GPs and Practice-Based Health Promotion: An Analysis of Projects Conducted by Divisions of General Practice

1997 ◽  
Vol 3 (4) ◽  
pp. 29 ◽  
Author(s):  
Jane Pirkis ◽  
David Dunt ◽  
Denise Ruth ◽  
Helen Jordan
Keyword(s):  
Health Promotion ◽  
General Practice ◽  
Relevant Information ◽  
Policy Implications ◽  
Consumer Participation ◽  
Participation Rates ◽  
Lifestyle Counselling ◽  
Resources Evaluation ◽  
Funding Round ◽  
Over Time

All practice-based health promotion projects conducted by Divisions of General Practice, funded in 1993 and 1994, are examined in this paper. The aims of the study are to describe their characteristics and evaluation; consider their effectiveness and appropriateness; and compare them with a sample funded in 1995 and 1996. Relevant information was analysed from project evaluation reports and summaries. Five immunisation, nine screening and 13 lifestyle counselling projects were funded in 1993-1994. The evaluation activities in these projects were variable, but the projects appeared to have desirable impacts. Evaluation findings indicate they have had high GP and consumer participation rates; lead to changes in GP knowledge and behaviour (for example, increased use of lifestyle counselling resources); and had positive impacts for consumers (for example, increases in immunisation and screening rates). Two immunisation, four screening and eight lifestyle counselling projects were funded in the second funding round in 1995 and the first in 1996. Although similar to the earlier projects, these projects often had a more systemic focus and made use of previously-developed knowledge and resources. Evaluation findings indicate that Divisional projects have increased GPs' capacity to engage in practice-based health promotion activities, and contributed to the achievement of the aims of the General Practice Strategy. Projects have improved the sophistication of their conceptualisation and design over time. Lessons from these projects point to particular policy implications for future funding arrangements, and these are discussed.

The Fight against Ignorance

2018 ◽  
Author(s):  
Anthony F. Heath ◽  
Elisabeth Garratt ◽  
Ridhi Kashyap ◽  
Yaojun Li ◽  
Lindsay Richards
Keyword(s):  
Tertiary Education ◽  
Social Progress ◽  
Educational Expansion ◽  
Healthy Lifestyles ◽  
Age Group ◽  
Participation Rates ◽  
Great Progress ◽  
Post War ◽  
Over Time ◽  
Cross National

There was great progress in increasing participation rates in secondary and tertiary education post-war, as there was in Britain’s peer countries. There was also an increase in the proportion of the age group achieving qualifications such as GCSEs but many doubts have been raised about the comparability of these qualifications over time. Independent studies of reading and literacy suggest that progress was positive but slow, while independent cross-national studies show that average test scores of British schoolchildren did not progress any faster than in peer countries. It is doubtful therefore whether educational reforms have made much difference. However, education also contributes to the empowerment of a country’s citizens and to values and behaviours such as tolerance and healthy lifestyles, and educational expansion has contributed to social progress in this way.

scholarly journals Use of masks in public places in Poland during SARS-Cov-2 epidemic: a covert observational study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maria Ganczak ◽  
Oskar Pasek ◽  
Łukasz Duda – Duma ◽  
Dawid Świstara ◽  
Marcin Korzeń
Keyword(s):  
Health Promotion ◽  
Observational Study ◽  
Control Measure ◽  
Communication Channels ◽  
Public Spaces ◽  
Personal Health ◽  
Closed Space ◽  
Public Places ◽  
Health Control ◽  
Over Time

