Health Promotion Practice最新文献

{"title":"Factors Influencing Equitable Participation in a Provincially Implemented Older Adult Exercise Program in Canada: Qualitative Analysis Using the Health Equity Implementation Framework.","authors":"Wendy S Verity, Heather Foulds, Cari McIlduff, Daniel Fuller, Anne Leis","doi":"10.1177/15248399261477402","DOIUrl":"https://doi.org/10.1177/15248399261477402","url":null,"abstract":"<p><strong>Background: </strong>Group-based exercise programs for older adults produce substantial health benefits, yet they often fail to reach equity-deserving populations in representative proportions. An understanding of local and systemic factors surrounding exercise programs is needed to guide strategies to reduce these gaps.</p><p><strong>Purpose: </strong>Our purpose was to understand the local and system-wide factors that influence equitable participation in the Forever . . . in <i>motion</i> (FIM) older adult exercise program in Saskatchewan, Canada.</p><p><strong>Methods: </strong>Seventeen people who served as program implementers and/or exercise leaders in the FIM program participated in semi-structured interviews. Guided by the Health Equity Implementation Framework (HEIF), codebook thematic analysis involved coding into categories of the HEIF and then inductively eliciting themes relevant to equity-focused implementation.</p><p><strong>Results: </strong>Innovation characteristics such as low-cost, adaptive group exercise in community settings and online options for attending training courses or exercise classes helped promote equity, as did leader and implementer characteristics and contextual factors that centered on community collaboration. Other HEIF domains negatively impacted equitable participation, including participant barriers relating to social determinants of health, lack of knowledge in the leader and implementer, and contextual factors such as a lack of equity-focused goals or metrics or varied levels of implementation support across jurisdictions. Three themes were identified: <i>A Disjointed Provincial System</i>, <i>Inclusion is Poorly Understood and Actioned</i>, and <i>Goals and Measures Lack an Equity Focus</i>.</p><p><strong>Conclusion: </strong>Implementation frameworks such as the HEIF can help health-promotion professionals develop a comprehensive understanding of determinants of inequities and guide strategies to address equity-related gaps.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261477402"},"PeriodicalIF":1.5,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760699","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 Community Readiness for Preconception Care: A Qualitative Assessment of Stakeholder Perspectives.","authors":"Naveen K, Swati Misra, Vidhvat Vijay, Sahil B Wawre, Abhishek V Raut","doi":"10.1177/15248399261474521","DOIUrl":"https://doi.org/10.1177/15248399261474521","url":null,"abstract":"<p><p>Maternal mortality remains a global concern, with more than 700 women losing their lives each day in 2023. Preconception care (PCC) improves maternal and child health by addressing preventable risks. Assessing community readiness ensures effective implementation. The study aims to assess community readiness for PCC interventions using the Community Readiness Model to identify local barriers and facilitators. This qualitative study used an exploratory approach to evaluate community readiness for PCC, incorporating diverse stakeholder perspectives. It was conducted in selected villages within the field practice area of a rural tertiary care teaching hospital in India between April and August 2024. Stakeholders, including health service provider, local governance representatives, administrative liaison, and community beneficiaries, were purposively selected, and 19 in-depth interviews were included using a purposive sampling technique, capturing varying levels of community involvement. Institutional ethical approval (IEC/406/2023) was obtained, and informed consent was collected from participants. Community readiness was assessed through a nine-level framework using stage-based scoring analysis grounded in the Community Readiness Model, with thematic analysis complemented by triangulation to validate findings and enhance reliability. Overall consensus community readiness score of the current study was 3.09, indicating moderate readiness for PCC (vague awareness stage) across communities. The stakeholder's scores ranged from 3.60, reflecting strong preparedness, to the lowest 2.15, highlighting significant gaps in readiness in certain areas. The findings of the study suggest that although some stakeholders are well-prepared, targeted interventions are needed to enhance readiness in communities with lower engagement and resource availability. Raising community awareness ensures women access quality PCC, improving maternal and child health and reducing mortality.