Promotion Programs Research Articles

An SMS chatbot digital educational program to increase healthy eating behaviors in adolescence: A multifactorial randomized controlled trial among 7,890 participants in the Danish National Birth Cohort.

Few cost-effective strategies to shift dietary habits of populations in a healthier direction have been identified. We examined if participating in a chatbot health education program transmitted by Short Messages Service ("SMS-program") could improve adolescent dietary behaviors and body weight trajectories. We also explored possible added effects of maternal or peer involvement. We conducted a randomized controlled trial (RCT) among adolescents from the Danish National Birth Cohort (DNBC). Eligible were adolescents who during 2015 to 2016 at age 14 years had completed a questionnaire assessing height, weight, and dietary habits. Two thirds were offered participation in an SMS-program, whereas 1/3 ("non-SMS group") received no offer. The SMS program aimed to improve 3 key dietary intake behaviors: sugar-sweetened beverages (SSBs), fruit and vegetables (FV), and fish. The offered programs had 3 factorially randomized schemes; the aims of these were to test effect of asking the mother or a friend to also participate in the health promotion program, and to test the effect of a 4-week individually tailored SMS program against the full 12-week SMS program targeting all 3 dietary factors. Height and weight and intakes of SSB, FV, and fish were assessed twice by a smartphone-based abbreviated dietary questionnaire completed at 6 months (m) and 18 m follow-up. Main outcome measures were (1) body mass index (BMI) z-score; and (2) an abbreviated Healthy Eating Index (mini-HEI, 1 m window, as mean of z-scores for SSB, FV, and fish). Among the 7,890 randomized adolescents, 5,260 were assigned to any SMS program; 63% (3,338) joined the offered program. Among the 7,890 randomized, 74% (5,853) and 68% (5,370) responded to follow-ups at 6 m and 18 m, respectively. Effects were estimated by intention-to-treat (ITT) analyses and inverse probability weighted per-protocol (IPW-PP) analyses excluding adolescents who did not join the program. Mean (standard deviation (SD)) mini-HEI at baseline, 6 m and 18 m was -0.01 (0.64), 0.01 (0.59), and -0.01 (0.59), respectively. In ITT-analyses, no effects were observed, at any time point, in those who had received any SMS program compared to the non-SMS group, on BMI z-score (6 m: -0.010 [95% confidence interval (CI) -0.035, 0.015]; p = 0.442, 18 m: 0.002 [95% CI -0.029, 0.033]; p = 0.901) or mini-HEI (6 m: 0.016 [95% CI -0.011, 0.043]; p = 0.253, 18m: -0.016 [95% CI -0.045, 0.013]; p = 0.286). In IPW-PP analyses, at 6 m, a small decrease in BMI z-score (-0.030 [95% CI -0.057, -0.003]; p = 0.032) was observed, whereas no significant effect was observed in mini-HEI (0.027 [95% CI -0.002, 0.056]; p = 0.072), among those who had received any SMS program compared to the non-SMS group. At 18 m, no associations were observed (BMI z-score: -0.006 [95% CI -0.039, 0.027]; p = 0.724, and mini-HEI: -0.005 [95% CI -0.036, 0.026]; p = 0.755). The main limitations of the study were that DNBC participants, though derived from the general population, tend to have higher socioeconomic status than average, and that outcome measures were self-reported. In this study, a chatbot health education program delivered through an SMS program had no effect on dietary habits or weight trajectories in ITT analyses. However, IPW-PP-analyses, based on those 63% who had joined the offered SMS program, suggested modest improvements in weight development at 6 m, which had faded at 18 m. Future research should focus on developing gender-specific messaging programs including "booster" messages to obtain sustained engagement. ClinicalTrials.gov Identifier: NCT02809196 https://clinicaltrials.gov/study/NCT02809196.

