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PubMed1986

Curricular implications of health promotion and disease prevention in allied health education.

Several recent articles have addressed the role of allied health professionals in health promotion and disease prevention (HP/DP). The consensus is that allied health professionals are on the threshold of making major contributions to the HP/DP initiative. The focus of these contributions usually centers on the role of allied health professionals in clinical settings and the traditional medical-model emphasis on direct patient contact. In addition, there is discussion of the programmatic changes that will be required to meet the challenge of integrating health promotion concepts, knowledge, and skills into current professional curricula. The purpose of this paper is to examine critically the rationale behind providing HP/DP education for allied health professionals and to discuss the implications of such education for professional preparation programs.

Allied Health Personnel↗
PubMed2004

Evaluations of health promoting schools: a review of nine studies.

The concept of 'health promoting schools' has been embraced internationally as an effective way of promoting the health of children, adolescents, and the wider school community. It is only recently that attempts have been made to evaluate health promoting schools. This paper reviews evaluations of health promoting schools and draws useful evaluation methodology lessons. The review is confined to school-based interventions that are founded explicitly on the concept of the health promoting school and employ the concept beyond one school domain. We included nine evaluations in this review. Seven of these were published in the peer reviewed scientific literature. Two were unpublished reports. One study was a randomized controlled trial, while a quasi-experimental research design with comparison schools was used in three studies. With three exceptions, combinations of quantitative and qualitative data were collected. There was evidence that the health promoting school has some influence on various domains of health for the school community. It is also possible to integrate health promotion into the school curriculum and policies successfully. However, the evaluation of health promoting schools is complex. We discuss some of the methodological challenges of evaluating health promoting schools and make suggestions for improving future evaluations.

Adolescent↗
PubMed1998

Childhood accidents: how a health promotion model may help.

The Health of the Nation targets have raised the profile of the need for accident prevention strategies for school children. Tannahill's health promotion model identifies a model of health, which in turn leads to a goal for health promotion. To develop effective health promotion and accident prevention nurses need to work in co-operation with other agencies. Health promotion in schools reaches a large audience and is an important means of reaching this age group. For accident prevention to be effective, hazards and/or risk taking behaviour should be reduced.

Accident Prevention↗
PubMed1995

Health promotion: a concept analysis.

Health promotion is a concept which is frequently used, but is often ill defined. Current health care trends, and the emphasis on the nurse of the future as a promoter of health suggest that it would be useful to attempt to clarify the concept. This paper develops a conceptual analysis of health promotion using the process developed by Rodgers (1989). Attributes, antecedents, consequences and references are described following an examination of the ongoing debate in the literature surrounding the meaning of the concept. Empirical work is also reviewed which suggests that nurses' understandings of the concept are firmly embedded in the more traditional approach rather than the more modern or new paradigm approach to health promotion. A model case is described, and the analysis results in a proposed definition of health promotion which it is hoped will stimulate further discussion.

Attitude to Health↗
PubMedDate not supplied

Increasing the reach of health sponsorship: using a "sponsorship kit" to promote health.

In Australia, a tobacco tax provides funding for Healthway, the Western Australian Health Promotion Foundation. Healthway provides sponsorships for the arts and racing and sporting events to replace funds previously provided by tobacco companies. These sponsorships provide visibility for Healthway and positive health messages. Normally, Healthway staff attends these events to help promote health messages. To reduce Healthway staff time spent helping event organizers promote health messages, Healthway developed a sponsor kit of promotional materials which communicate health messages without requiring Healthway staff to attend events. Recognition, awareness, comprehension, and acceptance of health messages was comparable at events that featured Healthway staff versus the sponsor kits, but the average cost of the sponsorship kits was only 40% of the cost when Healthway staff was featured.

Advertising↗
PubMed1991

Health challenges for the year 2000: health promotion and AIDS.

This article examines how the concept of health promotion can be of value to professionals who have a special responsibility to promote the health of young people and adults. What does it mean to address the issue of AIDS within the broad concept of health promotion? A key message of health promotion is that health cannot be ensured by the health sector alone. The confrontation with AIDS--the new global threat to health--and the response to it with the Global AIDS Strategy have underlined the necessity for a broad involvement of many different sectors of society. Health promotion needs a comprehensive strategy of action oriented towards the development and implementation of various measures concerning the prevention of HIV/AIDS. The five activity areas of the Ottawa Charter for Health Promotion provide a framework to introduce concrete examples of good practice. The main objective of these activities is the development of personal skills that will enable young people and adults to make choices conducive to health, to cope with problems, to find imaginative solutions, and to become aware of the interdependence that exists between all individuals. This means involvement and participation. In turn, participation opens up on a broad perspective of community action, of supportive environment, and of social public policy. This is the framework of action that the health promotion concept can provide.

