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At least 109 records · Page 6Linked to original sources

Promoting health in older adults: a four-year analysis.

PURPOSE: The purpose of this study was to consider the influence of selected health promotion and disease prevention interventions in elderly residents of a continuing care retirement community (CCRC) over a four-year period by comparing actual health promotion practices of the residents. DATA SOURCES: Original research using a descriptive design, face-to-face interviews of residents (N = 176-200), chart reviews, and administration of a mini-mental state exam (MMSE) and health survey administered annually. CONCLUSIONS: In each year the mean age of the residents was at least 85, the majority were female, Caucasian, and unmarried. With the exception of checking stools for occult blood, there was a statistically significant change in all health promotion behaviors over the four-year period. The most significant change was in the area of exercise behavior, which increased from 24% of the residents participating in regular exercise in year one to 61% by year four. IMPLICATIONS FOR PRACTICE: The purpose of health promotion and disease prevention in older adults is to reduce the potential years of life lost in premature mortality and ensure better quality of remaining life. In addition to regularly scheduled interventions (group education, on-site administration of pneumonia and flu vaccines, on-site exercise room and walking group), individualized counseling regarding the pros and cons of health-promotion activities was provided to help residents make an educated decision about engaging in these activities. These interventions can be used to help facilitate participation in health promotion activities as appropriate and desired for each older adult.

Aged↗

Why hospitals offer health promotion: perspectives for collaborating with health promotion practitioners.

Most hospitals have expanded their services in recent years to become involved with health promotion programs and activities. A hospital might offer health promotion services to promote health and to raise the health status of its community. However, it might provide health promotion for other reasons, such as to improve the hospital's cost-effectiveness, competitive strategy, organizational legitimacy, or tax exemption. Health promotion practitioners who collaborate with a hospital for health promotion should understand the hospital's reasons for providing health promotion. Furthermore, they should understand that different reasons may lead to different priority populations, resource commitments, organizational structures, work processes, and health outcomes.

Community Health Planning↗

Health-promoting schools: an opportunity for oral health promotion.

Schools provide an important setting for promoting health, as they reach over 1 billion children worldwide and, through them, the school staff, families and the community as a whole. Health promotion messages can be reinforced throughout the most influential stages of children's lives, enabling them to develop lifelong sustainable attitudes and skills. Poor oral health can have a detrimental effect on children's quality of life, their performance at school and their success in later life. This paper examines the global need for promoting oral health through schools. The WHO Global School Health Initiative and the potential for setting up oral health programmes in schools using the health-promoting school framework are discussed. The challenges faced in promoting oral health in schools in both developed and developing countries are highlighted. The importance of using a validated framework and appropriate methodologies for the evaluation of school oral health projects is emphasized.

Adolescent↗

Encouraging schools to promote health: impact of the Western Australian School Health Project (1992-1995).

The Western Australian School Health (WASH) Project, a school health promotion intervention operating over a four-year period (1992-1995), provided a comprehensive, year-long intervention to help successive groups of schools develop health promotion programs. The WASH Project worked with self-selected school communities and used community development strategies to support participating schools in identifying and responding to health concerns relevant to their students. This paper reports the school impact results of the WASH Project. School impact data involved 24 variables categorized into two areas: school organizational factors supportive of health promotion, and school health promotion factors. Two methods of analysis were used: logistic regression indicating the direction of change, and linear regression indicating the magnitude of change. Results demonstrated that schools successfully made organizational changes, such as the allocation of additional time, personnel, and monetary resources, to support health promotion.

Adolescent↗

Social support promoting health in older women.

Given the aging of women and their increased risk for health problems, it is important to explicate factors that may foster health promotion. While social support has been a concept of interest in predicting health promotion in women, the concept has been inconsistently defined and poorly explicated. A qualitative study was conducted to describe the types and processes of social support for health promotion in older women. Focus group interviews with 51 women, aged 55-93, were held. Data were analyzed using open coding to categorize data with attention to consistency and variance. Data explicated aspects of social support unique to health promotion in community-dwelling older women. Broad categories identified included connectedness and collectivism. Findings validate existing conceptualizations and provide an expanded perspective of social support by demonstrating aspects of support unique to the social context of older, community-dwelling women. Findings also provide a basis for development of socially relevant interventions designed to promote health and optimize health outcomes in older women.

Aged↗

[Information and counseling--a contribution to health promotion and health care].

Information and counselling are essential prerequisites for self-determination in old age. For the offers available the following differentiations are made: general oral, written or electronic information on supporting services, individual personal information and counselling, individual accompanying counselling and individual written information on the own health or disease situation. Models of good practice in Hamburg are presented as examples.

Activities of Daily Living↗

Depressive symptoms, health promotion, and health risk behaviors.

