Concept Of Health Promotion Research Articles

HEALTH PROMOTION ACTIVITIES IN MODERN WORKPLACE: THE ROLES OF THE EMPLOYERS AND EMPLOYEES

The concept of the workplace health promotion is becoming increasingly relevant as more private and public organizations recognize that future success in a globalizing marketplace can only be achieved with a healthy, qualified and motivated workforce. The workplace directly influences the physical, mental, economic and social wellbeing of workers and in turn the health of their families, communities and society. This paper therefore reviewed health promotion activities in the modern workplace taking into cognizance the roles of employers and employees. To create an enabling workplace healthy environment, both the employers and the employees must play their roles. For the employers, provision of health promotion facilities and policies are vital for healthy workforce, while the employees are expected to comply with the guidelines provided by the employers and make good use of the health promotion facilities in the organization. Article visualizations:

Música no ambiente hospitalar: percepções de indivíduos em tratamento oncológico

Objetivo: compreender as percepções dos indivíduos em tratamento oncológico sobre o uso da música no ambiente hospitalar. Métodos: estudo descritivo e exploratório, com abordagem qualitativa, realizado com 12 indivíduos, entre eles adultos e idosos, hospitalizados no setor da oncologia no maior hospital público no oeste do estado de Santa Catarina, Brasil. A coleta de dados ocorreu no primeiro semestre de 2019, por meio de entrevista semiestruturada, após a intervenção musical no ambiente hospitalar. Os dados foram organizados por categorias temáticas e analisados pelo método de análise de conteúdo. Desta maneira, despontaram três categorias: 1) Hospitalização e suas implicações na vida dos indivíduos; 2) Conceito de saúde e a promoção da saúde frente o processo de hospitalização; e 3) A música como instrumento de promoção da saúde. Resultados: a hospitalização é um processo difícil, marcante e que pode ser traumático. A música, como estratégia de promoção da saúde, possibilita distração, redução do estresse e da ansiedade, proporcionando efeitos significados, como alegria, paz interior e distração para as pessoas internadas. Conclusão: a partir das percepções dos indivíduos hospitalizados, pode-se compreender que a música contribui para a promoção da saúde no ambiente hospitalar, pois desperta distintas sensações e significados, contribuindo para um processo de hospitalização menos difícil. Também fortalece o vínculo entre profissionais, indivíduos hospitalizados e seus familiares, contribuindo para a humanização do cuidado das pessoas em tratamento oncológico.

17.E. Workshop: Returning disease prevention and health promotion back to the table: from the 1980ies to the 2050ies

Abstract Disease prevention is part of medical thinking since the time of Hippocrates in the 5th century B.C. However, as a scientific concept, it developed only since the middle of the 19th century through the work of Louis Pasteur and Robert Koch developing and working along with the new germ theory of infectious diseases. Chronic diseases, cardiovascular ones in particular, came into focus only after WW II culminating in the work of Geoffrey Rose and his publication on Sick individuals and sick populations, published 1985. At that time, the new concept of health promotion entered the stage culminating in the Ottawa Charter for Health Promotion, 1986. The classical concepts embrace two basic interrelated modern risk behaviors, sedentary lifestyle and, typically, associated, intake of high caloric food and alcoholic beverages. All of them contribute to obesity diabetes mellitus, elevated blood pressure and cholesterol, often accompanied by smoking as a key risk factor for lung cancer and vascular damage. The individual consequences in terms of reduced quality of life and death due to non-communicable as well as uncontrolled infectious diseases - exemplified by HIV and recently the COVID epidemic - can be considerable and the socioeconomic costs constitute a heavy burden for the population. Whereas research in the field of prevention tries to identify risk factors which may with a certain probability lead to disease, in the field of health promotion efforts are made to find out how to change risky lifestyles, at the individual as well as the community level. Thus, disease prevention and health promotion are two sides of the same coin and should be an essential subject matter for all bachelor or master programs in public health. In this workshop, we shall focus on four questions: 1) What information do we have on modules for disease prevention and targeted health promotion in European Schools of Public Health? 2) What do we know and what should it be? 3) What can we learn from experience in Europe's disadvantaged neighbourhood? 4) How can disease prevention and health promotion contribute to the well-being of humanity in the second half of our century? The last question reaches out beyond the classical concept as a new dimension entered our discourse in the last years which may become the future priority: A healthy environment as a precondition of everything else, in essence in a global dimension: Air, Water, Soil, and Plants, Animals, Humans. Is this - One Health - in the making: A strategy? Leadership? Teaching and training? Solutions do not lay anymore at the individual or community level but require a collective global effort to save our Noah's Ark. Key messages The classical concept of disease prevention and health promotion has lost ground as regards teaching and training at European Schools of Public Health. To strengthen it life-style change is critical. Lifestyle change remains a crucial challenge for prevention and calls for targeted health promotion. The future demands to reach out to the dimension of a healthy environment, the ONE HEALTH concept.

