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Make Room for Cultural Competence: A Commentary on ¡Haz Espacio para Papi! 为文化能力腾出空间——评《我有足够的空间》
Q3 Social Sciences Pub Date : 2023-10-10 DOI: 10.1080/19325037.2023.2254387
Mary Margaret Williamson, Michael Stellefson
ABSTRACTConsideration of cultural context is vital to the success of community-engaged scholarship and health educational and promotional programming (HEPP). The ¡Haz Espacio para Papi! (Make Room for Daddy!) program provides an example of incorporating a culturally competent mind-set into community-based research by applying sound theory and integrating knowledgeable native-community health specialists in developing, designing, piloting, recruiting, delivering, and evaluating Health Education/promotion programs. Building further on the example provided may provide a solid framework and standard for future health projects in Hispanic and Latino/a colonias and other culturally-rich and diverse communities. Disclosure statementNo potential conflict of interest was reported by the author(s).
摘要考虑文化背景对社区参与学术和健康教育与促进计划(HEPP)的成功至关重要。“我爱你!”(让出空间给爸爸!)项目提供了一个例子,通过应用合理的理论和整合知识渊博的土著社区健康专家,在发展、设计、试点、招聘、交付和评估健康教育/促进项目方面,将具有文化能力的思维方式融入社区研究。在上述范例的基础上进一步发展,可为西班牙裔和拉丁裔/殖民地以及其他文化丰富和多样化社区的未来保健项目提供坚实的框架和标准。披露声明作者未报告潜在的利益冲突。
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引用次数: 0
A Qualitative Analysis of High School Student and Caregiver Perceptions of Food Access and Adherence to Nutrition Guidelines Across Home and Community Settings 高中学生和照顾者对食物获取和遵守家庭和社区营养指南的看法的定性分析
Q3 Social Sciences Pub Date : 2023-10-09 DOI: 10.1080/19325037.2023.2253880
Bernardo Loiacono, Dana Mansfield, Dylan Sagan, Alex J. O’Donnell, Margaret H. Clark Withington, Molly Cory, Joanna Buscemi
ABSTRACTBackground Federal nutrition education initiatives (“MyPlate”) intend to facilitate healthful eating behaviors in families; however, little is known about how minoritized students and caregivers perceive adherence to MyPlate guidelines or perceptions of importance of eating in alignment with guidelines.Purpose Study aims included: 1) determine how students and caregivers perceive their dietary intake as it relates to MyPlate in both home and community environments and 2) assess motivations to adhere to MyPlate guidelines.Methods In-person focus groups with 47 high school students and 24 caregiver interviews were conducted and coded using qualitative thematic analysis.Results Meals at home differed from restaurants regarding food group portions. Caregivers highlighted food cost as a major factor when purchasing for specific food groups. Reasons for eating in accordance with MyPlate included: 1) health status/disease prevention, 2) weight status, 3) nutritional balance, 4) increased energy.Discussion Nutrition campaigns may benefit from images that do not put food categories into narrow boxes. Work is needed to address systemic, environmental, and individual factors in food accessibility across settings that affect guideline adherence.Translation to Health Education Practice Findings can support local and federal funding initiatives addressing barriers to healthful eating and provide targeted educational tools beyond MyPlate. Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThis study was partially funded by DePaul’s University Research Council’s Summer Research Grant, DePaul University’s College of Science and Health’s Faculty Summer Research Grant, and the National Dairy Council [#501384]. We’d like to also thank our partner schools and participating students and caregivers.
