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Delivering the Science and the Art of Health Promotion

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In Brief  

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$1 Billion a Week for Global Well-being
Recognition of Reviewers

THE SCIENCE OF HEALTH PROMOTION
Interventions    
    Medical Self-Care
Karen Nolan
Matthew P. Mauer
379 An Evaluation of a Lyme Disease Prevention Program in a Working Population
190 New York State Department of Health employees considered at-risk for Lyme disease (LD) received an educational program on the disease and the opportunity to be vaccinated. Those who chose to be vaccinated (N=30) were concerned about their exposure to ticks. Those who declined (160) were concerned about the safety (64%), novelty (56%) and efficacy of the vaccine (48%). The results suggest that in-person education should be a mandatory element of a vaccine-related disease prevention program.
    Smoking Control
Jennifer Irvin Vidrine
Cheryl B. Anderson
Kathryn I. Pollak
David W. Wetter
383 Gender Differences in Adolescent Smoking: Mediator and Moderator Effects of Self-generated Expected Smoking Outcomes
Associations among gender, self-generated smoking outcome expectancies, and smoking behavior were examined among urban adolescents attending either all-boy (n = 315) or all-girl (n = 350) Catholic high schools. Girls were significantly more likely than boys to be nonsusceptible never smokers (30% vs. 19%, respectively) and boys were significantly more likely to be current smokers than girls (37% vs. 28%, respectively). Boys associated smoking with buzz, pleasure, taste/smell, stimulation, and exercise/sport impairment, whereas girls associated smoking with weight control, negative aesthetics, addiction, and negative mood. Buzz and pleasure were mediated by gender and smoking behavior, whereas negative social and enhanced self-esteem were moderated by the gender-smoking relationship. This study suggests that boys and girls have different motivations for smoking.
Strategies    
    Behavior Change
Bradley J. Cardinal
Joa S. Keis
Claude Ferrand
388 Comparison of American and French College Students’ Stage of Change for Muscular Fitness-
promoting Behaviors

A cross sectional analysis of students from the United States (n=231) and France (171) found that Americans were at more advanced stages of readiness to change for muscular fitness promoting behavior and Americans perceived a greater number of pro’s for these behaviors.
Megan A. Moeller
Anastasia M. Snelling
392 Health Professionals’ Advice to Iowa Adults With Hypertension Using the 2002 Behavioral Risk Factor Surveillance System
The study investigated the prevalence of hypertension-lowering lifestyle modification advice given to adults living in Iowa. Although not at ideal levels, lifestyle modification advice was received more by persons with HBP than without for eating less high fat/high cholesterol foods, eating more fruits and vegetable, exercising more, losing weight and quitting smoking.
Tracy L. McPherson
Royer F. Cook
Anita S. Back
Rebekah K. Hersch
April Hendrickson
396 A Field Test of a Web-based Substance Abuse Prevention Training Program for Health Promotion Professionals
The study evaluated a multimedia substance abuse prevention training program for health promotion practitioners. The web-based training was effective for increasing information, understanding, and self-efficacy of participants compared to a traditional print-based training program.
    Health Policy
Amiram M. Sheffet
Sylvia Ridlen
Donald B. Louria
401 Baseline Behavioral Assessment for the New Jersey Health Wellness Promotion Act
The study examined baseline rates and the effects of demographic and socioeconomic factors on the use of preventive services included in the New Jersey Health Wellness Promotion Act. Rates for receiving recommended screening tests ranged from .88 for blood pressure testing to .29 for osteoporosis screening. Having insurance was the most consistent determinant associated with receiving preventive services in the bivariate analyses. Reminders were significantly associated with respective screening tests
Applications    
    Health Promoting Community Design
Tegan K. Boehmer
Sarah L. Lovegreen
Debra Haire-Joshu
Ross C. Brownson
411 What Constitutes an Obesogenic Environment in Rural Communities?
The study examined perceived indicators of the physical environment and their association with obesity in rural communities. Several indicators of the perceived neighborhood environment were associated with being obese, including further distance to the nearest recreational facility, unpleasant community for physical activity, feeling unsafe from crime or traffic, and few non-residential destinations.
Russell Jago
Tom Baranowski
Janice C. Baranowski
422 Observed, GIS, and Self-reported Environmental Features and Adolescent Physical Activity
This cross sectional study examined the associations among observed (minutes of sedentary, light and moderate to vigorous activity per day using accelerometry), self-reported and GIS environmental features and physical activity among 210, 10-14 year old Boy Scouts in Houston, Texas. Principal components analysis produced three GIS factors (Parks, Crime and Gyms) and two self-reported factors (Difficulty and Access & Safety). Although environmental variables obtained from self-report, GIS and direct observation were all inter-related, only one environmental factor, sidewalk characteristics, was associated with sedentary behavior and light intensity physical activity among adolescent males.
Research Methods    
    Measurement Issues
Maxime Gagnon
Réjean Hébert
Micheline Dubé
Marie-France Dubois
429 Development and Validation of an Instrument Measuring Individual Empowerment in Relation to Personal Health Care: The Health Care Empowerment Questionnaire (HCEQ)
The purpose of this study was to develop and test a measure to assess individual empowerment in relation to personal health care and services, specifically for elderly people. This 10-item instrument was designed to capture three theoretical aspects of individual empowerment: degree of control, involvement in decisions, and involvement in interactions with health professionals. Factor analyses were conducted with two different samples and confirmed model fit and the three factor structure. Convergent and discriminant validity were established and acceptable internal consistency and test-retest reliability were obtained.
Abstracts 436 12 abstracts are featured from a variety of publications.
DataBase: Research and Evaluation Results 441 Four new studies are critiqued and added to the DataBase chart.
  448 Call for Conference Proposals

The Art of Health Promotion

Seth Serxner
Kristin Baker
Daniel Gold
 
1 Guidelines for Analysis of Economic Return From Health Management Programs
The importance of health management programs as a component of employer strategies for health cost management is growing. At the same time payers, consultants and evaluators need consistent methods for determination of the economic return associated with all types of health management programming. This article is intended to provide a thorough set of practical recommendations on how that economic return analysis should be conducted. The authors welcome further dialogue on strengthening the methodological approach to the determination of the economic return associated with health promotion and other health management interventions with defined populations.
  17 Selected Abstracts
Abstracts are provided for two (2) peer review articles that address facets of the methods used for economic return analysis for health management programs.
Larry S. Chapman 18 Closing Thoughts
Editorial comments on the implications of these proposed guidelines with four (4) observations of interest.

 

American Journal of Health Promotion 248-682-0707

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