Success factors of health promotion: Evaluation by DEMATEL and M-DEMATEL methods — A case study in a non-profit organization

Proper health knowledge and adequate motivation for health activities are key factors that influence an individual to adopt a healthy behavior. Health promotion positively influences progressive behaviors that seek to advance health potential, to continuously improve one’s lifestyle. There are many health promotion indications constantly encouraging people to eat healthier food. Based on the successful experience of a non-profit organization promoting a healthier vegetarian diet, this research identifies the operating factors that lead to the success of health promotion. The formulation and implementation of the health promotion strategy must be combined with the key success factors in order to accomplish the objectives. This study assessed seven factors, evaluated using the proposed method. The proposed Decision Making Trial and Evaluation Laboratory (DEMATEL) method constructs the cause and effect model of health promotion, and places forward suggestions and strategies for improvement based on the evaluation of the results. This research compared the original DEMATEL with a Modified DEMATEL (M-DEMATEL) to identify the success factors of health promotion. According to the results of both methods, “leadership”, “communication channel” and “budget” are the most important and influential factors when promoting healthy diets. The results have shown the connection and the difference between the two methods. The main purpose of this research is not to determine which method is the best method, instead, to derive the combined effect of both methods.

Effects of a Healthy Habit Promotion Strategy on Colombian Schoolchildren

Chronic non-communicable diseases (CNCD) show an increasing tendency, especially in low- and medium-income countries. It is necessary to develop and evaluate strategies to strengthen healthy habits at an early age in these countries. Objective: To determine the effect of the health promotion strategy “United for Healthier Kids” (U4HK) on health lifestyle habits of a group of Colombian schoolchildren for the 2018-2020 period. Materials and methods: This quasi-experimental study features treatment and control groups and pre- and post-intervention measurements. The study involved 1,011 schoolchildren between six and twelve years old from seven rural and urban schools of the Sabana Centro region of Colombia. We used the Healthy Habits Measurement Tool, previously validated in Colombia. Results: When comparing within and between groups, the UHK strategy showed statistically significant differences in healthy habits (p < 0.05) related to nutrition and physical activity in schoolchildren. Conclusions: The U4HK strategy had a positive effect and impact on the schoolchildren’ healthy habits, especially in the ‘chooses to drink water’ and ‘moves more’ components. There were statistically significant differences (p < 0.05) between groups in four out of the five categories: drinks more water, chooses nutritios and varied options, eats and cooks as a family, and moves more. The U4HK strategy responds to current and future health problems in schoolchildren and helps prevent chronic diseases. It could be replicated in similar populations.

Multiple effects health economic evaluation of the Ahead of The Game Study for mental health promotion in sporting club communities

Background This study evaluates the Ahead Of The Game (AOTG) mental health promotion strategy for adolescent males relative to usual practice in team based sporting club community settings, allowing for joint incremental effects across 13 dimensions and 5 domains alongside intervention implementation costs. Methods Analysis is undertaken between matched communities with difference in differences analysis of joint multiple pre-post effect changes alongside implementation costs employing radar plots in cost-disutility space. A robust bootstrapping method allowed including all observed change in effect data from 343 AOTG and 273 control arm participants across 13 effect dimensions. Results Triangulation across joint evidence shows mean incremental effects favoured AOTG in all dimensions (10/13 significantly at 5% level) and in simple aggregation to each of five pre-specified 5 domains (each significant at < 1% level) and global measures (significant at 0.001% level), while mean AOTG implementation costs were conservatively estimated as $37.47 per participant. Conclusion The AOTG strategy was found to represent an effective mental health promotion strategy across all domains and globally with associated significant potential for downstream health system cost savings to offset against modest implementation costs. Evaluation methods extend conventional cost-effectiveness analysis to enable robust joint presentation and triangulation under uncertainty of multiple effect dimensions alongside costs. Trial registration ANZCTR, ACTRN12617000709347. Registered 17th May 2017.

