scholarly journals Application of the Ottawa Charter Five Priority Areas of Action for Public Health to an Institution-Wide Diabetes Care Promotion

2021 ◽  
Vol 18 (4) ◽  
pp. 1543
Author(s):  
Min-Hua Lin ◽  
She-Yu Chiu ◽  
Wen-Chao Ho ◽  
Hui-Ying Huang
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Health Promotion ◽  
Diabetes Care ◽  
Hospital Staff ◽  
Health Promotion Program ◽  
Diabetic Patients ◽  
Health Promoting ◽  
Diabetes Patients

This study was the first institution-wide health promotion program in Taiwan to apply the five priority areas for taking action in public health highlighted in the Ottawa Charter for diabetes patients. We aimed to improve the quality of home care received by diabetic patients by training health care professionals in health promotion. This program consisted of developing personal skills, reorienting health services, strengthening community actions, creating supportive environments, and building healthy public policy. It was applied in the Yunlin Christian Hospital located in central Taiwan from August 2011 to November 2011. A health-promoting education course consisting of weight control, diabetes care, and quality management for diabetes was developed and applied to all 323 hospital staff. Then, hospital staff volunteers and diabetes patients were recruited to participate in the program. A total of 61 staff volunteers and 90 diabetes patients were involved in this study. Staff volunteers were trained to participate in communities to provide care and guidance to patients with diabetes. The World Health Organization Quality of Life(WHOQOL)-BREF-Taiwan Version questionnaires were investigated before and after implementation of this program for the patients. A health-promoting lifestyle profile questionnaire was filled by the staff. The investigation data were then analyzed by statistical methods. The diabetes patients experienced a significant increase in their satisfaction with health and health-related quality of life as well as significant improvements in health-promotion and self-management behaviors (p < 0.05). In addition, staff volunteers significantly consumes food from the five major groups than the other staff (p < 0.05). Various improvements in health-promoting behaviors were observed amongst the hospital staff and the diabetic patients. Our project could be a reference for other medical organizations to implement an institution-wide health-promotion program for diabetic patients.

scholarly journals The effect of educational intervention based on Pender's health promotion model on quality of life and health promotion in patients with heart failure: an experimental study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hossein Habibzadeh ◽  
Akram Shariati ◽  
Farshad Mohammadi ◽  
Salman Babayi
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Health Promotion ◽  
Intervention Group ◽  
Health Promotion Model ◽  
Significant Difference ◽  
Patients With Heart Failure ◽  
Health Promoting ◽  
Pender's Health Promotion Model

Abstract Background Heart failure is a common and chronic heart condition with high prevalence and mortality rates. This debilitating disease as an important predictor of health outcomes is directly related to patients' quality of life. Given that one of the main goals of heart failure treatment is to promote patients' quality of life and health status, conducting effective nursing interventions seems to be necessary in this regard. Therefore, the present study aimed to determine the effect of educational intervention based on Pender's health promotion model on quality of life and health promotion in patients with heart failure. Methods This is an experimental study in which a total of 80 patients with heart failure were recruited and randomly allocated to two groups of intervention and control (n = 40 in each group). The educational program was designed based on Pender's health promotion model and then provided for the patients in the intervention four subgroups (10 person in each group) during six sessions. Data were collected at three time-points of before, immediately after, and three months after the intervention using a demographic questionnaire, the Minnesota Living with Heart Failure Questionnaire (MLHFQ), and the Health-Promoting Lifestyle Profile II (HPLP-II). Data were then analyzed using SPSS Statistics for Windows, version 17.0 (SPSS Inc., Chicago, Ill., USA) and p value less than 0.05 was taken as statistically significant. Results Based on the results of the present study, no statistically significant difference was shown in terms of demographic characteristics between the two groups. It was also indicated that there was a statistically significant difference in the mean scores of all dimensions of quality of life (except in the physical dimension) between the two groups so that the overall mean score of quality of life increased significantly in the intervention group after the intervention (p < .05). Moreover, there were significant increases in the mean scores of health-promoting behaviors (except in the domain of physical activity) in the intervention group compared to the control group (p < .05) after intervention. Conclusions This study demonstrates a trend that Pender's health promotion model is effective in improving the quality of life of patients with heart failure except of the physical dimension, and strengthening their health-promoting behaviors in all dimensions except of the physical activity dimension.

scholarly journals Health literacy and associated factors in patients with chronic diseases, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C F Tenani ◽  
M L R Sousa ◽  
M J Batista
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Blood Pressure ◽  
Health Promotion ◽  
Oral Health ◽  
Health Literacy ◽  
Chronic Diseases ◽  
Public Health Service ◽  
The Public

Abstract Chronic diseases of the population have been a global challenge for public health. Considered a new field of study, health literacy (LS) is the ability to obtain and understand basic health information and services needed to make health decisions. Worse outcomes, such as less control of chronic diseases, have been associated with LS. Thus, the objective of the study was to investigate the association of LS, clinical and behavioral conditions in patients with chronic non-communicable diseases (NCDs) users of the public health service in Brazil. It was a cross-sectional study, conducted from July to December 2019, with 238 adult users of the public health service, in a random sample, from 10 basic health units, in Piracicaba-SP, Brazil. A questionnaire was applied to obtain socioeconomic, behavioral, and LS data (Suka et al, 2013). The outcome was LS (high, medium and low) and the independent variables: CNCDs (diabetes, systemic blood pressure), clinical conditions (pressure, tooth loss, pain, visible plaque and insertion loss), behaviors (brushing, use of dental floss), determinants (type and frequency of service use) and self-perception (oral health and quality of life) in health. Descriptive statistical analysis was performed, and the Chi-Square test, based on a conceptual model adapted for LS (5% significance level). They had low levels of literacy 35.3% (n = 84), average 35.7% (n = 85), and high 29.0% (n = 69). Low LS levels were associated with older individuals, low education, less brushing and flossing, irregular use of dental services, edentulism, pain, loss of insertion, negative self-perception of oral health and quality of life, and better systolic blood pressure index. The results of this study show the association of LS with behavioral and clinical factors, showing an important role in the health-disease process in this population. LS should be considered in health promotion policies in future studies. Key messages Our study shows the importance of health literacy, and its association with health outcomes in individuals with chronic non-communicable diseases. Within the important global epidemiological panorama of chronic diseases, better understanding the role of LS is important, and it can collaborate with health promotion strategies for this population.

