scholarly journals Recommendations for Effective Intersectoral Collaboration in Health Promotion Interventions: Results from Joint Action CHRODIS-PLUS Work Package 5 Activities

2020 ◽  
Vol 17 (18) ◽  
pp. 6474
Author(s):  
Djoeke van Dale ◽  
Lidwien Lemmens ◽  
Marieke Hendriksen ◽  
Nella Savolainen ◽  
Péter Nagy ◽  
...  
Keyword(s):  
Health Promotion ◽  
Chronic Disease ◽  
Joint Action ◽  
Success Factors ◽  
Intersectoral Collaboration ◽  
Structured Interviews ◽  
Context Specific ◽  
National Programs ◽  
Health Promotion Interventions ◽  
National Governments

The burden of chronic disease in Europe continues to grow. A major challenge facing national governments is how to tackle the risk factors of sedentary lifestyle, alcohol abuse, smoking, and unhealthy diet. These factors are complex and necessitate intersectoral collaboration to strengthen health promotion, counter-act the social determinants of health, and reduce the prevalence of chronic disease. European countries have diverse intersectoral collaboration to encourage health promotion activities. In the Joint Action CHRODIS-PLUS success factors for intersectoral collaboration within and outside healthcare which strengthen health promotion activities were identified with a mixed method design via a survey of 22 project partners in 14 countries and 2 workshops. In six semi-structured interviews, the mechanisms underlying these success factors were examined. These mechanisms can be very context-specific but do give more insight into how they can be replicated. In this paper, 20 health promotion interventions from national programs in CHRODIS PLUS are explored. This includes community interventions, policy actions, integrated approaches, capacity building, and training activities. The interventions involved collaboration across three to more than six sectors. The conclusion is a set of seven recommendations that are considered to be essential for fostering intersectoral collaboration to improve health-promoting activities.

Context and the mechanisms in intersectoral school-based health promotion interventions: A critical interpretative synthesis

2019 ◽  
Vol 78 (7) ◽  
pp. 713-727 ◽  
Author(s):  
Dave A Bergeron ◽  
Lise R Talbot ◽  
Isabelle Gaboury
Keyword(s):  
Health Promotion ◽  
Scientific Literature ◽  
Comprehensive Approach ◽  
Intersectoral Collaboration ◽  
Sustainable Change ◽  
Programme Theory ◽  
Implementation Processes ◽  
School Based ◽  
Underlying Mechanisms ◽  
Health Promotion Interventions

Introduction: School-based health promotion interventions (SHPI) have been introduced extensively over the last decades, but their implementation and evaluation still present challenges. Among these, the complexity of the environments in which SHPI are implemented, and intersectoral collaboration to promote more sustainable change, must be better addressed within evaluation processes. Objectives: The objectives of this study were to (1) identify pertinent scientific literature on the implementation processes for intersectoral SHPI and (2) develop a programme theory that maps potential elements of context and underlying mechanisms that may influence intersectoral SHPI. Method: A critical interpretative synthesis was performed of elements of context and underlying situational and transformational mechanisms. These were identified based on the scientific literature published between 1997 and 2017 addressing intersectoral SHPI. Results: Six potential elements of context, seven potential situational mechanisms and seven potential transformational mechanisms that can explain SHPI outcomes were identified from 28 articles. The results were integrated into a framework to pinpoint elements that facilitate or impede intersectoral SHPI implementation. Conclusion: The results of this synthesis support a more comprehensive approach to evaluating SHPI, and improved consideration of intersectoral collaboration and the complexity associated with this type of intervention.

Exploring targeted preventive health checks in a socially disadvantaged neighborhood in Denmark

2019 ◽  
Vol 35 (5) ◽  
pp. 1150-1158
Author(s):  
Anne Møller ◽  
Camilla Hoffmann Merrild
Keyword(s):  
Health Promotion ◽  
Housing Association ◽  
Personal Responsibility ◽  
Preventive Health ◽  
Individual Choice ◽  
Structured Interviews ◽  
Disadvantaged Neighborhood ◽  
Targeted Interventions ◽  
Health Checks ◽  
Health Promotion Interventions

Abstract Recently studies have focused on how health promotion interventions sometimes sideline issues of social context, framing health as a matter of individual choice and, by implication, a personal responsibility. Part of this criticism is that health promotion interventions often do not draw on situated understandings of the contextual aspects of health and illness practices. Theoretically, this study departs in practice theory and contemporary public heath discussions on targeted health promotion. Based on semi-structured interviews with 18 people living in a social housing association we explored the significance of participating in a preventive health check and how participation configured into everyday life. All participants in our study had been identified with a ‘risk’ health profile. Overall, we found that they were well aware of their health risks and challenges, and that they reflected a great deal on how their health status was intrinsically linked with their lifestyle and health practices, such as lack of exercise or smoking. The health checks were, however, not able to support or improve their general health, and did not seem to address the challenges the participants seemed to struggle with in life. By way of conclusion, we suggest that we implement a more practice-oriented form of public health that focus on the ‘lives’ that people live, and the problems that they face. Moreover, attention should be paid to how and to whom health promotion initiatives are offered, in order to ensure the relevance of targeted interventions.

