American Journal of Health Promotion最新文献

{"title":"Community Storytelling as a Mental Health Promotion Strategy: Evidence from Northern Ghana.","authors":"Hassan Mubarik Iddrisu, Abdul-Rashid Iddi","doi":"10.1177/08901171261417440","DOIUrl":"10.1177/08901171261417440","url":null,"abstract":"<p><p>PurposeMental health stigma and social isolation remain major barriers to well-being in low-resource settings. This study examined the effectiveness of a 6-week community-based storytelling intervention in improving emotional relief, perceived social support, and interpersonal trust among adults in Northern Ghana.DesignMixed-methods evaluation.SettingFive community centres across the Northern Region and virtual sessions on conferenced phone call.ParticipantsFive hundred (500) adults (18+ years) selected through stratified random sampling completed pre and post-intervention surveys. A subsample of 32 participants, 6 community elders and 4 individuals with lived experience of mental health challenges participated in focus group discussions and in-depth interviews. In total, 42 informants participated in the qualitative phase of the study.InterventionStructured storytelling sessions delivered twice per week for 6 weeks (12 sessions total). Each session lasted 60-90 minutes and was facilitated by trained community mental health officers and local storytellers.MeasuresEmotional relief, perceived social support, and trust were measured using adapted items from the Kessler Psychological Distress Scale (K6) and the Social Connectedness Scale. Socioeconomic status was assessed using education, occupation and household assets. All scales demonstrated acceptable validity and reliability (Cronbach's alpha = 0.78 - 0.86).AnalysisNormality was assessed using the Shapiro-Wilk test, supporting the use of paired-sample t-test. Thematic analysis was applied to qualitative narratives.ResultsReports of emotional relief increased from 20% to 70% (t = 6.89, <i>P</i> < 0.001), perceived social support rose from 30% to 80% (t = 5.72, <i>P</i> < 0.001), and trust in sharing personal experiences increased from 25% to 65% (t = 5.21, <i>P</i> < .001). Qualitative findings reinforced these results, revealing themes of reduced stigma, strengthened belonging, and renewed resilience.ConclusionStorytelling is a low-cost, culturally grounded, community-driven intervention for promoting mental health. Integration into public health campaigns, digital platforms, and community leadership structures may expand impact. Future research should incorporate a control group and assess long-term outcomes.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"933-940"},"PeriodicalIF":2.1,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145964958","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":"Belonging: Definitions and Measurement Tools.","authors":"Kristi R Jenkins","doi":"10.1177/08901171261477848","DOIUrl":"10.1177/08901171261477848","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"1039-1041"},"PeriodicalIF":2.1,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148975421","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":"Belonging at Work in a Time of Division: Why It Matters More than Ever.","authors":"Kerry E Evers","doi":"10.1177/08901171261477903","DOIUrl":"10.1177/08901171261477903","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"1036-1038"},"PeriodicalIF":2.1,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148975433","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":"Building Stronger Support Systems: Collaborative Efforts to Address Moral Distress and Burnout Among Healthcare Providers.","authors":"Elinor Lange Abraham","doi":"10.1177/08901171251391752","DOIUrl":"10.1177/08901171251391752","url":null,"abstract":"<p><p>Much has been written about the well-being of healthcare employees; the COVID-19 pandemic brought these issues into acute focus. Literature supports that partnerships among professional organizations, healthcare systems, governments, and universities can enhance healthcare worker and trainee well-being and retention. The author continues to follow the progress of a healthcare system dealing with the stress, guilt, grief, and burnout stemming from effects of a pandemic. This article discusses participation in two national initiatives that foster clinician resilience and well-being.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"918-921"},"PeriodicalIF":2.1,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145487378","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":"Development and Validation of the Adaptive Eating Scale: Exploratory and Confirmatory Factor Analyses.","authors":"Sheida Zeraattalab-Motlagh, Margit Wiesner, Cynthia Yoon, Sarah Sasson, Randi Betts, Craig Johnston, Tracey Ledoux","doi":"10.1177/08901171261421070","DOIUrl":"10.1177/08901171261421070","url":null,"abstract":"<p><p>PurposeAdaptive eating refers to internally regulated eating that is enjoyable and gently guided by the nutritional quality of foods. Despite growing interest in this construct, there is currently no validated scale to measure adaptive eating among US college students aged ≥18 years. This study aimed to develop and evaluate the psychometric properties of the Adaptive Eating Scale (AES) in a diverse sample of US college students.DesignThirty-seven items were developed to comprise the AES. Students completed AES and measures of intuitive eating, mental health, diet, and anthropometrics.SampleEight hundred and forty-nine university students aged ≥18 years, from racially and ethnically diverse backgrounds.AnalysisThe sample was divided randomly into two. Exploratory Factor Analysis (EFA) was completed on subsample A (n = 424). Confirmatory Factor Analysis (CFA) was conducted on subsample B (n = 425) to confirm factor structure from subsample A.ResultsEFA showed 17 items representing gentle nutrition (GN), unpreoccupied by food cravings (UBFC), enjoyment of food (EOF), and honoring hunger (HH) explained 63.1% of the variance. CFA showed a bifactor model comprising one global factor and four orthogonal factors (GN, UBFC, EOF, and HH) had excellent fit [CFI = 0.972, RMSEA = 0.051, SRMR = 0.048]. GN, EOF, and HH were reliable, and significantly associated with each other, intuitive eating, emotional eating, weight status, and mental health.ConclusionResults showed that AES is best conceptualized as a multidimensional measure with one general factor and specific factors representing GN, EOF, and HH.