Health Education Research最新文献

{"title":"Effects of textual warnings and warning symbols on cannabis advertisements on product perceptions among US young adults.","authors":"Yuxian Cui, Shriya Thakkar, Rishika Chakraborty, Morgan B Speer, Cassidy R LoParco, Hermela Amdeta, Darby Mihelich, Diane Mukundwa Ndisebuye, Patricia A Cavazos-Rehg, Carla J Berg","doi":"10.1093/her/cyag013","DOIUrl":"10.1093/her/cyag013","url":null,"abstract":"<p><p>States with legalized non-medical cannabis require different warnings on packages and advertisements; yet, studies examining effects of textual warnings and different warning symbols on young adults' perceptions are limited. In 2024, US young adults ages 18-34 (n = 3 579) completed an online survey-based experiment using a 2 × 4 factorial design (textual warning: no, yes; warning symbol: none, leaf, THC, leaf + THC), then reported on 5 perception outcomes: addictiveness, harm, cautiousness, appeal, and interest. Multivariable regressions assessed these conditions and their interactions in relation to outcomes, overall and by past-month cannabis use status. Among participants without past-month use, the THC symbol (versus none) was associated with higher perceived addictiveness (B = 0.32, SE = 0.12), harm (B = 0.23, SE = 0.12), and cautiousness (B = 0.31, SE = 0.13); the textual warning was associated with greater appeal (B = 0.18, SE = 0.09). No effects were found among participants reporting cannabis use. An interaction between textual warning × leaf symbol on perceived harm (B = 0.35, SE = 0.18) indicated that exposure to both the textual warning and leaf symbol decreased perceived harm; exposure to only one (i.e. not together) increased perceived harm. Regulatory bodies must understand effects of different warning requirements, consider requiring the THC symbol, assess potential confusion of the leaf symbol, and explore warnings targeting different subgroups.</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/PMC13287986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786096","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":"Evaluating nurse-led self-regulation in multiple sclerosis management with an interactive web-based program: a randomized controlled trial.","authors":"Ayyüce Tuba Koçak, Selda Arslan","doi":"10.1093/her/cyag011","DOIUrl":"10.1093/her/cyag011","url":null,"abstract":"<p><p>This study aimed to evaluate the effect of the 'I Can Manage' an interactive web-based program that supports self-regulation under the leadership of nurses, application on self-management, fatigue and anxiety levels in individuals with Multiple Sclerosis (MS). This study is a parallel-group randomized controlled trial. Individuals with MS were randomly assigned to an intervention group (N = 38) and a control group (N = 38). The intervention group used 'I Can Manage' for eight weeks, while the control group did not receive any intervention. Data were collected using the Participant Identification Form, Multiple Sclerosis Self-Management Scale, Fatigue Severity Scale, State-Trait Anxiety Inventory, Program Usage Form, and Web Program Evaluation Form. The study was registered at ClinicalTrials database (NCT05393765). The time x group interaction for the self-management scores was significant and had a moderate effect size in favour of the intervention group (P < .01, pη2 = 0.114), whereas no significant changes were observed in the fatigue, state, and trait anxiety scores. A total of 86.8% of the participants used at least one feature of the program, and 93.9% found it easy to use and understand. 'I Can Manage' improved self-management in individuals with MS but did not lead to significant changes in fatigue or anxiety levels.</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/PMC13127145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786123","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":"Codesigning COVID-19 booster promotion materials in online workshops with long-term care staff: a process evaluation.","authors":"Kimberly C Arthur, Kanetha B Wilson, Breana Berry, Brianna Binion, Marla Becker, Alphonse Derus, Sanaa L Diop, Margaret Gachuiri, Beverly B Green, Ahoua Koné, James Licitra, Caroline Liou, Courtney E McCracken, Lauren E Nisotel, Shanise E Owens, Annalisa V Piccorelli, Sophie Ramsey, Lindsay B Schwartz, Kirsten Senturia, Jennifer Svoboda, Jaclyn Volney, Brian D Williamson, Clarissa Hsu","doi":"10.1093/her/cyag004","DOIUrl":"10.1093/her/cyag004","url":null,"abstract":"<p><p>When engaging communities in vaccine promotion efforts, it is critical to understand who has availability and interest in participating, and how participants experience the process. Guided by the Reach, Effectiveness, Adoption, Implementation, Maintenance framework, we evaluated an online codesign process with long-term care center staff to design coronavirus disease (COVID-19) booster promotion materials for their colleagues. Twenty-six staff joined codesign teams organized by self-identified race to culturally tailor materials during a cluster-randomized