DEVELOPMENT OF REGIONAL ENVIRONMENT ASSESSMENT TOOL FOR HEALTH PROMOTION AND VALIDATION OF THE EFFECTIVENESS

Abstract Background Evidence for interventions promoting oral health amongst care home residents is weak. The National Institute for Health and Care Excellence (NICE) guideline NG48 aims to maintain and improve the oral health of care home residents. A co-design process that worked with residents and care home staff to understand how the NG48 guideline could be best implemented in practice has been undertaken to refine a complex intervention. The aim of this study is to assess the feasibility of the intervention to inform a future larger scale definitive trial. Methods This is a protocol for a pragmatic cluster randomised controlled trial with a 12-month follow-up that will be undertaken in 12 care homes across two sites (six in London, six in Northern Ireland). Care homes randomised to the intervention arm (n = 6) will receive the complex intervention based on the NG48 guideline, whilst care homes randomised to the control arm (n = 6) will continue with routine practice. The intervention will include a training package for care home staff to promote knowledge and skills in oral health promotion, the use of the Oral Health Assessment Tool on residents by trained care home staff, and a ‘support worker assisted’ daily tooth-brushing regime with toothpaste containing 1500 ppm fluoride. An average of ten residents, aged 65 years or over who have at least one natural tooth, will be recruited in each care home resulting in a recruited sample of 120 participants. Assessments will be undertaken at baseline, 6 months and 12 months, and will include a dental examination and questionnaires on general health and oral health administered by a research assistant. A parallel process evaluation involving semi-structured interviews will be undertaken to explore how the intervention could be embedded in standard practice. Rates of recruitment and retention, and intervention fidelity will also be recorded. A cost-consequence model will determine the relevance of different outcome measures in the decision-making context. Discussion The study will provide valuable information for trialists, policymakers, clinicians and care home staff on the feasibility and associated costs of oral health promotion in UK care homes. Trial registration ISRCTN10276613. Registered on 17th April 2020. http://www.isrctn.com/ISRCTN10276613.

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Use of online promotion to encourage patient awareness of aspirin use to prevent heart attack and stroke

Journal of Epidemiology & Community Health ◽

10.1136/jech-2018-210676 ◽

2018 ◽

Vol 72 (11) ◽

pp. 1059-1063 ◽

Cited By ~ 2

Author(s):

Brian G Southwell ◽

Milton Eder ◽

John Finnegan ◽

Alan T Hirsch ◽

Russell V Luepker ◽

...

Keyword(s):

Health Promotion ◽

Search Engine ◽

Assessment Tool ◽

Public Understanding ◽

Series Data ◽

Educational Tool ◽

Self Assessment ◽

Paid Search ◽

General Search ◽

Google Search

BackgroundLiterature on health promotion evaluation and public understanding of health suggests the importance of investigating behaviour over time in conjunction with information environment trends as a way of understanding programme impact. We analysed population response to online promotion of an educational tool built by the Ask About Aspirin campaign in the USA to inform people about aspirin as a preventive aid.MethodsWe collected 156 weeks of time series data on audience behaviour, namely use of a self-assessment tool. We then used the Autoregressive Integrated Moving Average (ARIMA) modelling to predict that outcome as a function of paid search engine advertising, paid social media promotion and general search interest in aspirin.ResultsThrough ARIMA modelling of tool engagement data adjusted for outcome series autocorrelation, we found a significant effect of online promotional effort on audience behaviour. Total paid search advertising positively predicted weekly total of individuals who started using the self-assessment tool, coefficient=0.023, t=3.28, p=0.001. This effect did not appear to be an artefact of broader secular trends, as Google search data on the topic of aspirin use did not add explanatory power in the final model nor did controlling for general search interest eliminate the significant coefficient for paid search promotion.ConclusionResults hold implications both for educational tool development and for understanding health promotion campaign effects. We witnessed substantial but ephemeral effects on tool use as a function of paid search efforts, suggesting prioritisation of efforts to affect search engine results as a dissemination tactic.

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School Environment Assessment Tool

PsycTESTS Dataset ◽

10.1037/t31044-000 ◽

2013 ◽

Author(s):

Nicole Nathan ◽

Luke Wolfenden ◽

Philip J. Morgan ◽

Andrew C. Bell ◽

Daniel Barker ◽

...

Keyword(s):

School Environment ◽

Assessment Tool ◽

Environment Assessment

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Monitoring the health of the work environment with a daily assessment tool: the REAL – Relative Environment Assessment Lens – indicator

Cardiology in the Young ◽

10.1017/s1047951115001808 ◽

2015 ◽

Vol 26 (6) ◽

pp. 1082-1089 ◽

Cited By ~ 3

Author(s):

Karen E. Hinsley ◽

Audrey C. Marshall ◽

Michelle H. Hurtig ◽

Jason M. Thornton ◽

Cheryl A. O’Connell ◽

...