Immediate effects of a positive-psychology mental health promotion program for rescue workers

<p>本研究檢核「救災人員身心健康促進方案」的立即效果。救災工作是高強度的身體和心理活動，會遇到目睹殘酷傷亡和生命威脅的創傷情境，進而影響造成救災人員身心和人際健康情況。因應救災單位要求，規劃和執行為期五天兼具生理心理社會（bio-psychosocial）面向的心理健康促進方案。方案採取正向心理學取向，旨在儲備救災人員心理資源，增進其面對工作壓力的韌性，以及日常的快樂感受與滿意度。39位參與方案的第一線救災人員皆有過重大災難救災經歷，其中18位表示有過主觀創傷經驗（subjective lytraumatic experience，簡稱STE）。參與者在工作坊開始和結束，分別填寫「韌性量表（Resilience Scale; Ho, 2008）」， 以及「快樂途徑量表（Approaches to Happiness; Seligman, 2013）」和「生活滿意量表（Satisfaction with Life Scale; Diener et al., 1985）」。Wilcoxon符號排序檢定結果顯示，非STE參與者在「快樂追求」有顯著地增加，而STE參與者在「韌性」和「生活滿意度」部份有顯著增加。本研究證實「救災人員身心健康促進方案」有促進救災人員之心理健康的立即效果，而且STE對方案立即效果有調節的作用。</p> <p> </p><p>The study is to examine the immediate effects of a mental health promotion program for disaster rescue workers. A five-day bio-psycho-social-based mental health promotion program was developed by the request of a disaster rescue team. The program is positive-psychology oriented for it is to enhance participants’ wellbeing. The study examined the moderation effect of subjectively traumatic experience (STE) on the program effectiveness. The study data is from 39 rescue workers who have involved in disaster rescue work, and 18 of them reported subjectively traumatic experience (STE). The participants completed Resilience Scale (Ho, 2008), Approaches to Happiness (Seligman, 2013), and Satisfaction with Life Scale (Diener et al., 1985) prior and post their program participation. Wilcoxon Signed-Rank Test showed support for the program’s immediate effectiveness and STE’s moderation effect on the effectiveness. Life satisfaction and resilience significantly increased for the STE groups, while happiness pursuit significantly increased for the non-STE group. Event centrality and sensoryprocessing sensitivity are proposed as possible explanations for STE’s moderation effect.</p> <p> </p>

Examine the advantages of social dance instruction in elder people for both mental and physical health, as well as its function in fostering general well-being

The global increase in the elderly population poses challenges in physical, mental, and social aspects. This study explores the potential of social dance instruction as an innovative approach to improve the overall well-being of older adults. Drawing on previous research, our investigation focuses on the long-term effects of social dance on mental and physical health, emphasizing social, emotional, and cognitive benefits. Importance of this study lies in contributing to innovative approaches for elderly well-being, offering insights to healthcare professionals, caregivers, and policymakers. The literature review highlights the positive impact of social dance on physical health, cognitive abilities, and social and emotional aspects. However, gaps exist in understanding the interplay between these dimensions. By means of the quantitative research, employing surveys and assessments, reveals statistically significant improvements in physical health, cognitive abilities, social interactions, and emotional well-being among participants engaged in social dance. Despite limitations, the findings support the integration of social dance into health promotion programs for the elderly.

Translation and cross-cultural adaptation of Osteoporosis Knowledge Assessment Tool (OKAT) for Chinese populations in Australia

SummaryThe increased prevalence of osteoporosis among Chinese-speaking communities in Australia deemed it necessary to have a culturally appropriate tool for assessing knowledge. This study describes the cultural adaption of the validated Osteoporosis Knowledge Assessment Tool (OKAT). The adapted tool is readable and understandable for diverse Chinese-speaking communities.PurposeWith an expected increasing prevalence of osteoporosis among Chinese-speaking communities in Australia, a cross-culturally adapted questionnaire is necessary to assess knowledge levels among the group. We aimed to cross-culturally adapt the Osteoporosis Knowledge Assessment Tool (OKAT) questionnaire for Chinese-speaking populations in Australia.MethodsCross-cultural adaptation guidelines were employed to culturally adapt the OKAT to simplified Chinese. This involved translation, revision, retroversion, and expert discussion before finalizing the Chinese version of OKAT. The participants were recruited through convenience sampling from a cohort of Chinese-speaking populations who attended a bone health promotion program. The adapted questionnaire was piloted with Chinese-speaking communities in the Greater Western Sydney area for face and content validity. The adapted questionnaire was compared with the original version for response agreement using Cohen’s kappa goodness of fit. The face validity of the adapted tool was analysed through a binary scale rating for readability and understandability.ResultsThe cross-culturally adapted version of OKAT has a 71.8% total response agreement with the original version of OKAT. The cross-culturally adapted OKAT yielded higher total scores than the translated version. The cross-culturally adapted tool had a good face and content validity.ConclusionThe cross-culturally adapted version of OKAT improves the overall readability and understandability of the questionnaire among Chinese-speaking populations in Australia.