scholarly journals The Influence of Income and Livelihood Diversification on Health-Related Quality of Life in Rural Ethiopia

2020 ◽  
Vol 17 (8) ◽  
pp. 2709
Author(s):  
Abir Majbauddin ◽  
Shinji Otani ◽  
Atsushi Tsunekawa ◽  
Nigussie Haregeweyn ◽  
Misganaw Teshager Abeje ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Health Promotion ◽  
Physical Health ◽  
Health Related Quality ◽  
Socioeconomic Characteristics ◽  
Rural Ethiopia ◽  
Related Quality ◽  
Health Related

Examining health-related quality of life (HRQOL) in a rural setting can be beneficial for improving rural household policies and fostering public health promotion. The objective of this study was to measure the HRQOL and associated socioeconomic characteristics as well as test the reliability of the Amharic version of SF-8 (eight-item short form of HRQOL survey). A cross-sectional study was employed in three agroecologically different sites in rural Ethiopia, involving 270 household heads (218 male and 52 female) with a mean age ± standard deviation of 49 ± 12.88 years. The survey material consisted of a structured questionnaire for socioeconomic characteristics and SF-8 for HRQOL. The mean physical and mental component summary score of the whole sample was 30.50 ± 12.18 and 34.40 ± 7.26, respectively, well underneath the instrument average of 50. The SF-8 items showed excellent internal consistency in terms of both Cronbach’s α coefficients and item–total correlation. In stepwise multiple linear regression, the low-income group had worse self-perceived physical health than the higher-income groups. Likewise, a diversified livelihood had a profound influence on positive self-perceived physical health. These findings imply that developing and distributing wide-ranging socioeconomic and public health policies is crucial for effective health promotion in rural communities.

scholarly journals Effects of the Health Promotion Programs on Happiness

2020 ◽  
Vol 12 (2) ◽  
pp. 528 ◽  
Author(s):  
Munjae Lee ◽  
Kichan Yoon
Keyword(s):  
Quality Of Life ◽  
Health Promotion ◽  
Local Governments ◽  
Structural Equations ◽  
Health Promotion Program ◽  
Healthy City ◽  
Positive Effects ◽  
Comprehensive Health ◽  
Local Residents

The Healthy City program is a comprehensive health promotion program implemented by local governments to improve citizens’ health. The Healthy City program aims to improve citizens’ quality of life through health promotion activities in daily life. It also improves health by eliminating health risk factors and increasing citizens’ happiness. Therefore, this study investigated the effects of the Healthy City program on the happiness index of local residents and the correlation between the Healthy City program and the happiness index using quality of life as a parameter. We conducted a questionnaire survey of residents of Seoul, where Healthy City networks are actively promoted. A total of 392 responses were obtained. Structural equations were used to analyze the collected data. The Healthy City program had positive effects on the happiness index. In other words, it increased the happiness index by improving the health of the local residents. Relevant policy efforts are also being made to advance health services through Healthy City programs. For an effective Healthy City program, it is necessary to implement policies regarding health equity, to expand Healthy City programs based on a settings approach, and to implement a sustainable Healthy City program through the establishment of Healthy City governance.

scholarly journals Effects of a Health Promotion Program Based on a Train-the-Trainer Approach on Quality of Life and Mental Health of Long-Term Unemployed Persons

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Heribert Limm ◽  
Mechthild Heinmüller ◽  
Harald Gündel ◽  
Katrin Liel ◽  
Karin Seeger ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Health Promotion ◽  
Health Promotion Program ◽  
Control Group ◽  
Train The Trainer ◽  
Promotion Program ◽  
Positive Effects

Background. Long-term unemployment is associated with poorer mental health. The aim of this study was to evaluate the effectiveness of a health promotion program using the train-the-trainer approach on health-related quality of life (HRQoL) and mental health of long-term unemployed persons.Methods. A prospective parallel-group study was conducted among 365 long-term unemployed persons. 287 participants (179 members of the intervention group IG and 108 members of the control group) were reassessed after three months. The intervention comprised both individual sessions based on Motivational Interviewing and participatory group sessions; no health promotion program was administered in the control group. The endpoints were HRQoL (SF-12), depression, and anxiety. The effect size of the change across time in the IG and CG was measured by Cohen’sd. To assess the significance of group differences in the change across time, a random effects model was used.Results. Within three months HRQoL improved and anxiety and depression decreased significantly in the IG. A significant intervention effect was observed for anxiety (p= 0.012). Effect sizes in the IG were small to moderate in terms of Cohen’sd(anxiety:d=-0.33; SF-12 mental:d=0.31; depression:d=-0.25; SF-12 physical:d=0.19).Conclusions. The health promotion program, based on a train-the-trainer approach, showed positive effects on HRQoL and mental health, especially anxiety, of long-term unemployed persons, a highly burdened target group where an improvement in mental health is a crucial prerequisite to social participation and successful reintegration into the job market.

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