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Settings as an important dimension in health education/promotion policy, programs, and research. 环境是健康教育/促进政策、计划和研究的重要维度。
Health education quarterly Pub Date : 1995-08-01 DOI: 10.1177/109019819402200306
P D Mullen, D Evans, J Forster, N H Gottlieb, M Kreuter, R Moon, T O'Rourke, V J Strecher
{"title":"Settings as an important dimension in health education/promotion policy, programs, and research.","authors":"P D Mullen,&nbsp;D Evans,&nbsp;J Forster,&nbsp;N H Gottlieb,&nbsp;M Kreuter,&nbsp;R Moon,&nbsp;T O'Rourke,&nbsp;V J Strecher","doi":"10.1177/109019819402200306","DOIUrl":"https://doi.org/10.1177/109019819402200306","url":null,"abstract":"<p><p>Settings--community, worksite, schools, and healthcare sites--constitute an important dimension of health education/health promotion policy and programs and for research about program needs, feasibility, efficacy, and effectiveness. These settings vary in the extent of coverage of and relationships with their respective constituencies, valued outcomes, and quantity and quality of evidence about the effectiveness of setting-specific and cross-setting programs. Main sources of evidence for program efficacy and effectiveness are summarized, leading to the conclusion that strides have been made toward building a strong evidentiary base for health education/health promotion in these settings. Gaps in research exist, especially for diffusion of effective programs, new technologies, the influence of policy, relations between settings, and approaches to marginal and special subgroups. Recommendations are offered for cross-setting and within-setting research related to intervention.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 3","pages":"329-45"},"PeriodicalIF":0.0,"publicationDate":"1995-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402200306","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18596898","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: 113
WHO defined health promotion as "the process of enabling people to increase control over and improve their health". 世卫组织将健康促进定义为“使人们能够加强控制和改善其健康的过程”。
Health education quarterly Pub Date : 1995-05-01 DOI: 10.1177/109019819502200201
K Allen
{"title":"WHO defined health promotion as \"the process of enabling people to increase control over and improve their health\".","authors":"K Allen","doi":"10.1177/109019819502200201","DOIUrl":"https://doi.org/10.1177/109019819502200201","url":null,"abstract":"Ten years after the WHO defined health promotion as &dquo;the process of enabling people to increase control over and improve their health,&dquo; the concept of community empowerment is finally taking hold. Instead of fostering dependence in our patients, families, and communities, the new paradigm requires the health care community to finally give up control over its clients. The success achieved by the Nepal Health Development Project (HDP) in &dquo;Participatory Health Development in Rural Nepal: Clarifying the Process of Community Empowennenf &dquo; is an exciting illustration of the powerful potential within","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 2","pages":"157-8"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819502200201","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18627138","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: 1
New Zealand's SIDS prevention program and reduction in infant mortality. 新西兰的小岛屿发展中国家预防计划和降低婴儿死亡率。
Health education quarterly Pub Date : 1995-05-01 DOI: 10.1177/109019819502200205
J Davidson-Rada, S Caldis, S L Tonkin
{"title":"New Zealand's SIDS prevention program and reduction in infant mortality.","authors":"J Davidson-Rada,&nbsp;S Caldis,&nbsp;S L Tonkin","doi":"10.1177/109019819502200205","DOIUrl":"https://doi.org/10.1177/109019819502200205","url":null,"abstract":"<p><p>New Zealand has suffered a very high mortality rate from sudden infant death syndrome (SIDS), also known as \"crib death\" or \"cot death.\" This prompted the development of the New Zealand Cot Death Study, a case-controlled epidemiological study. The preliminary findings of this study identified three risk behaviors potentially amenable to modification: prone sleeping position of the infant, maternal smoking, and not breastfeeding. These findings were discussed with the major stakeholders of child health. The Department of Health coordinated the development of a health education SIDS prevention program. Since the Help Prevent Cot Death Programme was launched in February 1991, the rate of total infant deaths, which was 10.1/1,000 live births in 1987, fell to 7.6/1,000 live births in 1991. The SIDS rate fell from 4.2/1,000 in 1987 to 2.5/1,000 in 1991. It is suggested that the described health education program had a significant influence on this improvement in infant survival.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 2","pages":"162-71"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819502200205","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18627139","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: 15
Diffusion of AIDS curricula among Dutch secondary school teachers. 在荷兰中学教师中传播艾滋病课程。
Health education quarterly Pub Date : 1995-05-01 DOI: 10.1177/109019819502200210
T Paulussen, G Kok, H Schaalma, G S Parcel