Effects of occupational health promotion interventions on health-related outcomes among employees of small businesses and self-employed individuals: A systematic review.

Compared to workers of larger companies it is less clear what health promoting interventions might be beneficial for employees of small businesses and self-employed individuals. Our aim was to critically appraise trials investigating health promotion programs among small business workers and self-employed individuals, by means of a systematic review. We conducted a search of primary studies using MEDLINE, Web of Science, LIVIVO and the Cochrane library. Our assessment followed the recommendations of the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA. We identified six trials including 5,854 participants from Asia, North America and Australia. Most were of moderate methodological quality, only one was of low quality. Some of the supervised psycho-educational lifestyle programs focusing on individual behavior changes showed benefits in terms of stress reduction and increased physical activity levels among small enterprise employees. There is a huge knowledge gap on evidence-based health promotion interventions for self-employed and for small business workers, especially in Europe.

Strengthening children's health in a health-promoting school provides the opportunity to learn to live healthier lives

Lithuania's health-promoting schools have entered the fourth decade with their continuous long-term activity and rich experience. The very title unites two sectors, health and education, under one cohesive effort. A health-promoting school is a school where, through the involvement of the school community and social partners, students' healthy lifestyle skills are being developed and a physically and psychosocially favorable environment for the school community's health is created. The goal of health-promoting schools is to integrate health promotion activities into the entire school life, involving students, teachers, parents (guardians), specialists, and community members. In these schools, long-term and purposeful health promotion activities are carried out on a voluntary basis, and community members take care of their own and others' health in their daily activities. A wide range of institutions implements the concept of health-promoting schools: preschool, general education, vocational, and higher education institutions. They prioritize children's participation in health promotion and education programs, which is expected to lead to better child health. Health promotion activities are purposeful and carried out according to approved health promotion programs, which forms the basis of health-promoting schools. These programs encompass six areas of activity: health promotion activity management structure, policy and quality assurance, psychosocial and physical environment, human and material resources, health education, dissemination of health-promoting school experience within and beyond the school. Each school in this program highlights its own priorities, meets the needs of the school, addresses current issues, and proposes solutions. The activity in a health-promoting school is based on existing evidence and research or those discovered by the schools themselves. Research has shown that the lifestyle of students studying in health-promoting schools is healthier, educators pay more attention to health issues, parents (guardians) and the entire school community are involved in health promotion activities, thus it is necessary to develop the network of health-promoting schools in the perspective.

A review of oral health promotion programmes in Eastern Mediterranean Region

Background: Oral health conditions, such as dental caries, periodontal disease, tooth loss, dental fluorosis, dental trauma, and oral cancer, are prevalent in the WHO Eastern Mediterranean Region. However, there has been no systematic review of oral health promotion interventions in the region. Aims: To review existing literature on oral health promotion programmes in the Eastern Mediterranean Region and recommend improvements for the future. Method: We reviewed on PubMed and Google Scholar 61 articles published in the Eastern Mediterranean Region between 2010 and 2023. Quality assessment of included studies was performed using established criteria. We used the content analysis approach to create appropriate themes from the studies and to document meaningful conclusions about oral health promotion. Results: Majority of the studies were cross-sectional, a few were randomized controlled, quasi-experimental, longitudinal studies, or reviews. Oral health problems identified included poor oral health knowledge, dental caries, periodontal disease, tooth loss, dental fluorosis, and oral cancer. Although oral disorders were common in most of the countries, very few have implemented oral health promotion programmes. Conclusion: We recommend prioritization of oral health promotion programmes in the Eastern Mediterranean Region to tackle the diverse oral health challenges. To be effective, such programmes should be region- and context-specific. More studies on oral health promotion are needed in the region.

