Implementation Of Health Promotion Programs Research Articles

Application of an implementation premortem: A novel qualitative approach leveraging prospective hindsight to enhance barbershop health interventions for Black men.

Barbershop-based efforts to promote health among Black men have been uniquely successful. Despite the success of these efforts, the emphasis on outcomes as opposed to how these outcomes can be achieved has created a gap in the literature. The present study addresses this gap by describing implementation-related program priorities that Black men identify for barbershop-based interventions. Twenty-three Black men participated in implementation premortem activities. Participants were: (i) given details about a barbershop-based health promotion effort, (ii) told that the effort had failed, and (iii) were asked to identify potential sources of program failure and strategies to overcome those challenges. The frequency of program priorities was calculated based on the Exploration, Preparation, Implementation, and Sustainment (EPIS) Framework, and focus group data were analyzed using an inductive thematic qualitative data analytic approach. Data analyses occurred in three phases: (i) excerpts were grouped by Phase, Domain, and Construct of the EPIS Framework; (ii) themes within each excerpt were then identified using an inductive approach; and (iii) themes were organized into conceptually similar and parsimonious categories. Participants suggested that the biggest source of program failure was that more attention needed to be paid to Program Fit during the Implementation Phase. Participants reported concerns with the accessibility and convenience of the effort. Additional participant concerns included economic issues, community ownership, climate, staffing processes, cultural sensitivity, engagement, and trust. The implementation of health promotion programs for Black men should pay particular attention to how the intervention fits the needs, lives, and contexts of potential participants.

A Workplace Physical Activity Intervention and a Smartphone App for Overweight and Obese Sedentary Women.

The sedentary aspects of many U.S. occupations and the amount of time American workers spend in the workplace make it an ideal location to implement health promotion programs. This study assessed the effectiveness of a free smartphone app with a goal-setting feature to increase physical activity (PA) and impact anthropometric, body mass (BM), and body composition (BC) changes among overweight and obese women within a community health workforce. Eighteen overweight and obese (body mass index [BMI] = 32.18 ± 4.48 kg/m2), adult (50.73 ± 8.76 years), female volunteers, tracked daily steps with a free smartphone app (StridekickTM) over an 8-week period. Pre- and post-program body composition (BC) measurements included: relative (%) body fat (BF), fat mass (FM), fat-free mass (FFM), and lean mass (LM), using dual X-ray absorptiometry (DEXA scan), and five anthropometric measurements (biceps, waist, abdomen, hips, and thigh). Pre- to post-program average daily steps resulted in significant anthropometric changes for biceps, hips, and thigh measures, with encouraging changes in FFM, LM, and relative (%) BF. The goal-setting feature of the app did not result in significant differences between the experimental and control groups. No differences were noted in FM, BMI, waist, and abdomen or step goals compared with steps completed. An occupational PA health promotion intervention program that tracked daily steps through the StridekickTM smartphone app resulted in anthropometric, BM, and BC changes. The workplace is an ideal location to affect change in health behaviors via a free smartphone app to increase PA and improve health.

Sleep Quality and its Associated Factors among Nurses in a Tertiary Care Public Hospital in Puducherry District: A Cross-sectional Study.

Adequate sleep is essential for human beings to maintain optimal health. Medical professionals, including nurses, work in stressful environments that could affect their sleep quality. The objective of this study was to determine the prevalence and the factors associated with poor sleep quality among nurses in a tertiary care public hospital. This cross-sectional analytical study was conducted on 1217 nurses aged between 21 and 60 years from May 2019 to April 2020 in a tertiary care public hospital in Puducherry. Sleep quality was assessed using the Pittsburgh sleep quality index scoring system, and the workplace stress scale was used to assess workplace stress. The Chi-squared test and adjusted Prevalence Ratio (aPR) were used to determine the factors associated with poor sleep quality. The response rate was 99% (1217/1229), and three-fourths of the participants were women (943, 77.50%). The mean (SD) PSQI score was 4.49 (2.98), and more than one-third of participants, 42.80% (95% CI: 40.10-45.70), had poor sleep quality. The prevalence of poor sleep quality was significantly higher among women (z = 2.33, p = 0.019) aPR (95% CI): 1.08 (1.01-1.16), those having severe to dangerous levels of workplace stress (z = 8.22, p > 0.001) aPR (95% CI): 1.54 (1.39-1.71) and chronic pain (z = 2.11, p = 0.016) aPR (95% CI): 1.09 (1.02-1.17). The prevalence of poor sleep quality among the study population was high. This highlights the urgent need for implementing health promotion programs among nurses.

