Sustainability of Community-Based Youth Smoking Cessation Programs

2016 ◽  
Vol 17 (6) ◽  
pp. 845-852 ◽  
Author(s):  
Susan J. Curry ◽  
Robin J. Mermelstein ◽  
Amy K. Sporer
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Smoking Cessation ◽  
Sole Source ◽  
State Funding ◽  
Youth Smoking ◽  
Community Based ◽  
Sustained Operation ◽  
Initial Survey

A national survey of 591 community-based youth smoking cessation programs provided an opportunity to assess the sustainability of health promotion programming over a 3-year period. Initial survey questions were mapped to five sustainability domains (local ownership, organizational alignment, resources, demand, and standard operating procedures) and examined to identify correlates of sustained operation. Follow-up surveys were completed with 305 programs. Assuming loss to follow-up indicated failure to sustain, the overall rate of program continuation was 32%. Baseline correlates of sustaining operation included the following: serving more youth, training staff in smoking cessation, longer time in operation at the initial survey, and receiving state funding as a sole source of support. Primary reasons for discontinuation related to lack of funding, insufficient enrollment, change of focus from tobacco cessation, and scheduling difficulty. Replication of studies like this survey of youth smoking cessation programs with other types of health promotion and public health programming can further test sustainability frameworks, provide validated measures, and ultimately inform a robust and replicable array of lasting, effective, evidence-based public health programs.

Finding Needles in a Haystack: A Methodology for Identifying and Sampling Community-Based Youth Smoking Cessation Programs

2010 ◽  
Vol 34 (1) ◽  
pp. 35-51 ◽  
Author(s):  
Sherry Emery ◽  
Jungwha Lee ◽  
Susan J. Curry ◽  
Tim Johnson ◽  
Amy K. Sporer ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Youth Smoking ◽  
Community Based

A sustainable community based model of non-communicable disease risk factor surveillance: “SHRADDHA-JAGRITHI project” (Preprint)

2021 ◽  
Author(s):  
Jaideep Menon ◽  
Mathews Numpeli ◽  
Sajeev.P. Kunjan ◽  
Beena.V. Karimbuvayilil ◽  
Aswathy Sreedevi ◽  
...  
Keyword(s):  
Public Health ◽  
Health System ◽  
Public Health System ◽  
Health Workers ◽  
Communicable Disease ◽  
Community Based ◽  
Frontline Health Workers ◽  
The Individual ◽  
Non Communicable Disease

UNSTRUCTURED Abstract: India has a massive non-communicable disease (NCD) burden at an enormous cost to the individual, family, society and health system at large, in spite of which prevention and surveillance is relatively neglected. Risk factors for atherosclerotic cardiovascular disease if diagnosed early and treated adequately would help decrease the mortality and morbidity burden. India is in a stage of rapid epidemiological transition with the state of Kerala being at the forefront, pointing us towards likely disease burden and outcomes for the rest of the country, in the future. A previous study done by the same investigators, in a population of >100,000, revealed poor awareness and treatment of NCDs and also poor adherence to medicines in individuals with CVD. The investigators are looking at a sustainable, community based model of surveillance for NCDs with corporate support wherein frontline health workers check all individuals in the target group ( > age 30 years) with further follow up and treatment planned in a “spoke and hub” model using the public health system of primary health centres (PHCs) as spokes to the hubs of Taluk or District hospitals. All data entry done by frontline health workers would be on a Tab PC ensuring rapid acquisition and transfer of participant health details to PHCs for further follow up and treatment. The model will be evaluated based on the utilisation rate of various services offered at all tier levels. The proportions of the target population screened, eligible individuals who reached the spoke or hub centres for risk stratification and care and community level control for hypertension and diabetes in annual surveys will be used as indicator variables. The model ensures diagnosis and follow up treatment at no cost to the individual entirely through the tiered public health system of the state and country.

