Pablo Fernández-León, Marta Lima-Serrano, Javier Fagundo-Rivera, José Manuel Martínez-Montilla
{"title":"Planning, implementation, evaluation, and sustainment of digital health interventions for adolescent substance use prevention: a systematic review of influencing factors based on the RE-AIM framework.","authors":"Pablo Fernández-León, Marta Lima-Serrano, Javier Fagundo-Rivera, José Manuel Martínez-Montilla","doi":"10.1093/her/cyaf021","DOIUrl":"10.1093/her/cyaf021","url":null,"abstract":"<p><p>School-based health interventions can help prevent adolescent substance use, but their success depends on various factors affecting planning and evaluation. This study examines the factors that facilitate or hinder the success of school-based digital health interventions. A systematic review was conducted in September-October 2024, following PRISMA guidelines, using PubMed, Scopus, Web of Science, CINAHL, and PsycINFO databases. From a total of 2530 studies, after removing duplicates and screening titles and abstracts, 51 full-text articles were assessed and 12 met the inclusion criteria. Data were extracted using an adapted tool for systematic reviews applying the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework. The methodological quality was assessed with Joanna Briggs Institute tools. The studies included cluster-randomized controlled trials, quasi-experimental designs, and one cross-sectional study, primarily targeting adolescents aged 11.9-17.4 years, with sample sizes ranging from 90 to nearly 5000 participants. Most interventions were implemented in schools in the USA, Europe, and Taiwan, with balanced gender distribution. Many studies reported on reach and effectiveness in reducing substance use, particularly alcohol. However, adoption and implementation factors influencing school participation were less frequently addressed, and maintenance was not mentioned. To maximize impact, future efforts should focus on enhancing sustainment and participation by leveraging emerging technologies for personalization.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lucas R W Fairs, Farzana Rahman, Beheshta Momand, Anne Philipneri, Celina Degano, Marcella Bianco, Dale S Mantey, Steven H Kelder, Adam G Cole
{"title":"Canadian student and presenter perceptions of the appeal, appropriateness, and comprehensiveness of the CATCH My Breath vaping prevention curriculum.","authors":"Lucas R W Fairs, Farzana Rahman, Beheshta Momand, Anne Philipneri, Celina Degano, Marcella Bianco, Dale S Mantey, Steven H Kelder, Adam G Cole","doi":"10.1093/her/cyaf018","DOIUrl":"10.1093/her/cyaf018","url":null,"abstract":"<p><p>Nicotine vaping is common among Canadian youth. However, there is a lack of evidence for effective school-based prevention approaches targeting nicotine vaping, particularly for high school students. This study explored Canadian student and presenter perceptions of the CATCH My Breath (CMB) curriculum's appeal, appropriateness, and comprehensiveness. A convenience sample of 10 high schools across Ontario, Canada, implemented the CMB curriculum between October 2022 and April 2023. A group of 40 students between 13 and 15 years old participated in six focus groups and 12 curriculum presenters [i.e. teachers and public health unit staff (PHU)] completed interviews to provide feedback about the appeal, appropriateness, and comprehensiveness of the curriculum for Canadian high school students. Qualitative thematic analysis identified major themes from both groups. Presenters and students highlighted key aspects of the curriculum, including the negative health risks of vaping, refusal skills development, and use of engaging activities. Presenters and students offered suggestions for improvement, including extending the session length, using up-to-date relevant statistics, and adding content (e.g. personal testimonies). Presenters and students generally thought that the curriculum was comprehensive, appealing, and appropriate for Canadian high school students. Future studies should evaluate the impacts of the curriculum on student vaping behaviours.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hassan Rezaeipandari, Sara Jambarsang, Afsaneh Kakanaeini
