Experiences Of Health Promotion Research Articles

“Oh I try, but it’s so hard”: parental experiences of health promotion in children withdisabilities

Purpose The purpose of this study was to explore how parents support the health behaviours of their child with a disability, and their motivations for registering their child in a health promotion program for children with physical and/or intellectual disabilities. Methods Using a descriptive qualitative design, semi-structured face-to-face interviews were conducted with individual parents (n = 8) and one group (n = 3) to explore their experiences of health promotion for their child with a disability. Data were analyzed using thematic analysis to identify themes and patterns to develop an understanding of parental perspectives. Results Three themes were identified in the analysis of parents’ experiences supporting their children in health behaviours and registering them in a disability health promotion program: (1) Parents struggle to meet all of their child’s health promotion needs; (2) Parents recognize the social components of healthy behaviours; and (3) Health promotion opportunities tailored for children with disabilities are limited. These themes were not mutually exclusive and had overlapping factors that influenced parental experiences. Conclusion Parents experience many challenges supporting the health behaviours of their children with disabilities. This study reinforces the need for accessible, developmentally appropriate, social health promotion programs for children with disabilities. IMPLICATIONS FOR REHABILITATION Children with disabilities frequently demonstrate significantly higher sedentary behaviours, lower rates of physical activity and consumption of high-fat foods than their typically developing peers. Promoting healthy behaviours such as healthy eating and physical activity among children with disabilities and their families is therefore crucial to the child’s physical and psychosocial wellbeing. Parents of children with disabilities have sufficient health literacy and knowledge but report a lack of appropriate opportunities and strategies to support their child in developing healthy behaviours. Parents need increased availability and accessibility of socially inclusive programs that promote healthy behaviours for children of all physical and cognitive abilities.

Promoção da saúde sexual e reprodutiva de mulheres na perspectiva de gênero: uma ação extensionista

Objetivo: Relatar vivências de promoção da saúde sexual e reprodutiva com mulheres participantes de um projeto extensionista. Métodos: Relato de experiência de uma vivência ocorrida em novembro de 2016 junto às mulheres participantes do projeto de extensão “Mulheres em ação pela saúde e cidadania”, do curso de Enfermagem da Universidade Regional Integrada do Alto Uruguai e das Missões, Campus de Santiago, RS. Tal projeto teve duração de três anos. Utilizaram-se referenciais teóricos de Sexualidade e Gênero. Resultados: A promoção da saúde sexual e reprodutiva de mulheres pode ser enriquecida pelas ações de educação em saúde na perspectiva de gênero, tendo em vista que este enfoque possibilita visualizar o sujeito além das diferenças sexuais. Conclusão: Acredita-se que a atividade transcendeu o modelo tradicional de palestras, isto é, procurou-se valorizar as mulheres incluindo-as como protagonistas de seu próprio autocuidado, resgatando a independência e conhecimentos acerca da sexualidade e gênero.

School Nurses' Experiences of Health Promotion for School-Age Asylum Seekers.

The number of school-age asylum seekers and refugees worldwide is increasing. Health promotion provided by school nurses can be crucial for the well-being of young asylum seekers, yet research on these nurses' experiences is limited. This qualitative study aims to describe school nurses' experiences of providing health promotion to school-age asylum seekers. Semistructured interviews were conducted with 12 school nurses, and inductive content analysis was then used. The results were grouped under the following themes: (1) difficulties in providing health services to school-age asylum seekers, (2) considering the vulnerable circumstances of asylum seekers, (3) the importance of family-centered health promotion, and (4) the importance of time management. School nurses face challenges that stem from individual asylum seekers' unique circumstances, nursing competency, and the school health care system. To deepen the existing knowledge, further research is needed from the perspective of asylum seekers.

