scholarly journals Efficacy of an Enhanced Implementation Strategy to Increase Parent Engagement with a Health Promotion Program in Childcare

2021 ◽  
Vol 19 (1) ◽  
pp. 106
Author(s):  
Courtney T. Luecking ◽  
Cody D. Neshteruk ◽  
Stephanie Mazzucca ◽  
Dianne S. Ward
Keyword(s):  
Health Promotion ◽  
Confidence Interval ◽  
Implementation Strategy ◽  
Parent Engagement ◽  
Statistical Significance ◽  
Implementation Strategies ◽  
Cluster Randomized Trial ◽  
Structured Interview ◽  
Health Promotion Program ◽  
Quasi Experimental

Previous efforts to involve parents in implementation of childcare-based health promotion interventions have yielded limited success, suggesting a need for different implementation strategies. This study evaluated the efficacy of an enhanced implementation strategy to increase parent engagement with Healthy Me, Healthy We. This quasi-experimental study included childcare centers from the second of two waves of a cluster-randomized trial. The standard approach (giving parents intervention materials, prompting participation at home, inviting participation with classroom events) was delivered in 2016–2017 (29 centers, 116 providers, and 199 parents). The enhanced approach (standard plus seeking feedback, identifying and addressing barriers to parent participation) was delivered in 2017–2018 (13 centers, 57 providers, and 114 parents). Parent engagement was evaluated at two levels. For the center-level, structured interview questions with providers throughout the intervention were systematically scored. For the parent-level, parents completed surveys following the intervention. Differences in parent engagement were evaluated using linear regression (center-level) and mixed effects (parent-level) models. Statistical significance was set at p < 0.025 for two primary outcomes. There was no difference in parent engagement between approaches at the center-level, β = −1.45 (95% confidence interval, −4.76 to 1.87), p = 0.38l. However, the enhanced approach had higher parent-level scores, β = 3.60, (95% confidence interval, 1.49 to 5.75), p < 0.001. In the enhanced approach group, providers consistently reported greater satisfaction with the intervention than parents (p < 0.001), yet their fidelity of implementing the enhanced approach was low (less than 20%). Results show promise that parent engagement with childcare-based health promotion innovations can positively respond to appropriately designed and executed implementation strategies, but strategies need to be feasible and acceptable for all stakeholders.

Use of Medical Care after a Community—Based Health Promotion Program: A Quasi-Experimental Study

1995 ◽  
Vol 10 (1) ◽  
pp. 47-53 ◽  
Author(s):  
Margaret Cousins ◽  
Ian McDowell
Keyword(s):  
Health Promotion ◽  
Relative Risk ◽  
Confidence Interval ◽  
Medical Care ◽  
Analysis Of Covariance ◽  
Health Promotion Program ◽  
Multiple Time ◽  
Promotion Program ◽  
Quasi Experimental

Purpose. To assess the effects of health promotion on the use of medical care services in a community setting. Design. Quasi-experimental, multiple time points, case-comparison group. Setting. Community health center in Ottawa, Canada. Sample. 520 volunteer participants in a health promotion program and 932 matched comparison subjects. Intervention. The health promotion program consisted of a weekend workshop on health behaviors, lifestyle assessment, and identification of weekly goals for change. This was followed by 18 months of support (5 group sessions, weekly telephone calls, and optional individual sessions). Measurement. Computerized data on health care use 6 months before, 18 months during, and 6 months after the program were obtained from Ontario's universal Health Insurance Plan (OHIP). These data were used to determine the number and system costs of visits made by participants and comparisons. Results. When controlling for baseline differences through analysis of covariance, program participants were found to have higher costs and more visits for ambulatory care during the first year ( p < .01) and second year (p <.05) of follow-up. Participants used significantly more diagnostic services than comparisons during both years of follow-up. Participants were also more likely to use more counseling and psychotherapy services in year 1 (relative risk, 1.53; 95% confidence interval, 1.28, 1.81) and year 2 (relative risk, 1.57; 95% confidence interval, 1.31, 1.89). No differences were found between participant and comparison groups in visits for medical consultations and assessments or preventive services. Conclusion. No evidence shows that this health promotion program reduced use in this population over the 2-year follow-up period.

scholarly journals Perbandingan Indeks Larva Vektor Demam Berdarah Dengue Pra dan Paska-Intervensi di Kota Prabumulih

