American Journal of Health Promotion最新文献

{"title":"COVID19 and the Follies of History: Forebodings that Forewarned is Not Forearmed.","authors":"David L Katz","doi":"10.1177/08901171241258033","DOIUrl":"10.1177/08901171241258033","url":null,"abstract":"<p><p>COVID-19 was the first pandemic of the internet age. Beginning at a time of great societal division in the United States (and globally), pandemic responses were further beleaguered by the viral proliferation of information, disinformation, and propaganda-collectively, an \"infodemic.\" Polarized, blinkered views of the crisis precluded a balanced consideration of objectives, opportunities, and ineluctable trade-offs between the risks of actions and corresponding inactions. The results were lapses in both directions, greatly amplifying the pandemic toll. Persistence of this costly fractiousness is now spawning monocular critiques of the pandemic response, with neglect of essential nuance. There is a better pandemic that might have been, and the chance for far better responses to the next- but only if the follies of this history are lessons learned and applied. Failing that, the risk looms that having been amply forewarned of our liabilities, we will fail to be forearmed.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"1068-1071"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141246739","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":"Fostering Trust in Public Health Messaging: Tailoring Communication for Rural Parents.","authors":"Susan Racine Passmore, Emma Henning, Lynne Margalit Cotter, Mahima Bhattar, Sijia Yang, Emily Latham, Daniel Schultz, Malia Jones","doi":"10.1177/08901171241278886","DOIUrl":"https://doi.org/10.1177/08901171241278886","url":null,"abstract":"<p><strong>Purpose: </strong>As pandemic-related mistrust of public health recommendations in rural communities may compound gaps in pediatric immunizations, our team explored parents' perceptions of trustworthiness in messaging.</p><p><strong>Design: </strong>Qualitative study using 4 virtual focus groups.</p><p><strong>Setting: </strong>Rural Wisconsin.</p><p><strong>Participants: </strong>Participants (n = 25) were parents or guardians of children recruited through our contacts with community-based organizations serving rural communities.</p><p><strong>Methods: </strong>Researchers used task-oriented elicitation techniques to initiate discussion on the trustworthiness of messengers and messages providing health recommendations. Participants were asked to (1) review existing public health messaging on a range of topics and from a range of sponsors; and (2) rank a list of potential messengers in terms of trustworthiness (eg, local health department, Centers for Disease Control). Discussions were recorded, and audio files transcribed, to facilitate a team-based, thematic analysis.</p><p><strong>Results: </strong>Competency in medical knowledge and parenting experience contributed to estimations of trustworthiness. Participants also responded well to messages and messengers that were able to project recognition of their children's uniqueness and their experience as parents. Participants distrusted messengers who were seen as biased or \"one-sided\" in their perspectives.</p><p><strong>Conclusions: </strong>For successful health promotion for rural-living parents, messengers must be recognized as \"competent\" to provide pediatric health advice and to avoid blanket recommendations that may undermine parents' experience and feelings of being \"understood\" and affect perceptions of trustworthiness.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241278886"},"PeriodicalIF":2.5,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103428","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":"Adolescent Perspectives on Their E-Cigarette Initiation Experiences.","authors":"Claudia Guerra Castillo, Kristin S Hoeft, Elizabeth T Couch, Bonnie Halpern-Felsher, Benjamin W Chaffee","doi":"10.1177/08901171241277669","DOIUrl":"10.1177/08901171241277669","url":null,"abstract":"<p><strong>Purpose: </strong>To examine adolescents' perspectives regarding external and internal influences of the e-cigarette initiation process.</p><p><strong>Design: </strong>Semi-structured, in-depth qualitative interviews.</p><p><strong>Setting: </strong>California, remote videoconference.