Abstract Background Face masks have been employed in the COVID-19 pandemic plans as a public and personal health control measure against the spread of SARS-CoV-2. In Poland, obligatory wearing of masks in public spaces was introduced on April 10th, 2020; a relaxation of previous universal measures was announced on May 29th, 2020, limiting use to indoor public places. Objective To assess use of masks or other protective devices in public spaces in Poland during the SARS-Cov-2 epidemic. Methods A non-participatory covert observational study was conducted on three dates, (10.05/18.05/25.05.2020) at public spaces in 13 regions with different risks. Ten consecutive individuals were observed by each of 82 medical students (n = 2460 observations), using a structured checklist. Results Among 2353 observed persons, the female/male ratios were 1.0, 1.1, and 1.0 on the three dates. Almost three quarters - 73.6% (n = 552/750) were using masks on date 1, 66.5% (544/818) on date 2; and 65.7% (516/785) on date 3. Cloth masks predominated on all dates (64.7–62.3%-62.6%), followed by medical (23.4–28.5%-26.9%). Being female (OR = 1.77–1.47-1.53 respectively) and location in a closed space (OR = 2.60–2.59-2.32) were each associated with higher usage. Participants in sports were about two times less likely to use masks (OR = 0.64–0.53-0.53) as compared to other activities. The proportion using masks correctly decreased gradually over time (364/552; 65.9%; 339/544; 62.3% and 304/516; 58.9%). More females wore masks correctly (date 1: 205/294; 69.7% vs 159/258; 61.6%, and date 3: 186/284; 65.5% vs 118/232; 50.9%; p = 0.045; p = 0.0008 respectively). Uncovered noses (47.3–52.7%) and masks around the neck (39.2–42.6%) were the most frequent incorrect practices. Conclusions Practices were not in line with official recommendations, especially among males, and deteriorated over time. Cloth masks were predominantly used in public spaces. Health promotion, through utilizing all available communication channels, would be helpful to increase compliance.

The Shape up Challenge: A Community-Based Worksite Exercise Competition

1996 ◽  
Vol 11 (1) ◽  
pp. 23-34 ◽  
Author(s):  
Susan M. Blake ◽  
Carl J. Caspersen ◽  
John Finnegan ◽  
Richard A. Crow ◽  
Maurice B. Mittlemark ◽  
...  
Keyword(s):  
Health Promotion ◽  
Health Program ◽  
Employee Participation ◽  
Behavioral Risk ◽  
Participation Rates ◽  
Community Based ◽  
Exercise Maintenance ◽  
Health Promotion Programs ◽  
Work Units ◽  
Heart Health Program

Purpose. To assess organizational and employee participation during three community-wide worksite exercise competitions in two communities. Design. A one-group, posttest-only design was used. Lack of controls, exercise baseline, and the short-term nature of the interventions were limitations. Setting. The Minnesota Heart Health Program conducted annual exercise campaigns between 1982 and 1989 within three intervention communities to reduce behavioral risk for cardiovascular disease. The Shape Up Challenge was a worksite exercise competition designed, in conjunction with other campaign activities, to increase levels of physical activity. Subjects. A total of 119 participating companies in two Minnesota communities, and 17,626 employees within these worksites, composed the subjects in this study. Intervention. Eligible worksites were invited to participate in a month-long competition during which employees recorded minutes spent daily in aerobic activities. Incentives were established to promote intragroup cooperation and intergroup competition. Companies competed for awards that were based on average minutes of exercise per employee versus per participant. Measures. Numbers of companies recruited and participating, campaign activities, minutes of exercise, and costs were recorded on implementation logs. Companies completed surveys describing business type, number and sex of employees, existing health promotion programs, and perceived benefits of participation. Results. Of the 365 companies invited to participate, 33 % participated (range 15 % to 50%). Participating companies were more likely than nonparticipating companies to offer other health promotion programs and perceived greater benefits from participation. Women and smaller companies had significantly greater participation rates than men and larger companies. Average employee participation rates ranged from as high as 84% in smaller organizations to as low as 16% as organization size increased. Conclusions. Community-based worksite exercise competitions appear to be a viable strategy for promoting employee exercise, particularly in smaller companies. Group-based contingencies applied in natural work units may facilitate employee participation. Further research is needed to assess the relative efficacy of this approach, compare alternative incentives, and identify strategies to enhance exercise maintenance after the intervention has ceased.