Keyword(s):

Work Environment ◽

Operating Room ◽

Assessment Tool ◽

Time Frame ◽

Cardiac Catheterisation ◽

Face Validity ◽

Great Good ◽

The Real ◽

Environment Assessment ◽

Catheterisation Laboratory

AbstractBackgroundEvidence shows that the health of the work environment impacts staff satisfaction, interdisciplinary communication, and patient outcomes. Utilising the American Association of Critical-Care Nurses’ Healthy Work Environment standards, we developed a daily assessment tool.MethodsThe Relative Environment Assessment Lens (REAL) Indicator was developed using a consensus-based method to evaluate the health of the work environment and to identify opportunities for improvement from the front-line staff. A visual scale using images that resemble emoticons was linked with a written description of feelings about their work environment that day, with the highest number corresponding to the most positive experience. Face validity was established by seeking staff feedback and goals were set.ResultsOver 10 months, results from the REAL Indicator in the cardiac catheterisation laboratory indicated an overall good work environment. The goal of 80% of the respondents reporting their work environment to be “Great”, “Good”, or “Satisfactory” was met each month. During the same time frame, this goal was met four times in the cardiovascular operating room. On average, 72.7% of cardiovascular operating room respondents reported their work environment to be “Satisfactory” or better.ConclusionThe REAL Indicator has become a valuable tool in assessing the specific issues of the clinical area and identifying opportunities for improvement. Given the feasibility of and positive response to this tool in the cardiac catheterisation laboratory, it has been adopted in other patient-care areas where staff and leaders believe that they need to understand the health of the environment in a more specific and frequent time frame.

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A study on establishing the sustainable building environment assessment tool for communities in Taiwan

2011 International Conference on Multimedia Technology ◽

10.1109/icmt.2011.6002748 ◽

2011 ◽

Author(s):

Che Ming Chiang ◽

Po Cheng Chou ◽

Yi Chun Kuo ◽

Kuei Feng Chang

Keyword(s):

Assessment Tool ◽

Sustainable Building ◽

Environment Assessment ◽

Building Environment

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Are Lebanese schools adopting a health promotion approach in their curricula?

Health Education Journal ◽

10.1177/0017896918801716 ◽

2018 ◽

Vol 78 (4) ◽

pp. 476-485 ◽

Cited By ~ 1

Author(s):

Marwan Akel ◽

Iqbal Fahs ◽

Pascale Salameh ◽

Emmanuelle Godeau

Keyword(s):

Health Promotion ◽

Assessment Tool ◽

Dental Health ◽

Well Being ◽

Shared Vision ◽

Awareness Campaigns ◽

Health Promoting School ◽

Health Related ◽

Health Promoting ◽

Improve Health

Introduction: The concept of the health promoting school offers a coherent approach to promoting health and well-being within a whole school community. This study sought to evaluate the health programmes and policies adopted by different Lebanese schools, and their appropriateness for this role as part of health promotion. Methods: Our research took the form of a prospective observational study involving 50 schools from different areas of Lebanon. Data were collected using a questionnaire based on the Health Assessment Tool for Schools (HATS). Data were analysed to describe school characteristics and to reveal differences in the health topics addressed. Results: Most of the schools included in the study came from Mount Lebanon (56%). Around 70% of the involved schools offered health-related courses in their curricula. Health-related seminars and workshops (60%) and health awareness campaigns took place at the studied schools, with 98% incorporating physical education into the curriculum. Dental health (74%), smoking cessation (72%) and physical activity (68%) were among other most addressed topics, while mental health was the least discussed (20%). The majority (70%) of schools had a shared vision of what promoting health involved and sought to promote the active involvement of community members in the life of the school (60%). Around two-thirds of the schools (66%) provided physical support and facilities, and had developed policies for health promotion. Less than half of these schools’ health committees, however, had developed plans to improve health promotion and review data to ensure the effectiveness of their programmes. Conclusion: The study findings suggest that despite weaknesses, the majority of the sampled schools had either implemented or were in the process of implementing a health promoting school programme to improve health education and students’ well-being.

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A Study on the Physical Environment Assessment Tool for the Performance of Leisure Agricultural

Advanced Science Letters ◽

10.1166/asl.2013.4990 ◽

2013 ◽

Vol 19 (9) ◽

pp. 2747-2751

Author(s):

Fei-Shuo Hung ◽

Tsung-Yuan Tuan ◽

Fei-Yi Hung ◽

Chao-Lin Tuan

Keyword(s):

Physical Environment ◽

Assessment Tool ◽

Environment Assessment

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