Marshall K Cheney, Taylor Zingg, Krista M Kezbers, Audrey Montgomery, Catherine M Bain, Nadia Stanley, Summer G Frank-Pearce, Darla E Kendzor, Emily T Hébert, Michael S Businelle
{"title":"A Smartphone Application for People Who are Not Ready to Quit Smoking: A Post-intervention Qualitative Assessment of the Phoenix Project.","authors":"Marshall K Cheney, Taylor Zingg, Krista M Kezbers, Audrey Montgomery, Catherine M Bain, Nadia Stanley, Summer G Frank-Pearce, Darla E Kendzor, Emily T Hébert, Michael S Businelle","doi":"10.1177/08901171251361470","DOIUrl":"https://doi.org/10.1177/08901171251361470","url":null,"abstract":"<p><p>PurposeTo assess the acceptability and feasibility of the Phoenix smoking cessation smartphone app in people who smoke and are not yet ready to quit.Approach/DesignPost-intervention telephone interview.SettingOklahoma and Texas.ParticipantsAdults who were not ready to quit smoking at baseline (71% female, 76% White, mean age 52.6 years).InterventionThis 26-week 3-arm randomized controlled trial examined the utility of the Phoenix app which encouraged and provided support for smoking cessation attempts through twice-daily messages and weekly surveys.MethodsParticipants (100/152) completed an audio-recorded interview that assessed app engagement including benefits, barriers, most useful features, and suggested app modifications. Transcribed interviews were coded and analyzed for themes.ResultsAdults who were not ready to quit smoking experienced few barriers to using Phoenix app content, and reported increased self-reflection, awareness of smoking behaviors, and motivation to quit smoking in response to the tailored messages and weekly assessments. Participants with less control over daily schedules wanted more access to missed messages and surveys. Messages and surveys were helpful, but participants suggested increasing the variety of message and survey content.ConclusionAdults not yet ready to quit smoking are receptive to using mHealth smoking cessation apps to reduce/quit smoking. mHealth applications can increase access to evidence-based smoking cessation interventions and may be an effective tool for reducing smoking disparities.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251361470"},"PeriodicalIF":2.5,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666825","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}
Zhenhao Shi, An-Li Wang, Jiaying Liu, Janet Audrain-McGovern, Kevin G Lynch, James Loughead, Daniel D Langleben
{"title":"Delayed Effects of Cigarette Graphic Warning Labels on Smoking Behavior.","authors":"Zhenhao Shi, An-Li Wang, Jiaying Liu, Janet Audrain-McGovern, Kevin G Lynch, James Loughead, Daniel D Langleben","doi":"10.1177/08901171251361791","DOIUrl":"10.1177/08901171251361791","url":null,"abstract":"<p><p>PurposeGraphic warning labels (GWLs) are widely employed to communicate smoking-related health risks. Most GWLs elicit a high level of emotional reaction (ER). Our recent study showed poorer efficacy of high-ER GWLs vs low-ER ones during a month-long naturalistic exposure. Here, we aimed to examine whether GWL effects persist after discontinuing the exposure.DesignA secondary analysis investigated the delayed GWL effects on smoking severity.SettingPhiladelphia Metropolitan Area, United States.Subjects96 adult smokers who completed a month-long exposure to high-ER or low-ER GWLs.MeasuresThe number of cigarettes smoked per day (CPD) was measured immediately and 4 weeks after the end of GWL exposure. Participants also indicated their subjective feeling of being relieved from having to see the GWLs.AnalysisGeneralized estimating equations examined the change in CPD across time and its association with sense of relief.ResultsWe found a significant reduction in CPD from the immediate to the 4-week post-exposure timepoint (11.69 vs 10.30, <i>P</i> = 0.001). There was no difference between the high-ER and low-ER groups in CPD reduction (<i>P</i> = 0.74). Higher sense of relief was associated with greater CPD reduction in the high-ER group (z = -2.14, <i>P</i> = 0.033).ConclusionOur study suggests lasting impact of GWLs on smoking behavior. The findings may be particularly important to high-ER GWLs, which appear less effective in reducing smoking during active exposure.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251361791"},"PeriodicalIF":2.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648270","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}
Elizabeth Ablah, Mary T Imboden, Anna L Zendell, Michael Hosking, Robert E Anderson, Kipchoge VanHoose, Neil Peterson, Janet R Wojcik, Nicolaas P Pronk, Murray Harber, Laurie P Whitsel