Medication Adherence Behavior Among Patients with Pulmonary Tuberculosis (TB) in West Sumba

The recovery of Tb patients depends on medication adherence. Drug side effects, duration of treatment, health control, and social stigma towards Tb patients influence adherence. The assumption that Tb is a hereditary disease, a curse, and challenging to cure makes patients unmotivated to take medicine and reluctant to go to health services because of shame. These factors are at risk of increasing drug resistance rates and hindering the recovery process in Tb patients. The purpose of this study was to describe drug compliance in patients with pulmonary Tb in West Sumba. This study used a descriptive qualitative method with a case study research design and an indepth interview technique. The sample selection was made by purposive sampling with the age 20-45 criteria. Data analysis was done by reducing, presenting, and drawing conclusions. The results showed that drug adherence behavior in TB patients was influenced by treatment routines, barriers during treatment, and emotional, informational, and financial support from the social environment. According to the community, Tb is a curse, contagious and dangerous disease, not a cursed one. Therefore, the results of this study should serve as a basis for health workers and health policymakers in the West Sumba region to design health promotion programs on the importance of social support on treatment adherence of Tb patients so that Tb patients can maintain treatment adherence.

The perception of burnout and related influencing factors in Tunisian oncology nurses.

Oncology nurses constantly provide emotional support to patients and are confronted with their suffering, which represents chronic stress leading to the development of burnout syndrome. This study aimed to evaluate the prevalence of burnout and identify associated factors in a sample of oncology nurses. We conducted a descriptive cross-sectional study with 70 oncology nurses at the Salah Azaiez Institute of Oncology in Tunisia. Burnout was assessed using the Maslach Burnout Inventory Human Service Survey. This study follows the STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) Guidelines. Burnout affected 60 nurses (85.7%), with a high level in 20% of cases. High scores of emotional exhaustion, depersonalisation, and low personal accomplishment were recorded in 65.7%, 50%and 25.7% respectively. Emotional exhaustion was associated with higher age, marital status, having 2 or 3 or more dependent children, number of patients under care exceeding 15, professional experience and history of psychiatric problems. Depersonalisation was correlated with age, marital status, professional grade and history of psychiatric problems. Low levels of personal accomplishment increased with the number of patients under care, history of psychiatric problems and the regret of professional choice. Burn-out is a reality in oncology hospital with an alarming rate. Interventions including rationalisation of workload, support groups, training in emotion and stress management would improve the mental health of these nurses and increase their performance. The screening for burnout should be included as a regular practice in health promotion programmes for oncology health professionals, particularly for a vulnerable subgroup that possesses the risk mentioned above factors.

Association between modified youth healthy eating index and nutritional status among Iranian children in Zabol city: a cross-sectional study

Diet quality in childhood and adolescence can affect health outcomes such as physical and cognitive growth and preventing chronic diseases in adulthood. This study aimed to evaluate the relationship between diet quality using the modified youth healthy eating index (MYHEI) with socioeconomic factors and nutrition status in 7–12-year-old children in Iran. This descriptive-cross-sectional study was performed on 580 students in Zabol, Iran, selected through multistage cluster sampling. The diet was assessed through the 168-item food frequency questionnaire (FFQ) and eating behaviors. Then, the MYHEI scoring system was used to calculate the diet quality. In addition, we used the WHO growth indices, such as weight to age, height to age, and body mass index (BMI) to age ratios, to evaluate nutrition status. The mean total MYHEI score in children was 56.3 ± 11.2. Among children with the highest MYHEI score quartile, the number of girls was significantly higher than boys (p = 0.001). The prevalence of underweight, stunting, and wasting was 25.3%, 17.4%, and 21.7%, respectively. The prevalence of underweight (OR: 2.2; 95% CI 1.26, 3.90, p = 0.001) and stunting (OR: 3.2; 95% CI 1.65, 6.14, p = 0.006) were significantly lower in the higher MYHEI score quartile compared to the lower quartile. The overall diet quality of most children should be modified. Therefore, to improve the children’s health and nutrition status, it is necessary to perform nutritional interventions such as training and promotional programs, especially in schools.

Positive and Negative Correlates of Psychological Well-Being and Distress in College Students' Mental Health: A Correlational Study.

Recognizing the positive or negative effects of students' mental health promotes personal development, well-being, and academic success. Academic life exposes college students to multiple adjustments, demands, and vulnerabilities that can cause stress and mental health problems. This study aims to identify psychological well-being and psychological distress effects on college students' mental health. A correlational study was designed involving a non-probabilistic 560 sample of students (446 women) aged 18 to 41 years (M = 19.6; SD = 1.68). An online self-report questionnaire was used including demographic, relational, academic, and health behaviors variables, and the measures: Mental Health Inventory; Satisfaction with Social Support Scale; Academic Life Satisfaction Scale; and Psychological Vulnerability Scale. Regression analyses indicate that male students, dating, good academic performance, exercise, sleeping seven hours, satisfaction with social support, and academic life satisfaction were significant correlates (p < 0.05) of psychological well-being, with the last two having great weight in the model. Females, low income, aged 21-24 years, sleeping less than 6 h, moderate psychological vulnerability, and perception of vulnerability were significant (p < 0.05) negative effects of psychological distress. This study addresses the positive and negative effects of psychological well-being and distress in college students. Specific mental health promotion and morbidity prevention programs can improve students' mental health literacy and resilience.

