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PubMed2006

Health promotion policies in the Republic of Korea and Japan: a comparative study.

Health promotion strategies have been developed and implemented in some Asian countries, particularly in the Republic of Korea (Korea) and Japan. It would help to understand features of health promotion in each country to compare health promotion strategies between them. In this study, using categories developed by HP-Source.net, we conducted a comparative analysis of health promotion strategies between Korea and Japan to understand features of health promotion in each country and contribute to the improvement of population health. One of the goals of Health Plan 2010 is to assess its achievements with numerical targets, which is also the case in Japan. One of the important discussion points involves a decision on the optimal number of targets for evaluation. There is a major difference in the funding of health promotion activities between Korea and Japan. They are financed through the general account in Japan, while in Korea a foundation for health promotion has been established and the income from tobacco tax is ring-fenced for this fund. The database and methodology of HP-Source needs adaptation for global use. We encountered some disadvantages in using its current framework for comparing and analysing information on health promotion in Korea and Japan. It has been recognised that HP-Source could influence the development and implementation of health promotion strategies in other parts of the world. Health promotion tools can help decision makers, planners and researchers to formulate and enhance comprehensive plans. In this study we learned many lessons in expanding policy tools outside of one region to aid the global development of effective health promotion policy and practice.

Health Promotion↗

PubMed2004

The KwaZulu-Natal health promotion model.

PURPOSE: To describe a health promotion model aimed at assisting primary health care nurses to incorporate health promotion into their practice. ORGANIZING STRUCTURE: The model is based on empowering people through a systematic, planned, needs-driven curriculum with comprehensive content, using interactive teaching in small groups, and linking the groups with external resources. The process involves identifying and engaging partners, planning the project, implementing it, and then disengaging. METHODS: The implementation of this model in a province of South Africa, KwaZulu-Natal, in a collaborative project involving two universities and the state health services, changed the practice of the primary health care nurses involved. They worked with women's groups over 3 years and changed both their own perspectives and the lives of the women. CONCLUSIONS: Unless nurses have an implementation model available to them, they frequently focus only on illness needs of people and do not participate in health promotion.

Black People↗

PubMed2003

A survey of health promotion at international schools.

This study investigated health promotion efforts at international schools serving the education needs of expatriate communities abroad. Factors supporting the implementation of whole-school approaches to health promotion also were examined. Self-completed questionnaires were distributed by a combination of electronic and conventional mail. International school staff in 93 countries (n = 205) completed an adapted version of an instrument used for evaluating the Western Australian School Health Project (WASHP). This survey demonstrated usefulness of the WASHP instrument cross-culturally in a variety of school settings. The level of whole-school approaches to health promotion in the participating international schools varied but tended to be low. Demographic characteristics of schools were not associated with differences in the level of health promotion, with the exception school size. School organizational factors support implementation of health promotion programs.

Adolescent↗

PubMed1993

Health promotion. Strategies for family physicians.

The current emphasis on health promotion raises questions among experienced health professionals. Many wonder whether such care differs from what we have always done and have doubts about cost effectiveness and government motives. This paper explores the latest meaning of the term health promotion, the evolution of strategies to promote health, and the implications of these strategies for practising family medicine.

Adult↗

PubMed1998

Designing an incentive based health promotion program.

1. A health incentive program can be an effective intervention for reducing employee population risk and altering health care utilization patterns. 2. An incentive based health promotion program rewards employees for performing a selected set of behaviors. 3. Collecting supporting data (benchmarking, needs assessment, organization data, published data) provides the foundation for the health incentive program design. 4. Choose an incentive appropriate to the employee population and worksite culture.

Benchmarking↗

PubMed1999

Health conception and health promotion in blue collar workers. Program planning issues.

Health conception and health promotion behaviors were measured in 160 blue collar workers ages 18 to 65, focusing on factors influencing blue collar workers' participation in health promotion programs. Results of Laffrey's Health Conception Scale (LHCS) and Pender's Health Promoting Lifestyle Profile (HPLP) indicated: Health responsibility and interpersonal support were significantly greater for women than for men. Exercise was significantly greater for younger workers than for older workers. Nutrition was significantly greater for older workers than for younger workers. Health conception was significantly greater for younger women and for older men. A significant relationship exists between health conception and health promoting lifestyle. Role and self actualization were significantly greater for older workers than for younger workers. Results suggest gender, age, and concept of health are important when planning health promotion programs at an industrial site.

