{"title":"Correction to: The effect of lifestyle-based health promotion intervention on health behaviour, irrational heath beliefs, and eating behaviour of patients with type 2 diabetes.","authors":"","doi":"10.1093/her/cyaf044","DOIUrl":"https://doi.org/10.1093/her/cyaf044","url":null,"abstract":"","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281466","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}
Jigisha Chaudhary, Ekta Gupta, Prashant Kumar Singh, Ravi Kumar Yadav, Manu Chaudhary, Shalini Singh
{"title":"Designing behavioural change intervention module for tobacco cessation counselling among pregnant tobacco users in India: a methodology paper.","authors":"Jigisha Chaudhary, Ekta Gupta, Prashant Kumar Singh, Ravi Kumar Yadav, Manu Chaudhary, Shalini Singh","doi":"10.1093/her/cyaf041","DOIUrl":"https://doi.org/10.1093/her/cyaf041","url":null,"abstract":"<p><p>Tobacco use has detrimental effects on women's reproductive health and is associated with poor pregnancy outcomes. Antenatal care (ANC) check-ups provide health professionals with a unique opportunity to screen and counsel pregnant tobacco users to quit. Currently, in India, pregnant women are not being screened for tobacco use during antenatal care visits and healthcare providers lack formal training to provide tobacco cessation advice. This article describes the designing and development of a tailored behaviour change intervention (BCI) module for tobacco cessation and its delivery to pregnant women attending antenatal clinics. The BCI module was designed to incorporate the components of the Capability, Opportunity and Motivation Model and the Behaviour Change Wheel guide. The development was done in three steps-understanding the behaviour, developing intervention model, and identifying implementation options along with monitoring and evaluation strategies. The module has three tools-counselling flipbook for healthcare provider, take home pamphlets, and information posters for patient waiting areas. A gender- and culture-specific BCI module was developed and implemented to screen and counsel 105 pregnant tobacco users during antenatal visits, leading to high self-reported tobacco quit rate (69%) which corroborated with urine cotinine levels at baseline and end line.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201394","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":"Understanding facilitators and barriers of HPV vaccination amongst adolescent boys and their parents in high-income countries through the social-ecological model: a scoping review.","authors":"Jisu Seo, Yumi Choi, Hyejeong Yang, Hyun-Ju Seo","doi":"10.1093/her/cyaf042","DOIUrl":"https://doi.org/10.1093/her/cyaf042","url":null,"abstract":"<p><p>This study identified barriers to and facilitators of human papillomavirus (HPV) vaccination for adolescent boys and their parents in high-income countries using a social-ecological model (SEM) to inform future health education strategies. A scoping review was conducted in accordance with Joanna Briggs Institute guidelines, Arksey and O'Malley's framework, and Levac's recommendations. Six databases were searched in March and December 2024, with Covidence used for screening. The identified factors were categorized into four levels: intrapersonal, interpersonal, community, and policy. A total of 78 studies were included. Amongst these, 54 facilitators and 120 barriers were identified. Common facilitators included health protection for individuals and their future partners, whilst key barriers were concerns regarding vaccine safety and side effects. Perceptions of risks and benefits emerged as central themes in both categories. Most reported factors were at the intrapersonal (n = 75, 96.2%) and interpersonal (n = 52, 66.7%) levels, with found at the community (n = 27, 38.5%) and policy (n = 28, 35.9%) levels. It is important to emphasize the safety and significance of the HPV vaccine, which should be provided through tailored health education programmes in schools or clinics. This review suggests that future education studies should comprise each domain of the SEM to successfully implement HPV vaccination in adolescent boys. Registration: Open Science Framework (https://doi.org/10.17605/OSF.IO/AWRX6).</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276372","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}
Georgia Koutsouradi, Elena Riza, Areti Lagiou, Gerasimos Kolaitis, Vassiliki Benetou
{"title":"Cultural competence in refugee healthcare: exploring the training needs and challenges of healthcare professionals in Greece.","authors":"Georgia Koutsouradi, Elena Riza, Areti Lagiou, Gerasimos Kolaitis, Vassiliki Benetou","doi":"10.1093/her/cyaf037","DOIUrl":"https://doi.org/10.1093/her/cyaf037","url":null,"abstract":"<p><p>Cultural competence is widely recognized as a core component of equity in healthcare. However, little is known about how healthcare professionals in Greece, a frontline country for displaced populations, develop and implement cultural competence in refugee healthcare. This study explores the experiences, training needs, challenges, and strategies of Greek healthcare professionals for delivering culturally competent care to refugees and asylum seekers. Twelve healthcare professionals from various Greek healthcare settings participated in semi-structured interviews. Data were analysed using reflexive thematic analysis within an interpretive description framework, appropriate for applied health research. Three themes were developed: (i) developing cultural competence through cross-cultural engagement; (ii) finding a balance: dilemmas and complexity in refugee healthcare; and (iii) caring in isolation: refugee care in unsupportive environments. Systemic constraints and patient-provider challenges limited participants' efforts, despite their demonstrated adaptability and commitment, which sometimes resulted in emotional exhaustion or disengagement. Findings highlight the need for multilevel interventions, combining structural competence, advocacy, and reflective supervision, to support uninterrupted, culturally responsive care and promote healthcare providers' well-being.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993966","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}
