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Environmental and policy approaches to cardiovascular disease prevention through nutrition: opportunities for state and local action. 通过营养预防心血管疾病的环境和政策办法:国家和地方采取行动的机会。
Health education quarterly Pub Date : 1995-11-01 DOI: 10.1177/109019819502200408
K Glanz, B Lankenau, S Foerster, S Temple, R Mullis, T Schmid
{"title":"Environmental and policy approaches to cardiovascular disease prevention through nutrition: opportunities for state and local action.","authors":"K Glanz,&nbsp;B Lankenau,&nbsp;S Foerster,&nbsp;S Temple,&nbsp;R Mullis,&nbsp;T Schmid","doi":"10.1177/109019819502200408","DOIUrl":"https://doi.org/10.1177/109019819502200408","url":null,"abstract":"<p><p>This article reviews environmental and policy intervention approaches to cardiovascular disease prevention through nutrition and recommends opportunities for state and local health departments to initiate and participate in environmental and nutrition policy initiatives. By addressing these complementary aims, the authors hope to stimulate further efforts to achieve progress in nutrition promotion among state and local health-related organizations. Key categories of opportunity to develop new or expanded nutrition policies and environmental strategies include economic incentives, food assistance and feeding programs, regulations for institutional food service operations, and nutrition services in health care. Environmental strategies to reduce barriers to following dietary guidelines, such as point-of-choice programs and school nutrition programs, should be tailored for local communities and widely disseminated. In addition, current federal policy efforts, notably nutrition labeling rules, will provide a valuable focal point for state and local advocacy, education, and monitoring.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 4","pages":"512-27"},"PeriodicalIF":0.0,"publicationDate":"1995-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819502200408","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19530152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 136
Combining research, advocacy, and education: the methods of the Grandparent Caregiver Study. 结合研究、宣传和教育:祖父母照顾者研究的方法。
Health education quarterly Pub Date : 1995-11-01 DOI: 10.1177/109019819502200404
K M Roe, M Minkler, F F Saunders
{"title":"Combining research, advocacy, and education: the methods of the Grandparent Caregiver Study.","authors":"K M Roe,&nbsp;M Minkler,&nbsp;F F Saunders","doi":"10.1177/109019819502200404","DOIUrl":"https://doi.org/10.1177/109019819502200404","url":null,"abstract":"<p><p>This article presents a case study of the effective synergy of health education inquiry, community collaboration, and policy advocacy. Using the Grandparent Caregiver Study as the example, the authors focus on key methodological decisions that enabled them to incorporate research, education, and advocacy activities into an ever-growing project on a modest budget. The study itself centered on two in-depth interviews with each of 71 African American grandmothers raising young grandchildren due to the crack cocaine epidemic in Oakland, California. The case study demonstrates ways in which health education research can increase the efficacy of individuals and disenfranchised groups to define problems, voice their concerns, and advocate for more just and healthy public policies. Through discussion of the authors' methods and activities, they suggest strategies through which research participants, service providers, and policymakers can work together to bring a new issue to the policy arena through a collaborative and empowering research process.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 4","pages":"458-75"},"PeriodicalIF":0.0,"publicationDate":"1995-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819502200404","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19532732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 51
Environmental and policy interventions to control tobacco use and prevent cardiovascular disease. 控制烟草使用和预防心血管疾病的环境和政策干预措施。
Health education quarterly Pub Date : 1995-11-01 DOI: 10.1177/109019819502200406
R C Brownson, D M Koffman, T E Novotny, R G Hughes, M P Eriksen
{"title":"Environmental and policy interventions to control tobacco use and prevent cardiovascular disease.","authors":"R C Brownson,&nbsp;D M Koffman,&nbsp;T E Novotny,&nbsp;R G Hughes,&nbsp;M P Eriksen","doi":"10.1177/109019819502200406","DOIUrl":"https://doi.org/10.1177/109019819502200406","url":null,"abstract":"<p><p>Despite its declining prevalence during the past few decades, tobacco use remains one of the most significant public health issues of the 1990s. Environmental and policy interventions are among the most cost-effective approaches to control tobacco use and prevent cardiovascular diseases. In this article, the authors review and offer to state and local health departments and other public health partners a summary of recommended policy and environmental interventions that have either reduced or show potential to reduce tobacco use. Priority recommendations include clean indoor air policies, restrictions on tobacco advertising and promotion, policies limiting youth access to tobacco, comprehensive school health programs, and excise taxes and other economic incentives. Many of these recommendations should be integrated with other health promotion interventions to also improve nutrition and physical activity. The authors also highlight several successful interventions and strategies used to establish policies at the state and local levels.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 4","pages":"478-98"},"PeriodicalIF":0.0,"publicationDate":"1995-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819502200406","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19532738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 69