controlled trial with 40 centers in two US states. Data sources included surveys; interviews; screening, enrollment, and attendance data; fidelity assessment; codesigned materials; and focus groups. We report summary statistics and thematic analyses. We found that time constraints could impede enrollment. Most codesigners enjoyed collaborating and identified their individual contributions. Many linked having shared characteristics with their teammates (e.g. race, gender, age) to a feeling of connection. A few reported feeling motivated to engage in booster promotion. The process resulted in messages aligned with known psychological antecedents of vaccination. Considering recruitment challenges and limited participation of direct care staff, organizers should consider shorter codesign processes. Organizing teams based on shared characteristics could promote comfort. Community input should inform codesign structure and team composition to achieve optimum enrollment and engagement.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13016913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373359","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 impact of health literacy on complication risk perception in patients with type 2 diabetes: the mediating roles of patient-provider communication and perceived social support.","authors":"Linxin Xie, Ting Shu, Zijun Yuan, Mengwei Jiang, Detian Liu, Weiwei Yang, Hongzhen Xie","doi":"10.1093/her/cyag005","DOIUrl":"10.1093/her/cyag005","url":null,"abstract":"<p><p>Risk perception is a critical psychological factor that motivates patients with type 2 diabetes (T2DM) to adopt preventive behaviours, and the relationship between health literacy and complication risk perception appears to be influenced by social interaction factors. This study aimed to examine the association between health literacy and complication risk perception, with a particular focus on the mediating roles of patient-provider communication and perceived social support. A total of 533 patients with T2DM were recruited from a tertiary hospital in China and completed questionnaires assessing demographic characteristics, health literacy, patient-provider communication, perceived social support, and complication risk perception. The results indicated that patient-provider communication and social support mediated the relationship between health literacy and complication risk perception. These findings suggest that fostering a positive communication environment and enhancing patients' perceived support from family, healthcare providers, and peers may improve their complication risk perception, thereby encouraging proactive preventive behaviours.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285762","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":"Pastors' perceptions of faith-based cancer prevention/early detection programs in Virginia: a mixed methods study.","authors":"K R Day, J Sethi, J Zoellner, C E Helms, W Cohn, R A Krukowski","doi":"10.1093/her/cyaf053","DOIUrl":"10.1093/her/cyaf053","url":null,"abstract":"<p><p>Churches are promising partners for the delivery of cancer prevention and early detection interventions; few studies have examined pastors' views of offering these programs. This mixed methods study occurred in two phases: (i) pastors (n = 213) were surveyed to assess whether their church offered nine different cancer prevention/early detection programs and rated their perceived importance and feasibility of offering programs; (ii) a subsample of pastors (n = 17) participated in interviews. The Consolidated Framework for Implementation Research guided the development of the survey and the interview guide, and convergent parallel analysis was used to triangulate results. Of the nine programs, physical activity and healthy eating programs were most offered (47% and 40%, respectively). Perceived importance was low for most programs (mean = 2.38 out of 4), but perceived feasibility was moderately high (mean = 3.11 out of 4). The interviews identified prominent subthemes such as internal support, church characteristics, and pastor health interest that further described pastors' perceived importance of programs and factors that impeded program offerings. Perceived feasibility subthemes revealed that while pastors perceived programs to be feasible, many lacked the resources to deliver programs. Public health partnerships with churches can help mitigate resource limitations and improve sustainability of cancer screening and early detection programs.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533686","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":"Evaluating public health campaigns on health promotion, substance use prevention and physical activity: a systematic review.","authors":"Thomas Zandonai, Giulia Scarpa, Vittoria Barbati, Alessandro Carollo, Andrea Bizzego, Gianluca Esposito, Ornella Corazza","doi":"10.1093/her/cyag008","DOIUrl":"10.1093/her/cyag008","url":null,"abstract":"<p><p>Public health campaigns on substance use and physical activity aid disease prevention. This review examines how process evaluations are conducted in substance use and physical activity campaigns, focusing on methodologies, theoretical frameworks, implementation quality, fidelity, reach, and delivery. