Health education & behavior : the official publication of the Society for Public Health Education最新文献

{"title":"Eating Behavior Traits and Success in Dietary Changes in Men with Prediabetes - the T2D-GENE Intervention.","authors":"Noora Koivu, Maria Lankinen, Ursula Schwab","doi":"10.1177/10901981251411226","DOIUrl":"10.1177/10901981251411226","url":null,"abstract":"<p><p>Sustained dietary change is essential for type 2 diabetes prevention, yet most Finnish men do not follow dietary recommendations. Eating behavior traits such as cognitive restraint, uncontrolled eating, and emotional eating may influence dietary success; however, their role in long-term adherence remains unclear. Moreover, men are underrepresented in eating behavior research. This study investigated whether baseline eating behavior traits predicted dietary goal achievement and changes in food intake during a 3-year lifestyle intervention among 370 older (50-75 years) men with prediabetes. The intervention promoted increased intake of vegetables, fruit, fiber, and unsaturated fats, while reducing saturated fat and sucrose. Diet was assessed with 4-day food records and eating behavior traits with the Three-Factor Eating Questionnaire-R18. Participants improved their diet quality, particularly fiber intake and fat quality. Although eating behavior traits did not predict overall success in reaching dietary goals, they were linked to specific food choices: Higher cognitive restraint predicted increased consumption of wholegrains, higher uncontrolled eating was linked to reduced intake of fatty pastries, and higher emotional eating was associated with increased nut and seed intake and decreased sugar-sweetened beverage consumption. Interestingly, traits typically associated with poorer eating habits were linked to healthier dietary changes. These results suggest that eating behavior traits may not determine overall adherence but can shape specific dietary patterns. Assessing these traits before intervention may support the design of tailored behavioral strategies. This study offers new insights into behavioral predictors of dietary change in older men with prediabetes, a group requiring personalized prevention strategies.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"440-451"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gathering Insights About Sexual Health Promotion From Adolescents' Adoption of COVID-19-Protective Behaviors.","authors":"Kimberly M Nelson, Julia C Bond, Shira I Dunsiger, Samantha Haiken, Crescent Alcid, Lynsie R Ranker, Michele L Ybarra","doi":"10.1177/10901981261426309","DOIUrl":"10.1177/10901981261426309","url":null,"abstract":"<p><p>This study aimed to understand how adolescent adoption of behaviors protective against different health risks relate to each other, as well as the role family and friends might play in the adoption of protective behaviors. We used data from adolescents (<i>N</i> = 1,803; age 13-17 years) who were recruited between April 2022 and June 2023 for the QuaranTeen Health study, an online, longitudinal survey assessing the impact of the COVID-19 pandemic on adolescent sexual health. We used data from the baseline questionnaire to calculate weighted correlations between friend and family norms about masking and vaccination and adolescents' COVID-19 protective behaviors, defined as 1) participant masking in the past two weeks and 2) receiving at least one COVID-19 vaccination shot. We used weighted logistic regression models to estimate associations between COVID-19-protective behaviors and sexual health-protective behaviors (i.e., condom use and hormonal contraception use at the most recent sex). We found that increased friend and family norms for COVID-19-protective behaviors were associated with participant masking (friends: ρ = .40, <i>p</i> < .01; family: ρ = .34, <i>p</i> < .01) and vaccine uptake (friends: ρ = .40, <i>p</i> < .01; family: ρ = .56, <i>p</i> < .01). Both behaviors were positively associated with condom use (masking: OR = 1.63, 95% CI = [1.05, 2.52]; vaccination: OR = 2.20, 95% CI = [1.32, 3.69]). Neither was associated with hormonal contraception use. Our findings suggest that family and friend norms for health-protective behaviors appear to be associated with health-protective behaviors among adolescents, at least when examining COVID-19-protective behaviors. Integrating friend and family norms may increase the effectiveness of future sexual health interventions designed to increase sexual health-protective behaviors among adolescents.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"541-550"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147494947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health Symptoms as a Predictor of E-Cigarette Initiation Among Youth and Young Adults.","authors":"Kenneshia N Williams, Brenda S Dimaya, Tatum L McKay, Madeleine F Aseltine, Elizabeth K Do, Elizabeth C Hair, Jessica M Rath","doi":"10.1177/10901981261425265","DOIUrl":"10.1177/10901981261425265","url":null,"abstract":"<p><p>Youth experiencing mental health symptoms have been found to be more susceptible to e-cigarette initiation. Limited research has examined predictors of e-cigarette use through longitudinal analysis. Understanding how mental health symptoms influence later use is essential for developing effective prevention strategies targeting youth and young adults. This study contributes to the literature by investigating the association between mental health symptoms and e-cigarette initiation using a longitudinal design. Data were drawn from the Truth Longitudinal Cohort, a nationally representative, probability-based U.S. cohort (<i>N</i> = 4,058; 15-24 years). Respondents were nicotine naïve at baseline (Spring 2018) and had data at follow-up (Fall 2019) for variables of interest. Mental health status was collected at baseline with one item per symptom (i.e., sadness/depression, attention issues, sleep issues). E-cigarette use was measured between baseline and follow-up: \"Have you ever used or tried any e-cigarettes or e-hookah?