【摘要】背景:联邦营养教育计划(“我的餐盘”)旨在促进家庭健康饮食行为;然而,对于少数族裔学生和照顾者如何看待遵守“我的餐盘”指南,或如何看待与指南一致饮食的重要性,我们知之甚少。研究目的包括:1)确定学生和照顾者如何看待他们的饮食摄入,因为它与我的餐盘在家庭和社区环境中有关;2)评估坚持我的餐盘指南的动机。方法对47名高中生进行面对面焦点小组调查,对24名照顾者进行访谈,采用定性主题分析方法进行编码。结果在家用餐与在餐馆用餐在食物组分量上存在差异。护理人员在购买特定食品组时强调食品成本是主要因素。按照我的餐盘进食的原因包括:1)健康状况/疾病预防;2)体重状况;3)营养平衡;4)增加能量。营养活动可能会受益于不把食物分类放在狭窄的盒子里的图像。需要开展工作来解决影响指南依从性的食物可及性的系统、环境和个人因素。健康教育实践结果的转化可以支持地方和联邦资助倡议,解决健康饮食的障碍,并提供有针对性的教育工具,而不是我的盘子。披露声明作者未报告潜在的利益冲突。本研究部分由DePaul大学研究委员会的夏季研究补助金,DePaul大学科学与健康学院的教师夏季研究补助金和国家乳制品委员会资助[#501384]。我们也要感谢我们的合作学校和参与的学生和照顾者。
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引用次数: 0
Southern California Asian Americans and the Obesity Epidemic: A Qualitative Study to Improve Understanding and Cultural Competence 南加州亚裔美国人与肥胖流行:一项提高理解和文化能力的定性研究
Q3 Social Sciences Pub Date : 2023-10-09 DOI: 10.1080/19325037.2023.2254353
Alyssa Mae Carlos, Kathleen Doll
ABSTRACTBackground Obesity continues to be a public health concern in the United States, yet limited research exists on the impact of obesity and weight gain among Asian Americans.Purpose The purpose of this study was to illuminate the lived realities and physical, mental, and social impacts of obesity on overweight and obese Asian Americans in Southern California.Methods A basic qualitative exploratory approach was used. Twenty-five participants were interviewed, leveraging a protocol derived from the health belief model (HBM).Results Six themes highlight obesity’s impact among Asian Americans in Southern California: physical and mental health disadvantages, motivation and consistency, taboo nature of being overweight or obese, model minority misnomer, cultural incongruence, and perception of BMI as an outdated measure.Discussion Findings reveal obesity’s impact among Asian Americans to be complex, linked to both internal and external factors, and suggest that this population is as important as others when discussing obesity prevention.Translation to Health Education Practice Health Educators and health professions need to improve their understanding of the complexities and impact obesity has among Asian Americans and increase cultural competence to develop more responsive obesity and weight interventions and Health Education content.A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingNo funding was received to assist with the preparation of this manuscript and the authors have no conflicts of interest to declare relevant to its content. This manuscript is an original manuscript, not published or submitted for publication in whole or in part to any other publishing source. All authors have approved the manuscript and agree with its submission.
摘要背景肥胖一直是美国的一个公共健康问题,但关于肥胖和体重增加对亚裔美国人影响的研究有限。目的本研究的目的是阐明南加州超重和肥胖亚裔美国人的生活现状以及肥胖对身体、心理和社会的影响。方法采用基本的定性探索性方法。利用健康信念模型(HBM)衍生的协议,对25名参与者进行了访谈。结果:肥胖对南加州亚裔美国人的影响有六个主题:身心健康的不利因素、动机和一致性、超重或肥胖的禁忌性质、模范少数民族用词不当、文化不一致以及认为BMI是一种过时的衡量标准。研究结果显示,肥胖对亚裔美国人的影响是复杂的,与内部和外部因素有关,并表明在讨论肥胖预防时,这一人群与其他人群一样重要。健康教育工作者和健康专业人员需要提高他们对亚裔美国人肥胖的复杂性和影响的理解,并提高文化能力,以开发更具响应性的肥胖和体重干预措施和健康教育内容。本文通过SHAPE美国在线研究所(SAOI) http://portal.shapeamerica.org/trn-Webinars在线提供了AJHE自学测试。披露声明作者未报告潜在的利益冲突。没有收到任何用于协助撰写本文的资金,作者也没有与其内容相关的利益冲突需要声明。本手稿是原创手稿,未全部或部分发表或提交给任何其他出版来源。所有作者都已批准稿件并同意提交。
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引用次数: 0
Perception of a Peer Health Coaching Intervention Among College Students: Client Experience 大学生对同伴健康辅导干预的感知:客户体验
Q3 Social Sciences Pub Date : 2023-10-05 DOI: 10.1080/19325037.2023.2253866
Sarah Benes, Seungbin Oh, Jessica Peacock, Zi Yan
ABSTRACTBackground As health coaching is becoming more popular as a health promotion intervention tool, there is a lack of empirical evidence to understand the clients’ experience in the peer health coaching program among college students.Purpose This qualitative study explored the experiences and perceptions of the health coaching clients following an 8-week peer health coaching intervention in college.Method A total of 14 student clients (female, n = 9, 57% White) from the health coaching program participated in the focus group, following an 8-week peer health coaching program. The semi-structured focus group guide was developed to understand their experience.Results Clients’ positive experience in the health coaching program contributed to transformative outcomes, including behavioral outcomes and goal achievement, well-being and personal growth, and self-empowerment, with the coaching relationship mediating the relationship and the coaching modality moderating the relationship.Discussion The health coaching experience facilitated lifestyle changes, helped clients gain self-efficacy and confidence to manage their health and wellbeing and provided an overall caring, enjoyable, supportive experience. The bonding with the peer health coaches provided important social support for the student clients.Translation to Health Education Practice A peer health coaching program can be a cost-effective option for health promotion on college campuses.A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThis work was supported by the Catalyst Fund at Merrimack College under Grant Number [10-1428-D011].
