Health Promotion Perspective Research Articles

"Intensive-Home-Rehabilitation" Intervention for Older Persons: A Follow-Up Study of Team Members' Perceptions.

Reablement as a concept includes a health-promoting perspective with the goal of strengthening health and the ability to perform and participate in daily activities, a broader perspective than in general home care and rehabilitation. Reablement interventions have shown to be both more effective and to a greater extent improve the function and health-related quality of life of older persons when compared to traditional home-based care. Success factors for intensive-home-rehabilitation (IHR), an intervention based on the reablement concept, have been described earlier; however, there is a lack of knowledge about why some persons do not recover despite receiving IHR. The aim was to shed light on the older persons' conditions during IHR from the perspective of the rehabilitation team members and to describe obstacles to recovery. Qualitative analysis of health and care records of persons (65+) who received IHR (n=19) performed by an interprofessional team. The analysis revealed various problematic situations, dilemmas, that occurred in the older persons' lives during IHR, as well as their consequences and the strategies employed by the older persons as a result. IHR aspects perceived as successful by the older persons also emerged, as well as differences in experiences of the physical and mental aspects of the IHR. Analysis also revealed reasons why the IHR might be experienced as broadly successful. The older persons seemed to be satisfied with IHR and achieved their goals; however, some seemed to need more time to reach their goals. Background factors such as having additional diagnoses and living alone might affect the rehabilitation process. The study provides knowledge regarding the importance of IHR for the recovery process for the increasing numbers of older persons, which might also be useful in other patient groups requiring otherwise long-term rehabilitation and recovery such as after covid-19 infection.

Correlation of Hemoglobin Levels with Nutritional Status in Adolescent Girls: A Health Promotion Perspective

Background: Women during pregnancy, childbearing age, and adolescents are prone to anemia. The prevalence of anemia in adolescents in Indonesia in 2018 reached 32%. The objectives of this study were to determine the correlation between nutritional status with the incidence of anemia in adolescent girls.Method: Describe briefly the main methods or treatments applied. This study is an analytical survey with a cross-sectional design. The population in this study was student girls in Padang City in 2022.The instrument used to measure hemoglobin was a digital Hb measuring instrument. The nutritional status in this study used the measurement of the nutritional status of adolescents with the indicator of BMI according to age. Correlative analytic test with ordinal scale data used the Kendall's tau test.Results: Based on the results of this study, was known that most of the 71.9% of adolescent girls whose nutritional status is normal. Most of the adolesce girls (87.5%) had normal hemoglobin levels, and as many as 12.5% adolensce girls had anemia who were not menstruating. Nutritional status (BMI/age) and hemoglobin levels were not correlated. Nutritional status is not a factor causing anemia in adolescent girls. It is necessary to investigate the prevalence of anemia in adolescent girls during menstruation as a comparison.

Adaptation of first-year students to the conditions of the educational environment by means of physical culture and sports

The process of adapting students to the learning and educational environment of a higher education institution is an area of extremely close attention, as it is viewed from the perspective of student health promotion. Physical education and sport occupy an important place in the paradigm of health-preserving function. Given the socially conditioned orientation of the physical education and sport continuum, part of its tasks contribute to solving the issues of adaptation of the student population. The subject orientation of physical education and sport considers the mental processes and the physical state of the attending students’ organisms in the format of the adaptation capabilities of the said people. Due to the peculiarities of the adaptation process, what remains an important condition is the initial period of learning, which has a significant impact on the process of self-determination of students in the learning community. A special role is assigned to the process of physical upbringing with enhanced opportunities for specific communication in learning and sportsmanship in this context. The personal factors that stimulate the adaptability of the trainees – the presence or absence of sports experience, the level of physical fitness – are tested in the course of the study. A comparative analysis of the performance of the attestation requirements in the subject "Physical Education & Sport" in the 1st semester of 3 categories of students – with high, medium & low levels of physical fitness – is conducted. The lack of goal-oriented practice in the use of physical education and sport for the above-mentioned purpose is revealed in the study of 1st year students' adaptation to the conditions of the educational environment. This is the proposed in this study to consider the problematic of 1st-year students' adaptation through the analysis of the interacting components of the above-mentioned activity – motor training, motivational aspects, mental reactions. What served as evaluation tools in the process of extracurricular activities, included the motivational side of the conducted experiment, including personal sports achievements.

The metabolites of lactic acid bacteria: classification, biosynthesis and modulation of gut microbiota.