</p><p><strong>Participants: </strong>Adolescents ages 13-17 who currently or previously used e-cigarettes (n = 47).</p><p><strong>Method: </strong>Interviews occurred from May 2020-February 2021. Two researchers coded transcripts based on a codebook developed inductively. Coded excerpts were reviewed to identify encompassing themes related to adolescent e-cigarette initiation.</p><p><strong>Results: </strong>Adolescents were often near e-cigarette use by peers, family members, and others, creating ample opportunities to try e-cigarettes in response to curiosity, peer pressure, and desires to cope with stress or belong to a group. Adverse first experiences were common (eg, throat irritation, nausea), but many adolescents vaped again or continued to use regularly in attempts to cement friendships or alleviate symptoms of stress and anxiety. Specific characteristics of e-cigarette devices, including low-cost, concealability, and variety in designs and flavors facilitated initiation, continued use, and nicotine dependence.</p><p><strong>Conclusions: </strong>Adolescents progress to e-cigarette use via a multistage process, starting where social expectations and opportunity converge. While individual circumstances vary, many continue to vape as a perceived coping tool for emotional issues, to gain social belonging, or influenced by e-cigarette characteristics that contribute to ongoing use and dependence. Efforts to deter use should address the devices themselves and the social forces driving youth interest in them.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241277669"},"PeriodicalIF":2.5,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142071759","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":"Moving Forward With Pride: LGBTQ+ Health and Contemporary Rights Movements in Asia.","authors":"Rowalt Alibudbud","doi":"10.1177/08901171241279783","DOIUrl":"https://doi.org/10.1177/08901171241279783","url":null,"abstract":"<p><p>As Pride marches are celebrated globally in June, stigma and discriminatory laws against LGBTQ+ individuals remain prevalent in over a third of countries, potentially worsening health disparities among this population. Despite these challenges, notable progress has been made in Asia. Several countries have seen court rulings favoring LGBTQ+ rights, while the National Medical Commission of India has committed to ending conversion therapy, a harmful healthcare practice. As Asian nations advance and draw inspiration from their neighbors' successes, health practitioners, researchers, organizations, and institutions in the region can advocate for LGBTQ+ rights, offer targeted health services, and promote inclusive healthcare practices.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241279783"},"PeriodicalIF":2.5,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054652","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":"Wellness and Stress Management Practices Among Healthcare Professionals and Health Professional Students.","authors":"Asli C Yalim, Katherine Daly, Monica Bailey, Denise Kay, Xiang Zhu, Mohammed Patel, Laurie C Neely, Desiree A Díaz, Denyi M Canario Asencio, Karla Rosario, Melissa Cowan, Magdalena Pasarica","doi":"10.1177/08901171241275868","DOIUrl":"https://doi.org/10.1177/08901171241275868","url":null,"abstract":"<p><strong>Purpose: </strong>Healthcare professionals experience stressors that begin during training and persist into their careers that adversely impact their well-being. This study aims to identify students' and professionals' stress levels, satisfaction with wellness domains, barriers to wellness, and stress management practices.</p><p><strong>Design: </strong>This study was a cross-sectional self-reported survey study.</p><p><strong>Settings and sample: </strong>The study included students (N = 242) and professionals (N = 237) from medicine, nursing, pharmacy, physical therapy, social work, and counseling/psychology.