{"title":"Benefits of Supplementing a GLP-1 Type Medication With Physical Activity.","authors":"Elizabeth Ablah, Mary T Imboden, Anna L Zendell, Michael Hosking, Robert E Anderson, Kipchoge VanHoose, Neil Peterson, Janet R Wojcik, Nicolaas P Pronk, Murray Harber, Laurie P Whitsel","doi":"10.1177/08901171251357130","DOIUrl":"https://doi.org/10.1177/08901171251357130","url":null,"abstract":"<p><p>In 2023, more than 100 million US adults-approximately 40% of the adult population-were classified as having obesity. Individuals with obesity often encounter complex health challenges because of physiological changes that alter metabolic processes and gene expression, making weight loss increasingly difficult. Many people with obesity now seek glucagon-like peptide-1 receptor agonists (GLP-1 RA) medications to lose weight and improve their health. Supplementing GLP-1 RA medications with physical activity (PA) can produce synergistic effects that help to reduce risks associated with use of GLP-1 RAs and improve health outcomes, such as blood glucose control, blood pressure control, lipid management, body composition, and overall cardiometabolic risk. Healthcare professionals need to routinely prescribe PA concurrently with a GLP-1 RAs, when appropriate. Moreover, to attenuate disparities related to accessing these medications and PA, insurance carriers, employers, and advocates need to commit to benefit design that covers and/or reduces costs for all who need access to these treatments.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251357130"},"PeriodicalIF":2.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648269","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}
Jennifer L Matjasko, Zhuo Chen, Geoffrey P Whitfield, Laurie P Whitsel, Ken Rose, Kakoli Roy
{"title":"Inadequate Aerobic Physical Activity and Healthcare Expenditures in the United States: An Updated Cost Estimate.","authors":"Jennifer L Matjasko, Zhuo Chen, Geoffrey P Whitfield, Laurie P Whitsel, Ken Rose, Kakoli Roy","doi":"10.1177/08901171251357128","DOIUrl":"https://doi.org/10.1177/08901171251357128","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251357128"},"PeriodicalIF":2.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615769","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":"Boosting Business and Health: The Case for Workplace Physical Activity.","authors":"Mary T Imboden, Karen Moseley","doi":"10.1177/08901171251357127","DOIUrl":"https://doi.org/10.1177/08901171251357127","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251357127"},"PeriodicalIF":2.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607084","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}
Matthew E Peters, Harriet Martyn, Susan M Carr, Yunzhi Wang, Cyd K Eaton, Allison M Bailey, Paul M Kim
{"title":"Adding Perspective to Employee Mental Wellness: A Population Health and Psychoeducational Approach to Screening and Care Connection.","authors":"Matthew E Peters, Harriet Martyn, Susan M Carr, Yunzhi Wang, Cyd K Eaton, Allison M Bailey, Paul M Kim","doi":"10.1177/08901171251357155","DOIUrl":"https://doi.org/10.1177/08901171251357155","url":null,"abstract":"<p><p>PurposeDescribe the <i>Perspectives of Psychiatry</i> approach and how it was integrated into an employer-based mental health engagement program.DesignRetrospective cohort study.SettingWorkplace-based.Sample913 employees.InterventionThe Johns Hopkins Balance program is a novel, employer-initiated mental health engagement program. The Balance program integrates the <i>Perspectives of Psychiatry (Perspectives)</i> ideology for mental health care and takes a population health and psychoeducational approach to screening and care connection.MeasuresUtilization and engagement rates, algorithm-based mental health symptom risk, <i>Perspectives</i>-based risk.AnalysisChi squared tests for risk categorization associations, odds ratio high risk categorization, frequency and percentage of referral types.Results94% (860/913) of participants who registered completed the Balance assessment and 14% (130/913) completed a care concierge visit. Referrals were placed for 69% (90/130) of employees who completed a care concierge visit. A person identified as high risk by the standardized assessments had 6.74 (4.38, 10.71) times the odds of endorsing a concern on at least one of the <i>Perspectives</i>. An additional 28 participants were identified as high risk based on their own concern after scoring low risk on the standardized assessment. Of the 117 referrals placed, 96.6% (113/117) were in individuals scoring high risk on the assessment.ConclusionA population health and psychoeducational approach to employer-based mental health engagement can successfully identify risk and connect employees to care.