How to make smoking prevention work for vulnerable populations: insights from French project DCAP

Abstract Issue Smoking prevention interventions tend to reach with difficulty young people and disadvantaged groups in France. Yet, limited research provides practical evidence detailing tobacco prevention interventions (TPI) aimed at them. Documenting the practical experience of health promotion, social and education workers tackling this issue is therefore crucial. To that end, the French Society for Public Health designed and carries out a project to CAPitalize experiential Data on TPI: DCAP. DCAP Initiated in 2019, DCAP consists in capitalizing, i.e. collecting, documenting and circulating, experiential knowledge from practitioners who implement TPI at the local level for young people and vulnerable people. Goals include building up original knowledge from field actions, documenting how TPI unfold in various contexts and take into account health inequalities, and supporting professional practices. DCAP follows 3 main steps: 1/identifying promising TPI, 2/ documenting selected TPI and the key mechanisms impacting how TPI unfold (context, partnerships, barriers and levers, ethics), 3/ sharing knowledge built up on TPI, via an online portal. Results DCAP will document 40 interventions total. Preliminary results, based on TPI documented in 2019, highlight experiential knowledge built up to face 3 types of Issues 1/building and sustaining partnerships for long-term TPI programs, between health professionals, schools and parents for example, 2/building support for TPI in difficult contexts: prisons, emergency housing, etc. 3/innovating and inventing collective TPI adjusted for disadvantaged groups. Insights also emerge on current trends. For example, programs for young people tend nowadays to favor global approaches to addiction prevention over smoking prevention alone. Lessons Most TPI remain confidential yet form a rich corpus of original and practical evidence other stakeholders can benefit from. Future research projects can also benefit from the data collected through DCAP. Key messages Documenting the practical experience health promotion, social and education workers hold is crucial to share knowledge and implement tobacco prevention interventions that work for vulnerable people. DCAP details key mechanisms in smoking prevention interventions aimed at vulnerable groups in France, including long-lasting partnerships building and innovative collective formats design.

Participation in leisure activities in adolescents with congenital heart defects.

To describe leisure participation in adolescents with congenital heart defects (CHD) and identify factors associated with intensity of participation. Eighty adolescents with CHD were recruited (39 males, 41 females; mean age [SD] 15y 8mo [1y 8mo] range 11y 5mo-19y 11mo) of whom 78 completed the Children's Assessment of Participation and Enjoyment (CAPE) outcome measure of leisure participation. The measure has five subscales: recreational, active-physical, social, skill-based, and self-improvement. Associations between the CAPE and age, sex, and development were examined. Motor ability (Movement Assessment Battery for Children, Second Edition), cognition (Leiter International Performance Scale-Revised), behavior (Strengths and Difficulties Questionnaire), and motivation (Dimensions of Mastery Questionnaire) were assessed. Participants exhibited impaired motor (43.5%), behavioral (23.7%), and cognitive (29.9%) development. The most intense participation was in social (mean [SD] 3.3 [0.99]) and recreational (2.9 [0.80]) activity types on the CAPE. Male sex (p<0.05) and younger age were associated with greater physical activity (<15y: 1.87; ≥15y: 1.31, p<0.05). Greater engagement in social activities was related to better cognition (r=0.28, p<0.05), higher motor function (r=0.30-0.36, p<0.01), and fewer behavioral difficulties (r=-0.32 to -0.47, p<0.01). Cognitive ability (r=0.27, p<0.05), dexterity and aiming/catching (r=0.27-0.33, p<0.05), and behavior problems (r=0.38-0.49, p=0.001) were correlated with physical activity participation. Persistence in tasks, an aspect of motivation, correlated with physical (r=0.45, p<0.001) and social activity involvement (r=0.28, p<0.05). Ongoing developmental impairments in adolescents with CHD are associated with decreased active-physical and social engagement, putting them at risk of poor physical and mental health. Health promotion strategies should be considered. Adolescents with congenital heart defects (CHD) have limited engagement in active-physical leisure activities. Cognitive, motor, and behavioral impairments are associated with decreased participation in leisure in children with CHD. Female sex and older age are associated with less engagement in leisure. Mastery motivation correlates with participation, suggesting an avenue for intervention.