</p><p><strong>Measures: </strong>The Managing Health & Wellness in Health Professions Training and Practice survey was used to capture wellness practices and barriers among participants. Results: Students reported significantly higher perceived stress compared to professionals (<i>P</i> < 0.001). Total wellness is significantly higher among professionals compared to students (<i>P</i> < 0.001). A higher stress rate is significantly related to being female, having a lower wellness score, and facing more barriers (<i>P</i> < 0.001). Intellectual health is the most valuable wellness domain for providers (M = 3.71, SD = 0.9) and students (M = 3.43, SD = 0.85), followed by spiritual health for providers (M = 3.4, SD = 1.1), and work/learning environment for students (M = 3.33, SD = 0.93). Professionals and students are least satisfied with their physical and financial health. Barriers include fatigue, workload/productivity in clinical practice, work hours, and burnout.</p><p><strong>Conclusions: </strong>Healthcare professionals exhibit a variety of stress management practices, encounter barriers, and prioritize different wellness domains. Healthcare systems should incorporate self-care education into their curricula and implement systemic changes to foster a thriving healthcare workforce.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241275868"},"PeriodicalIF":2.5,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003337","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 Infectious Disease Outbreak Emergency Communications for Populations With Limited English Proficiency: Insights to Sustain Collaborations Between Local Health Departments and Community-Based Organizations.","authors":"Gillian K SteelFisher, Hannah L Caporello, Rebekah I Stein, Keri M Lubell, Lindsay Lane, Shakila Moharam Ali, Lisa Briseño, Julio Dicent Taillepierre, Alfonso Rodriguez-Lainz, Alyssa Boyea, Laura Espino, Emma-Louise Aveling","doi":"10.1177/08901171241273349","DOIUrl":"https://doi.org/10.1177/08901171241273349","url":null,"abstract":"<p><strong>Purpose: </strong>State and local public health departments (LHDs) are encouraged to collaborate with community-based organizations (CBOs) to enhance communication and promote protective practices with communities made vulnerable during emergencies, but there is little evidence-based understanding of practical approaches to fostering collaboration in this context. This research focuses on how collaboration enhances LHD capacity for effective communication for people with limited English proficiency (LEP) during infectious disease outbreaks specifically and strategies to facilitate productive LHD-CBO collaboration.</p><p><strong>Design: </strong>Qualitative, telephone interviews, conducted March-October 2021.</p><p><strong>Setting: </strong>Rural and urban jurisdictions with Chinese-speaking or Spanish-speaking populations across the United States.</p><p><strong>Participants: </strong>36 LHD and 31 CBO staff working on outreach to Chinese and Spanish speakers during COVID-19.</p><p><strong>Method: </strong>Interviews were audio-recorded, transcribed verbatim, and analyzed using a team-based, codebook approach to thematic analysis.</p><p><strong>Results: </strong>During COVID-19, CBOs extended LHD capacity to develop and disseminate effective communication, meaning communication that is rapidly in-language, culturally resonant, locally relevant, and trusted. Practical strategies to enable and sustain effective collaboration were needed to address operational dimensions (eg, material and administrative) and relational dimensions (eg, promoting trust and respect).</p><p><strong>Conclusion: </strong>Policies and financing to support LHD-CBO collaborations are critical to improving communication with people with LEP and addressing long-standing inequities in outcomes during outbreaks.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241273349"},"PeriodicalIF":2.5,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003336","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":"Using Online Memes to Communicate About Health: A Systematic Review.","authors":"Aurora Occa, Huai-Yu Chen, Kayden L Teffeteller","doi":"10.1177/08901171241272075","DOIUrl":"https://doi.org/10.1177/08901171241272075","url":null,"abstract":"<p><strong>Objective: </strong>We conducted a systematic review of the literature on online health memes to (a) detect and describe the available research, (b) identify key findings, and (c) delineate future research needs/opportunities.</p><p><strong>Data source: </strong>Databases, communication and public health journals, and ancestry search.</p><p><strong>Study inclusion and exclusion criteria: </strong>Empirical studies, in English, published in peer-reviewed academic journals, and focused on memes to discuss health-related topics.