Health Promotion International最新文献

Political determinants of digital health: beyond the rainbow.

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-03-05 DOI: 10.1093/heapro/daaf014

Sara L M Davis

{"title":"Political determinants of digital health: beyond the rainbow.","authors":"Sara L M Davis","doi":"10.1093/heapro/daaf014","DOIUrl":"10.1093/heapro/daaf014","url":null,"abstract":"In 2021, the World Health Organization issued its first global strategy on digital technologies and health, calling on member states to develop their own national digital health strategies. However, the normative tools that guide the development of these strategies do not prompt member states to consider how broader political factors, such as law and policy, governance, and civic engagement, could shape health outcomes in the digital age. The digital gender divide, algorithmic biases linked to race, transnational private sector actors, and more must be thoroughly addressed in future digital health strategies. Experiences from the global HIV response have demonstrated that it is possible to do this, by mobilizing diverse government and non-governmental actors to systematically assess and act to strengthen the legal and political environment for health. This essay draws on the HIV response to critically engage with recent literature on the digital determinants of health, proposing an approach to analyzing broader political determinants of health, including commercial determinants of health, and other laws, policies, governance, and civic engagement relevant to digital health strategies. By rendering visible the role of politics, governance, and civic engagement in digital health, strategies can be tools to mobilize broad collaborations and advocacy that creates an enabling environment.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774940","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}

引用次数: 0

Co-production of a youth advocacy video on the harms of e-cigarette advertising in Scotland.

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-03-05 DOI: 10.1093/heapro/daae097

Marissa J Smith, Caroline Vaczy, Shona Hilton

{"title":"Co-production of a youth advocacy video on the harms of e-cigarette advertising in Scotland.","authors":"Marissa J Smith, Caroline Vaczy, Shona Hilton","doi":"10.1093/heapro/daae097","DOIUrl":"10.1093/heapro/daae097","url":null,"abstract":"This study aimed to investigate young people's exposure to and perceptions of e-cigarette advertising to co-produce an advocacy video. This focus on e-cigarette marketing and its targeted appeal to young people comes at a crucial juncture, as policymakers in the UK and Scotland channel considerable efforts into shaping new regulations in response to these concerns, such as banning disposable e-cigarettes. The research to co-design a video was conducted with 33 young people aged between 12 and 16 living in the Central Belt of Scotland. The research comprised four stages: workshops, photo elicitation, focus groups and video development. Young people expressed concerns regarding the potential health effects of e-cigarettes, the ubiquity of e-cigarette advertising and products seemingly directed at young people, and the use of e-cigarettes among their peers. While none of our participants identified themselves as e-cigarette users, and all were below the age of 18, some mentioned seeing targeted advertisements for e-cigarettes online. These concerns were also reflected in participants' contributions to the video production process. Our findings highlight that young people feel overly exposed to e-cigarette advertising and they identified aspects of these adverts (including the use of vibrant colours and flavour variations) that they felt were designed to appeal specifically to young people. These findings suggest the need for stronger legislation to protect young people from the advertising and marketing of e-cigarettes. Further research might also usefully contribute to understanding counterarguments and marketing from public health advocates to limit the appeal of e-cigarettes to young people.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558681","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}

引用次数: 0

Child's-eye views of smartphone-based gaming content: objective insights from Aotearoa New Zealand.

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-03-05 DOI: 10.1093/heapro/daae195

