Pub Date : 1976-01-01DOI: 10.1177/109019817600400202
S Hellman
Patients receive differing amounts of preventive dental health information from their dentist. What factors affect the amount of preventive information a patient receives? Many possible reasons which have been advanced for this difference are discussed in this paper. Using the clues presented in the literature, and results of a presurvey, some factors thought to influence the amount of preventive dental health information the patient receives were investigated. Specifically, the research problem was, "What is the relationship between the amount of preventive dental health information a patient receives from the dentist in his private office and the following factors: patient's appearance, interest-responsiveness, nervousness, need for dental care, request for service, orientation to dentistry, and dentist's liking for the patient?" The hypothesized relationships of amount of preventive dental information delivered to dentist's perception of patient's characteristics were not upheld. The paper tentatively concludes that the characteristics of the dentist and his dental practice affect the preventive information delivered more significantly than patient characteristics.
{"title":"The dentist and preventive dental health information.","authors":"S Hellman","doi":"10.1177/109019817600400202","DOIUrl":"https://doi.org/10.1177/109019817600400202","url":null,"abstract":"<p><p>Patients receive differing amounts of preventive dental health information from their dentist. What factors affect the amount of preventive information a patient receives? Many possible reasons which have been advanced for this difference are discussed in this paper. Using the clues presented in the literature, and results of a presurvey, some factors thought to influence the amount of preventive dental health information the patient receives were investigated. Specifically, the research problem was, \"What is the relationship between the amount of preventive dental health information a patient receives from the dentist in his private office and the following factors: patient's appearance, interest-responsiveness, nervousness, need for dental care, request for service, orientation to dentistry, and dentist's liking for the patient?\" The hypothesized relationships of amount of preventive dental information delivered to dentist's perception of patient's characteristics were not upheld. The paper tentatively concludes that the characteristics of the dentist and his dental practice affect the preventive information delivered more significantly than patient characteristics.</p>","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"4 2","pages":"132-76"},"PeriodicalIF":0.0,"publicationDate":"1976-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817600400202","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12159347","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}
Pub Date : 1975-01-01DOI: 10.1177/109019817500300105
B Yep
Heightened public concern as well as governmental action makes health one of the leading societal issues of this decade. The American public has become increasingly conscious of the broad field of health as indicated by national studies 192 which identify governmental, business, and consumer concern about rapidly rising costs of health services as well as limited access to adequate health services by certain groups low income, minority, elderly, and rural persons. National leaders, the US. President: the Secretary of HEW,’ and Cooperative Extension Services spokesmen 6 have discussed the “health care crisis” focusing on these issues of costs and accessibility. In addition to health care services, air and water pollution are environmental hazards which have become public issues in recent years. In rural areas the use of pesticides and other chemicals, waste disposal, and land use planning and zoning have become major concerns. A new set of intermediary groups and organizations have emerged on both the national and local health scene which do not fit neatly into the dichotomy of provider of health services or consumer of health services. Having a major impact on health planning and organization, these groups include public and private regulators of health services, the major financial supporters of health care, institutions involved in research, training, and public education, as well as special interest groups representing providers or consumers. A major thrust in the health field has been the development of comprehensive health planning councils mandated through federal laws, PL 89-749, 1966, and PL 90-174, 1967. Planning Councils on the regional, state, and local levels have emerged and will continue to develop under new legislation now being proposed by both political parties. This planning effort highlights the increasing significance of the consumercitizen role in the health field. I t is the intention of this paper to incorporate the trends described above in a Comprehensive Health Framework and after summarizing
{"title":"A framework for the study of the role of Cooperative Extension Service in the health field.","authors":"B Yep","doi":"10.1177/109019817500300105","DOIUrl":"https://doi.org/10.1177/109019817500300105","url":null,"abstract":"Heightened public concern as well as governmental action makes health one of the leading societal issues of this decade. The American public has become increasingly conscious of the broad field of health as indicated by national studies 192 which identify governmental, business, and consumer concern about rapidly rising costs of health services as well as limited access to adequate health services by certain groups low income, minority, elderly, and rural persons. National leaders, the US. President: the Secretary of HEW,’ and Cooperative Extension Services spokesmen 6 have discussed the “health care crisis” focusing on these issues of costs and accessibility. In addition to health care services, air and water pollution are environmental hazards which have become public issues in recent years. In rural areas the use of pesticides and other chemicals, waste disposal, and land use planning and zoning have become major concerns. A new set of intermediary groups and organizations have emerged on both the national and local health scene which do not fit neatly into the dichotomy of