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Reducing motor vehicle trauma through health promotion programming.

Health Promotion approaches found effective in reducing morbidity and mortality from chronic diseases are being applied to reducing death and disability from motor vehicle trauma. The use of safety belts and child safety seats are of recognized benefit in reducing the public health problem associated with traffic crashes. Because traffic crashes are one of the leading causes of productive years of life lost and the leading cause of death among age groups 5-34, safety belt and child safety seat programs that use effective community health promotion strategies are needed. This article suggests programs and educational approaches in which safety belt and child restraint use are promoted as preventive health practices. Health educators are encouraged to view these protective behaviors as part of a healthy life-style and promote occupant protection as a life-style behavior.

Accidents, Traffic↗

Health promotion: the Health-Full-Life program.

A 17-point program of disease prevention-health promotion is offered as a paradigm for ostensibly healthy adults. The author stresses the necessity for keeping the program inexpensive and adequately documented; such a program will be state-of-the-art prevention.

Adult↗

Organizational capacity and implementation change: a comparative case study of heart health promotion in Ontario public health agencies.

This paper reports the results of a comparative case study that examines factors influencing changes in implementation of heart health promotion activities in Ontario public health units. The study compared two cases that experienced large changes in implementation from 1994 to 1996, but in opposite directions. Multiple data sources were used, with an emphasis on secondary analyses of quantitative surveys of health units and other community agencies, and in-depth interviews of public health staff, collected as part of the Canadian Heart Health Initiative Ontario Project. Guided by social ecological and organizational theories, changes in implementation were explained by examining changes in (1) organizational predisposition to undertake heart health promotion activities, (2) organizational practices to undertake these activities, (3) other internal organizational factors and (4) external system factors. Findings show that in communities with diverse characteristics, implementation change was most strongly influenced by an interplay of changes in internal features of public health agencies; notably, leadership, structure and staff skills. Findings support a social ecological approach to health promotion by demonstrating the importance of the institutional context in the implementation change process, the interaction of individual (skills) and organizational (structure) levels in explaining implementation change, and community context in shaping the change process. Findings also reinforce the value of strengthening capacity within public health agencies and suggest further research on the implementation change process, especially in different systems and over longer periods of time.

Cardiovascular Diseases↗

Choice and accountability in health promotion: the role of health economics.

Choices need to be made between competing uses of health care resources. There is debate about how these choices should be made, who should make them and the criteria upon which they should be made. Evaluation of health care is an important part of this debate. It has been suggested that the contribution of health economics to the evaluation of health promotion is limited, both because the methods and principles underlying economic evaluation are unsuited to health promotion, and because the political and cultural processes governing the health care system are more appropriate mechanisms for allocating health care resources than systematic economic analysis of the costs and benefits of different health care choices. This view misrepresents and misunderstands the contribution of health economics to the evaluation of health promotion. It overstates the undoubted methodological difficulties of evaluating health promotion. It also argues, mistakenly, that economists see economic evaluation as a substitute for the political and cultural processes governing health care, rather than an input to them. This paper argues for an economics input on grounds of efficiency, accountability and ethics, and challenges the critics of the economic approach to judge alternative mechanisms for allocating resources by the same criteria.

Choice Behavior↗

A project to promote health awareness among firefighters.

Fighting Fit is a collaborative health promotion endeavour run by the Cheshire Fire Service, Warrington Primary Care Trust, Cheshire Fire Service Occupational Health and the firefighters themselves. This article describes the project and its evaluation.

Adult↗

Implementing organizational changes to promote healthful diet and physical activity at school.

Diet and physical activity patterns appear to be learned at early ages, suggesting the need for school-based intervention. The potential of schools to improve children's diet and physical activity has been offset by countervailing school environments. In the first year of the "Go For Health" health promotion project, organizational change innovations were implemented to facilitate changes in school lunch, physical education, and classroom health education in support of healthful student diet and physical activity. At first follow-up after one year of intervention, the amount of sodium in selected foods served in school lunch was reduced from baseline (1985) to year one (1986) in the experimental schools by 29 and 33%, respectively, and fat was reduced by 28 and 42%, respectively. At first follow-up, students in the experimental schools participated in fitness activities 44.1 and 38.0% of the time, compared with 19.5 and 22.7% in the control schools.

Child↗

Developing workplace health promotion programs through university and corporate collaboration. A review of the Corporate Health Promotion Research Program.