{"title":"Diffusion of AIDS curricula among Dutch secondary school teachers.","authors":"T Paulussen,&nbsp;G Kok,&nbsp;H Schaalma,&nbsp;G S Parcel","doi":"10.1177/109019819502200210","DOIUrl":"https://doi.org/10.1177/109019819502200210","url":null,"abstract":"<p><p>This study reports data from a sample of 698 Dutch secondary school teachers intending to provide classroom AIDS education. The study addresses determinants of awareness knowledge about and adoption of four nationally disseminated AIDS curricula. The results indicated that knowledge acquisition was largely dependent on diffusion networks within schools. Transition from awareness knowledge to adoption appeared to be mediated by perceived instrumentality, subjective norms, perceived colleague behavior, and teachers' sexual morality. Preferences for using one curriculum rather than another were related to the same variables, although financial costs became slightly more important. It is concluded that effective dissemination strategies should combine (1) development of validated materials with clear instruction for implementation, (2) focused mass media communication, (3) close collaboration of curriculum designers, linking agents, and teachers, and (4) access to in-person assistance.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 2","pages":"227-43"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819502200210","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18627144","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: 67
Person and environment in HIV risk behavior change between adolescence and young adulthood. 青少年至青年期艾滋病毒风险行为改变中的人和环境因素。
Health education quarterly Pub Date : 1995-05-01 DOI: 10.1177/109019819502200209
A R Stiffman, P Dore, R M Cunningham, F Earls
{"title":"Person and environment in HIV risk behavior change between adolescence and young adulthood.","authors":"A R Stiffman,&nbsp;P Dore,&nbsp;R M Cunningham,&nbsp;F Earls","doi":"10.1177/109019819502200209","DOIUrl":"https://doi.org/10.1177/109019819502200209","url":null,"abstract":"<p><p>This article explores how personal and environmental variables influence change in human immunodeficiency virus (HIV)-related risk behaviors between adolescence and young adulthood. Repeated interviews with 602 youths from 10 cities across the United States provide the data. These interviews first occurred in 1984-1985 and 1985-1986 when the youths were adolescents and were repeated again in 1989-1990 and 1991-1992 when they were all young adults. A longitudinal multivariate analysis shows that 31% of the variance in HIV risk behaviors by inner-city young adults is predicted by a combination of adolescent risk behaviors, personal variables (suicidality, substance misuse, antisocial behavior), environmental variables (history of child abuse, poor relations with parents, stressful events, peer misbehavior, number of AIDS prevention messages), and interactions between variables (number of neighborhood murders with child abuse, number of neighborhood murders with substance misuse, and unemployment rates with antisocial behavior).</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 2","pages":"211-26"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819502200209","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18627143","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: 58
Health interventions for African American and Latino youth: the potential role of mass media. 非裔美国人和拉丁裔青年的保健干预措施:大众媒体的潜在作用。
Health education quarterly Pub Date : 1995-05-01 DOI: 10.1177/109019819502200206
D Romer, S Kim
{"title":"Health interventions for African American and Latino youth: the potential role of mass media.","authors":"D Romer,&nbsp;S Kim","doi":"10.1177/109019819502200206","DOIUrl":"https://doi.org/10.1177/109019819502200206","url":null,"abstract":"Children in Latino and African American families are far more likely to live in urban, high-poverty settings that greatly increase risks to healthy development. During adolescence, these settings are particularly hazardous for their role in the social transmission of risk behavior. Community-wide health promotion using local mass media can counteract these influences by reaching preadolescents and adolescents, their parents, and other adults in urban communities with safe-behavior messages. These messages can be designed to make safer behavior more acceptable and normative in the community, to increase awareness of community resources for adoles cents, and to reverse the stereotyping and disregard that characterize media content about impoverished communities. Evidence is reviewed that, despite their poverty status, African American and Latino communities have considerable social resources to which community-wide health promotion can appeal, including strong family bonds, religious attachment, and concern about the community. The influence of these resources is exemplified by relatively low rates of adolescent drug use. Health promotion conducted regularly through local mass media could be an effective strategy to improve the health of adolescents in urban communities.","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 2","pages":"172-89"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819502200206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18627140","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
Developmental status, gender, age, and self-reported decision-making influences on students' risky and preventive health behaviors. 发展状况、性别、年龄和自我报告决策对学生危险和预防性健康行为的影响。
Health education quarterly Pub Date : 1995-05-01 DOI: 10.1177/109019819502200211
B J Tinsley, D R Holtgrave, S P Reise, C Erdley, R G Cupp
{"title":"Developmental status, gender, age, and self-reported decision-making influences on students' risky and preventive health behaviors.","authors":"B J Tinsley,&nbsp;D R Holtgrave,&nbsp;S P Reise,&nbsp;C Erdley,&nbsp;R G Cupp","doi":"10.1177/109019819502200211","DOIUrl":"https://doi.org/10.1177/109019819502200211","url":null,"abstract":"<p><p>This study used decision-making theory to analyze the developmental changes associated with children's and adolescents' health behavior. High school and elementary school children completed surveys concerning (1) the extent to which they engage in a variety of preventive and risky health behaviors, and (2) influence sources used in decision making concerning the enactment of these behaviors. Multiple regression analysis revealed that the sources of influence children and adolescents report considering in making health-related decisions change developmentally and as a function of gender. Moreover, within and across age, children's sources of influence with respect to health decision making are dependent on the health domains being considered. The findings are discussed in relation to decision-making theory and the implications for the content and timing of health education initiatives for adolescents.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 2","pages":"244-59"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819502200211","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18627145","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: 39