{"title":"Effectiveness of multiple interventions based on the Positive Education about Aging and Contact Experiences model on the attitudes towards older adults among students.","authors":"Hassan Rezaeipandari, Sara Jambarsang, Afsaneh Kakanaeini","doi":"10.1093/her/cyaf023","DOIUrl":"https://doi.org/10.1093/her/cyaf023","url":null,"abstract":"<p><p>Attitudes towards older adults can affect their health and quality of life. Evidence shows that the most negative attitudes have been observed among adolescents and young adults. Therefore, this study aimed to investigate the effect of a multi-intervention based on the Positive Education about Aging and Contact Experiences (PEACE) model on the students' attitudes towards older adults. This interventional study involved 100 male and female students from Naein City, Isfahan Province, Iran, selected through a multi-stage random sampling method. The participants were randomly divided into two groups (control group, n = 50 and intervention group, n = 50). The intervention employed a variety of methods based on the PEACE model. This study's assessment comprised three stages: pre-intervention, immediate post-intervention, and a 4-month post-intervention (follow-up). After the intervention, the attitude, appreciation, and prejudice dimensions scores in the intervention group were significantly higher than in the control group (P < 0.001). In follow-up, no significant difference was observed in the attitude scores between the control and intervention groups (P = 0.974). Applying various strategies derived from the PEACE model has significantly shaped students' attitudes towards older adults.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Determination of birth perception and maternal blues levels of vaginally delivered postpartum women with and without prenatal education programme: a comparative study.","authors":"Hediye Karakoç, Hafizenur Karaduman, Esra Salmancı","doi":"10.1093/her/cyaf017","DOIUrl":"https://doi.org/10.1093/her/cyaf017","url":null,"abstract":"<p><p>This study aimed to determine the levels of birth perception and maternal blues among postpartum women who received and did not receive prenatal education programmes. This study, which had a cross-sectional descriptive design, included women who had received prenatal education (n = 64) and women who had not (n = 64). Research data were collected using a Descriptive Information Form, Perception of Birth Scale, and Suryani Maternal Blues Scale. Data were collected twice on the second and fifth postpartum days. Significant differences were found between groups in terms of perception of birth scale scores on both the second day postpartum and the fifth day postpartum for childbirth perception, childbirth experience, pain experience, partner involvement, awareness, and postpartum experience. Regarding maternal blues scale scores, a significant difference was found between groups in terms of responsibility on the fifth day postpartum. This study provides insights into the effects of prenatal education on childbirth perception and maternal blues levels, offering implications for future maternal care practices. Based on our knowledge, this is the first study that investigates the association between prenatal education and birth perception and maternal blues in a middle-income country.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah A Friedman, Michael Lewandowski, Denis G Patterson, Paul Snyder, Dotun Sangoleye, Troy C Jorgensen, Nathan Militante, Mordechai S Lavi
{"title":"A short-duration telementoring pain management programme for Medicaid: impact on clinician outcomes.","authors":"Sarah A Friedman, Michael Lewandowski, Denis G Patterson, Paul Snyder, Dotun Sangoleye, Troy C Jorgensen, Nathan Militante, Mordechai S Lavi","doi":"10.1093/her/cyaf019","DOIUrl":"https://doi.org/10.1093/her/cyaf019","url":null,"abstract":"<p><p>Previous evaluations of the pain care-related Extension for Community Healthcare Outcomes (ECHO) telementoring programmes found that long-term programmes (16-52 weeks) improve clinician knowledge, self-efficacy, and prescribing practices. We evaluated a 6- to 7-week Pain Management ECHO in Nevada Medicaid clinician networks. We collected pre- and post-knowledge and self-efficacy scores from 15 of 18 unique ECHO participants (83% response rate). We derived opioid prescribing outcomes from 44 894 Medicaid pharmacy claims records from 11 ECHO participants and 10 comparison clinicians. The three outcomes included any opioid (binary), non-opioid pain medication (binary), and opioid dose (continuous). Logistic regressions using difference-in-difference (DID) estimated the ECHO treatment effects. Knowledge scores (75% to 82%) and self-efficacy scores (3.4-4.1) increased after ECHO participation. After ECHO participation, opioid prescribing decreased, and non-opioid prescribing increased; changes in both outcomes were above and beyond changes in the comparison group (any opioid DID treatment effect: -0.6 percentage points; non-opioid pharmacologic: 1.1 percentage points). Incremental changes across three domains of Moore's Framework for continuing medical education provide evidence supporting a short-duration ECHO intervention in partnership with Medicaid managed care. Promulgation of this less resource-intensive approach can sustainably aid clinicians in managing pain experienced by Medicaid beneficiaries.