Marcus Gurtner, Ryan Gage, Moira Smith, James Stanley, Louise Signal

{"title":"Child's-eye views of smartphone-based gaming content: objective insights from Aotearoa New Zealand.","authors":"Marcus Gurtner, Ryan Gage, Moira Smith, James Stanley, Louise Signal","doi":"10.1093/heapro/daae195","DOIUrl":"10.1093/heapro/daae195","url":null,"abstract":"Children's engagement with smartphone-based (online) gaming content is rapidly increasing. There appears to be no existing objective evidence of children's exposure to this content captured in real time. Evidence on preteens' smartphone-based gaming is especially scarce. This study aimed to objectively explore the nature and extent of preteens' exposure to smartphone-based gaming content. Sixty-six children aged 11-13 years from 16 schools in the Wellington region of New Zealand used Zoom video teleconferencing software to record real-time, screen-shared internet use for 4 consecutive days. On average, children recorded 164 minutes each over the 4-day study period. Recordings were coded for gaming content by activity, using game applications and watching gaming content using social media. Game application characteristics were also recorded. Of every online hour recorded, 28.6% showed gaming content-using game applications (18%) and watching (10.7%). Male and low-deprivation children recorded more gaming content as part of their screen-shared internet use than female and high-deprivation children. Game application time comprised gameplay (56.6%), non-gameplay (43.4%), and included advertising 16.4% of the time. Most games were 'Advergames' [games including advertising (85.7%)], were free-to-play (98.4%), and included in-game purchases (87.3%). One-quarter (25.5%) included 'Random Items' (e.g. loot boxes) as part of these purchases, and 28.6% allowed users to interact with other users. While 'playing' using smartphone game applications, children are exposed to highly commercialized contexts that include manipulative design features, adult themes and advertising. Children, who are most vulnerable to online harms, must be protected in accordance with the United Nations Convention on the Rights of the Child.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558755","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}

引用次数: 0

Perspectives, motivations, and experiences of adolescents and young adults using nicotine vapes: a qualitative review.

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-03-05 DOI: 10.1093/heapro/daaf007

Jessica Biles, Rachel Kornhaber, Pauletta Irwin, Andreia Schineanu, Myra Kavisha Sookraj-Baran, Michelle Cleary

{"title":"Perspectives, motivations, and experiences of adolescents and young adults using nicotine vapes: a qualitative review.","authors":"Jessica Biles, Rachel Kornhaber, Pauletta Irwin, Andreia Schineanu, Myra Kavisha Sookraj-Baran, Michelle Cleary","doi":"10.1093/heapro/daaf007","DOIUrl":"10.1093/heapro/daaf007","url":null,"abstract":"The emergence of vaping represents a novel phenomenon, highlighting its distinctive role within contemporary society. Nevertheless, the comprehensive understanding of the cultural significance and social norms associated with vaping remains incomplete. This scoping review aimed to report the perspectives, motivations, and experiences of adolescents and young adults (10-25 years) engaging in the use of nicotine vapes. Peer-reviewed primary research published in English from 2003 to February 2024 was identified using the databases PubMed, Scopus, CINAHL, and PsycINFO. Qualitative studies reporting on the perspectives, motivations, and experiences of adolescents and young adults who currently engage in nicotine and tobacco vape use were included. Thematic analysis revealed three key themes in adolescents and young adults vaping: understanding and reasons for vaping, the challenges of addiction and withdrawal, and varied responses from families and caregivers. Adolescents and young adults are often introduced to vaping by peers and siblings, drawn by the desire to fit in and the appealing flavours. Despite awareness of potential health risks, addiction makes quitting difficult, leading to intense cravings and withdrawal challenges. Families show a spectrum of responses, from ignorance to reluctant acceptance, indicating a need for better awareness and intervention strategies to address adolescent vaping. Establishing a withdrawal pathway for vaping is imperative as an intervention strategy to address the prevalence of vaping among adolescents and young adults.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11920970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659633","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}

引用次数: 0

Digital determinants of sexual and reproductive health-workforce perspectives on digital and data literacies.

