{"title":"Chief Well Being Officer: A Critical Role for Organizations.","authors":"Sara S Johnson","doi":"10.1177/08901171251367521","DOIUrl":"https://doi.org/10.1177/08901171251367521","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251367521"},"PeriodicalIF":2.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938863","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":"The Vital Need for Chief Well-Being Officers in Higher Education: Reflections from the First Year.","authors":"Anna Fitch Courie","doi":"10.1177/08901171251367537","DOIUrl":"https://doi.org/10.1177/08901171251367537","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251367537"},"PeriodicalIF":2.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938866","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":"The Evolution and Strategic Impact of the Chief Wellness Officer Role at George Washington University Medicine.","authors":"Leigh A Frame","doi":"10.1177/08901171251367538","DOIUrl":"https://doi.org/10.1177/08901171251367538","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251367538"},"PeriodicalIF":2.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938871","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":"The Wellbeing Imperative: What I Learned Pioneering the Chief Wellbeing Officer Role in an Industry Built on Exhaustion.","authors":"Jen Fisher","doi":"10.1177/08901171251367522","DOIUrl":"https://doi.org/10.1177/08901171251367522","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251367522"},"PeriodicalIF":2.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938818","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}
Kisa K Harris, Brian D Christman, William B Hillegass, Crystal S Lim, E Thomaseo Burton, Sabahat Afshan, Xiaojian Liu, Shanda W Sandridge, Michael Welsch, Lei Zhang, Ramona Sandlin, Bernadette Grayson, Abigail Gamble
{"title":"Obesity and Cardiometabolic Risk Factors Among Pediatric Patients at a Mississippi Academic Medical Center.","authors":"Kisa K Harris, Brian D Christman, William B Hillegass, Crystal S Lim, E Thomaseo Burton, Sabahat Afshan, Xiaojian Liu, Shanda W Sandridge, Michael Welsch, Lei Zhang, Ramona Sandlin, Bernadette Grayson, Abigail Gamble","doi":"10.1177/08901171251370666","DOIUrl":"10.1177/08901171251370666","url":null,"abstract":"<p><p>PurposeAssess obesity and cardiometabolic disease risk factors among a high-risk pediatric population.DesignObservational, cross-sectional study using electronic medical records (EMR).SettingThe only academic medical center in Mississippi.SampleData were extracted for children and adolescents aged 2 through 19 years treated in primary care from 2013-2023.MeasuresMeasures of height, weight, blood pressure, lipid profiles, and hemoglobin A1c were categorized to determine the prevalence of obesity, hypertension, hyperlipidemia, and hyperglycemia.AnalysesMultivariable regression models were used to establish the association between age- and sex-adjusted body mass index z-score (zBMI) and demographic characteristics. Outcomes were explored by race/ethnicity, sex, age, insurance type, visit year, and rurality.ResultsThe study sample included 38 275 participants (M age = 8.9 years, SD = 5.3; 48.7% female; 45.4% non-Hispanic Black [NHB]). Half of NHB females aged 12 through 19 were either overweight (19.0 %), obese (15.9%), or severely obese (14.9%). Age was positively associated with BMI z-score (<i>P</i> < 0.001). Nearly 40% of all participants with a blood pressure (BP) reading had a measure consistent with elevated BP (17.1%) or hypertension (22.1%). NHB males with severe obesity had the highest prevalence of stage II hypertension (12.3%).ConclusionsThe distribution of mean zBMI values greater than zero indicated that this pediatric population contained a larger proportion of individuals with obesity than the age- and sex-matched reference population. Intervention in NHB females aged 2 through 9 with severe obesity may present the best opportunity for the prevention of severe obesity and hypertension.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251370666"},"PeriodicalIF":2.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12483312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938878","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":"Screening for Chronic Conditions During Wellness Programs? A Case Study.","authors":"M Gabriela Sava, Bogdan C Bichescu","doi":"10.1177/08901171251371456","DOIUrl":"https://doi.org/10.1177/08901171251371456","url":null,"abstract":"<p><p>PurposeScreening for chronic conditions such as diabetes, high blood pressure and high cholesterol during a voluntary wellness program visit.DesignObservational study based on secondary data collected between 2000 and 2017.Setting and sampleData included 4876 visits from 2309 unique participants, all employees of an academic institution in United States.MeasuresWe leverage clinical guidelines to define criteria for classifying a patient as susceptible, or not, to a chronic disease.AnalysisWe perform descriptive statistics and logistic regression to quantify the association between patient characteristics