2018 ◽  
pp. 55-64
Author(s):  
Hotnida Sitorus ◽  
Yulian Taviv ◽  
Anif Budiyanto ◽  
Lasbudi P Ambarita ◽  
Milana Salim ◽  
...  
Keyword(s):  
Health Promotion ◽  
Group Intervention ◽  
Health Promotion Program ◽  
Control Vector ◽  
Community Group ◽  
Promotion Program ◽  
Vector Population ◽  
Dengue Transmission ◽  
Before And After ◽  
Quasi Experimental

Prabumulih city is one of dengue endemic area in South Sumatera Province with number of cases in 2011-2012 were 225 and 301 cases respectively. The research aims to determine the influence of jumantik accompanied by health promotion program to the larval mosquitoes indices. This is quasi-experimental study, carried out in three endemic areas of Prabumulih City in 2014. There were two intervention in two location and one location for non-intervention. In the first location, the intervention were larva surveillance by jumantik cadre, giving larvicide selectively, accompanied by health promotion program to community group (intervention I), in second location the intervention only for larvae surveillance by jumantik cadre (intervention II), and the third location giving no intervention.      Observation of immature mosquito was carried out in every location before and after intervention was given. The result showed an increase in Free larvae index of 19,8% in the intervention I , 12,5% in the intervention II and 5,3% in the no-intervention location. Indicator of breteau index showed a decrease in all location, 73,1% in the intervention I, 62,8% in the intervention II and 10,8% in the no-intervention location. Container index indicator showed a decrease in two intervention location, 10,2% in the intervention I, 6,6% in the intervention II, while in no-intervention location show an increase for 8%. Health promotion program about how to prevent dengue transmission through potential community groups could become an alternative effort to control vector population integrated with other control methods.

A Multicomponent Minimal Intervention Health Promotion Program: Preliminary Results

1987 ◽  
Vol 8 (2) ◽  
pp. 139-156 ◽  
Author(s):  
Richard Spoth ◽  
David M. Dush
Keyword(s):  
Health Promotion ◽  
Health Behaviors ◽  
Type A Behavior ◽  
Cardiac Risk ◽  
Self Report ◽  
Health Promotion Program ◽  
Minimal Intervention ◽  
Significant Difference ◽  
Quasi Experimental ◽  
High Level

This article reports two preliminary studies examining whether a minimal intervention cardiac risk education program incorporating behavioral components to enhance self-efficacy could effectively change health behaviors. The first study utilized a quasi-experimental design in evaluating workshop outcome among 131 AFL-CIO union members. A MANCOVA performed on self-report and physiological outcome measures suggested a significant difference between treatment and waiting list control groups, primarily in the area of nutrition. In the second true experimental study, participants were 307 “at-risk” employees of a local school system. A MANCOVA at a four month follow-up revealed significant differences in several reported health behaviors including Type A behavior, smoking, and nutrition. Results also showed the program's effectiveness was consistent across sex, age, and severity of participants' health risk. Implications for further research on the cost-effectiveness of brief health promotion interventions are discussed in light of the observed impact and the high level (80%) of employee interest and participation.

scholarly journals Efficacy of Oxytocin Massage on Involution of Uterus Among Postnatal Mothers

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 56-61
Author(s):  
Jagadeeswari J ◽  
Prathap Mohan M
Keyword(s):  
Statistical Significance ◽  
Sampling Technique ◽  
Structured Interview ◽  
Symphysis Pubis ◽  
Control Group ◽  
Sodium Permeability ◽  
Postnatal Mothers ◽  
Quasi Experimental ◽  
Demographical Data ◽  
Experimental Group

After a lady has cautiously accommodated the physiologic adversities of pregnancy and three phases of work, the consideration of essentially everybody regularly goes to the baby. Absence of sufficient uterine withdrawals during the puerperium can repress the cycle of uterine involution leading to many complications. The study aim is to assess the efficacy of oxytocin massage on involution of the uterus in the experimental and control group among postnatal mothers. A quasi-experimental research design was conducted among 60 postnatal mothers who were selected by Convenience sampling technique. Semi-structured interview method was used to collect the demographical data and by measuring the length between the fundus of the uterus and Symphysis Pubis with a measuring tape. Oxytocin massage was given for 15 minutes from 1st- 5th postnatal day. Among 60 samples in the experimental group  the level of involution among postnatal mothers in the experimental group, 6 had good involution, 14 had average involution and 10 had poor involution. In the present study, there was a statistically significant association in Postnatal vaginal bleeding and breastfeeding frequency which had shown statistically significant association with post-test level of involution of the uterus among postnatal mothers in the experimental group at p<0.05 level and the other variables had not shown statistical significance. This reveals that oxytocin massage is highly significant in the experimental group because oxytocin hormone which is secreted by the neurons of the hypothalamus during massage stimulates the contraction of uterine smooth muscle by increasing the sodium permeability of uterine myofibrils. 

