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Delivering the Science
and the Art of Health Promotion |
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Robert F. Allen
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| Michael P. O'Donnell | iv | Editor’s Notes:
Maximizing ROI: Improving Health, Reducing Costs |
| 1 | Recipient of the 2007 Robert F. Allen Symbol of H.O.P.E. Award | |
| 63 | Instructions to Authors | |
| 68 | Call for Conference Proposals | |
| 70 | Author Index for Volume 21 | |
| 74 | Subject Index for Volume 21 | |
| THE SCIENCE OF HEALTH PROMOTION | ||
| Interventions | ||
| Fitness | ||
| Jeffrey Shepich Julie M. Slowiak Allen Keniston |
2 | Do Subsidization and Monitoring
Enhance Adherence to Prescribed Exercise? A 12-week, randomized trial examined the effects of level of subsidization and type of monitoring had on 132 participants (M age = 49) who were following a physician prescribed exercise program. Approximately ˝ of the participants had their exercise program fully subsidized, whereas the other ˝ had their program partially subsidized. Similarly, approximately ˝ had their activity program monitored by a third party, whereas the other ˝ self-monitored. Those receiving the full subsidy and in the third party monitoring group had the highest attendance during the trial (M = 22.45), followed by those in the third party monitoring group with partial subsidization (M = 21.79), self-monitoring and full subsidization (M = 20.36), and lastly self-monitoring and half subsidization (M = 11.55). These findings add to the growing literature on physician prescribed exercise programs and how to maximize the success level of such programs. |
| Nutrition | ||
| Susan Nitzke Karen Kritsch Linda Boeckner Geoffrey Greene Sharon Hoerr Tanya Horacek Kendra Kattelmann Barbara Lohse Mary Jane Oakland Beatrice Phillips Adrienne White |
6 | A Stage-tailored Multi-modal
Intervention Increases Fruit and Vegetable Intakes of Low-income Young
Adults This study was designed to assess the effectiveness of a theory-based intervention to improve fruit and vegetable consumption in economically disadvantaged young adults (n=2024) across 10 states. The intervention consisted of a series of individualized, computer-generated, print-based materials and educational telephone calls. At follow-up, participants in the experimental group had higher intakes of fruit and vegetables than controls, and greater progression to action or maintenance stages. This study supports the value of tailed educational messages for improving the fruit and vegetable intakes of economically disadvantaged young adults. |
| Smoking Control | ||
| Laurie B. Fisher Jonathan P. Winickoff Carlos A. Camargo Jr. Graham A. Colditz A. Lindsay Frazier |
15 | Household Smoking Restrictions
and Adolescent Smoking When it comes to teenage smoking, parental smoking sent a stronger message to teens than did a household restrictive smoking policy in a study of 10,593 adolescents aged 12-18 years. Parental smoking, peer smoking and the possession of a tobacco promotional item were significantly associated with established smoking (defined as smoking > 100 cigarettes) in this cross-sectional analysis of 1999 data from the Growing Up Today Study (GUTS). It looks like the age-old advice of parents to “do what I say, not what I do” falls on deaf ears. |
| Merrill Eisenberg Darlene Lopez Hye-Ryeon Lee |
22 | Tobacco Policy Regression in
Arizona Worksites In this study, a telephone survey panel design was conducted about how worksite tobacco policies in Arizona changed between 1998 and 2001. Private workplaces having at least 5 employees (n=1008) were surveyed. Workplace policies were rated as smoke-free, partially smoke-free policies or having no tobacco policy. Tobacco policy in worksites improved overall, but 10.8% of worksites had weakened or eliminated tobacco policies present at baseline. Among worksites that were smoke-free at baseline, 15.5% were no longer smoke-free at follow-up. Policy regression is a disturbing finding that should be further explored. |
| Mildred M. Maldonado-Molina Kelli A. Komro Guillermo Prado |
25 | Prospective Association Between
Dieting and Smoking Initiation Among Adolescents This prospective nationally representative study of 7795 Non-Latino Caucasian and Non-Latino African American adolescents examined the relation between dieting and smoking initiation among adolescents. Results indicated that dieting initiation was a significant predictor for initiation of regular smoking among females (OR=1.94, p=.010), but not among males. Inactive dieting was a significant predictor among males (OR=1.74, p=.031), but not among females. Compared to non-dieters, initiating and consistent female dieters reported a higher probability of transitioning to having tried regular smoking. There is a positive relation between initiating dieting and initiating regular smoking among females, but among males it is the inactive dieters that show a positive relationship. Results illustrate the importance of examining the association between dieting and the initiation of regular smoking. |