Health promotion in public outreach programs of a Brazilian public university

Health promotion as a field of knowledge combined with public outreachprograms is a differential in training health professionals, strategic for social action and humanized care. This study aimed to identify the outreach programs carried out at a public university in Central-West Brazil andverify their useof health promotion concepts. This documentary researchcollected datainthe electronic platformaccessing the university’s portal, surveying allprojects registered in 2017. Unfinished actions were excluded. To determine the total number of programs, duplicated ones were identified and counted once. There were 23outreach programs registered and carried out, presenting the partial and final reports required by the university. Of these,40%were from the Nursing program. Health promotion concepts were present in 60% of the projects, while theNational Health Promotion Policy was mentioned in 16% of them. In conclusion,it is necessary to change the students’ training model and include public outreach programs focusing on health promotion as an integral part of the pedagogical projects of the university’scurricula. Hence, they should be mandatory activities and no longer extracurricular ones, promoting social responsivity during training in health.

Could mindfulness activity improve occupational health in UK paramedics?

Emerging research is supporting the implementation of mindfulness-based strategies for NHS staff. It has been shown that, by spending 10 minutes daily on the activity, health professionals can improve their emotional and cognitive functioning, while reducing work-related rumination. Through an exploratory multi-methods approach, this study sets out to quantify the occupational health levels of paramedics, and establish their appreciation of both their employer's health and wellbeing policy and mindfulness as a concept, for the overall purpose of gaining a qualitative insight into whether mindfulness activity could improve occupational health. Paramedics reported high levels of occupational stress, coupled with minimal levels of knowledge or experience of mindfulness as a health-promoting concept. Structured application of mindfulness strategies within prehospital care may promote a range of health benefits for paramedics, lead to improved organisational efficiency for trusts and support positive outcomes for patients.

'O'ofaki: a health promotion and community development concept to bring Pasifika people together.

Stable, healthy families are the loto or heart of strong Pacific communities. This paper addresses the problem of a decline in the strength of Pacific families. It introduces and discusses the Tongan concept of O'ofaki, as the way in which shared, core relational commitments can bring Pasifika peoples together to support one another for health and community development. This process is based on a reciprocal sharing of social capital to promote cultural solidarity and social justice. We describe two studies by the lead author, through which the concept of O'ofaki emerged. The first study utilized an action research model while the second study focused on two Pasifika-centric research approaches: talanga, which is a Tongan word for interactive talking for a purpose, and the kakala (Tongan garland) research approach. The latter approach is incorporated within a general inductive methodology as well as luva-the dissemination of the results. Finally, the paper focuses on the components of O'ofaki and its application to Pasifika communities.

Socio-Cultural Barriers to Early Detection of Breast Cancer Among Malaysian Postgraduate Students

The present study focuses on societal factors influencing the breast cancer incidence and deaths due breast cancer. The delayed detection and late presentation of tumour is influenced by the knowledge and understanding of disease by women herself, family and people in her surroundings. The sociocultural behaviour is key component of delayed detection of breast cancer and delayed presentation which leads to higher rates of morbidity and mortality. Though Breast cancer is the most common malignancy among females all around the world including Malaysia. Breast cancer accounts for 2.4% of deaths among women among Malaysia every year. The study was a quantitative questionnaire-based survey. The study includes female postgraduate students 25-30 years of age studying at University Sains Malaysia. The questionnaire was divided into five sections and total of 19 questions. A total of 50 women, between 30-39 years of age were interviewed. This study set out to explore the health promotion concepts and factors that impede health promotion as well as the barriers were also explored which might hinder women to go through mammogram. The results obtained in the study validated and confirmed the literature.