provider of health services or consumer of health services. Having a major impact on health planning and organization, these groups include public and private regulators of health services, the major financial supporters of health care, institutions involved in research, training, and public education, as well as special interest groups representing providers or consumers. A major thrust in the health field has been the development of comprehensive health planning councils mandated through federal laws, PL 89-749, 1966, and PL 90-174, 1967. Planning Councils on the regional, state, and local levels have emerged and will continue to develop under new legislation now being proposed by both political parties. This planning effort highlights the increasing significance of the consumercitizen role in the health field. I t is the intention of this paper to incorporate the trends described above in a Comprehensive Health Framework and after summarizing","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"3 1","pages":"31-40"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817500300105","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12312702","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}
Pub Date : 1975-01-01DOI: 10.1177/109019817500300107
H L Johnston, C Crawford
In May 1973, a Tri-State Health Education Seminar brought together 21 individuals from local and state Extension Services, from public and voluntary health agencies in Virginia, Pennsylvania, and Maryland, and from a medical school in Pennsylvania. Their purpose was to discuss (1) health education and Extension’s role; (2) how to bring about greater coordination so that different agencies complement and supplement each other. This summary of the proceedings reflects the extensive consideration given both purposes and the limited solutions found for the second.
{"title":"Cooperative rural health education. Potentials for interstate, interagency cooperation.","authors":"H L Johnston, C Crawford","doi":"10.1177/109019817500300107","DOIUrl":"https://doi.org/10.1177/109019817500300107","url":null,"abstract":"In May 1973, a Tri-State Health Education Seminar brought together 21 individuals from local and state Extension Services, from public and voluntary health agencies in Virginia, Pennsylvania, and Maryland, and from a medical school in Pennsylvania. Their purpose was to discuss (1) health education and Extension’s role; (2) how to bring about greater coordination so that different agencies complement and supplement each other. This summary of the proceedings reflects the extensive consideration given both purposes and the limited solutions found for the second.","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"3 1","pages":"44-9"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817500300107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12312705","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}
Pub Date : 1975-01-01DOI: 10.1177/109019817500300108
E E Mumm
{"title":"Hypertension screening through Extension Home Economics: a case study.","authors":"E E Mumm","doi":"10.1177/109019817500300108","DOIUrl":"https://doi.org/10.1177/109019817500300108","url":null,"abstract":"","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"3 1","pages":"50-5"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817500300108","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12312706","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}
Pub Date : 1975-01-01DOI: 10.1177/109019817500300304
G N Parlette, P D Mullen, R J Brand
experimenting with different methods of delivering the course work.4,7 Most of the innovation, at least on the West Coast, has been in the professional schools. In our opinion, the reason that professional schools have taken the lead in developing alternative education options is not so much pressure from the already credentialed professionals, but the recognition by an increasing number of faculty in the professional schools of the need for continuing education and pressure from individuals in the particular industries, e.g., business, engineering, and health for upgrading their knowledge and skills, (and
{"title":"Development of an extended MPH degree program in the Western states.","authors":"G N Parlette, P D Mullen, R J Brand","doi":"10.1177/109019817500300304","DOIUrl":"https://doi.org/10.1177/109019817500300304","url":null,"abstract":"experimenting with different methods of delivering the course work.4,7 Most of the innovation, at least on the West Coast, has been in the professional schools. In our opinion, the reason that professional schools have taken the lead in developing alternative education options is not so much pressure from the already credentialed professionals, but the recognition by an increasing number of faculty in the professional schools of the need for continuing education and pressure from individuals in the particular industries, e.g., business, engineering, and health for upgrading their knowledge and skills, (and","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"3 3","pages":"267-80"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817500300304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12369919","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}
Pub Date : 1975-01-01DOI: 10.1177/109019817500300102
L J Snyder
A young mother in rural Fresno County allows her two-year-old to die with a severe iron deficiency anemia. Just across the road is a free clinic with facilities for testing and treating anemia. An Indian child in South Central Florida is treated for roundworm infestation. Three weeks later he is seen again with a re-infestation as severe as when first seen. Preventing such cases cannot be accomplished simply by making available even the highest quality of medical care. Adequate health education, however, could help to make such occurrences unlikely. This paper is intended to spotlight some areas of concern in the delivery of health services in rural America, delineate the role of health education in ameliorating some of the existing deficiencies, and suggest some mechanisms for organizing meaningful health education programs. It further describes some Extension resources for health education present in most communities, and suggests models for the more efficient integration of resources for consumer health education.