Living in the shadow of unemployment -an unhealthy life situation: a qualitative study of young people from leaving school until early adult life

BackgroundDespite the magnitude of youth unemployment there is a lack of studies, which explore the relations between health experiences and labour market position in various contexts. The aim of this paper was to analyse health experiences among young people in NEET (not in education, employment or training) in relation to labour market position from leaving school until early adult life.MethodThe population consists of everyone (six women, eight men) who became unemployed directly after leaving compulsory school in a town in Northern Sweden. Repeated personal interviews were performed from age 16 until age 33. The interviews were analysed using qualitative content analysis.ResultsHealth experiences can be viewed as a contextual process, related to the different phases of leaving school, entering the labour market, becoming unemployed and becoming employed. Perceived relief and hope were related to leaving compulsory school, while entering the labour market was related to setbacks and disappointments as well as both health-deteriorating and health-promoting experiences depending on the actual labour market position. Our overarching theme of “Living in the shadow of unemployment – an unhealthy life situation” implies that it is not only the actual situation of being unemployed that is problematic but that the other phases are also coloured by earlier experiences of unemployment .ConclusionA focus on young people’s health experiences of transitions from school into the labour market brings a new focus on the importance of macroeconomic influence on social processes and contextualised mechanisms from a life-course perspective.

EXPECTATIONS, ROLES, AND EXPERIENCES OF GRANDPARENT-CAREGIVERS OF CHILDREN WITH RARE DISEASE

Grandparenting can be a rewarding and health-promoting experience for older adults. However, grandparent-caregivers often experience greater stress and poorer health relative to non-caregiving grandparents. Further, little is known about grandparents caring for a child with a rare, chronic illness. This study aimed to extend knowledge of the expectations, roles, and experiences of grandparents providing care to a child affected with an inherited metabolic condition. The sample included 23 grandparent-mother dyads from the Inherited Diseases, Caregiving, and Social Networks Study. The grandparent sub-sample ranged from 49 to 79 years of age (Mage = 64), the majority were female (83%) and married (74%), and almost half (48%) were retired. Social network assessments were analyzed to determine concordance between mother- and grandparent-reports of grandparents’ role in the child’s caregiving network. Fifteen mother-grandparent dyads (65%) agreed on grandparents’ role in the child’s network, with the majority of those (93%) considering the grandparent to be very close and important (versus less close or excluded from the caregiving network). Grandparents whose self-reports of their role in their child’s caregiving networks were consistent with mother-reports appeared more likely to report that they spend enough time caregiving than those whose reports were inconsistent. Content analysis of grandparents’ interviews provided supporting information about the joys and regrets of their grandparenting experience and perspectives on caregiving expectations. This research leverages multi-informant social network and qualitative data to illuminate grandparents’ role in the caregiving networks of chronically ill children and adaptation to non-normative grandparenting experiences.

Nurses’ Experiences of Health Promotion and Prevention of Cardiovascular Diseases Related to Smoking

Nurses’ Experiences of Health Promotion and Prevention of Cardiovascular Diseases Related to Smoking

Engaging \u2018hard to reach\u2019 groups in health promotion: the views of older people and professionals from a qualitative study in England

BackgroundOlder people living in deprived areas, from black and minority ethnic groups (BME) or aged over 85 years (oldest old) are recognised as ‘hard to reach’. Engaging these groups in health promotion is of particular importance when seeking to target those who may benefit the most and to reduce health inequalities. This study aimed to explore what influences them practicing health promotion and elicit the views of cross-sector professionals with experiences of working with ‘hard to reach’ older people, to help inform best practice on engagement.Methods‘Hard to reach’ older people were recruited through primary care by approaching those not attending for preventative healthcare, and via day centres. Nineteen participated in an interview (n = 15) or focus group (n = 4); including some overlaps: 17 were from a deprived area, 12 from BME groups, and five were oldest old. Cross-sector health promotion professionals across England with experience of health promotion with older people were identified through online searches and snowball sampling. A total of 31 of these 44 professionals completed an online survey including open questions on barriers and facilitators to uptake in these groups. Thematic analysis was used to develop a framework of higher and lower level themes. Interpretations were discussed and agreed within the team.ResultsOlder people’s motivation to stay healthy and independent reflected their everyday behaviour including practicing activities to feel or stay well, level of social engagement, and enthusiasm for and belief in health promotion. All of the oldest old reported trying to live healthily, often facilitated by others, yet sometimes being restricted due to poor health. Most older people from BME groups reported a strong wish to remain independent which was often positively influenced by their social network. Older people living in deprived areas reported reluctance to undertake health promotion activities, conveyed apathy and reported little social interaction. Cross-sector health professionals consistently reported similar themes as the older people, reinforcing the views of the older people through examples.ConclusionsThe study shows some shared themes across the three ‘hard-to-reach’ groups but also some distinct differences, suggesting that a carefully outlined strategy should be considered to reach successfully the group targeted.

