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Delivering the Science
and the Art of Health Promotion |
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Robert F. Allen
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| Volume 22, Issue 5 | ||
| Michael P.
O'Donnell
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iv | Editor’s Notes:
A Billion Deaths from Tobacco and Cuts in Tobacco Prevention Funding |
| THE SCIENCE OF HEALTH PROMOTION | ||
| Interventions | ||
| Fitness | ||
| JoEllen Wilbur Judith H. McDevitt Edward Wang Barbara L. Dancy Arlene M. Miller Joan Briller Diana L.M. Ingram Terry L. Nicola SuKyung Ju Hyeonkyeong Lee |
307 | Outcomes of a Home-based
Walking Program for African American Women This study compared an enhanced intervention using behavioral strategies targeted and tailored to African American women (n = 281) to minimal treatment to determine the effectiveness of a home-based walking intervention on adherence, physical activity, fitness and body composition at 24 and 48 weeks in two community health centers. Adherence was significantly higher in the enhanced group and was related to the number of workshops attended (r = .58) and tailored calls (r = .25) received. Intent-to-treat analysis showed a significant increase in fitness, decrease in waist circumference, and no change in BMI in both treatments. Findings suggest the potential impact of workshop group support on adherence in African American women. |
| Jonine M. Jancey Andy H. Lee Peter A. Howat Ann Clarke Kui Wang Trevor Shilton |
318 | The Effectiveness of a Physical
Activity Intervention for Seniors This study examined the effectiveness of a tailored 6-month neighborhood-based physical activity intervention for 65-74 year olds on the primary outcome of total physical activity level. Older adults (n=573) were recruited from 60 neighborhoods in Perth, Australia and administered the IPAQ pre, midpoint, and post intervention. The intervention resulted in a significant increase (2.25 hours per week on average) in total physical activity times (p<0.001). |
| Medical Self-Care | ||
| Melanie Besculides Heather Zaveri Charlotte Hanson Rosanne Farris Karen Gregory-Mercado Julie Will |
322 | Best Practices in Implementing
Lifestyle Interventions in the WISEWOMAN Program: Adaptable Strategies for Public Health Programs A mixed methods approach was used to collect and analyze data from five of the 15 currently operating Selected Well-Integrated Screening and Intervention for Women Across the Nation (WISEWOMAN) projects, funded by the Centers for Disease Control and Prevention. The RE-AIM framework guided the selection of 87 best practices. A subset of 31 best practices applicable to other public health programs, and for which differences in how high- and low-performing sites used the practices, is described in this article. |
| Nutrition | ||
| Maria Thomson John C. Spence Kim Raine Lory Laing |
329 | The Association of Television
Viewing with Snacking Behavior and Body Weight of Young Adults A survey delivered by the internet to 613 Canadian university students was used to investigate whether TV viewing and recognition of snack food advertisements were associated with snack food consumption and the odds of being overweight or obese. Data collected on-line included self-reported TV viewing, the consumption of energy-dense snacks, snacking while viewing TV, and body weight and height. The results showed that that university students who watch four or more hours of TV per day snack more frequently while watching TV, recognize more advertising, and consume more energy-dense snacks than students who view one hour or less of TV per day. Furthermore, the odds of a university student being overweight or obese increase substantially if she or he view four or more hours of TV per day, regardless of snacking behavior. |
| Jennifer Di Noia Isobel R. Contento James O. Prochaska |
336 | Computer-Mediated Intervention
Tailored on Transtheoretical Model Stages and Processes of Change Increases
Fruit and Vegetable Consumption Among Urban African-American Adolescents The purpose of this pretest-posttest, quasi-experimental study was to examine the efficacy of an intervention based on the transtheoretical model (TTM) for increasing fruit and vegetable consumption among economically disadvantaged African American adolescents. Youth aged 11 to 14 years (n=578) were assigned to computer intervention (CI) and nonintervention control study arms; those in the CI arm completed four 30-minute intervention sessions tailored on TTM stages and processes of change. Findings revealed that exposure to an intervention tailored on TTM stages and processes of change can increase intake, promote forward movement through the stages of change, and strengthen endorsements of the pros of change among economically disadvantaged African American adolescents. |
| Social Health | ||
| Jan Warren-Findlow Thomas R. Prohaska |
342 | Families, Social Support, and
Self-Care Among Older African American Women With Chronic Illness This study examines the type and extent of social support provided by family members to older African American women managing chronic disease. Using a purposive sample of twelve middle-aged and older African American women with diagnosed early stage heart disease and other co-morbidities, data were collected on women’s beliefs about their heart disease and their descriptions of how family members helped or inhibited their self-care practices. Most women lived in interdependent, multigenerational situations with family members providing instrumental support, a passive form of informational support based on family history of heart disease that was used to make health comparisons and evaluate heart health, and behavioral support in terms of reinforcement or discouragement of lifestyle behavior changes. |
| Strategies | ||
| Health Promoting Community Design | ||
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Susan L. Handy Xinyu Cao Patricia L. Mokhtarian |
350 | The Causal Influence of
Neighborhood Design on Physical Activity within the Neighborhood: Evidence
from Northern California This study tests for causal relationship between neighborhood design and physical activity within the neighborhood by controlling for self-selection. A random sample of 1682 adults in 8 Northern California neighborhoods stratified by movers (moved within 1 year) and non-movers (moved more than 1 year ago) responding to self-administered mail survey. After controlling for physical activity attitudes and neighborhood preferences, selected neighborhood design characteristics are associated with physical activity within the neighborhood, and changes in selected neighborhood design characteristics are associated with changes in physical activity within the neighborhood. Improving physical activity options, aesthetic qualities, and social environment may increase physical activity. |
| Research Methods | ||
| Measurement Issues | ||
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Lindsay J. Della David M. DeJoy Ron Z. Goetzel Ronald J. Ozminkowski Mark G. Wilson |
359 | Assessing Management Support for
Worksite Health Promotion: Psychometric Analysis of the Leading by Example (LBE)
Instrument This paper describes the development of the Leading by Example (LBE) instrument. Exploratory and confirmatory factor analysis was used to develop the scale among two samples of employees. Four subscales were identified: business alignment with health promotion objectives; awareness of the health-productivity link; worksite support for health promotion; and leadership support for health promotion. Factor-by-group comparisons revealed that the initial factor structure is effective in detecting differences in organizational support for health promotion across different employee groups. Management support for health promotion can be assessed using the LBE, a brief, self-report questionnaire. Researchers can use the LBE to diagnose, track, and evaluate worksite health promotion programs. |
| Abstracts | 368 | 9 abstracts are featured from a variety of publications. |
| DataBase: Research and Evaluation Results | 372 | Four new studies are critiqued and added to the DataBase chart. |
| 377 | Call for Conference Proposals | |
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The Art of Health Promotion |
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Larry S. Chapman |
1 | Enhancing Consumer Health Skills
Through Worksite Health Promotion The health cost control mission of many worksite health promotion programs can be furthered by targeting the enhancement of consumer health skills. A variety of programmatic interventions are described along with a core set of consumer health skills that address both medical self-care and health consumerism. Examples of decision support tools are provided along with potential future developments. |
| 9 | Selected Abstracts Abstracts are provided for thirteen (13) peer review articles that highlight various aspects of consumerism in health care. |
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| Larry S. Chapman | 12 | Closing Thoughts Editorial comments on the feasibility and social implications for enhancing consumer health skills are offered. |
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American Journal of Health Promotion | 248-682-0707 |
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