scholarly journals A Scoping Review of Positive Lifestyle and Wellness Interventions to Inform the Development of a Comprehensive Health Promotion Program: “HealthPro”

2017 ◽  
Vol 13 (4) ◽  
pp. 336-346 ◽  
Author(s):  
Stephanie A. P. Schuette ◽  
Evelyn Cordero ◽  
Katherine Slosburg ◽  
Elizabeth L. Addington ◽  
David Victorson
Keyword(s):  
Health Promotion ◽  
Chronic Disease ◽  
Scoping Review ◽  
Health Behavior Change ◽  
Health Promotion Program ◽  
Future Research ◽  
The Past ◽  
Comprehensive Health ◽  
And Coping ◽  
Health Promotion Interventions

Background. Lifestyle medicine has emerged as a transformational force in mainstream health care. Numerous health promotion and wellness programs have been created to facilitate the adoption of increased positive, modifiable health behaviors to prevent and lessen the effects of chronic disease. This article provides a scoping review of available health promotion interventions that focus on healthy adult populations in the past 10 years. Methods. We conducted a scoping review of the literature searching for health promotion interventions in the past 10 years. Interventions were limited to those conducted among healthy adults that offered a face-to-face, group-based format, with positive results on one or more health outcomes. We then developed a new health promotion intervention that draws on multiple components of included interventions. Results. Fifty-eight articles met our inclusion criteria. Physical activity was the primary focus of a majority (N = 47) of articles, followed by diet/nutrition (N = 40) and coping/social support (N = 40). Conclusions. Efficacious health promotion interventions are critical to address the prevention of chronic disease by addressing modifiable risk factors such as exercise, nutrition, stress, and coping. A new intervention, discussed is this article, provides a comprehensive approaches to health behavior change and may be adapted for future research.

scholarly journals How Methodology Makes Topics: Ageing Immigrants as a Blind Spot in the Migration Research in Austria. A Research Note

2018 ◽  
Vol 20 (1) ◽  
pp. 75
Author(s):  
Ursula Trummer ◽  
Sonja Novak-Zezula
Keyword(s):  
Health Promotion ◽  
Assessment Tool ◽  
Service Providers ◽  
Evaluation Study ◽  
Blind Spot ◽  
Research Note ◽  
Urban Setting ◽  
Structured Interviews ◽  
Self Assessment ◽  
Health Promotion Interventions

The current research note describes a process where by applying the qualitative method of expert interviews, researchers got confronted with a new topic in their area of expertise that was not on the radar of their research. In the framework of an evaluation study on health promotion interventions for migrants in an urban setting, researchers applied a mixed methods approach. Quantitative element was a self-assessment tool, where providers of health promotion measures described their clientele and rated the quality of their services along given categories. Qualitative element was a series of semi-structured interviews with management and front line service providers. While the self-assessment tool delivered expected results, the interviews revealed an aspect concerning needs and problems of a migrant group researchers had not thought of before. This is the group of immigrants from the 1960ies, coming mainly from Turkey and Former Yugoslavia, now reaching or having reached retirement age. This group was reported as being extremely vulnerable and at risk of a double discrimination as being “old” and “migrant”. Desk research was conducted in reaction to such data, showing that information on this group is scarce. Given the demographic developments with rising shares of (old) aged immigrants living in Austria, it will be important to improve the respective knowledge base.

scholarly journals Chronic hepatitis and HIV risks amongst  Pakistani migrant men in a French suburb and insights into health promotion interventions: the ANRS Musafir qualitative study

2020 ◽  
Author(s):  
Johann Cailhol ◽  
Nichola Khan
Keyword(s):  
Health Promotion ◽  
Chronic Hepatitis ◽  
Hepatitis C ◽  
Hiv Transmission ◽  
University Hospital ◽  
Migration Route ◽  
Structured Interviews ◽  
North East ◽  
Interdisciplinary Approaches ◽  
Health Promotion Interventions