Identifikasi masalah kesehatan masyarakat di Desa Banguntapan melalui Data Program Indonesia Sehat Pendekatan Keluarga (PIS-PK)

Noncommunicable diseases and chronic diseases, such as stroke, hypertension and diabetes mellitus has widely founded in Yogyakarta. In order to, the government has developed a health promotion strategy is the healthy Indonesia through a family program approach or Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK). The study aimed to analysis determinant factors of public health problems, to obtain of the health situation and public health service in Ponegaran Hamlet, Banguntapan, Bantul. Descriptive research used to interview instruments as 149 respondents. The analysis method used to determine the priority of health problems is Urgency, Seriousness, Growth(USG). Base on three indicators of PIS-PK which were the main problems were the number of family members who smoker (53%), hypertension who did not take regular medication (71%) and health insurance (34%).

Terapia Comunitária Integrativa como estratégia de promoção da saúde nas universidades

Objetivo: Verificar a atuação da Terapia Comunitária Integrativa como estratégia de promoção da saúde no âmbito universitário. Método: Trata-se de uma revisão integrativa de literatura, realizada em dezembro de 2020. Teve como critérios de inclusão artigos em inglês, espanhol ou português, publicados nos últimos dez anos, disponíveis na íntegra, que contemplassem o tema proposto para esta pesquisa e estivessem publicados nas bases de dados da Biblioteca Virtual em Saúde (BVS), do Portal de Periódicos CAPES e da Scientific Literature (SCILIT). Resultados: Foram encontrados 398 artigos, dos quais 18 foram selecionados para este estudo. Instituições de ensino superior brasileiras e estrangeiras implantaram e implementaram as rodas de Terapia Comunitária como espaços de acolhimento, escuta ativa, criação de vínculos, bem como de promoção da saúde e promoção da saúde mental de seus estudantes universitários. Conclusão: Constatou-se que a Terapia Comunitária Integrativa é uma potente ferramenta de promoção da saúde e, nos últimos cinco anos, essa prática tem se fortalecido nas universidades. ABSTRACTObjective: To verify the performance of Integrative Community Therapy as a health promotion strategy at the university level. Method: This is an integrative literature review, carried out in December 2020 and had as inclusion criteria articles in English, Spanish or Portuguese, published in the last ten years, available in full, that contemplated the theme proposed for this research and published in the databases of the Virtual Health Library (VHL), the CAPES Journal Portal and Scientific Literature (SCILIT). Results: It was found 398 articles, of which 18 were selected for this study. Brazilian and foreign higher education institutions implanted and implemented the Community Therapy circles as spaces for welcoming, active listening, creating bonds, as well as promoting health and promoting the mental health of their university students. Conclusion: Integrative Community Therapy is a powerful tool for health promotion and in the last five years this practice has been strengthened in universities. Keywords: Complementary Therapies; Mental health; University; Health promotion. RESUMENObjetivo: Verificar la integración de la Terapia Integrativa Comunitaria como estrategia de promoción de la salud en el ámbito universitario. Método: Se trata de una revisión integradora de la literatura, realizada en diciembre de 2020. Sus criterios de inclusión son artículos en inglés, español o portugués, publicados en los últimos diez años, que se encuentran disponibles en su totalidad, incluyen el tema propuesto para esta investigación y están publicados en las bases de datos de la Biblioteca Virtual en Salud (BVS), el Portal de la Revista CAPES y Literatura Científica (SCILIT). Resultados: Se encontraron 398 artículos, de los cuales 18 fueron seleccionados para este estudio. Las Instituciones de Educación Superior brasileñas y extranjeras implantan e implementan Ruedas de Terapia Comunitaria como espacios de acogida, escuelas activas, creando vínculos, además de promover la salud y promover la salud mental de sus estudiantes. Conclusión: Sé que la Terapia Integrativa Comunitaria es una poderosa herramienta para la promoción de la salud y, en los últimos cinco años, esta práctica se ha fortalecido en las universidades.Palabras clave: Terapias complementarias; Salud mental; Universidad; Promoción de la salud.