{"title":"Rural health education - an idea whose time has come.","authors":"L J Snyder","doi":"10.1177/109019817500300102","DOIUrl":"https://doi.org/10.1177/109019817500300102","url":null,"abstract":"A young mother in rural Fresno County allows her two-year-old to die with a severe iron deficiency anemia. Just across the road is a free clinic with facilities for testing and treating anemia. An Indian child in South Central Florida is treated for roundworm infestation. Three weeks later he is seen again with a re-infestation as severe as when first seen. Preventing such cases cannot be accomplished simply by making available even the highest quality of medical care. Adequate health education, however, could help to make such occurrences unlikely. This paper is intended to spotlight some areas of concern in the delivery of health services in rural America, delineate the role of health education in ameliorating some of the existing deficiencies, and suggest some mechanisms for organizing meaningful health education programs. It further describes some Extension resources for health education present in most communities, and suggests models for the more efficient integration of resources for consumer health education.","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"3 1","pages":"6-11"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817500300102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12312708","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}
Pub Date : 1975-01-01DOI: 10.1177/109019817500300111
V L Wang, P H Ephross, L W Green
This three-year evaluation of field work with poor, rural homemakers by nutrition aides employed by the Expanded Food and Nutrition Education Program (EFNEP) of the Maryland Cooperative Extension Service is based on successive annual interviews with 93 homemakers and a control group of 58 designated friends. The results suggest various points of diminishing returns beyond which behavioral and attitudinal changes brought about by the specific educational strategies are too small to justify continued visits to a homemaker. To sustain cost-effective home visits after the first year, more emphasis must be placed on reinforcement of first-year gains, and on expanding the scope of nutrition education to include more health education of other kinds.
{"title":"The point of diminishing returns in nutrition education through home visits by aides: an evaluation of EFNEP.","authors":"V L Wang, P H Ephross, L W Green","doi":"10.1177/109019817500300111","DOIUrl":"https://doi.org/10.1177/109019817500300111","url":null,"abstract":"<p><p>This three-year evaluation of field work with poor, rural homemakers by nutrition aides employed by the Expanded Food and Nutrition Education Program (EFNEP) of the Maryland Cooperative Extension Service is based on successive annual interviews with 93 homemakers and a control group of 58 designated friends. The results suggest various points of diminishing returns beyond which behavioral and attitudinal changes brought about by the specific educational strategies are too small to justify continued visits to a homemaker. To sustain cost-effective home visits after the first year, more emphasis must be placed on reinforcement of first-year gains, and on expanding the scope of nutrition education to include more health education of other kinds.</p>","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"3 1","pages":"70-88"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817500300111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12312710","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}
Pub Date : 1975-01-01DOI: 10.1177/109019817500300405
E L Watkins, T P Holland, R A Ritvo
This article describes a methodology developed to be useful to both consultant and consultee in evaluating their mutual efforts to improve agency health service programs. Reporting forms and instruction manuals based upon the concept of mutuality in consultation were used by 19 consultants in 29 consultations. Two-thirds of the respondents reported some increase in problem-solving ability. The implications of evaluating program consultation are discussed, as are certain issues in consultation: definition, implementation, process, utilization, impact delays, interpersonal interactions, hidden agendas, organizational learning, and outcome measurements.