\" Results revealed a significant positive relationship between mental health symptoms at baseline and future e-cigarette initiation. For each unit increase in participants' mental health symptoms' scale score, the odds of initiating electronic nicotine delivery systems (ENDS) by follow-up increased by .07, on average (odds ratio [<i>OR</i>] = 1.07, 95% confidence interval [CI] = [1.02, 1.11]). In addition, post hoc sensitivity analyses were run testing mental health score thresholds to evaluate the robustness of the relationship with ENDS initiation. Results revealed a significant relationship between those reporting \"high\" versus \"low\" mental health symptoms (<i>OR</i> = 1.54, 95% CI = [1.10, 2.14]). This study revealed the predictive relationship between mental health symptoms and future e-cigarette initiation.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"551-557"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147506015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Preconception Health and Health Behaviors of Australian First-Time Fathers: A Cross-Sectional Study.","authors":"Tristan Carter, Danielle Schoenaker, Jon Adams, Amie Steel","doi":"10.1177/10901981251414635","DOIUrl":"10.1177/10901981251414635","url":null,"abstract":"<p><p>Preconception health can be optimized through preconception care, which is considered an effective catalyst for behavior change prior to parenthood and is of paramount importance due to the influence that health behaviors can have on pregnancy and offspring outcomes. The preconception health and preconception health behaviors of males before they become fathers for the first time remain underexplored and are an emerging area of interest for public health and reproductive health research. This article is the first report and quantitative cross-sectional analysis of the national dataset pertaining to male health, Ten to Men, reporting data relevant to male health across the life course, during preconception. This report offers research foresight into the health behaviors (e.g., smoking or alcohol), health conditions, health consultations, medications, health information, and health literacy of Australian males prior to becoming a father (<i>n</i> = 572). The findings of this research support an undervalued albeit indispensable research area by providing up-to-date evidence-based information regarding paternal preconception health and health behaviors. This public health research with a focus on paternal preconception health behaviors and health behavior change can only strengthen the call for preventive health and offer preconception health and preventive knowledge about males for the research community and practitioners.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"472-486"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146044523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Movement Behaviors, Sleep Quality, and Anxiety Symptoms in Adolescents: A School-Based Cross-Sectional Study.","authors":"João Paulo Rodrigues Dos Santos, Vagner Deuel de O Tavares, Yuri Alberto Freire, José Damião Saraiva Gomes-Júnior, Lucas Vital Dantas, Aritana Pereira Ramos, David Ohara, Ludmila Lucena Pereira Cabral, Rodrigo Alberto Vieira Browne","doi":"10.1177/10901981261425267","DOIUrl":"10.1177/10901981261425267","url":null,"abstract":"<p><p>The objective of this study was to investigate the association between movement behaviors, sleep quality, and anxiety symptoms in adolescents. This cross-sectional study included 250 Brazilian school adolescents (aged 16.6 ± 1.2 years) from a federal public school. Moderate-to-vigorous physical activity (MVPA; classified as physically active [≥60 min/day] and physically inactive [<60 min/day] according to the World Health Organization recommendations), sedentary behavior (SB; classified as low <8 h/day and high ≥8 h/day), and sleep quality (poor vs. good) were measured using the adapted version of the Global School-based Student Health Survey. Anxiety symptoms (≥30 points) were evaluated using the Screen for Child Anxiety Related Disorders. Poisson regression with robust variance was used to determine the prevalence ratio (PR) and 95% confidence interval to compare anxiety symptoms between categories of MVPA, SB, and sleep quality, while adjusting for confounding variables. The prevalence of anxiety symptoms was 48.8% (95% CI: 42.4, 54.8). MVPA and sleep quality were associated with anxiety(<i>p</i> < .05). Physically inactive participants had a higher prevalence of anxiety compared with their physically active peers (PR = 1.31, 95% CI: 1.04, 1.64; <i>p</i> = .021). Participants with poor sleep quality had a higher prevalence of anxiety compared with those with good sleep quality (PR = 1.47, 95% CI: 1.16, 1.88; <i>p</i> = .002). SB was not associated with anxiety (<i>p</i> > .05). In conclusion, the results suggest that physically inactive adolescents and those with poor sleep quality have a higher prevalence of anxiety symptoms. Moreover, specific combinations of physical inactivity, high SB, and poor sleep quality, as well as the concomitant presence of all three, are associated with an even greater prevalence of anxiety symptoms.