Occupational Health Nurses Promote Oral Health

Oral diseases are the most common, non-communicable diseases that affect people over their lifetime. These diseases often cause pain, discomfort, and defects, and may even lead to death. The 2016 Global Burden of Disease Study estimated that oral diseases affect half of the world's population, with dental caries in permanent teeth being the most prevalent condition assessed. Severe periodontal disease, which may result in tooth loss, was estimated to be the 11th most prevalent disease globally. However, periodontal disease occurs mostly in adults, and strengthening tooth cleaning habits is the most effective method of prevention. Adults spend one-third of their time in the workplace. Thus, workplace health promotion is very important for adults. However, oral health promotion programs in Taiwan's workplace are scarce. This article examines the health promotion experiences and recommendations of occupational health nurses. The findings may provide a reference for occupational health nurses in general.

웰니스관광 개념모형 개발

The purpose of this study was to define wellness tourism from a philosophical and theoretical background on wellness, to clarify the categories of wellness tourism, and to draw its conceptual model. For that purpose, the relationship with related concepts such as medical tourism, healing tourism, and spiritual tourism in the category of health tourism for health enhancement was defined, and the category of wellness tourism was illustrated. Wellness is a new paradigm for health, a process of realizing its potential as a state of integrated physical, emotional, intellectual, spiritual, and social health, and can be defined as a lifestyle to reach an ultimate optimal state of well-being. Therefore, wellness can be seen as a general self-concept of health as a higher-level concept that integrates the domain of health. Wellness tourism is widely considered as a subfield of health tourism, a form of special interest tourism for health motivation. It can also be narrowly defined as a tourism activity that enhances health through physical, emotional, intellectual, spiritual, and social wellness enhancement and excludes medical tourism focused on the treatment of diseases. Wellness tourism can be a wellness lifestyle to reach an optimal state of well-being through not only hedonic experiences of physical health promotion, relaxation, and stress reduction, but also eudaimonic experiences of reflecting on life, the restoration of social relationships, and interaction with nature.

Autonomia no campo da saúde mental: uma revisão da literatura nacional

Este estudo teve como objetivo analisar as definições utilizadas para autonomia em saúde mental nos anos de 2014 e 2015 no Brasil. Foi realizada revisão bibliográfica nas bases de dados eletrônicas PubMed, Lilacs e SciELO. Das 25 referências, 12 atenderam aos critérios de inclusão e compuseram a síntese do trabalho. Os textos vinculam o conceito de autonomia ao exercício da cidadania e do conhecimento de direitos, reforçando a necessidade de valorização do sujeito, ampliando a capacidade de compreenderem e atuarem sobre si mesmos, assumindo responsabilidades sobre sua vida. Conclui-se que a autonomia restitui o cuidado da própria saúde, proporciona a reinserção social e a oportunidade de novas experiências promotoras da saúde.

Men's views and experiences of infant feeding: A qualitative systematic review.

Although the advantages of breastfeeding are well documented, rates for breastfeeding often fall short of international and national targets. Increasing attention has been paid to the role of men in infant feeding, but a lot of the research about men has been elicited from women, rather than from men themselves. To explore these issues further, a systematic review of the qualitative research on infant feeding was carried out, focusing specifically on men's own views and experiences. Evidence was identified by searching electronic databases (CINAL, Cochrane, PubMed, and Scopus), manually searching citations, and by searching the grey literature. Studies were included in the review if they discussed men's views and experiences of infant feeding and if they reported primary qualitative data. Twenty research papers were included in the review, and each study was summarised and then analysed thematically to produce a synthesis. Five major analytical themes were identified: men's knowledge of infant feeding; men's perceptions of their role in infant feeding; positive views on breastfeeding; negative views on breastfeeding; and men's experiences of health promotion and support. The review concludes by highlighting that although men can play an important role in supporting women, they do not have a significant role in infant feeding decisions.