Creating capacity through health education: what we know and what we don't. 通过健康教育创造能力:我们知道什么和我们不知道什么。
Health education quarterly Pub Date : 1995-08-01 DOI: 10.1177/109019819402200303
N M Clark, K R McLeroy
{"title":"Creating capacity through health education: what we know and what we don't.","authors":"N M Clark,&nbsp;K R McLeroy","doi":"10.1177/109019819402200303","DOIUrl":"https://doi.org/10.1177/109019819402200303","url":null,"abstract":"<p><p>Researchers in health education have rarely convened to outline research priorities in the field. This article discusses the results of a meeting to develop a research agenda aimed at creating capacity to promote and maintain health. Salient research findings related to individual and community health are summarized and priority issues for future research are presented.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 3","pages":"273-89"},"PeriodicalIF":0.0,"publicationDate":"1995-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402200303","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18596895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 59
Strengthening individual and community capacity to prevent disease and promote health: in search of relevant theories and principles. 加强个人和社区预防疾病和促进健康的能力:寻求有关的理论和原则。
Health education quarterly Pub Date : 1995-08-01 DOI: 10.1177/109019819402200304
N Freudenberg, E Eng, B Flay, G Parcel, T Rogers, N Wallerstein
{"title":"Strengthening individual and community capacity to prevent disease and promote health: in search of relevant theories and principles.","authors":"N Freudenberg,&nbsp;E Eng,&nbsp;B Flay,&nbsp;G Parcel,&nbsp;T Rogers,&nbsp;N Wallerstein","doi":"10.1177/109019819402200304","DOIUrl":"https://doi.org/10.1177/109019819402200304","url":null,"abstract":"<p><p>The dominant theoretical models used in health education today are based in social psychology. While these theories have increasingly acknowledged the role of larger social and cultural influences in health behavior, they have many limitations. Theories seek to explain the causes of health problems, whereas principles of practice, which are derived from practical experience, assist intervenors to achieve their objectives. By elucidating the relationships between theory and practice principles, it may be possible to develop more coherent and effective interventions. The key research agenda for health education is to link theories at different levels of analysis and to create theory-driven models that can be used to plan more effective interventions in the complex environments in which health educators work.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 3","pages":"290-306"},"PeriodicalIF":0.0,"publicationDate":"1995-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402200304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18596896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 131
Creating capacity: establishing a health education research agenda for special populations. 创造能力:为特殊人群制定卫生教育研究议程。
Health education quarterly Pub Date : 1995-08-01 DOI: 10.1177/109019819402200309
K R McLeroy, N M Clark, B G Simons-Morton, J Forster, C M Connell, D Altman, M A Zimmerman
{"title":"Creating capacity: establishing a health education research agenda for special populations.","authors":"K R McLeroy,&nbsp;N M Clark,&nbsp;B G Simons-Morton,&nbsp;J Forster,&nbsp;C M Connell,&nbsp;D Altman,&nbsp;M A Zimmerman","doi":"10.1177/109019819402200309","DOIUrl":"https://doi.org/10.1177/109019819402200309","url":null,"abstract":"<p><p>On Day 2 of the joint CDC/SOPHE conference on Creating Capacity: Establishing a Research Agenda for Health Education, the participants were asked to identify research needs or special issues in working with children and adolescents, the elderly, women, men, and underserved groups. This article presents the priority research areas across subgroups identified by the participants. The cross-group priorities are followed by research recommendations for each subgroup.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 3","pages":"390-405"},"PeriodicalIF":0.0,"publicationDate":"1995-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402200309","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18596901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 23
Evaluation of health education programs: current assessment and future directions. 健康教育计划之评估:当前评估与未来方向。
Health education quarterly Pub Date : 1995-08-01 DOI: 10.1177/109019819402200308
B A Israel, K M Cummings, M B Dignan, C A Heaney, D P Perales, B G Simons-Morton, M A Zimmerman
{"title":"Evaluation of health education programs: current assessment and future directions.","authors":"B A Israel,&nbsp;K M Cummings,&nbsp;M B Dignan,&nbsp;C A Heaney,&nbsp;D P Perales,&nbsp;B G Simons-Morton,&nbsp;M A Zimmerman","doi":"10.1177/109019819402200308","DOIUrl":"https://doi.org/10.1177/109019819402200308","url":null,"abstract":"<p><p>Recently there has been an increase in the different types of strategies used in health education interventions, including an emphasis on broadening programs focused on individual behavior change to include larger units of practice. There has also been an increasing critique of the traditional physical science paradigm for evaluating the multiple dimensions inherent in many interventions. Additionally, there is a growing recognition of the importance of involving multiple stakeholders in designing, implementing, and evaluating interventions. Each of these factors carries specific evaluation challenges. With the overall aim of strengthening the evaluation of health education programs, this article aims to (a) present conceptual and technical design issues and options, (b) describe different approaches to evaluation, (c) highlight evaluation approaches that have been effective, (d) critique the limitations of traditional evaluation approaches, (e) examine promising approaches and implications for future evaluations, and (f) provide recommendations for evaluation designs, data collection methods, roles, responsibilities, and principles for evaluating interventions.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 3","pages":"364-89"},"PeriodicalIF":0.0,"publicationDate":"1995-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402200308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18596900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 161