{"title":"Evaluating the impact of program consultation in health services.","authors":"E L Watkins, T P Holland, R A Ritvo","doi":"10.1177/109019817500300405","DOIUrl":"https://doi.org/10.1177/109019817500300405","url":null,"abstract":"<p><p>This article describes a methodology developed to be useful to both consultant and consultee in evaluating their mutual efforts to improve agency health service programs. Reporting forms and instruction manuals based upon the concept of mutuality in consultation were used by 19 consultants in 29 consultations. Two-thirds of the respondents reported some increase in problem-solving ability. The implications of evaluating program consultation are discussed, as are certain issues in consultation: definition, implementation, process, utilization, impact delays, interpersonal interactions, hidden agendas, organizational learning, and outcome measurements.</p>","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"3 4","pages":"385-402"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817500300405","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12382589","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}
Pub Date : 1975-01-01DOI: 10.1177/109019817500300303
L Holder
In the 1970s, non-traditional academic programs began to gain impetus, aided by studies and recommendations by such groups as the Carnegie Commission on Higher Education and the Commission on Non-Traditional study. Schools of public health have taken the lead in implementing non-traditional, off-campus programs which are relevant to personnel in health service agencies. Reported in this monograph are three programs representing alternative approaches to off-campus public health programs. As our data base increases and new programs are reported, we may see rapid growth in non-traditional programs, resulting in significant changes in academic programs preparing public health practitioners.
{"title":"A perspective on non-traditional academic programs in the health sciences.","authors":"L Holder","doi":"10.1177/109019817500300303","DOIUrl":"https://doi.org/10.1177/109019817500300303","url":null,"abstract":"<p><p>In the 1970s, non-traditional academic programs began to gain impetus, aided by studies and recommendations by such groups as the Carnegie Commission on Higher Education and the Commission on Non-Traditional study. Schools of public health have taken the lead in implementing non-traditional, off-campus programs which are relevant to personnel in health service agencies. Reported in this monograph are three programs representing alternative approaches to off-campus public health programs. As our data base increases and new programs are reported, we may see rapid growth in non-traditional programs, resulting in significant changes in academic programs preparing public health practitioners.</p>","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"3 3","pages":"262-6"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817500300303","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12370105","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}
Pub Date : 1975-01-01DOI: 10.1177/109019817500300113
R Deere, J K Hoffmeister
A state-wide, broad-based consumer health education program was initiated in Arkansas, July 1, 1972. The project has four major goals based on the Wisconsin planning model for consumer health education.' These four goals are to enable citizens: (1) to have a greater concern for their personal health; (2) to become better aware of and to adopt preventive and rehabilitative health practices; (3) to better understand and utilize the local health care delivery system; and (4) to learn how and when to apply self-help practices and when to call on local health service professionals for medical assistance. Information regarding the attitudes people have about illness, about their use of health care facilities, and their patterns of personal health care were gathered through a Health Attitudes and Practices Questionnaire (HAPQ). The development of this questionnaire, one of the first objectives of this comprehensive, three-year effort to develop a health education program for the state of Arkansas, was aimed a t providing baseline information for program planning and measurement. This paper reports on the questionnaire and the results of the statewide survey of consumer health attitudes and practices which was conducted in order to obtain baseline data for the health education project. 0
{"title":"Health attitudes and practices in Arkansas.","authors":"R Deere, J K Hoffmeister","doi":"10.1177/109019817500300113","DOIUrl":"https://doi.org/10.1177/109019817500300113","url":null,"abstract":"A state-wide, broad-based consumer health education program was initiated in Arkansas, July 1, 1972. The project has four major goals based on the Wisconsin planning model for consumer health education.' These four goals are to enable citizens: (1) to have a greater concern for their personal health; (2) to become better aware of and to adopt preventive and rehabilitative health practices; (3) to better understand and utilize the local health care delivery system; and (4) to learn how and when to apply self-help practices and when to call on local health service professionals for medical assistance. Information regarding the attitudes people have about illness, about their use of health care facilities, and their patterns of personal health care were gathered through a Health Attitudes and Practices Questionnaire (HAPQ). The development of this questionnaire, one of the first objectives of this comprehensive, three-year effort to develop a health education program for the state of Arkansas, was aimed a t providing baseline information for program planning and measurement. This paper reports on the questionnaire and the results of the statewide survey of consumer health attitudes and practices which was conducted in order to obtain baseline data for the health education project. 0","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"3 1","pages":"100-8"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817500300113","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12312698","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}
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