Psychosocial Environment: A Health Promotion Model

1984 ◽  
Vol 4 (4) ◽  
pp. 311-341 ◽  
Author(s):  
Snehendu B. Kar
Keyword(s):  
Social Support ◽  
Health Promotion ◽  
Health Behavior ◽  
Personal Autonomy ◽  
The Philippines ◽  
Situational Factors ◽  
Policy Implications ◽  
Individual Level ◽  
Independent Effects ◽  
Research And Policy

This article presents a multidimensional model of psychosocial determinants of health behavior for health promotion research and policy analysis. Frequently, health promotion focuses almost exclusively on intrapsychic determinants and on individual level behavior. Based upon Field Theory and attitude theories, this proposed model holds that in populations with comparable sociodemographic and biological status (exogenous variables) a health behavior is a function of direct and interaction effects of five key intrapsychic and external variables. These are: behavioral intentions, social support, accessibility of means for action, personal autonomy, and action situation. Empirical tests with cross-cultural studies in Venezuela, Kenya, and the Philippines provide substantial support for the model. The findings suggest that while health promotion strategies should deal with intrapsychic determinants of behavior, key extrapsychic factors (such as social support, quality and accessibility of health care measures, and situational factors) all have direct and independent effects on health behavior as well. Health promotion research and interventions which aim exclusively at intrapsychic determinants would thus have rather limited overall value. The article discusses key research and policy implications of the model presented.

An Examination of Changes in LSI-R Scores Over Time: Making the Case for Needs-Based Case Management

2011 ◽  
Vol 38 (6) ◽  
pp. 541-553 ◽  
Author(s):  
Melinda D. Schlager ◽  
Daniel Pacheco
Keyword(s):  
Risk Assessment ◽  
Case Management ◽  
Predictive Validity ◽  
Community Corrections ◽  
Policy Implications ◽  
Assessment Instrument ◽  
Level Of Service ◽  
Change Scores ◽  
Risk Assessment Instrument ◽  
Over Time

The Level of Service Inventory—Revised (LSI-R) is an actuarially derived risk assessment instrument with a demonstrated reputation and record of supportive research. It has shown predictive validity on several offender populations. Although a significant literature has emerged on the validity and use of the LSI-R, no research has specifically examined change scores or the dynamics of reassessment and its importance with respect to case management. Flores, Lowenkamp, Holsinger, and Latessa and Lowenkamp and Bechtel, among others, specifically identify the importance and need to examine LSI-R reassessment scores. The present study uses a sample of parolees ( N = 179) from various community corrections programs that were administered the LSI-R at two different times. Results indicate that both mean composite and subcomponent LSI-R scores statistically significantly decreased between Time 1 and Time 2. The practical, theoretical, and policy implications of these results are discussed.

Identity Politics and Refugee Policies in Kupang, Eastern Indonesia: A Politico-Historical Perspective

2021 ◽  
pp. 1-14
Author(s):  
Andrey Damaledo
Keyword(s):  
Identity Politics ◽  
Host Country ◽  
Historical Perspective ◽  
Geographical Location ◽  
Policy Implications ◽  
Refugee Status ◽  
Timor Leste ◽  
Displaced People ◽  
Over Time

Abstract This article assesses the implementation of Presidential Regulation No. 125 of 2016 concerning the Treatment of Refugees and how it relates to different kinds of bureaucratic labelling of refugees as it unfolds in Indonesia’s region of Kupang. From a politico-historical perspective, Kupang is a useful case-study for elucidating the policy implications of the labelling of refugees, as the region has been hosting different kinds of refugees due to its strategic geographical location that borders Australia and Timor-Leste. Drawing on my fieldwork in Kupang between October 2012 and October 2013, and my intermittent return to the region between January 2017 and February 2019, this article argues that labels for refugees evolve over time in response to the larger sociopolitical situation, but they are formed mostly to serve the interest of the host country rather than those of displaced people. Furthermore, while labelling displaced people as “refugees” has been effective in justifying funding and support, it can also lead to a manipulation of refugee status, and the marginalization and exclusion of refugees.