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251357155"},"PeriodicalIF":2.5,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144566986","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":"Long COVID: Context, Considerations, and Calls for Change.","authors":"Allison N O'Donnell, Mary Berghaus, Ian D Simon","doi":"10.1177/08901171241308066a","DOIUrl":"https://doi.org/10.1177/08901171241308066a","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":"39 6","pages":"953-960"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144245678","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":"Leveling the Playing Field: Opportunities for School Recess to Promote Wellness and Reduce Disparities in Elementary School Children.","authors":"Divya Konduru, Kerri M Lowrey, Erin R Hager","doi":"10.1177/08901171251319847","DOIUrl":"10.1177/08901171251319847","url":null,"abstract":"<p><p><b>Background:</b> School recess provides several benefits to elementary school students, including physical, emotional, and social health benefits. Despite these benefits, there is a growing shift toward reducing or reallocating recess time in school. Furthermore, not all students have equitable access to recess and its benefits due to disparities in recess policies and implementation by socioeconomic status of the communities served by the school and academic or behavioral conduct of individual students. <b>Conclusions:</b> Strong state-level legislation requiring recess for all elementary schools and for all elementary school children is necessary to ensure equitable access to recess and its benefits.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"857-859"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389865","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}
Sean P Heffron, Krista O'Neill, Judy Zhong, Yuhe Xia, Margaret McCarthy
{"title":"Results of an Organization-wide Physical Activity Promotion Intervention Within a Very Large Academic Health Care System.","authors":"Sean P Heffron, Krista O'Neill, Judy Zhong, Yuhe Xia, Margaret McCarthy","doi":"10.1177/08901171251324018","DOIUrl":"10.1177/08901171251324018","url":null,"abstract":"<p><p>Although healthcare workers may be aware of the risks of physical inactivity, their levels of physical activity (PA) are similar to those of all US adults, with less than half engaging in sufficient PA. The purpose of this health promotion was to encourage daily PA among employees in a large academic healthcare system. We also tested whether individualized progress updates further influenced PA. This 10-week program was available to all employees of NYU Langone Health. Employees could sync their phone or accelerometer via app or web browser to count.it - the vendor chosen to monitor and manage step counts. Participants were asked to voluntarily provide basic information (age, sex, job role, work location) and complete the Physical Activity Vital Sign (minutes/week and intensity of PA) at enrollment and 10 weeks. For 10 weeks, participants were sent a message through their employee 'MyChart' portal with a link to information on the benefits of PA, and a reminder of that week's step-count challenge. Those meeting criteria for weekly challenges were included in gift card raffles. Participants were randomized 1:1 to receive the standard message ± additional emails detailing their progress. 3528 employees registered to participate (8% of all employees) although active users diminished over time (1225 at week 10). Average daily steps remained stable throughout (7319 + 4540 in week 1, 7229 + 5010 in week 10). Although there was no difference in any individual week, receipt of personalized feedback was associated with significantly higher average step counts throughout the 10-wk intervention as a whole (<i>P</i> = 0.01). Age and an urban work location were positively associated with steps, while female sex and a clerical job role were negatively associated with steps counts (all <i>P</i> < 0.005). Our findings provide important insight for workplace interventions to promote PA. They further suggest specific groups that may benefit from targeted efforts.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"871-879"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514331","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":"Best Practices in Quantitative Research and an Interview With Dr Janani Rajbhandari.","authors":"Paul E Terry","doi":"10.1177/08901171251336588","DOIUrl":"10.1177/08901171251336588","url":null,"abstract":"<p><p>Quantitative research methods serve to advance health promotion science, sometimes by testing novel study questions and, more often, by reexamining questions that others have answered, sometimes over the course of many years. Replicability of findings is a central feature of getting at the truth about what works and what does not work in health promotion. This editorial taps into the experience and expertise of Dr Janani Rajbhandari who is an Associate Editor in Chief of this journal and who is a scholar with a strong portfolio of studies that use quantitative research methods. In this interview we discuss research challenges, problem solving and the vital role of peer reviewers.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"853-856"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143951855","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}