Health Education Research最新文献

{"title":"Effectiveness and retention of learning the use of an automated external defibrillator in adolescents: a comparative analysis of three teaching methods.","authors":"Marcos Mecías-Calvo, Rubén Navarro-Patón","doi":"10.1093/her/cyag032","DOIUrl":"10.1093/her/cyag032","url":null,"abstract":"<p><p>This study compared the effectiveness of three teaching methods (traditional, video-based, and augmented reality training) on the acquisition, performance quality, and retention of automated external defibrillator skills in secondary school students. A quasi-experimental study was conducted with post-intervention measurements and a 3-month follow-up. 193 untrained students (aged 13-15) were divided into three intervention groups (traditional training group, video training group, and augmented reality training group). Skills were individually assessed using a simulation manikin immediately post-intervention and at a 3-month follow-up, measuring shock effectiveness, safety, quality, and time. Immediately after training, all methods achieved high rates of effective and safe shocks, though performance quality was superior in the digitally supported groups. At 3 months, the augmented reality training group maintained a 100% effective shock rate, whereas the traditional training group showed a significant decrease. While execution times were similar initially, differences emerged during follow-up. In conclusion, although all methodologies are effective for initial skill acquisition, digital resource-based training promotes higher execution quality and superior long-term retention, strongly supporting their implementation in educational contexts.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138916","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":"Correction: A content analysis of the characteristics of the popular mental health podcasts.","authors":"","doi":"10.1093/her/cyag033","DOIUrl":"10.1093/her/cyag033","url":null,"abstract":"","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184287","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":"An application of the Theory of Planned Behavior within a living organ donation education intervention for American Muslim communities: a pre-post evaluation.","authors":"Rosie Duivenbode, Milda Saunders, Raudah Yunus, Michael T Quinn, Aasim I Padela","doi":"10.1093/her/cyag030","DOIUrl":"10.1093/her/cyag030","url":null,"abstract":"<p><p>The disparity between supply and demand for life-saving and life-sustaining donor organs disproportionally affects ethnic and racial minorities, which is partly due to negative attitudes and beliefs regarding transplantation. One way to address these disparities is to implement targeted and tailored behavioral interventions among minority communities, such as the American Muslim population. We designed, implemented, and evaluated a religiously tailored, ethically balanced, and mosque-based educational intervention within the USA. This intervention increased participants' biomedical and religious knowledge of living organ donation, self-perceived preparedness to make a donation-related decision, and self-reported likelihood to donate a kidney. This paper assesses whether these reported outcomes can be explained through the Theory of Planned Behavior. Our intervention positively impacted living organ donation-related behavioral, normative, and control beliefs-independent of sociodemographic factors. These changes were partly associated with changes in the intention to perform donation-related behaviors. Most significantly, a positive change in behavioral beliefs increased participant's self-perceived likelihood to donate a kidney during their lifetime. These findings support the application of the Theory of Planned Behavior to educational interventions on organ donation in religious communities and could support those seeking to design theory-driven educational interventions for Muslim minorities in other western contexts.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208234","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 health literacy on medication adherence and prognosis among patients with cardiovascular disease: a latent profile analysis.","authors":"Yi Liu, Jiao Chen, Lei Xiao, Yuan Yang, Fan Zhang","doi":"10.1093/her/cyag023","DOIUrl":"https://doi.org/10.1093/her/cyag023","url":null,"abstract":"<p><p>To examine the association between health literacy and both prognosis and medication adherence among patients with cardiovascular disease. This single-center prospective cohort study was conducted in a tertiary hospital in Chongqing from 2022 to 2023. Health literacy was assessed using the Brief Health Literacy Screen (BHLS). Six-month follow-up evaluated Major Adverse Cardiovascular Events (MACE) and medication adherence