Global Health Promotion最新文献

Digital health platforms hold promise for addressing youth health inequalities; however, the factors that enable their successful expansion remain to be explored in depth. This study examines the scaling process of JovenSalud.net, a nonprofit digital platform for adolescent health promotion in Central America, led by TeenSmart International, as part of the 18-month 'Transition to Scale' initiative (2022-2023). The evaluation combined platform analysis (41,550 new registrations; 9087 sexual and reproductive health enrollments; 1739 course completions) and experience systematization as a methodology. Quantitative findings demonstrated substantial improvements in sexual and reproductive health knowledge and attitudes among graduates, along with increased condom use, rejection of unsafe sex practices, awareness of STIs and breast health, and understanding of the benefits of delaying sexual activity. From these data, five critical success factors emerged: (1) unique value proposition and competitive advantage, (2) technological innovation and modernization, (3) strategic alliances, (4) a diversified marketing and promotion strategy, and (5) a monitoring and evaluation (M&E) systems. Conversely, five key barriers were identified: (1) complex regulatory and political environments impede the formation of sustained advocacy partnerships, (2) limited promotional budgets constrain effective marketing and user outreach, (3) unstable, diversified funding streams challenge long-term financial sustainability, (4) technological inequities and low digital skills hinder platform adoption and (5) continuous technological change demands ongoing investment in team skills and infrastructure. Clearly defining and preserving core intervention components within adaptive M&E systems proved essential for maintaining fidelity and enabling real-time optimization, while sustained investment in organizational capacity and user-centered design underpins the long-term, scalable impact of nonprofit digital health initiatives for adolescents.

Community-academic partnerships can be useful models for sustainable interventions. The Jerusalem Community-Academic Partnership (J-CAP) was established to address local health needs identified by a population survey. It engaged stakeholders and public health students as part of their training. We describe the establishment and processes of this partnership over a 3-year period.Part 1 of the program entailed mapping and undertaking a quality assessment of health promotion (HP) programs in Jerusalem. Part 2 (Years 2 and 3), described herein, entailed a participatory process wherein a particular neighborhood, with a predominantly Ultra-Orthodox population, was chosen for intervention. A local steering committee was set up, and students assessed assets and needs by direct observation, in-depth interviews, and focus groups, followed by the development of intervention programs using a participatory process. Neighborhood assets and needs identified in the first year served as a basis for the participatory process of developing intervention programs. Assets identified included the local community center and swimming pool. Barriers to a healthy lifestyle included a lack of health literacy, time constraints, socioeconomic factors, and local lifestyle and environmental characteristics. Students focused on public spaces, preschool children, and young women and mothers when designing, together with local leaders, intervention programs related to healthy nutrition and physical activity. The participatory process contributed to strengthening partnerships among several services and agencies investing in the health of Jerusalem residents. The students' critical service-learning contributed to their understanding of HP in the real world and the local community. The students' reports, which were submitted to the community center management, could serve to inform future interventions.

This article explores the role of population health intervention research (PHIR) in enhancing health promotion in France, stressing the importance of a more in-depth understanding and thorough analysis of healthcare interventions. Established in 2022, the So-RISP network aims to structure the PHIR field, consolidating expertise from renowned teams specializing in PHIR, primary cancer prevention, and addiction. In January 2023, So-RISP members convened a national workshop. The workshop aimed to share the specificities of PHIR and particularly to clarify the use of theories in PHIR. A qualitative analysis of this workshop was conducted to aid in building a shared and well-defined knowledge base for PHIR stakeholders. Results highlight the necessity of developing a unified terminology and increasing reflexivity among PHIR stakeholders for enhanced effectiveness. The article also identifies key challenges, including the need for interdisciplinary collaboration, facilitating social transformation, and integrating various contexts in intervention analysis.

This commentary is intended as a response to ongoing concerns expressed about fundamental limitations of current research, policy, and practice surrounding health literacy. These concerns emphasise the individualistic and reductionist approaches which often dominate health literacy work, as well as a neglect of broader structural factors in addressing pressing public health issues. The potential of critical health literacy as a concept and practical approach which responds to these critiques is presented. A case is made that critical health literacy, as a concept that operates at both the community and individual level, offers an opportunity to address and eventually overcome these basic limitations in current health literacy approaches.

Background: Communities of Practice (CoPs) are increasingly used in health and non-health sectors globally. Evidence suggests that CoPs can support health promotion activities, but the research mainly encompasses formal, professional contexts: the role and contribution of CoPs in community-centred health promotion has not been explored. This paper presents a process evaluation of a CoP that aimed to facilitate social innovation among voluntary, community, faith and social enterprise (VCFSE) organisations. Hosted by a city-region government in England, VCFSE organisations were invited to join a CoP to enable the development and implementation of their ideas for addressing gambling harms.

