Abstract:
:Prior studies have supported the effectiveness of the use of Lay Health Workers (LHWs) as an intervention model for managing chronic health conditions, yet few have documented the mechanisms that underlie the effectiveness of the interventions. This study provides a first look into how LHWs delivered a family-based intervention and the challenges encountered. We utilize observation data from LHW-led educational sessions delivered as part of a randomized controlled trial (RCT) designed to test a LHW outreach family-based intervention to promote smoking cessation among Vietnamese American smokers. The RCT included experimental (smoking cessation) and control (healthy living) arms. Vietnamese LHWs were trained to provide health information in Vietnamese to groups of family dyads (smoker and family member). Bilingual, bicultural research team members conducted unobtrusive observations in a subset of LHW educational sessions and described the setting, process and activities in structured fieldnotes. Two team members coded each fieldnote following a grounded theory approach. We utilized Atlas.ti qualitative software to organize coding and facilitate combined analysis. Findings offer a detailed look at the 'black box' of how LHWs work with their participants to deliver health messages. LHWs utilized multiple relational strategies, including preparing an environment that enables relationship building, using recognized teaching methods to engage learners and co-learners as well as using humor and employing culturally specific strategies such as hierarchical forms of address to create trust. Future research will assess the effectiveness of LHW techniques, thus enhancing the potential of LHW interventions to promote health among underserved populations.
journal_name
Health Promot Intjournal_title
Health promotion internationalauthors
Burke NJ,Phung K,Yu F,Wong C,Le K,Nguyen I,Nguyen L,Guan A,Nguyen TT,Tsoh JYdoi
10.1093/yel/day094subject
Has Abstractpub_date
2018-12-01 00:00:00eissn
0957-4824issn
1460-2245pii
5224523pub_type
杂志文章abstract::Population health information interventions (PHIIs) use information in efforts to promote health. PHIIs may push information to a target audience (communication), pull information from the public (surveillance), or combine both in a bidirectional intervention. Although PHIIs have often been framed as non-invasive and ...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/day004
更新日期:2019-06-01 00:00:00
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 ...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daz110
更新日期:2020-10-01 00:00:00
abstract::Over 1.5 million Americans are diagnosed with diabetes every year, and the majority of them go online to learn about their condition. Unfortunately, the online diabetes landscape is crowded, and the quality of website content is unknown-guidance for patients and healthcare providers regarding online diabetes informati...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daaa008
更新日期:2020-12-01 00:00:00
abstract::Low utilization of palliative care services by Māori remains despite increases in services designed to meet Māori needs. The purpose of this study is to explore palliative care information brochures in the context of Māori principles of well-being and communication protocols, and health literacy. We examined 99 brochu...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dav067
更新日期:2016-12-01 00:00:00
abstract:Background:Indigenous people experience poorer cancer survival outcomes compared with non-Indigenous people. Currently, there is growing awareness of poor health literacy as a determinant of cancer outcomes. However, little attention has been given to researching cancer-related health literacy amongst Indigenous people...
journal_title:Health promotion international
pub_type: 杂志文章,评审
doi:10.1093/heapro/daw066
更新日期:2018-04-01 00:00:00
abstract:Summary:This study attempted to determine the effects of restrictions on television (TV) food advertising on children's food environments in South Korea. It examined changes that occurred in the marketing mix of food companies following enactment of those restrictions. An on-line survey was conducted with marketers or ...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dat078
更新日期:2017-02-01 00:00:00
abstract::Translational or implementation research that assesses the effectiveness of strategies to promote health behaviours among children that have been previously tested under 'ideal' conditions is rarely reported. Switch-2-Activity aimed to examine the effectiveness of an abbreviated programme delivered by teachers targeti...
journal_title:Health promotion international
pub_type: 杂志文章,随机对照试验
doi:10.1093/heapro/daq078
更新日期:2011-09-01 00:00:00
abstract::This study looked at whether rates of health promotion practices among restaurants and cafés in the Hunter Region of New South Wales (NSW), Australia, increased between 1997 and 2000. During the project period all restaurants and cafés in the region were offered an annual direct marketing telephone interview (1997, 19...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/17.3.255
更新日期:2002-09-01 00:00:00
abstract::This article reports preliminary research results on a professional development (PD) model as a mechanism for supporting absorption of the Healthy School (HS) approach into school functioning. The purpose of our study was to document the model implementation process and understand whether it influenced, or not, the ac...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dat043
更新日期:2015-06-01 00:00:00
abstract::Being overweight or obese is a major risk factor for developing type 2 diabetes but weight loss through lifestyle interventions can markedly reduce its incidence. The Internet provides an opportunity for the development and implementation of lifestyle intervention programs that promote self-managed behavioural change....