measured by the Morisky Medication Adherence Scale (MMAS-8). Latent profile analysis (LPA) was performed using the three BHLS items, with model selection based on AIC, BIC, entropy, and the bootstrap likelihood ratio test. Logistic regression assessed associations with prognosis and adherence. Among 1 150 patients enrolled, 951 completed follow-up. 42.3% had inadequate health literacy and 172 experienced MACE. In fully adjusted models, inadequate health literacy was associated with higher odds of MACE (OR = 1.721, 95% CI 1.143-2.593) and medication non-adherence (OR = 7.864, 95% CI 4.298-14.388). Higher BHLS Item 1 scores were associated with lower odds of MACE (OR = 0.660, 95% CI 0.517-0.842). LPA identified six profiles. The lowest profile had higher odds of MACE (OR = 2.732, 95% CI 1.544-4.833). Inadequate health literacy predicted worse prognosis and medication non-adherence. Interventions should strengthen patients' confidence in completing medical forms and understanding written information.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148819812","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":"Investigating effects of alcohol-related breast cancer warnings and binge-drinking frequency on alcohol consumption intentions among young adult female participants in the United States.","authors":"Na Wang, Zachary B Massey, Allison B Anbari, Abigail Adediran, Priscilla Martinez-Matyszczyk, Denis M McCarthy","doi":"10.1093/her/cyag031","DOIUrl":"https://doi.org/10.1093/her/cyag031","url":null,"abstract":"<p><p>Awareness of alcohol consumption as a breast cancer risk remains limited among young adult women in the USA. This experiment (N = 1038) examined how female young adults aged 18-29 reporting past 30-day alcohol consumption responded to health warnings about the risk of alcohol for developing breast cancer. Structural equation modeling assessed associations between health warning exposure, binge-drinking frequency, negative affect, perceived threat of alcohol harms and behavioral intentions to reduce or stop drinking alcohol and seek information about alcohol health effects. Results found that exposure to health warnings elicited increased negative affect (β = .12, P < .001), which was associated with higher perceived threat of alcohol harms (β = .35, P < .001). Higher binge-drinking frequency was associated with increased negative affect (β = .21, P < .001) and perceived threat of alcohol harms (β = .13, P < .001). Finally, greater perceived threat of alcohol harms was associated with greater behavioral intentions to reduce drinking (β = .24, P < .001), stop drinking (β = .17, P < .001), seek information about alcohol harms (β = .34, P < .001), discuss alcohol harms with friends and medical professionals (β = .31, P < .001), and support policies for warnings on alcohol products (β = .15, P < .001). Findings suggest health warning designers should consider high-risk drinking patterns and develop warnings that influence affective reactions and related threat responses.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991980","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":"Feasibility and cost of partnering with social media influencers to promote colorectal cancer screening.","authors":"Heather Orom, Natasha C Allard, Tiffany Nguyen","doi":"10.1093/her/cyag024","DOIUrl":"https://doi.org/10.1093/her/cyag024","url":null,"abstract":"<p><p>There is considerable interest in collaborating with social media influencers to promote health messages, but little evidence demonstrating how this might be done in organizations with few resources or experience. We tested the feasibility and cost of partnering with social media nano- and micro-influencers to promote colorectal cancer (CRC) screening messages. We identified 16 US influencers through an online influencer marketing campaign platform. To test if influencers would create theory-consistent content, we provided them with recommended CRC screening information and guidelines for including one of four message strategies (threat, efficacy, threat and efficacy, information only). Influencers created and posted one video promoting CRC screening on their Instagram Reels and Stories, June-July, 2025. Engagement metrics were collected 1 month after posting. The videos were viewed 89 764 times (M = 5610, SD = 5545), and cost $0.13 per view. They did not elicit resistance; comments were 96% positive, 4% neutral, 0% negative, and engagement rates were high (mean = 7.9%). Influencers were largely able to follow written guidance for including theory-based content in their posts. In light of the rise in social media use, including among middle-aged and older adults, partnerships between public health organizations and social media influencers could expand health message reach.