Acquired Immunodeficiency Syndrome↗
PubMed2006

Health promotion programs related to the Athens 2004 Olympic and Para Olympic games.

BACKGROUND: The Olympic Games constitute a first-class opportunity to promote athleticism and health messages. Little is known, however on the impact of Olympic Games on the development of health-promotion programs for the general population. Our objective was to identify and describe the population-based health-promotion programs implemented in relation to the Athens 2004 Olympic and Para Olympic Games. METHODS: A cross-sectional survey of all stakeholders of the Games, including the Athens 2004 Organizing Committee, all ministries of the Greek government, the National School of Public Health, all municipalities hosting Olympic events and all official private sponsors of the Games, was conducted after the conclusion of the Games. RESULTS: A total of 44 agencies were surveyed, 40 responded (91%), and ten (10) health-promotion programs were identified. Two programs were implemented by the Athens 2004 Organizing Committee, 2 from the Greek ministries, 2 from the National School of Public Health, 1 from municipalities, and 3 from official private sponsors of the Games. The total cost of the programs was estimated at 943,000 Euros; a relatively small fraction (0.08%) of the overall cost of the Games. CONCLUSION: Greece has made a small, however, significant step forward, on health promotion, in the context of the Olympic Games. The International Olympic Committee and the future hosting countries, including China, are encouraged to elaborate on this idea and offer the world a promising future for public health.

Anniversaries and Special Events↗
PubMed2001

The health promoting hospital (HPH): concept and development.

Health promoting hospitals (HPH) is a concept for hospital development that builds upon the health promotion concept of the WHO Ottawa Charter for health promotion, where the reorientation of health care services is considered as one of five major action areas for an overall health promotion development. The article outlines what such a re-orientation may mean for the main hospital functions. These include: the health promoting hospital setting; health promoting workplaces, the provision of health (related) services, training, education and research; the hospital as an advocate and "change agent" for health promotion in its community/environment; the "healthy" (metaphorically speaking) hospital organisation. Based on the concept, an international network of WHO, Europe has been developing since the late 1980s. The main projects of the international network so far were the first model project "health and hospital" (Vienna, 1989-1996), the European pilot hospital project of HPH (1993-1996), and the development of national/regional HPH networks (ongoing since 1995). It is argued that the further development of the HPH network will have to take into account some major changes that have occurred in the hospital landscape since the start of the network: the quality movement and, as a sub-set of this, the increasing importance of evidence based medicine.

Community Health Planning↗
PubMed1986

Practice implications of health promotion and disease prevention in allied health.

Allied health professionals are practicing health promotion and disease prevention in many settings. This article describes existing practice settings and identifies expanded roles for allied health professionals. Some background on the changing societal expectations regarding health and wellness and a rationale for the health professionals' commitment to health promotion are given.

Allied Health Personnel↗
PubMed2003

Effects of a health-promotion program on cardiovascular risk factors, health behaviors, and life satisfaction in institutionalized elderly women.

This study applied a 3-month health-promotion program to institutionalized elderly people to examine changes in cardiovascular risk factors, health behaviors, and life satisfaction. Twenty-one elderly women with an average age of 77 years participated in the program consisting of cardiovascular risk assessments, Korean traditional dance movements (KTDMs), and health education/counseling. Paired t-tests revealed that the participants exhibited significant reductions in total risk score, improvements in health behaviors and life satisfaction at the end of the program. However, the positive effects tend to decrease at 3 months after the program ended. In conclusion, the health-promotion program using KTDM exercises was safely applicable and beneficial to institutionalized elderly women.

Aged↗
PubMed1993

Strategies for maintenance of health-promoting behaviors.