"Healthy Eating - Healthy Action": evaluating New Zealand's obesity prevention strategy

Background. New Zealand rates of obesity and overweight have increased since the 1980s, particularly among indigenous Mori people, Pacific people and those living in areas of high deprivation. New Zealand's response to the obesity epidemic has been The Healthy Eating-Healthy Action: Oranga Kai - Oranga Pumau (HEHA) Strategy ('the Strategy'), launched in 2003. Because the HEHA Strategy explicitly recognises the importance of evaluation and the need to create an evidence base to support future initiatives, the Ministry of Health has commissioned a Consortium of researchers to evaluate the Strategy as a whole. Methods. This paper discusses the Consortium's approach to evaluating the HEHA Strategy. It includes an outline of the conceptual framework underpinning the evaluation, and describes the critical components of the evaluation which are: judging to what extent stakeholders were engaged in the process of the strategy implementation and to what extent their feedback was incorporated in to future iterations of the Strategy (continuous improvement), to what extent the programmes, policies, and initiatives implemented span the target populations and priority areas, whether there have been any population changes in nutrition and/or physical activity outcomes or behaviours relating to those outcomes, and to what extent HEHA Strategy and spending can be considered value for money. Discussion. This paper outlines our approach to evaluating a complex national health promotion strategy. Not only does the Evaluation have the potential to identify interventions that could be adopted internationally, but also the development of the Evaluation design can inform other complex evaluations. © 2009 McLean et al; licensee BioMed Central Ltd.

"Healthy Eating - Healthy Action": evaluating New Zealand's obesity prevention strategy

Background. New Zealand rates of obesity and overweight have increased since the 1980s, particularly among indigenous Mori people, Pacific people and those living in areas of high deprivation. New Zealand's response to the obesity epidemic has been The Healthy Eating-Healthy Action: Oranga Kai - Oranga Pumau (HEHA) Strategy ('the Strategy'), launched in 2003. Because the HEHA Strategy explicitly recognises the importance of evaluation and the need to create an evidence base to support future initiatives, the Ministry of Health has commissioned a Consortium of researchers to evaluate the Strategy as a whole. Methods. This paper discusses the Consortium's approach to evaluating the HEHA Strategy. It includes an outline of the conceptual framework underpinning the evaluation, and describes the critical components of the evaluation which are: judging to what extent stakeholders were engaged in the process of the strategy implementation and to what extent their feedback was incorporated in to future iterations of the Strategy (continuous improvement), to what extent the programmes, policies, and initiatives implemented span the target populations and priority areas, whether there have been any population changes in nutrition and/or physical activity outcomes or behaviours relating to those outcomes, and to what extent HEHA Strategy and spending can be considered value for money. Discussion. This paper outlines our approach to evaluating a complex national health promotion strategy. Not only does the Evaluation have the potential to identify interventions that could be adopted internationally, but also the development of the Evaluation design can inform other complex evaluations. © 2009 McLean et al; licensee BioMed Central Ltd.

Efektivitas Self Efficacy terhadap Pemahaman Tanda Bahaya Kehamilan menggunakan Video dan Buku Kesehatan Ibu dan Anak

One effort to increase the understanding of pregnant women about the danger signs of pregnancy is to carry out social persuasion in the form of education to improve self-efficacy of understanding the danger signs. Education can be done using a variety of media, namely visual media, audio and audio visual. This literature study aims to find out Effectiveness of Self-Efficacy towards Understanding of Pregnancy Danger Signs using Videos and Books of MCH.The design used in this study is the study of literature. The type of data used is secondary data obtained from journal database searches taken through the internet, both national and international journals. The search results obtained as many as 12 journals that are considered in accordance with the purpose of the study. The results of the literature study show that there is an effect of Self-Efficacy on Understanding of the Signs of danger of pregnancy using Video, there is an effect of Self-Efficacy of Understanding of Signs of danger of pregnancy using the MCH Handbook, and Video media is more effective than the Book of MCH. The conclusion of this literature study is The effectiveness of education delivered is affected by a variety of things, one of which is the media used. The better the media used, the easier the reception of material by respondents. Recommendations from this literature study virtue need to improve the health promotion strategy by advocacy strategy, social support strategy and community empowerment strategy