Enhancing stunting prevention: Health promotion at Bandarharjo Health Center

Stunting is a serious public health problem that affects child growth in many countries. Health promotion programs are a key strategy for raising awareness and encouraging behavioral change to address stunting. This study aimed to analyze the implementation of health promotion programs to prevent stunting. The research design was qualitative with a case study method, and information was collected through in-depth interviews with 13 informants at Bandarharjo Community Health Center (PHC) from October to December 2023, and then analyzed through a series of stages: collection, reduction, presentation, and conclusion drawing. Results: In terms of human resources, Integrated Service Post (ISP) cadres have not received equal training in the use of anthropometric tools. Educational media, such as posters and flip sheets, are not provided to cadres for use. Facilities and infrastructure at the ISP for toddlers are inadequate. After the Covid-19 pandemic, the implementation of health promotion strengthened and improved. Increased training for program holders and cadres to improve competence. Educational media have not been fully optimized to convey information about stunting to program targets. Some areas do not have ISP buildings. After the pandemic, the focus of the program implementation was more oriented towards health promotion. Increased supervision is required in health promotion programs to prevent stunting.

School Health Promotion, the Body Mass Index z-Score, and Psychosocial Health in Primary Schools of the Netherlands.

Childhood overweight and psychosocial issues remain significant public health concerns. Schools worldwide implement health promotion programs to address these issues and to support the physical and psychosocial health of children. However, more insight is needed into the relation between these health-promoting programs and the Body Mass Index (BMI) z-score and psychosocial health of children, while taking into account how school factors might influence this relation. Therefore, we examined whether the variation between primary schools regarding the BMI z-score and psychosocial health of students could be explained by school health promotion, operationalized as Healthy School (HS) certification, general school characteristics, and the school population; we also examined to what extent the characteristics interact. The current study had a repeated cross-sectional design. Multilevel analyses were performed to calculate the variation between schools, and to examine the association between HS certification and our outcomes. Existing data of multiple school years on 1698 schools were used for the BMI z-score and on 841 schools for psychosocial health. The school level explained 2.41% of the variation in the BMI z-score and 2.45% of the variation in psychosocial health, and differences were mostly explained by parental socioeconomic status. Additionally, HS certification was associated with slightly lower BMI z-scores, but not with psychosocial health. Therefore, obtaining HS certification might contribute to the better physical health of primary school students in general. This might indicate that HS certification also relates to healthier lifestyles in primary schools, but further research should examine this.

Body Mass Index, Adherence to a Healthy Lifestyle, and Breakfast Consumption Associated with Religious Affiliation in Peruvian University Students: A Cross-Sectional Study.

Despite evidence suggesting a relationship between religiosity and health habits, there is a paucity of studies specifically examining this association in the context of Peruvian university students. This study compared body mass index (BMI), adherence to a healthy lifestyle, and breakfast consumption in Peruvian university students of four religious denominations: Seventh Day Adventists (SDA), Catholics, Baptists, and Evangelicals. A cross-sectional study was conducted online among 4557 students from a Peruvian university. The BMI and the frequency of breakfast consumption were evaluated, and the Diet and Healthy Lifestyle Scale (DEVS) was applied. The variables studied were associated using simple and multiple linear regression and Poisson models with robust variance. Baptist (B = 0.44, 95% CI: 0.10-0.78; p = 0.011), Catholic (B = 0.3, 95% CI: 0.12-0.47; p = 0.001), and Evangelical (B = 0.32, 95% CI: 0.09 to 0.64; p = 0.014) students had a significantly higher BMI compared to SDA. Baptist (B = -0.2, 95% CI: -0.37--0.05; p = 0.017) and Evangelical (B = -0.13, 95% CI: -0.28--0.03; p = 0.012) students exhibited a lower mean score on the measure of healthy lifestyles compared to SDA students. Additionally, Baptist (PR = -0.32, 95% CI: -0.92--0.12; p = 0.035) and Catholic (PR = -0.3, 95% CI: -0.99--0.19; p = 0.016) students exhibited a lower probability of eating breakfast regularly compared to SDA students. Health professionals should consider these findings when designing and implementing health promotion programs that are culturally sensitive and respectful of the beliefs and practices of all religious groups in university settings.