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"515-525"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Health Education Specialist Practice Analysis III 2025 (HESPA III 2025): Process and Outcomes.","authors":"Antonio J Gardner, Beth H Chaney, Ian F Hembry, James Henderson, Misozi Houston, William Datema, Cherylee Sherry, Shontelle Dixon, Melissa Opp","doi":"10.1177/10901981261479329","DOIUrl":"https://doi.org/10.1177/10901981261479329","url":null,"abstract":"<p><p>The Health Education Specialist Practice Analysis III 2025 was conducted to update and validate the hierarchical model associated with the contemporary framework for the practice of health education specialists across work settings at entry and advanced levels. The purpose of this manuscript was to report the processes and findings associated with the HESPA III 2025 study to assess the validity of the Areas of Responsibility, Competencies, Sub-competencies, and Knowledge Areas for entry- and advanced-level health education specialists. Quantitative and qualitative methods were employed. Three data collection instruments were developed by the Health Education Specialist Practice Analysis III 2025 Steering Committee and a 14-member Practice Analysis Panel to survey practicing health education specialists on the knowledge and skills needed to perform duties in their ongoing roles. The instruments assessed the importance, frequency, and performance expectations of the elements of the model. Composite scores for Sub-Competencies were calculated, and subgroup comparisons were conducted to distinguish between levels of practice. A total of 2,337 health education specialists completed the surveys. The final validated hierarchical model included nine Areas of Responsibility, 35 Entry-level Competencies, 4 Advanced-level Competencies, 243 Sub-Competencies, nine Knowledge Topics, and 141 Knowledge Statements. Of the Sub-Competencies, 145 were classified as entry-level, and 98 were classified as advanced level. Health Education Specialist Practice Analysis III 2025 produced a validated hierarchical model descriptive of the current practice of health education specialists across work settings. The findings have professional preparation, professional development, and certification implications for the health education profession.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261479329"},"PeriodicalIF":2.1,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Therapeutic Exercise Programme for Trans and Gender Diverse Youth: An Effectiveness-Implementation Trial.","authors":"Felicity Austin, Kemi Wright, Ashleigh Lin, Ben Jackson, Julia K Moore, Liz Saunders, Bridget Laming, Claire Munsie, Ben Kramer, Ben Quick, Ashley Almarjawi, Aaron Simpson, Bonnie Furzer","doi":"10.1177/10901981261479283","DOIUrl":"https://doi.org/10.1177/10901981261479283","url":null,"abstract":"<p><p>Trans young people face systemic barriers to physical activity participation and experience disproportionately higher rates of physical and mental health challenges compared with their cisgender peers, yet evidence-based exercise interventions tailored to this population remain limited. This study evaluated a 12-week structured, group-based, gender-affirming exercise programme for trans youth aged 12 to 24 years in Western Australia, recruited through a specialist paediatric gender diversity service and community-based health and well-being services. Using a nonrandomised effectiveness-implementation hybrid design, the study assessed both the real-world implementation outcomes and health-related effectiveness of the programme, which was collaboratively designed with trans young people, families, and health professionals and grounded in international physical activity guidelines. Twenty participants enrolled, with 18 completing postprogramme assessments. Quantitative analysis revealed modest improvements in muscular strength, endurance, power, aerobic recovery, and well-being from baseline to 12 weeks, alongside high acceptability, appropriateness, feasibility, fidelity, and retention rates. Qualitative analysis identified themes relating to pathways to participation, connection through shared experience, supportive facilitation, and perceived physical and psychological benefits. This study adds to the limited evidence base by demonstrating that gender-affirming exercise programmes are both feasible and acceptable across clinical and community settings. Findings support the broader integration of exercise into gender-affirming health care, with implications for the design of inclusive health services and physical activity policies that address the specific needs of trans youth.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261479283"},"PeriodicalIF":2.1,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148852346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Physician Physical Activity on Well-Being, Counseling Practices, and Performance: A Systematic Review.","authors":"Stephen J Perle, Charles A Baumann, William B Dyke, John R Baumann, Alexander D Jeffs, Elizabeth O Moreton, Jackson Perry, Nicholas C Bank, Douglas S Weinberg, R Alexander Creighton","doi":"10.1177/10901981261479365","DOIUrl":"https://doi.org/10.1177/10901981261479365","url":null,"abstract":"<p><p>Physicians are routinely exposed to high levels of occupational stress and demanding cognitive load. Although physicians often report higher levels of physical activity than the general population, physical activity behaviors are variable, and some physicians still do not meet recommended activity guidelines. This systematic review examined whether physician physical activity impacts several professional domains: well-being and burnout, patient counseling and role-modeling behaviors, and cognitive function or clinical performance. