scholarly journals C-SAFE: A Computer-Delivered Sexual Health Promotion Program for Latinas

2017 ◽  
Vol 18 (4) ◽  
pp. 516-525 ◽  
Author(s):  
Charles H. Klein ◽  
Tamara Kuhn ◽  
Midori Altamirano ◽  
Carmela Lomonaco
Keyword(s):  
Health Promotion ◽  
Sexual Health ◽  
Sexual Behaviors ◽  
Health Promotion Program ◽  
Evidence Based ◽  
Sexually Transmitted ◽  
Promotion Program ◽  
Health Promotion Programs ◽  
Safe Condition

This article describes the development and evaluation of C-SAFE (Sexual Awareness for Everyone), a computer-delivered sexual health promotion program for Latinas. We first describe the process of adapting an evidence-based, group-level intervention into an individually administered computer-delivered program. We then present the methods and results of a randomized control trial with 321 Latinas in California and Florida to test C-SAFE’s preliminary efficacy in reducing sexual health risk. We found no statistically significant differences between the two conditions at a six-month follow-up in terms of sexual behaviors or attitudes toward sexually transmitted infections and condoms, although C-SAFE women reported fewer days in the past month when their mental health was not good (p = .02). C-SAFE condition women also reported more satisfaction than control condition women in their assessment of information presentation (on a scale of 1 = poor and 5 = excellent; C-SAFE = 4.45 vs. control = 4.25, p = .053) and having learned something new (C-SAFE = 95.1% vs. control = 79.3%, χ2 < 0.001), with utility of content for Latinas approaching significance (C-SAFE = 4.50 vs. control = 4.31, p = .058). In conclusion we discuss the importance of teachable moments, matching of delivery modalities to implementation contexts, and possible directions for evidence-based sexual health promotion programs given the current sexual health landscape.

Attitudes, knowledge and sexual behavior among Finnish adolescents before and after an intervention

2019 ◽  
Vol 35 (4) ◽  
pp. 821-830
Author(s):  
Marja Pakarinen ◽  
Jari Kylmä ◽  
Mika Helminen ◽  
Tarja Suominen
Keyword(s):  
Health Promotion ◽  
Sexual Behavior ◽  
Sexual Health ◽  
First Year Students ◽  
Sexually Transmitted ◽  
Increased Risk ◽  
Before And After ◽  
Class Room ◽  
Information Materials

Abstract Adolescents are an important target group for sexual health promotion, and there are numerous programs and interventions carried out in this field. The aim of this study is to describe adolescents’ attitudes, knowledge and sexual behavior before and after a sexual health promotion intervention. The intervention was developed in the study and consisted of three elements: (i) class-room session, (ii) information materials and (iii) free condom distribution. The study was carried out in eight randomly selected vocational schools in Finland. The participants were first year students aged 15–19 years. The data were collected using an electronic questionnaire before intervention (intervention baseline n = 500, control baseline n = 183) and two times after the intervention (intervention first follow-up n = 173/second follow-up n = 202, control first follow-up n = 115/second follow-up n = 46). There were significant differences before and after the intervention concerning better knowledge and more frequent testing for sexually transmitted infections (STIs). Schools are an important environment to reach adolescents during the phase where their sexual health is developing and there is an increased risk of STI transmission. More school-based interventions are therefore needed, and the results of this study can be utilized when developing sexual health promotion interventions among adolescents.

scholarly journals IS YOUR COMMUNITY-BASED HEALTH PROMOTION PROGRAM EVIDENCE BASED AND READY FOR DISSEMINATION? HERE’S HOW TO FIND OUT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S79-S79
Author(s):  
Ellen C Schneider ◽  
Lesley Steinman ◽  
Casey Dicocco
Keyword(s):  
Health Promotion ◽  
Program Implementation ◽  
Review Process ◽  
Research Evaluation ◽  
Falls Prevention ◽  
Health Promotion Program ◽  
Evidence Based ◽  
Adult Health ◽  
Promotion Program ◽  
Support Organizations

Abstract Evidence-based programs (EBPs) offer proven ways to promote health and prevent disease among older adults in their communities. EBPs are based on rigorous study of the effects of specific interventions or model programs, demonstrate consistently positive changes in important health-related and functional measures, and have tools in place to maintain program access, quality, and efficiency across diverse settings. The University of North Carolina at Chapel Hill’s Center for Health Promotion and Disease Prevention (UNC HPDP), in partnership with the Evidence-Based Leadership Collaborative (EBLC), has established a review process and Review Council to identify new community programs that meet the evidence-based program criteria established by the Administration for Community Living (ACL), one of the chief U.S. federal agencies responsible for aging programs. Approved programs are then eligible for Older Americans Act Title III-D and other discretionary funding to support organizations that deliver EBPs to improve older adult health. The review process assesses the effectiveness, outcomes, and evaluation of the program, information about program implementation, training, and other key elements for successful program dissemination. The Review Council consists of national leaders with expertise in program research, evaluation, and implementation. The review process is supported by the ACL-funded National Chronic Disease Self-Management Education and Falls Prevention Resource Centers. This session will describe the ACL evidence-based health promotion program criteria that must be met for approval; an overview of the review process; and how researchers can submit their programs for review. Time will be allowed for questions, discussion, and research to practice implications.