Abstract Background Seine-Saint-Denis is a deprived departement (French administrative unit) in the North-East of Paris, France, hosting the majority of South Asian migrants in France. In recent years, the number of migrants from Pakistan, which has a high prevalence of hepatitis C globally, increased. As a corollary, this study addressed the high proportion of Pakistani patients in the infectious diseases clinic of a local hospital, diagnosed with hepatitis C, but also hepatitis B and Human Immunodeficiency Virus (HIV). It explored genealogies and beliefs about hepatitis and HIV transmission, including community, sexual and blood risk behaviours. The aim was to understand the ways these risk factors reduce or intensify both en route and once in France, in order to devise specific forms of community health intervention. Methods The study took place at Avicenne University-Hospital in Seine-Saint-Denis, and its environs, between July and September 2018. The design of the study was qualitative, combining semi-structured interviews, a focus group discussion, and ethnographic observations. The sample of Pakistani participants were selected from those followed-up for chronic hepatitis C, B, and/or HIV at Avicenne, and who had arrived after 2010 in Seine-Saint-Denis. Results Thirteen semi-structured interviews were conducted, until saturation was reached. All participants were men from rural Punjab province. Most took the Eastern Mediterranean human smuggling route. Findings suggest that vulnerabilities to hepatitis and HIV transmission, originating in Pakistan, are intensified along the migration route and perpetuated in France. Taboo towards sexuality, promiscuity in cohabitation conditions, lack of knowledge about transmission were amongst the factors increasing vulnerabilities. Participants suggested a number of culturally-acceptable health promotion interventions in the community, such as outreach awareness and testing campaigns in workplaces, health promotion and education in mosques, as well as web-based sexual health promotion tool to preserve anonymity. Conclusions Our findings highlight the need to look at specific groups at risk, related to their countries of origin. In-depth understandings of such groups, using interdisciplinary approaches such as were employed here, can allow for culturally adapted, tailored interventions. However, French colour-blind policies do not easily permit such kinds of targeted approach and this limitation requires further debate.

‘Sheds for Life’: getting the balance right in delivering health promotion through Sheds in Ireland

2020 ◽  
Author(s):  
Niamh Bergin ◽  
Noel Richardson
Keyword(s):  
Health Promotion ◽  
Structured Interviews ◽  
Formal Approach ◽  
Advisory Groups ◽  
Marginalized Groups ◽  
Data Collection And Analysis ◽  
Sustainable System ◽  
Programme Content ◽  
Health Promotion Initiative ◽  
Health Promotion Interventions

Summary Men with the poorest health outcomes are, paradoxically, the least likely to access health services or to engage with health promotion interventions. This has focused attention on developing gender-sensitive and strengths-based approaches to engage so-called ‘hard-to-reach’ men. Men’s Sheds (‘Sheds’) are recognized as an alternative space in which to engage older and more marginalized groups of men in health. The aim of this study was to establish key principles that could align the ethos of Sheds with a national health promotion initiative (‘Sheds for Life’; SFL) in terms of methods of engagement, programme content and models of delivery. Qualitative methods incorporating semi-structured interviews, focus groups and observations were conducted with men in Sheds (‘Shedders’; n = 38), oversight/advisory groups (n = 11) and partner organizations (n = 8). The principles of grounded theory were used to inform data collection and analysis. Findings revealed a range of mediating factors in terms of how Shedders engage with or ‘do’ health that were grounded in a recognition of the health-enhancing ‘essence’ of Sheds and in ‘making men’s health men’s business’. Key learnings arising from the process of engaging with Shedders included the importance of investing in relationships, establishing credibility and tailoring SFL programme content and delivery to individual Sheds. In terms of conceptualizing SFL, attention was drawn to the need for a coherent and formalized SFL strategy and ‘rules of engagement’, as well as a robust and sustainable system for implementation. This is the first study that informs a more systematic and formal approach to health promotion in Sheds.

scholarly journals Health Promotion Interventions: Lessons from the Transfer of Good Practices in CHRODIS-PLUS

2020 ◽  
Vol 17 (4) ◽  
pp. 1281 ◽  
Author(s):  
Andrew Barnfield ◽  
Nella Savolainen ◽  
Anne Lounamaa
Keyword(s):  
Health Promotion ◽  
Success Factors ◽  
Implementation Framework ◽  
Good Practices ◽  
Policies And Procedures ◽  
Local Contexts ◽  
Action Project ◽  
Associated Risk Factors ◽  
Health Promotion Interventions

Health promotion and disease prevention often take the form of population- and individual-based interventions that aim to reduce the burden of disease and associated risk factors. There is a wealth of programs, policies, and procedures that have been proven to work in a specific context with potential to improve the lives and quality of life for many people. However, the challenge facing health promotion is how to transfer recognized good practices from one context to another. We present findings from the use of the implementation framework developed in the Joint Action project CHRODIS-PLUS to support the transfer of health promotion interventions for children’s health and older adults identified previously as good practices. We explore the contextual success factors and barriers in the use of an implementation framework in local contexts and the protocol for supporting the implementation. The paper concludes by discussing the key learning points and the development of the next steps for successful transfer of health promotion interventions.