Using the consolidated framework for implementation research to identify church leaders’ perspectives on contextual determinants of community-based colorectal cancer screening for Black Kentuckians

BackgroundBlack Kentuckians experience more deleterious colorectal cancer (CRC) outcomes than their White counterparts, a disparity that could be reduced by increased screening in Black communities. Previous research has shown that Black Kentuckians may not be equitably informed of different CRC screening options by health care providers, making community-based screening a potentially effective option among this disparate population. We used the Consolidated Framework for Implementation Research (CFIR) to identify church leaders’ perspectives of contextual factors that might influence community-based screening and explore the feasibility of using church-based screening outreach.MethodsSix participants were selected, based on leadership roles and interest in CRC screening, from five established Louisville-area church partners that had previously participated in community health initiatives. Data were collected, both virtually and in-person, in Summer 2021 using semi-structured interview guides developed with guidance from the CFIR Guide that focused on domains most relevant to community-based interventions. Data were transcribed verbatim, coded by two independent researchers, and member checked for accuracy.ResultsData were aligned primarily with six CFIR constructs: key stakeholders, champions, opinion leaders, tension for change, compatibility, and culture. Participants noted a strong tension for change in their community due to perceptions of inadequacy with clinical approaches to CRC screening. Additionally, they stressed the importance of identifying individuals both within the church who could champion CRC screening and help implement program activities, as well as those outside the church who could collaborate with other local organizations to increase participant reach. Finally, participants agreed that faith-based CRC screening aligned with church culture and would also likely be compatible with overall community values.ConclusionsOverall, our church partners strongly endorsed the need for, and importance of, community-based CRC screening. Given a history of successful implementation of health promotion programs within our partner churches, it is highly likely that a CRC screening intervention would also be effective. Findings from this study will be used to identify implementation strategies that might positively impact a future faith-based CRC screening intervention, as well as CFIR constructs that are most positively associated with CRC screening completion.

Completion and predictors of maternity continuum of care among women in the post-partum period in Gedeb district, southern Ethiopia: A community based cross-sectional study.

Maternal and neonatal complications related to pregnancy and childbirth pose a significant risk of morbidity and mortality to both the mother and the child. Despite its benefits in reducing maternal and neonatal mortality and morbidity associated with pregnancy and childbirth, the majority of Ethiopian mothers were dropped from the maternal continuum of care. Furthermore, there is a dearth of data regarding the status of the maternal continuum of care and its underlying factors in southern Ethiopia. This study aimed to assess the completion of the maternity continuum of care and its predictors among postpartum women who had given birth in the previous six months in the Gedeb district of Gedio Zone, southern Ethiopia. A community-based cross-sectional survey was conducted among 625 postpartum women selected by simple random sampling from June 1 to 30, 2022. The data was collected through face-to-face interviews using pretested, structured questionnaires. The association between the explanatory variables and the maternity continuum of care was examined using bivariate and multivariable logistic regression models. The adjusted odds ratio (AOR) with a 95% confidence interval was employed to measure the strength of association and the level of significance was set at p<0.05. In this study, only 32.00% (95% CI: 28.45, 35.77) of the women completed the maternal continuum of care. Attending primary education (AOR = 2.09; 95% CI: 1.23, 3.55), secondary and above education (AOR = 1.97; 95% CI: 1.01, 3.87), receiving counseling during ANC (AOR = 1.89; 95% CI: 1.22, 2.92), being well prepared for birth and complications readiness (AOR = 4.13; 95% CI: 2.23, 7.62), and having good knowledge of pregnancy danger signs (AOR = 4.13; 95% CI: 2.60, 6.55) were all significantly associated with completing the maternity continuum of care. Nearly one-third of the women completed the maternity continuum of care. Enhancing women's knowledge, offering counseling during prenatal visits, ensuring women's awareness of pregnancy danger signs, and implementing health promotion programs targeted at enhancing birth preparedness and complications readiness for all are crucial.