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mengfei Guan, Shawn C Chiang, Regan M Murray, Wen-Juo Lo, Larry T Hill, Ann C Klassen, Jennifer A Manganello, Amy E Leader, Philip M Massey
{"title":"Narratives or not? Examining the roles of message format and individuals' stages of change in the context of HPV vaccination promotion.","authors":"Mengfei Guan, Shawn C Chiang, Regan M Murray, Wen-Juo Lo, Larry T Hill, Ann C Klassen, Jennifer A Manganello, Amy E Leader, Philip M Massey","doi":"10.1093/her/cyaf015","DOIUrl":"10.1093/her/cyaf015","url":null,"abstract":"<p><p>Narrative persuasion has been widely used in health communication campaigns and persuasive message design. However, several meta-analyses showed that the relative effectiveness of narratives in promoting behavior change was not consistently observed in the existing literature. With the goal of exploring boundary conditions of narrative effects, this study investigates the interaction effects of narrative persuasion and stages of change on promoting behavior change in the context of encouraging parents to vaccinate their children against human papillomavirus (HPV). Findings from an online experiment (N = 593) showed that non-narrative messages were more effective in bolstering behavioral intention than narrative messages among people who were not ready to engage in behavior change (i.e. in the precontemplation stage). In addition, among people who were thinking about changing their behavior (i.e. in the contemplation stage) or motivated to take action (i.e. in the preparation stage), both narratives and non-narratives were effective in increasing behavioral intention. This study contributes important theoretical insights to the role of narratives in health communication. Public health professionals may consider tailoring message design strategies to audience characteristics to enhance message effectiveness.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tyler Prochnow, M Renée Umstattd Meyer, Marilyn E Wende, Jeong-Hui Park, Kelly R Ylitalo, Haley Delgado, Cassandra M Johnson, Luis Gómez, Joseph R Sharkey
{"title":"Psychosocial physical activity outcomes of a father-focused health programme for Mexican-heritage families.","authors":"Tyler Prochnow, M Renée Umstattd Meyer, Marilyn E Wende, Jeong-Hui Park, Kelly R Ylitalo, Haley Delgado, Cassandra M Johnson, Luis Gómez, Joseph R Sharkey","doi":"10.1093/her/cyaf016","DOIUrl":"10.1093/her/cyaf016","url":null,"abstract":"<p><p>Mexican-heritage families on the Texas-Mexico border report less physical activity (PA) and are at greater risk for chronic disease than the US population. According to social cognitive and family systems theories, family-centred PA programmes engaging Mexican-heritage fathers can improve psychosocial outcomes related to PA. The study assesses changes in child's PA self-efficacy, skill competency, father's social support for child PA, and parenting strategies after a culturally tailored, father-focused, and family-centred lifestyle programme (¡Haz Espacio para Papi!; Make Room for Daddy). Using a stepped-wedge cluster randomized design, participating families (n = 42), consisting of children (mean age: 9.8 ± 1.0) and fathers (mean age: 38.9 ± 7.9]), were from four randomized geographic clusters. Child's PA self-efficacy, skill competency, father's social support for child PA, and parenting strategies were evaluated pre- and post-programme. Linear mixed models assessed programme effects on child and father psychosocial outcomes. The programme was associated with a significant increase in father's social support for child PA (β = 0.08; SE = 0.03; P = .01). However, the programme had no statistically significant associations with child self-efficacy (P = .66), skill competency (P = .96), or parenting strategies (P = .08). This culturally tailored programme resulted in significantly increased fathers' social support for child PA. Programmatic components related to child psychosocial outcomes may need to be strengthened to adequately demonstrate effectiveness.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kamran Abbasi, Parveen Ali, Virginia Barbour, Marion Birch, Inga Blum, Peter Doherty, Andy Haines, Ira Helfand, Richard Horton, Kati Juva, Jose F Lapena, Robert Mash, Olga Mironova, Arun Mitra, Carlos Monteiro, Elena N Naumova, David Onazi, Tilman Ruff, Peush Sahni, James Tumwine, Carlos Umaña, Paul Yonga, Chris Zielinski
