American Journal of Health Promotion最新文献

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Apples and Oranges: Separating Lifestyle Behavior and Obesity Conversations. 苹果和橘子:区分生活方式行为和肥胖对话。
IF 2.1 4区 医学
American Journal of Health Promotion Pub Date : 2026-06-29 DOI: 10.1177/08901171261466870
Ross Arena, Nicolaas P Pronk
{"title":"Apples and Oranges: Separating Lifestyle Behavior and Obesity Conversations.","authors":"Ross Arena, Nicolaas P Pronk","doi":"10.1177/08901171261466870","DOIUrl":"https://doi.org/10.1177/08901171261466870","url":null,"abstract":"<p><p>The phrase \"apples and oranges\" is defined as comparing \"things that are very different\". This phrase and its meaning apply to the differences between lifestyle behaviors, such as physical activity and nutrition, and obesity. Physical activity and healthy nutrition as behaviors are very different from obesity as a disease and, when obesity is considered as a \"self-inflicted\" condition due to unhealthy lifestyle behaviors, we are incorrectly comparing \"things that are very different\". Conversations should begin with highlighting evidence demonstrating that adoption of healthy lifestyle behaviors leads to significant health benefits irrespective of weight loss.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261466870"},"PeriodicalIF":2.1,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148350344","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
Opportunities for Leveraging Social Networks in Behavioral Lifestyle Interventions for Black and Hispanic Adults With Obesity: A Mixed Methods Approach. 利用社会网络干预黑人和西班牙裔成年人肥胖的行为生活方式的机会:一种混合方法。
IF 2.1 4区 医学
American Journal of Health Promotion Pub Date : 2026-06-26 DOI: 10.1177/08901171261463333
Christopher J Gonzalez, Natasha Wasim, Jacquelin Cuzco, Anika Lewis, Mussarat Nahid, Kayla de la Haye, Erica Phillips
{"title":"Opportunities for Leveraging Social Networks in Behavioral Lifestyle Interventions for Black and Hispanic Adults With Obesity: A Mixed Methods Approach.","authors":"Christopher J Gonzalez, Natasha Wasim, Jacquelin Cuzco, Anika Lewis, Mussarat Nahid, Kayla de la Haye, Erica Phillips","doi":"10.1177/08901171261463333","DOIUrl":"10.1177/08901171261463333","url":null,"abstract":"<p><p>PurposeThis study explores how social support and social norms influence Black and Hispanic adults' experience in a weight management program, and if this varies based on race, ethnicity, and gender.ApproachSemi-structured interviews and egocentric social network assessments.SettingSingle primary care site in New York City.ParticipantsTwenty Black and Hispanic adults in a weight management program.MethodInterviews explored social influences on weight loss and differences based on demographics. Network composition and functions were characterized through social network analyses.ResultsParticipants favored informational and tangible support to achieve health goals, through shared experiences and assistance, but felt social gatherings and unhealthy dietary norms undermined behavior change. Females described emotional strain, weight stigma, and the burden of balancing multiple social roles, whereas males emphasized health-related motivations and cultural dietary challenges. Among 276 network members identified, females tended to disclose program participation to friends, while males tended to disclose participation to people that provided them with health advice. Variability in social influence types and sources was primarily associated with gender, not race or ethnicity.ConclusionsSocial influences potentially play an important role in Black and Hispanic adults' engagement in a weight management program, with notable gender differences. Incorporating social network members to facilitate specific forms of support and overcome unique social pressures may enhance the effectiveness of weight loss interventions.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261463333"},"PeriodicalIF":2.1,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148337602","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
Food-As-Medicine in Practice: A Pilot Evaluation of a Clinic-Based Produce Prescription Program. 食品作为药物的实践:临床生产处方计划的试点评估。
IF 2.1 4区 医学
American Journal of Health Promotion Pub Date : 2026-06-22 DOI: 10.1177/08901171261461087
Jennifer Bleck, Rita DeBate
