Health Promotion Practice最新文献

{"title":"National Initiative Pivots Amid a Global Pandemic: Lessons Learned From the InSideOut Initiative.","authors":"Jeffrey J Milroy, Ann Kearns Davoren, Stephen Hebard, Pauline Grist, Samantha Kelly, GracieLee Weaver, David L Wyrick","doi":"10.1177/15248399241285058","DOIUrl":"10.1177/15248399241285058","url":null,"abstract":"<p><p>SARS-CoV-2 (COVID-19) caused disruptions and challenges across the globe, and many public health interventions focused on addressing immediate and emergent needs directly related to COVID-19. At the same time, other community health needs persisted, and intervention collaborators faced new challenges with reaching their communities. One such intervention was the InSideOut Initiative, a systems approach aimed at creating more supportive cultures for school-aged athletes by assisting school leaders, athletics administrators, and coaches with developing social and emotional competencies. Formerly, an initiative dependent on in-person trainings, as a result of COVID-19, InSideOut needed to pivot their approach. InSideOut executives and intervention collaborators were interviewed to better understand what adaptations were made and what lessons were learned to continue their mission. Findings point to three primary themes: prioritizing the community, implementation innovations, and being open to content additions and adaptations. Future public health interventions could benefit from incorporating community assessment, remaining open to social innovation, actively looking for new solutions, and integrating formative, process, and outcome evaluation processes.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"643-646"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336981","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":"Restaurants as Environments for Healthy Eating: Factors That Contribute to Restaurant-Based Healthy Eating Program Adoption.","authors":"M Knapp, T Moore, A Lederer, M Kimball, Y Quantz, M Fuster, L Myers, C Johnson","doi":"10.1177/15248399241285573","DOIUrl":"10.1177/15248399241285573","url":null,"abstract":"<p><p><i>Purpose.</i> This study identified restaurant manager/owner factors that may contribute to adoption of a restaurant-based healthy eating program, Eat Fit. Findings may be used to engage restaurants in efforts to increase access to and availability of healthy foods, promote healthy food choices, and work toward improving diet and lowering obesity and chronic disease risk in the community. <i>Methods</i>. Cross-sectional survey data were collected from restaurant managers/owners interested in partnering with Eat Fit. Variables included restaurant manager/owner beliefs, perceived staff knowledge/skills, support, self-efficacy, outcome expectancies, and barriers and facilitators to implementation. <i>Results</i>. Forty-nine managers/owners participated. Most managers/owners held positive beliefs about offering healthy food items in restaurants (83.7%). Most agreed that restaurants could influence eating behaviors (83.7%) and that restaurants have a responsibility to offer healthy options (77.6%). Most managers/owners perceived high levels of support (83.7%) and were confident in their ability (95.9%) to implement the Eat Fit program. The most cited barriers were customer preference, ingredient availability, staff knowledge, and operational challenges. The most common reasons for involvement in the program were a desire to increase access to healthy food, to entice customers looking for healthier food, a belief that restaurants should offer healthy food, and opportunities to market through Eat Fit. <i>Conclusions</i>. This research contributes to knowledge about beliefs and perceptions of restaurant manager/owners. Efforts to engage restaurants should focus on benefits of offering healthy food and the role restaurants can play in promoting health. Furthermore, programs may benefit from enhanced restaurant staff training, customer-targeted marketing, and educational efforts.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"701-710"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406948","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":"Bolstering Access to HIV-Related Health care in Zimbabwe Among Young Mothers Living With HIV: Lessons Learned on HIV Health Promotion From Zvandiri's Young Mentor Mother Program.","authors":"Lauren S Tailor, Jonathan Angell, Syeda Hasan, Sharon Low, Nicola Willis, Abigail Mutsinze, Vivian Chitiyo, Peggy Kuchocha, Carmen H Logie","doi":"10.1177/15248399241278974","DOIUrl":"10.1177/15248399241278974","url":null,"abstract":"<p><p>HIV disproportionately affects adolescent girls and young women living in Southern Africa. Rates of perinatal HIV transmission are high in this population, emphasizing the need for targeted health promotion and public health programming to improve the health of young mothers living with HIV. Zvandiri, a non-profit organization in Zimbabwe, created the Young Mentor Mother (YMM) program in response to this issue. This health promotion program uses peer-led service delivery conducted by trained young mothers living with HIV, called YMMs. We conducted semi-structured virtual interviews (N = 29) among Zvandiri staff and YMMs to identify benefits and challenges, and to inform