The international electronic journal of health education最新文献

{"title":"National Implementation of an Evidence-Based HIV Prevention and Reproductive Health Program for Bahamian Youth.","authors":"Valerie Knowles, Linda Kaljee, Lynette Deveaux, Sonja Lunn, Glenda Rolle, Bonita Stanton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A wide range of behavioral prevention interventions have been demonstrated through longitudinal, randomized controlled trials to reduce sexual risk behaviors. Many of these interventions have been made available at little cost for implementation on a public health scale. However, efforts to utilize such programs typically have been met with a range of problems to be addressed, leading to the recognition that new processes must be identified and integrated into the emerging field of implementation science. A randomized, controlled trial conducted among Bahamian grade six students attending fifteen elementary schools found the sexual risk-reduction intervention \"Focus on Youth in the Caribbean (FOYC) and Caribbean Informed Parents and Children Together (CImPACT)\" to be effective through three years of follow-up. Based on these results, the Bahamian Ministry of Education decided to implement FOYC-CImPACT throughout all government grade six classes in The Bahamas. This manuscript describes the considerations, approaches, and actions taken regarding national implementation of this evidence-based intervention. The implementation process included active data-gathering, observation and feedback components to inform subsequent intervention phases. This manuscript reviewed the success and challenges to date within this framework and described changes made to enable next stages of the national implementation effort.</p>","PeriodicalId":89492,"journal":{"name":"The international electronic journal of health education","volume":"15 1","pages":"173-190"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4153366/pdf/nihms452029.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32647728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Tailored Wellness Intervention for College Students Using Internet-Based Technology: A Pilot Study.","authors":"A. Quartiroli, S. Zizzi","doi":"10.33915/ETD.3409","DOIUrl":"https://doi.org/10.33915/ETD.3409","url":null,"abstract":"Introduction Obesity and weight maintenance have become important public health issues, and subsequently, methods to intervene during key life periods of weight gain have gained attention. (1) In order to address this phenomenon it is important to target health behaviors--such as diet, physical activity, and alcohol consumption that are able to support the maintenance of a healthy weight. (1) Literature showed that many college students gained approximately between 2.5 and 4 lbs (1.13kg 1.81kg) during their first year. (2-4) This data showed that the \"Freshman 15\" phenomenon is less common than expected among freshmen college students. (4) However, Levitsky and colleagues (5) found that the rate of weight gain observed in college freshmen during the first 12 weeks of the semester is considerably greater than that observed within the general adult population. This weight gain provided evidence that some students struggle to adopt or maintain healthy eating, drinking, and physical activity habits as their transition to university life. However, this emerging adult population has received far less attention in the literature compared to adolescents. (6) As the number of these emerging adults enrolling in college has increased, researchers have noted that this period is potentially a beneficial time period to address health behavior-change interventions because health behaviors established in this period are likely to persist into adulthood. (7-8) The American College Health Association (9) stated that among the college population, 77% were engaged in moderate physical activity (57.5% 1-4 days per week; 19.5% 5-7 days per week), whereas 61.5% were engaged in vigorous physical activity (30.8% 1-2 days per week; 30.7% 3-7 days per week). Among this student population, only 19.5% and 30.7% respectively met the recommended amount of moderate and vigorous Physical Activity (PA) suggested by ACSM and CDC (i.e., approximately 150 minutes of moderate or 60 minutes of vigorous activity). Keating and colleagues (10) found a similar lack of adequate PA among their sample of student population and suggested that higher education could be one of the best contexts for addressing this \"captive\" audience. (10) While physical activity levels are less than ideal, it is also important to note that additional research has assessed whether college students meet current recommendations for healthy eating and drinking patterns. For example, according to the American College Health Association (9) only 6.2% consumed the recommended 5 servings of fruit and vegetables per day, which is substantially lower than that of the overall adult population. According to the CORE Institute, 83.9% of the US college population consumed alcohol during the past year with 71.2% of these having consumed it at least once in the last month. The CORE institutes data also showed how 65.7% of underage students consumed alcohol in the previous 30 days and 45.9% of the total college population exper","PeriodicalId":89492,"journal":{"name":"The international electronic journal of health education","volume":"15 1","pages":"37-50"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69556066","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":"Examining the Prevalence of Self-Reported Foodborne Illnesses and Food Safety Risks among International College Students in the United States.","authors":"Agnes Ngale Lyonga, M. Eighmy, J. Garden-Robinson","doi":"10.1016/j.jneb.2010.03.115","DOIUrl":"https://doi.org/10.1016/j.jneb.2010.03.115","url":null,"abstract":"","PeriodicalId":89492,"journal":{"name":"The international electronic journal of health education","volume":"13 1","pages":"14-24"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jneb.2010.03.115","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54597154","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":"Differences in Reliability of Reproductive History Recall Among Women in North Africa.","authors":"Amr Soliman,&nbsp;Katharine Allen,&nbsp;An-Chi