and their susceptibility to chronic conditions.ResultsThe prevalence of susceptibility for diabetes is 17.03% (18.29%) for one-time (frequent) participants, for high blood pressure is 44.76% (48.27%), and for high cholesterol is 8.97% (7.33%). The risks of diabetes and high blood pressure increase with age, and all three risks increase with BMI. Being female is associated with a lower risk of diabetes and high blood pressure. Race is generally not associated with a higher risk of chronic conditions, except for high blood pressure. We also find that each of the three risks is positively and strongly associated with the other two.ConclusionOur study provides evidence that wellness program checks can serve as viable screening opportunities for alerting participants when their health exhibits concerning signs associated with chronic diseases.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251371456"},"PeriodicalIF":2.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938856","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}
Tianxue Long, Yating Zhang, Yi Wu, Pengbo Xing, Yiyun Zhang, Mingzi Li
{"title":"Food Choice Decision-Making Profiles and Health Outcomes in Adults With Type 2 Diabetes and Overweight/Obesity: A Cluster Analysis.","authors":"Tianxue Long, Yating Zhang, Yi Wu, Pengbo Xing, Yiyun Zhang, Mingzi Li","doi":"10.1177/08901171251371447","DOIUrl":"https://doi.org/10.1177/08901171251371447","url":null,"abstract":"<p><p>PurposeTo identify food decision-making profiles for adults with T2DM and overweight/obesity based on nutritional health and decision process, and to explore differences in health outcomes among profiles.DesignCross-sectional.SettingPrimary healthcare settings.Subject105 adults with T2DM and overweight/obesity (90.52% retention).MeasuresNutritional health and decision process were assessed through the Food Choice Task, indicated by healthy decision rate and reaction time respectively. Health outcomes included clinical (HbA1C, fasting blood glucose, BMI) and psychological (diabetes management self-efficacy, food choice motives) measures.AnalysisHierarchical cluster analysis was used to identify profiles according to nutritional health and decision process. Welch's ANOVA were used to test their differences in health outcomes.ResultsFive profiles were identified: Cautious (healthy choice + slow reaction, 42.86%), Moderate (moderate healthy choice/reaction time, 28.57%), Well-Habit (healthy choice + fast reaction, 11.43%), Strained (unhealthy choice + slow reaction, 7.62%) and Impulsive (unhealthy choice + fast reaction, 9.52%). The Well-Habit Profile exhibited the best outcomes, including lower BMI, higher self-efficacy and healthier food choice motives. The Cautious Profile showed healthy choices but suboptimal self-efficacy. The Impulsive Profile presented a good self-efficacy, but the highest BMI and inadequate healthy choice motives.ConclusionThis study identified five food decision-making profiles for adults with T2DM and overweight/obesity, providing insights of considering both nutritional health and decision process as food choice features when conducting dietary interventions. Limitation included the small sample size and limited settings.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251371447"},"PeriodicalIF":2.4,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938787","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}
Nathaniel Woodard, Leena Moses, Rachel Deitch, Brit I Saksvig, Hee-Jung Song, Erin Hager, Hannah Lane
{"title":"A Mixed Methods Study to Identify Characteristics and Practices of Effective Student Health Advocates.","authors":"Nathaniel Woodard, Leena Moses, Rachel Deitch, Brit I Saksvig, Hee-Jung Song, Erin Hager, Hannah Lane","doi":"10.1177/08901171251365344","DOIUrl":"10.1177/08901171251365344","url":null,"abstract":"<p><p>PurposeStudents can serve as key advocates for healthier environments in their schools. This study employs the Youth Advocacy for Obesity Prevention Framework to investigate associations between advocacy skills for environmental and policy change and both self-efficacy and health behaviors, and explores applications of advocacy skills for health among 9-15 year-old elementary and middle schoolers.DesignConvergent, nested mixed-methods approach.SettingElementary and middle schools in a mid-Atlantic U.S. state.Subjects457 low-income elementary and middle students.MeasuresValidated questionnaires were administered to 457 students attending 33 elementary or middle schools serving low-income communities in 5 school districts, assessing self-efficacy for physical activity (PA) and healthy eating (HE), PA and HE behaviors, and advocacy skills. Semi-structured interviews with a subset of 199 students explored advocacy applications.AnalysisHierarchical linear regressions assessed associations between students' self-efficacy for PA and HE, PA and HE behaviors, and advocacy scores, accounting for school-level clustering and controlling for student factors (eg, gender, race, and BMI category). Integrated analysis of quantitative and qualitative data explored conceptualizations of advocacy skills.ResultsSelf-efficacy for PA (b = .24; <i>P</i> < .001), self-efficacy for HE (b = .39; <i>P</i> < .001), and engagement in PA (b = .10; <i>P</i> < .001) were associated with higher advocacy scores. Mixed methods findings further operationalized advocacy skills including leadership participation and history, self-efficacy for health promotion, and assertiveness in advocacy.ConclusionPromoting youth self-efficacy for health behaviors may enhance advocacy efforts for healthier school environments. Future research should further explore methods to foster youth advocacy and assess its impact on promoting healthier school environments.