Health Promotion International最新文献

{"title":"Adapting a brief smoke-free homes intervention for communities in Armenia and Georgia.","authors":"Carla J Berg, Ana Dekanosidze, Shade Owolabi, Lucja Bundy, Levan Liluashvili, Veriko Gegenava, Lilit Grigoryan, Arevik Torosyan, Zhanna Sargsyan, Varduhi Hayrumyan, Michelle C Kegler","doi":"10.1093/heapro/daaf047","DOIUrl":"https://doi.org/10.1093/heapro/daaf047","url":null,"abstract":"<p><p>Evidence-based interventions (EBIs) often require adaptation to be effective for new communities and/or cultural contexts. This paper describes the process for adapting an evidence-based smoke-free homes (SFHs) intervention to be culturally appropriate for households in Armenia and Georgia. The intervention, including three mailed packages (\"mailings\") and a coaching call, was adapted using a systematic multi-step adaptation process involving: (i) focus groups (n = 8) among adults in Armenia and Georgia, who smoked cigarettes or lived in a household with someone who smoked; (ii) consulting with in-country research team experts and local community leaders; and (iii) collaboratively deciding on critical adaptations, which differed slightly by country. Adaptations spanned across intervention components. While adaptations were largely surface-level (e.g. Armenia- and Georgia-relevant facts, color themes, imagery of individuals, homes, and settings), the process identified needed deep structure changes. For example, the nature of the challenges and solutions addressed, the narratives used for role modeling, and the imagery were adapted to better reflect the smoking-related social norms and dynamics (e.g. greater smoking prevalence among men vs. women, difficulty asking guests/elders to smoke outside), household composition (i.e. multigenerational), types of homes (e.g. ease of access to outdoor spaces), and types of tobacco used (i.e. heated tobacco products). The adapted interventions maintained the core elements and underlying theoretical approach but included adaptations to ensure cultural appropriateness and relevance. This should yield an effective intervention, which will be assessed next. The description of this multi-step adaptation process could inform future efforts to disseminate and implement EBIs across settings globally.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060549","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":"Self-report physical activity and sedentary behaviour assessments validated for Indigenous populations globally: a scoping review.","authors":"Melissa Kilburn, Yvonne Hornby-Turner, Valda Wallace, Dympna Leonard, Sarah G Russell, Rachel Quigley, Edward Strivens, Rebecca Evans","doi":"10.1093/heapro/daaf055","DOIUrl":"10.1093/heapro/daaf055","url":null,"abstract":"<p><p>Chronic disease prevention programs that target physical inactivity and sedentary behaviour are often evaluated using self-report assessment tools. However, these tools may require additional validation to ensure relevance and efficacy for Indigenous peoples. The scope to which this occurs is yet to be systematically assessed within the literature. This review aimed to explore and define the range of self-report physical activity and sedentary behaviour assessment tools validated for Indigenous adults globally. Searches were conducted across seven electronic databases; resultant articles were screened against the inclusion and exclusion criteria by two reviewers. Analysis of the 15 included articles suggests that self-report physical activity and sedentary behaviour assessment tools have achieved varying levels of validity amongst Indigenous populations globally. Most studies rated as low cultural appropriateness on a 14-item Indigenous research quality appraisal tool, however, there was a significant moderate upward trend over time (P = 0.0328). Digital physical activity or sedentary behaviour assessment tools have not yet been validated within Indigenous adult populations and constitute an apparent gap in the literature. Established validation methods for other populations were commonly found to be inappropriate for Indigenous population groups. There were no evident trends regarding validation study methodology identified, signifying a more bespoke approach within Indigenous population groups. Therefore, meaningful consultation and project co-design may help to prevent the potential methodological redundancy when developing and validating physical activity assessment methods within Indigenous populations globally.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121498","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":"Sport as a social capital intervention promoting health and well-being for migrant youth in Australia.","authors":"Karen Block, Robyn Molyneaux, Dana Young","doi":"10.1093/heapro/daaf051","DOIUrl":"10.1093/heapro/daaf051","url":null,"abstract":"<p><p>Social capital is a critical determinant of health, yet few intervention studies have explored how social capital might be generated for those with constrained social networks. This study aimed to assess the well-being and social impacts of a sports participation intervention for culturally and racially marginalized (CARM) migrant young people in Australia. We report findings from a mixed methods participatory action research project, Count Me In. Quantitative findings demonstrated that participation generated growth in social networks for participants, indicating that interventions to support sports participation can generate social capital, rather than it simply being the case that those with more a priori social connections are more likely to participate. Qualitative analyses showed parents and young people experienced highly valued social benefits including increased diversity of connections along with perceived physical and mental health gains from their participation. Findings from this study suggest that policies and health promotion efforts should support opportunities for CARM young people and families to participate in mainstream sports club settings in addition to participation in informal and ethno-specific sports. Additional research is needed to further understand how the social networks that are generated are operationalized by children and families over the longer term, and the health-enhancing impacts of social capital interventions for those with constrained social networks at risk of marginalization.