{"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":"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}
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}
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}
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":"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}
{"title":"How young migrants perceive school health education in Sweden.","authors":"D Barker, A Caldeborg, M Quennerstedt, V Varea","doi":"10.1093/her/cyaf012","DOIUrl":"10.1093/her/cyaf012","url":null,"abstract":"<p><p>The aim of this paper is to provide insights into how young people who have been forced to migrate perceive school health education. Eighteen individuals aged 15-19 years (10 females, 8 males, average age 16.9 years) took part in either focus group interviews (n = 7) or individual interviews (n = 1). Participants were first presented with short scenarios concerning health education and were invited to use these scenarios as starting points to discuss their own experiences of health education. Participants were then presented with a collection of photographs that portrayed people displaying broad dimensions of health. Participants were asked to discuss the significance of the health dimensions in their lives, and describe how these dimensions were covered in school health education. Our findings suggest three broad perceptions of health education content: a moderately enthusiastic perception, a disengaged perception, and a marginalized perception. These findings: raise questions about whether the provision of health education matches the needs of young migrants, point to cultural differences in the way health topics are understood, and suggest that school health education might influence how migrants interact with health service providers.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054745","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":"Preferences for couple-based smoking cessation interventions among couples who smoke: online discrete choice experiment.","authors":"S H Choi, T Templin, D Glenn","doi":"10.1093/her/cyaf010","DOIUrl":"https://doi.org/10.1093/her/cyaf010","url":null,"abstract":"<p><p>The purpose of this study was to elicit smoking couples' preferences for the 'format' and 'content' of couple-based interventions and partner support from both partners' perspectives, using an online discrete choice experiment (DCE) survey. An online DCE study was conducted during online interviews with 56 smoking couples (N = 112). Conditional logistic regression models were constructed to determine optimal profiles of couple-based treatment. Six attributes of couple-based smoking cessation interventions were identified as statistically significant: smokers and their partners preferred interventions that were designed for both partners, interactive, and tailored; they also valued positive support, open discussions with their partners, and having their partners involved in the quitting process. Smokers preferred to receive empathy, love, and trust from their partners rather than information, advice, and services. Income level and race interacted with the preferences for certain attributes. Differences in convenience, method of delivery, topics, duration, and frequency of treatment, willingness to provide support, frequency of partner support, and couple types were not significant. This study highlights the significance of incorporating partner involvement and support in smoking cessation interventions. The findings can provide direction for developing efficient couple-based interventions that consider the preferences of both smokers and partners.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025227","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}
Jacqueline W Ndirangu, Margaret W Gichane, Felicia A Browne, Courtney P Bonner, William A Zule, Erin N Cox, Brittni N Howard, Tracy L Kline, Wendee M Wechsberg
{"title":"'Those sessions open[ed] our eyes and our minds': participant acceptability and satisfaction with a gender-focused HIV and substance use risk-reduction intervention on alcohol use, HIV treatment, and sexual behaviour among women in South Africa.","authors":"Jacqueline W Ndirangu, Margaret W Gichane, Felicia A Browne, Courtney P Bonner, William A Zule, Erin N Cox, Brittni N Howard, Tracy L Kline, Wendee M Wechsberg","doi":"10.1093/her/cyaf011","DOIUrl":"10.1093/her/cyaf011","url":null,"abstract":"<p><p>Women living with human immunodeficiency virus (HIV) who use alcohol are at a heightened risk of disengagement in HIV care. A mixed-methods substudy was embedded in an implementation science trial to assess perceived satisfaction and acceptability of the Women's Health CoOp (WHC), a gender-focused, alcohol and harmful substance use, HIV biobehavioural intervention in Cape Town, South Africa. A modified version of the Client Satisfaction Questionnaire (CSQ-8)® was used to assess patient satisfaction (N = 456). Eight focus groups were also conducted to assess the perceived acceptability and satisfaction of the WHC after completion of the intervention workshops. Participants reported being very pleased with the WHC with an acceptable internal consistency estimate (α = .81). Intervention satisfaction was high (M = 30.9; SD = 0.1) on the CSQ-8 scale. Focus group participants reported that the WHC helped them reduce the amount and frequency of heavy alcohol use. Knowledge gained through the WHC reduced misperceptions about mixing alcohol with antiretroviral therapy and motivated re-engagement in HIV care. Participants also reported a decrease in condomless sex. Interventions that support and empower women living with HIV reporting heavy alcohol use should be implemented sustainably to improve HIV treatment retention and re-engagement and to reduce alcohol consumption among this population.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019201","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}