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a comprehensive literature search was conducted across PubMed, PsycINFO, Web of Science, Scopus, ProQuest, and Google Scholar from 1990 up to April 2025. Eligible studies included randomized controlled trials, quasi-experimental, and observational designs involving adult human participants and reporting process or implementation evaluation components. Twenty-one studies met inclusion criteria. A one-step forward citation analysis was performed using the bibliometrix package in R. Findings revealed that 62% of studies reported process evaluation components, with 52% employing mixed-method approaches. Commonly cited theoretical frameworks included the Transtheoretical Model, Theory of Planned Behaviour, and Social Cognitive Theory. Only 20% of studies explicitly defined process evaluation objectives, and few translated findings into actionable implementation adaptations. Bibliometric analysis indicated influence across 373 publications, primarily from the United States, Australia, and Canada. Overall, process evaluation in public health campaigns remain inconsistent. To enhance the quality and utility of such evaluations, greater theoretical integration, improved methodological transparency, and the use of standardized assessment tools are recommended.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13017709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318664","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":"Predictors of enrollment and cessation outcomes in a telehealth opt-out tobacco treatment program.","authors":"Vincent S Anokye, Avery Roberson, Amanda Palmer, Benjamin Toll, Dianne Wilson, Martha Dunlap, Asia A Bliss, Emily C Ware, Graham Warren, K Michael Cummings","doi":"10.1093/her/cyag006","DOIUrl":"10.1093/her/cyag006","url":null,"abstract":"<p><p>This study explores predictors of reach, enrollment, and smoking outcomes among patients referred to a telehealth-pharmacy assisted tobacco treatment program (TTP). Between May 2021 and December 2022, 35 756 adult patients from 43 oncology clinics were screened for cigarette use, and 3 319 current smokers were referred to the TTP. Reach was defined as the proportion of cigarette smokers referred to the TTP who were contacted by phone. Program enrollment was defined as the proportion of patients reached by phone who enrolled in the TTP, and overall enrollment was defined as the proportion of all identified cigarette smokers who were referred to and enrolled in the TTP. A subsample of 420 enrolled patients was selected for follow-up interviews, with 167 completing assessments of smoking status 4-12 months after enrollment. Older patients with cancer were more likely to be reached by phone. Those with cancer and non-White patients were more likely to enroll in the TTP once contacted. About 1/3 of patients reached at follow-up reported not smoking. Forty-five percent of patients who smoked and were referred to the TTP enrolled and 1/3 of patients who were contacted 4-12 months after enrolling in the TTP reported no longer smoking. What this paper adds  This paper explores predictors of reach, enrollment, and smoking outcomes among 3 319 patients referred to a telehealth-pharmacy assisted opt-out tobacco treatment program (TTP) for patients seen in oncology outpatient clinics.Among current cigarette smokers referred to the TTP, 72% were reached by phone, of those reached by phone, 63% enrolled in the TTP (i.e. program enrollment). Among all identified current smokers referred to the TTP, 45% enrolled in the TTP (i.e. overall enrollment).Overall enrollment rates were higher in patients who were older, non-White, and had a diagnosis of cancer, suggesting the opt-out approach helped to deliver smoking cessation treatments to patient groups, who based on prior studies, often do not receive treatment support to quit smoking.Among patients enrolled in the TTP, about 1/3 reported not smoking at follow-up 4-12 months after enrollment; 24% of those still smoking said they still wanted assistance to help them stop smoking.