future program scaling. We applied thematic analyses to the transcriptions. Participant narratives revealed several themes, including three key benefits from the YMM program: (1) peer support, (2) holistic care, and (3) women's empowerment. Participants also shared barriers to the success of the program, reflecting two overarching dimensions: (1) barriers related to scaling up the YMM program and (2) challenges related to addressing socio-structural factors. Barriers to scale-up included limited funds and resources, and food insecurity. Socio-structural challenges included HIV-related stigma, cultural and geographic differences, and intimate partner violence (IPV). These challenges align with the social-ecological model, whereby structural factors (lack of funding, food insecurity), community factors (HIV-related stigma, socio-cultural differences in accepting HIV care), and interpersonal factors (IPV) affect the implementation and scale-up of the program. We recommend future adopters of the YMM program to tailor the model for their community, prioritize peer supporter's well-being, foster women's empowerment, and adopt a holistic care approach.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"719-734"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337071","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":"Sustainability Strategies for Multisector Community Partnerships Addressing Social Determinants of Health.","authors":"Sa'Nealdra T Wiggins, LaShawn Glasgow, Becky Durocher, Erin Bayer, Marcus Plescia, Peter Holtgrave, Karen Hacker","doi":"10.1177/15248399241278968","DOIUrl":"10.1177/15248399241278968","url":null,"abstract":"<p><p>Multisector community partnerships (MCPs) are a key element of the public health approach to addressing social determinants of health (SDOH). The Improving SDOH-Getting Further Faster (GFF) retrospective evaluation of MCP-driven SDOH interventions was designed to generate practice-based evidence that can help guide partnerships' efforts to improve chronic disease outcomes and advance health equity by addressing SDOH. This article shares Year 2 GFF findings related to sustainability strategies for partnerships focused on SDOH and their interventions. GFF partnerships' reported sustainability strategies, including establishing shared goals and increasing partners' capacity for SDOH work through training, align well with the rich coalition building evidence base. Findings also indicate some evolution of sustainability strategies, such as adopting team-based, decentralized leadership models to help guard against partner or staff turnover. Organizations looking to form, fund, or provide technical assistance to MCPs that address SDOH can use the practice-based insights shared in this research brief to plan ahead for sustainability.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"637-642"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298770","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":"Evaluation of Health Education Events With a Peer-to-Peer Component in Public High Schools.","authors":"Tai Metzger, Alex Zepeda, Naomi Wilcox","doi":"10.1177/15248399241258462","DOIUrl":"10.1177/15248399241258462","url":null,"abstract":"<p><p>Despite many improvements in childhood health outcomes, many children experience chronic health conditions and engage in unhealthy behaviors that can negatively affect the rest of their lives. School-based health education is one strategy to promote healthier lifestyles among children. Although health education is very prevalent in the United States, the methods used for this education are not well studied. Health education events such as voluntary tabling events (booths) were held by peer student educators and adult allies from the LA Trust for Children's Health. This program evaluation studied the effects of voluntary peer-to-peer health education tabling events and a more traditional mandatory school-based health presentation. We analyzed survey responses from 343 high school students who attended 19 health education events at 8 public high schools in Los Angeles County. The results showed that health education tabling events at schools were viewed positively by students, allowing the vast majority to report learning useful information. The impact of the tabling events varied somewhat between grade levels and health topics. These findings can assist schools, health organizations, and health care providers in tailoring their programming to better disseminate health education materials and information, as well as understanding which health topics are interesting to students.