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121502","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":"Implementation of an Australian football themed men's health program in rural Australia: a mixed-methods study.","authors":"Matthew D McDonald, Kate Hunt, Joanna Moullin, Brendan J Smith, Fraser Donald, Deborah A Kerr, Nikos Ntoumanis, Eleanor Quested","doi":"10.1093/heapro/daaf052","DOIUrl":"10.1093/heapro/daaf052","url":null,"abstract":"<p><p>Rural men face a greater risk of ill-health than their urban counterparts but often lack access to appealing health programs. Aussie Fans in Training (Aussie-FIT) is an engaging men's health program delivered in urban professional sports contexts. This study examines the feasibility of implementing an adapted version of Aussie-FIT in rural Western Australia, focussing on the recruitment and retention of program coaches and participants. Men (aged 35-65) with overweight or obesity were recruited via Facebook, word of mouth, and local media for the 12-session Aussie-FIT program in 3 rural towns. Coaches were recruited via local stakeholder networks. A mixed-methods approach included process data relating to the number of coaches expressing interest and delivering programs, program reach, attendance registers, and five post-program participant focus groups (total n = 25). Qualitative data exploring barriers and facilitators to engaging men were analysed using reflexive thematic analysis. Eighty-three of 124 men (67%) expressing interest enrolled, with most residing in low-to-middle socioeconomic areas (n = 77; 96%) and not university educated (n = 60; 74%). Half (n = 40) were recruited via Facebook and a third by word of mouth. Average attendance was 8.2 of 12 sessions, with 57 (69%) completers. Retention varied by site (59-79%), partly due to Covid-19. An inclusive and supportive environment, the football theme and setting, and intragroup connectedness supported engagement. Findings suggest that it is feasible to implement Aussie-FIT in rural Western Australia without a professional club affiliation or setting, and that popular local sporting codes and community sports settings can be utilized to engage rural men in behavioural health programs.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12070986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062409","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":"A youth-informed approach to mental health service websites: 'so people can actually connect'.","authors":"Senuri Panditharatne, Kerry Gibson","doi":"10.1093/heapro/daaf068","DOIUrl":"10.1093/heapro/daaf068","url":null,"abstract":"<p><p>There are well-recognized barriers that prevent young people from accessing timely mental health support and there is an opportunity to promote their engagement with professional support through websites associated with a mental health service. This Aotearoa, New Zealand-based study aimed to identify the elements of a website that young people believed would improve engagement with the service. A co-design method enlisted young people's expertise in making recommendations for mental health service websites. Sixty-seven young people, aged 16-24 years, took part in one of six participatory workshops. The data was analysed using reflexive thematic analysis. Recommendations were for the inclusion of information that validated young people's help-seeking; showed them exactly what it would be like to use the service; helped them to make informed choices about the support they wanted, and told them what steps they needed to take to get access to the service. Recommendations also included the use of personal stories from other young people illustrating the value of using the service, and for information to be conveyed in a tone that was authentic, respectful, and nonjudgemental. Young people also wanted good functionality from a website and preferred video and other visual modes of presentation. This research offers clear recommendations for websites aimed at improving youth engagement with professional mental health support. A youth-informed approach to website design has the potential to overcome some of the barriers that prevent this population from reaching out for help.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121307","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":"Shaping the odds: gambling communication normalized betting and fostered illusions of control during EURO 2024.","authors":"Katho Jacobs, Bram Hartmann, Bram Constandt, Liselot Hudders, Steffi De Jans","doi":"10.1093/heapro/daaf054","DOIUrl":"https://doi.org/10.1093/heapro/daaf054","url":null,"abstract":"<p><p>Major sports events, such as the UEFA European Football Championship 2024 (EURO 2024), offer gambling companies an opportunity to promote their products to large audiences. This gambling communication raises public health concerns due to its association with higher rates of gambling participation and related harm. In Belgium, gambling advertising has been restricted since 2023, raising questions about how these restrictions impact gambling communications and betting behaviours. This study investigated the extent to which viewers of EURO 2024 recall gambling communication and how this is related to their betting behaviour. Additionally, it aimed to explore how gambling fallacies mediate this relationship. Specifically, the study examined the role of individuals' perceptions of how often other people gamble (i.e. perceived descriptive norms) and the illusion of control. An online questionnaire was conducted the day after the EURO 2024 finals, targeting Belgian football fans. On average, the 1611 participants could only rarely remember viewing gambling communications during EURO 2024. Remarkably, more than half reported at least occasionally viewing sponsored social media posts, which are currently banned in Belgium. The findings demonstrated a positive relationship between recall of gambling communication and betting behaviour during EURO 2024. This relationship could be partly explained by both perceived descriptive norms and the illusion of control. The study concludes that despite regulatory measures, major sports events play a pivotal role in shaping gambling communication, fostering gambling fallacies, and ultimately increasing betting. These findings can inform health communication strategies and policy initiatives aimed at mitigating the harmful effects of gambling.