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13563092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285780","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 midwife-led solution-focused approach training on traumatic birth perception, vaginal birth self-efficacy, and mode of birth in nulliparous women: a randomized controlled trial.","authors":"Tuğba Yazici Topçu, Songül Aktaş","doi":"10.1093/her/cyag007","DOIUrl":"10.1093/her/cyag007","url":null,"abstract":"<p><p>This study examined the effect of midwife-led solution-focused approach (SFA) training provided to nulliparous pregnant women on their perception of childbirth as traumatic, self-efficacy regarding vaginal birth, and mode of birth. This randomized controlled trial was conducted with 80 pregnant women (experimental 40; control 40) who presented to a state hospital in Türkiye and were between 28 and 32 weeks of gestation. The experimental group received SFA training delivered by a midwife once a week for 4 weeks. Data were collected using the Descriptive Information Form, Traumatic Childbirth Perception, and Vaginal birth Self-efficacy Scales. Traumatic childbirth perception were significantly lower in the experimental group than control group (P < .001), representing a large effect size (η2 = 0.64). Vaginal birth self-efficacy were significantly higher in the experimental group (P < .001), indicating a medium effect size (η2 = 0.08). Although the vaginal birth rate was higher in the experimental group (32.5%) than control group (17.5%), the difference wasn't significant (P > .05); however, it reflected small effect size (Phi = 0.17). Midwife-led SFA training is effective in reducing traumatic childbirth perception and enhancing self-efficacy for vaginal birth, with tendency towards increased preference for vaginal birth. It is recommended that SFA training be more widely incorporated into obstetric care.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311374","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":"When Baidu meets the clinic: exploring how cyberchondria shapes patient satisfaction through trust in doctors and patient commitment.","authors":"Binhe Zhu, Han Zheng, Qian Xiao, Yiting Deng","doi":"10.1093/her/cyaf065","DOIUrl":"10.1093/her/cyaf065","url":null,"abstract":"<p><p>In the digital age, cyberchondria, a pattern of excessive online health information seeking accompanied by heightened health-related distress, has emerged as a growing concern. While previous research has largely focused on its psychological effects in the general population, limited attention has been paid to how cyberchondria influences patient-provider dynamics. This study aims to examine how cyberchondria is associated with trust in doctors, patient commitment, and patient satisfaction. An online survey was conducted among 1805 Chinese patients who had recently visited hospitals for medical consultations and had searched online for information related to their illness or symptoms. Results suggested that cyberchondria was negatively associated with both trust in doctors and patient satisfaction, but positively associated with patient commitment. A significant negative indirect association was found between cyberchondria and satisfaction via trust and commitment in sequence. Conversely, cyberchondria also showed a positive indirect relationship with satisfaction through patient commitment alone. These findings highlight the need for healthcare providers to engage with patients' online health behaviors and for public health systems to promote digital literacy and trustworthy health communication strategies.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960499","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":"Exploring the implementation of the school-based obesity prevention Familie+ intervention: a pilot mixed-methods study of teachers' perceptions.","authors":"Friederike Butscher, Doris Gebhard, Monika Singer, Femke van Nassau","doi":"10.1093/her/cyaf064","DOIUrl":"10.1093/her/cyaf064","url":null,"abstract":"<p><p>Teachers play a pivotal role as implementers in school-based obesity prevention interventions. Given the influence of teachers' perceptions on the implementation process, the aim of this pilot study was to investigate the delivery of, ratings on, and influencing factors for the implementation of the school-based Familie+ intervention delivered in low socioeconomic regions in Germany. Building upon the Consolidated Framework for Implementation Research and the Implementation Outcomes by Proctor, we conducted a sequential mixed-methods study design. Delivery of the intervention activities, their ratings, and influencing factors were assessed using questionnaires and interviews at two time points. Deductive qualitative content analysis using Consolidated Framework for Implementation Research was applied to the interview data to support the questionnaire data. Mixed-methods data are jointly presented. Overall, delivery of the intervention varied, with the nutrition activities most often delivered. Teachers valued the intervention activities overall positively. The main factors influencing implementation were related to the intervention materials themselves (e.g. high complexity and limited adaptability) and procedures within the school (e.g. mixed compatibility with workflows). School-based interventions should incorporate principal engagement and strengthen cooperation within the school team. Flexible interventions with multiple options for adaptations should be provided.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"41 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12825310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020203","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}