</p><p><strong>Data extraction: </strong>We scrutinized 357 empirical articles and included 35.</p><p><strong>Data synthesis: </strong>Descriptive summary of the locations where studies were conducted, the health topics addressed, theories and methods used, features of memes analyzed, study outcomes, and researchers' challenges.</p><p><strong>Results: </strong>Most studies were conducted in the USA (n = 14); focused on COVID-19 (n = 15); were a-theoretical (n = 19); and quantitative (n = 19). Most explored the themes and use of the memes available online (n = 19); compared meme variations (n = 12) by health issue, content, or participants' group; examined meme' effects on health outcomes (n = 1); or evaluated memes as part of a health campaign (n = 3). We summarized the studies' limitations and key findings.</p><p><strong>Conclusions: </strong>Memes are a promising message strategy for health promotion and education, but more research is necessary. Considering the information retrieved, we provide five specific recommendations for future research directions when studying health memes, including suggestions on the multiple health issues to address and promising theories to adopt and expand.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241272075"},"PeriodicalIF":2.5,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995095","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":"Prevalence of Obstructive Sleep Apnea Among Veterans and Nonveterans.","authors":"Lizabeth A Goldstein, Paul A Bernhard, Claire A Hoffmire, Aaron Schneiderman, Shira Maguen","doi":"10.1177/08901171241273443","DOIUrl":"10.1177/08901171241273443","url":null,"abstract":"<p><strong>Purpose: </strong>Understanding disease prevalence can inform treatment and resource needs across populations. This study aimed to identify the prevalence of sleep apnea (OSA) among veterans and nonveterans.</p><p><strong>Design: </strong>The national Comparative Health Assessment Interview Study, cross-sectional survey using probability-based sampling frames.</p><p><strong>Setting: </strong>Surveys completed by Internet or phone.</p><p><strong>Subjects: </strong>15,166 veterans (40% response rate) and 4,654 nonveterans (57% response rate).</p><p><strong>Measures: </strong>Self-report of healthcare provider-based diagnosis of OSA.</p><p><strong>Analysis: </strong>Calculation of prevalence of OSA using statistical weighting to allow for direct comparison between veterans and nonveterans. Secondary analyses evaluated OSA by deployment status among veterans and compared average age of OSA diagnosis and differences in OSA prevalence among veterans and nonveterans stratified by gender, marital status, race/ethnicity, and posttraumatic stress disorder diagnosis.</p><p><strong>Results: </strong>OSA diagnosis was more than twice as prevalent among veterans (21%, 95% CI 20%-22%) than nonveterans (9%, 95% CI 8%-10%; aOR: 2.56, 95% CI 2.22-2.95, <i>P</i> < .001). Deployment was associated with higher odds of OSA among veterans (aOR: 1.64, 95% CI 1.43-18.7, <i>P</i> < 001.) Veterans were diagnosed with OSA on average 5 years earlier than nonveterans.</p><p><strong>Conclusion: </strong>Veterans have a high prevalence rate of OSA, highlighting the importance of veterans' access to treatment. OSA is likely underdiagnosed in nonveterans, particularly among racial/ethnic minoritized groups. Future research should investigate disparities in access to diagnostic testing for racial/ethnic minority nonveterans and/or risk factors for OSA among racial/ethnic minority veterans. The increased odds of OSA among those with PTSD highlights in the importance of early referral for OSA testing by providers as well as development of trauma-informed strategies to promote OSA treatment adherence. Limitations include a bias toward underestimation of true disease prevalence due to self-report of diagnosis.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241273443"},"PeriodicalIF":2.5,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141970406","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":"Sociodemographic Correlates of Low Health Literacy Skills Among Cancer Survivors: National Findings From BRFSS 2016.","authors":"Qi Chen, John Moore, Lailea Noel, Kirk von Sternberg, Barbara Jones","doi":"10.1177/08901171231222073","DOIUrl":"10.1177/08901171231222073","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore associations of sociodemographic factors with difficulties in three health literacy (HL) skills and the severity of low HL skills.