Lactic acid bacteria (LAB) are ubiquitous microorganisms that can colonize the intestine and participate in the physiological metabolism of the host. LAB can produce a variety of metabolites, including organic acids, bacteriocin, amino acids, exopolysaccharides and vitamins. These metabolites are the basis of LAB function and have a profound impact on host health. The intestine is colonized by a large number of gut microorganisms with high species diversity. Metabolites of LAB can keep the balance and stability of gut microbiota through aiding in the maintenance of the intestinal epithelial barrier, resisting to pathogens and regulating immune responses, which further influence the nutrition, metabolism and behavior of the host. In this review, we summarize the metabolites of LAB and their influence on the intestine. We also discuss the underlying regulatory mechanisms and emphasize the link between LAB and the human gut from the perspective of health promotion.

Spatial Heterogeneity and Regional Clustering of Factors Influencing Chinese Adolescents’ Physical Fitness

There is often significant spatial heterogeneity in the factors influencing physical fitness in adolescents, yet less attention has been paid to this in established studies. Based on the 2018 Chinese National Student Physical Fitness Standard Test data, this study uses a multi-scale, geographically weighted regression (MGWR) model combined with a K-means clustering algorithm to construct a spatial regression model of the factors influencing adolescent physical fitness, and to investigate the degree of spatial variation in the physical fitness of Chinese adolescents from a socio-ecological perspective of health promotion. The following conclusions were drawn: the performance of the youth physical fitness regression model was significantly improved after taking spatial scale and heterogeneity into account. At the provincial scale, the non-farm output, average altitude, and precipitation of each region were strongly related to youth physical fitness, and each influencing factor generally showed a banded spatial heterogeneity pattern, which can be summarized into four types: N-S, E-W, NE-SW, and SE-NW. From the perspective of youth physical fitness, China can be divided into three regions of influence: the socio-economic-influenced region, mainly including the eastern region and some of the central provinces of China; the natural-environment-influenced region, which mainly includes the northwestern part of China and some provinces in the highland region; and the multi-factor joint-influenced region, which mainly includes the provinces in the central and northeastern regions of China. Finally, this study provides syndemic suggestions for physical fitness and health promotion for youths in each region.

HEALTH ASSESSMENT AND PROMOTION IN NURSING PRACTICE

Although health assessments are performed regularly and routinely, they must be conducted and documented with great thoroughness and attention to detail. Nursing assessments inform each step of the patient’s care plan. Therefore, nurses have a tremendous responsibility to ensure they have the necessary skill sets to perform accurate evaluations for all patients. The article outlines main types of health assessment, that are included into the course of studies Health Assessment, which is aimed at development of systemic knowledge and understanding of conceptual foundations by students utilizing systematic history taking and the knowledge of therapeutic communication to elicit subjective data; collecting objective data; validating, analyzing and documentation of those data. Holistic health assessment is viewed from a health promotion, cultural, nutritional, mental health and developmental perspective. During this course students identify appropriate methods of data collection to conduct a multidimensional systemic screening health assessment on clients across the lifespan. Health Assessment is one of the main courses for students studying at I. Horbachevsky Ternopil National Medical University, Training program “Nursing”, the first (bachelor) degree of higher education, branch of knowledge 00 “22 Health Care”, specialty 223 “Nursing”.

Socially responsible human resources management and stakeholders’ Health Promotion: A conceptual paper

The prime objective of this paper is to propose a new conceptual framework for how integrating corporate social responsibility (CSR) and human resources management (HRM) can impact on stakeholders’ health and wellbeing. The proposed framework argues that integrative socially responsible HRM (SR-HRM) policies coupled with public health literacy and integrative responsible leadership can play a significant role in shaping health behaviour change of internal stakeholders, which in turn can spill over to external stakeholders (family and proximate communities). From a health promotion and population health perspective, we see human resources (HR) as a leading partner in educating employees on the value of CSR and public health literacy programmes, and also as providing action plans on how to strategically and successfully implement these types of programmes. By helping to develop action plans to analyse CRS and public health literacy activities, HR professionals will be promoting both corporate citizenship and health behaviour change. Both of these are vital for developing a culture of social responsibility (and achieving the triple bottom line (TBL)) and sustainable population health promotion. Henceforth, SR-HRM policies and practices could help business organizations to contribute to the achievement of the United Nations’ Sustainable Development Goals (SDGs) and specifically Goals 3 and 8. This novel framework, which is especially pertinent to public health, has not yet been tested empirically. Hence, future studies are warranted to empirically test the theoretical framework using field data collection.

Chronic Disease and Other Determinants in Deaths Due to COVID-19 From a Health Protection and Promotion Perspective: A Retrospective Analysis.