Spatial Clusters of High Prevalences of Overweight and Obesity Among Children in Indonesia.

Objective Childhood obesity has emerged as a pressing health concern in both high-income and lower-middle-income countries, including Indonesia. The prevalence of overweight and obesity among school children aged 5-12 years has been increasing in Indonesia, with 20% of Indonesian children identified as obese or overweight in 2018. Therefore, addressing this problem will be challenging. This study aims to identify district- and city-level clusters with high prevalences of overweight and obese children aged 5-12 years in Indonesia. Methodology This is an ecological study that utilizes secondary data from the 2018 Basic Health Research report conducted by the Indonesian Ministry of Health. We included 514 districts and cities to detect district- and city-level clusters. Spatial cluster analysis was performed using restricted flexible scan statistics to identify clusters with high prevalences of childhood overweight and obesityin Indonesian districts and cities. Results The findings reveal that childhood overweight and obesity are not randomly distributed. The study detected 20 clusters with high prevalences of childhood overweight and 36 clusters of obesity, with a particular concentration in Western Indonesia. A primary cluster of childhood overweightoccurred in Sijunjung, Tanah Datar, Agam, Pasaman, South Solok, Dharmasraya, West Pasaman, Sawah Lunto City, Padang Panjang City, and Kampar. A primary cluster of obesity occurred in Mandailing Natal, South Tapanuli, Central Tapanuli, North Tapanuli, Labuhan Batu, North Padang Lawas, Padang Lawas, North Labuhan Batu, West Pasaman, and Rokan Hilir. Conclusions This study found 20 clusters with high prevalences of childhood overweight and 36 clusters of obesity in Indonesia. Implementing health promotion programs in the identified cluster regions will be crucial to effectively addressing the growing problem of childhood obesity in Indonesia.

산불 특수진화대의 업무 만족 실태 분석 및 개선방안 연구

In recent years, the global escalation and prolonged nature of wildfires have exacerbated challenges in recruiting and retaining wildland firefighters, leading to increased job aversion and turnover rates. To address this issue, the U.S. Department of the Interior and the Forest Service have actively conducted surveys and research to improve the duties and well-being of wildland firefighters, expanding specialized training, increasing wages, and implementing health promotion programs through additional budget allocation for wildfire management. However, domestically, there is a lack of comprehensive research on the job satisfaction and appropriateness of organizational structures for wildland firefighters. This study analyzes job satisfaction among domestic wildland firefighters through a survey (correlation analysis, one-way ANOVA, independent sample t-tests, regression analysis, etc.) and proposes solutions for identified issues by referencing U.S. wildfire management policies. Recommendations focus on enhancing the treatment and job satisfaction of domestic wildland firefighters.

Health Educations about Steps for early Breastfeeding on Successful Breastfeeding in Post-Partum Mothers in the Kampak Health Center Area, Trenggalek Regency

The ineffective implementation of health promotion programs is one of the factors influencing exclusive breastfeeding coverage. The behavior of giving exclusive breast milk will emerge after there is socialization about the importance of giving exclusive breast milk to pregnant and breastfeeding mothers. The aim of the research is to determine the effect of health education regarding early breastfeeding steps on the success of breastfeeding in post-partum mothers in the Kampak Community Health Center area, Trenggalek Regency. Research designs is quasi – experimental with a plan one group pretest-posttest. The research population was all post-partum mothers in the Kampak Trenggalek Community Health Center area, an average of 35 people per month. Using sampling technique accidental sampling with a sample of 31 people. Independent variable is health education regarding initial breastfeeding steps, dependent variable is breastfeeding success in post-partum mothers. Data was taken using an observation sheet instrument and analyzed using statistical tests Wilcoxon signed rank. The results of the research were obtained before health education was carried out regarding the steps for initial breastfeeding, all respondents were unsuccessful in breastfeeding, as many as 31 respondents (100%) while after health education was carried out regarding the steps for initial breastfeeding, the majority of respondents were successful in breastfeeding, as many as 22 respondents (71%) . There is an influence of health education about the steps for early breastfeeding on the success of breastfeeding in post-partum mothers in the Kampak Community Health Center area, Trenggalek Regency, where the results of statistical tests Wilcoxon signed ranks test obtained p value 0.000 &lt; 0.05. Health education can increase breastfeeding success, so that health education influences breastfeeding success. Providing health education about early breastfeeding will help post-partum mothers to breastfeed properly so that breastfeeding success will be achieved.