Comprehensive Dental Care for Children with Visual Impairment

Introduction: Children with visual impairment are more susceptible to acquiring pathologies in the oral cavity than the general population, the most prevalent of which are dental caries, inflammation of the gums, and loss of the structures that support the teeth. The oral health care needs of visually impaired children are needed. Purpose: To provide a better understanding that can guide ophthalmologists about the importance of comprehensive dental care for children with visual impairments. Review: Factors that respond to the need for oral health care in visually impaired children are lack of ability to carry out oral hygiene habits, lack of knowledge on the part of health personnel to provide services adapted to the needs of this population, absence of promotion and education programs, and lack of public policies on oral health. This article discusses the dental aspects of visual impairment, its implications for obtaining dental care, associated oral conditions, and medical complications. Conclusion: It is imperative to prioritize the implementation of preventive methods and oral health education among visually impaired children. The function of the dentist is significant in the management of children with such conditions. Ophthalmologists should collaborate with dentists who possess a strong drive to provide care for children with special needs such as visual impairment and will discover that this endeavor offers significant opportunities to be an enriching experience.

Problematic consumption of psychoactive in pregnancy: A systematic review of a threat to maternal-fetal life

Background: Although the consequences of the use of psychoactive substances of abuse are often linked to the media in a subtle way and clarified by the doctor in routine consultations, the use and abuse has been taking uncontrollable growth proportions to the point of generating a problem of the Today's world with immediate needs for interventions in order to minimize the damage caused. Due to this transformation of society's habits, many age groups have been significantly affected. The main and most worrying social group susceptible to drug abuse is the female society, since due to the great coincidence between the reproductive age and the period prone to the use of social attractions, occasionally in a gestation situation, the joint use in any dose generates and potentiates the consequences to fetal maternal life. The little-known social effects go through, when death does not occur, due to malformation of the fetus, nervous compromise, up to the manifestations after birth in the daily life of the child of a user mother. Taking this situation into account and facing this problem of the current world that threatens health, the study will demonstrate the most diverse maternal and fetal manifestations due to the use of substances or drugs of abuse, suggesting as a final objective the creation of information media. capable of keeping the potentially reproductive female society informed about the hidden curses to fetal life in gestation. Material and methods: Systematic review based on searches in the PubMed, Google Scholar, and TripDataBase databases. Scielo and others, with the identification of articles that present the proposed theme as the central theme with the identification of the determinant factors for the development of substance abuse and its different forms of affectation in the gestational period with some scores of the consequences in the puerperal period. Results: With the corresponding search strategies, 73 articles were found in the Pubmed database, 10 articles in the Google Scholar, TripDataBase and Scielo databases. Directing the selection according to criteria, 22 articles were chosen and used for analysis of the systematic review. Conclusion: The problematic use of substances potentially harmful to pregnancy continues to be a challenge for public health. With this, it is of fundamental importance to raise awareness through the creation of health promotion programs based on rational, comprehensive, and multidisciplinary consultations, which guarantee the reduction of consumption and maternal-fetal protection

Wellbeing education increases skills and knowledge among tertiary students in the agricultural sector: insights from a mixed methods study

ABSTRACT Purpose The agricultural sector is facing a myriad of financial, environmental, social, and cultural challenges which affect the mental health of those working on-farm. This study focused on a tertiary education programme designed to increase recognition of mental health issues and convey strategies to address these. Methodology To identify the effect of such a programme, and which aspects contribute to that effect, this paper applied a mixed methods approach. Quantitative propensity score matching was used to identify changes in knowledge and skills, and qualitative surveys were conducted to explore the wellbeing of students and to identify aspects of the programme contributing to change. Findings Students report an increase in (i) ability recognising signs of poor mental health in self and others; (ii) confidence talking about their own and others’ mental health; and (iii) knowing how to access mental health support services. Programme aspects contributing to this effect are peer-to-peer education and building on existing knowledge. Practical implications This paper addresses a gap in the literature by providing insights into programme aspects that lead to successful delivery. Theoretical implications This study reports on the evaluation of a tertiary education programme and provides valuable insights into whether such programmes can contribute to increased knowledge on wellbeing. Originality This research describes and analyses the effectiveness of a mental health promotion programme aimed at young adults which is rare in the literature.

