Health education quarterly最新文献_第8页

New health promotion movement: a critical examination. 新的健康促进运动:一个重要的审查。

Health education quarterly Pub Date : 1994-01-01 DOI: 10.1177/109019819402100303

A Robertson, M Minkler

{"title":"New health promotion movement: a critical examination.","authors":"A Robertson, M Minkler","doi":"10.1177/109019819402100303","DOIUrl":"https://doi.org/10.1177/109019819402100303","url":null,"abstract":"In the last decade, a revolution has been occurring in the field of health promotion. Guided to a large extent by position papers disseminated by the World Health Organization (WHO) Europe Health Promotion Office, and furthered by the Ottawa Charter, the Epp Report in Canada, the Healthy Cities project, as well as by other efforts, this new health promotion movement has introduced new ideas, new language, and new concepts about what constitutes health and how health promotion efforts should be configured to achieve health. Punctuated by the terms like empowerment and community participation, this movement has generated a whole new discourse about the theory and practice of health promotion. This paper explores the multiple meanings that surround these terms, and the implications for practice, by addressing questions like: What does health mean in this new context? What is empowerment? What does participation look like? Has the tyranny of the professional been replaced by the tyranny of the community? Has anything changed about the practice of health promotion other than the language? Finally, it is argued that an acknowledgment of the multidimensionality of these concepts may facilitate their translation from rhetoric into health promotion practice.","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"21 3","pages":"295-312"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402100303","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18996760","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: 327

Learner developed materials: an empowering product. 学习者开发的材料:一个授权产品。

Health education quarterly Pub Date : 1994-01-01 DOI: 10.1177/109019819402100304

R E Rudd, J P Comings

{"title":"Learner developed materials: an empowering product.","authors":"R E Rudd, J P Comings","doi":"10.1177/109019819402100304","DOIUrl":"https://doi.org/10.1177/109019819402100304","url":null,"abstract":"Freire used very specific materials in culture circles to support an empowering process that allowed learners to define the content and outcome of their own learning. However, the materials themselves were carefully crafted and developed by Freire and his co-workers. This article focuses on an extension of Freire's problem-posing educational methods to include participant involvement in the development and production of their own learning materials. Four linked case examples, one in literacy and three in health education, illustrate the process of participatory materials development and we discuss some issues for facilitators and learners. The production process can be an empowering experience and the product stands as testimony to the participants as self-conscious agents and critical thinkers capable of transforming their world. The resultant materials, geared to a particular locale and reflective of the people and language in the community, can provide a powerful model for those who may not have been involved in the process, but who can identify with the friends and neighbors who developed the materials. Participatory materials development is suggested as a supplement to problem-posing educational experiences and is particularly well suited for community programs.","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"21 3","pages":"313-27"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402100304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18996761","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: 116

Building community for health: lessons from a seven-year-old neighborhood/university partnership. 建立社区促进健康:从7年前的社区/大学伙伴关系中获得的经验教训。

Health education quarterly Pub Date : 1994-01-01 DOI: 10.1177/109019819402100308

L H Flick, C G Reese, G Rogers, P Fletcher, J Sonn

{"title":"Building community for health: lessons from a seven-year-old neighborhood/university partnership.","authors":"L H Flick, C G Reese, G Rogers, P Fletcher, J Sonn","doi":"10.1177/109019819402100308","DOIUrl":"https://doi.org/10.1177/109019819402100308","url":null,"abstract":"This article presents two case studies highlighting the role of community conflict in the process of community empowerment. A graduate program for community health nurses (CHNs) in a large Midwestern city formed a partnership with a diverse, integrated neighborhood for the dual purposes of enhancing the community's capacity to improve its own health and teaching CHNs community organizing as a means to improve health. Central to the partnership are a broad definition of health, trust developed through long-term involvement, a commitment to reciprocity, social justice, and Freire's model of adult learning. Two initiatives that gave rise to major conflicts between community groups are analyzed. Conflicts, external and internal to the community, proved to be both powerful catalysts and potential barriers to the use of Freirian themes in community organization. Both university and community participants report needing better skills in the early recognition and management of conflict. We conclude that conflict management theory must be integrated with empowerment education theory, particularly when empowerment education is applied in a diverse community.","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"21 3","pages":"369-80"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402100308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18997272","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: 21

Empowering communities: action research through healthy cities. 增强社区权能:通过健康城市开展行动研究。

Health education quarterly Pub Date : 1994-01-01 DOI: 10.1177/109019819402100310

B C Flynn, D W Ray, M S Rider

引用次数: 68

Measuring community competence in the Mississippi Delta: the interface between program evaluation and empowerment. 衡量密西西比三角洲的社区能力:项目评估和授权之间的接口。