To examine the age, gender, and chronic disease status of patients who died due to coronavirus disease 2019 (COVID-19) during the pandemic process and the effects of these diseases on their deaths. It was a retrospective retrospective analysis with 2715 patients. The statistics of the patients who met the research criteria were evaluated from the hospital database. Patients were evaluated in terms of age, gender, length of hospital stay, presence of chronic disease, and Modified Comorbidity Index Scores. It was determined that the Modified Charlson Comorbidity Index (MCCI) score mean of the patients was 4.74 ± 2.07 and MCCI scores of 56.9% were serious. There was a statistically significant difference in the length of hospital stay according to the number of diseases the patient had, age, and MCCI score. It was determined that there was a statistically significant, negative and high-level correlation between MCCI score and the length of hospital stay (r = -0.075: P = 0.001). Age, comorbidity score, and the number of comorbidities were found to affect the length of hospital stay, ie death. For this reason, it is recommended to use comorbidity indices in health protection and development studies, in the field, as well as in the clinics.

Technological innovation from the perspective of health promotion and primary health care

Technological innovation from the perspective of health promotion and primary health care

Investigating the status of hospitals in Kashan, Aran and Bidgol cities in achieving health promotion standards in 2020

Background: From the perspective of health promotion, the most critical mission of hospitals is to change the treatment-oriented mindset to a health-oriented one. Health promoting hospitals seek to institutionalize the concept of prevention and health promotion. Therefore, the current research aims to study Kashan, Aran and Bidgol hospitals in achieving health promotion standards in 2020.
 Methods: The current study is a descriptive correlational study that was conducted cross-sectionally in 2020. The statistical sample studied was 65 managers and officials of 4 hospitals in Kashan, Aran and Bidgol cities (1 government hospital, 3 non-government hospitals). Data were collected using the World Health Organization (WHO)'s health promotion standards questionnaire. The authors used Kruskal-Wallis and one-way ANOVA tests to compare the mean performance scores among the hospitals. Bonferroni test was used for parallel comparison of the hospitals. Data were analyzed using SPSS 22 software with a significance level of 5%.
 Results: Findings indicated that regarding the standards of management policy, patient assessment, patient information and intervention, promotion of a healthy workplace, continuity of treatment and cooperation, performance score of non-government hospitals (private and Social Security Organization) were significantly higher than the studied government hospital in this study (p < 0.001). The total score of health promotion standards in the non-government hospitals was significantly higher than the government hospital (p < 0.001). This difference was significant.
 Conclusion One of the variables influencing the quality of health promotion standards in hospitals is the type of hospital in terms of ownership (government, non-government). It seems that organizations using government funds, typically, have worked less than other organizations with regard to improving and upgrading their quality. Therefore, managers of government hospitals need to plan for developing standards of management policy, patient assessment, patient information and intervention, upgrading a healthy and standard work environment continuity of treatment and cooperation. Then, authorities need to monitor and evaluate these processes.

Early Detection Of Heart Attack After Cardiac Catheterization In Health Promotion Perspective: A Case Study

Heart attack cases among cardiovascular disease continue increasing every year and ranking as the highest cause of death in Indonesia. The objective of this research was to provide a framework for health promotion nurses to prevent heart attacks after cardiac catheterization. This research used a case study with the Case Management Society of America (CMSA) model. The case was selected from a patient with Coronary artery disease (CAD), 58 years old, retired of a civil servant, ex-chronic smoker, controlled hypertension, and a family history of CAD. The stages of CMSA data processing include Assessment, Preparation Pre-Catheterization, Recovery Phase, Planning and Intervention, and Evaluation. Objective data was taken from the physical examination results. Subjective data were obtained from interviews according to the CMSA standard, reputed journals, and other official documents. Analysis of the case study was conducted by coding, categorizing, comparing, and organizing. This case study revealed that health promotion nurses need to know the potential complications of post-heart catheterization i.e. shortness of breath, chest pain, lack of activity that is not known by family members, assumptions about uncontrolled nutrition, irregular medication, and heart attacks. The research recommended to prevent heart attacks post catheterization, health promotion nurses have to provide daily notes as patient progress reports and set a regular follow-ups.

Layered habitats: An evolutionary model for present-day recreational needs.