A microcosting approach for planning and implementing community-based mental health prevention programs: what does it cost?

BackgroundEstimating program costs when planning community-based mental health programs can be burdensome. Our aim was to retrospectively document the cost for the first year of planning and implementing Healthy Minds Healthy Communities (HMHC), a mental health promotion and prevention multi-level intervention initiative. This Program is among the first to use the Community Initiated Care (CIC) model in the US and is aimed at building community resilience and the capacity for communities to provide mental health support, particularly among those disproportionately impacted by COVID-19. Our objective is to share our methods for costing a program targeting 10 zip codes that are ethnically and linguistically diverse and provide an example for estimating the cost of a mental health prevention and promotion programs consisting of multiple evidence-based interventions.MethodsWe used a semi-structured interview process to collect cost data through the first year of program planning, start-up and initial implementation from key staff. We calculated costs for each activity, grouped them by major project categories, and identified the cost drivers of each category. We further validated cost estimates through extensive literature review. The cost analysis was done from the provider’s perspective, which included the implementing agency and its community partners. We delineated costs that were in-kind contributions to the program by other agency, and community partners. Sensitivity analyses were conducted to estimate uncertainty around parameters.ResultsFor the first year of the development and implementation of the program, (funded through program and in-kind) is estimated at $1,382,669 (2022 US$). The costs for the three main activity domains for this project are: project management $135,822, community engagement $364,216 and design and execution $756,934. Overall, the cost drivers for the first year of this intervention were: hiring and onboarding staff, in-person community building/learning sessions, communications and marketing, and intervention delivery.ConclusionImplementation of community-based mental health promotion and prevention programs, when utilizing a participatory approach, requires a significant amount of upfront investment in program planning and development. A large proportion of this investment tends to be human capital input. Developing partnerships is a successful strategy for defraying costs.

Prostate Cancer Screening Promotion Program: Application of the Health Action Process Approach

Background and Objective: Detecting and diagnosing it early can greatly reduce the mortality rate. The aim of the present study was to determine the efficacy of the prostate cancer screening promotion program based on the health action process approach (HAPA) in men aged 50 to 69 years in Kermanshah using a Smartphone application. Materials and Methods: The present study was a quasi-experimental study that was conducted in two intervention and control groups (40 people each) in 2023. Information was collected using a questionnaire. The obtained information was analyzed in SPSS software version 16. Results: After the program was implemented, a significant difference was seen in the average scores of action self-efficacy (P &lt; 0.001), intention (P &lt; 0.001), action planning (P = 0.005), coping planning (P = 0.042), coping self-efficacy (P = 0.012), recovery self-efficacy (P &lt; 0.001) and self-monitoring (P = 0.016) between the intervention and control groups. The effect size for risk perception, outcome expectancies, action self-efficacy, intention, action planning, coping planning, coping self-efficacy, recovery self-efficacy and self-monitoring are 0.44, 0.43, 0.97, 0.77, 1.12, 0.46, 0.58, 0.92 and 0.55 were estimated, respectively. Conclusion: The use of Smartphone applications program based on the HAPA can provide valuable insights in enhancing the acceptance of prostate cancer screening tests. It is recommended to utilize these applications for the development and implementation of men's health promotion programs.

Implementasi Metode Prototype pada Pembuatan Web Portal TEFA House of Health Promotion

Health Promotion is a series of activities that strive for individuals to increase their knowledge related to health so that ultimately they can improve the quality of health. In order for the objectives of health promotion activities to be achieved, media is needed to support these activities. TeFa House of Health Promotion Polije is one of the TeFa (Teaching Factories) managed by the Health Promotion study program, Department of Health. TeFa was created as a forum for communication, information and health education, TeFa is also a means for lecturers to contribute to society by providing consultation services related to the development of public health promotion programs. To support this, a multifunctional platform is needed in the form of a webportal which is used to help TeFa. This research focuses on creating a web portal using one of the SDLC methods, namely prototype. The process of creating a web portal begins with extracting information through interviews with potential users. The results of this excavation process are information related to the features of the web portal, including articles, video, audio, pooling and chat. The process of creating a Web Portal is made using the PHP programming language and Laravel Framework. The testing process is carried out using the black box method to determine the functionality of each feature. The test results showed that the web portal was in accordance with the user's required features and each feature was functioning according to its function.