{"title":"Food-As-Medicine in Practice: A Pilot Evaluation of a Clinic-Based Produce Prescription Program.","authors":"Jennifer Bleck, Rita DeBate","doi":"10.1177/08901171261461087","DOIUrl":"https://doi.org/10.1177/08901171261461087","url":null,"abstract":"<p><p>PurposeTo evaluate short-term outcomes of a six-month clinic-based produce prescription program on food security, dietary behaviors, and health indicators.DesignNon-experimental pre-post pilot evaluation using quantitative methods.SettingClinic-based food pharmacy.Sample62 adults enrolled between June 2024 and April 2025; all identified as food insecure and diagnosed with at least one diet-related chronic condition.InterventionParticipants received biweekly free produce for six-months.MeasuresUSDA 6-item food security module, self-reported daily fruit/vegetable servings, self-reported health status, and continuous BMI.AnalysisGeneralized estimating equations, adjusted for demographic characteristics, were used to assess changes over time.ResultsFood security improved significantly; participation was associated with greater odds of improved food security (aOR = 0.484, <i>P</i> = 0.005). Fruit intake increased by 0.65 servings/day (β = 0.645, <i>P</i> < 0.001) and vegetable intake by 0.60 servings/day (β = 0.597, <i>P</i> < 0.001). Odds of reporting better health status also rose (OR = 1.85, <i>P</i> = 0.020). BMI change was nonsignificant (<i>P</i> = 0.239).ConclusionClinic-based produce prescriptions may reduce food insecurity and improve diet and perceived health in high-risk patients. Limitations include a small sample size, a single site, self-reported data, and the absence of a control group.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261461087"},"PeriodicalIF":2.1,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148300657","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
Associations of Knowledge and Skills With Preconception Health Behaviors Based on the Information-Motivation-Behavioral Skills Model: An Integrated Individual and Dyadic Mediation Analysis. 基于信息-动机-行为技能模型的知识、技能与孕前健康行为的关联:一个综合的个体与二元中介分析
IF 2.1 4区 医学
American Journal of Health Promotion Pub Date : 2026-06-18 DOI: 10.1177/08901171261459924
Ruyu Sun, Lu Li, Xin Xu, Hanqian Wang
{"title":"Associations of Knowledge and Skills With Preconception Health Behaviors Based on the Information-Motivation-Behavioral Skills Model: An Integrated Individual and Dyadic Mediation Analysis.","authors":"Ruyu Sun, Lu Li, Xin Xu, Hanqian Wang","doi":"10.1177/08901171261459924","DOIUrl":"https://doi.org/10.1177/08901171261459924","url":null,"abstract":"<p><p>PurposeTo evaluate the pathways through which preconception health knowledge relates to preconception health behaviors via behavioral skills among Chinese reproductive-aged individuals and couples using the Information-Motivation-Behavioral Skills model, and to assess dyadic partner effects.DesignCross-sectional study with individual-level mediation and dyadic path models.SettingPopulation-based survey in Zhejiang Province, China (July-September 2023).Sample1991 individuals (1086 women; 905 men), including 458 heterosexual couples.MeasuresPreconception health behavior score (0-100) summing >20 guideline-recommended behaviors; preconception health knowledge; behavioral skills; sociodemographics.AnalysisIndividual-level mediation estimated with Sobel-Goodman tests; dyadic effects estimated using Actor-Partner Interdependence Model extended to Mediation (APIMeM) via path analysis; two-sided tests with <i>P</i> < 0.05.ResultsMean behavior scores: women 71.27 ± 9.03; men 71.12 ± 9.96. Women: total effect of knowledge on behaviors 0.896 (<i>P</i> = 0.001); direct 0.785 (<i>P</i> = 0.003); indirect via skills 0.111 (<i>P</i> = 0.033). Men: total 1.731 (<i>P</i> < 0.001); direct 1.313 (<i>P</i> < 0.001); indirect 0.418 (<i>P</i> < 0.001). Dyadic analyses showed partner skill-to-behavior effects: women's skills → men's behaviors β = 0.127 (<i>P</i> = 0.003); men's skills → women's behaviors β = 0.153 (<i>P</i> = 0.001).ConclusionPreconception knowledge and behavioral skills are linked to healthier preconception behaviors, with meaningful partner interdependence. Couple-centered, skill-building interventions may improve preconception health and pregnancy outcomes. Cross-sectional design limits causal inference; self-reported behaviors may introduce bias; findings from one province may limit generalizability.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261459924"},"PeriodicalIF":2.1,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148269910","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
Pilot Evaluation of a Mobile Health Intervention for Smoking Cessation in Rural and Urban Georgia. 格鲁吉亚农村和城市戒烟流动卫生干预试点评估。
IF 2.1 4区 医学
American Journal of Health Promotion Pub Date : 2026-06-17 DOI: 10.1177/08901171261462333
Claire A Spears, Amber Bowick, Justin X Moore, Larry Mason, Cherell Cottrell-Daniels, Angelique B Willis, Martha S Tingen
