J O Prochaska, C A Redding, L L Harlow, J S Rossi, W F Velicer
{"title":"The transtheoretical model of change and HIV prevention: a review.","authors":"J O Prochaska, C A Redding, L L Harlow, J S Rossi, W F Velicer","doi":"10.1177/109019819402100410","DOIUrl":"https://doi.org/10.1177/109019819402100410","url":null,"abstract":"<p><p>The transtheoretical model of health behavior change is described and supporting empirical work is presented that reviews the central constructs of the model: the stages of change, processes of change, decisional balance, confidence, and temptation. Model-based applications to a broad range of problem behaviors are summarized. Applications to human immunodeficiency virus (HIV) prevention behavior changes are highlighted for each variable. Finally, several questions about the area of sexual behavior change to reduce risk of HIV exposure are explored and future research ideas are described within the context of this model.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"21 4","pages":"471-86"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402100410","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18843582","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}
{"title":"Health education: what can it look like after health care reform? 1993 SOPHE presidential address.","authors":"C M Jorgensen","doi":"10.1177/109019819402100104","DOIUrl":"https://doi.org/10.1177/109019819402100104","url":null,"abstract":"<p><p>In the fall of 1993 the plans for the Health Security Act were unveiled: health education was referenced no fewer than 18 times. This 1993 SOPHE Presidential Address examines the role of health education under the plans for and principles of health care reform. As Bill Clinton stated, \"an intensified health education system must be designed to educate and encourage the American people to change behavior that results in ill health and high costs.\" It is argued that health education has been demonstrated to be effective at reducing risk behaviors associated with each of the leading causes of death. Likewise health education should, can, and does play a role in each of the health goals and objectives for the year 2000. Health reform provides new opportunities to invest in prevention, public health and health education--not only in medical care settings--but in schools, at worksites, and in the community. Health education in these settings can help create supportive environments that make healthy choices the easy choices, ensuring that health reform can succeed.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"21 1","pages":"11-26"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402100104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19179887","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}
{"title":"Validity of physician self-report in tracking patient education objectives.","authors":"D L Roter, N K Russell","doi":"10.1177/109019819402100105","DOIUrl":"https://doi.org/10.1177/109019819402100105","url":null,"abstract":"<p><p>Patient education objectives are included as a strategy in every health promotion area addressed in Healthy People 2000. The likelihood of accomplishing these objectives is linked to the accuracy of the baseline estimates of practice. These estimates have most usually relied upon patient and physician reports. However, the accuracy of these reports has been infrequently studied. We analyzed audiotapes of interactions among 377 adult chronic disease patients and 38 physicians in a variety of practice settings to estimate the accuracy of their reports. Our findings indicate that neither doctors nor patients provide a consistently accurate reflection of health promotion discussions, nor do they appear to agree with one another very much as to what was discussed. Smoking and diet were reported quite accurately by both doctors and patients, whereas discussions regarding physical activity, alcohol, and stress were less so. Further, our findings suggest that underreport may pose an even greater threat to accurate estimates of physician practice than overreports.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"21 1","pages":"27-38"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402100105","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19179889","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}
M J Hoppe, E A Wells, A Wilsdon, M R Gillmore, D M Morrison
{"title":"Children's knowledge and beliefs about AIDS: qualitative data from focus group interviews.","authors":"M J Hoppe, E A Wells, A Wilsdon, M R Gillmore, D M Morrison","doi":"10.1177/109019819402100111","DOIUrl":"https://doi.org/10.1177/109019819402100111","url":null,"abstract":"<p><p>Focus groups were used as a qualitative technique to elicit knowledge and attitudes of children in Grades 3 to 6 about acquired immune deficiency syndrome (AIDS). Twenty-seven small groups of children responded to open-ended questions about general AIDS knowledge; transmission, causation, consequences, and prevention of AIDS; emotional response to AIDS; and susceptibility. Results indicate that children have a high level of awareness about AIDS and correct knowledge about the modes of human immunodeficiency virus (HIV) transmission. They understand that AIDS is a serious illness that cannot be cured and know the main ways of preventing HIV infection. Participants had more difficulty explaining causation and greatly overestimated the number of people their age and in high school that might be infected. They also had difficulty applying accurate knowledge to the hypothetical situation of encountering a child with AIDS in school. Misconceptions about AIDS exist at all grade levels, but appear more prevalent in lower grades, whereas increased complexity seems to characterize responses of older children. Recommendations for health educators are made.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"21 1","pages":"117-26"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402100111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19179888","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}
{"title":"De Madres a Madres: a community, primary health care program based on empowerment.","authors":"J McFarlane, J Fehir","doi":"10.1177/109019819402100309","DOIUrl":"https://doi.org/10.1177/109019819402100309","url":null,"abstract":"<p><p>Based on the concepts of empowerment of indigenous women through unity, validation of women as key health promoters, and the acceptance of a community's ability to identify and redress its own health needs, the de Madres a Madres Program was started in a Houston inner-city Hispanic community. The program has become a strategy for mobilizing a total community for health. Indigenous volunteer mothers learned how to provide information to increase access to health care. Information was provided through community coalitions the mothers formed with health clinics, social service agencies, local businesses, schools, churches, elected officials, and the media. Outcome data identified the covert functions of the program to be the enhancement of individual women's self-esteem and power, and the collective enhancement of community self-esteem, power, and economy. The concept of a community economy and a theoretical basis of empowerment of women are discussed in terms of community empowerment for community health.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"21 3","pages":"381-94"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402100309","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18997273","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}