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, PubMed, Scopus, and SportDiscus were searched in October 2025. Twenty-three studies met the inclusion criteria. Across 10 studies evaluating physician well-being, higher physical activity was consistently associated with lower burnout, reduced stress, fewer symptoms of depression and anxiety, greater professional fulfillment and personal accomplishment, and higher quality of life. Twelve studies demonstrated associations between physicians' physical activity and greater frequency, confidence, and perceived effectiveness of physical activity counseling, with estimates ranging from odds ratio (OR) 2.43 to 5.72 among studies reporting ORs. Patients also reported greater trust in physically active physicians. Evidence directly linking physician physical activity to objective clinical performance outcomes was limited. One multimodal wellness intervention study incorporating physical activity reported improvements in self-reported cognitive adaptability. However, the independent effect of physical activity could not be isolated. Overall, physician physical activity appears associated with improved well-being and increased patient counseling, suggesting a promising target for clinician wellness initiatives.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261479365"},"PeriodicalIF":2.1,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148805170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Countering HPV Vaccine Misinformation: An Integrative Cognitive-Affective Framework for Theory-Driven Digital Health Education Interventions.","authors":"Yuyi Yang, Fan Yang, Ruopeng An, Douglas Luke","doi":"10.1177/10901981261479333","DOIUrl":"https://doi.org/10.1177/10901981261479333","url":null,"abstract":"<p><p>The spread of online misinformation about the human papillomavirus (HPV) vaccine undermines confidence in vaccination and contributes to persistent gaps in adolescent series initiation and completion. Existing digital health interventions often deliver more factual information, yet behavior change remains inconsistent, suggesting that effective education strategies must also address fear, distrust, reactance, and perceived social disapproval. This conceptual, theory-building paper develops an integrative cognitive-affective framework for designing digital tools, including conversational agents and tailored messaging platforms, that target cognitive and emotional determinants of HPV decisions. Using an integrative synthesis of established behavior change and health communication theories, the framework organizes constructs into a cognitive pathway (threat perception, efficacy beliefs, outcome expectations, and normative influence) and an affective and relational pathway (fear and concern, anger and reactance, empathy and altruistic motivation, trust, and perceived social presence), with emotional self-regulation capacity treated as a moderator. The framework proposes attitude and affective readiness as proximal mediators while allowing direct, reciprocal, and context-dependent relationships among constructs, intention, and behavior. The paper translates each construct into design principles for digital interventions and illustrates how they could be implemented and tested in conceptual chatbot-based encounters. This work contributes to health education scholarship by connecting established theory to contemporary digital health technologies for countering HPV vaccine misinformation. It offers guidance for building and evaluating emotionally intelligent, theory-informed interventions adaptable across clinical, school, and community settings.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261479333"},"PeriodicalIF":2.1,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148805185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Digital Visual Aids Improve Skin Self-Examination Behaviours? A Systematic Review.","authors":"Heba Abdalla, Johanna Joyce, Nurul Amanina Binte Hussain, Monika Janda","doi":"10.1177/10901981261479324","DOIUrl":"https://doi.org/10.1177/10901981261479324","url":null,"abstract":"<p><p>Digital visual aids like smartphone applications can potentially increase uptake and maintenance of Self-Skin Examination (SSE) behaviours, which is an essential secondary prevention strategy for early detection of skin cancer. This review aimed to understand whether digital visual aids with lesion monitoring functions improve SSE behaviours without negatively impacting health outcomes. A systematic search was performed using six databases for relevant literature published before June 2025. Studies were included if they used digital interventions that could monitor skin lesions and reported outcomes on SSE behaviours or their antecedents, such as SSE knowledge, attitudes and intentions. Data were analysed following an adapted Technological Acceptance Model framework. Twenty studies conducted in the United States, the United Kingdom, or Australia involving 19 to 1,000 participants were included. Nineteen studies were randomised controlled trials (RCTs) or nested within RCTs, with one non-nested cross-sectional study. Interventions were delivered by smartphone and/or tablet applications, or websites. Studies found digital visual aids led to improved knowledge (<i>n</i> = 6), perceived usefulness (<i>n</i> = 5), ease of use (<i>n</i> = 7), attitudes towards SSE (<i>n</i> = 13), as well as intention to perform regular SSE (<i>n</i> = 5). Overall, there was a positive impact on health outcomes, with only two studies reporting an increase in anxiety and worry following the intervention. Three of seven studies demonstrated an increased likelihood of detecting malignant skin lesions when monitoring using digitally aided SSE. There is potential for digital visual aids to improve SSE behaviours. However, it is important to address barriers to the use of digital visual aids for SSE and to improve their integration with clinical care.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261479324"},"PeriodicalIF":2.1,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148805210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}