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":"26 4","pages":"647-656"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530430","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":"Qualitative Insights Into Healthcare Professionals' Perceived Barriers in Providing Equitable and Patient-Centered Care to Members of the LGBTQI+ Community in Greece.","authors":"Ilias Pagkozidis, Anna Bettina Haidich, Loukas Athanasiadis, Theodoros Dardavesis, Zoi Tsimtsiou","doi":"10.1177/15248399241275632","DOIUrl":"10.1177/15248399241275632","url":null,"abstract":"<p><p>LGBTQI+ individuals often face health disparities, with encumbered outcomes. We investigated the perspectives of a wide range of Greek health professionals using a battery of questionnaires examining LGBTQI+ health-related knowledge, attitudes, and clinical preparedness, while exploring the potential challenges they face when providing care for LGBTQI+ patients via qualitative analysis of their free text answers. In total, 220 health professionals participated, including physicians, nurses, dentists, physiotherapists, social workers, nutritionists, medical laboratory professionals, pharmacists, radiographers, and health promotion specialists. Four main themes were revealed concerning the barriers to providing equitable and patient-centered care to LGBTQI+ individuals: (1) Inadequate knowledge (1a. Distinctive health issues of the LGBTQI+ community, 1b. Community-related terminology), (2) Insufficient communication skills (2a. General approach of LGBTQI+ patients, 2b. Addressing LGBTQI+ individuals, 2c. Managing critical attitudes of colleagues/third parties), (3) Personal perceptions (3a. Attitudes toward the LGBTQI+ community, 3b. Perceptions on the necessity of sexual health history), and (4) Ambiguous bureaucratic procedures. Self-identification, contact with community members in personal life, as well as LGBTQI+ patients' openness during the encounter were reportedly enabling inclusive care. Most participants (83.2%) expressed willingness for further training on LGBTQI+ health issues. Going forward, study participants identified this field, in conjunction with communication skills, as important areas of focus for training health providers and empowering them to provide equitable, patient-centered, high-quality care to the LGBTQI+ community.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"735-745"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298769","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":"Youth Market: Evaluation of a Paid Summer Internship to Promote Food Justice in Northern Manhattan.","authors":"Julen N Harris, Kyle E Murray, Carey A Jernigan, Ana Escalante Rodriguez, John C Rausch","doi":"10.1177/15248399241285493","DOIUrl":"https://doi.org/10.1177/15248399241285493","url":null,"abstract":"<p><p>Engaging adolescents and young adults in food justice initiatives is a powerful tool to address the complex landscape of food-related inequities. Youth Market is a paid 8-week summer internship in Northern Manhattan that engages 16- to 22-year olds in managing a farm stand, leading nutrition workshops, and distributing food to families experiencing food insecurity. Through a positive youth development lens, the program aims to empower interns to become ambassadors of healthy food access in their community, while supporting their personal health and career goals. Matched, de-identified, pre-post online surveys of Summer 2021 and 2022 interns and a 1-year follow-up survey of Summer 2021 interns used Likert-type scale and open-ended questions to assess program satisfaction and perceived knowledge, attitudes, and self-efficacy regarding nutrition behaviors, food insecurity resources, and community connectedness. Pre-post results (n = 35) demonstrated high program satisfaction and statistically significant increases in interns' self-reported fruit and vegetable consumption, confidence in ability to share information about healthy eating and food insecurity resources, and sense of community connectedness. Longitudinal results (n = 13) showed some significant improvements from baseline. Youth Market demonstrates a valuable model for youth engagement in paid work to promote community access to healthy food, improve knowledge and resource-sharing related to nutrition and food insecurity, and support youth career development.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":"26 4","pages":"657-665"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530431","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":"Understanding Newcomer Challenges and Opportunities to Accessing Nature and Greenspace in Riverdale, Hamilton, Ontario: A Neighborhood-Centered Photovoice Study.","authors":"Sujane Kandasamy, Matthew Y Kwan, Parsa K Memon, Dipika Desai, Russell J de Souza, Patty Montague, Diana Sherifali, Gita Wahi, Sonia Anand","doi":"10.1177/15248399231225927","DOIUrl":"10.1177/15248399231225927","url":null,"abstract":"<p><p>BackgroundAccess to and engagement with greenspace is related to improved health benefits. We sought to collaborate with community members as partners in research and co-creators in knowledge to better understand which components within a newcomer-dense community help or hinder individual and community efforts to access greenspace and nature-based activities.MethodsWe used photovoice methodology to engage with local residents in focus groups, photowalks, and photo-elicitation interviews. Themes were developed using direct content analysis.ResultsA total of 39 participants (ages 11-70 years; median years in Canada of 3.25 years) were engaged in this program of research. From the analysis, we developed four themes: (a) peace and beauty; (b) memories of home; (c) safety and cleanliness; and (d) welcoming strengthened and new opportunities. Participants associated nature with peace, citing it as \"under-rated\" but \"vital\" to the neighborhood. Via photographs and stories, participants also shared a multitude of safety concerns that prevent their access to green/outdoor spaces for healthy active living programs or activities (e.g., woodchip-covered playgrounds, ample amounts of garbage littering the park and school grounds, lack of timely ice removal on sidewalks, limited safe biking paths, and unsafe motor vehicle practices at the crosswalks surrounding local parks).ConclusionTo translate the key ideas and themes into an informed discussion with policy and decision-makers, we held an in-person exhibition and guided tour where community members, the lead photovoice researcher, and SCORE! principal investigator shared information about each theme in the form of a pseudo-narrative peppered with prepared discussion questions.