{"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}
Tien-Chin Wu, Lorien C Abroms, Melissa Napolitano, Christina N Wysota, Donald Koban, David A Broniatowski
{"title":"Participant engagement in a moderated Facebook group to promote COVID-19 vaccination.","authors":"Tien-Chin Wu, Lorien C Abroms, Melissa Napolitano, Christina N Wysota, Donald Koban, David A Broniatowski","doi":"10.1093/her/cyaf008","DOIUrl":"10.1093/her/cyaf008","url":null,"abstract":"<p><p>Interventions with high levels of engagement have been found to be more effective at changing health behavior than those with low levels. Few prior studies have examined whether engagement in interventions using social media groups is associated with higher program effectiveness. This study examined whether participant engagement in a moderated private Facebook group aimed at COVID-19 vaccination was associated with improvements in immunization intentions (N = 263). Engagement in the group (i.e. emoji reactions, comments, poll votes and posts) and change in COVID-19 vaccine intentions were assessed through a retrospective review of participant engagement metrics and self-reported surveys at 4 weeks. Overall, 59% of participants engaged at least once. Participants on average made 11.9 total engagements during the 4-week study (SD = 25.5), of which 6.3 (SD = 15.2) were emoji reactions, 4.0 (SD = 12.3) comments, 1.4 (SD = 2.2) poll votes and 0.2 (SD = 0.7) post. No significant differences were found between engagement and sociodemographic characteristics or group size. Emoji reactions were associated with increased intentions. Each emoji reaction used was associated with a 4% increase in the odds of improvements in intention to vaccinate adjusted odds ratio (aOR) = 1.04, 95% CI: 1.01-1.08, P = 0.015). Future interventions on social media should encourage users to use emoji reactions on posts.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812575","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":"Correction approaches and hashtag framing in addressing Mpox misinformation on Instagram.","authors":"Kelly Y L Ku, Jiarui Li, Yueming Luo, Yunya Song","doi":"10.1093/her/cyaf009","DOIUrl":"10.1093/her/cyaf009","url":null,"abstract":"<p><p>The rapid spread of health misinformation on social media poses significant challenges to public health crisis. Mpox misinformation has portrayed it as exclusively a sexually transmitted infection, resulting in misperceptions about infection risk and stigmatization of affected groups. This study aimed to evaluate the effectiveness of different correction approaches and message framing in reducing misperception and shaping disease-related attitudes, both immediately after exposure and after a 1-day delay. We employed a 2 × 2 design with a control group to test correction approaches (fact-based vs. logic-based) combined with hashtag framing (health literacy vs. inclusivity) through an experiment (N = 274). Findings showed that all corrections reduced misperception both immediately and after 1 day and increased the likelihood of sharing corrective messages. Only corrections with inclusivity hashtags promoted more positive attitudes towards Mpox immediately after exposure. Stereotypes played a significant moderating role where participants with stronger stereotypes showed a greater reduction in misperception when exposed to corrections with inclusivity hashtags but were less likely to share logic-based corrective message. These findings contributed to understanding effective health communication by highlighting the role of social media hashtags in message framing, promoting user sharing of corrective information, and addressing stereotypes when designing interventions against health misinformation.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701791","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":"Theory-driven approach to hand hygiene promotion intervention in hospitals: a case of theory of planned behaviour.","authors":"Hassan Barekati, Sakineh Rakhshanderou, Yadollah Mehrabi, Leili Mazar, Mohtasham Ghaffari","doi":"10.1093/her/cyaf007","DOIUrl":"10.1093/her/cyaf007","url":null,"abstract":"<p><p>Nosocomial infections are among the major challenges faced by health systems worldwide, with hand hygiene being one of the simplest and most important preventive measures. This study aimed to assess the effectiveness of an educational intervention based on the Theory of Planned Behaviour (TPB) in improving hand hygiene behaviour among hospital nursing staff. A total of 194 nursing staff members were selected using a random sampling method and randomly assigned to intervention and control groups. Data were collected through researcher-made questionnaire based on the TPB and the World Health Organization's five moments of hand hygiene. The intervention programme was developed and implemented following a pretest, response analysis, and educational needs assessment. The results showed a significant change in the mean scores of subjective norms, perceived behavioural control, behavioural intention, and behaviour at baseline, immediately after, and 2 months after the intervention in the intervention group. Hand hygiene adherence at the moments of 'before touching a patient', 'after body fluid exposure', and 'after touching a patient' showed significant differences in the intervention group. Given the effectiveness of TPB-based intervention and the influence of factors like the environment and reinforcement, combining TPB with constructs from other behaviour change theories, particularly Social Cognitive Theory is recommended to improve hand hygiene compliance.