Oral Health Policy and Programmatic Implications: Lessons From ICS-II

1997 ◽  
Vol 11 (2) ◽  
pp. 291-303 ◽  
Author(s):  
R.M. Andersen ◽  
P.L. Davidson ◽  
T.T. Nakazono
Keyword(s):  
Health Promotion ◽  
Native American ◽  
Health Status ◽  
Oral Health ◽  
Conceptual Model ◽  
Ethnic Groups ◽  
Oral Health Status ◽  
Policy Implications ◽  
Oral Health Promotion ◽  
Dental Floss

The conceptual model used in the ICS-II USA Ethnicity and Aging project helps to identify who among the elderly should be targeted for oral health promotion initiatives and the kinds of initiatives most likely to promote positive oral health outcomes. Outcomes have been measured in this study as perceived by the individual and as clinically assessed by the oral epidemiologists. For policy purposes, achieving both types of outcomes is important. A typology of oral health promotion priorities is used to rank the diverse racial-ethnic groups. In the analysis, groups with both low perceived and low evaluated oral health status receive highest priority. By these criteria, the older Native American populations have the highest priority, followed, in order, by Hispanics. African-Americans, and non-Hispanic Whites. Policy implications of the empirical analyses presented in earlier articles are discussed by use of the conceptual model and the typology of oral health promotion priorities. Having a usual source of care and/or regular dental visits appears to be a promising avenue for the promotion of better-perceived oral health status among most older ethnic groups. Improved oral hygiene practices, as represented by both regular toothbrushing and dental floss use, promote better clinically evaluated oral health status among many older ethnic groups.

Polyvictimization Experiences and Depression Among Youth Living in Foster Care

2017 ◽  
Vol 42 (2) ◽  
pp. 146-162 ◽  
Author(s):  
Aimée X. Delaney ◽  
Melissa Wells
Keyword(s):  
Foster Care ◽  
Child Maltreatment ◽  
Multilevel Modeling ◽  
Psychological Outcomes ◽  
Policy Implications ◽  
Foster Care Youth ◽  
Experienced Child ◽  
Changes Over Time ◽  
Over Time

Current research indicates that violence against youth contributes to adverse psychological outcomes but has yet to focus on violence against youth while living in foster care and the associated psychosomatic changes over time. Multilevel modeling regression was used to analyze self-reported depression for a sample of 354 youth living in foster care from one Midwestern state. The present study found that changes in depression levels over time among the foster care youth who experienced polyvictimization, compared to the youth who experienced child maltreatment alone, were conditional upon gender and varied significantly by race. Policy implications are discussed.

scholarly journals Sustaining Rice Productivity, Soil Fertility, and Income from Prawn-Rice Joint Culture in the Gher System in Banglade

2020 ◽  
Vol 17 (2) ◽  
pp. 43-62
Author(s):  
Basanta Kumar Barmon ◽  
◽  
Sanzidur Rahman ◽  
Keyword(s):  
Soil Fertility ◽  
Household Income ◽  
Farming System ◽  
Real Income ◽  
Policy Implications ◽  
Soil Quality Index ◽  
Rice Productivity ◽  
Agricultural Income ◽  
Commercial Feeds ◽  
Over Time