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121500","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":"Developing and evaluating an educational intervention on conflicts of interest and corporate influence on science.","authors":"Alice Fabbri, Iona Fitzpatrick, Sophie Braznell, Tess Legg, Emma Cliffe, Filipa Vance, Dale Topley, Fran Baber, Anna B Gilmore","doi":"10.1093/heapro/daaf059","DOIUrl":"10.1093/heapro/daaf059","url":null,"abstract":"<p><p>Financial conflicts of interest resulting from corporate funding of research can bias the evidence base. We designed an educational intervention that sought to enable participants to make informed decisions and mitigate risk when considering corporate funding for research. We used pre/post-test surveys, which comprised a mix of closed and open-ended questions, to evaluate the training and its impact on knowledge (Wilcoxon signed-rank test), attitudes and perceptions (Friedman's test with planned post hoc tests). Open-ended questions were coded and key themes identified. Twenty participants from the University of Bath (15 PhD students and 5 research staff) completed the pre-test survey and attended the training, 17 filled in the post-test survey, and 17 filled in the 3-month follow-up survey. All participants agreed or strongly agreed that the issues relating to conflict of interest presented in the training increased their interest in the topic. Participants' knowledge significantly increased between the pre and post-measures. Awareness of institutional conflict of interest policies and participants' confidence in mitigating the risks of corporate funding also significantly improved. For the other measures of impact, either there was not a statistically significant difference between the pre, post, and follow-up measures or there was, but post hoc tests were not significant after a Bonferroni correction. Our findings indicate that even a short educational intervention could increase researchers' confidence in and ability to make informed decisions about whether to accept corporate funding and under what conditions.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121322","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":"Urban environment perceptions and mental well-being in Belgian older adults: differences across neighborhood income levels.","authors":"Noortje Jacobs, Jelle Van Cauwenberg, Delfien Van Dyck, Jenny Veitch, Megan Teychenne, Benedicte Deforche","doi":"10.1093/heapro/daaf066","DOIUrl":"https://doi.org/10.1093/heapro/daaf066","url":null,"abstract":"<p><p>In 2021, ~14% of older adults experienced mental health disorders within the past year. Socio-ecological models highlight the importance of neighborhood characteristics in shaping mental health, particularly for older adults who are often more dependent on their surrounding environment due to diminished physical abilities. Health inequities at the neighborhood level are well-documented, with living in low-income neighborhoods often associated with poorer well-being. However, socioeconomic disparities in access to mental health-promoting environmental characteristics among European older adults remain underexplored. This cross-sectional study investigated differences across neighborhood income levels in (i) the perceived absence of health-promoting neighborhood characteristics, (ii) the perceived importance of these characteristics for mental well-being, and (iii) areas for improvement (=characteristics perceived as important for mental well-being yet absent). A total of 221 older adults (≥65 years) from low-, medium-, and high-income neighborhoods in Ghent (Belgium) were interviewed using a structured questionnaire. Data were analyzed using Generalized Estimating Equations. Key findings revealed several health-promoting characteristics perceived as absent, including clean, litter-free spaces, a feature also perceived as important for mental well-being. Identified areas for improvement included litter management, enhancing pedestrian and bike-friendly infrastructure, traffic control, improving availability of services, and addressing challenges related to youth engaging in anti-social behavior and drug-related activity. Results highlighted significant disparities: areas for improvement were particularly prevalent in low-income neighborhoods. By identifying these key areas for improvement, particularly in low-income neighborhoods, this study provides actionable insights to guide targeted interventions aimed at promoting mental well-being and fostering more equitable urban environments.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121417","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":"Assessing the impact of parents' digital and health literacy on children's participation in sport.","authors":"Ayşe Gül Güven, Yasemin Nuran Dönmez, Fatma İncedere, Medine Ayşin Taşar","doi":"10.1093/heapro/daaf038","DOIUrl":"https://doi.org/10.1093/heapro/daaf038","url":null,"abstract":"<p><p>Higher levels of parental health and digital literacy are associated with better health knowledge and therefore better health outcomes for their children. There is currently no research evaluating the impact of parental digital and health literacy on children's participation in sport. This cross-sectional study aimed to investigate the effect of parental digital and health literacy on the sport participation of their children and included parents of children aged 6-18 years, categorized into a sport-participating group (n = 201) and a non-participating group (n = 116). Parents completed a questionnaire assessing demographic characteristics, internet and mobile phone usage for health-related purposes, and their children's level of sport participation. Additionally, they were administered the Digital Literacy Scale and the Health Literacy Scale. The total, technical, and social dimension scores of the Digital Literacy Scale were significantly higher in parents of children participating in sport (P < .05). Similarly, the total score on the Health Literacy Scale, as well as the subscale scores for accessing/obtaining, understanding, and processing/appraising health-related information were significantly higher in the sport-participating group (P < .05). Furthermore, a significant correlation was observed between the total scores of the Digital Literacy Scale and the Health Literacy Scale (P = .001, r = 0.412). These findings indicate that parents of children engaged in sport have significantly higher digital and health literacy levels. Enhancing parental digital and health literacy may play a crucial role in promoting children's participation in sport. Interventions aimed at improving parental digital and health literacy could positively impact children's sport-related health outcomes.</p>","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/PMC12015608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033550","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":"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":"<p><p>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.</p>","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/PMC11966192/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}