Narrative Medicine, Healing and Salutogenesis: Contrasting meta-narratives

While narrative medicine “fortifies clinical practice with the narrative competence to recognize, absorb, metabolize, interpret, and be moved by stories of illness”, (www.narrativemedicine.org), the role of healing in clinical narratives has yet to be considered. Salutogenesis, defined by the late Anton Antonovsky, is the ‘creation of health and the fostering of healing’ where healing does not simply address reversal of disease but emphasizes health-promoting experiences and behaviors as distinct and differentiated from the illness perspective. This contrast between illness and healing offers an opportunity to consider a deeper meta-narrative (identity stories that confer legitimacy on what we do) – that can significantly broaden and likely add to the impact of narrative medicine. In this 45-minute workshop, Drs. Kreisberg and Huffaker will guide participants through two narrative exercises – the first, an illness narrative, and second, a healing narrative. By introducing Antonovsky’s perspective on healing, participants will gain an awareness of a deep and widespread meta-narrative comparison that has yet to be articulated in narrative medicine. In contrasting these meta-narratives, it is suggested that work has yet to be done to fully explore the potential for healing narratives in narrative medicine. They can afford the exploration of stories far beyond the bio-medical illness paradigm and introduce the likelihood that including both illness and healing stories offers an enriched potential for narrative elements of whole person care.

Health Academies Program and the promotion of physical activity in the city: the experience of Belo Horizonte, Minas Gerais state, Brazil.

The objectives of this study were to describe the history and evaluation methodology of the Brazilian Health Academy Program (PAS) in Belo Horizonte, MG and discuss it as an experience of health promotion and equity. Data from 4,048 non-users (2008-09) and 402 users (2014-15) were analyzed from two cross-sectional surveys. Socio-demographic profile and level of physical activity were described for both groups. Social interaction, satisfaction with life, quality of life, and social organization in the neighborhood were compared between < 3 and ≥ 3 monthly minimum wages income and conducted only for women aged 40 years and older . Chi-square test of Person was performed (p ≤ 0.05). Prevalence of leisure-time physical activity among non-users was of 30.2% and users of 53.7%. Better perception of quality of life, positive satisfaction with life, greater social interactions and participation in the neighborhood were observed among women with higher income compared to their counterparts (p < 0.001). In turn, for all evaluated constructs, users reported better perception of the lower income group. The PAS has opportunized physical activity to the vulnerable population and seems to act on other outcomes besides the lifestyle.

Assessing Capacity of Faith-Based Organizations for Health Promotion Activities.

Faith-based organizations (FBOs) are important venues for health promotion, particularly in medically underserved communities. These organizations vary considerably in their structural capacities, which may be linked to variability in implementation success for health promotion initiatives. Lacking an existing validated assessment of organizational capacity specific to FBOs, an initial prototype assessment was developed. The Faith-Based Organization Capacity Inventory (FBO-CI) assesses three structural areas of capacity: Staffing and Space, Health Promotion Experience, and External Collaboration. The multidisciplinary team, including FBO leaders, codeveloped the initial instrument. The initial reliability from a convenience sample of 34 African American churches including descriptions of FBOs representing three capacity levels is reported. The FBO-CI demonstrated feasibility of administration using an in-person interview format, and the three subscales had acceptable internal reliability (α ~ .70). Most churches had an established health ministry (n = 23) and had conducted activities across an average of seven health areas in the previous 2 years. This initial FBO-CI prototype is promising, and future work should consider validation with a larger sample of churches and domain expansion based on the conceptual model. The FBO-CI has a number of potential uses for researchers, FBO leaders, and practitioners working with FBOs in health promotion initiatives.

A Model to Integrate Health Promotion and Wellness in Physical Therapist Practice: Development and Validation.