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261474521"},"PeriodicalIF":1.5,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural Tailoring and Anti-Smoking Messaging: A Formative Study on the Effect of Tailored Messages for Young Adult Sexual Minority Women.","authors":"Sixiao Liu, Elaine Hanby, Jarvis T Chen, Shoba Ramanadhan, Bob Gordon, Mitchell R Lunn, Jennifer Potter, Juno Obedin-Maliver, Nfn Scout, Andy S L Tan","doi":"10.1177/15248399261468676","DOIUrl":"https://doi.org/10.1177/15248399261468676","url":null,"abstract":"<p><p>Cultural tailoring is increasingly recognized in sexual and gender minority (SGM) focused health interventions, yet its effectiveness in anti-smoking messages for sexual minority women (SMW) remains underexplored. This formative study examined how culturally tailored messages were received among SMW populations. Using a quantitative online experiment (<i>N</i> = 155), we investigated whether tailored messages are more effective than non-tailored messages in influencing SMW's message perceptions (i.e., perceived message effectiveness and perceived targetedness) and whether message effects varied by sexual orientation. Participants were randomly assigned to view either SGM-tailored messages, which featured rainbow colors and LGBTQ+-themed slogans, or non-tailored messages that used pink colors and slogans highlighting general women's health. Tailored and non-tailored anti-smoking messages were equally influential in shaping young adult SMW's message perceptions. However, variations were observed within different SMW subgroups. Compared to bisexual participants, gay/lesbian participants and those with another sexual orientation (e.g., asexual, queer, and pansexual) showed a preference for tailored messages, with gay/lesbian participants rating non-tailored messages as less effective and those of another sexual orientation considering non-tailored messages as less personally relevant. In contrast, bisexual participants reported relatively high message effectiveness across both conditions but did not find either message type particularly targeted. These findings suggest that while broad tailoring efforts may enhance general appeal, their impact may vary across SMW subgroups. More nuanced and inclusive tailoring strategies may be needed to strengthen the relevance and impact of health communication among SMW populations.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261468676"},"PeriodicalIF":1.5,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670846","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-Promoting Behaviours in Myanmar Migrants: Association With Acculturation, Perceived Stress, and Behaviour-Specific Cognitions and Affects.","authors":"Htet Shwe Wah Oo, Ratsiri Thato","doi":"10.1177/15248399261466145","DOIUrl":"https://doi.org/10.1177/15248399261466145","url":null,"abstract":"<p><p>Health-promoting behaviours (HPBs) in migrants are essential to protect their overall well-being. However, empirical evidence is lacking regarding the factors influencing HPBs in registered Myanmar migrants in Thailand. This study aimed to examine direct and indirect paths of relationships among acculturation, perceived stress, behaviour-specific cognitions and affects, and HPBs in registered Myanmar migrants in Bangkok. A cross-sectional study was conducted with multistage random sampling of 400 Myanmar migrants residing in Bangkok. The settings were lodging in factories where the migrants reside and work in Bangkok. Structured questionnaires included the East Asian Acculturation Measure (EAAM), Perceived Stress Scale (PSS-10), the Benefit Assessment Scale (BES), Barrier Assessment Scale (BAS), Self-Rated Abilities for Health Practices Scale (SRAHP), the Multidimensional Scale of Perceived Social Support (MSPSS), and Health-Promoting Behaviours Lifestyle Profile II (HPLP-II). The data were analysed using structural equation modelling (SEM). Perceived stress had significant indirect effects on HPBs through perceived benefits, self-efficacy, and social support. Perceived benefits, self-efficacy, and social support had a significantly strong and positive direct effect on HPBs. Effective nursing intervention should be developed to reduce stress and promote perceived benefits, self-efficacy, and social support, leading to improved HPBs in registered migrants in Myanmar.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261466145"},"PeriodicalIF":1.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608758","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":"Developing an Educational Video to Promote University Students' Awareness of Hearing Loss Caused by Personal Listening Devices.","authors":"Mehdi Ali Akbarlou, Elham Tavanai, Vida Rahimi, Akram Farahani, Samin Azimi","doi":"10.1177/15248399261466160","DOIUrl":"https://doi.org/10.1177/15248399261466160","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the impact of a short educational video on students' knowledge and attitudes regarding the risks associated with improper use of personal listening devices.</p><p><strong>Methods: </strong>The study employed a quasi-experimental design involving 242 students from Tehran University of Medical Sciences. Participants completed a questionnaire assessing knowledge, attitudes, and practices at three time points: prior to viewing a short educational video, 1 week after the intervention, and 1 month later. The video was developed to address noise-induced hearing loss associated with personal listening device use, and its content validity was evaluated by an expert panel. Statistical analyses were conducted to assess changes in participants' knowledge, attitudes, and practices across the three assessment points.</p><p><strong>Results: </strong>At baseline, 74.8% of participants were aware that high volume levels can affect hearing, but only 35.5% reported having sufficient information regarding exposure to loud noise. In addition, 50.8% indicated a preference for lowering the volume of their personal listening devices. Median knowledge scores increased from 66.7 at baseline to 88.9 at both follow-ups (χ² = 145.2, <i>p</i> < .001). Attitude scores improved from 66.7 to 88.9 at 1 week and remained above baseline at 1 month (χ² = 123.6, <i>p</i> < .001), while practice scores increased from 53.8 to 69.2 at both follow-ups (χ² = 127.2, <i>p</i> < .001).