Gambaran Lifestyle Behavior, Strategi Koping dan Subjective Well-being Remaja Selama Pandemi Covid-19 di Kota Banda Aceh

Introduction: Adaptation to new situations caused by the Covid-19 pandemic limits adolescents' spaces in performing daily routines. This limitation also impacts their subjective well-being. Subjective well-being relates to lifestyle behavior and coping strategies. Therefore it is essential to assess in defining appropriate nursing interventions for adolescents. This study aimed to describe lifestyle behavior, coping strategies, and subjective well-being during the Covid-19 pandemic in Banda Aceh City. Methods: This study employed a descriptive exploratory design with a cross-sectional approach, involving 168 adolescents selected by snowball sampling. Data was collected by using a self-report questionnaire distributed by google form.Results: The study findings show that most of the adolescents tried to obey the regulations during the Covid-19 pandemic (63.1%); few of the respondents planned their daily routines (19.0%); were involved in different activities (10.7%), and only a few who do physical activity regularly (21.4%). Adolescents often shared their feelings (31.5%) and reviewed their relationships with their families (38.7-42.3%). In terms of social and school interactions, adolescents maintained contact with their friends and teachers (35.1-43.5%). The adolescents maintained school obligations at home (49.4%), and this period did not affect their educational path (50.0%). In addition, most adolescents reported slight changes in subjective well-being (41.1%) and mild anxiety (38.1%). Discussion/Suggestion: This study highlights several conditions that need consideration from relevant stakeholders, including community health nurses or school health nurses, in designing interventions to prevent poor lifestyle behaviors and improve adolescents' adaptive coping and subjective well-being. Consequently, nurses should collaborate with families, school boards, public health centers, district health offices, and other government sectors in implementing health promotion programs for adolescents during the Covid-19 pandemic, particularly in improving lifestyle behaviors, adaptive coping, and subjective well-being.

An in-person and technology-implemented holistic health promotion program for older Black adults in low-income communities

The COVID-19 pandemic halted many in-person programs of research and required researchers to pivot to technology-enhanced approaches. To date, there are no examples or guidelines on how to use technology to implement health promotion programs rooted in the community-based participatory research (CBPR) model among low-income older Black adults. The aims of this paper are (a) to describe and report on the health-related outcomes of an in-person CBPR model-based health promotion intervention program for older Black adults in a low-income community, and (b) to describe the process of adapting this program to a technology-enhanced and Zoom-delivered format and provide preliminary evidence on the health-related outcomes and acceptability of this program. This paper highlights the potential benefits of a technology-enhanced and Zoom-delivered health promotion program among low-income older Black adults and provides recommendations to optimize such efforts to foster these benefits. These recommendations are aligned with the four domains of the CBPR model (i.e., contexts, partnership processes, intervention and research, and outcomes). We conclude that CBPR model-based, technology implemented health promotion interventions for low-income older Black adults are acceptable to such adults and should attend to the values, perspectives, and preferences of these individuals. The information in this manuscript is relevant to health promotion specialists at this seemingly ongoing though post-pandemic era because technology-enhanced interventions are scalable and cost-effective and those anchored in CBPR are well-positioned to promote health equity.

Association between Socioeconomic Position of the Family and Adolescent Obesity in Germany-Analysis of the Mediating Role of Familial Determinants.