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-03-05 DOI: 10.1093/heapro/daaf013

Kath Albury, Samantha Mannix

{"title":"Digital determinants of sexual and reproductive health-workforce perspectives on digital and data literacies.","authors":"Kath Albury, Samantha Mannix","doi":"10.1093/heapro/daaf013","DOIUrl":"10.1093/heapro/daaf013","url":null,"abstract":"This article explores the impact of digital transformation on sexual and reproductive health promotion from an interdisciplinary perspective, focusing on the implications of rapidly evolving policy landscapes for the Australian health promotion workforce. We draw on 29 key informant interviews and workshops with 18 current sexual and reproductive health professionals (aged 18-29). Both groups were invited to reflect on how digital and data literacies are currently understood and applied within the Australian sexual and reproductive health promotion sector. Interviewees shared concerns related to digital and data literacy, equity, and the challenges of integrating digital technologies into health practice. Findings highlight the need for strategic approaches that shift focus away from individual literacies towards broader organisational capabilities. These capabilities include: an understanding of digital policy and platform governance (e.g. in relation to social media content moderation); an understanding of how health consumers and service users currently utilise digital systems to support sexual health and wellbeing; and an understanding of the ways digital equity and data justice can be undermined or advanced in organisational settings. We conclude with recommendations for enhancing workforce digital and data capabilities and integrating DDoH into health promotion policy and practice to improve health equity. Significantly, we conclude that dedicated resources and training are needed to address the complexities of DDoH in the sexual and reproductive health context.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659631","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}

引用次数: 0

Sociodemographic and health-related factors associated with low health literacy among Indigenous populations: a systematic review.

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-03-05 DOI: 10.1093/heapro/daaf018

Madson Alan Maximiano-Barreto, Diana Quirino Monteiro, Ludmyla Caroline de Souza Alves, Adrieli Oliveira Raminelli, Hilary Elohim Reis Coelho, Keika Inouye, Pilar Bas-Sarmiento, Bruna Moretti Luchesi

{"title":"Sociodemographic and health-related factors associated with low health literacy among Indigenous populations: a systematic review.","authors":"Madson Alan Maximiano-Barreto, Diana Quirino Monteiro, Ludmyla Caroline de Souza Alves, Adrieli Oliveira Raminelli, Hilary Elohim Reis Coelho, Keika Inouye, Pilar Bas-Sarmiento, Bruna Moretti Luchesi","doi":"10.1093/heapro/daaf018","DOIUrl":"https://doi.org/10.1093/heapro/daaf018","url":null,"abstract":"Indigenous people represent 6% of the world's population and, over time, this population has faced different negative consequences, including those related to health. Health literacy is a variable that can help reduce the health-related harm faced by Indigenous people, since low health literacy has been considered a public health problem. The aim was to review the literature on sociodemographic and health-related factors associated with low health literacy among Indigenous people. To do this, we conducted a systematic review following the recommendations of the PRISMA Statement and approved by PROSPERO (CRD42024591888). A total of seven articles make up the results of this review. The findings show that the low health literacy of Indigenous people is associated with sociodemographic characteristics (e.g. older age, male gender, lower income and educational level) and health-related aspects such as having more than one chronic condition, low perception of COVID-19 risk, low chance of cancer screening, poorer glycemic control, eating behavior, self-monitoring of blood glucose and knowledge about diabetes and difficulty in understanding health information (e.g. medication labels). Although the number of articles selected for this review was small, it should be noted that they all presented a low risk of bias. Sociodemographic and health factors are associated with low health literacy among the Indigenous population. The findings demonstrate the importance of planning public policies to promote health and especially health literacy among this neglected population.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755820","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}

引用次数: 0

A scoping review of children's and parents' attitudes to and awareness of digital food marketing.

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-03-05 DOI: 10.1093/heapro/daae189

Elena Vaughan, Magdalena Muc Da Encarnacao, Eimer Brown, Olivia Nealon Lennox, Colette Kelly, Mimi Tatlow-Golden