Urbanisation and lifestyle-related illnesses increase globally. This highlights the need to shape modern human habitats to support basic recreational needs, promoting such things as physical activity and restoration of high stress levels and cognitive fatigue. Previous research suggests eight perceived qualities in the outdoor environment, described as eight perceived sensory dimensions, as universally meaningful to people in this regard. However quite extensively studied in relation to various health and wellbeing outcomes, human sensitivity and appreciation for these qualities has not yet been explicitly analysed from an evolutionary perspective. This paper investigates their possible evolutionary roots and suggests an order for their development. This is linked with empirical findings on their relative capacity to support restoration of stress and cognitive fatigue. Qualities of earlier origin are suggested to correspond to older, more fundamental adaptations. Each subsequently developed quality implies an increased complexity of our environmental relations, associated with higher demands on more recently developed capacities. The proposed model thus links the more restorative Serene, Sheltered, Natural, and Cohesive perceived sensory dimensions with earlier stages of our development while the more demanding Diverse, Open, Cultural, and Social qualities are associated with more recent transitions. It might be of relevance when shaping modern human habitats from a health-promoting perspective, and have applications in the planning and design of, e.g., health care settings, rehabilitation gardens, urban green areas, recreational forests or other similar outdoor environments.

Perspectives and challenges of health promotion in Latin America.

The global health promotion movement has been institutionalized for 35 years (1986-2001) since the First International Conference on Health Promotion in Ottawa, Canada. This essay establishes how the health promotion perspective has reshaped the nature, scope and perspectives of health, highlighting the urgency of approaching health from a more political and social vision. Health promotion should now deserve greater recognition by governmental, institutional, private and community authorities. Governments must politically reposition it as a proposal for social and human development. In tandem, higher education institutions should continue to exercise academic-professional leadership to promote training, research and social community linkages in the field of health promotion. Enhancing sustained efforts of regional health promotion networks and maintaining a healthy environments approach are the pillars to promoting participation along with political, social and community mobilization for health, equity and sustainable development.

A participação juvenil no Programa Saúde na Escola (PSE): uma reflexão sobre o papel da gestão federal

ABSTRACT This article reflects on youth participation in the PSE, through the conceptual and operational analysis of the idea of participation in its technical and normative frameworks. It also questions whether the PSE maintains, reduces, or improves youth participation, when comparing it to the Health and Prevention in Schools Project, a precursor of the program. The school, a place that contributes to the formation of the individual, according to guidelines established by law, must promote these spaces for participation, strengthening students in a perspective of recognition of the importance of involving this public in discussions of healthy lifestyles, considering that the PSE works from the perspective of Health Promotion. From the qualitative discussion, carried out through documental and bibliographic analysis, as well as the literature review, it was identified that youth participation was one of the pillars of the SPE, a project whose actions were incorporated into the PSE, but which lost strength by not being promoted within the scope of the Program’s legal instruments. The qualification of dialogue among all members of the school community, including one of the Program’s largest target audiences, the youth, strengthens the recognition of the territory as a central actor in the implementation of social policies.

Communication lessons learned from the 2017 measles-rubella campaign in India: perspectives from vaccine decision-makers.

In 2017, to reduce the burden of measles and rubella, a nation-wide measles-rubella campaign was launched in India. Despite detailed planning efforts that involved many stakeholders, vaccine refusal arose in several communities during the campaign. As strategic health communication and promotion is critical in any vaccine campaign, we sought to document lessons learned from the 2017 MR campaign from a strategic health communication and promotion perspective to capture lessons learned. To inform future campaigns, we conducted in-depth interviews through a perspective that is not usually captured, that of government and civil society stakeholders that had experience in vaccine campaign implementation (n = 21). We interviewed stakeholders at the national level and within three states that had diverse experiences with the campaign. Three key themes related to strategic health communication and promotion emerged: the importance of sensitizing communities at all levels through relevant and timely information about the vaccine and the vaccine campaign, leveraging key influencers to deliver tailored messaging about the importance of vaccines and mitigating vaccine misinformation rapidly. Our study findings have important implications for health communication and promotion research related to vaccine campaigns. The field must continue to enhance vaccine campaign efforts by identifying important health communication and promotion factors, including the importance of sensitization, trusted messengers that use tailored messaging and mitigating misinformation, as vaccine campaigns are crucial in improving vaccine acceptance.

A health promotion perspective for the control and prevention of Brucellosis (Brucella melitensis); Israel as a case study.