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"947-957"},"PeriodicalIF":2.1,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146028037","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":"Psychosocial Factors Affecting Physical Activity Behaviors of Adolescents in Türkiye: The Theory of Planned Behavior Model.","authors":"Elif Cil, Erhan Eser","doi":"10.1177/08901171261418238","DOIUrl":"10.1177/08901171261418238","url":null,"abstract":"<p><p>PurposeTo investigate the frequency of physical activity behavior among adolescents between the ages of 14-18 and to explain their physical activity behavior within a mixed theory of planned behavior and social cognitive theory model (TPB/SCT) with structural equation modeling.DesignWe investigated the causality of physical activity behavior in adolescents with classical epidemiological regressions models and structural equation models.SettingThe data were stratified by student grade, school type (public/private), and education type (vocational/other).SubjectsThe analyses included data from 1003 students from 31 high schools.Measures & AnalysisFor the \"classical epidemiological approach\" descriptive, univariate, and multivariate (logistic regression) analyses were presented. For the \"structural approach\", based on the mixed model of TPB/SCT, 10 structural equation models were established, with stratum of gender and socioeconomic status of the participants.ResultsOur results confirm the hypothesis that attitudes of adolescents - except in poor male adolescents - (β min-max: 0.39-0.46) and perceived behavioral control (β min-max: 0.27-0.39) predicts \"intention,\" while intention (β min-max: 0.39-0.46) predicts physical activity \"behavior.\" The barriers significantly reduce physical activity, especially in wealthy male adolescents (β: -0.12), and peer support significantly increases physical activity in all models (β min-max: 0.21-0.28) except for poor female adolescents. Our models explained approximately 60.0% of physical activity intention variance and approximately 45.0% of physical activity behavior variance. In addition, the lowest values of these two variance percentages were calculated (54.0% and 28.0%) among poor female adolescents.ConclusionOur model could be applied to understand physical activity behavior in adolescents, and still three out of every four adolescents are not physically active at recommended levels. Psychological theories have not yet been able to adequately explain the physical activity behavior of poor female students. According to structural equation modeling, peer social support was found to be twice as effective as parental social support.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"958-975"},"PeriodicalIF":2.1,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146043653","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":"Patterns of Instrumental and Informational Workplace Health Support Use Among Hospital Service Workers of Low- to Mid-Socioeconomic Status.","authors":"Ryan J Walsh, Ryan Colvin, Ann Marie Dale, Rachel G Tabak, Bradley A Evanoff","doi":"10.1177/08901171261490288","DOIUrl":"https://doi.org/10.1177/08901171261490288","url":null,"abstract":"<p><p>PurposeTo examine workplace health supports (WHS) use and sociodemographic and organizational correlates among healthcare workers predominantly of low- to mid-socioeconomic status (SES).DesignCross-sectional survey.SettingLarge U.S. healthcare system, 2018.Sample1283 healthcare service workers; 1196 included in final analyses (93.2%).MeasuresInstrumental and informational WHS use; SES; race; age; shift; sex; obesity; organizational health climate; coworker support; supervisor support.AnalysisPearson point biserial correlations (<i>r</i>_<i>pb</i>), phi (Φ) statistics, and multivariable negative binomial regression models were used. Interaction terms between organizational health climate and sociodemographic characteristics were tested.ResultsThe median employee used two WHS (one instrumental, one informational). Older age was associated with greater informational WHS use (Φ = .13 to .21), while Black race was associated with greater instrumental WHS use (Φ = .09 to .15). Organizational health climate was modestly associated with healthy eating and physical activity WHS (<i>r</i>_<i>pb</i> = .09 to .11). In adjusted models, age, race, and organizational health climate remained independently associated with WHS use. Modest interaction effects were observed between organizational health climate and race (total and informational models) and sex (total model).ConclusionDifferentiating WHS by support type reveals meaningful differences in engagement across worker groups. Findings highlight the importance of organizational context. Results should be interpreted cautiously given the cross-sectional design and self-reported measures.