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251365344"},"PeriodicalIF":2.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144870860","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}
Maren S G Henderson, Kristen M Mollan, Andrea C Anderson, Marna M Canterbury, Andrea D Singh, Kari A Weiss, Elizabeth Alene, Elyse O Kharbanda, Thomas E Kottke
{"title":"Teen Leadership Council: A Case Study for Teen Engagement in Health Care Planning.","authors":"Maren S G Henderson, Kristen M Mollan, Andrea C Anderson, Marna M Canterbury, Andrea D Singh, Kari A Weiss, Elizabeth Alene, Elyse O Kharbanda, Thomas E Kottke","doi":"10.1177/08901171251365935","DOIUrl":"https://doi.org/10.1177/08901171251365935","url":null,"abstract":"<p><p>PurposeA case example describing a teen-led council convened by an integrated health system. We seek to share the approach and impact of this work with the broader health services and promotion field.Approach or DesignA stakeholder-informed formative evaluation.SettingIntegrated health system in Upper Midwest.ParticipantsProgram staff, a program alumna, external program partners, subject matter experts, and current council members.MethodThis evaluation was informed by a literature review, data previously collected by the program, key informant conversations, and a participatory data collection activity with current council members. Rapid qualitative analysis was used to describe council framework and stakeholder-identified outcomes.ResultsInformed by best practices in authentic youth engagement and youth-adult partnership, this council has had a positive impact on participants, the convening health system, and the community served by the health system, in service of adolescent health and well-being.ConclusionThis formative evaluation demonstrates how youth are able to take on a leadership role and have a positive impact on adolescent care delivery and health promotion.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251365935"},"PeriodicalIF":2.4,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144797913","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}
Akanksha Nagarkar, Gabrielle Martin, Katherine Sadaniantz, Sanjna Iyengar, Hannah C Wisniewski, Mawulorm K Denu, Germán Chiriboga, Sarah N Forrester, Jeroan J Allison, Lara C Kovell
{"title":"Storytelling for Health Promotion: A Scoping Review.","authors":"Akanksha Nagarkar, Gabrielle Martin, Katherine Sadaniantz, Sanjna Iyengar, Hannah C Wisniewski, Mawulorm K Denu, Germán Chiriboga, Sarah N Forrester, Jeroan J Allison, Lara C Kovell","doi":"10.1177/08901171251365366","DOIUrl":"10.1177/08901171251365366","url":null,"abstract":"<p><p>ObjectiveTo examine storytelling interventions as health promotion tools in underserved populations across disease states, including hypertension, diabetes, overall chronic disease, obstetric care, and preventative health to assess intervention design and cultural tailoring and analyze reported quantitative and qualitative health outcomes.Data SourceA comprehensive literature search was performed in PUBMED.Study Inclusion and Exclusion CriteriaStudies were included if they implemented a storytelling intervention to promote health knowledge, behavior change, or health-related outcomes. Excluded studies lacked an evaluated intervention or reported outcomes. Reviews, commentaries, editorials, protocols without outcome data, and duplicate publications without novel findings were excluded. Only English-language studies were included due to reviewer fluency.Data ExtractionTwenty-five studies were included and categorized based on disease focus.Data SynthesisA narrative synthesis and inductive content analysis was performed. Studies were grouped by disease state and analyzed for population demographics, intervention development and delivery, cultural tailoring, storytelling theory, and measured outcomes.ResultsStorytelling, in digital and oral formats, improved health knowledge, self-efficacy, and preventive behaviors. Several methods were employed to culturally tailor interventions. Interventions were based on multiple behavioral theories.ConclusionsWhen culturally tailored and rooted in theory, regardless of delivery format, storytelling can foster behavior change across diverse health conditions.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251365366"},"PeriodicalIF":2.4,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144793260","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}