摘要背景健康辅导作为一种健康促进干预手段越来越受欢迎,但缺乏实证证据来了解大学生同伴健康辅导项目的客户体验。目的本研究旨在探讨在大学进行为期8周的同伴健康辅导干预后,健康辅导对象的体验和认知。方法选取健康辅导项目的14名女学生(n = 9,白人占57%)作为焦点组,进行为期8周的同伴健康辅导。制定半结构化焦点小组指南是为了了解他们的经验。结果咨客在健康辅导项目中的积极体验对行为结果和目标成就、幸福感和个人成长、自我授权等转化性结果有显著影响,其中辅导关系起到中介作用,辅导方式起到调节作用。健康教练的经历促进了生活方式的改变,帮助客户获得自我效能感和信心来管理他们的健康和幸福,并提供了一个全面的关怀,愉快,支持的经验。与同伴健康教练的联系为学生来访者提供了重要的社会支持。在大学校园里,同伴健康指导项目是一种经济有效的健康促进选择。本文通过SHAPE美国在线研究所(SAOI) http://portal.shapeamerica.org/trn-Webinars在线提供了AJHE自学测试。披露声明作者未报告潜在的利益冲突。本研究由Merrimack学院催化剂基金资助,资助号[10-1428-D011]。
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引用次数: 0
Revisiting Recess: A Mixed-Methods Study to Understand Physical Activity During Changing Recess Policies 重新审视课间休息:一项了解课间休息政策变化期间身体活动的混合方法研究
Q3 Social Sciences Pub Date : 2023-10-05 DOI: 10.1080/19325037.2023.2253874
Erin K. Howie, Kristi L. Perryman
ABSTRACTBackground Recess is an integral part of a comprehensive school physical activity program. Immediately prior to the pandemic, state legislation doubled the amount of required recess, creating an opportunity to better understand how policies and practices influence recess.Purpose To describe changes to recess due to COVID-19 and extended recess legislation and to quantify student physical activity during recess following these changes.Methods This mixed-method study was conducted in Spring 2021 in four elementary schools. Recess physical activity was measured using waist-worn accelerometers, recess was observed, and researchers conducted interviews with teachers and principals.Results Females spent 41.7% (95%CI: 38.2, 44.5) and males spent 47.9% (95%CI: 44.6, 51.2) of recess in accelerometer-measured moderate-to-vigorous physical activity (n = 164). Participants (n = 13) discussed increased supervision, classroom separation on the playground, and benefits of extended recess.Discussion States should consider extending recess requirements but need to consider options for scheduling and indoor recess. Recess continues to be a key physical activity opportunity during school.Translation to Health Education Practice Health Educators considering changes to recess policies and practices may want to consider scheduling of recess including class integration, options for indoor recess, and professional development for recess supervision to help maximize the benefits of recess. Disclosure statementNo potential conflict of interest was reported by the authors.Human subjects approval statementLetters of support were obtained from all school principals and activities were approved by university Institutional Review Board and school districts when necessarySupplementary dataSupplemental data for this article can be accessed online at https://doi.org/10.1080/19325037.2023.2253874.Additional informationFundingThis work was supported by the University of Arkansas Honors College [N/A]; University of Arkansas - Provost Collaborative Grant [N/A].
