Abstract：
AIMS:This paper presents a process evaluation that assessed the fidelity and quality of implementation, as well as the acceptability and subjective evaluations of a HIV/AIDS intervention among students and teachers. METHODS:The process evaluation was conducted as part of a cluster randomized controlled trial of a theory- and evidence-based school HIV/AIDS intervention in Cape Town. The intervention was designed for grade 8 high school students and delivered by teachers over a six-month period. Twenty-six schools participated in the trial, 13 in the intervention group and 13 in the control group. RESULTS:The success of implementation was varied within and across the schools, with some teachers implementing the intervention with more fidelity than others. This was influenced by a combination of individual characteristics and institutional factors. The factors that aided implementation included compliance with the current outcomes-based education approach; provision of teacher training; provision of teacher manuals with detailed information and instructions about the lessons and activities; continued monitoring and support for teachers; and student enthusiasm for the lessons. Proper implementation was hindered by large class sizes; too many activities in the intervention; teacher resistance to and inexperience in using participatory methods; teacher turnover; the low status of life orientation compared to other subjects; and a general disregard for life orientation among students. CONCLUSIONS:These findings are important for improving the intervention and contextualizing the results of the outcome evaluation; and to better plan for further large scale dissemination of school-based HIV/AIDS intervention programmes.
journal_name
Scand J Public Healthjournal_title
Scandinavian journal of public healthauthors
Mukoma W,Flisher AJ,Ahmed N,Jansen S,Mathews C,Klepp KI,Schaalma Hdoi
10.1177/1403494808090631subject
Has Abstractpub_date
2009-06-01 00:00:00pages
37-47eissn
1403-4948issn
1651-1905pii
37/2_suppl/37journal_volume
37 Suppl 2pub_type
杂志文章abstract：AIMS:Health policy decisions should be based on national social preferences. In the absence of a set of Danish health preferences, patient outcome studies using the EQ-5D instrument have typically used UK health state valuations. This article describes the development of a Danish EQ-5D value set. METHODS:Regression mo...
journal_title：Scandinavian journal of public health
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abstract：AIMS:The aim of this study was to find out whether health and financial factors are associated with engagement in paid work during a disability pension. METHODS:The data included a 10 per cent sample of Finns aged 20-62 years who were drawing earnings-related full or partial disability pension in 2012 ( n = 14,418). L...
journal_title：Scandinavian journal of public health
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abstract：:The aim of this study was to identify factors associated with sustainable behaviour change among persons at increased risk for future cardiovascular disease. A qualitative approach based on focus group interviews was used. Twenty-five men aged 62-71 years who participated in the Oslo Study Diet and Anti-smoking Trial ...
journal_title：Scandinavian journal of public health
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更新日期：1999-09-01 00:00:00
abstract：BACKGROUND:Sweden and Finland, neighbouring countries in Scandinavia, share features in health and social policies but retain a few differences in tobacco policy, including oral tobacco product regulation. This paper analyses the differences between tobacco policy and tobacco use between these two countries. MATERIAL:...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494808100277
更新日期：2009-03-01 00:00:00
abstract：:Introduction: In Denmark, citizens participate in register-based research without the possibility of opting out. However, in 1995 it was made possible for Danish citizens to register an opt-out called 'researcher protection' [forskerbeskyttelse], which implied that researchers could not contact people to invite them t...
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abstract：BACKGROUND:Gestational diabetes mellitus (GDM) and obesity may cause adverse pregnancy outcomes for mothers and offspring. We have set up a research programme to identify predictors for GDM and fetal growth in a multiethnic population in Oslo to improve the identification of high risk pregnancies and reduce adverse sho...
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abstract：AIM:The aim of this study was to investigate the psychometric properties of the Norwegian version of the work-related sense of coherence scale, which measures the perceived comprehensibility, manageability, and meaningfulness of an individual's current work situation. METHODS:Factorial validity, convergent and discrim...
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journal_title：Scandinavian journal of public health
pub_type： 杂志文章
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更新日期：2016-11-01 00:00:00
abstract：:Women have higher long-term sickness absence rates than men, and higher rates of most health problems. The rates vary with type of problem and diagnosis. The objectives were to examine whether equal proportions of women and men had sickness absence when they had a given health problem, and if disparities were diagnosi...
journal_title：Scandinavian journal of public health
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pub_type： 杂志文章,评审
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更新日期：2011-03-01 00:00:00
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journal_title：Scandinavian journal of public health
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doi：10.1177/1403494807085306
更新日期：2008-01-01 00:00:00
abstract：AIMS:The aim of the present study was to explore the longitudinal stroke trends in the middle-aged Lithuanian population. METHODS:All stroke events in the studied population were ascertained and validated according to the standardized criteria outlined by the WHO MONICA Project. The study included all patients aged 25...
journal_title：Scandinavian journal of public health
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更新日期：2006-01-01 00:00:00
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journal_title：Scandinavian journal of public health
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journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1080/14034940510006030
更新日期：2005-01-01 00:00:00
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更新日期：2015-12-01 00:00:00
abstract：AIMS:To investigate urban-rural differences in male suicide mortality between 1988 and 1997 in the province of Kuopio in eastern Finland. METHODS:Male suicide mortality between 1988 and 1997 was studied in eastern Finland. The data were collected from official autopsy reports. Age, marital status, household type, plac...
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doi：
更新日期：2001-09-01 00:00:00
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更新日期：2017-07-01 00:00:00
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journal_title：Scandinavian journal of public health
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更新日期：2010-11-01 00:00:00
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journal_title：Scandinavian journal of public health
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更新日期：2013-07-01 00:00:00
abstract：AIMS:To investigate the associations between both high- and low-intensity leisure-time physical activity on physical-work ability and chronic musculoskeletal complaints among manual workers aged 50-70 years. METHODS:In this cross-sectional study, 1763 manual workers (mean age 57.1, SD ± 4.7 years) replied to questions...
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更新日期：2018-05-01 00:00:00
abstract：BACKGROUND:Current health measurement instruments tend to measure aspects of ill-health rather than health in general. There is a need for a salutogenic perspective when describing health and developing a health measurement instrument. The aim of this article is to present the development process and quality assessment...
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更新日期：2009-01-01 00:00:00