The application of the complexity theory to public health interventions: a review of the literature

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
P Contu ◽  
E Breton
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Complexity Theory ◽  
Health Care Services ◽  
Health Interventions ◽  
Review Of The Literature ◽  
Community Based Interventions ◽  
Community Based ◽  
Care Services

Abstract Background There is a growing recognition of the limitations of a linear cause-and-effect rationality in planning and evaluating public health interventions. Although this perspective is amenable to programme planning and evaluation, it leaves aside a whole array of mechanisms of change triggered by interactions taking place in complex social systems. Generative causality is one and recognized under a number of works referring to the complexity paradigm. Here we review the state of knowledge on what is often referred to as the complexity theory (CT), and present the results of a review of the literature on its application in public health. Methods We searched PubMed for articles, commentaries, editorials published in English, French and Italian, using the keywords 'Complexity Theory' (also plural). We categorized the fields of application of the CT according to the three core WHO's Essential Public Health Operations, i.e., Health Promotion, Prevention and Protection. All papers addressing issues related to health care services (but not prevention) were included in the category “health care services” while others were tagged as “others”. Results We found 203 papers meeting our inclusion criteria. The largest share of the research output applying the CT was in health care services (n = 167), followed by Health Promotion (5), Prevention (3) and Protection (2). 26 papers were labelled others. In health promotion/ prevention, applications of the CT have yet to integrate most of its concepts. Most authors tap into both the linear and generative rationality perspectives. Conclusions Although regularly deemed as promising in uncovering mechanisms for change triggered by public health intervention, applications of the complexity theory remain uncommon and has made little inroads in the public health domain. This is particularly the case for health promotion where one would assume that participatory community-based interventions would be an incentive to integrate this perspective. Key messages Although deemed promising the complexity theory has made little inroads in public health. Health promotion with its participatory community-based interventions can benefit from its application.

What Will Entail Adoption of a Mobile Coaching Service?

2019 ◽  
pp. 455-485
Author(s):  
Silvia Cacho-Elizondo ◽  
Niousha Shahidi ◽  
Vesselina Tossan
Keyword(s):  
Public Health ◽  
Smoking Cessation ◽  
Mobile Devices ◽  
Delivery Mode ◽  
Monetary Value ◽  
Intention To Adopt ◽  
Cost Efficiencies ◽  
Key Variables ◽  
Perceived Enjoyment

There is a growing tendency to use smartphones or other mobile devices for healthcare purposes, which offers a huge opportunity to improve public health worldwide and at the same time generates cost efficiencies and higher performance. In that vein, mobile devices make it easier to provide enhanced coaching and follow-up services through text or video messages and also through two-way interaction via social networks (e.g., Facebook) or virtual reality devices (e.g., Oculus). This delivery mode supports individuals or patients trying to break addictions, such as smoking or drinking. The authors propose and validate an explanatory model for the intention to adopt a mobile coaching service and applied it in the context of helping people in their smoking cessation efforts. This chapter uses the concepts of vicarious innovativeness, social influence, perceived monetary value, perceived enjoyment, and perceived irritation as key variables explaining the adoption patterns of this type of mobile coaching service.

Evaluation of an Interactive Electronic Health Education Tool in Rural Afghanistan

2008 ◽  
Vol 23 (3) ◽  
pp. 218-226 ◽  
Author(s):  
Glen Kim ◽  
Suzanne Griffin ◽  
Hedeyat Nadem ◽  
Jawad Aria ◽  
Lynn Lawry
Keyword(s):  
Public Health ◽  
Breast Feeding ◽  
Health Knowledge ◽  
The United States ◽  
Postpartum Care ◽  
United States Department ◽  
Local Health ◽  
Pass Rates ◽  
Community Based