M K Miller, R Barral, J Noel-Macdonnell, K Goggin, C N Hays, A McNeill-Johnson, E A Hurley
{"title":"Developing and piloting an intervention to increase adolescent access to sexual and reproductive healthcare: a mixed-methods study.","authors":"M K Miller, R Barral, J Noel-Macdonnell, K Goggin, C N Hays, A McNeill-Johnson, E A Hurley","doi":"10.1093/her/cyaf036","DOIUrl":"https://doi.org/10.1093/her/cyaf036","url":null,"abstract":"<p><p>This mixed-methods study describes the development and pilot testing of AccessKCTeen, an intervention to improve sexual and reproductive health (SRH) access for marginalized youth. Community discussions guided development of an intervention featuring SRH outreach events to disseminate information, share resources, and connect teens to care via telemedicine and mobile health clinics. During eight outreach events, we recruited adolescent participants for baseline assessments (demographics, event satisfaction, and trust in the medical profession) and one-month follow-up (trust and SRH utilization). We documented feedback on SRH resources (e.g. condoms), telemedicine, and mobile care with field notes. Among 96 participants (46% Black; 23% Hispanic; 23% gender minority; 50% sexual minority), most were 'very' (76%) or 'somewhat' (9%) satisfied with the event; 15% were 'neutral'. At baseline, trust was moderate (16.4 ± 2.7; scale range 5-25). Many accepted SRH items for future use. Field notes documented adolescent comments regarding telemedicine as safe, private, and convenient, and the mobile clinic as private and trustworthy. At follow-up, 20% obtained healthcare; trust was 17.2 ± 2.8. Our findings indicate that a community-integrated, multi-component intervention is acceptable to adolescents and warrants further evaluation of its impact on SRH outcomes.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126276","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 effects of Mindfulness-Based Compassionate Living practice on stress, self-efficacy, and quality of life of haemodialysis patients: a randomized controlled trial.","authors":"Mine Cengiz, Dilek Kılıç, Mahmut Çoban","doi":"10.1093/her/cyaf040","DOIUrl":"10.1093/her/cyaf040","url":null,"abstract":"<p><p>This single-blind, randomized controlled experimental study evaluated the effects of Mindfulness-Based Compassionate Living (MBCL) practice on stress, self-efficacy, and quality of life of patients receiving haemodialysis (HD) in an outpatient clinic in Türkiye. A total of 67 HD patients were allocated to the experimental (n = 34) or control group (n = 33). The experimental group received a MBCL training intervention for 30 min twice a week for 8 weeks during their HD sessions. The control group underwent HD as usual. Data were collected before and after the intervention using Perceived Stress Scale, Self-Efficacy Scale, Quality of Life Index-Dialysis III, Self-Compassion Scale-Short Form, and Mindful Attention Awareness Scale. Between the pretest and posttest, the experimental group showed a significant decrease in stress scores and increases in quality of life, self-compassion, and mindful awareness scores (P < .05). There were no intergroup differences in pretest scores, whereas significant differences in stress, quality of life, self-compassion, and mindful awareness scores were observed in the posttest (P < .05). Self-efficacy scores did not differ significantly within or between the groups (P > .05). MBCL practice appears to be effective in reducing stress and increasing quality of life, self-compassion, and mindful awareness in people undergoing HD in outpatient settings.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126319","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}
Judith E M Visser, Fatima A Nur, Andrea D Rozema, Anton E Kunst, Mirte A G Kuipers
{"title":"Facilitators and barriers to smoking cessation support among professionals in social and community service settings: a systematic review and thematic synthesis.","authors":"Judith E M Visser, Fatima A Nur, Andrea D Rozema, Anton E Kunst, Mirte A G Kuipers","doi":"10.1093/her/cyaf030","DOIUrl":"10.1093/her/cyaf030","url":null,"abstract":"<p><p>Social and community service settings are a promising environment to support individuals with lower socioeconomic positions in quitting smoking. However, there remains a notable lack of support from their professionals in these settings. This study provides an overview of facilitators and barriers to smoking cessation support among these professionals. A systematic review was conducted up to April 2024 using five databases. Data were analysed using thematic synthesis, with themes categorized according to the Social Ecological Model. Eleven studies were included. We found twelve factors that could facilitate professionals in providing support. These factors related to the intrapersonal (i.e. knowledge/skills, self-efficacy, and belief), interpersonal (i.e. trustworthy connection with clients, readiness of clients, and clients' supportive social environment), organizational (i.e. expertise improvement in smoking cessation, availability of resources, and organizational support), and societal level (i.e. availability of appropriate cessation programmes, supportive healthcare financing, and public awareness). We found that these factors often were not present, which hindered professionals from providing support. Professionals working in social and community service settings could reach many people who smoke. However, there are numerous obstacles to overcome before their full potential can be realized. To harness this potential, organizational changes are necessary, with governments playing a supportive role.