</p><p><strong>Design: </strong>Cross-sectional secondary data analysis. Subjects: Data came from 17,834 adults who responded to the HL module with a response rate of 47% in the 2016 Behavioral Risk Factor Surveillance System.</p><p><strong>Measures: </strong>Independent variables included sex, age, race/ethnicity, education, employment and income. Dependent variables are three HL skills: obtaining, understanding oral, and understanding written health information.</p><p><strong>Analysis: </strong>We conducted weighted Chi-square tests and multinominal logistic regressions.</p><p><strong>Results: </strong>Cancer survivors younger than 65 (aged 18-39: AOR = 4.46, <i>P</i> < .001; aged 40-64: AOR = 2.29, <i>P</i> < .001), Hispanic (AOR = 2.17, CI = 1.61-2.50, <i>P</i> < .01) had higher odds of difficulty obtaining health information. Female cancer survivors had lower odds of difficulty comprehending oral (AOR = .69, CI = .55-.87, <i>P</i> < .01) and written (AOR = .58, CI = .46-.74, <i>P</i> < .001) information. The relative risk ratio of having difficulties in three HL tasks was higher for those who were younger than 65 (aged 18-39: RRR = 10.18, CI = 2.41-4.3, <i>P</i> < .01; aged 40-64: RRR = 4.01, CI = 2.09-7.69, <i>P</i> < .001), Hispanic (RRR = 3.24, CI = 1.66-11.34, <i>P</i> < .01), unemployed (RRR = 6.1, CI = 2.88-12.76, <i>P</i> < .001), education levels lower than some college (some high school: RRR = 4.34, <i>P</i> < .01; high school: RRR = 2.62, <i>P</i> < .05) and household income under $25,000 (RRR = 6.99, CI = 2.8-17.5, <i>P</i> < .001).</p><p><strong>Conclusion: </strong>Intervention and communication materials need to be tailored for patients with different HL skills considering age, gender, socioeconomic status and cultural backgrounds.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"757-766"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138795246","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":"Gamification as a Tool for Promoting Physical Exercise and Healthy Eating Habits in Healthcare Worker Women: Effects on Cardiometabolic Health and Physical Fitness at Workplace.","authors":"Lucas B Gimenez, Vanessa Teixeira do Amaral, Gabriel Locato, Isabela R Marçal, Artur J T Ferron, Emmanuel G Ciolac","doi":"10.1177/08901171241234664","DOIUrl":"10.1177/08901171241234664","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effectiveness of gamified versus nongamified health promotion interventions on cardiometabolic health and fitness parameters in healthcare worker women.</p><p><strong>Design: </strong>Randomized parallel group trial.</p><p><strong>Setting: </strong>A public outpatient health center in Brazil.</p><p><strong>Subjects: </strong>Women employees (included: n = 29; lost to follow-up: n = 1; analyzed: n = 28).</p><p><strong>Interventions: </strong>8 weeks of gamified (n = 15) or nongamified (n = 13) interventions, consisting of health lectures, nutritional counseling, and supervised exercise training. The gamified group was divided into teams that received points based on completion of health goals/tasks.</p><p><strong>Measures: </strong>Anthropometric, cardiometabolic and physical fitness parameters.</p><p><strong>Analysis: </strong>Two-way ANOVA with repeated measures (group vs. time), and Bonferroni <i>post hoc</i> tests.</p><p><strong>Results: </strong>Body mass (-1.5 ± 1.5 kg), waist circumference (-1.6 ± 3.0 cm), HbA1C (-.2 ± .3%), triglycerides (-21.5 ± 48.2 mg/dl), systolic (-11.1 ± 7.9 mmHg) and diastolic (-7.1 ± 5.8 mmHg) blood pressure, as well as sit and reach (3.9 ± 3.0 cm) and six-minute walking (56 ± 37 m) performance improved (<i>P</i> < .05) only after the gamified intervention. Sit-to-stand performance improved after both the gamified (-1.18 ± 1.24 s) and nongamified (-1.49 ± 1.87 s) interventions.</p><p><strong>Conclusion: </strong>The gamified intervention was more effective than the nongamified intervention for improving cardiometabolic and physical fitness parameters, suggesting that gamification may be an effective tool for promoting health in healthcare worker women.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"820-824"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139929547","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}