With our understanding of health expanding to include a dynamic of well-being, definitions of health vary, and activities associated with health promotion and disease prevention often overlap. Consequently, studies of health-promotion research include risk reduction. Most nursing studies are descriptive and cross-sectional, and although other disciplines report more intervention efforts, the same theoretic, definitional, and measurement issues exist in all studies. Women, older adults, and those better educated report a greater number of health-promoting behaviors and engage in a healthier lifestyle. An individual's view of health may affect his or her motivation to perform health-promoting behaviors. Removal of barriers, creation of supportive environments, and a strong sense of self-efficacy are important aspects of adoption and maintenance of health-promoting behaviors. Development of self-efficacy should be an integral part of health-promotion programs as increases in self-efficacy have been shown to precede the adoption and maintenance of health-promoting behaviors. Goal setting, contracting, and other behavioral techniques can help an individual develop competence in self-regulation of behavior. Outcomes of research must be congruent with the long-range view that promotion of health implies. Short-term outcomes may continue to be specific, but longer-term indicators will be more comprehensive. Measurement difficulties include evaluation of large-scale programs over extended periods, accounting for positive change in samples in which some persons already maintain health-promoting behaviors and proxy measures for future health. Future attention must be directed toward promoting healthy lifestyles and development of "wellness" thinking.

Attitude to Health↗
PubMedDate not supplied

Research as intervention in heart health promotion.

BACKGROUND: Capacity building in health promotion has traditionally involved training interventions to support knowledge, skill and resource building for effective practice. However, there is a need to understand how research can be used to support capacity building and practice. METHODS: Findings are based on a parallel case study comprising qualitative analysis of 66 key informant interviews from five provincial heart health projects (Manitoba, Prince Edward Island, Ontario, Saskatchewan, and Newfoundland and Labrador) as part of the Canadian Heart Health Dissemination Project. FINDINGS: Results indicate research was used primarily to monitor and report results about health promotion capacity and dissemination to stakeholders, and contribute to participatory processes. Respondents noted that research as intervention had an influence on five areas of health promotion capacity and practice: increased heart health promotion knowledge/skills; improved programming, planning and prioritizing; increased motivation for (heart) health promotion initiatives; and cultivation of relationships as well as buy-in. INTERPRETATION: Research was a complementary capacity-building activity, although it did not directly increase program implementation. These findings contribute to linking researchers, practitioners and community decision-makers in the process of enhancing health promotion practice.

Canada↗
PubMed1998

Restoring the Tower of Babel: building a multilingual thesaurus on health promotion.

In 1994 the International Union for Health Promotion and Health Education, Regional Office for Europe (IUHPE/EURO), began a thesaurus project in the field of health promotion and health education, in collaboration with terminologists and health promotion specialists from various European countries. This article describes the different phases of the international project. Special attention is paid to the origin of the project and the international cooperative imperative needed to bring such a project to fruition.

Europe↗
PubMed2000

Auditing health promotion.

This review of worksite health promotion (or wellness) programmes in the United States begins with a brief description of the essential elements of effective worksite health promotion programmes citing leading authorities. The evidence supporting the value of worksite health promotion is summarized. The importance of relying on major theories related to health education and health promotion is advocated. Current health promotion trends emerging in the United States are also discussed.

Health Promotion↗
PubMed1989

Concepts in health promotion: the notion of relativism.

'Health promotion' is a new and powerful concept. By some professionals in the field as well as by actors in the policy making spheres, though, the notion may be received with considerable scepticism. We have attributed this scepticism, as well as barriers to include notions of health promotion in day-to-day work, to a lack of knowledge of essential concepts in the health promotion context. In this article we first explore the quintessential nature of 'health' (a capacity of people, rather than an end product of medical care) before we set out to analyze some crucial components of health promotion: integral-ness, intersectorality, holism, and ecology. Integral intervention mixes appear to have synergetic, and therefore cost-effective, results. An intersectoral approach will be necessary to address all determinants of health in an adequate way. Alas, neither integral, nor intersectoral health programs have been documented in depth. The notions of holism and ecology seem to suffer from obscurantism and esoteric elitism, though commendable in their scope. Here, we introduce 'relativism' to combine various valuable approaches into one more comprehensive scheme. Moreover, a 'relativist' approach to health promotion might induce better and more fruitful cooperation among professions. Finally, some research gaps have been identified. Policy development studies remain to have top priority in development of health promotion. Better documentation of efforts in this field will be of crucial importance. Further development of, and research on how to apply relativist approaches may be recommended. Cooperation, and opening up a dialogue between different professions and actors is of great importance in this field.

Ecology↗