Adolescent↗

PubMed2005

[Prevention and health promotion programmes on websites of the Polish health insurance funds].

OBJECTIVE: The aim of our study was to evaluate the content and presentation of prevention and health promotion programmes on websites of the Polish health insurance funds. DESIGN: A systematic review of the content of official websites of all 17 national health insurance funds was done. RESULTS: Information on health care programmes was given on 12 websites, In four cases information can be described as sufficient and in only one case the programme was described in detail. Health insurance funds in Poland make extensive use of the Internet to communicate with contractual service providers. However, there is much to be done concerning communication with the patients.

Directories as Topic↗

PubMed1999

An oral health promotion programme for nursing caries.

AIM: To evaluate an oral health promotion programme involving health visitors and mothers of 8-month-old babies in order to address some of the risk factors associated with nursing caries. DESIGN: Two cross-sectional studies using postal questionnaires. SAMPLE: A random sample of 250 mothers who had not received the oral health promotion programme and 250 mothers who had received the programme. SETTING: The City of Salford. RESULTS: The oral health promotion programme significantly improved mothers recall of advice given by health visitors encouraging the use of a feeder cup, brushing their babies' teeth with fluoride toothpaste and restricting sugary foods and drinks. Significant improvements were also found in recall of advice regarding the use of sugar-free medicine and registering babies with a dentist. The programme encouraged a higher proportion of the mothers to bring their children to clinics for a hearing check. CONCLUSION: A simple oral health promotion programme facilitated by health visitors improved recall of advice and clinic visiting behaviour.

Bottle Feeding↗

PubMed1990

School-based cardiovascular health promotion: the child and adolescent trial for cardiovascular health (CATCH).

The Child and Adolescent Trial for Cardiovascular Health (CATCH) is a multisite intervention research study that builds on significant progress made in school health education research in the 1980s. The study has three phases: Phase I deals with study design, intervention, and measurement development, Phase II involves the main trial in 96 schools in four states, and Phase III focuses on analysis. The intervention program targets third-fifth grade students and focuses on multiple cardiovascular health behaviors, including eating habits, physical activity, and cigarette smoking. Classroom curricula, school environmental change, and family involvement programs are developed for each grade level and behavioral focus. This paper describes Phase II of CATCH with a rationale for cardiovascular health promotion with youth. The process of change that appears to be necessary for school-based health promotion and that will be tested in CATCH are presented as a framework to guide these efforts.

Adolescent↗

PubMed1999

Feasibility of implementing health promotion interventions to improve health-related quality of life.

Survivors of childhood cancer are a growing and vulnerable population. Cure rates for pediatric cancers now exceed 60% and, by the year 2000, an estimated 1 of every 1,000 young adults will be a cancer survivor. Because this population is at increased risk for late medical and neoplastic complications that impact adversely on health-related quality of life, it is important to investigate methods to promote risk reduction by motivating survivors to practice health-promoting behaviors. With this background, we initiated a prospective, randomized, controlled feasibility study in which survivors attending a long-term follow-up clinic were randomized to receive standard care or standard care plus an educational intervention. Our objectives were to determine if the intervention would improve the survivors' knowledge about their cancer treatment and risks of late effects and increase their practice of health-protective behaviors. Since July 1995, 272 of 318 families (86%) approached about the study agreed to participate. Of these, 266 are evaluable for assessment of baseline knowledge and health behaviors. Demographic features, baseline knowledge, health perceptions and health behaviors did not differ among randomized groups. Assessment of the intervention's efficacy at changing health behaviors of survivors randomized to the intervention group will be available when the 1-year follow-up evaluations are completed for the study cohort. Our preliminary experience with this pilot study supports the feasibility of educational intervention research in a specialty clinic dedicated to monitoring long-term childhood cancer survivors. Int. J. Cancer Suppl. 12:138-142, 1999.

Adolescent↗

PubMed1998

Health promotion partnerships: service and education addressing the health needs of vulnerable groups.

This paper describes partnerships between service and education that can assist in meeting the health care needs of vulnerable population groups. Baccalaureate nursing students learn about population-based nursing practice as a means of addressing health needs. Each semester, groups of 8-10 senior students work with a community agency serving a population at risk. Students assess health needs and plan, implement, and evaluate a health promotion intervention with the population and the agency. Emphasis is placed on designing culturally appropriate interventions that are accomplished in partnership with the agency and population. Projects which illustrate the generalizability of this approach will be discussed. Such experiences reduce barriers that separate education from practice. Community agencies benefit as health needs that might not otherwise be met are addressed.