BackgroundBrucellosis (Brucella melitensis) is endemic in many countries around the world, therefore, identifying what is required to control and prevent the disease is essential. The health promotion concept and five areas of action, presented in the Ottawa Charter (1986) may help understand how to go forward in the prevention of the disease. Israel serves as a case study.AimTo identify barriers to the control and prevention of brucellosis (Brucella melitensis) in Israel by analyzing trends in incidence in conjunction with interventions implemented over the last seven decades, applying the health promotion areas of action.Methods1. A document review approach was adopted to develop a list of interventions implemented in Israel to prevent and control brucellosis and identify barriers to implementation. These were analysed using the health promotion areas of action. 2. Data from the mandatory reporting of infectious diseases in Israel regarding brucellosis in humans between 1951 and 2021 are presented and analyzed in conjunction with the interventions implemented.ResultsA large range of interventions were implemented following outbreaks of the disease. These interventions followed the health promotion areas of action, including mainly: policy, education and environment and brought about a decrease in the disease among both animals and humans. However, major interventions were discontinued after a few years. In addition, we identified some areas of action that could be much improved on. The interventions, in many cases were not simultaneously implemented or coordinated, decreasing the chances of them having the expected long term impact.ConclusionsControl and prevention of the disease in Israel is partial. Areas of action that could be improved include enforcement of regulations, strengthening community action and improving personal skills. Simultaneous and continuous implementation of the interventions may achieve the goals of sustained prevention and control. There seems to be a lack of a long-term strategy and an integrated holistic intervention approach that may contribute to the control and prevention of the disease.

Factors influencing the adoption and participation rate of nursing homes staff in a saliva testing screening programme for COVID-19.

Testing strategies are crucial to prevent and control the spread of covid-19 but suffer from a lack of investment in understanding the human factors that influence their implementation. The aim of this study was to understand the factors that encourage participation and the level of engagement of nursing homes staff in a routine saliva testing programme for COVID-19 In December 2020, nursing homes (n = 571) in Wallonia (Belgium) were invited to participate in a saliva testing programme for their staff. The directors were questioned by telephone at the end of a 3-week pilot phase. 445 nursing homes took part in the evaluation questionnaire, of which 36(8%) answered that they chose not to participate in the testing programme. The average participation rate of nursing staff was 49(±25)%. Perception of the justification of the efforts required for testing and perception of practicability of the procedure were significantly associated with the adoption of the system by the nursing homes directors (OR(95%CI): 5.96(1.97-18.0), p = 0.0016); OR(95%CI): 5.64(1.94-16.4), p = 0.0015 respectively). Staff support, incentives and meetings increased the level of engagement in testing (p<0.05). While the adoption of the programme confirmed the acceptability of salivary testing as a means of screening, the participation rate confirmed the need for studies to understand the factors that encourage health care staff to take part. The results suggested rethinking strategies to consider staff engagement from a health promotion perspective.

Rôle des émotions et représentations dans le recours à la m-health chez les membres d’une communauté d’intérêt en ligne en lien avec le cancer, les Seintinelles

Virtual communities related to cancer, as with other chronic pathologies, seem to constitute a population likely to have a privileged relationship with e-health technologies. However, although many studies have sought to identify the characteristics of e-health users, none has focused specifically on members of health-related virtual communities. The objective is to identify the psychosocial determinants of the use of connected objects and health applications (COAs) among members of an online community of interest in cancer, the Seintinelles. Data collection was performed using a self-questionnaire aiming to collect sociodemographic and psychosocial data. Only a minority of participants owned at least one COA. Positive emotions and the perception of COAs as a motivator to take care of one's health favored their adoption. Considering COASs as aimed toward ill people or perceiving them as complex are barriers to their use. Participants do not seem to have a privileged relationship with COAs. Reinforcing a sense of self-efficacy and ensuring that mobile devices and health apps elicit positive emotions in potential users is an essential step in facilitating the use of m-health from a health promotion perspective among individuals who are members of such virtual communities related to cancer.

The relationship between height and fruit/vegetable intakes in adults: A nationwide cross-sectional study.

Background: Worldwide, fruit and vegetable intake is below recommendations. There is increasing evidence to suggest an association between height and diet. Aim: to analyse the associations of fruit and vegetable intake with attained height in Portuguese adults. Methods: A representative sample of 17 480 Portuguese adults (56.7% women) participated in this cross-sectional study. The survey comprised sociodemographic characteristics and self-reported height and weight. We performed regression models to assess the associations between height and fruit and vegetable consumption. Results: Compared with no intakes, those men with higher fruit and vegetables intake had 0.54 cm (95% CI 0.04; 1.04) greater height. Also, women with higher intakes of vegetables, fruit and vegetables combined were directly associated with a greater height of 0.29 cm (95% CI 0.03; 0.56 in vegetables) and 0.51 cm (95% CI 0.09; 0.93 in fruit and vegetables combined). Conclusion: Greater consumption of fruit and vegetables was directly associated with higher height in adults. From a health promotion perspective, intervention programmes aiming at improving fruit and vegetable intake should be highlighted so that full height potential is achieved.

Determination of trace metals in vegetables using ICP-MS

Determination of trace metals in vegetables using ICP-MS