【摘要】课间休息是学校综合体育活动的重要组成部分。就在大流行之前,州立法将所需的休会时间增加了一倍,这为更好地了解政策和做法如何影响休会创造了机会。目的描述因COVID-19和延长休息立法而导致的休息变化,并量化这些变化后学生在休息期间的身体活动。方法采用混合方法,于2021年春季在四所小学开展研究。课间体力活动采用腰戴式加速度计测量,课间活动进行观察,研究人员对教师和校长进行了访谈。结果在加速度计测量的中高强度体力活动中,女性的休息时间为41.7% (95%CI: 38.2, 44.5),男性为47.9% (95%CI: 44.6, 51.2)。参与者(n = 13)讨论了加强监督、在操场上分开教室以及延长课间休息的好处。各国应考虑延长休息要求,但需要考虑安排时间和室内休息的备选办法。课间休息仍然是学校期间重要的体育活动机会。考虑改变课间政策和实践的健康教育工作者可能需要考虑课间安排,包括班级整合、室内课间选择和课间监督的专业发展,以帮助最大限度地发挥课间的效益。披露声明作者未报告潜在的利益冲突。人类受试者批准声明支持信获得了所有学校校长的支持,必要时活动得到了大学机构审查委员会和学区的批准。补充数据本文的补充数据可在https://doi.org/10.1080/19325037.2023.2253874.Additional上在线获取。阿肯色大学教务长合作基金[N/A]。
{"title":"Revisiting Recess: A Mixed-Methods Study to Understand Physical Activity During Changing Recess Policies","authors":"Erin K. Howie, Kristi L. Perryman","doi":"10.1080/19325037.2023.2253874","DOIUrl":"https://doi.org/10.1080/19325037.2023.2253874","url":null,"abstract":"ABSTRACTBackground Recess is an integral part of a comprehensive school physical activity program. Immediately prior to the pandemic, state legislation doubled the amount of required recess, creating an opportunity to better understand how policies and practices influence recess.Purpose To describe changes to recess due to COVID-19 and extended recess legislation and to quantify student physical activity during recess following these changes.Methods This mixed-method study was conducted in Spring 2021 in four elementary schools. Recess physical activity was measured using waist-worn accelerometers, recess was observed, and researchers conducted interviews with teachers and principals.Results Females spent 41.7% (95%CI: 38.2, 44.5) and males spent 47.9% (95%CI: 44.6, 51.2) of recess in accelerometer-measured moderate-to-vigorous physical activity (n = 164). Participants (n = 13) discussed increased supervision, classroom separation on the playground, and benefits of extended recess.Discussion States should consider extending recess requirements but need to consider options for scheduling and indoor recess. Recess continues to be a key physical activity opportunity during school.Translation to Health Education Practice Health Educators considering changes to recess policies and practices may want to consider scheduling of recess including class integration, options for indoor recess, and professional development for recess supervision to help maximize the benefits of recess. Disclosure statementNo potential conflict of interest was reported by the authors.Human subjects approval statementLetters of support were obtained from all school principals and activities were approved by university Institutional Review Board and school districts when necessarySupplementary dataSupplemental data for this article can be accessed online at https://doi.org/10.1080/19325037.2023.2253874.Additional informationFundingThis work was supported by the University of Arkansas Honors College [N/A]; University of Arkansas - Provost Collaborative Grant [N/A].","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135482403","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: 0
The Effects of an Adventure Education Pilot Study on Social Emotional Learning, Resilience, and Physical Activity among High School Students 冒险教育先导研究对高中生社会情绪学习、心理弹性和体育活动的影响
IF 1 Q3 Social Sciences Pub Date : 2023-08-10 DOI: 10.1080/19325037.2023.2234976
Brandon Albedry, Lillie Ammons, M. Marenus, Dianna Hammoud, Danny Jandali, Mark Chrzanowski, Weiyun Chen
ABSTRACT Background Research on the effects of adventure education lessons on social emotional skills (SEL), psychological outcomes, and physical activity (PA) is limited. Purpose This study assessed the effectiveness of adventure education lessons in improving high school students’ SEL competencies, resilience, and PA. Methods 95 10th grade students (mean age = 15 ± .56) enrolled in a 90-minute adventure education class 2–3 times a week for 15 weeks during the winter/spring semester of 2022. Questionnaires measured SEL, resilience, and PA at pre- and posttest, while open-ended questionnaires were collected at the end of the semester. Data analysis involved descriptive statistics, paired t-tests, and constant comparison techniques. Results Results indicated significant increases in the total SEL scale (t = −2.00, p = .050), self-awareness (t = −2.07, p = .043), self-management (t = −2.67, p = .010), resilience (t = 5.69, p < .001), and vigorous PA (t = −4.13, p < .001) levels over time. Qualitative analysis revealed adventure education promotes communication, teamwork, and building transferrable skills leading to intra- and interpersonal growth. Discussion High school students saw improvements in SEL, resilience, and physical activity after participating in a semester-long adventure education curriculum. Translation to Health Education Practice The adventure education is useful in improving students’ SEL skills, developing resilience, and promoting PA.