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13494905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799770","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":"A social cognitive theory-based self-efficacy intervention with LINE follow-up on self-efficacy, health-promoting behaviours and body mass index among Myanmar migrants working in Bangkok, Thailand.","authors":"Htet Shwe Wah Oo, Ratsiri Thato, Uraporn Chuaykarn","doi":"10.1093/her/cyag025","DOIUrl":"10.1093/her/cyag025","url":null,"abstract":"<p><p>Migrant populations encounter barriers to healthy lifestyles, increasing their risk for non-communicable diseases (NCDs). A randomized controlled trial with two groups and repeated measures was carried out in four factories in Bangkok to evaluate the effectiveness of a Social Cognitive Theory-Based Self-Efficacy Intervention with LINE Follow-Up on self-efficacy, health promoting behaviours (HPBs), and body mass index (BMI). Sixty registered Myanmar migrants were randomly divided into an experimental group (n = 30) and a control group (n = 30). Measurements were taken at the baseline, Week 3, and Week 8. Data analysis was conducted using a two-way mixed repeated measures MANOVA with a significance level of α = 0.01. The results revealed a significant interaction effect between time and group for all dependent variables [F (6,53) = 11.84, P < .001, ηp2 = 0.57], indicating a significant difference in the trajectory of the three dependent variables between the intervention and control groups. The intervention group showed significantly greater improvements in HPBs [F (2,116) = 5.309, P = .006, ηp2 = 0.08] and BMI [F(1.711,99.232) = 34.846, P < .001, ηp2 = 0.375] compared to the control group over the 8-week period. A Self-Efficacy Intervention with LINE Follow-Up led to significant improvements in self-efficacy, HPBs, and BMI trajectory among Myanmar migrants. The smartphone-based LINE Official Account is a low-cost and practical tool for health promotion that reinforces self-efficacy through verbal persuasion and motivation, and it facilitates sustained HPBs that can influence BMI by continuous and accessible follow-up. This digital health strategy shows promise for enhancing health outcomes in this population and could potentially contribute to a healthier workforce and decreased burden of NCDs in the long term. Contribution to Health Promotion  This paper outlines the strategies for supporting the implementation of a Social Cognitive Theory-Based Self-Efficacy Intervention with LINE Follow-Up.Stakeholder engagement is emphasized as crucial for the success of the programme, based on SCT.If the effectiveness of the intervention on HPBs is confirmed, the findings could inform nationwide programmes for migrants, potentially reducing NCDs and healthcare costs.From a health economic standpoint, this study contributes to promoting a healthy workforce in Thailand. The systematic approach used to develop the self-efficacy strategy can be applied to different contexts and interventions.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876299","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":"A content analysis of the characteristics of the popular mental health podcasts.","authors":"R W Romy, Regina A A Alcántara, Malee Bedolla","doi":"10.1093/her/cyag027","DOIUrl":"10.1093/her/cyag027","url":null,"abstract":"<p><p>Mental health challenges continue to rise in the United States, yet access to treatment remains limited. Podcasts have become an important channel for disseminating mental health information and improving mental health. Despite the proliferation of mental health podcasts, little is known about the characteristics that make certain podcasts especially popular. To address this gap, the present study conducted a comprehensive content analysis of the top 100 mental health podcasts listed in the Apple Podcasts app and guided by the PodCred Framework. Three trained coders analyzed 100 mental health podcasts. Findings revealed consistent patterns among top-ranked podcasts. Most of them maintained a strong topical focus, consistent structure, and conversational delivery style, with episodes averaging 30-60 minutes. Podcasters frequently shared personal experiences, displayed emotional expressiveness, and demonstrated professional credibility through credentials and affiliations. Content typically combined recommendations, factual information, and personal discussion, supported by high production quality and predictable release schedules. Overall, the results extend the PodCred Framework to the mental health domain and highlight key features that appear to attract and sustain listeners. These insights offer practical guidance for podcast creators and contribute to emerging scholarship on digital mental health communication.