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"666-676"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693248","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":"Sharing Social Needs Data Across Sectors: Lessons From the Centers for Medicare and Medicaid Services Innovation Center's Accountable Health Communities Model.","authors":"Alyssa Bosold, Barbara Singhakiat, Maya Talwar-Hebert, Shauna Robinson, Alek Shybut, Gigi Crane, Toni Abrams Weintraub","doi":"10.1177/15248399241275618","DOIUrl":"10.1177/15248399241275618","url":null,"abstract":"<p><p>Health-related social needs (HRSNs), like unstable housing, inability to afford utilities, food insecurity, unreliable transportation, and lack of personal safety, profoundly affect people's health and well-being. Between 2017 and 2022, awardees of the Accountable Health Communities Model (AHC) addressed the health-related social needs of Medicare and Medicaid beneficiaries through screening, referral, and community navigation services. Using and sharing HRSN data between clinical and community partners was a critical component of these efforts. This article shares findings from focus groups and interviews with 19 AHC awardees and seven of their partners. It explores the following:1. Whether sharing HRSN data with clinical partners informed clinical care2. Successes and challenges related to sharing data with community-based organizations (CBOs) and clinical partners3. How awardees collected and used HRSN data to advance health equityHalf of awardees interviewed documented HRSNs in electronic health records and shared aggregated HRSN data with CBOs. HRSN data enabled some clinicians to adjust patient care, although most were uncertain about how to do so. Participants described how sharing HRSN data with communities informs program and funding priorities to improve equity. However, CBOs noted that they had limited incentive to participate in data-sharing platforms. Our work highlights opportunities to provide guidance to clinicians on how to use HRSN screening results in care, standardize HRSN screening results in electronic health records, and co-create data-sharing initiatives with CBOs and patients to ensure meaningful participation.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"624-629"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113487","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":"Expanding the Public Health Pipeline Through the Public Health Influencers Summer Institute.","authors":"Matthew Fifolt, Jessica Chambliss, Meena Nabavi, Paulisha Holt, Lisa C McCormick","doi":"10.1177/15248399241240402","DOIUrl":"10.1177/15248399241240402","url":null,"abstract":"<p><p>The need for a robust public health system in the United States is critical for safeguarding population health. However, current data suggest an insufficient number of individuals entering or staying in the governmental public health workforce. Expanding the public health pipeline requires creative thinking about recruitment and training activities. To attract students to public health and other health-related fields, including medicine, one institution in the Southeast recently initiated the Public Health Influencers Summer Institute (PHISI), a program that addresses the beginning of the career development continuum: recruitment of high school students. For this investigation, we reviewed evaluation data of the PHISI and provided descriptive analyses and selected quotes to reflect student learning. Participants reported increased familiarity with all public health topics after participating in the program, with the greatest increases in public health policy and social determinants of health. In addition, all participants reported increased or significantly increased understanding of public health after participating in the program. While interest in the field of public health increased due to the COVID-19 pandemic, there are not enough individuals entering or staying in the public health workforce, leaving a critical shortfall. Introducing high school students to the field of public health may increase their interest in entering the public health workforce in the future, thereby strengthening the overall public health infrastructure. We propose that the PHISI may be an innovative strategy for increasing both the number and diversity of students interested in pursuing a career in public health.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"597-601"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140330224","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}