Health Education Research最新文献

Limited knowledge regarding patient navigation services is a significant barrier for low-income rural communities in utilizing available healthcare resources. This study aimed to empower underserved populations in Southern Philippines by developing culturally appropriate patient navigation education materials that bridge this gap and enhance healthcare accessibility. Using a community-based participatory research design, focus group discussions with 40 residents and key informant interviews with six village staff from two remote communities were conducted. A formative use of the Analyse, Design, Develop, Implement, Evaluate (ADDIE) model guided the systematic development of patient education materials informed by community-specific goals and preferences. Seven key patient navigation education needs were identified: (i) user-friendly design and format, (ii) step-by-step procedures, (iii) health promotion campaigns, (iv) available service information, (v) capacity-building for local health workers, (vi) contact and scheduling details, and (vii) information preparation guidelines. Participants reported understanding of patient navigation services and motivation to utilize available healthcare resources. The community-centered development process empowered residents by validating their experiences, incorporating local knowledge, and creating culturally relevant educational tools that enable active participation in healthcare decision-making. The findings contribute to participatory research by demonstrating how collaborative development of learning materials can build local capacity and healthcare self-efficacy in disadvantaged communities with an example from the Global South.

Glaucoma is a chronic eye disease that requires consistent and timely eye drop medication management. However, suboptimal treatment outcomes of glaucoma patients were attributed to poor medication compliance. To address this problem, the study proposed to assess the effectiveness of influencing the Knowledge, Attitude, and Practice (KAP) of the patients with the use of a smartphone application (app) to improve the medication compliance of glaucoma patients. The smartphone app feature includes a 'reminder' function that reminds the study participants to apply eye drop medication on time, while also provides information and articles about glaucoma to enhance the knowledge and understanding of the study participants about glaucoma. A total of 181 participants were recruited and three questionnaire tools were used to assess the KAP of the patients towards medication compliance across three time points (baseline, 3-month, and 6-month) after using the proposed smartphone app. Compared to the control, the proposed intervention had an effect on improving the glaucoma knowledge, but showed no significant effect on the confidence and adherence of glaucoma medication of the participants. The findings suggested that integrating digital technology with educational strategies can have potential in enhancing participant compliance with glaucoma medication, ultimately improving their health outcomes.

Black gay, bisexual, and other Black sexual minority men (SMM) continue to experience significant Human Immunodificiency Virus (HIV) pre-exposure prophylaxis (PrEP) barriers, including stigma, medical mistrust, and low risk perceptions. Peer change agents (PCAs) are effective interventionists but are costly to scale. Therefore, we designed a culturally responsive web-based decision aid designed to improve perceived risk for HIV (PRH) and PrEP use among Black SMM modelled after a PCA-based intervention called POSSIBLE. The key domains of the PCA script in POSSIBLE were transposed into the online format of the decision aid and included interactive features to simulate peer-based interactions, encourage user reflection, and guide decision-making in a culturally resonant manner. Visual aids were also incorporated to approximate the peer-based approach in POSSIBLE. Content analysis of PCA-participant conversations among 12 participants from POSSIBLE who decided to use PrEP was conducted to identify common concerns among Black SMM and the persuasive language used by the PCA. Those concerns and communications collectively informed the response options and information of the online tool. This prototype offers a scalable, culturally responsive approach to addressing key multilevel PrEP barriers among Black SMM, including stigma, medical mistrust, and PRH. This tool could be a valuable resource in clinical and community-based settings, providing a cost-effective alternative to peer-based interventions. Future research will assess its impact on multilevel barriers, PrEP use, and HIV prevention behaviours in real-world settings.

Young people from key priority communities, represent an important focus for enhancing sexual and reproductive health (SRH). There is an abundance of literature indicating that sexual health programs designed to improve sexual health literacy (SHL) for young people from culturally and linguistically diverse (CALD) backgrounds are often developed using established health behaviour models and community involvement models. However, little evidence exists on the processes or standards used to evaluate program effectiveness or update content to remain relevant and appealing. This scoping review of academic literature, and government and not-for-profit organizations reports in Australia, Canada, New Zealand, and the United Kingdom (countries with similar healthcare systems, immigration patterns and socioeconomic status), was conducted to determine if and how program content was reviewed and evaluated for currency and effectiveness. No academic or grey literature reports were identified that described the assessment of SHL program content or resources targeting young people from CALD backgrounds. Organizations and authors were contacted for further details of program content assessment with little success. This suggests a gap in the literature and lack of program evaluation or processes for updating of program content. This review highlights recommendations regarding advancing future research and enhancing program content evaluation.