Innovation in Nutrition Promotion : Literature Analysis to Increase Community Awareness and Healthy Practices

The important role of health promotion in improving community welfare has encouraged effective innovation to increase nutritional awareness and healthy lifestyle practices. This research explores recent innovations in health promotion strategies, particularly in nutrition and health, to increase awareness and encourage positive behavioral change. Through comprehensive literature analysis, this research identifies and evaluates approaches such as technology interventions, community-based initiatives, and other new strategies. The results show that innovations such as nutrition promotion media (pop-up books, PGS cards, leaflets, nutrition puzzles, and educational videos) as well as active community participation (FGD and lunch menu practices) and empowering health workers and teachers, have succeeded in increasing knowledge. , attitudes and nutritional behavior of the community. Case studies and successful programs show real improvements in community nutrition practices. However, challenges such as limited sample size, short intervention duration, and methodological obstacles need to be overcome. Based on these findings, further research is recommended focusing on: (1) longitudinal research with larger sample sizes to understand long-term impacts; (2) exploration of contextual factors that influence program effectiveness; (3) evaluate the effectiveness of innovation for vulnerable groups such as people with disabilities or people with low education; (4) evaluation of community empowerment strategies and their impact on local health policies; and (5) exploration of cross-sectoral collaboration for holistic and sustainable nutrition promotion programs. These findings provide valuable insights for practitioners, researchers, and policymakers, and serve as a comprehensive resource for designing programs that increase nutrition awareness and encourage healthy practices in communities.

Mental Health First Aid™ for Deaf communities: responses to a lack of national Deaf mental health service provision

PurposeFor over 15 years, Mental Health First Aid™ (MHFA) has successfully been delivered in Wales, United Kingdom, with growing interest in the MHFA programme and increasing course attendees. Trainers, aware of the need for support, know the importance of MHFA being accessible for different communities and learner groups. MHFA has always focused on increasing mental health literacy. One marginalised group, with lower mental health literacy than the general population, is Deaf people, a group with increased risk of mental health problems. This paper aims to provide insights about why Deaf people are twice as likely as hearing people to experience mental health problems.Design/methodology/approachDuring this paper, the authors have used four focal points i) exploring situational contexts for Deaf people; ii) reasons why Deaf individuals are at greater risk of mental health problems; iii) the authors explore a project, “Hear Deaf”, and implementation of MHFA Wales by Deaf MHFA trainers; and iv) initiatives to influence and impact on policymakers.FindingsDuring the project, nine MHFA courses were delivered to Deaf communities across different locations in Wales, often with information and advertisements circulated directly to Deaf communities through Deaf clubs, resulting in 120 Deaf people trained. The authors conclude with their own reflections as a researcher and an MHFA who work predominantly with Deaf communities.Originality/valueThis paper provides a discussion on the specific risks for Deaf people around mental health and the importance of mental health promotion programmes for Deaf communities. Further research is needed regarding the impact of MHFA on Deaf populations.

A framework to guide oral healthcare at long-term care facilities in the eThekwini district

Oral healthcare is an important aspect of the general healthcare of individuals residing in long-term care (LTC) facilities. However, it is often neglected in these settings and contributes to oral health disparities and oral diseases among residents. The World Health Organization promotes the reduction of health disparities and diseases through health promotion as an ethical obligation. The utilization of frameworks to promote oral health provides a structured approach to the design, implementation, and evaluation of oral health promotion programs. This study proposed a framework to guide the development, implementation, and review of an oral health promotion intervention, so as to ensure that a systematic and evidence-based approach is used for the delivery of oral health promotion activities. The framework comprised three stages: needs analysis, implementation and review of an oral health intervention, which was guided by the Precede-Proceed model and Intervention mapping. The empirical aspect involved a 4-phased mixed method exploratory study, based on action research and the plan-act-observe-reflect cycle, which illustrated how the framework was operationalized. The oral health intervention indicated positive outcomes with regard to knowledge and attitudes among caregivers. ConclusionThe framework incorporated the key components that influenced oral health provision at LTC facilities.