BASKET CONTENTS
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Delivering the Science
and the Art of Health Promotion |
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Robert F. Allen
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THE
SCIENCE OF HEALTH PROMOTION|
Strategies |
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Diana L. Dally Wendy Dahar Ann Scott Douglas Roblin Allan T. Khoury |
101 |
Behavior Change; Financial Analysis The Impact of a Health Education Program Targeting Patients With High Visit Rates in Managed Care Organization 3,214 members of a managed care organization in Ohio who had at least 11 visits in both 1994 and 1995 and at least one visit with a diagnosis of arthritis, hypertension, or diabetes were invited to participate in a mail-based health promotion program. 886 agreed to participate and 593 returned initial questionnaires. These members were randomly assigned to treatment and control conditions for arthritis, hypertension, or diabetes. Utilization dropped and health risk status improved for the arthritis group relative to the control, but utilization increased for the hypertension group and showed no change for the diabetes group. |
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Research |
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George Haynes Tim Dunnagan |
112 |
Financial Analysis; Methods, Issues, and Results in Evaluation and Research Comparing Changes in Health Risk Factors and Medical Costs Over Time The relationship between changes in health risks and changes in medical care costs was measured for 1940 employees, using mean, median, and regression comparisons. The time between measurements ranged from one to six years. Employees with at least one risk factor were more likely to have any insurance claims in 13 of 16 major diagnostic categories, higher mean and median costs, and more likely to have high medical costs. Those who started with and maintained no risk factors had the lowest cost for 13 of the 15 different cost comparisons. Trends for other risk groups were not as simple. Annual costs were highest ($433 median, $3,237 mean) for those who started with and maintained at least one risk and lowest ($49 median, $1,626 mean) for those who started with and maintained no risks. |
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Corey L. M. Keyes Joseph G. Grzywacz |
122 |
Methods, Issues, and Results in Evaluation and Research Complete Health: Prevalence and Predictors Among U.S. Adults in 1995 3,032 adults in the 48 contiguous United States completed a series of questionnaires on their objective and subjective physical and mental health status as well as demographic information. Of the total population, 18.8% were classified as completely unhealthy, 19.0% as completely healthy, and 62.2% as mixed health. The completely healthy were more likely to be younger or older, were married, were male, were college educated, and had a higher household income. |
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Thomas Golaszewski Brian Fisher |
132 |
Methods, Issues, and Results in Evaluation and Research; Culture Change Heart Check: The Development and Evolution of an Organizational Heart Health Assessment Heart Check is a 226-item inventory designed to measure worksite characteristics which enhance heart health, including organizational foundations, administrative structures, and supports for tobacco control, nutrition, physical activity, and health screenings as well as company demographics. The development, testing, and application of the inventory are described and the actual inventory is shown. |
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Abstracts |
154 |
Nine abstracts are featured from a variety of publications. |
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DataBase: Research and Evaluation Results |
157 |
Three new studies are critiqued and added to the DataBase chart. |
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The Art of Health Promotion |
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Shawn Connors |
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Building the Vision for a Healthier America The Communications Committee chair for Health Promotion Advocates describes a grass roots advocacy effort to make health promotion a more important part of national health policy. |
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Judd Allen |
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What Will It Take to Promote Healthy Lifestyles Among All Americans? A member of the Issue Refinement Committee describes the level of change required to achieve the Health Promotion Advocates' goals. |
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President Bush: A Healthier America Is a Stronger America |
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Michael O'Donnell |
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Why Focus on Research First? The Chair of the Executive Committee explains why the group decided to increase support to develop the basic and applied science of health promotion as the first issue to advocate. |
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Wendy Bailey |
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Climbing the Hill—You Can Do It Too A member of the grass roots advocacy network explains the strategies she used to educate herself on the advocacy process and begin to get to know the legislative staff of one of her U.S. Senators. |
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Take Action |
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Selected Abstracts and References Thirteen abstracts related to advocacy and health policy are featured. |
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Larry Chapman |
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Closing Thoughts The editor offers some closing observations. |
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American Journal of Health Promotion | 248-682-0707 |
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