OBJECTIVES: To assess the relationships between history of depressive symptoms and smoking, alcohol consumption, dietary changes, attempts to lose weight or increase exercise, use of health services, and the likelihood of receiving influenza and pneumonia vaccinations, mammograms, and Pap tests. METHODS: A survey of randomly sampled members of a large health maintenance organization (n = 5841). RESULTS: Individuals with past depressive symptoms were more likely to smoke cigarettes (despite making more attempts to quit smoking); to drink more alcohol; to attempt to lose weight, increase exercise, reduce fat intake, increase fiber intake; and, for women, to have a mammogram. CONCLUSIONS: Individuals with histories of depressive symptoms engage in more positive and negative health behaviors. Additionally, their increased service use provides opportunities to achieve positive health changes and improve treatment outcomes.

Adolescent↗

Diffusion of innovations and network segmentation: the part played by people in promoting health.

OBJECTIVE: The objective of this study was to describe how diffusion of innovations theory can integrate mass media, interpersonal communication, and social network analysis. These principles can be used to implement and tailor data-based health promotion activities. GOAL: The goal of this study was to develop a model for using and incorporating interpersonal communication into health promotion programs designed to encourage behaviors that reduce the spread of sexually transmitted diseases (STDs)/HIV. STUDY DESIGN: The authors conducted a review of selected studies that exemplify how diffusion of innovations theory has applied interpersonal communication to promote STD/HIV preventive health behaviors. RESULTS: Few studies have incorporated interpersonal communication as an intervention strategy to encourage STD/HIV preventive behavior. Interventions that have used interpersonal communication have observed successes in health promotion and increases in safer sex behaviors. CONCLUSIONS: This study shows that social network analysis can be used to design more appropriate and perhaps more effective health promotion programs.

Communication↗

Measuring incentives to health promotion in older adults. Understanding neglected health promotion in older adults.

Health promotion increases longevity and allows older persons to maintain an independent and satisfying life. Determining reasons why an older person participates in health promotion activities through incentives may allow further insight into ways to promote health. As deeper understanding of motivation is gained by health professionals, successful influences to health behavior may be clarified. A nurse's role in health promotion could be to assist in planning a health promotion program, especially after incentives have been identified for a particular person. The Incentive-Health Promotion Scale revealed that the major incentives to health promotion in study sample were "feel good" and "fitness and health".

Aged↗

Promoting health: perspectives from ethnic elderly women.

The purpose of this study was to investigate health-promoting measures used by ethnic elderly women. Within the context of this goal, two major research questions were asked: (a) What measures were used by the ethnic elderly women to promote their health? (b) What were the facilitators and barriers with respect to health promotion in this sample? A convenient and purposive sample consisted of 30 elderly women from three ethnic backgrounds--African American, Chinese American, and European American--who reside in an urban area of the northeastern part of the United States. Data were collected through in-depth interviews and survey questionnaires. Content and statistical analyses were employed. Participants identified measures, facilitators, and barriers in relation to promoting their health. These findings provide insight for community health nursing practice.

Black or African American↗

[Health promotion. Patterns of traditional health promotion in Korea].

The study attempted to explore the patterns of traditional health promotion activities in Korea. The methods employed in the study were the modified content analysis and the open coding method of grounded theory approach. Three principles of health promotion, conformity with universal law, temperance, and self-regulation were identified in the analysis. The subcategories of the three principles were natural order, harmony, activity and rest, diet, sexual life, convetousness, temperament, and apprehension. These principles stressed the harmony with nature and means of activities in everyday life. The principles also implied the Oriental holism and prevention of disease.

Female↗

Promoting health among the institutionalized elderly.

1. Although health promotion is a current focus of nursing practice, the institutionalized elderly have not been a target of health promotion research by nurses. 2. Health promotion research in nursing home settings by other disciplines has shown that institutionalized elderly benefit from humanistic approaches and that lifestyle enhancement is possible in nursing home settings. 3. Long-term care nurses are in a unique position to empirically investigate the benefits and efficacy of health promotion interventions in institutionalized settings.

Aged↗

[An interview survey for health promotion for older residents in T District, Sendai City].

OBJECTIVE: To plan a program for promoting health and improving quality of life among the older residents in T District, Miyagino Ward, Sendai City. SUBJECTS & METHOD: T District has the highest rate of aged individuals and the largest number of elderly living alone in the Ward. Based upon our community-based health and welfare activities, we recognized that many older residents in T District had health and social problems. In order to grasp these problems and plan a program for health promotion, we conducted an interview survey (using the Esnographic method) of resource persons and older residents in the District. The information obtained at interviews was analyzed by the KJ method. RESULTS: The interview survey indicated the most prominent needs for the older residents were extension of the network for human relationships and increase in opportunities for communication and meeting each other. The older residents did not have enough information on the health and welfare services provided by Miyagino Public Health and Welfare Center, and we realized the importance of promoting communication between residents, private organizations and our Center. We informed the residents of these results, and discussed the strategies to promote health and improving quality of life among the older residents in T District in 2001. Based upon the survey and discussion, we started to publish and circulate "Community Information for Older Residents", established a class for residents to become supporters of the needy older population in T District, and facilitated their active participation in the community activities. CONCLUSION: The interview survey using the Esnographic approach and analysis with the KJ method were useful tools for us to plan and implement a program for health promotion for older residents.

Aged↗