</p><p><strong>Conclusion: </strong>The findings suggest that students' knowledge regarding safe use of personal listening devices may be limited, which could negatively influence their listening behaviors. These results highlight the need for targeted and time-efficient educational strategies. Brief video-based interventions, such as the one used in this study, may promote hearing health awareness and safer listening practices among young adults.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261466160"},"PeriodicalIF":1.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608787","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":"An Exploratory Study of Sober Tailgate Programming at Colleges With Football Teams.","authors":"Christopher M Seitz, Marianne Yingling, Muhsin Michael Orsini","doi":"10.1177/15248399261465309","DOIUrl":"https://doi.org/10.1177/15248399261465309","url":null,"abstract":"<p><p>Heavy drinking is a core staple in the culture of college football tailgating. In response to the drinking culture of tailgates, scholars recommend that collegiate recovery programs (CRPs) implement innovative \"sober tailgate\" programming; however, little is known regarding how many colleges have sober tailgate programs, and how such programs are logistically implemented. As such, the purpose of this study was to explore these issues and contribute to the knowledge base on this topic within a socio-ecological perspective. In the fall semester of 2023, the leaders of CRPs at colleges with a football program and an advertised sober tailgate program were invited to complete an online questionnaire about their tailgate. From a total of 667 colleges with a football program, there were only 14 (2%) that had a CRP that advertised sober tailgate programming. From those, 7 (response rate = 50%) CRP leaders completed the study's questionnaire. CRP leaders reported that a variety of on-campus and off-campus groups (e.g., campus administration, treatment facilities, parents of students) help to fund and support sober tailgate programming. Even with common barriers to program implementation, most CRP leaders perceived sober tailgating as successful, well-attended, and led to a few attendees participating in future campus recovery meetings. Health promotion practitioners should consider implementing sober tailgates, and may want to use this study's findings for planning purposes.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261465309"},"PeriodicalIF":1.5,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585785","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":"Building Digital Health Communication Capacity: A Process Evaluation of the Infodemiology Training Program.","authors":"Erika Bonnevie, Maddie Kapur, Roxanne Alvarado-Torres, Emma Prus, Tyler Janzen, Megan Barber, Joe Smyser, Brian C Castrucci","doi":"10.1177/15248399261465408","DOIUrl":"10.1177/15248399261465408","url":null,"abstract":"<p><p>The COVID-19 pandemic accelerated demand for public health professionals trained in infodemiology, or the science of using health-related information, particularly in digital environments, to inform public health decision-making. To build workforce capacity, The Public Good Projects and the de Beaumont Foundation developed the Infodemiology Training Program (ITP), an asynchronous, online course designed for professionals in U.S. state and local health departments. This process evaluation describes the development, pilot testing, and implementation of the ITP, along with early indicators of its reach, relevance, and use in practice. Mixed methods were used to assess program engagement and outcomes, including platform metrics (<i>n</i> = 3,319 registrants), surveys (<i>n</i> = 61), and interviews (<i>n</i> = 4). Quantitative data showed high engagement in Module 1 (49.5% completion), declining across subsequent modules. More than half of survey respondents (60.0%) reported applying the training in their work, and 92.5% found it relevant to their roles. Qualitative findings indicated participants valued the program's flexibility, applicability, and emphasis on misinformation response. Barriers to completion included time constraints and misalignment with job responsibilities. Findings suggest that while the ITP filled an important training gap, shorter segments and applied learning tools may support future uptake. The ITP represents an early step toward formalizing infodemiology practice in the U.S. public health workforce, with future directions focused on integration into academic programs and public health systems.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261465408"},"PeriodicalIF":1.5,"publicationDate":"2026-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148498205","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-Sectoral Partnerships for Physical Literacy: Setting the Scene for Evaluation.","authors":"Chelsea Pelletier, Caroline Wu, Guy Faulkner, Patti-Jean Naylor","doi":"10.1177/15248399261460357","DOIUrl":"https://doi.org/10.1177/15248399261460357","url":null,"abstract":"<p><p>The physical literacy for communities (PL4C) project aimed to promote physical literacy using a participatory community mobilization approach; organizing multi-sectoral community-led tables that developed and promoted physical literacy initiatives. As part of a scale-up across Canada, we set out to design an evaluation protocol to assess the effectiveness of the PL4C intervention that was aligned with table processes and activities. We conducted interviews with members of two original community tables that would then serve as exemplar communities for the scale-up evaluation with the goal of understanding: (1) how the existing PL4C intervention functioned; and (2) the promotion