Prospective Evaluation of Cardiovascular, Cardiorespiratory, and Metabolic Risk of German Office Workers in Comparison to International Data

Background: Employment in the administrative sector is characterized by prolonged sedentary work, which has been tied to increased morbidity and compromised health. The aim of this study was to determine cardiovascular, cardiorespiratory and metabolic risk parameters of German office workers (OWs) in comparison to OWs from other nations. Material and Methods: A total of 46 male office workers from the North Rhine-Westphalia region (Germany) participated in the survey. Anthropometric measurements, cardiovascular and metabolic risk factors, as well as laboratory parameters were taken. The 10-year cardiovascular risk was calculated by using the Framingham risk score. The diagnosis of metabolic syndrome was based on the criteria of the International Diabetes Federation. Cardiorespiratory status was assessed by exercise spirometry. Results: The analyzed group of OWs demonstrated a high prevalence of preobesity (Body Mass Index 26.4 ± 4 and waist circumference 97.3 ± 11.7 cm) and 58.7% of the OWs showed an abnormally large waist circumference. Cardiovascular risk was correspondingly elevated as compared with other international studies (9.7% ± 9.2%). High risk cardiovascular profiles were detected in 10.7% of the participants and 33% of the OWs in our study group were diagnosed with metabolic syndrome. The oxygen uptake of the OWs was 34.1 ± 8.1 mL/kg−1·min−1. Conclusions: The German OWs show elevated cardiovascular risk assessed using the Framingham risk score and also a high tendency for metabolic syndrome. The OWs need to be made further aware of the cardiovascular risk and resulting health implications. Implementation of health promotion concepts such as corporate sports activities or nutrition courses should be taken into consideration to counteract cardiovascular risk factors and the subsequent development of cardiovascular disease in later life.

Factors Predicting Healthcare Behaviors of Pregnant Migrant Laborers

OBJECTIVES: To study the factors that predict healthcare behaviors of pregnant migrant laborers and apply Pender’s concept of health promotion. MATERIAL AND METHODS: The samples were pregnant migrant laborers receiving antenatal care from healthcare services in Sa Kaeo Province. A multi-stages random sampling method was used to recruit 180 samples. The data were collected through interviews between 2016 and 2017. The research instruments were interviewed questionnaires, Cronbach’s alpha coefficients at 0.71 to 0.85. Data were analyzed by descriptive statistics and multiple regression. RESULT: The samples had mean scores for healthcare behavior at a medium level (3.31 ± 0.22). The factors that predicted healthcare behavior were cultural beliefs regarding pregnancy (β = -0.264, p < 0.01), perceived benefits of healthcare behaviors (β = 0.179, p < 0.05)), and access to health services (β = 0.256, p < 0.05) and a significantly predicted combination of healthcare behaviors of pregnant migrants, explaining 33.1% of the variance (F = 6.077, p <0.01). CONCLUSION: This research suggests that health promotion activities aimed at pregnant migrant laborers should be aligned with cultural beliefs, raise awareness of the benefit of healthcare behaviors of pregnant women, provide easily accessible health services and, promote good healthcare behaviour in pregnancy.

Health promotion in the context of behavioral economics: gender aspects

The article discusses the gender aspects of health, proceeding from the assumption that taking them into account is likely to increase the effectiveness of motivational measures in the field of forming healthy lifestyles. The methodological basis of this paper is the concept of health promotion supported by WHO that is based on intersectoral and interdisciplinary approaches. It incorporates both a certain system of values, primarily active involvement of people in maintaining their health, and a set of state activities, among which motivating people to healthy lifestyles is important. Behavioral economics as an area of an interdisciplinary research on decision-making substantiates the mechanisms that should be used, among other things, to achieve the goals of healthcare policy, and to solve such problems of modern society as lack of physical activity, tobacco and alcohol abuse, and unhealthy diet.Gender approach that includes gender aspects in the process of analyzing the situation and making political decisions aimed at improving population health becomes a precondition for increasing the effectiveness of motivational measures taken in the interests of promoting the health of citizens. The results of the surveys on the impact of behavioral factors on the health status of the population of Russia conducted by the Russian statistical agency (Rosstat) in 2013 and 2018 were used as a source of empirical data. They made it possible to identify both the differences and the similarities of women and men with regard to behavior motives concerning certain parameters of a healthy lifestyle, namely physical activities and diet. The authors conclude that, despite the importance of using measures aimed at changing behavior, sustainable overcoming of gender stereotypes depends on the intersection of behavioral and socio-economic determinants of health and healthy behavior.