Methods: The process evaluation sought to develop mid-level programme theory for the use of CoPs in community-centred health promotion. Data collection consisted of 33 qualitative interviews with stakeholders, as well as project reporting. Data were organised using a framework approach which supported the construction of themes and a complex intervention model. The research team reflected on these to develop the programme theory.

Results: The CoP facilitated the development of community-centred interventions for addressing gambling harms through a two-track process: first, a community of VCFSE staff was formed, whose understanding of gambling harms was nurtured through discussions led by people with Lived Experience; second, the CoP contributed to project development via collaboration, knowledge sharing and an integrated referral pathway, although project-level benefits were uneven. Learning was generated in community engagement, training, education, support and social campaigns.

Conclusions: The findings confirm the combined effectiveness of a CoP, varied VCFSE projects and people with Lived Experience to co-create an evolving knowledge-base for a city-region government's gambling harms reduction strategy. CoPs may therefore complement partnership working in community settings, although additional training support may be required in comparison with CoPs involving health professionals. The city-region government's approach could be replicated in other emerging public health areas.

Contexte: Le service sanitaire français, réalisé par des étudiants en santé (3^ème année), est un programme de promotion de la santé (PS) récent qui est encore peu évalué.

Objectif: Cette étude s'est intéressée au service mis en place dans la filière médecine à l'université Paris Cité, sur la thématique santé sexuelle. L'objectif de l'étude est d'évaluer des interventions réalisées par les étudiants en termes pédagogiques et en termes de bonnes pratiques en PS, sur les plans suivants : éthique, qualité du contenu et communication.Méthode:Les actions menées par les groupes d'étudiants dans les établissements scolaires ont été observées, et cotées à l'aide d'une grille standardisée.Résultats:Au total, 28 groupes d'intervention représentant 77 étudiants ont été observés. L'implication des étudiants a été jugée conséquente et leurs objectifs pédagogiques correctement remplis, mais la qualité de la démarche de PS présente un certain nombre d'insuffisances en termes de critères éthiques et techniques.

Discussion: Cette étude permet d'envisager des pistes d'évolution des modalités du dispositif et de les comparer au niveau international.

To achieve 'Sustainable Healthy Diets', it is critical to address the observed gender discrepancy in meal preparation time allocation. Japanese fathers spend significantly less time on food-related housework (foodwork) than mothers. This study aimed to investigate the association between fathers' childhood meal preparation experiences and their current cooking skills in preparing healthy meals for their children, as well as their involvement in foodwork in Japan. An online cross-sectional study was conducted in November 2022 with 500 Japanese fathers living in dual-earner households with children aged 3-6 years. An analysis of covariance (ANCOVA) was used to examine the above-mentioned associations, with fathers' age and education as control variables. This study examined 463 fathers who did not live with their children's grandparents. We evaluated the fathers' cooking skills on a scale and obtained an average score of 6.9, ranging from 3 to 15; foodwork involvement was assessed similarly, resulting in an average score of 4.1, ranging from 0 to 8. ANCOVA results showed that fathers with experience in meal preparation from childhood were more likely to have higher cooking skills scores (adjusted mean (SEM) = 7.8 (0.35)) than fathers with no experience (adjusted mean (SEM) = 6.5 (0.24), adjusted p < 0.05). They were also more likely to have higher foodwork involvement scores (adjusted mean (SEM) = 4.9 (0.26)) than fathers with no experience (adjusted mean (SEM) = 3.8 (0.18)) or experiences from adulthood (adjusted mean (SEM) = 4.0 (0.28), adjusted p < 0.05). Therefore, fathers' childhood meal preparation experience may impact their current cooking skills and foodwork involvement. Hence, age-appropriate programs are required that continually encourage children to prepare meals at home.

Fall-related injuries are the leading cause of injury, death and disability among older adults, and their health care costs are high. Therefore, the present study aimed to determine the effect of an educational intervention, based on the health belief model, on the prevention and fear of falling among older people. We conducted this experimental study on 140 older people in Fasa city, Fars Province, Iran, in 2023. We selected the subjects using a simple sampling method. The educational intervention for the experimental group included three 30-min sessions. We analyzed the data using SPSS 22 software, employing chi-square, independent t-tests and paired t-tests. The results showed that before the educational intervention, there was no significant difference between the experimental and control groups in terms of knowledge, perceived sensitivity, perceived intensity, perceived benefits, perceived barriers, self-efficacy, cues to action, and performance; however, three months after the educational intervention, the experimental group showed a significant increase in each of the mentioned variables except the perceived barriers. Additionally, after the educational intervention, the mean score of fear of falling in the experimental group showed a statistically significant decrease. This study demonstrated the effectiveness of an educational intervention based on the health belief model in preventing falls and reducing the fear of falls in older people. Therefore, we suggest using training based on this model to prevent and reduce falls among older people.