Lo,&nbsp;Mousumi Banerjee,&nbsp;Ahmed Hablas,&nbsp;Abdellatif Benider,&nbsp;Nadya Benchekroun,&nbsp;Salwa Samir,&nbsp;Hoda G Omar,&nbsp;Sofia Merajver,&nbsp;Patricia Mullan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Breast cancer is the most common cancer among women in North Africa. Women in this region have unique reproductive profiles. It is essential to obtain reliable information on reproductive histories to help better understand the relationship between reductive health and breast cancer. We tested the reliability of a reproductive history-based questionnaire. We interviewed 25 breast cancer patients and 25 non-cancer controls from hospitals in Morocco and Egypt about their reproductive history in colloquial Arabic. The questions included pregnancy history, breastfeeding practices, menstruation, contraceptive use and knowledge of breast screening and re-interviewed the same women after 2 weeks. Two-way paired t-test was used to compare observed mean changes in response, and the Fishers Exact test was used for small-cell data. Pearson's correlation test was used to estimate the correlation of subjects' responses to continuous questions between the first and second interview. For categorical questions, percentage of agreement was calculated along with Cohen's Kappa Coefficient values. Moroccan subjects showed good to excellent agreement for responses to all demographic and reproductive questions (r = 0.87 to 0.99). Egyptian subjects had excellent agreement for these questions(r = 0.87 to 0.99), except for those regarding duration of oral contraceptive pill use and reported age at menarche (r = 0.72 and 0.59, respectively). We showed highly correlated responses to most reproductive questions. Duration of contraception use and age at first pregnancy elicited slightly less than reliable responses. In Egypt, responses relating to self-reported age at menarche were less reliable than those given by Moroccan subjects. Future epidemiological studies should take these differences into account when constructing reproductive history questionnaires.</p>","PeriodicalId":89492,"journal":{"name":"The international electronic journal of health education","volume":"12 1","pages":"150-161"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4304644/pdf/nihms649579.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33003334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brief Interventions for Tobacco Users: Using the Internet to Train Healthcare Providers.","authors":"Kelly M Carpenter, Leslie G Cohn, Lisa H Glynn, Susan A Stoner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>One fifth of Americans smoke; many have no plans to quit. Motivational Interviewing (MI) is an effective approach to intervention with precontemplative smokers, yet a substantial number of healthcare practitioners lack training in this approach. Two interactive online tutorials were developed to teach practitioners to deliver brief tobacco cessation interventions grounded in the MI approach. The tutorials emphasized the unique aspects of working with precontemplative smokers, incorporating audio and video examples of best practices, interactive exercises, targeted feedback, and practice opportunities. One hundred and fifty-two healthcare providers-in-training were randomly assigned to use the online tutorials or to read training material that was matched for content. A virtual standardized patient evaluation was given before and after the training. Both groups improved their scores from pre- to posttest; however, the tutorial group scored significantly better than the reading group at posttest. The results of this study demonstrate the promise of interactive online tutorials as an efficient and effective way to deliver clinical education.</p>","PeriodicalId":89492,"journal":{"name":"The international electronic journal of health education","volume":"11 ","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2008-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3216042/pdf/nihms302608.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30264763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparison of Health Education and Physical Activity Practice in Four Regions of the Hawaiian Island of Oahu.","authors":"Donna Chun, Norman C. Eburne, Joseph H. Donnelly","doi":"10.32398/cjhp.v3i1.1751","DOIUrl":"https://doi.org/10.32398/cjhp.v3i1.1751","url":null,"abstract":"The purpose of this study was to compare four distinct Hawaiian districts on the island of Oahu regarding their efforts in presenting quality health education and physical activity. The ethnic groups represented in this study included Hawaiian, Pacific Islander, Asian and Caucasian. Questionnaires based on the Action for Healthy Kids Healthy Schools Summit Survey were sent to 168 schools on Oahu. The return response of the surveys was 79% with 132 schools either returning the survey or being interviewed by a follow-up phone call. Statistical analysis utilizing ANOVA identified any significant differences among the districts, school levels, and ethnic groups. Further analysis using Tukey’s Honestly Significant Difference Post Hoc Test indicated specific differences after significant ANOVA was found. Based on data collected in this study, it would appear that fewer than half of the schools were in the process of making health and physical education culturally sensitive, and that state health education standards were mostly being implemented at the middle and high school level. Elementary schools that were “in progress” for implementing health standards and adopting physical education standards should be given assistance from the district level. Additional assistance should also be given to elementary schools that were “in progress” for testing health topics and providing uniform assessment in physical education. Hawaiian schools on Oahu were contributing to the physical activity of students by offering physical education classes, however, this could be greatly improved by inclusion of daily physical education taught by certified instructors at all levels especially elementary.","PeriodicalId":89492,"journal":{"name":"The international electronic journal of health education","volume":"8 1","pages":"57-69"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69653270","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}