{"title":"A scoping review of children's and parents' attitudes to and awareness of digital food marketing.","authors":"Elena Vaughan, Magdalena Muc Da Encarnacao, Eimer Brown, Olivia Nealon Lennox, Colette Kelly, Mimi Tatlow-Golden","doi":"10.1093/heapro/daae189","DOIUrl":"10.1093/heapro/daae189","url":null,"abstract":"Digital food marketing (DFM) of unhealthy foods and beverages (high in saturated fats, sugar and salt) to children and young people influences brand recall, recognition, purchase intentions and attitudes, and increases consumption of unhealthy foods and beverages. Understanding children's and parents' awareness of, and attitudes toward, such marketing is crucial for developing health-promoting advocacy and policy solutions. This registered systematic scoping review synthesized literature on children's, young people's and parents' attitudes and awareness of DFM. A structured search of Medline, PsycInfo, Academic Search Complete (Ebscohost), Scopus and CINAHL was conducted. Inclusion criteria were peer-reviewed studies focused on children (<18 years), young people (<24 years) or parents, published after 2000, examining attitudes or awareness of online marketing of food or non-alcoholic beverages. Data were extracted and charted in Excel. Forty studies were included for synthesis. Studies of children/young people (n = 31) show varying levels of awareness regarding DFM on social media and other digital media. While some understand social media marketing tactics, others struggle to recognize ads. Preferences lean towards influencer marketing and 'native' advertising styles. There is limited evidence on parents' views (n = 9 studies), but these suggest low parental awareness of digital marketing tactics targeting children, and unclear opinions on regulation. Overall, the findings suggest a need for a versatile, trans-disciplinary research and advocacy agenda to capture the complex and rapidly evolving digital marketing landscape, enhance critical digital literacies (including power inequalities) for both children and parents, increase knowledge-sharing and advocacy, and develop regulatory policies.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558593","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}

引用次数: 0

Exploring the barriers and facilitators of continuous quality improvement for health promotion within healthcare food environments.

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-03-05 DOI: 10.1093/heapro/daaf020

Laura J Kennedy, Meaghan Sim, Jeanna Parsons Leigh, Sara F L Kirk, Catherine L Mah

{"title":"Exploring the barriers and facilitators of continuous quality improvement for health promotion within healthcare food environments.","authors":"Laura J Kennedy, Meaghan Sim, Jeanna Parsons Leigh, Sara F L Kirk, Catherine L Mah","doi":"10.1093/heapro/daaf020","DOIUrl":"10.1093/heapro/daaf020","url":null,"abstract":"Continuous quality improvement (CQI) has become a widely accepted approach to optimize health services while lowering healthcare costs (Quintuple Aim) and has expanded from clinical interventions to health promotion. Retail food environments (e.g. hospital cafeterias, cafes) are of interest given the increased adoption of healthy eating policies and interventions to influence diet (e.g. price, promotion, placement and product). However, there is a lack of understanding of what organizational and policy processes are necessary to implement CQI for health promotion in healthcare. This research uses a qualitative multiple exploratory case study design to explore the barriers and facilitators of CQI for health promotion in healthcare retail food environments. This research occurred in a healthcare setting with an organizational Healthy Eating Policy applicable to staff, patients and visitors. We collected semi-structured interview data with 12 healthcare staff working in Nutrition & Food Services in a Canadian provincial health authority from January to June 2023. We used directed content analysis to analyze the data. We used the Inside out model to interpret cross-cutting organizational barriers and facilitators. Four cases of quality improvement interventions (Plan-Do-Study-Act (PDSA) cycles) were identified. Barriers included expertise to interpret nutrient criteria, lack of data, conflicting benchmarks (e.g. finance and health), third-party vendors, past negative experiences, and a lack of time to monitor and evaluate. Facilitators included an organizational Healthy Eating Policy, understanding community context, local knowledge, partnerships with researchers and leadership. This study revealed how overarching policies, accompanied by organizational support, facilitated quality improvement and engagement in CQI but also created barriers to routine practice and sustainability of health-promoting interventions.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774926","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}

引用次数: 0

Tobacco package health warnings about product manipulations: an experimental study among Australian adults who smoke.