{"title":"Ending nuclear weapons, before they end us†.","authors":"Kamran Abbasi, Parveen Ali, Virginia Barbour, Marion Birch, Inga Blum, Peter Doherty, Andy Haines, Ira Helfand, Richard Horton, Kati Juva, Jose F Lapena, Robert Mash, Olga Mironova, Arun Mitra, Carlos Monteiro, Elena N Naumova, David Onazi, Tilman Ruff, Peush Sahni, James Tumwine, Carlos Umaña, Paul Yonga, Chris Zielinski","doi":"10.1093/her/cyaf020","DOIUrl":"10.1093/her/cyaf020","url":null,"abstract":"","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephanie Lawrence, Serena FitzGerald, Josephine Hegarty, Mohamad M Saab
{"title":"Cancer awareness among adolescents in second-level education: a mixed methods systematic review.","authors":"Stephanie Lawrence, Serena FitzGerald, Josephine Hegarty, Mohamad M Saab","doi":"10.1093/her/cyaf014","DOIUrl":"https://doi.org/10.1093/her/cyaf014","url":null,"abstract":"<p><p>This systematic review aimed to synthesize evidence from studies that explored cancer awareness among adolescents. The systematic review was conducted in accordance with the Joanna Briggs Institute's (JBI) guidelines. Seven electronic databases were systematically searched for studies published between January 2010 and March 2022. The search was updated in April 2024. Data extraction and quality appraisal were performed. Data were synthesized narratively. A total of 21 studies were included for review. Overall, adolescents were found to have low cancer symptom awareness and to report several perceived barriers to symptomatic presentation for cancer. Adolescents also seemed underinformed about modifiable lifestyle behaviours associated with cancer, which has the potential to lead to a higher level of engagement in health risk behaviours. Findings from this review indicate the importance of actively promoting cancer awareness among adolescents. This has the potential to lead to increased knowledge and help-seeking for symptoms of cancer among adolescents, which in turn would lead to earlier diagnosis and ultimately more positive patient outcomes.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of constructivist model-based adult education on gynaecologic cancer awareness, spiritual well-being, and health anxiety.","authors":"Canan Ka Ş, Şahika Şim Şek Çetinkaya","doi":"10.1093/her/cyaf013","DOIUrl":"10.1093/her/cyaf013","url":null,"abstract":"<p><p>Gynecological cancers are among the most prevalent cancers in women, making it essential to enhance women's health and awareness. Education is vital for raising this awareness. Constructivist educational models promote active learning and personal experiences, contrasting with traditional methods that emphasize information transmission. This study aims to assess the impact of the constructivist education model on gynecological cancer awareness, health anxiety, and spiritual well-being in women. This randomized controlled study was conducted from 25 December 2023, to 20 February 2024. The sample was selected using purposive sampling and included 60 participants. The personal information form, gynecologic cancer awareness scale GCAS, three-factor spiritual well-being scale TFSWBS, and health anxiety scales (HAI) were applied to both study groups before and after the intervention. Interventions were carried out in 6 sessions based on the constructivist learning model for the intervention group. Women in the traditional education group received standard education on the subject. The GCAS, TFSWBS, and HAI scales were administered after the education and 4 weeks later. The study showed that both constructivist-based health education and traditional cancer education programmes increased cancer awareness after the intervention. However, no significant differences were found between the groups at any of the time points.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}