Health Promotion International最新文献

The complexity of research translation is well recognized. Efforts to accelerate the process have emerged through implementation science, scale-up, scalability, and sustainability. This area of research is now inundated with a plethora of new concepts, creating overlap and confusion for those working in public health, implementation science, and scale-up as well as those seeking to understand it. This perspective examines the commonly used processes (scale-up, scalability, transferability, sustainability) and articulates their current definitions found in the literature. An explanation of the similarities and differences is also provided along with an illustration of where they may be applied in the public health programs: stages of research and evaluation framework. This perspective aims to clarify these processes, in order to provide guidance for seeking to engage in this area, how and when those processes might apply for those new to the field as well as those working within it.

The Health Service by Health Students (HSHS) is a French interprofessional education program implemented in 2018 across all French regions by Health Universities. It aims to train health students (HS) in prevention through primary health prevention actions (PHPA) targeting young populations. This study evaluated the impact of the HSHS program in Franche-Comté (HSHS-FC) on HS's representations of their target public during the 2022-23 academic year. A longitudinal, observational, prospective multicenter survey was conducted using a self-administered questionnaire before (T1) and after (T2) PHPA. The variation in responses between T1 and T2 (Δ) was analyzed for each target public. Among 755 HS included, 468 (62.0%) worked with young children, 240 (32.7%) with teenagers, and 40 (5.3%) with young adults. No significant differences in representations were found at T1 and T2 between groups regarding social background or health behavior factors. However, students working with young children and teenagers showed a statistically significant change in all items between T1 and T2. At T1, HS working with young children reported lower perceptions of their ability to receive, understand, and integrate information. Students focusing on young children reported the greatest shift in representations. HSHS-FC plays a role in reshaping HS's representations of young publics, especially children. The greater evolution in perception among HS working with young children highlights the value of initiating primary prevention early in life.

Shiftworkers are vital to essential industries yet often experience adverse health impacts, including barriers to regular physical activity. Young shiftworkers face additional challenges due to the transitional life stage and the increase of unhealthy behaviours. This study aimed to co-design tailored, evidence-based physical activity resources to support the health and wellbeing of young shiftworkers. A participatory co-design approach was undertaken, involving 48 co-designers, including young, experienced, and former shiftworkers, workplace health and safety professionals, science communicators, and academic experts. Participants attended 1-2 of eight online workshops. Data from the recorded and transcribed workshops informed resource development and included the identification of key physical activity topics and effective communication strategies. A combined inductive and deductive thematic analysis identified 22 unique codes, which were synthesized into five major themes: physical activity basics, impacts of insufficient physical activity, physical activity for shiftworkers, strategies and actions for shiftworkers, and recommendations for workplaces. These themes guided the development of a public-facing website containing evidence-based, context-relevant physical activity resources tailored specifically for young shiftworkers. A motivational and positive framing was consistently endorsed to enhance engagement and support behaviour change. The final resources reflect the diverse perspectives of co-designers and offer a scalable and practical tool to promote physical activity in this priority population. Further research should investigate resource uptake, usability, and behavioural outcomes over time.

Despite notable global progress in tackling water, sanitation, and hygiene (WASH), substantial challenges persist, particularly in low- and middle-income countries (LMICs). While WASH in LMICs is a quintessentially gendered issue, with the burden falling primarily on women, their meaningful participation in WASH management is often questioned. And yet women have important stories to tell. This paper examines the experiences of WASH through the oral histories of older women (n = 32 respondents aged 60+) in three districts in northern Ghana. We situate this work within an eco-social framework that allows us to contextualize resource access related to the determinants of health. Findings reveal substantial perceived improvements in WASH access over the years. This progress was primarily attributed to education and training on appropriate WASH practices. Results also underscore the crucial role of stakeholders, including NGOs, local governments, WASH committees, women's support groups, and individual initiatives, in the advancement of local WASH services. However, the absence of adequate WASH services continues to exacerbate vulnerability to gender-based violence (GBV). Results indicate the need for collaboration and cooperation in achieving Sustainable Development Goal (SDG) 6 (water and sanitation for all), and most importantly, galvanize our thinking around the role of women in this process, by addressing SDG 5 (empowering women and girls) and SDG 3 (health and wellbeing for all).

This study explores how a school wharekai (communal dining hall) implementing the Ka Ora, Ka Ako Healthy School Lunch Programme operates as a multidimensional health promotion setting that fosters student capabilities beyond nutrition. Using a qualitative approach grounded in mātauranga Māori (Māori knowledge) and community-based participatory research, we conducted focus groups with 22 students and semi-structured interviews with 12 staff members to examine how the wharekai promotes wellbeing. Findings show that the wharekai provides a culturally responsive environment where three interrelated capabilities flourish: self-management, interpersonal relationships, and community participation. Through daily routines and authentic roles in food preparation, students practise responsibility, initiative, and cooperation. Shared meals strengthen tuakana-teina (peer) relationships and build trust between students and staff, while collective activities foster belonging, reciprocity, and sustainability. Conceptualizing food spaces through cultural frameworks such as the wharekai demonstrates how school food programmes can simultaneously address food insecurity and create transformative learning environments. This study highlights how culturally grounded, settings-based approaches can integrate nutritional, social, and relational dimensions of health promotion, reimagining school food provision as a holistic, capability-building practice that enhances individual and collective wellbeing.