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13561107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931575","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":"The intersectionality of gender and location in health education access in Chinese vocational high schools.","authors":"Minne Chen","doi":"10.1093/her/cyag018","DOIUrl":"10.1093/her/cyag018","url":null,"abstract":"<p><p>Through intersectionality theory, this study examines how gender and geographical location interact to shape adolescents' access to health education in centralized systems, using sex education in Chinese vocational high schools as an illustrative case. Drawing on data from 3167 adolescents across regions with varying development levels, we demonstrate how educational institutions reproduce gender hierarchies and geographical inequalities through differential access to sex education. Students in economically developed regions and urban areas show significantly higher odds of receiving sex education, with particularly pronounced effects for girls in developed regions. Gender emerges as the primary determinant of exposure to specific content, with girls consistently showing higher chances of being taught topics like pregnancy, contraception, and sexual behavior. These findings suggest two intersecting forms of disadvantage. Resource-wise, boys in less developed regions appear most likely to be excluded from sustained provision. Norm-wise, girls may be more harmed by how sex education is framed through gendered expectations that treat sexual and reproductive health as primarily their responsibility rather than a shared concern. Together, these patterns illustrate how intersecting dimensions of advantage and disadvantage, alongside underlying patriarchal assumptions, create systematic disparities that reinforce both gender and geographical inequalities.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177022","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":"The effect of a digital gamified breastfeeding counselling program on breastfeeding self-efficacy, breastfeeding success, and breast-related problems: a randomized controlled trial in Turkiye.","authors":"Ozlem Ulku Bulut, Zehra Golbasi","doi":"10.1093/her/cyag014","DOIUrl":"10.1093/her/cyag014","url":null,"abstract":"<p><p>This single-site, pilot-scale randomized controlled study intended to evaluate the effects of a self-determination theory-informed (D6 gamification model-based) gamified breastfeeding counselling program on breastfeeding self-efficacy, breastfeeding success, and breast-related problems in postpartum participants. A pretest-posttest randomized controlled trial was conducted with 60 pregnant individuals recruited from a single university-affiliated private hospital in Türkiye, using a pilot-scale parallel group design. Participants were assigned to experimental (n = 30) and control (n = 30) groups by block randomization that was performed by an independent statistician. Due to the behavioural nature of the intervention, participant blinding was not feasible; however, outcome analyses were conducted by a blinded biostatistician. The intervention group received a digitally delivered gamified breastfeeding counselling program from gestational week 35 until week 2 postpartum, while the control group received routine prenatal and postnatal care. Data were obtained for validated measures of breastfeeding self-efficacy, breastfeeding success, and breast-related problems. Descriptive and inferential statistical analyses were conducted with SPSS 28.0 software. At week 2 postpartum, the mean breastfeeding self-efficacy scale-short form scores were significantly higher in the gamified counselling group than the control group (63.6 ± 6.2 versus 54.3 ± 8.4, P < .001, Cohen's d = 1.26). Breastfeeding performance also favoured the intervention group, with higher infant breastfeeding assessment tool scores (8.6 ± 1.1 versus 7.3 ± 1.4, P < .001) and LATCH breastfeeding assessment scores (9.3 ± 0.7 versus 8.4 ± 1.1, P = .002). Furthermore, breast fullness severity that was assessed using a dichotomous self-reported outcome (present/absent) checklist in which higher scores indicate more severe fullness, was lower in the intervention group than the control group (2.5 ± 1.1 versus 4.0 ± 1.2, P < .001). Gamified breastfeeding counselling was effective in enhancing breastfeeding self-efficacy and breastfeeding success and reduced common breast-related problems. These findings provide preliminary evidence supporting the feasibility and short-term benefits of integrating gamification-based strategies into breastfeeding education, warranting larger multicenter studies with extended follow-up.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13127138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786089","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}