Obesity's negative impact on young people's health has long been known. The family and its socioeconomic position (SEP) are key determinants in adolescent obesity. However, understanding which familial determinants explain the association remains limited. The analyses are based on data from the "German Health Interview and Examination Survey for Children and Adolescents" (KiGGS) (1,384 females and 1,332 males aged 11 to 17 years). Logistic regression models explored how familial determinants (family stress, family cohesion, parental smoking, parental sporting activity, and parental overweight) mediated the association between family SEP (parental education, occupational status, and household income) and adolescent obesity. Significant total effects for the associations between family SEP in childhood and adolescent obesity were found. Splitting the total effect of the family SEP on obesity into direct and indirect effects, all direct effects turned out to be significant. However, all associations involved also indirect effects of familial determinants, except for household income for female adolescents. Parental smoking and overweight were the most relevant mediators for males and females. For male adolescents, parental sporting activity additionally mediated the association between SEP and obesity. A low SEP in childhood was associated with adolescent obesity. Parental health and health behaviors partly explained the association. For increasing health equality in adolescent health, the consideration of parental health behavior in the planning and implementation of health promotion programs seem to be important.

Analysis of Formation and Implementation of Health Promotion Programs at Dr. Moewardi Hospital Surakarta

Analysis of Formation and Implementation of Health Promotion Programs at Dr. Moewardi Hospital Surakarta

Prevalence and associated factors of non-communicable chronic diseases among university academics in Jordan.

The increasing prevalence of non-communicable chronic diseases on a global, regional, and local scale demonstrates the extensive impact of these diseases, which now account for 70% of all worldwide deaths and affect a diverse population outside affluent places. The purpose of this study was to assess the prevalence and associated factors of non-communicable chronic diseases among academics at Mutah University in Jordan, while also taking into account the global trend of non-communicable diseases impacting different demographics. In a cross-sectional study, the majority of faculty members completed a questionnaire that included demographic information and prevalence of chronic diseases. The most prevalent conditions detected were hypertension (19.6%), diabetes mellitus (17.5%), rheumatoid arthritis (14.2%), heart disease (12.6%), and respiratory disorders (11.3%). Specifically, smoking and being overweight are underlined as significant risk factors, particularly among male respondents. These findings highlight the need of implementing health promotion programs in educational academic institutions, with an emphasis on fostering healthy dietary habits and encouraging physical activity.

Highlighting the pivotal role of the pharmacist in influencing health behaviours during emergency crisis: A lesson from the COVID-19 pandemic

Background: The contribution of the pharmacist in influencing health behaviours and raising awareness of the impact of self-medication (SM) is valuable. During the COVID-19 pandemic, SM was triggered by multiple factors driven by the fear of becoming infected. This study aimed to identify the determinants of SM during the outbreak, with a focus on the role of social media, and to determine areas where the active contribution of the pharmacist needs strengthening. Methods: A pilot cross-sectional study using snowball sampling was conducted in thirteen countries. Results: A total of 2369 participants with a mean age of 30.62±11.57 years were enrolled in the study. The determinants of SM were 1) sociodemographic characteristics, including developing countries (ORa= 0.670; 95%CI [0.49, 0.91]); 2) communication channels, where Facebook was the most used social media platform (ORa=1.624; 95%CI [1.29, 2.05]); and 3) content and sources of unverified information, i.e. television interviews (ORa=1.357; 95%CI [1.03, 1.78]) and videos with someone confirming the effectiveness of medication used (ORa=1.353; 95%CI [1.06, 1.73]). The perceived risk severity was associated with elderly polypharmacy (ORa= 2.468; 95%CI [1.87, 3.26]). Conclusion: The pharmacist should collaboratively and actively contribute to the design and implementation of health promotion programmes and convert to positive the influence of social media.