The unique collaboration of the UCSF School of Medicine with community and national leaders in corporate health promotion has, in less than three years, made the Corporate Health Promotion Research Program a valuable resource to participating corporations. We are able to offer them sound consultation on health promotion programs, based on state-of-the-art research, at minimal cost to the employer or employees. In addition, we are educating employers about quality programs and the process and need for evaluation, in an effort to generate sound findings on the effects of corporate health promotion programs. Corporations are beginning to see that instead of being reactive and spending great sums of money only after employees become ill, it makes good sense to institute programs designed to prevent employees from becoming ill in the first place. With such programs, corporations not only improve the health of their employees (a worthy objective in its own right), but they contribute to containing medical costs at the same time--a clear "win-win" situation for all concerned. In short, corporations are finding that an ongoing, active interest in the health of their employees has a direct bearing on their own long-range health as a business. With this in mind, we feel that medical benefit plans of the future will be comprised of three elements: medical care plus cost-containment plus health promotion programs. With this order of complexity, no one company or professional organization has all the answers--and that should be acknowledged from the outset.(ABSTRACT TRUNCATED AT 250 WORDS)

Data Collection↗

Social learning theory: strategies for health promotion.

Occupational health nurses can facilitate the design of more effective health promotion programs by utilizing theories of behavior change. Planning a health promotion program based on the Social Learning Theory includes an assessment of personal as well as environmental factors that influence behavior. The motivation of employees to make behavior changes can be enhanced by raising their awareness of the problem, engaging clients in the process of goal setting, and making self-satisfaction conditional on a certain level of performance. Goal setting with attainable subgoals creates and sustains self-motivation, which can lead to larger, future goals. Interpreting the consequences of health behavior can be an incentive for individuals who value the perceived effects of lifestyle changes.

Health Behavior↗

Survey results on behavioral health promotion in managed primary health care.

Casual observation suggests that many managed health care providers support health promotion and preventive care, including efforts addressing such behavioral health objectives as reduced alcohol use during pregnancy, prevention of family violence, and improved parenting. Respondents from roughly 40 percent of 200 health maintenance organizations (HMOs) selected for a 1995-1996 survey reported some type of health promotion activities with potential behavioral health impact. These 80 HMOs were found to be divided among eight distinct models of interaction between behavioral health promotion and managed primary health care.

Community Health Services↗

Health related attitudes and health promoting behaviors: differences between health fair attenders and a community group.

Demographic, attitudinal, and behavioral differences between health fair attenders and a community comparison group were examined along with predictions of health promoting behaviors from demographic and attitudinal variables. Differences between questionnaire responses of 155 health fair attenders and 71 grocery shoppers indicated attenders perceived themselves having better current health and greater internal control of their health, and reported more behaviors indicating health responsibility, exercise, and nutrition than the comparison group. Psychological variables--particularly perceptions of greater self-efficacy and better health status--were the best predictors of attenders' health promoting behaviors; demographic variables were less important. On the other hand, demographic variables were most predictive of comparison group health promoting behaviors with psychological variables playing a lesser role. Further studies of relationships between the variables examined here and experimental studies of the effects of health fair attendance on health knowledge and performance of health promoting behaviors are needed. Assuming health fairs are effective in educating attenders, it was concluded that health fair planners should: 1) encourage nonattenders to become attenders and attenders to be repeat attenders, 2) carefully promote and advertise health fairs, and 3) hold health fairs in locations easily accessible to large numbers of people.

Attitude to Health↗

Promoting health behavior change using appreciative inquiry: moving from deficit models to affirmation models of care.

This article describes a new theoretical approach to health promotion and behavior change that may be especially suited to underserved women. Appreciative inquiry (AI), an organizational development process that focuses on the positive and creative as a force for an improved future, is described and adapted for use as an intervention to achieve health behavior change at the individual level. Guiding principles for its use with clients are provided, and an example of its application is illustrated in a hypothetical case study of an African American woman of low-socioeconomic resources who is attempting to increase lifestyle exercise following a cardiac event. AI is contrasted with the more traditional problem-solving approaches to the provision of care. The advantages, challenges, and issues associated with the use of AI as a health behavior change strategy are discussed.

Black or African American↗

Improving community education strategies for mental health promotion.

Mental health promotion may be conceptualized as a process of communication comprising five basic elements: message content, message medium, target audience, goals, and providers of educational services (sender). This paper, based on a review of the mental health education literature, examines each element in terms of strategies and issues which should be considered in the development of effective mental health promotion campaigns. The s synergistic relationship among these elements and the need for evaluation are also discussed.

Community Mental Health Services↗

Perimenopause: an opportunity for health promotion.

Women throughout the world experience menopause, yet the effects of estrogen deficiency, which are more extensive than the commonly reported symptoms of hot flashes, vaginal atrophy, and osteoporosis, are rarely discussed. Using an empathetic approach can enable nurses to teach women more effectively about the multisystem effects of perimenopause and counsel them to implement and maintain the life-style changes necessary for promoting health during this time of life.

Aged↗

[New chance for health promotion law. Summary of the article "New chance for health promotion law"].

At the end of the last term of legislation the health promotion law which had passed Parliament (Bundestag) finally failed as it was not agreed upon by the States (Länder). The complex interrelation between federal level, states and social insurance organisations was neglected. The coalition of Christian Democrats and Social Democrats which was formed in autumn 2005 has agreed to launch a health promotion law, but precise statements to contentious issues are missing.

Germany↗