scholarly journals Chronic hepatitis and HIV risks amongst Pakistani migrant men in a French suburb and insights into health promotion interventions: the ANRS Musafir qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Johann Cailhol ◽  
Nichola Khan
Keyword(s):  
Health Promotion ◽  
Chronic Hepatitis ◽  
Hepatitis C ◽  
Hiv Transmission ◽  
University Hospital ◽  
Migration Route ◽  
Structured Interviews ◽  
North East ◽  
Interdisciplinary Approaches ◽  
Health Promotion Interventions

Abstract Background Seine-Saint-Denis is a deprived departement (French administrative unit) in the North-East of Paris, France, hosting the majority of South Asian migrants in France. In recent years, the number of migrants from Pakistan, which has a high prevalence of hepatitis C globally, increased. As a corollary, this study addressed the high proportion of Pakistani patients in the infectious diseases clinic of a local hospital, diagnosed with hepatitis C, but also hepatitis B and Human Immunodeficiency Virus (HIV). It explored genealogies and beliefs about hepatitis and HIV transmission, including community, sexual and blood risk behaviours. The aim was to understand the ways these risk factors reduce or intensify both en route and once in France, in order to devise specific forms of community health intervention. Methods The study took place at Avicenne University-Hospital in Seine-Saint-Denis, and its environs, between July and September 2018. The design of the study was qualitative, combining semi-structured interviews, a focus group discussion, and ethnographic observations. The sample of Pakistani participants was selected from those followed-up for chronic hepatitis C, B, and/or HIV at Avicenne, and who had arrived after 2010 in Seine-Saint-Denis. Results Thirteen semi-structured interviews were conducted, until saturation was reached. All participants were men from rural Punjab province. Most took the Eastern Mediterranean human smuggling route. Findings suggest that vulnerabilities to hepatitis and HIV transmission, originating in Pakistan, are intensified along the migration route and perpetuated in France. Taboo towards sexuality, promiscuity in cohabitation conditions, lack of knowledge about transmission were amongst the factors increasing vulnerabilities. Participants suggested a number of culturally-acceptable health promotion interventions in the community, such as outreach awareness and testing campaigns in workplaces, health promotion and education in mosques, as well as web-based sexual health promotion tools to preserve anonymity. Conclusions Our findings highlight the need to look at specific groups at risk, related to their countries of origin. In-depth understandings of such groups, using interdisciplinary approaches such as were employed here, can allow for culturally adapted, tailored interventions. However, French colour-blind policies do not easily permit such kinds of targeted approach and this limitation requires further debate.

A stakeholder analysis of community-led collaboration to reduce health inequity in a deprived neighbourhood in South Korea

2018 ◽  
Vol 27 (2) ◽  
pp. 35-44
Author(s):  
Hyun-Hee Heo ◽  
Woojin Jeong ◽  
Xian Hua Che ◽  
Haejoo Chung
Keyword(s):  
Health Promotion ◽  
Social Network ◽  
Social Network Analysis ◽  
Network Analysis ◽  
Service Providers ◽  
Stakeholder Analysis ◽  
Current Status ◽  
Intersectoral Collaboration ◽  
Deprived Neighborhoods ◽  
Health Promotion Interventions

Intersectoral collaboration amongst health and other sectors, as well as between government and non-governmental organisations, has been highlighted as a way to improve health equity. We used a mixed-methods approach to assess collaborative relationships between multiple government sectors and civil society and to suggest possible health promotion interventions and policy alternatives for the urban poor in deprived neighborhoods. A total of 18 participants involved in health promotion interventions and policy processes related to the inner-city area of Seoul were recruited using purposive sampling methods. Participants included stakeholders working for or engaging in governments (3), public health care institutions (5), social service providers (3), community-based organisations (CBOs) (4) and faith-based organisations (3). We conducted semi-structured, one-on-one interviews and then collected survey data. Quantitative data were analysed using social network analysis, and qualitative data were analysed through iterative and consensus processes. The social network analysis indicated that a CBO plays the most substantial role in sharing and controlling informational resources to promote health. A stakeholder analysis showed that the CBO neutrally and negatively viewed the possibility of collaboration with other stakeholders. Three themes related to challenges to intersectoral collaboration emerged: (1) lack of trust and communication, (2) need of a coalition with a committed leading actor for future collaboration and (3) organisational and political silos within and across public sectors. Increased understanding of the current status of and challenges to collaboration can inform the planning and implementation of complex intervening strategies and policies tailored to vulnerable people in deprived neighborhoods. Community-led collaborative actions empower people in marginalised communities to envision a healthier community.

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