Alaska↗

PubMed2000

The role of community-based nurses in health promotion.

It is the responsibility of all nurses to incorporate health promotional and health education activities into their professional roles. Much of the literature around this issue relates to the specific role of community-based nurses in the primary healthcare team, and identifies their unique position and responsibility for pioneering the universal acceptance and adoption of health-promoting practice. Community-based nurses are in a good position to commission health-related activities and integrate them into practice (Department of Health and Social Security, 1987; Department of Health, 1992, 1996). On the basis of this, one might expect that the results of studies in this area would identify evidence of good understanding, adoption, parity and support for such initiative among community professionals. However, many studies have identified a state of confusion, poor understanding, a lack of parity between professional groups, a lack of professional support and training, and haphazard implementation of such strategies (Dines, 1994; Russell, 1997). Inconsistency in study findings is problematic and tends to present a skewed picture of current practice. It is suggested that community-based nurses may benefit from a change in the way they view the implementation of health promotional practices, and that policy issues related to practice could be further clarified and enforced.

Attitude of Health Personnel↗

PubMedDate not supplied

Is health promotion relevant across cultures and the socioeconomic spectrum?

Is health promotion a White middle-class phenomenon that people from other cultures and classes do not regard as important? When implementing health-promotion initiatives, are healthcare providers making assumptions that are not valid for other cultural or socioeconomic groups? How do people of various cultures and classes perceive health and health promotion? To explore these questions, this article reviews some of the relevant literature on culture and class in relation to health promotion, exploring issues foundational to the effectiveness of health-promotion programs and pertinent to delivering health-promotion interventions to ethnic, racial, and cultural minorities and poor populations. Health promoters are encouraged to consider the social determinants of their patients' health and tailor programs on the basis of their patients' motivations and resources.

Cross-Cultural Comparison↗

PubMedDate not supplied

Patterns of health promotion programs for older adults in local health departments.

Questionnaires were sent to all 2561 members of the National Association of County Health Officers in 1996; only 492 (19.2%) responded. Almost all departments have health promotion or disease prevention programs available to older adults, but only three-fifths specifically target older adults with these programs. Most of those programs are clinical preventive services, including immunizations.

Aged↗

PubMedDate not supplied

Ethnic/racial populations and worksite health promotion.

This chapter describes the health characteristics and health risks of ethnic-racial populations and the implications for planning and delivering health promotion programs at the worksite. Special consideration is given to occupational stratification, which separates these groups from their white counterparts, thus requiring special attention. Guidelines are given for designing culturally appropriate worksite health promotion programs.

Black or African American↗

PubMed1991

[Occupational health promotion as a focus of interest of public health institutions and organizations].

Institutions and organisations engaged in health policy matters generally pursue complex aims. They take on the programmatic side of official health and social policy and try to translate the relevant demands into reality. New lines and trends of development are adopted as speedily as possible, and in this regard these institutions become opinion leaders in health policy matters. The problem area "Health and Work" has recently resulted in an important expansion of the tasks of these institutions and organisations. However, any direct influence on company health promotion is of course limited, and hence the question arises in what manner these institutions can deal with the subject adequately as part of their programme. A few examples of such institutions located in Baden-Württemberg are cited to illustrate how company health promotion can be additionally supported by help from outside.

Germany↗

PubMed1988

Biometric outcomes of a geriatric health promotion programme.

A geriatric health promotion programme was conducted to determine biometric changes in cardiovascular, nutritional and musculoskeletal status. Sixty-seven older adults participated in the study. The experimental group of 34 elderly subjects showed statistically significant increases in flexibility and high density lipoprotein with significant decreases in resting pulse rate, blood pressure, total cholesterol, weight and skinfold measures. The overall results of the wellness programme showed significant improvements in the physical health status of older adults.

Aged↗

PubMedDate not supplied

Expert opinions on "best practices" in worksite health promotion (WHP).

Best practices for worksite health promotion are highlighted in this edition of the Art of Health Promotion. Twelve academic experts and 12 practitioner experts were asked to rank almost 100 program management, behavior change, recruitment and participation, and ongoing communication strategies for use in worksite health promotion. Their similarities and differences are described along with their identification of newer, promising yet largely unproven strategies. These expert opinion-derived program strategies are helpful adjuncts to peer-review studies and articles.

Benchmarking↗