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838278","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 effect of lifestyle-based health promotion intervention on health behaviour, irrational heath beliefs, and eating behaviour of patients with type 2 diabetes.","authors":"Mohammad Shayan Kolahdouzan, Mohammadreza Abed","doi":"10.1093/her/cyaf035","DOIUrl":"10.1093/her/cyaf035","url":null,"abstract":"<p><p>The present study investigated the effect of the lifestyle-based health promotion intervention on health behaviour, irrational health beliefs, and eating behaviour of patients with type 2 diabetes. For this purpose, 90 patients with type 2 diabetes were selected by convenience sampling and randomly assigned to experimental and control groups, each comprising 45 patients. The experimental group received eight 90-min sessions of lifestyle-based health promotion intervention, while the control group received no treatment. The data were collected by the Health-Promoting Lifestyle Profile, Irrational Health Belief Scale, and the Dutch Eating Behaviour Questionnaire, administered to the participants at the pre-test, post-test, and 3-month follow-up phases and analysed by the analysis of variance. The results indicated that the mean score of health behaviours of the experimental group improved. In contrast, the mean scores of their eating behaviour and irrational health beliefs decreased compared with the control group (P < .01). The findings of this study underscore the significant impact of lifestyle-based health promotion interventions on patients with type 2 diabetes. Consequently, practitioners and healthcare professionals might include lifestyle-based health promotion interventions in the standard treatment programs for patients with type 2 diabetes to promote their health and treatment outcomes.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974458","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}
Jorge Alonzo, Lilli Mann-Jackson, Amanda E Tanner, Sandy K Aguilar-Palma, Lucero Refugio Aviles, Manuel Garcia, Raquel Mendieta, Benjamin D Smart, Tamar Goldenberg, Thomas P McCoy, H Alejandro Villafuerte-Sandoval, Scott D Rhodes
{"title":"Increasing engagement of Spanish-speaking transgender Latinas in research: strategies from ChiCAS, a community-based participatory research intervention trial.","authors":"Jorge Alonzo, Lilli Mann-Jackson, Amanda E Tanner, Sandy K Aguilar-Palma, Lucero Refugio Aviles, Manuel Garcia, Raquel Mendieta, Benjamin D Smart, Tamar Goldenberg, Thomas P McCoy, H Alejandro Villafuerte-Sandoval, Scott D Rhodes","doi":"10.1093/her/cyaf039","DOIUrl":"10.1093/her/cyaf039","url":null,"abstract":"<p><p>Minoritized racial, ethnic, sexual, and gender communities and populations face profound health disparities and their engagement in research remains low. In a randomized controlled trial, our community-based participatory research partnership tested the efficacy of ChiCAS, an HIV prevention intervention designed to increase pre-exposure prophylaxis use among Spanish-speaking transgender Latinas. Of 161 eligible Spanish-speaking transgender Latinas screened, we enrolled 144, achieving an 89% participation rate, and retained 94% at 6-month follow-up. Given these participation and retention rates, we sought to identify strategies used for engaging transgender Latinas in the trial. We abstracted and analysed data from archived trial and meeting notes, reports, and facilitated discussions with partners and steering committee members. A nominal group process was used to identify, refine, and interpret engagement strategies; 17 strategies emerged. Strategies included building trust through our community-based participatory research partnership; fostering relationships with HIV, lesbian, gay, bisexual, transgender, and queer, and Latine organizations; and leveraging peer networks. Additional strategies such as ensuring members of the research team reflected the community, providing logistical support (e.g. flexible scheduling and transportation), and giving cash tokens of appreciation were also identified. These strategies can be adapted to enhance engagement, including participation and retention, of other minoritized populations in research.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024452","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}
Mikhalya Brown, Tatiana Ramirez, Maryam Mohammed-Norgan, Ana Bartolomé, Jennifer Basil, Lina Jandorf
{"title":"Lay health navigators: an initiative to navigate community members into lung cancer screening.","authors":"Mikhalya Brown, Tatiana Ramirez, Maryam Mohammed-Norgan, Ana Bartolomé, Jennifer Basil, Lina Jandorf","doi":"10.1093/her/cyaf034","DOIUrl":"https://doi.org/10.1093/her/cyaf034","url":null,"abstract":"<p><p>This manuscript aims to describe the development and evaluation of a lung cancer education and navigation program utilizing Lay Health Navigators (LHNs) to navigate members of at-risk communities to low-dose computed tomography (LDCT) screening. Given observed higher lung cancer incidence and mortality rates among people of colour in the U.S., we utilized and built upon previous cancer education efforts to develop an educational presentation specific to lung cancer. Recognizing the potential for navigation using community members, we trained and evaluated culturally- and linguistically-representative student volunteers as LHNs to address nonclinical barriers to screening, such as a lack of transportation funds. We observed statistically significant improvements in LHNs' cancer knowledge (P < 0.01) and self-evaluated confidence in helping others access health services (P < 0.05). From July 2022 to November 2023, we held 41 lung cancer educational presentations with 1966 community members in New York City. Twenty community members were confirmed to be eligible for screening, and 57% were successfully navigated into LDCT screening by LHNs. This program provides support for existing research on the potential for lay patient navigation to address present disparities in cancer screening using non-healthcare professionals.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974487","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}