背景关于冒险教育课程对社会情感技能(SEL)、心理结果和体育活动(PA)的影响的研究是有限的。目的本研究评估了冒险教育课程在提高高中生SEL能力、恢复力和PA方面的有效性。方法在2022年冬春季学期,95名10年级学生(平均年龄=15±.56)参加了为期15周的90分钟冒险教育课程,每周2-3次。问卷在测试前和测试后测量SEL、弹性和PA,而在学期末收集开放式问卷。数据分析包括描述性统计、配对t检验和常量比较技术。结果表明,随着时间的推移,总SEL量表(t=−2.00,p=.050)、自我意识(t=–2.07,p=.043)、自我管理(t=-2.67,p=.010)、恢复力(t=5.69,p<.001)和剧烈PA(t=-4.13,p<.001)水平显著增加。定性分析显示,冒险教育可以促进沟通、团队合作和培养可转移的技能,从而促进内部和人际成长。讨论高中生在参加了为期一学期的冒险教育课程后,在SEL、恢复力和体育活动方面都有所改善。转化为健康教育实践冒险教育有助于提高学生的SEL技能、培养韧性和促进PA。
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引用次数: 0
Animal-Assisted Intervention on College Campuses: Graduate Student Perspectives Regarding the Need, Benefits, and Availability of Programming 大学校园动物辅助干预:研究生对编程的需求、益处和可用性的看法
IF 1 Q3 Social Sciences Pub Date : 2023-08-10 DOI: 10.1080/19325037.2023.2232836
Christine Kivlen, Alexis N. Chargo, Rosanne DiZazzo-Miller
ABSTRACT Background Animal assisted intervention (AAI) programming is becoming popular among college campuses; however, minimal literature describes the impact of AAI programming on the graduate student population. Purpose This study aims to (1) better understand the lived experience with pets and AAI programming and (2) develop a list of factors critical to graduate students interested in engaging in AAI programming. Methods Narrative and interpretive phenomenological approaches explored the lived experience of graduate students through focus groups. Results Findings revealed students having both positive experiences and challenges with pets and past AAI programming. Important factors related to AAI programming included logistics, scheduling, diversification of therapy dogs, and receiving information on acceptable activities for participants to engage in with therapy dogs. Discussion Participants discussed experiencing stress and anxiety throughout the semester, and perceived convenient regular access to therapy dog programming as a valuable way to improve mental health and decrease stress and anxiety. Translation to Health Education Practice: Professionals interested in conducting AAI programming with college graduate student populations can benefit from this research by using graduate student preferences to inform the design of AAI programming on college campuses.A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars
动物辅助干预(AAI)程序设计在大学校园中越来越流行;然而,很少有文献描述AAI编程对研究生群体的影响。本研究旨在(1)更好地了解宠物和人工智能编程的生活体验,(2)列出研究生对从事人工智能编程感兴趣的关键因素。方法采用叙事现象学和解释现象学的方法,通过焦点小组探讨研究生的生活经验。结果发现,学生对宠物和过去的AAI编程都有积极的体验和挑战。与AAI规划相关的重要因素包括后勤、调度、治疗犬的多样化,以及接受参与者与治疗犬进行可接受活动的信息。参与者讨论了整个学期所经历的压力和焦虑,并认为方便地定期接触治疗犬是改善心理健康、减少压力和焦虑的有价值的方法。翻译到健康教育实践:有兴趣与大学研究生群体进行AAI编程的专业人员可以通过使用研究生的偏好来告知大学校园AAI编程的设计,从而从这项研究中受益。本文通过SHAPE美国在线研究所(SAOI) http://portal.shapeamerica.org/trn-Webinars提供了一个AJHE自学测验
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引用次数: 0
Reducing Opioid Reliance in Veterans Using a Whole Health Education and Shared Medical Appointment Care Model 使用整体健康教育和共享医疗预约护理模式减少退伍军人对阿片类药物的依赖
IF 1 Q3 Social Sciences Pub Date : 2023-08-09 DOI: 10.1080/19325037.2023.2231998
A. Holloway, S. Cox, Bridget Roop, J. M. Moates