Balanced incomplete block design: description, case study, and implications for practice. 平衡的不完全块设计:描述、案例研究和实践意义。
Health education quarterly Pub Date : 1995-05-01 DOI: 10.1177/109019819502200208
B F Campbell, S Sengupta, C Santos, K R Lorig
{"title":"Balanced incomplete block design: description, case study, and implications for practice.","authors":"B F Campbell,&nbsp;S Sengupta,&nbsp;C Santos,&nbsp;K R Lorig","doi":"10.1177/109019819502200208","DOIUrl":"https://doi.org/10.1177/109019819502200208","url":null,"abstract":"<p><p>This article discusses the use of balanced incomplete block design for process evaluation and presents a case study of its use. This technique produces a weighted ranking of program elements, showing the relative importance of each element and allowing comparison of process and content elements. The article presents a case study in which the technique was used to evaluate the Chronic Disease Self-Management Program. Participants and lay course leaders were asked to rank 13 course elements for their helpfulness. The most valued element, sharing or unstructured interactions among participants, was not an explicitly planned part of the intervention. Some of the elements least valued (nutrition, use of community resources, and medication use) are elements most emphasized by the health care system and by patient education. We found that balanced incomplete block design was easy to administer and tally. The results could be readily applied to program redesign and to needs assessment.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 2","pages":"201-10"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819502200208","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18627142","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: 18
Goal setting as a strategy for health behavior change. 设定目标作为改变健康行为的策略。
Health education quarterly Pub Date : 1995-05-01 DOI: 10.1177/109019819502200207
V J Strecher, G H Seijts, G J Kok, G P Latham, R Glasgow, B DeVellis, R M Meertens, D W Bulger
{"title":"Goal setting as a strategy for health behavior change.","authors":"V J Strecher,&nbsp;G H Seijts,&nbsp;G J Kok,&nbsp;G P Latham,&nbsp;R Glasgow,&nbsp;B DeVellis,&nbsp;R M Meertens,&nbsp;D W Bulger","doi":"10.1177/109019819502200207","DOIUrl":"https://doi.org/10.1177/109019819502200207","url":null,"abstract":"<p><p>This article discusses the beneficial effects of setting goals in health behavior change and maintenance interventions. Goal setting theory predicts that, under certain conditions, setting specific difficult goals leads to higher performance when compared with no goals or vague, nonquantitative goals, such as \"do your best.\" In contrast to the graduated, easy goals often set in health behavior change programs, goal setting theory asserts a positive linear relationship between degree of goal difficulty and level of performance. Research on goal setting has typically been conducted in organizational and laboratory settings. Although goal setting procedures are used in many health behavior change programs, they rarely have been the focus of systematic research. Therefore, many research questions still need to be answered regarding goal setting in the context of health behavior change. Finally, initial recommendations for the successful integration of goal setting theory in health behavior change programs are offered.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 2","pages":"190-200"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819502200207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18627141","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: 441
Distinguishing starters from nonstarters in an employee physical activity incentive program. 在员工体育活动激励计划中区分有成就者和无成就者。
Health education quarterly Pub Date : 1995-02-01 DOI: 10.1177/109019819502200106
J M Hooper, L Veneziano
{"title":"Distinguishing starters from nonstarters in an employee physical activity incentive program.","authors":"J M Hooper,&nbsp;L Veneziano","doi":"10.1177/109019819502200106","DOIUrl":"https://doi.org/10.1177/109019819502200106","url":null,"abstract":"<p><p>Although the vast majority of Americans who are physically active are likely to extol its many physical, psychological, and social values, research indicates that approximately fifty percent of individuals who start a formal physical activity program will drop out in six months or less. The present study employed stepwise discriminant analytical techniques in an attempt to distinguish starters from nonstarters in an innovative employee physical activity incentive program. The results indicated that a combination of health beliefs and lifestyle characteristics, health locus of control expectancies, and physiological characteristics accurately discriminated 81.7% of the starters and nonstarters. It was concluded that physical activity programs need to be designed, implemented, and marketed in such a manner as to attract individuals who are sedentary, smoke, are unable to cope with home-mediated stress, have an external health locus of control expectancy, and/or have a high cardiovascular disease-risk factor profile.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"22 1","pages":"49-60"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819502200106","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18723632","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: 25
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