Globally, physical therapy professional organizations have called for physical therapists to perform lifestyle behavior management during customary care, or health-focused care, due to increasing morbidity and mortality related to noncommunicable diseases. Given the potential for health-focused care to improve health outcomes, physical therapists should integrate health promotion into their daily clinical practice. A clinical model that illustrates necessary steps to deliver health-focused care would be helpful to educate present and future physical therapists. The purpose of the study was to develop and validate the Health-Focused Physical Therapy Model (HFPTM) for physical inactivity and smoking. The authors used a mixed method approach. The preliminary model was informed by previous research and the investigators' shared experience in health promotion and physical therapy. An interdisciplinary group of health professionals provided input into the preliminary model by way of a World Café format. Eight physical therapists with health promotion and education expertise then engaged in a Delphi process to establish content validity. World Café participants indicated that: (1) physical therapists are well positioned to engage in health promotion and wellness, and (2) the model facilitates interdisciplinary collaboration and consultation. Delphi process participants reached majority consensus in 1 round. The average model content validity index (CVI) was .915 for physical inactivity and .899 for smoking. Agreement concerning the model schematic was 88% for either behavior. Investigators made few editorial changes after the Delphi process. Limitations of this study include using only 2 unhealthy lifestyle behaviors for testing, and performing the testing in a nonclinical setting. An interdisciplinary group of health professionals believes that physical therapists should practice health-focused care and that the HFPTM is a valid model. This model could help physical therapist educators when educating physical therapist students and clinicians to practice health-focused care.

University Worksite Health-promotion Programs: An Opportunity for Experiential Learning

Worksite health-promotion programs (WHPPs) are prevalent in a variety of worksite settings, including universities, due to their numerous individual health and organizational benefits. Simultaneously, WHPPs provide many employment opportunities for kinesiology graduates. However, few students graduate with applied experience in worksite health promotion. The purpose of this article is to provide details on an innovative WHPP called the “Workplace Walk-off Challenge” (WWC), in which undergraduate kinesiology students are involved at all stages of the program in order to provide a valuable experiential education opportunity. The WWC is an annual, six-week walking competition open to all employees at a small California university. Employees assemble into teams of five and track steps with the use of pedometers. The WWC also includes several events, lunch-and-learns, and awards and prizes. Kinesiology students assist in designing, implementing and assessing the WWC as part of their learning experience in the Worksite Health Promotion course.

Experiencias de promoción de la salud en escuelas de nivel primario en México

Experiencias de promoción de la salud en escuelas de nivel primario en México

A Pedagogic System of Implementing the Principle of Life and Health Priority of Students at a Rural General Education School

Theoretical, methodological and technological aspects of establishing a pedagogic system to implement the principle of health and life priority of students at a rural general education school are discussed in the paper. The health culture, being a part of the integral personal culture is considered a basic pre-condition for establishing the healthy lifestyle in the conditions of interaction and interinfluence of the man-society system, and, if applied to the educational system, the ‘learner – general education institution – socium around’. This paper justifies basic methodological requirements to developing a pedagogic system to implement the principle of health and life priority of students at a country general education, comprising the following: a) creating an educational space of the rural school as an existence space of the students in the conditions of actualization and involvement of social institutions to enrich the space with the ideas of conserving and improving health; ensuring their unidirectional effect on the students for the purpose of the systemic effect; b) establishing a pedagogic technique, aiming at students’ health conservation and direction; cultivating health culture of subjects of the educational space includes teaching, educational and sports and health promotion blocks. The paper discloses social and cultural, political, and socioeconomic factors of the country as an existence space of the students, discovers cause-and-effect relations between the absence of experience in education and health promotion in order to conserve and improve health not only of the students, but of all subjects of the educational space within the country (teachers, parents, and fellows) and the level of culture of the students. Comparison of own-generated data and data obtained by the authors earlier, while actualizing social, organizational and pedagogic conditions and methodological approaches to building the students’ health culture were used; an agreement of research findings in terms of quality with the findings presented in the pedagogic works on the subject matter, and also works on individual techniques and technologies of building the health culture in the conditions of the general education school was established. DOI: 10.5901/mjss.2015.v6n5s1p44