Health education quarterly Pub Date : 1994-01-01 DOI: 10.1177/109019819402100206

E Eng, E Parker

{"title":"Measuring community competence in the Mississippi Delta: the interface between program evaluation and empowerment.","authors":"E Eng, E Parker","doi":"10.1177/109019819402100206","DOIUrl":"https://doi.org/10.1177/109019819402100206","url":null,"abstract":"If political dynamics are included in the definition of community, health promotion programs have a greater potential to recognize that assisting people to empower their communities is as important as assisting them to improve their health. This paper reports on the evaluation methods employed for a health promotion program in a rural poor county of the Mississippi Delta that chose to define community in this way. The evaluation took an action research approach so that the methods would not contradict or interfere with the program's empowerment agenda. The methods required a close and collaborative working relationship among evaluators and local service providers, community leaders, and program staff who defined and operationalized eight dimensions of community competence, determined the units of analysis, and developed the data collection protocol. Emphasis was placed on using the data to engage the program and three communities in a dialogue on how to confront a system with the difficult issues they faced. The findings revealed that after 1 year of implementation, community competence moved from social interactions internal to communities to those more externally focused on mediating with outside institutions and officials. At the same time, measures of self-other awareness and conflict containment showed a decrease or virtual nonexistence.","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"21 2","pages":"199-220"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402100206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19015831","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: 272

Design of process evaluation within the Child and Adolescent Trial for Cardiovascular Health (CATCH). 儿童和青少年心血管健康试验(CATCH)过程评价设计

Health education quarterly Pub Date : 1994-01-01 DOI: 10.1177/10901981940210s103

S A McGraw, E J Stone, S K Osganian, J P Elder, C L Perry, C C Johnson, G S Parcel, L S Webber, R V Luepker

引用次数: 132

Credentialing process. 的认证过程。

Health education quarterly Pub Date : 1994-01-01 DOI: 10.1177/109019819402100102

B C Jung

引用次数: 0

Implementation and acceptance of outreach telephone counseling for smoking cessation with nonvolunteer smokers. 对非自愿吸烟者实施和接受电话戒烟辅导。

Health education quarterly Pub Date : 1994-01-01 DOI: 10.1177/109019819402100107

J Britt, S J Curry, C McBride, L Grothaus, D Louie

{"title":"Implementation and acceptance of outreach telephone counseling for smoking cessation with nonvolunteer smokers.","authors":"J Britt, S J Curry, C McBride, L Grothaus, D Louie","doi":"10.1177/109019819402100107","DOIUrl":"https://doi.org/10.1177/109019819402100107","url":null,"abstract":"Brief supportive telephone counseling is a promising adjunct to self-help smoking cessation programs. This article reports rates of participation, predictors of participation, and content of telephone counseling calls with nonvolunteer smokers who were identified through health surveys administered to a random sample of enrollees in a health maintenance organization. Eighty-six percent of smokers accepted at least one of three counselor calls; 66% accepted all three calls. Baseline characteristics associated with acceptance of calls included being female and greater average length of time to the first cigarette of the day. Acceptance did not differ significantly by stage of cessation. First calls with smokers who accepted all three calls were longer and were more likely to be with smokers who were willing to take a specific next action step. Overall, 12% of the sample reported having quit smoking by the third counseling call, with the highest quit rate (23%) among smokers who, at baseline, were planning to quit in the next month. Implications for large-scale interventions with smokers in health care and other organizations are discussed.","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"21 1","pages":"55-68"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402100107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19179892","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: 47

Stages of change in adopting healthy diets: fat, fiber, and correlates of nutrient intake. 采用健康饮食的变化阶段:脂肪、纤维和营养摄入的相关因素。

Health education quarterly Pub Date : 1994-01-01 DOI: 10.1177/109019819402100412

K Glanz, R E Patterson, A R Kristal, C C DiClemente, J Heimendinger, L Linnan, D F McLerran

{"title":"Stages of change in adopting healthy diets: fat, fiber, and correlates of nutrient intake.","authors":"K Glanz, R E Patterson, A R Kristal, C C DiClemente, J Heimendinger, L Linnan, D F McLerran","doi":"10.1177/109019819402100412","DOIUrl":"https://doi.org/10.1177/109019819402100412","url":null,"abstract":"The stages of change construct, which addresses the readiness to change, has only recently been applied to dietary behavior, such as fat consumption. This article describes the application of the stages of change construct to dietary fat and fiber consumption and examines the association of dietary stages to eating practices and related demographic and psychosocial factors in a large, geographically diverse population of workers. We present results from the baseline survey of 17,121 employees in the Working Well Trial. We assessed stage from an algorithm based on seven items and measured dietary intake with an 88-item food frequency questionnaire. Findings indicated that a greater proportion of the population has actively tried to reduce fat intake than to consume more fiber. Stage of change was associated with fat, fiber, and fruit and vegetable intake in a stepwise manner, as predicted. In multivariate analyses that controlled for demographic characteristics, stage of change predicted between 8 and 13% of the variance in dietary intake, and more than demographic variables. These findings have implications for the design of nutrition interventions and for the evaluation of intermediate outcomes.","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"21 4","pages":"499-519"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402100412","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18843534","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: 293

Health education interventions among Native Americans: a review and analysis. 美洲原住民健康教育干预:回顾与分析。

Health education quarterly Pub Date : 1994-01-01 DOI: 10.1177/109019819402100413

P L LeMaster, C M Connell

引用次数: 74