of physical literacy in these communities. Through qualitative interviews with 13 (11 women) existing PL4C table members, we identified three broad categories: working together, sustainability, and promoting physical literacy in different settings. Participants identified several areas important for evaluation of PL4C scale-up and implementation, including unpacking partnership operations and capacity building, supporting and understanding the sustainability of multi-sectoral action, and measuring the effectiveness of physical literacy program delivery. We used findings from these interviews to design an evaluation of the PL4C intervention that included milestone tracking, interviews and surveys with table members and community leaders, and direct measures of physical literacy alongside school and community-based physical literacy interventions being delivered in exemplar communities.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261460357"},"PeriodicalIF":1.5,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449927","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 Potential of Photovoice as a Participatory Method in Examining Mental Health and Informing Mental Health Promotion: Three Examples From Australia, Spain, and Denmark.","authors":"Line Nielsen, Elena Bermejo-Martins, Rob J Donovan, Cecilie Schacht Madsen, Charlotte Bjerre Meilstrup, Christina Mary Pollard, Vibeke Jenny Koushede, Malene Kubstrup Nelausen","doi":"10.1177/15248399261458662","DOIUrl":"https://doi.org/10.1177/15248399261458662","url":null,"abstract":"<p><p>This article examines the use of photovoice as an engaging method in mental health promotion to focus on environmental and structural factors affecting mental health and well-being. The approach aligns with the socioecological model, which considers multiple levels of influence on mental health, including individual, interpersonal, community, and societal factors. The photovoice method empowers participants to capture and communicate their experiences and perspectives on mental health to others through photography. The participatory nature of the method may shift the focus from individual-level factors to broader contextual influences. In this article, examples of photovoice applied in mental health promotion are presented through three case studies: 1) photovoice as a way to engage people in the Act-Belong-Commit campaign in Western Australia; 2) photovoice in nursing education focusing on community assets for mental health in Spain; and 3) photovoice focusing on students' perspectives on mental health-promoting resources in a university setting in Denmark. The examples show that photovoice can be used in various settings, empowering participants and contributing to the development and implementation of mental health promotion initiatives, capacity building, and research projects. The article discusses implications of using the photovoice methodology in examining mental health and informing mental health promotion practices and research.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261458662"},"PeriodicalIF":1.5,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413007","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":"Parental Vaccine Hesitancy Toward Childhood Immunization: A Cross-Sectional Study in a Third-Class Municipality in the Philippines.","authors":"Indah Amina An-Nur S Ulay, Cherry May L Delos Trinos, Chona D Alejandro, Joan B Villarin, Leona F Villas, Artemio M Gonzales","doi":"10.1177/15248399261463540","DOIUrl":"10.1177/15248399261463540","url":null,"abstract":"<p><p>Immunization is a key public health strategy for preventing vaccine-preventable diseases; however, vaccine hesitancy remains a persistent challenge. This study determined the level of vaccine hesitancy among mothers of non- and under-immunized children aged 0-24 months in a third-class municipality in Occidental Mindoro, Philippines. A community-based cross-sectional study was conducted in Magsaysay, Occidental Mindoro, from February to July 2020. A total of 299 mothers participated. Data were collected using a structured questionnaire assessing vaccine hesitancy across the domains of confidence and trust, complacency, and perceived risk. Descriptive statistics summarized participant characteristics and hesitancy levels, while nonparametric tests examined associations between sociodemographic factors and vaccine hesitancy domains at a significance level of <i>p</i> < .05. Results showed that work status was significantly associated with perceived confidence and trust (<i>U</i> = 5408.50, <i>p</i> = .03) and perceived complacency and risk (<i>U</i> = 5122.00, <i>p</i> < .01), with stay-at-home mothers reporting higher ranks in both domains. Marital status was significantly associated with perceived confidence and trust, <i>H</i>(3) = 25.07, <i>p</i> < .01. Geographic location, <i>H</i>(2) = 24.61, <i>p</i> < .01, prenatal visit history, <i>H</i>(2) = 17.20, <i>p</i> < .01, and health information sources were also significantly associated with perceived confidence and trust, <i>H</i>(5) = 19.04, <i>p</i> < .01, and perceived complacency and risk, <i>H</i>(5) = 32.50, <i>p</i> < .01. These findings highlight the importance of targeted health communication strategies that address determinants of vaccine hesitancy. Engaging health care providers and leveraging trusted information sources may strengthen vaccine confidence and improve routine childhood immunization uptake.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261463540"},"PeriodicalIF":1.5,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148412968","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}