ABSTRACT Background Reducing opioid reliance in chronic pain treatment may best be accomplished with interdisciplinary teams. Shared Medical Appointments (SMAs) are one format whereby an interdisciplinary team partners with groups of patients to provide health education and clinical care. The Whole Health (WH) model is an emerging framework whereby the care team partners with the patient to reach shared goals with emphasis on self-care and healing modalities. Purpose Assess the impact of a WH Education intervention in patients with chronic pain and long-term opioid use within the framework of Shared Medical Appointment (SMA). Results Retrospective chart review of 86 participants indicated significant opioid reduction at 12 and 24 months. The rate of opioid reduction in the SMA group surpassed the rate of decline of the host or national VA cohorts. Overall pain perception did not increase while patient satisfaction and safety indices improved. Discussion Results of the intervention suggest that a WH education model in a SMA is one approach to help patients reduce long-term opioid reliance. Translation to Health Education Practice: Trained Whole Health Coaches/Education Specialists are key personnel in the implementation of the WHSMA model of care and facilitators of behavioral change that results in improved wellness outcomes. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars
背景:减少阿片类药物在慢性疼痛治疗中的依赖可能最好由跨学科团队来完成。共享医疗预约(sma)是跨学科团队与患者群体合作提供健康教育和临床护理的一种形式。全健康(WH)模式是一种新兴的框架,通过这种框架,护理团队与患者合作,以实现共同的目标,重点是自我保健和治疗方式。目的评估在共享医疗预约(SMA)框架下,WH教育干预对慢性疼痛和长期阿片类药物使用患者的影响。结果86名参与者的回顾性图表回顾显示,在12个月和24个月时阿片类药物明显减少。SMA组阿片类药物的减少率超过了宿主或国家VA队列的下降率。整体疼痛感没有增加,但患者满意度和安全性指数有所改善。干预结果表明,在SMA中WH教育模式是帮助患者减少长期阿片类药物依赖的一种方法。翻译成健康教育实践:训练有素的整体健康教练/教育专家是实施WHSMA护理模式和行为改变促进者的关键人员,从而改善健康结果。本文通过SHAPE美国在线研究所(SAOI) http://portal.shapeamerica.org/trn-Webinars提供了一个AJHE自学测验
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引用次数: 0
Caregivers’ Reports of the Complex Impacts of the Pandemic on Family Food and Physical Activity Behaviors by Race, Ethnicity, Urbanicity, and Income 根据种族、民族、城市和收入,看护者报告大流行对家庭食物和身体活动行为的复杂影响
IF 1 Q3 Social Sciences Pub Date : 2023-08-03 DOI: 10.1080/19325037.2023.2232431
Maren S. G. Henderson, J. Ziegenfuss, Jennifer M. Dinh, M. Canterbury, Andrea C Anderson, T. Kottke, M. JaKa
ABSTRACT Background The COVID-19 pandemic affected health and well-being worldwide, but little is known about how the pandemic specifically impacted families with young children. Evidence suggests a relationship between well-being and health behaviors (diet, physical activity) and that preexisting health disparities were exacerbated during the pandemic. Purpose This project sought caregiver perspectives on pandemic impacts, overall and by race, ethnicity, urbanicity, and household income. Methods Caregivers of 4- to 11-year-olds were randomly selected to complete a mixed-mode survey in the winter of 2021–22 to evaluate ongoing community health education and programming. Qualitative content analysis of open-ended survey responses was conducted. Data were analyzed blind to demographic characteristics; later, differences by population were explored. Results Survey analysis (n = 1,429, response rate 27%) identified positive and negative impacts of the pandemic on youth diet and physical activity. Caregivers, unprompted, provided responses about the interconnected impacts on mental and physical health and health behaviors. Pandemic stress was described, including reduced energy, social isolation, and “fear of spread.” Significant differences by key characteristics were found. Discussion These findings reflect patterns that could underlie growing disparities. Translation to Health Education Practice: This work provides context for designing interventions that equitably promote healthy behaviors for young families.