Creating capacity: establishing a health education research agenda. Introduction. 创造能力:制定卫生教育研究议程。介绍。
Health education quarterly Pub Date : 1995-08-01 DOI: 10.1177/109019819402200302
N M Clark, K R McLeroy
{"title":"Creating capacity: establishing a health education research agenda. Introduction.","authors":"N M Clark,&nbsp;K R McLeroy","doi":"10.1177/109019819402200302","DOIUrl":"https://doi.org/10.1177/109019819402200302","url":null,"abstract":"On Day 2 of the joint CDC/SOPHE conference on Creating Capacity: Establishing a Research Agenda for Health Education, the participants were asked to identify research needs or special issues in working with children and adolescents, the elderly, women, men, and underserved groups. This article presents the priority research areas across subgroups identified by the participants. The cross-group priorities are followed by research recommendations for each subgroup.","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 3","pages":"270-2"},"PeriodicalIF":0.0,"publicationDate":"1995-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402200302","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18596894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 19
A research agenda for health education among underserved populations. 在服务不足的人群中进行健康教育的研究议程。
Health education quarterly Pub Date : 1995-08-01 DOI: 10.1177/109019819402200307
G Marín, L Burhansstipanov, C M Connell, A C Gielen, D Helitzer-Allen, K Lorig, D E Morisky, M Tenney, S Thomas
{"title":"A research agenda for health education among underserved populations.","authors":"G Marín,&nbsp;L Burhansstipanov,&nbsp;C M Connell,&nbsp;A C Gielen,&nbsp;D Helitzer-Allen,&nbsp;K Lorig,&nbsp;D E Morisky,&nbsp;M Tenney,&nbsp;S Thomas","doi":"10.1177/109019819402200307","DOIUrl":"https://doi.org/10.1177/109019819402200307","url":null,"abstract":"<p><p>This article summarizes the outcome of health education efforts among populations that, due to their cultural heritage, have received limited services. The literature reviewed shows that programs found to be effective in one population cannot be assumed to be equally effective with a different population. An argument is made for the design of culturally appropriate and group-specific interventions which would properly serve the various underserved populations. Research needs to be conducted to identify appropriate approaches and intervention strategies, as well as the group-specific sociopsychological characteristics (attitudes, norms, values, expectancies) that are related to health-damaging and protective behaviors.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 3","pages":"346-63"},"PeriodicalIF":0.0,"publicationDate":"1995-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402200307","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18596899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 131
Health education intervention strategies: recommendations for future research. 健康教育干预策略:对未来研究的建议
Health education quarterly Pub Date : 1995-08-01 DOI: 10.1177/109019819402200305
A Steckler, J P Allegrante, D Altman, R Brown, J N Burdine, R M Goodman, C Jorgensen
{"title":"Health education intervention strategies: recommendations for future research.","authors":"A Steckler,&nbsp;J P Allegrante,&nbsp;D Altman,&nbsp;R Brown,&nbsp;J N Burdine,&nbsp;R M Goodman,&nbsp;C Jorgensen","doi":"10.1177/109019819402200305","DOIUrl":"https://doi.org/10.1177/109019819402200305","url":null,"abstract":"<p><p>While the ultimate goal of health education interventions is to positively influence health status, more proximal indicators of success are changes in intermediate outcomes, or impact. Because health education interventions work through intermediate outcomes, the linkage to health status is often assumed to be at a conceptual or theoretical level. The term health education intervention strategy is a heuristic device used to conceptualize and organize a large variety of activities. There is a wide range of studies and reports in the literature that either test specific intervention strategies or report on larger health education efforts combining several strategies. This article organizes the discussion to focus on individual-, community-, and policy-level interventions. Mass communications are also considered, and the authors comment on program planning issues that cut across specific interventions at the individual, community, and policy levels. Eleven recommendations are offered for future health education intervention research.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 3","pages":"307-28"},"PeriodicalIF":0.0,"publicationDate":"1995-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402200305","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18596897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 85
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