Oral health promoting activities in schools of three different boards in Pune city - A descriptive study

Aim: The objective was to evaluate and compare the oral health-promoting activities (WHO 5 key points) undertaken in the schools of Pune city belonging to the different boards. Materials and Methods: A descriptive cross-sectional study was conducted from January 2018 to August 2018 among the different board schools in Pune. A total of 50 schools based on quota sampling were selected as follows: Central Board of Secondary Education (CBSE) (n = 17): Indian Certificate of Secondary Examination (ICSE) (n = 5): International Board (n = 1): Cambridge Assessment International Education (n = 1): State Board (n = 26). English medium schools representing the respective board and those willing to give consent for interviews were included in the study. Convenience sampling was used to recruit the required number of schools for data collection. A 5-item checklist was prepared for collecting the information through an interview with the school principals. Approval was obtained from the Scientific and Institutional Ethics committee before starting. Results: Of 50 schools, data were collected from only 44 schools. Among the CBSE schools, 64.7% (n = 11) reported of having oral health policy for the school children, followed by 42.3% (n = 11) of State Board schools. About 100% (n = 17) CBSE and ICSE (n = 1) and 53.84% of State Board schools (n = 15), respectively, were providing the supportive environment to enhance the good oral health. There was no statistically significant difference between CBSE and other boards with regard to school oral health policy (P = 0.19), developing good oral habits (P = 0.52), encouraging children to pass the oral health message to family and community (P = 0.49), and the presence of oral health-care provision (P = 0.19). Conclusion: The school authorities are aware of the dental health problems faced by the children. Some schools are conducting health education programs to educate children about the maintenance of oral hygiene through the involvement of dental colleges and the dentists from the surrounding area. However, they need to emphasize on oral health-promoting concept to incorporate healthy habits to prevent dental diseases at earliest.

A ESTRATÉGIA DE SAÚDE DA FAMÍLIA E O ENFRENTAMENTO À VIOLÊNCIA E FATORES DE RISCO

The Brazilian health movement marked the 1980s and was based on the right of every citizen, on the principles of universality and integrality, with preventive and curative actions integrated into a single decentralized management system: the Unified Health System (SUS). In 1999, the Family Health Strategy was created, differentiating itself by broadening the concept of health promotion and by organizing, orienting, seeking answers and contributing to the health system. This research is qualitative and was based on a bibliographical and documentary survey, in the platforms Google Scholar, Pepsic, Redalyc and Scielo, by means of descriptors: Family Health Strategy, Unified Health System, health promotion, violence and risk factors. After reading the articles, it was observed that the actions of the Health Strategy program can have an effective impact on the living conditions of the population, when they act in the intersectorial dimension with the education and health policies, achieving greater involvement and social participation of the local community. It is possible to say that the field of health becomes viable in a relation between law and social justice.

Nursing Student’s Perception Regarding Health Promotion and Health Education

Background: Promoting health is a key component of nursing practice- By helping nurses change individuals, society and healthcare system by promoting the health of individuals, families, communities and populations. Purpose: The aim of the study is to show the understanding of nursing student’s perception regarding health education and health promotion. Study design: Cross sectional study. Setting: Lahore School of Nursing, the University of Lahore. Duration: 4 months from September 2019 to December 2019. Methodology: this study was done on 135 nursing students selected through convenient sampling method from Lahore School of Nursing, the University of Lahore. Data was collected by modified questionnaire adopted from (Halcomb, 2010) to understand the perception of nursing students regarding health promotion and health education [1]. Results: This study finds out that 90% n=122 participants have positive perception regarding health promotion and health education. Although there were some signs that nursing students were introduced to the concept of health promotion as a socioecological strategy that integrates changes in the economy, policy, organization and climate. This socio-ecological approach was not viewed by the majority of student nurses as having a role modeling faculty or nurses. Conclusion: students nurses to be recognized as future high quality health promoters, collaborates with wellbeing advancement leaders, and effectively teach nursing education. There is a need to made changes in the nursing curriculum to reflect appropriate and accurate health promotion concepts and performed health promoting behaviours which have strong impact on individual health.

