonconforming care. Furthermore, a generational gap was observed in attitudes toward transgender and gender-nonconforming individuals, with older health care providers often lacking sensitivity and knowledge compared with their younger counterparts. This study underscored the urgent need for educational reforms and ongoing professional development to address transgender and gender-nonconforming health issues, improve nursing education, and bridge generational gaps, thus fostering a more inclusive and equitable health care system to effectively address the unique needs of this population.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251354963"},"PeriodicalIF":1.2,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating an Adapted Professional Breastfeeding Support Program Targeting a Multidisciplinary Team Working in Community and Health Care Settings.","authors":"Julie A Patterson, Jessica D Rothstein, Nicholas S Keuler, Kevin T Yamamae","doi":"10.1177/15248399251350635","DOIUrl":"https://doi.org/10.1177/15248399251350635","url":null,"abstract":"<p><p>BackgroundA need exists for a flexible evidence-based breastfeeding support program for health professionals (HPs) and community health workers (CHWs) to increase continuity of care across health care and community settings. The online Outpatient Breastfeeding Champion (OBC) program may address this need.MethodThis study explored the strengths and limitations of adapting the in-person OBC program to an online format and its impact on participants' motivation to provide breastfeeding support using five constructs grounded in the Theory of Planned Behavior. HPs and CHWs registered for the OBC training between June 2020 and July 2021 (<i>n</i> = 534) were recruited to complete an online survey before and after training. Quantitative data were analyzed using paired <i>t</i>-tests to explore changes in providing breastfeeding support.ResultsTwo hundred seventy-nine participants completed the survey, of which 60 were paired for the quantitative analysis. There were significant improvements in participants' attitudes (<i>p</i> = .01), beliefs (< .01), and perceived behavioral control (<i>p</i>< .01). The magnitude of improvements remained similar regardless of socio-demographic characteristics. No changes were observed in subjective norms (<i>p</i> = 1.00) and behavioral intentions (<i>p</i> = .14). The online program increased connections among breastfeeding supporters from various geographic locations, disciplines, and levels of education, and facilitated ease of demonstrations. However, individual and systems-level challenges related to connectivity and online technology were present.ConclusionFindings suggest adapting an in-person program to an online format has the potential to positively impact psychosocial factors associated with improved breastfeeding support. Future research should explore barriers and facilitators to the implementation of these programs within health care and community settings.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251350635"},"PeriodicalIF":1.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Early Impact of the Hear Her® Communication Campaign.","authors":"Patricia Spencer, Lijing Ouyang, Shanna Cox, Heather Tevendale, Sarah Carrigan, Brittany Behm, Jacqueline Rosenthal, Ashley E Thompson, Mike Lakusta, Eric Strunz, Wanda D Barfield","doi":"10.1177/15248399251354966","DOIUrl":"10.1177/15248399251354966","url":null,"abstract":"<p><p>The Hear Her communication campaign was launched nationally in August 2020 to raise awareness of urgent maternal warning signs during and after pregnancy and improve communication between patients and their health care providers. To assess aided campaign awareness during early implementation, an internet panel survey was conducted a month after the campaign launch (Wave 1) with a follow-up survey 7 months later (Wave 2). The survey was fielded nationwide with enhanced recruitment for respondents in the campaign's priority markets: Atlanta, Dallas, New Orleans, New York, and St. Louis. Aided campaign awareness increased 14.2 percentage points overall among pregnant and postpartum survey participants between waves, with the highest increase in awareness among non-Hispanic Black pregnant and postpartum survey participants (19.8 percentage points). Among Wave 2 survey respondents, those aware of the campaign were more likely to search for information when something did not feel right (adjusted prevalence ratio [aPR] = 1.05), discuss concerns with someone close (aPR = 1.14), or desire more information from their health care provider on pregnancy-related complications or warning signs and symptoms (aPR = 1.62)-after adjustment for age, race/ethnicity, education, geographical location (residence in campaign's priority markets for media buys), and household income. These findings suggest that aided awareness of the Hear Her campaign increased among pregnant and postpartum survey participants in the first 7 months of the campaign and was associated with outcomes the campaign may influence. This study provides considerations for measuring outcomes associated with implementation of Hear Her and similar campaigns.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251354966"},"PeriodicalIF":1.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}