AbstractIntroduction: Low education levels may limit community-based health worker (CHW) efforts in rural Afghanistan. In 2004, LeapFrog Enterprises and the United States Department of Health and Human Services developed the Afghan Family Health Book (AFHB), an interactive, electronic picture book, to communicate public health messages in rural Afghanistan. Changes in health knowledge among households exposed to the AFHB vs. CHWs were compared.Methods: From January–June 2005, baseline and follow-up panel surveys were administered in Pashto-speaking Laghman and Dari-speaking Kabul provinces. Within each province, an AFHB and a CHW district were randomly sampled using a stratified, 2-staged cluster sample design (total 98 clusters and 3,372 households). Surveys tested knowledge of 17 health domains at baseline and on follow-up at three months. For each domain, multivariate logistic regression was used to assess the effect of the AFHB on follow-up pass rates, controlling for demographics and differences in baseline knowledge.Results: Both AFHB and CHW resulted in statistically significant changes in pass rates on follow-up, although there were greater gains among AFHB users for five domains among Pashto-speakers (micronutrients, malaria, sexually transmitted diseases, postpartum care, and breast-feeding) and seven domains among Dari-speakers (diet, malaria, mental health, birth-spacing, and prenatal/neonatal/postpartum care). Community-based health workers effected greater knowledge gains only for the Dari breast-feeding module. Participants favored CHW over the AFHB, which they found poorly translated and difficult to use.Conclusions: The AFHB has potential to improve public health knowledge among rural Afghans. Future efforts may benefit from involvement of local health agencies and the integration of interactive technology with traditional CHW approaches.

Eight-year follow-up of a community-based large group behavioral smoking cessation intervention

2000 ◽  
Vol 25 (5) ◽  
pp. 725-741 ◽  
Author(s):  
Linda E Carlson ◽  
Paul Taenzer ◽  
Jan Koopmans ◽  
Barry D Bultz
Keyword(s):  
Smoking Cessation ◽  
Smoking Cessation Intervention ◽  
Community Based ◽  
Large Group ◽  
Cessation Intervention

scholarly journals Chiropractic intern attitudes, beliefs, and future practice intentions with regard to health promotion, wellness, and preventive services

2016 ◽  
Vol 30 (2) ◽  
pp. 152-157 ◽  
Author(s):  
Stephen Grand ◽  
Kenice Morehouse-Grand ◽  
Shane Carter
Keyword(s):  
Health Promotion ◽  
Clinical Training ◽  
Positive Impact ◽  
Preventive Services ◽  
Educational Interventions ◽  
Online Information ◽  
Short Course ◽  
Before And After ◽  
Initial Survey

Objective: This pilot study explored the attitudes, beliefs, and intentions of a group of chiropractic interns concerning health promotion, wellness, and preventive services before and after a series of brief educational interventions. Methods: Interns completed a survey before (n = 37) and after (n = 22) the interventions. The survey included 12 Likert scale questions about attitudes and intentions toward wellness and health promotion models. The interventions consisted of classroom lectures, clinical training, and online information pertaining to health promotion and wellness. Results: The interns initially favored wellness models, perceived a need for them, and felt partially prepared to administer them, with mean Likert scores 4 or greater on a 1 to 5 scale. Afterward, the average scores were higher and the interns reported some benefit from this short course of training. Conclusion: The initial survey demonstrated that interns had some understanding of wellness, health promotion, and preventive services, and favored utilization of these services. The follow-up survey suggested that a short educational intervention could have a positive impact on these attitudes and future utilization of wellness procedures in their practices.

A Community Approach to Smoking Prevention: A Review

1991 ◽  
Vol 8 (1) ◽  
pp. 17-25 ◽  
Author(s):  
Margot J. Schofield ◽  
Selina Redman ◽  
Rob W. Sanson-Fisher
Keyword(s):  
Public Health ◽  
Smoking Cessation ◽  
Public Health Problem ◽  
Smoking Prevention ◽  
Major Public Health Problem ◽  
Community Studies ◽  
Community Based Interventions ◽  
Community Based ◽  
Community Approach ◽  
Group Methods

This paper reviews individual and community approaches to smoking prevention. It summarises some behavioural components of individual and group methods of smoking prevention and cessation and points to some of the shortcomings of these approaches. The advantages of community-based interventions for smoking are reviewed and the limitations of past community studies are noted. It is proposed that a community approach to smoking prevention holds considerable promise. Multiple interventions which address smoking as a community issue and the provision of community-based structures and support for smoking cessation are needed to combat this major public health problem.

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