Teoría y práctica de la promoción de la salud desde el ejercicio rector en salud

This article states that the responsibility for the exercise of the rectory in health matters lies with Costa Rica in particular and the SICA Region in general with the Ministries of Health. Within that framework, review the concept, but framed in the revision of the terms health and public health, based on the fact that there is a marked conceptual confusion in the matter. The concept of health promotion is also reviewed in light of the theory and practice of social health determination and articulated with the concept of rectory. This has been considered essential to review, since today we talk about health promotion making it practically synonymous with work on lifestyles from health education actions and promotion of physical activity. The importance of understanding the concept in the light of the theory and practice of the rectory of health and the social determinants of health is clarified.

Teaching medical students multi-disciplinary team work through integrated course

Abstract Healthcare reform in Kazakhstan has created a basis for shift from disease centered approach to person and prevention centered healthcare. In order to embrace that agenda, Kazakh National Medical University has developed and implemented project-based course in General practitioners (GP) training program at the internship level. The objective of the program is to acquire skills on work in multidisciplinary teams for health promotion and research. We used project-based learning pedagogical framework for the course. 6 ECTS course was integrated into curriculum of internship in the track of GP training, at the 7th year, for 1 semester. During the course participants were introduced to the theoretical concepts of health promotion and disease prevention program planning, created and implemented their own project. At the end of the course students were required to do a poster presentation. Main outcomes of educational program were that students will (1) gain understanding of health promotion and disease prevention concepts, (2) would be able to implement research skills, (3) and work in integrated multidisciplinary team. To measure results, we disseminated self-administered online based questionnaire for students after the last class (n = 122). Questionnaire consisted of 4 domains: self-development and team work, teaching, context and clinical practice. There were 17 domains that students assessed with 5-point Likert scale, where 1- strongly disagree, 2- disagree, 3- agree to some extent, 4 - agree, 5 - strongly agree. Questionnaire also included 1 open - ended question for overall comments on the course and demographic questions. The response rate was 68,8% (n = 84), overall satisfaction rate was 77.6% (3.88 out of 5), rate on team work and practical work was 86% (4.3) and 83.6% (4.18). Comments of students showed that there is still not enough understanding on integrated person-centered primary healthcare approach and lack of integrated team work at clinical sites. Key messages Education of future general practitioners should include training on teamwork in integrated teams and health promotion. Project based learning helps training multi-disciplinary team work skills not only within students but also in teams at involved sites.

Health Promotion and Emergency Medical Care for All Age Groups Under Conditions of Climate Change

Climate change impacts on the ecosystem services that people rely on, such as water, air, and agricultural products. The quality and quantity of various ecosystem services may be diminished under conditions of extreme climate change. Therefore, the effects of climate change may be expected to threaten people's health and survival. The concept of health promotion includes attention to the environment and emphasizes balance between nature and manmade structures. In addition, health promotion practices and actions in response to climate change emphasize multidisciplinary cooperation and focus on health inequality and vulnerable populations. Therefore, health promotion professionals must have sufficient professional competence in order to manage the multifaceted health impacts of climate change. The purpose of this article is to review the literature on health promotion and emergency medical care under conditions of climate change. Examples are provided to delineate the biological, psychological, social, and spiritual effects of climate change. The results of this literature review may provide community-based health promotion and emergency medical services guidance for further development and improvements. Healthcare professionals are expected to play a central role in managing the impact of climate change in order to achieve health for all.

Effective approaches to health promotion in nursing practice.