This paper examines the long-term impacts of the joint prawn-rice gher farming system on agricultural and household incomes, soil fertility, and productivity of modern variety (MV) rice in southwestern Bangladesh, based on socioeconomic data of the gher farmers and soil fertility data of their gher plots. In 2005, 20 farmers operating on 30 plots were randomly selected from the Bilpabla village of Khulna from whom prawn and MV rice production data were collected using a questionnaire; soil samples were also collected and tested. In 2011 and 2017, the sustainability of the gher system over time was assessed through another survey of farmers following the same methodology. Results revealed that although the nominal income from gher farming increased by 59 percent in 2011 and 23 percent in 2017, the real income and per capita household income remained unchanged over time. Agricultural income has contributed about 65 percent to household income, which for gher farmers was about 200 percent higher than average rural incomes in Bangladesh. Rice productivity declined slightly from its 2005 level. However, the productivity of MV rice under prawn-rice gher farming is substantially higher than in the conventional MV rice farming system. The positive estimates of the Mean Soil Quality Index and Soil Degradation Index for land used for MV paddy production within the gher indicate an increase in soil nutrients. This suggests that the joint prawn-rice gher farming system is relatively sustainable, having improved soil fertility and stabilized real income. Policy implications toward promoting agricultural growth in the southwestern region of Bangladesh include research on developing varieties of MV rice suited to prawn-rice gher farming and the development of commercial feeds and markets for prawn to further raise productivity and incomes of gher farmers.

scholarly journals Use of masks in public places in Poland during SARS-Cov-2 epidemic: a  covert observational study

2020 ◽  
Author(s):  
Maria Ganczak ◽  
Oskar Pasek ◽  
lukasz Duda-Duma ◽  
Dawid Świstara ◽  
Marcin Korzeń
Keyword(s):  
Health Promotion ◽  
Medical Students ◽  
Observational Study ◽  
Communication Channels ◽  
Public Spaces ◽  
Transmission Risk ◽  
Closed Space ◽  
Public Places ◽  
Young Males ◽  
Over Time

Abstract Background: Face masks protect against SARS-Cov-2, however, if used incorrectly masks may increase transmission risk. Many countries, including Poland, recommend masks in pandemic control plans. In Poland, obligatory wearing of masks in public spaces was introduced on April 10th, 2020 [18]; a relaxation of previous universal measures was announced on May 29th, 2020, limiting use to indoor public spaces.Objective: to assess use of masks or other protective devices in public spaces in Poland during the SARS-Cov-2 epidemic and to evaluate influencing determinants.Methods: A non-participatory covert observational study was conducted on three dates, (10.05/18.05/ 25.05.2020) at public spaces in 13 regions with different risks. Ten consecutive individuals were observed by each of 82 medical students (n=2460 observations), using a structured checklist.Results: Among 2353 observed persons, the female/male ratios were 1.0, 1.1, and 1.0 on the three dates. As for age, 21-60-year-olds predominated at 70.8%, 71.9%, and 70.2%; 73.6% (n=552/750) were using masks on date 1, 66.5% (544/818) on date 2; and 65.7% (516/785) on date 3. Cloth masks predominated on all dates (64.7%-62.3%-62.6%), followed by medical (23.4%-28.5%-26.9%). Being female (OR=1.75-1.47-1.53 respectively), aged >40 years (OR=1.46-1.48 respectively), and location in a closed space (OR=2.56-2.63-2.36) were each associated with higher usage. Participants in sports were about two times less likely to use masks (OR=0.64-0.54-0.5) as compared to other activities. The proportion using masks correctly decreased gradually over time (364/552; 65.9%; 339/544; 62.3% and 304/516; 58.9%). More females wore masks correctly (date 1: 205/294; 69.7% vs 159/258; 61.6%, and date 3: 186/284; 65.5% vs 118/232; 50.9%; p=0.045; p=0.0008 respectively). Uncovered noses (47.3%-52.7%) and masks around the neck (39.2%-42.6%) were the most frequent incorrect practices. Conclusions: Practices were not in line with official recommendations, especially among young males, and deteriorated over time. Cloth masks were predominantly used in public spaces. Health promotion, through utilizing all available communication channels, would be helpful to increase compliance.

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