{"title":"Ethnographic approach to community organization and health empowerment.","authors":"R L Braithwaite, C Bianchi, S E Taylor","doi":"10.1177/109019819402100311","DOIUrl":"https://doi.org/10.1177/109019819402100311","url":null,"abstract":"<p><p>The purpose of this article is to address pertinent issues relative to the association between community organization and health empowerment methods in ethnic communities of colour. It seeks to address these issues by utilizing ethnographic procedures for documenting community health concerns and by advocating for empowerment for people of colour and their participation in coalition partnerships. Increasingly the importance of citizen participation in the planning, assessment, and implementation of community-based health initiatives has been identified as essential for effective health promotion and disease prevention programs. This article argues for the utility of a community organization approach for achieving health empowerment, and subsequently decreasing the excess deaths in communities of colour. The interface of ethnographic procedures, community organization, and development of community-owned action plans for programming health interventions is discussed.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"21 3","pages":"407-16"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402100311","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18997275","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}
R E Glasgow, J R Terborg, J F Hollis, H H Severson, K J Fisher, S M Boles, E L Pettigrew, L S Foster, L A Strycker, S Bischoff
{"title":"Modifying dietary and tobacco use patterns in the worksite: the Take Heart Project.","authors":"R E Glasgow, J R Terborg, J F Hollis, H H Severson, K J Fisher, S M Boles, E L Pettigrew, L S Foster, L A Strycker, S Bischoff","doi":"10.1177/109019819402100108","DOIUrl":"https://doi.org/10.1177/109019819402100108","url":null,"abstract":"<p><p>This article describes the conceptual basis, design, and intervention approach for a worksite-based heart disease risk reduction project. Baseline characteristics of the 26 moderate size worksites participating in the Take Heart Project are also described. The trial is designed to produce changes at both the organization and employee level on tobacco use, dietary fat intake, and serum cholesterol. A key feature of the intervention is creation of employee steering committees to enhance ownership and involvement. From a menu of brief, low-intensity health education and environmental change activities, these committees select activities best suited to their worksite. The baseline characteristics of organizations randomized to intervention and control conditions were similar, and indicated a relatively high level of worksite activity related to cholesterol and smoking.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"21 1","pages":"69-82"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402100108","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19178579","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}
{"title":"Authoritative parenting, child competencies, and initiation of cigarette smoking.","authors":"C Jackson, D J Bee-Gates, L Henriksen","doi":"10.1177/109019819402100110","DOIUrl":"https://doi.org/10.1177/109019819402100110","url":null,"abstract":"<p><p>School-based social influence programs to prevent adolescent smoking are having limited success in the long term. Intervening earlier in the process of smoking onset, during the childhood years, may be required to prevent adolescent smoking. Child socialization variables, specifically parenting behaviors and child competencies, may be important to understanding the earliest phase of smoking onset. This study tested hypotheses of association between authoritative parenting behaviors, enhanced child competencies, and relatively low rates of initiation of cigarette smoking. Analyzing cross-sectional survey data from 937 students in Grades 3 to 8, we found general support for the study hypotheses: Authoritative parenting was positively associated with child competencies; children's competency levels were inversely related to their rates of smoking intention, initiation, and experimentation; authoritative parenting was inversely related to rates of child smoking intention and behaviors; and authoritative parenting and parent smoking status had independent associations with child initiation of cigarette smoking. These results indicate that child socialization variables merit further investigation for their potential role in the development of early intervention programs for smoking prevention.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"21 1","pages":"103-16"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402100110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19179886","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}
C C Johnson, S K Osganian, S B Budman, L A Lytle, E P Barrera, S R Bonura, M C Wu, P R Nader
{"title":"CATCH: family process evaluation in a multicenter trial.","authors":"C C Johnson, S K Osganian, S B Budman, L A Lytle, E P Barrera, S R Bonura, M C Wu, P R Nader","doi":"10.1177/10901981940210s107","DOIUrl":"https://doi.org/10.1177/10901981940210s107","url":null,"abstract":"<p><p>The Child and Adolescent Trial for Cardiovascular Health (CATCH) is an elementary school cardiovascular health education field trial in progress in San Diego, California, New Orleans, Louisiana, Minneapolis, Minnesota, and Austin, Texas. Because a significant part of a child's health behaviors are shaped within the home, CATCH is evaluating whether the effects of the school-based program are enhanced by the inclusion of a home-based program. A 7 x 7 x 10 randomized design with 7 school-only and 7 school-plus-family intervention schools, along with 10 control schools is implemented at each site. The CATCH family intervention is implemented during Grades 3 through 5 and consists of home-based curricula and Family Fun Nights focusing on healthier eating and increased physical activity during Grades 3 and 4, along with a smoking prevention curriculum in Grade 5. CATCH is examining the effectiveness of family (household) involvement through changes in students' dietary intake of fat and sodium. This paper describes the process evaluation methods used to document the extent of participation in the family program. Data reported for the third-grade Family Fun Nights held in the 28 family schools across all sites reflected an average student participation rate of 67%. The average family member to student ratio was approximately 2:1. Participation by all third-grade teachers and the majority of physical education specialists was observed.</p>","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"Suppl 2 ","pages":"S91-106"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981940210s107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19105777","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}
{"title":"Perceptions of innovations as predictors of implementation levels: the diffusion of a nationwide health education campaign.","authors":"K D Goldman","doi":"10.1177/109019819402100406","DOIUrl":"https://doi.org/10.1177/109019819402100406","url":null,"abstract":"s for &dquo;Program Notes &dquo; and all correspondence concerning abstract review should be sent to Drew DiGiovanni, MPH, CHES, Manager, Education Department, Daniel Freeman Hospitals, 333 North Prairie Avenue, Inglewood, CA 90301. Published abstract length is 200 words. Submitted abstracts may be up to 400 words in length and will be edited. Submit a typed original and two copies.","PeriodicalId":77155,"journal":{"name":"Health education quarterly","volume":"21 4","pages":"433-45"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019819402100406","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18843580","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}