This article defines the concept of health promotion and explains why it is essential for nurses to embed health promotion aims and values in their practice. It discusses how health promotion contributes to the improvement and maintenance of population health and contemporary public health agendas in the UK and worldwide. Using several practical activities, this article aims to encourage nurses to identify their own approach to promoting health in their professional role, consider how they can implement 'Making Every Contact Count' with the patients they care for, and enhance the overall effectiveness of their practice.

The Contribution of Complementary and Alternative Medicine to Reduce Antibiotic Use: A Narrative Review of Health Concepts, Prevention, and Treatment Strategies.

Aim The aim of this narrative review was to explore the potential contributions of CAM to reduce antibiotic use. Methods We searched PubMed, Embase, and Cochrane Database of Systematic Reviews with a specific, limited set of search terms and collected input from a group of expert CAM researchers to answer the question: What is known about the contribution of CAM health and health promotion concepts, infection prevention, and infection treatment strategies to reduce antibiotic use? Results. The worldview-related CAM health concepts enable health promotion oriented infection prevention and treatment aimed at strengthening or supporting the self-regulating ability of the human organism to cope with diseases. There is some evidence that the CAM concepts of health (promotion) are in agreement with current conceptualization of health and that doctors who practice both CAM and conventional medicine prescribe less antibiotics, although selection bias of the presented studies cannot be ruled out. There is some evidence that prevention and some treatment strategies are effective and safe. Many CAM treatment strategies are promising but overall lack high quality evidence. Conclusions CAM prevention and treatment strategies may contribute to reducing antibiotic use, but more rigorous research is necessary to provide high quality evidence of (cost-)effectiveness.

The Effect of a Training Program Based on the PRECEDE-PROCEED Model on Lifestyle of Adolescents with Beta-Thalassemia: A Randomized Controlled Clinical Trial

Background: Lifestyle is a key issue in the concept of health promotion. Lifestyle includes all activities that encourage optimum physical, spiritual, and mental functions. The aim of this study was to determine the effect of a training program based on PRECEDE-PROCEED Model on lifestyle of adolescents with beta thalassemia. Materials and Methods: In this clinical trial study, 64 adolescents (age 16-20) who referred to the Thalassemia Center of Ahvaz (2015) were selected and randomly divided into two groups: experimental and control group. The components of the PRECEDE-PROCEED Model were used for planning, implementation and evaluation of the program. Changes in predisposing, reinforcing, enabling factors and lifestyle were immediately and a month after the intervention were assessed by a questionnaire based on PRECEDE-PROCEED Model and the Health-Promoting Lifestyle Profile. Results: The intervention had significantly positive effect on predisposing, enabling and reinforcing factors immediately and a month after the intervention (P < 0.05). Repeated measures analysis of variance showed a significant positive increase in the six dimensions of lifestyle score in the experimental group from baseline to one-month follow-up (P < 0.05). Conclusion: This study showed that the theory-based training program in adolescents suffered from beta thalassemia disease could improve the adolescent's awareness and attitude of healthy lifestyle.

Health promotion perception among health-care providers working in educational hospitals of Isfahan, Iran: A Qualitative study.

BACKGROUND:Although the World Health Organization has emphasized the need for reorientation of hospitals toward health promotion (HP), HP in hospitals of Iran is a new concept. This study investigated the concept of HP among health-care professionals working in educational hospitals of Isfahan, Iran, 2015.METHODS:A descriptive exploratory qualitative approach was employed in this study, with semi-structured interviews to investigate HP concept. The study settings included four selected educational hospitals affiliated to the Isfahan University of Medical Sciences. A purposive sample consisted of 15 health-care professionals who were participated in the study.RESULTS:Most of the participants perceived HP as a concept synonymous to health education and disease prevention. Other meaning attributes to HP were improved quality of life and well-being, clinical practice, individual and group approach to increase health, and holistic view to health. Some empowerment strategies were described by participants, but most of the participants rarely went beyond traditional health education strategy aimed at an individual target. A sizeable number of participants used interchangeably the terms “health promotion” with “prevention,” “health education,” and “hygiene”.CONCLUSIONS:It seems that participants of this study had limited knowledge about HP. Health-care staff have a decisive role for reorienting hospitals toward HP; thus, there is a need for ongoing in-service training for health-care professionals of hospitals to focus on HP.