| Strategies | ||
| Population Health | ||
| Mary K. Hunt Anne M. Stoddard Kimberly A. Kaphingst Glorian Sorensen |
33 | Characteristics of Participants
in a Cancer Prevention Intervention Designed for Multiethnic Workers in
Small Manufacturing Worksites A randomized, controlled study in 24 small multiethnic, manufacturing worksites was conducted to examine worker (n=456) characteristics explicated in our social-contextual intervention model that might be associated with participation. Results showed that gender (p=0.02) and self-efficacy (p=<0.01) were associated with participation, but there were no differences in participation by race/ethnicity or occupational status. The combination of a comprehensive intervention with wide diffusion of program messages may have been more powerful in influencing participation and behavior change than characteristics of individual employees. |
| Applications | ||
| Health Promoting Community Design | ||
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Oliver J. Webb Frank F. Eves |
38 | Effects of Environmental Changes
in a Stair Climbing Intervention: Generalization to Stair Descent This study examined whether visual modifications alone could influence stair climbing behavior in a public venue and whether exposure to the intervention encouraged subsequent stair use. Addition of health promotion message on the riser of stairs increased stair climbing at the target and non-target staircases by 190% and 52%, respectively. The message also produced a modest increase in stair descent at the target (25%) and non-target staircases (9%). |
| Research Methods | ||
| Financial Impact | ||
|
Peter R. Mills Ronald C. Kessler John Cooper Sean Sullivan |
45 | Impact of a Health Promotion
Program on Employee Health Risks and Work Productivity A quasi-experimental design was used to measure the impact of a multi-component health promotion program consisting of a health risk appraisal which included productivity measures (HRA), access to a tailored web portal, bi-weekly email messages, four sets of newsletters and literature, and four on-site seminars offered to employees in three locations of a company in the United Kingdom. Of the 618 employees eligible to participate, 266 (43%) completed pre and post health risk appraisals 12 months apart. In the comparison setting no intervention was offered but 1,242 (49.7%) of the 2,500 employees completed HRA’s 12 months apart. Health risks improved for alcohol consumption, nutrition, sleep, stress, physical activity, perception of good health and seatbelt usage, with an average decrease of .45 risks in the intervention group more than the comparison group. Compared to the comparison group, self reported absenteeism improved an annualized rate of 4.3 days, and productivity improved 7.9% in the intervention group . The authors estimated a return on investment of 1.9 to 1.0 for absenteeism and 4.29 to 1.0 on productivity enhancement on a program that cost $140 per eligible employee or $325 per participating employee. |
| Research Methods | ||
| Abstracts | 54 | 10 abstracts are featured from a variety of publications. |
| DataBase: Research and Evaluation Results | 58 | Four new studies are critiqued and added to the DataBase chart. |
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The Art of Health Promotion |
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Ron Z. Goetzel Ronald J. Ozminkowski Kenneth R. Pelletier R. Douglas Metz Larry S. Chapman |
1 | Emerging Trends in Health and
Productivity Management Many large U.S. employers have generally embraced a Health and Productivity Management (HPM) perspective to guide their multiple employee health management efforts. In looking ahead there are a number of emerging trends that are helping to shape these efforts. As health promotion professionals assess the implications of these trends on their respective role and function within the worksite, it may provide a very useful process for refining strategies for programming and professional development. The identified trends also have a variety of implications for health promotion vendors and the growth of the health management marketplace. |
| 8 | Selected Abstracts Abstracts are provided for eight (8) articles that are related to the ten (10) trends identified in the article. |
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| Larry S. Chapman | 10 | Closing Thoughts |
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American Journal of Health Promotion | 248-682-0707 |
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