Dunghutti Country is located within Australia's number one 'stroke hotspot', with incidence almost double the national average. First Nations peoples are disproportionately affected by stroke, with higher incidence and hospitalization rates and a greater risk of dying compared to non-First Nations Australians. Early recognition of stroke symptoms is critical for people to access time-sensitive medical interventions, maximizing recovery potential. Whilst an internationally recognized F.A.S.T (Face, Arm, Speech, Time) message exists to promote rapid recognition of stroke symptoms, community awareness of F.A.S.T is limited. This project aimed to collaboratively design a culturally responsive F.A.S.T health message with and by First Nation's peoples, thus increasing awareness of stroke symptoms, to improve response for seeking time-sensitive medical care. Guided by a qualitative participatory action methodology, and the use of cross-cultural Yarning as the method, this collaborative project involved six Dunghutti stroke survivors, a Dunghutti artist, a knowledge holder of local Dunghutti language, and a local occupational therapist/researcher, who reviewed the mainstream F.A.S.T health message and reimagined that message in a culturally relevant and meaningful way. Yarning allowed exploration of key themes, identifying three elements necessary to maximize the impact of First Nations health and well-being messaging. Elements included ensuring the health message (i) connects to Country, (ii) connects to understandings of health and well-being, and (iii) connects through relevant content, with First Nations peoples centred within the ideation, development, and message delivery processes.

Professional sport club community organizations (CCOs) are regarded as important neighbourhood settings for men's health promotion. However, little is known about how age, and perceptions of ageing and masculinity, shape physically inactive men's engagement in CCO-led health programmes. This study addresses this international knowledge gap by presenting novel insights on the lived experiences of 17 physically inactive men (aged 30-71) involved in the Active Blues programme based in north-west England. Men who engaged in the programme initially regarded it as an important opportunity to return to competitive sport. However, it was the facilitation of traditional masculine values of banter and camaraderie with new like-minded peers which was essential for men's continued engagement, and which helped them manage age-related health conditions. Those who did not engage in Active Blues were more likely to have accepted socially constructed deficit-focused narratives of ageing which, for some, meant 'slowing down'. Fulfilling family commitments and caring responsibilities also prevented some men's engagement. The findings emphasize the need to develop more diverse and culturally nuanced understandings of engaging men in gender-responsive CCO-led health promotion programmes which are underpinned by conceptions of positive, strengths-based, healthy masculinities and which reinforce notions of peer support, camaraderie and openness.

The health systems' response to the COVID-19 pandemic controlled the virus's spread but exposed fragmented systems and operational challenges globally. Understanding these issues is essential for enhancing health system capabilities and improving future pandemic responses. This study explored the perspectives of health policymakers in Northwest Territories (NWT), Canada, on the challenges to responding to COVID-19 and implementing the necessary public health measures in the jurisdiction. This study utilized a qualitative descriptive design and a community-based participatory research approach. Framework analysis, guided by the World Health Organization's Health Emergency and Disaster Risk Management framework, was used for data analysis. The Consolidated Criteria for Reporting Qualitative Research were followed. Convenience sampling was used to recruit policymakers working in NWT. Data were collected between June and August 2021 from 65 policymakers using semi-structured interviews. Participants worked in territorial (71.7%), regional (14.3%), and community (14.3%) organizations. Four themes were identified: governance (e.g. unclear roles and responsibilities, policy lag, and limited community consultation), public risk communication (e.g. complexity of information and language barriers), community-level (e.g. community's distrust of the health system and geographic barriers), and health system challenges (e.g. limited human resource capacity and material resources, absence of robust information systems). To build a resilient health system in NWT for future pandemics, it is essential to define roles and responsibilities, collaborate with healthcare providers and community leaders, develop efficient data infrastructure, and enhance system capacity. Effective communication and fostering trust between the government and communities are important.

In response to increasingly complex and cross-sectoral public health challenges, coordination has emerged as a key strategy for aligning efforts across fragmented systems. However, despite its widespread endorsement, coordination remains conceptually ambiguous and difficult to operationalise in practice. This qualitative study explores how public health coordination is enacted at the local level in Sweden, where municipalities employ public health coordinators to promote population health and reduce inequalities. Semi-structured interviews with 21 public health coordinators across diverse Swedish municipalities were conducted and through an inductive thematic analysis four key themes were developed: driving targeted efforts and holding processes together; connecting activities to policy goals through purposeful planning; creating conditions for collaboration by engaging relevant stakeholders; and building a knowledge support function through acquiring and sharing new knowledge. The findings reveal that coordination is a dynamic and adaptive function requiring strategic thinking, relational skills, and contextual sensitivity. Effective coordination depends not only on individual competencies, such as communicative, diplomatic, and administrative abilities but also on structural conditions, including political mandates, formalised goals, and sufficient time and resources. Coordinators often operate without formal authority, relying on trust and leadership support to navigate complex and shifting responsibilities. The study concludes that coordination is essential for enabling collaboration, sustaining public health efforts, and aligning activities with policy goals. It highlights the need for clearer role definitions, supportive frameworks, and further research into how coordination contributes to long-term public health outcomes across different domains and local contexts.

Smoking tobacco continues to be a leading cause of death and disease. This study aimed to provide health literacy profiles which include strengths and challenges of Australian adults who smoke, to identify their needs and inform future smoking interventions. We conducted a cross-sectional survey using the Health Literacy Questionnaire to measure and describe the health literacy profiles. A total of 563 Australian adults who smoke completed the questionnaire. Data were analysed using hierarchical cluster analysis with Ward's method for linkage. Ten clusters were identified as the optimal cluster solution. These clusters had distinct health literacy profiles with diverse needs and demographic characteristics. Most participants self-reported strengths in understanding health information well enough to know what to do, but identified challenges in navigating the healthcare system. This cluster analysis revealed that Australian adults who smoke have varying health literacy competencies and needs. These findings can be used to educate stakeholders and to inform tailored interventions to support people who smoke to quit smoking.