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261490288"},"PeriodicalIF":2.1,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149226953","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":"HIV Prevention Practices of Exposed Seronegative Partners Following Partner Notification and Services in New York City From 2015 to 2018.","authors":"Aaron DeMasi, Kavita Misra, Britney J Gaines, Kimberly Johnson, Chi-Chi N Udeagu","doi":"10.1177/08901171261497039","DOIUrl":"https://doi.org/10.1177/08901171261497039","url":null,"abstract":"<p><p>PurposeTo understand partners' practices related to HIV transmission risk following HIV partner services (PS) since pre-exposure prophylaxis (PrEP) was made available.DesignQuarterly interviews over one year following PS.SettingNew York City (NYC).ParticipantsHIV-negative sex partners of HIV-positive individuals aged 18 years or older notified of their HIV exposure through NYC PS program from 2015-2018.MeasuresAt each interview, partners self-reported their number of sex partners, whether they were using condoms consistently, and PrEP uptake. Demographics were collected before the first follow-up interview.AnalysisChi-square goodness of fit tests, binary logistic regressions, two-sample t-tests, and one-way ANOVAs quantified relationships between demographics and outcomes. Generalized estimating equations quantified relationships between timepoint and outcomes.ResultsPartners' practices remained unchanged after PS. No HIV seroconversions occurred but some partners acquired STIs. Using PrEP before study enrollment was positively correlated with later PrEP use. PrEP use was positively correlated with number of sex partners and negatively associated with condom use. Demographics predicted practices related to HIV transmission risk.ConclusionGiven subsequent stability in partners' practices, it is possible PS played a mitigating role-preventing further risks beyond baseline. While supporting behavioral change is difficult, it remains an important tool in the PS toolbox. Thus, PS must be integrated with warm hand-offs to services addressing critical needs. Integrated interventions and services will promote progress toward ending the HIV epidemic.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261497039"},"PeriodicalIF":2.1,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149134746","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":"Healthcare Professionals' Insights on Physical Activity for Trans and Gender Diverse Adolescents: A Qualitative Exploration.","authors":"Samantha J Adler, Katheen K Miller, Iris W Borowsky, Hana-May Eadeh, G Nic Rider, Kevin Kuo, Sarah M Kaja","doi":"10.1177/08901171261491555","DOIUrl":"https://doi.org/10.1177/08901171261491555","url":null,"abstract":"<p><p>PurposeAs a preliminary step in developing a physical activity (PA) intervention for trans and gender diverse (TGD) adolescents, we aimed to understand healthcare professionals' perspectives on the benefits of and barriers to PA among TGD patients. Furthermore, we sought their advice on creating a PA intervention that addresses the mental and social health concerns that disproportionately affect this population.DesignQualitative descriptive study.SettingConducted on Zoom with participants in the Midwest U.S.ParticipantsHealthcare professionals serving TGD youth (N = 17).MethodIndividual, semi-structured interviews were analyzed via template analysis.ResultsProfessionals observed limited organized PA involvement among TGD patients, expressing concern with their under-involvement. Many perceived existing organized PA opportunities to be scarce, naming barriers to organized PA that were universal, and gender-specific barriers like binary gendered teams and structures, TGD adolescents' fears of harassment, and PA environments exacerbating body-consciousness. All professionals thought organized PA could benefit TGD adolescent patients through improving disease risk factors, mental health outcomes, and social connections. Regarding PA intervention components, professionals recommended emphasizing social opportunities, including TGD/queer staff, training staff in biases and trauma TGD adolescents can experience in PA environments, and avoiding social comparison or weight-centrism.ConclusionHealthcare professionals recognize value in social organized PA opportunities and desire a tailored PA intervention for their patients, especially one developed with TGD adolescents' personal insights.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261491555"},"PeriodicalIF":2.1,"publicationDate":"2026-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149056862","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":"Evaluating the Effects of a Health Action Process Approach (HAPA)-Based Intervention on Adolescents' Menstrual Health Behaviors.","authors":"Laura Bollinger, Géraldine Escriva-Boulley, Nathalie Gavens","doi":"10.1177/08901171261491097","DOIUrl":"https://doi.org/10.1177/08901171261491097","url":null,"abstract":"<p><p>PurposeThis study evaluated the effects of a school-based intervention grounded in the Health Action Process Approach (HAPA) on adolescents' intentions to seek medical consultation for menstrual health concerns.DesignQuasi-experimental pre-post intervention design.SettingThe study was conducted in seven high school classes in France.SampleA total of 75 girls with a mean age of 15.8 years participated.InterventionTwo interactive sessions combined menstrual health and endometriosis education with activities targeting the HAPA constructs.MeasuresPre- and post-intervention self-administered questionnaires were completed.AnalysisConfirmatory factor analyses, Wilcoxon signed-rank tests and paired-sample <i>t</i>-tests were conducted.ResultsResults showed significant increases in perceived benefits of consulting a healthcare provider (<i>P</i> = .024), action planning (<i>P</i> < .001), maintenance self-efficacy (<i>P</i> = .015), recovery self-efficacy (<i>P</i> = .017), and progression toward medical consultation (<i>P</i> = .019).ConclusionThis study highlights the potential of theory-based menstrual education to provide information and strategies that may help adolescent girls seek care for their menstrual concerns. Integrating such programs into school curricula could support earlier recognition of gynecological issues and promote adolescent health. Results should be interpreted cautiously due to the lack of control group and the short follow-up period. Further research should explore the long-term impact of these interventions and investigate how environmental factors influence adolescents' behavior change.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261491097"},"PeriodicalIF":2.1,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149023773","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}