背景2019冠状病毒病大流行影响了全世界的健康和福祉,但人们对这场大流行如何特别影响有幼儿的家庭知之甚少。有证据表明,福祉与健康行为(饮食、身体活动)之间存在关系,而先前存在的健康差距在大流行期间进一步加剧。目的:本项目从总体和按种族、民族、城市化和家庭收入分类的角度,寻求护理人员对大流行影响的看法。方法在2021 - 2022年冬季,随机抽取4 ~ 11岁儿童的照顾者完成一项混合模式调查,评估正在进行的社区健康教育和规划。对开放式问卷调查结果进行定性内容分析。不考虑人口统计学特征对数据进行分析;后来,人们又研究了不同人群之间的差异。结果调查分析(n = 1429,回复率27%)确定了疫情对青少年饮食和身体活动的积极和消极影响。照护者在没有提示的情况下,就对身心健康和健康行为的相互影响提供了回应。他们描述了流行病的压力,包括精力减少、社会隔离和“对传播的恐惧”。在关键特征方面存在显著差异。这些发现反映了可能导致差距扩大的模式。翻译到健康教育实践:这项工作为设计干预措施提供了背景,公平地促进年轻家庭的健康行为。
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引用次数: 0
An Experiential Learning Program to Promote Healthy Eating and Physical Activity at an Australian Children’s Museum: Formative Research with Caregivers and Staff 在澳大利亚儿童博物馆开展的促进健康饮食和体育活动的体验式学习方案:与护理人员和工作人员的形成性研究
IF 1 Q3 Social Sciences Pub Date : 2023-08-03 DOI: 10.1080/19325037.2023.2232429
S. Varman, Bridget Kelly, D. Cliff, Rachel A. Jones
ABSTRACT Background Healthy eating (HE) and physical activity (PA) are essential for children’s health and well-being. Innovative approaches, informed by formative research, are crucial to promoting these behaviors. Experiential learning, involving active, hands-on approaches, may be an effective way to encourage healthy behaviors in children. Children’s museums could contribute to health education by providing a variety of educational opportunities. Purpose To inform the design of an experiential learning Healthy Living program for children at an Australian children’s museum. Methods A qualitative study involving focus group discussions with 23 caregivers and in-depth interviews with 6 staff were conducted to explore perceptions of caregivers and staff working in an Australian children’s museum (Discovery Space) relating to potentially effective experiential learning strategies for promoting children’s healthy behaviors. Data were transcribed verbatim and thematically analyzed in NVivo 12. Results Key considerations for promoting HE and PA children through experiential learning activities include involving caregivers, engaging children through processes such as providing choice and stimulating curiosity, and selecting appropriate activity types such as simple, engaging, fun, hands-on, sensory play, and music-based activities. Translation to Health Education Practice Experiential learning activities that address these key considerations can promote HE and PA in children and should be studied in future studies. Competencies and sub-competencies in two areas of responsibility, (I) Assessment of Needs and Capacity and (V) Advocacy, were addressed.
背景健康饮食(HE)和身体活动(PA)对儿童的健康和幸福至关重要。以形成性研究为基础的创新方法对促进这些行为至关重要。体验式学习,包括积极的、动手的方法,可能是鼓励儿童健康行为的有效方法。儿童博物馆可以通过提供各种教育机会来促进健康教育。目的为澳大利亚儿童博物馆儿童体验式学习健康生活项目的设计提供信息。方法采用定性研究方法,对澳大利亚儿童博物馆(Discovery Space)的23名护理人员进行焦点小组讨论,并对6名工作人员进行深度访谈,探讨护理人员和工作人员对促进儿童健康行为的体验式学习策略的看法。数据逐字转录并在NVivo 12中进行主题分析。通过体验式学习活动促进HE和PA儿童的主要考虑因素包括照顾者的参与,通过提供选择和激发好奇心等过程吸引儿童,以及选择适当的活动类型,如简单,参与,有趣,动手,感官游戏和音乐为主的活动。解决这些关键问题的体验式学习活动可以促进儿童的健康教育和健康教育,应该在未来的研究中加以研究。讨论了(I)评估需要和能力以及(V)宣传两个责任领域的职权和次职权。
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American Journal of Health Education
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