A diet self-management plan aligning with patients' culture, beliefs, and values is essential to the success of diabetes self-management education (DSME), which requires candid communication between patients and providers. However, in a Confucianism-dominated culture, the emphasis on social hierarchy, respect for authority, and harmony may hinder patients from communicating openly with healthcare teams. This qualitative study was conducted in accordance with the guidelines of the Consolidated Criteria for Reporting Qualitative Research to explore the experiences of participants with poor diabetes control, focusing on the challenges they face in diet self-management and how they communicate these challenges to their providers during DSME encounters. The present study revealed that the 'fear of being judged' reflects the Confucian culture, which inhibits open dialogue between patients and healthcare teams about the difficulties patients face in managing their diet. Given the high prevalence of poor diabetes control in Confucianism-dominated societies, it is strongly recommended to modify the approach of DSME, such as using patients' food diary as the base for the DSME discussion to avoid requiring patients to ask questions to the healthcare team, to fit the Confucian culture dominating in Eastern Asian societies.

The aim of this study was to assess the effectiveness of web-based health education on symptoms and quality of life of university students with premenstrual syndrome. This was a single-blind, parallel-group randomized controlled trial. The study was completed by 67 participants: 33 in the intervention group and 34 in the control group. The intervention group received web-based health education for 4 weeks, while the control group had no special intervention. Data were collected between three menstrual cycles using the Premenstrual Syndrome Scale, Premenstrual Symptoms Impact Scale, System Usability Scale, and a personal information form. Following web-based health education, the intervention group showed significant improvements compared to the control group, and this difference remained significant after two menstrual cycles. Notably, the intervention group experienced significant reductions in psychological symptoms, such as depressive affect, anxiety, fatigue, irritability, and depressive thoughts. The intervention group reported that the website was usable. The results indicate that a web-based health education has the potential to be an effective strategy for managing premenstrual syndrome. This approach also underscores the important role of healthcare professionals in providing accessible digital interventions that address women's health needs.

The aim of this study was to explore the challenges and strategies for improving health information delivery by healthcare professionals (HCPs) on lifestyle behaviours using social media. Using a phenomenological qualitative study design, data were gathered through semi-structured interviews with 22 HCPs who use social media to deliver health information, and three focus group discussions with 16 active users of social media. All participants were based in Malaysia. The sessions were audiotaped and transcribed verbatim. Data were analysed using constant comparative approach and thematic analysis. Five themes emerged: (i) credibility of health information, (ii) accessibility, and timeliness of health information, (iii) attitudes and motivation of HCPs, (iv) users' receptiveness to health information, and (v) availability of resources for HCPs. HCPs were encouraged to show commitment when delivering information, ensuring users receive information in the most engaging way. It was also suggested that HCPs access resources through collaboration with HCPs and non-HCP individuals, including digital content creators and health advocates. In conclusion, this qualitative study provides insights into the perspectives of HCPs and social media users regarding the use of social media by HCPs to deliver health information on lifestyle behaviours. These insights can be used to improve health communication on social media.

This mixed-methods systematic review evaluated the effectiveness of school nurse-involved educational interventions in promoting adolescents' sexual and reproductive health (SRH) in high-income countries. The review adopted the Joanna Briggs Institute (JBI) convergent segregated approach. A multi-database search was conducted between March and May 2024. Two researchers independently selected the relevant studies and assessed the risk of bias using RoB 2.0, RoB 2 for Cluster Randomized Trials (CRT), RoBANS 2, and the JBI Critical Appraisal Checklist for Qualitative Research. Nineteen studies (12 quantitative, 7 qualitative) were included, with 75% of quantitative studies showing a high risk of bias. The intervention group showed significantly improved knowledge [standardized mean difference = 1.36; 95% confidence interval (0.46, 2.26), I2 = 93%], but no significant changes in attitudes or behaviours. Key facilitators included school nurses' expertise, trust, and active learning, while barriers involved limited time, lack of materials, passive parents, and rigid policies. The integrated findings highlighted that effective school nurse-involved SRH education relied on active learning, consistent education, and collaboration across disciplines. School nurse-involved interventions can effectively enhance adolescents' SRH knowledge despite challenges such as high heterogeneity across studies.

This study was conducted to evaluate the effect of the training given to Chronic Obstructive Pulmonary Disease (COPD) patients in line with Health Promotion Model (HPM) on the self-efficacy level of the individual. This study was conducted as a randomized controlled trial with patients hospitalized in the chest diseases intensive care unit of a state hospital. The study was conducted with 140 patients (intervention group = 70, control group = 70). The intervention group received four sessions of training prepared in line with the HPM. Self-efficacy was assessed with the COPD Self-Efficacy Scale. The self-efficacy levels of those in the intervention group increased significantly after the intervention compared with before the intervention, while the mean scores of those in the control group decreased significantly. The post-test self-efficacy scale scores of the intervention group were significantly higher than those of the control group. In this study, the training applied to individuals with COPD in line with HPM was effective in increasing the self-efficacy level of individuals. After the training, the competence level of individuals in managing respiratory distress increased significantly, while in the control group, which did not receive any intervention, the competence level in managing respiratory distress decreased in 3 months.