Employee Sleep and Workplace Health Promotion: A Systematic Review

2019 ◽  
Vol 33 (7) ◽  
pp. 1009-1019 ◽  
Author(s):  
Rebecca Robbins ◽  
Chandra L. Jackson ◽  
Phoenix Underwood ◽  
Dorice Vieira ◽  
Giradin Jean-Louis ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Health Promotion ◽  
Sleep Duration ◽  
Employee Health ◽  
Self Report ◽  
Health Promotion Program ◽  
Secondary Outcome ◽  
Promotion Program ◽  
Health Promotion Programs

Objective: Workplace-based employee health promotion programs often target weight loss or physical activity, yet there is growing attention to sleep as it affects employee health and performance. The goal of this review is to systematically examine workplace-based employee health interventions that measure sleep duration as an outcome. Data Source: We conducted systematic searches in PubMed, Web of Knowledge, EMBASE, Scopus, and PsycINFO (n = 6177 records). Study Inclusion and Exclusion Criteria: To be included in this systematic review, studies must include (1) individuals aged >18 years, (2) a worker health-related intervention, (3) an employee population, and (4) sleep duration as a primary or secondary outcome. Results: Twenty studies met criteria. Mean health promotion program duration was 2.0 months (standard deviation [SD] = 1.3), and mean follow-up was 5.6 months (SD = 6.5). The mean sample size of 395 employees (SD = 700.8) had a mean age of 41.5 years (SD = 5.2). Measures of sleep duration included self-report from a general questionnaire (n = 12, 66.6%), self-report based on Pittsburgh Sleep Quality Index (n = 4, 22.2%), and self-report and actigraphy combined (n = 5, 27.7%). Studies most commonly included sleep hygiene (35.0%), yoga (25.0%), physical activity (10.0%), and cognitive–behavioral therapy for insomnia (10.0%) interventions. Across the interventions, 9 different behavior change techniques (BCTs) were utilized; the majority of interventions used 3 or fewer BCTs, while 1 intervention utilized 4 BCTs. Study quality, on average, was 68.9% (SD = 11.1). Half of the studies found workplace-based health promotion program exposure was associated with a desired increase in mean nightly sleep duration (n = 10, 50.0%). Conclusions: Our study findings suggest health promotion programs may be helpful for increasing employee sleep duration and subsequent daytime performance.

scholarly journals Health promotion for unaccompanied minor asylum seekers – a qualitative evaluation

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Kasztura ◽  
M Zumstein-Shaha ◽  
F Ninane ◽  
P Bodenmann ◽  
E Soom Ammann
Keyword(s):  
Health Promotion ◽  
Teaching Methods ◽  
Asylum Seekers ◽  
Qualitative Evaluation ◽  
Health Promotion Program ◽  
Promotion Program ◽  
Health Promotion Programs ◽  
Health Related ◽  
And Migration ◽  
Migration Experiences

Abstract Background We evaluated a health promotion program (HPP) for unaccompanied minor asylum seekers (UMA) in the canton of Vaud, Switzerland. UMA are particularly vulnerable to a range of health issues, due to their age and migration experiences. Effective health promotion programs are key to empower them to overcome these challenges and to improve their health. Methods We adopted a qualitative design with ethnographic and participatory elements to identify strengths, opportunities for improvement and appropriateness as perceived by UMA, educators and nurses responsible for UMA health care and the HPP. Data collection included observation of HPP courses, focus group discussions with UMA and interviews with educators. Analysis was based on a grounded theory in ethnography approach. Results Finding include three main themes: 1) UMA’s perceived low power and control, due to predominant rules and regulations and uncertainty about the future; 2) A need for health promotion in this population, due to UMA’s risk behaviours and the educators’ perceived discomfort with health-related issues and health promotion; 3) Practical feedback regarding topics, teaching methods and HPP organisation. Main recommendations include using effective adolescent health education methods to improve the appropriateness to age and context, enhancing participation of educators in health promotion and improving practical aspects of the HPP. Conclusions We evaluated and documented health promotion practice in the hard to reach population of UMA. Feasible changes in teaching methods and multidisciplinary collaboration may improve the HPP. However, UMA’s social environment needs to be taken into consideration to provide effective health promotion programs. Key messages Unaccompanied minor asylum seeker and educators perceive the health promotion program as useful and important. To address the health promotion needs of UMA, any program must be adaptive to the contextual complexity of UMA lives.

Sign in / Sign up

Export Citation Format

Share Document