Secondary risk reduction service acceptability amongst Irish breast cancer survivors and clinicians

Abstract Background Many patients (&amp;gt;75%) diagnosed with breast cancer in Ireland today will be cured and are at risk of dying from other cancers and non-communicable diseases. Breast cancer diagnosis provides a pivotal time point for education on modifiable risk factors and engagement with secondary risk reduction services. Our study set out to establish the level of awareness and acceptability of these areas, respectively. Methods A survey was developed for breast cancer survivors and oncology clinicians using previously validated questionnaires; the ‘Mitchelstown Cohort Survey’ and the ‘International Physical Activity Questionnaire'. IBM SPSS software (Version 28.0) was used for data analysis. Results Between September and December 2021, 322 patients and 29 clinicians attending the South Infirmary Victoria and Cork University Hospitals, completed the survey. Over 80% of patients and clinicians were aware of modifiable cancer risk factors. Only 1 in 5 clinicians had training in secondary risk reduction however 90% were willing to refer to services. Education had an impact on the likelihood of patient engagement with weight management, dietary, and exercise education (Pearson chi-squared test; p = 0.009, 0.039, 0.139 respectively). Patients who smoked, had increased alcohol intake, or gained weight since diagnosis were more likely to engage with services (p = &amp;lt;0.001, p = &amp;lt;0.001, p = 0.015 respectively). Patients who made changes to activity levels since diagnosis were more likely to engage with exercise education (p = 0.015). Conclusions This study identified that over 4 in 5 breast cancer survivors and oncology clinicians were aware of the importance of modifiable lifestyle risk factors. While 9 in 10 clinicians were willing to refer to secondary prevention services if available, the likelihood of patient engagement was associated with their at-risk behaviours and education level. Our study highlights the challenges of implementing health promotion programs in this cohort. Key messages • High level of intended engagement with secondary risk reduction services amongst breast cancer survivors and oncology clinicians. • Likelihood of patient engagement was associated with their at-risk behaviours and education level.

Louisiana trucking companies' implementation of workplace health promotion programs: Explanatory sequential mixed method case study.

Trucking companies may be key partners for workplace health promotion programs to improve heavy and tractor-trailer drivers' health and wellbeing. To identify barriers and facilitators to implementing workplace health promotion programs among Louisiana trucking companies' leadership and staff. A case study approach following an explanatory sequential mixed method research design was used. A quantitative survey, based on the Theoretical Domains Framework (TDF), was adapted and distributed online to a convenience sample. Survey respondents were recruited for an interview to gain additional insight on multi-level barriers to implementing workplace health promotion programs. Quantitative data was analyzed using descriptive statistics to describe barriers and facilitators following TDF constructs. Qualitative data were independently coded among two researchers following the TDF and the Consolidated Framework for Implementation Research (CFIR) to determine themes. Eleven workplace leaders or staff took the survey. Two engaged in a follow-up interview. Regarding the quantitative results, most (82%) believed workplace health promotion programs would save their company money, although were not offering them. No TDF constructs were indicated as barriers given mixed results; however, several were facilitators: Social/Professional Role and Identity; Emotion; Action Planning; Knowledge; Motivation and Goals; and Beliefs about Consequences. Qualitative results captured several Inner (e.g., time, money) and Outer Setting contextual (e.g., truckers' needs and resources) factors considered important to trucking companies' implementation of health promotion programs. Results suggest leadership and staff of Louisiana trucking companies value workplace health promotion programs, although are challenged by limited resources and the broader trucking environment.

Utilization of Social Media as a Health Promotion Tool of Indonesian Hospitals: Literature review

The use of social media in various aspects including health is increasing in recent years. The effectiveness and efficiency of using social media to promote health by hospitals become the excellence, compared to using conventional media. This study aimed to get information about the use of social media by hospitals to organize health promotion from some points of view, including: 1) the type of social media, 2) program effectiveness, 3) engagement level, and 4) efforts to increase engagement level. Among 62 articles (from 2017 to 2022) searched by Google Scholar and Garuda databases with the keywords of media, social, hospital, promotion, and health, the researchers obtained 3 suited articles based on the title, abstract, content, and research objectives. This literature review study revealed that social media is highly effective and efficient in the implementation of health promotion programs by hospitals. Particularly Instagram is the most widely used social media platform with the highest engagement, compared to other social media platforms. The interesting and unique efforts and strategies can further increase community engagement level on hospital social media accounts; thus, there will be an increase in the awareness of healthy living among Indonesian people.