{"title":"Pilot Evaluation of a Mobile Health Intervention for Smoking Cessation in Rural and Urban Georgia.","authors":"Claire A Spears, Amber Bowick, Justin X Moore, Larry Mason, Cherell Cottrell-Daniels, Angelique B Willis, Martha S Tingen","doi":"10.1177/08901171261462333","DOIUrl":"https://doi.org/10.1177/08901171261462333","url":null,"abstract":"<p><p>PurposeImproving access to low-burden, evidence-based smoking cessation interventions for rural communities is essential. This study evaluated the feasibility and acceptability of a text messaging program for smoking cessation (iQuit Mindfully) in rural and urban Georgia.DesignPilot study with randomization to iQuit Mindfully or usual care at each site.SettingUrban Atlanta and Rural Georgia.Sample60 adults who smoked cigarettes (61.7% female, 41.7% African American, 53.3% with annual household income <$30,000).InterventionAll participants received nicotine replacement therapy, self-help materials, and Tobacco Quitline referrals. iQuit Mindfully participants also received daily personalized, interactive text message support for quitting smoking.MeasuresProgram evaluations and remote exhaled carbon monoxide at 8 and 12 weeks.AnalysisDescriptive statistics quantified primary feasibility outcomes (engagement, retention, participant ratings) and smoking cessation by condition and rural vs urban site.ResultsMost iQuit Mindfully participants (88.9% overall; 100% rural, 78.6% urban) read most or all text messages. On average, iQuit Mindfully participants found the program helpful (median = 8 on 1-10 scale) and recommended it for others (median = 8). Biochemically verified 7-day abstinence rates were 34.8% among iQuit Mindfully vs 25.0% among usual care at week 8, and 13.6% among iQuit Mindfully vs 8.3% among usual care at week 12.ConclusionMindfulness-based text messaging appears feasible and acceptable for providing accessible smoking cessation support in rural and urban Georgia.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261462333"},"PeriodicalIF":2.1,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148262836","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
Determinants of Blue-Collar Workers' Participation in a Sector-Initiated Worksite Health Promotion Program in Freight Transport: An Observational Study. 蓝领工人参与货运部门发起的工作场所健康促进计划的决定因素:一项观察性研究。
IF 2.1 4区 医学
American Journal of Health Promotion Pub Date : 2026-06-13 DOI: 10.1177/08901171261457853
Marc A W Damen, Sarah I Detaille, Bouwine E Carlier, Josephine A Engels, Annet H De Lange
{"title":"Determinants of Blue-Collar Workers' Participation in a Sector-Initiated Worksite Health Promotion Program in Freight Transport: An Observational Study.","authors":"Marc A W Damen, Sarah I Detaille, Bouwine E Carlier, Josephine A Engels, Annet H De Lange","doi":"10.1177/08901171261457853","DOIUrl":"10.1177/08901171261457853","url":null,"abstract":"<p><p>PurposeWorksite health promotion programs (WHPPs) can promote a healthier lifestyle for blue-collar workers, yet their participation is generally low. From a social ecological perspective, this study aims to identify determinants associated with blue-collar workers' initial WHPP participation.DesignObservational study.SettingA freight transport sector-initiated WHPP in the Netherlands.ParticipantsThe study sample included 3916 blue-collar workers. Data from 976 white-collar workers were used for comparisons.MeasuresData were obtained from an online health survey as part of the WHPP. Participation in a follow-up intervention was measured by attendance registration of the first consultation.AnalysisAssociations between determinants and participation were tested, using logistic regression. Interactions of determinants with job group were studied to explore differences in associations with participation between blue- and white-collar workers.ResultsThe final multivariable logistic model identified contract security (<i>OR</i> = 2.06), a neutral work-life balance (<i>OR</i> = 1.24), more chronic conditions (<i>OR</i> = 1.67), poorer self-rated health (<i>OR</i> = 2.17), and insufficient sleep (<i>OR</i> = 1.24) as being associated with WHPP participation. The determinants were largely consistent across blue- and white-collar workers. The model showed good fit, but provided little explanatory power (Nagelkerke R<sup>2</sup> = .058).ConclusionWhile a sector-initiated WHPP may be able to reach workers not typically reached by employer-based programs, barriers still seem to exist for workers with less secure contracts, poor work-life balance, and fewer health complaints.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261457853"},"PeriodicalIF":2.1,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148248805","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
Public Awareness of Freedom House Ambulance Service After Viewing the Pitt. 观看皮特后公众对自由之家救护车服务的认识。
IF 2.4 4区 医学
American Journal of Health Promotion Pub Date : 2026-06-10 DOI: 10.1177/08901171261460703