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-03-05 DOI: 10.1093/heapro/daae210

Emily Brennan, Claudia Gascoyne, Kimberley Dunstone, Amanda Vittiglia, Gayathri Srinivasan, James F Thrasher, Janet Hoek, Melanie Wakefield, Sarah Durkin

{"title":"Tobacco package health warnings about product manipulations: an experimental study among Australian adults who smoke.","authors":"Emily Brennan, Claudia Gascoyne, Kimberley Dunstone, Amanda Vittiglia, Gayathri Srinivasan, James F Thrasher, Janet Hoek, Melanie Wakefield, Sarah Durkin","doi":"10.1093/heapro/daae210","DOIUrl":"10.1093/heapro/daae210","url":null,"abstract":"The tobacco industry manipulates cigarettes to provide sensory cues that mislead people who smoke. We assessed the effectiveness of health warnings (HWs) focussed on the impact of misleading product attributes, including filter ventilation, menthol, and roll-your-own tobacco, which were called Product Attribute HWs. Australian adults who smoke (n = 2544) were randomly assigned to view: control medication warnings; new Standard HWs with smoking harm images; Product Attribute HWs; or Product Attribute HWs plus a video. At baseline, participants were exposed to seven condition-specific warnings (+ video for those in the Product Attribute HWs + Video condition), then they were potentially re-exposed to one warning daily for 7 days (+ up to six video viewings). Participants (n = 1414) were followed-up at 8 days. Compared to controls, exposure to Product Attribute HWs elicited: greater increases in concern when inhaling smoke with misleading favourable (e.g. smooth) and unfavourable (e.g. harsh) sensory cues; greater knowledge of industry manipulation; greater self-centric and industry-centric negative emotions; higher product-specific smoking dissonance; and a higher likelihood of past-week rumination about HWs. Compared to Standard HWs, Product Attribute HWs elicited greater knowledge of product manipulation and industry-centric negative emotions, but similar self-centric negative emotions and past-week rumination about warnings. Only the Product Attribute HWs + Video condition resulted in greater discussion and online information-seeking about warnings. Product Attribute HWs that challenge long-standing myths fostered by tobacco companies yield many similar outcomes to Standard HWs but also provide unique beneficial outcomes. Nations should consider including Product Attribute HWs in their suites of tobacco HWs.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774965","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}

引用次数: 0

Development and validation of a digital community-based mental health protocol (RELATE-ME) in Malaysia.

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-03-05 DOI: 10.1093/heapro/daae169

Rachel Sing-Kiat Ting, Hanoor Syahirah Zahari, Chiew Way Ang, Jee Kei Chan, Min Min Tan, Tin Tin Su

{"title":"Development and validation of a digital community-based mental health protocol (RELATE-ME) in Malaysia.","authors":"Rachel Sing-Kiat Ting, Hanoor Syahirah Zahari, Chiew Way Ang, Jee Kei Chan, Min Min Tan, Tin Tin Su","doi":"10.1093/heapro/daae169","DOIUrl":"10.1093/heapro/daae169","url":null,"abstract":"To bridge the gaps of mental health service in Malaysia, we developed a digital intervention protocol (RELATE-ME) aiming to restore social connectedness and well-being during the COVID-19 pandemic lockdown. Co-designed with a cross-disciplinary panel, we integrate principles of digital mental health, support group modality, psychoeducation elements, and community engagement into a 2-week online group program. To validate the protocol, we trained three community health workers (CHWs) to facilitate a briefer version of RELATE-ME with two groups of participants (six elders and six youths) in suburban Malaysia. After 4 days, they were interviewed regarding the feasibility and acceptability of this program. The interview transcripts were coded by the research assistant through an inductive-deductive method. Results showed that the majority of the participants reported the relationship with CHWs and peers as a motivator to sustain their engagement and it took time to build trust with each other. They appreciated the engaging group contents (e.g. relaxing and pleasant activities), sharing of their peers and skill-building lessons (e.g. learning of goal setting, stress management and relationship building). However, they faced the challenge of time constraints, family duties, low English literacy and digital literacy, especially among the elderly group. This finding suggested that RELATE-ME is a feasible protocol to increase social connectedness and well-being in the suburban area of a middle-income Asian country like Malaysia. Its effectiveness could be further enhanced through capacity building of CHWs, translating all contents into local languages and implementation in a physical setting.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558682","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}

引用次数: 0