scholarly journals ATUAÇÃO FISIOTERAPÊUTICA NA PROMOÇÃO DA SAÚDE NA TERCEIRA IDADE: PERCEPÇÕES DO IDOSO

2009 ◽  
Vol 14 (2) ◽  
Author(s):  
Marcelo Carvalho Filgueiras ◽  
José Nilson Rodrigues Menezes ◽  
Maria Dorilane Ferreira Apolônio ◽  
Rafaele Teixeira Borges
Keyword(s):  
Health Promotion ◽  
Elderly People ◽  
Human Movement ◽  
Well Being ◽  
The Elderly ◽  
Structured Interview ◽  
World Health ◽  
Health Promotion Program ◽  
Assistance Program ◽  
Health Organization

Resumo: A saúde é um fator essencial para o desenvolvimento humano e um dos campos de ação propostos no contexto da promoção da saúde é a criação de ambientes favoráveis. A Organização Mundial de Saúde (OMS), desde o ano de 2002, desenvolve uma política de saúde que preconiza o chamado envelhecimento ativo. A Fisioterapia , cujo objetivo de estudo é principalmente o movimento humano, colabora lançando mão de seus conhecimentos e recursos fisioterapêuticos com intuito de facilitar a compreensão dos fatores que possam acarretar em diminuição de qualidade de vida e bem estar nos idosos. A pesquisa teve como objetivo geral descrever a percepção dos idosos sobre a atuação da fisioterapia em um programa de promoção da saúde. A metodologia utilizada foi descritiva qualitativa na qual foram entrevistados 16 idosos que participam de um Programa de Assistência Fisioterapêutica dedicada à Terceira Idade no NAMI. Foram incluídos na pesquisa idosos que participavam regularmente do programa e excluídos idosos que obtiveram no total de 03 faltas consecutivas. O período de coleta foi de Maio a Julho de 2008, no qual foi realizada uma entrevista semi-estruturada . Os resultados indicaram que a fisioterapia contribuiu, através do grupo, na vida dos idosos, motivando-os buscar um programa de assistência. A solidão é um dos grandes problemas na velhice. Assim era o dia a dia desses idosos antes de participar do programa de assistência, porém houve uma mudança de vida após o mesmo. Logo, pelo grupo investigado, observou-se que a fisioterapia contribui pra a promoção da saúde de idosos, através de grupos promotores de saúde que apresentam benefícios para o idoso e sua rede, estendendose ao seu processo de envelhecimento.  Palavras-chave: Fisioterapia; Gerontologia, Promoção de Saúde. Abstract: Health is an essential factor for human development and one of the fields of action proposed in the context of the health promotion is the creation of favorable environments. The World Health Organization (WHO) develops a health policy that advocates the so-called active aging since the year 2002. The Physiotherapy, which the objective of study is especially the human movement, collaborates through its knowledge and physiotherapeutic resources aiming to facili tate the understanding of the factors that may cause a decrease in the elderly well-being and quality of life. The research had as general objective to describe the elderly perception about the physiotherapy performance in a health promotion program. It was used a qualitative and descriptive methodology in which 16 elderly people who participate in a Program of Physiotherapeutic Assistance dedicated to the third age at NAMI were interviewed. It was included in the research the elderly people who had a regular participation in the program and excluded the ones who got a total of 03 consecutive absences. The period of collected data was from May to July 2008 when it was conducted a semi-structured interview. The results indicate that the Physiotherapy contributed through the group in the elderly lives, motivating them to look for an assistance program. The loneliness is one of the major problems in old age. The daily life of these elderly was like that before joining in the assistance program, but there was a change of life after the program. Therefore, it was observed in the investigated group that the Physiotherapy contributes to the elderly health promotion through promoters groups of health that present benefits to the elderly and his network, extending to the ageing process. Key words: Aged; Health Promotion; Physiotherapy.  

Sign in / Sign up

Export Citation Format

Share Document