Beth L Hoffman, Kate Leshniowsky, Ore Fawole, Sylvia Owusu-Ansah
{"title":"Public Awareness of Freedom House Ambulance Service After Viewing <i>the Pitt</i>.","authors":"Beth L Hoffman, Kate Leshniowsky, Ore Fawole, Sylvia Owusu-Ansah","doi":"10.1177/08901171261460703","DOIUrl":"https://doi.org/10.1177/08901171261460703","url":null,"abstract":"<p><p>PurposeTo conduct an exploratory, descriptive trends analysis related to <i>The Pitt's</i> Freedom House Ambulance Service (FHAS) storyline.DesignMulti-method examination of Google Trends and Reddit data.SettingGoogle Trends and the subreddit r/ThePittTVShow.SampleWe extracted relative search volume (RSV) data from Google Trends 2 weeks before the episode aired on February 20, 2025 to 2 weeks after. We also searched r/ThePittTVShow for \"Freedom House.\" We retrieved posts published prior to September 15, 2025 using RedditExtractoR, which were coded by 2 trained research assistants (RAs).MeasuresRSV for Google Trends. RAs coded Reddit comments for the presence or absence of specific content.AnalysisCalculation of percent change for Google Trends. For Reddit comments, calculation of descriptive statistics and cross-tabulations.ResultsRSV for \"freedom house\" increased 170% the day after the episode aired and remained elevated until 1 week later. Of the 196 relevant posts, 36.9% (n = 72) provided information about FHAS. Posts coded as emotional engagement (27.6%, n = 54) were often also coded as not knowing about FHAS (29.6%), n = 16) or reflection (24.1%, n = 13).ConclusionsThere is a temporal association between online searches about FHAS and <i>The Pitt</i> storyline as well as online information sharing about FHAS via social media.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261460703"},"PeriodicalIF":2.4,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148215764","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
Awareness and Self-Reported Effects of the Innovative Mexican Front-of-Package Nutrition Labeling Policy Among Mexican Americans Across Different US Regions, Health Literacy Levels, and Educational Attainment, 2021-2023. 2021-2023年美国不同地区、健康素养水平和教育程度的墨西哥裔美国人对创新墨西哥包装前营养标签政策的认识和自我报告效果
IF 2.4 4区 医学
American Journal of Health Promotion Pub Date : 2026-06-10 DOI: 10.1177/08901171261458529
James F Thrasher, Dai Fang, Muskaan Makkar, Victor Eduardo Villalobos-Daniel, Christine M White, Alejandra Contreras-Manzano, Alejandra Jáuregui, Lana Vanderlee, David Hammond, Rachel E Davis
{"title":"Awareness and Self-Reported Effects of the Innovative Mexican Front-of-Package Nutrition Labeling Policy Among Mexican Americans Across Different US Regions, Health Literacy Levels, and Educational Attainment, 2021-2023.","authors":"James F Thrasher, Dai Fang, Muskaan Makkar, Victor Eduardo Villalobos-Daniel, Christine M White, Alejandra Contreras-Manzano, Alejandra Jáuregui, Lana Vanderlee, David Hammond, Rachel E Davis","doi":"10.1177/08901171261458529","DOIUrl":"https://doi.org/10.1177/08901171261458529","url":null,"abstract":"<p><p>PurposeEvaluate trends and correlates of self-reported awareness of and responses to front-of-package warning labels (FoPWLs) on packaged Mexican foods among Mexican Americans (MAs) in the United States (US).DesignInternational Food Policy Study annual cross-sectional surveys (2021, 2022, 2023).SettingOnline survey.SampleMA adults in the US (n = 9662).MeasuresSelf-reported past-month frequency of buying food at Mexican-oriented stores (recoded: often/very often vs less often), awareness of Mexican FoPWLs (recoded: often/very often vs less often), and self-reported reductions in purchasing less healthy foods (yes vs no for eight foods) due to FoPWLs.AnalysisAdjusted logistic models regressed binary outcomes (above) on sociodemographics and survey year.ResultsMost participants bought food in Mexican-oriented stores (87.2%). Of those who noticed Mexican FoPWLs (67.6%), many reported that FoPWLs influenced them to reduce purchasing less healthy foods (range = 31.1% [snacks like chips] to 43.9% [cola]). In adjusted models, noticing FoPWLs often/very often (vs less often) increased over time (AOR<sub>2022 vs 2021</sub> = 1.30; AOR<sub>2023 vs 2021</sub> = 1.21), as did self-reported reductions in purchasing sweetened fruit drinks (AOR<sub>2022 vs 2021</sub> = 1.27), and desserts (AOR<sub>2022 vs 2021</sub> = 1.32). People with limited vs adequate health literacy reported higher awareness of FoPWLs (AOR = 1.21).ConclusionMAs' awareness and reported effects of Mexican FoPWLs were high and stable or increased over time, with greater awareness among those with limited health literacy.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261458529"},"PeriodicalIF":2.4,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148209679","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