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651218","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":"Randomized experimental test of a reduced-exposure message for an e-cigarette: effects on behavioral intentions and the mediating role of risk perceptions.","authors":"Saul Shiffman, Michael J Hannon, Stacey McCaffrey","doi":"10.1093/her/cyaf003","DOIUrl":"10.1093/her/cyaf003","url":null,"abstract":"<p><p>Informing adults who smoke (AWS) that completely switching to electronic nicotine delivery systems (ENDS) reduces their exposure to harmful chemicals could prompt them to switch. However, it would be problematic if such reduced-exposure messages prompted ENDS use by adults not currently using tobacco (Former Users and Never Users of tobacco). This study assessed the effect of a reduced-exposure message for JUUL ENDS, presented in a video ad, on behavioral intentions among 3485 AWS, 1756 Dual Users (of cigarettes and ENDS), 1857 Former Users and 5459 Never Users. In a randomized experiment, participants viewed an ad for JUUL with or without a reduced-exposure message. Exposure to the reduced-exposure message significantly increased AWS' Openness to Try ENDS, while significantly decreasing it among Nonusers, resulting in a significant message × user group interaction. Responses of young adults (18-24 years) did not differ from those of older adults (30+), and message exposure did not increase Young Adult Nonusers' Openness to Try. The message's effect on AWS' Openness to Try was completely mediated by its effects on AWS' perception of the risk of ENDS use compared to smoking cigarettes. The reduced-exposure message resulted in a pattern of behavioral intentions consistent with a favorable impact on population health.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469564","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":"Randomized experimental test of a reduced-exposure message for an e-cigarette: effects on risk perceptions.","authors":"Saul Shiffman, Sooyong Kim, Stacey McCaffrey","doi":"10.1093/her/cyaf004","DOIUrl":"10.1093/her/cyaf004","url":null,"abstract":"<p><p>Adults who smoke (AWS) who switch completely to e-cigarettes reduce their exposures to many harmful chemicals in cigarette smoke. Those who believe e-cigarettes are less harmful than cigarettes are more likely to use e-cigarettes to switch away from smoking, yet most believe e-cigarettes are at least as harmful as cigarettes. This study assessed the effect on risk perceptions of communicating that switching can reduce exposure to harmful chemicals from cigarette smoke. In a randomized experiment, AWS (n = 3485), dual users (DU) of cigarettes and e-cigarettes (n = 1756), and nonusers (n = 7316) viewed an ad for JUUL with or without a reduced-exposure message, and completed assessments of perceived risk. Message exposure decreased perceived risk of JUUL among adults who smoke, while increasing perceived risk of smoking, thus increasing the perceived risk differential (PRD). Among DU, the message increased perceived risk of smoking, but did not change perceived risk of JUUL. Among nonusers, who rated the perceived risk of all assessed tobacco products higher than did AWS and DU, the message decreased perceived risk of JUUL, and did not affect perceived risk of smoking. Accurate modified exposure communications have potential public health benefit by shifting the PRD of smoking and e-cigarettes.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469566","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}
Emily A Gunning, Rachael P Carson, Emma Schotanus, Sydney Benn, Jordan Henderson, Amy Eccles, Sherry L Grace, Gabriela L M Ghisi
{"title":"Think-aloud test of online education for patients with cardiac diseases: do they meet the needs of women?","authors":"Emily A Gunning, Rachael P Carson, Emma Schotanus, Sydney Benn, Jordan Henderson, Amy Eccles, Sherry L Grace, Gabriela L M Ghisi","doi":"10.1093/her/cyaf006","DOIUrl":"10.1093/her/cyaf006","url":null,"abstract":"<p><p>Patient education is a core component of cardiovascular rehabilitation (CR). Recent guidelines call for tailored materials to support women, given their unique needs and preferences. This study investigated women patient's perspectives of online CR educational materials (Cardiac College, Toronto). Through a cross-sectional design, a think-aloud protocol followed by semistructured qualitative interviews was used to collect data on women's perceptions of the comprehensive educational webpages with regard to content, format, visuals, length/volume, difficulty, applicability, implementability and suggestions for improvement. Thirty-eight current and previous CR program participants completed 1-h Zoom interviews. Transcripts were coded thematically using best practices in NVivo by two researchers independently. Four themes emerged: (I) materials met their needs (content, presentation, and empowerment), (II) suggestions for improvement in presentation (website design, text, and visuals), (III) content (volume, additions, and difficulty), and (IV) optimizing reach and implementability (inclusiveness, barriers, and dissemination). Overall, the education content met women's needs and was relatable, but should be updated for currency, visual appeal, and searchability. Cardiac College for Women may meet these needs and preferences.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477180","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":"Comparison of eco-directed and health-focused brief awareness-raising interventions for enhancing active participation of community residents in drug take-back program.","authors":"Shuzhe Wu, Qinghua Liu, Qin Li, Jun Wang","doi":"10.1093/her/cyaf002","DOIUrl":"10.1093/her/cyaf002","url":null,"abstract":"<p><p>Drug take-back system provides a legal, safe and eco-friendly avenue to appropriately dispose of unwanted medicines, contributing to both environmental sustainability and reducing medication misuse. This study designed and implemented a brief educational intervention, which took <1 min on average, to enhance awareness of community residents regarding the dangers of hoarding and improperly disposing of expired and unused medication at home. In a Chinese urban community, 104 eligible households were evenly assigned into 2 groups receiving leaflet-based awareness-raising interventions. Messages about risks of unwanted medicines delivered to the two groups focused on either environmental concerns of pharmaceutical emerging contaminants (eco-directed) or health hazards associated with misuse or overuse (health-focused). Compared with those in a health-focused intervention, significantly more households participating in an eco-directed awareness-raising activity returned unwanted medicines, supported community-level drug take-back program and agreed that drug take-back program should be mandatory and paid for by consumers. Data suggested that the eco-directed awareness-raising intervention might be an attractive approach to enhance the public's active participation in drug take-back program.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477177","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}