UPMC Prescription for Wellness: Lessons Learned From 10 Years of Progress and Innovation. UPMC健康处方:从10年的进步和创新中吸取的教训。
IF 2.4 4区 医学
American Journal of Health Promotion Pub Date : 2026-06-09 DOI: 10.1177/08901171261452426
Jamie Delu, Christine Sheffey, Suzanne Labriola, Ellen Beckjord
{"title":"UPMC Prescription for Wellness: Lessons Learned From 10 Years of Progress and Innovation.","authors":"Jamie Delu, Christine Sheffey, Suzanne Labriola, Ellen Beckjord","doi":"10.1177/08901171261452426","DOIUrl":"https://doi.org/10.1177/08901171261452426","url":null,"abstract":"<p><p>UPMC Prescription for Wellness (PFW) is a platform that enables provider-payer care coordination for health care consumers who need enhanced support. UPMC healthcare and network providers use PFW to refer their patients who are UPMC Health Plan members to payer-sponsored clinical and wellness services. PFW is integrated into EMRs, offers multi-channel outreach, and enables UPMC's provider and payer organizations to efficiently collaborate on supporting the health of the patient-member population they both serve. Because the payer-sponsored clinical services are \"prescribed\" by trusted healthcare providers, PFW dramatically improves patient-member engagement. In this Critical Issues and Trends article, we detail specifics of PFW implementation as well as lessons learned over the past decade to enable readers to replicate this program that demonstrates how payer-sponsored clinical and wellness services can offer a viable set of options to improve health when prescribed by a healthcare provider.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261452426"},"PeriodicalIF":2.4,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148209760","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
Effectiveness of School-Based Interventions on Risk Factors of Non-Communicable Diseases in Middle School Children of Hilly Urban Settings of Nepal. 尼泊尔丘陵城市地区中学生非传染性疾病风险因素校本干预措施的有效性
IF 2.4 4区 医学
American Journal of Health Promotion Pub Date : 2026-06-08 DOI: 10.1177/08901171261458119
Chiranjivi Adhikari, Abhishek Sapkota, Ramesh Shrestha, Dhaka Raj Pant, Rabina Thagunna, Kamal Bahadur Budha, Bijaya Parajuli, Avash Puri, Bhawana Dhakal, Suraj Sujan Bohara, Dhurba Khatri, Bibechana Sapkota, Grishma Adhikari, Damaru Prasad Paneru
{"title":"Effectiveness of School-Based Interventions on Risk Factors of Non-Communicable Diseases in Middle School Children of Hilly Urban Settings of Nepal.","authors":"Chiranjivi Adhikari, Abhishek Sapkota, Ramesh Shrestha, Dhaka Raj Pant, Rabina Thagunna, Kamal Bahadur Budha, Bijaya Parajuli, Avash Puri, Bhawana Dhakal, Suraj Sujan Bohara, Dhurba Khatri, Bibechana Sapkota, Grishma Adhikari, Damaru Prasad Paneru","doi":"10.1177/08901171261458119","DOIUrl":"10.1177/08901171261458119","url":null,"abstract":"<p><p>PurposeThe study aimed to evaluate the effectiveness of a school-based health promotion program in reducing key risk factors for NCDs in Nepal.DesignA repeated cross-sectional, quasi-experimental study design.SettingSchool.SampleThe sample size for each of the intervention and control arms was 209.InterventionHealth education intervention.MeasuresMeasurement of change in metabolic equivalent of task (MET), body mass index, body fat percentage, fruit and vegetable servings per day, and other risk factors of non-communicable diseases.AnalysisData for both groups were summarized as frequencies and percentages at baseline (T0), after the first intervention (T1), and after the second intervention (T2). Intervention and control groups were compared using the Chi-square test, Mann-Whitney U test, independent-samples t-test, Mood's median test, and Cluster-level Difference-in-Difference (DiD) analysis.ResultsA total of 423, 366, and 270 adolescents (intervention: 214, 176, 135; control: 209, 190, 125) from 9 schools (5 intervention, 4 control) participated at baseline, T1, and T2. Cluster-level DiD analysis to assess the effectiveness of the intervention found improvements in BMI, body fat percentage, fruit and vegetable purchase frequency, and school canteen fruit availability, but none were statistically significant.ConclusionAlthough not statistically significant, the intervention produced directionally favorable changes in physical activity, anthropometric measures, and dietary behaviors, suggesting potential public health benefits at the school level.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261458119"},"PeriodicalIF":2.4,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148203665","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
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