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dai006
更新日期:2005-09-01 00:00:00
abstract::The World Health Organization (WHO) has been a strong and persistent voice calling for the recognition of the role of health in development and of the impact of socio-economic development on health. Health impact assessment (HIA) is one mechanism that can be used to achieve this goal. The objective of this paper is to...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dap056
更新日期:2009-11-01 00:00:00
abstract::Seeking achievement of health equity has underpinned national government and global health policies for decades. However, major difficulties and challenges faced in the practice of achieving 'Health for All' has led to a recognition of the need to broaden the focus of efforts to improve health equity. Civil society gr...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/17.1.69
更新日期:2002-03-01 00:00:00
abstract::The notion that adolescent daughters can provide their mothers with health information that could actually impact the mothers' behavior is a novel area of health promotion research. The goal of this study is to explore the reasons why adolescent daughters would give their mothers cervical cancer information, and why m...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dar014
更新日期:2012-06-01 00:00:00
abstract::The goal of the study is to investigate possible predictors of positive mental health, and whether they differ across sexual identity adult groups. Using data from the 2012 Canadian Community Health Survey on Mental Health, multivariate analyses were conducted, including interaction terms, to assess the effects of sex...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dax016
更新日期:2018-08-01 00:00:00
abstract::Engaging in physical activity (PA) on a regular and adequate basis generates considerable benefits for health. In developed countries, the time spent doing PA is decreasing, whilst sedentary time (ST) is increasing. A multicomponent school-based intervention programme, called 'Sigue la Huella' (Follow the Footprint), ...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/day005
更新日期:2019-06-01 00:00:00
abstract::This paper describes the development, implementation and evaluation of a school- and family-based intervention to prevent obesity in children aged 5-7 years. In addition, the efficacy of three different intervention programmes was compared. Children aged 5-7 years (n=213) were recruited from three primary schools in O...
journal_title:Health promotion international
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/heapro/dag402
更新日期:2003-12-01 00:00:00
abstract::Adolescents obtain cigarettes from both commercial and social sources. While the relationship between commercial access and adolescent smoking has been researched, no one has considered in detail whether rates of peer smoking affect cigarette availability. In two relatively deprived Scottish schools that differed in t...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dah404
更新日期:2004-12-01 00:00:00
abstract::This study aimed to pilot the feasibility, acceptability and effectiveness of three co-developed healthy food and beverage pricing interventions in a community retail setting. Aquatic and recreation centres in Victoria, Australia were recruited to co-develop and pilot pricing interventions within their onsite cafés, f...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daaa074
更新日期:2020-08-23 00:00:00
abstract::Physical inactivity is common in older people and contributes to morbidity and mortality. Health literacy might play a role in motivating people to become or stay physically active. However, little is known about the influence of health literacy on physical activity in older people. This review aims to determine the a...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daaa072
更新日期:2020-01-15 00:00:00
abstract::The '5As' model of behavior change provides a sequence of evidence-based clinician and office practice behaviors (Assess, Advise, Agree, Assist, Arrange) that can be applied in primary care settings to address a broad range of behaviors and health conditions. Although the 5As approach is becoming more widely adopted a...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dal017
更新日期:2006-09-01 00:00:00
abstract::In Thailand, a health-promoting school (HPS) program is in place nationwide. However, this policy has not covered Burmese migrant schools. Therefore, to ensure the feasibility of the implementation of a HPS program, we conducted evaluations and an intervention on school health in migrant schools in Thailand. We includ...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/das010
更新日期:2013-06-01 00:00:00
abstract::Males employed in the construction industry are at greater risk of suicide than other employed males. It is plausible that a high level of stigma against mental health problems explains the elevated rates of suicide among this group. This study sought to test the effectiveness of an electronic mental health stigma int...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daz034
更新日期:2020-06-01 00:00:00
abstract::This paper highlights the importance of understanding management theories to development of the settings approach to health promotion. It then provides an overview of two areas of especial pertinence: organization development and systems thinking. This is followed by the articulation of the Healthy Living and Working ...
journal_title:Health promotion international
pub_type: 杂志文章,评审
doi:10.1093/heapro/dah510
更新日期:2005-03-01 00:00:00
abstract::Workplaces are considered promising settings for protecting and promoting the health and wellbeing of employees. To date, few workplaces, particularly small and medium sized enterprises (SME), or their workers, have adopted Workplace Health Promotion (WHP), raising questions as to why. We conducted interviews in 10 SM...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daw078
更新日期:2018-06-01 00:00:00
abstract::The purpose of the study was to determine the utility of general population health surveillance data for evaluating broad policy changes that relate to health promotion. Data were drawn from the United States (US) Behavioral Risk Factor Surveillance System (BRFSS) for one US state, California. Because these data are c...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dak005
更新日期:2006-06-01 00:00:00
abstract::Tai Chi has been widely practiced as a Chinese martial art that focuses on slow sequential movements, providing a smooth, continuous and low intensity activity. It has been promoted to improve balance and strength and to reduce falls in the elderly, especially those 'at risk'. The potential benefits in healthy younger...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dah105
更新日期:2004-03-01 00:00:00
abstract::Using cluster analytical procedure, this study aimed (i) to determine whether people could be differentiated on the basis of coping profiles (or unique combinations of coping strategies); and (ii) to examine the relationships between these profiles and perceived stress and health-related behaviors. A sample of 578 Fre...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dau090
更新日期:2015-03-01 00:00:00
abstract::Information is lacking on the role shared decision making plays in the care of transgender (trans) youth. This qualitative, descriptive study explored how trans youth, parents and health care providers engaged or did not engage in shared decision-making practices around hormone therapy initiation and what conditions s...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daaa043
更新日期:2020-06-26 00:00:00
abstract::Dog health in rural and remote Australian Indigenous communities is below urban averages in numerous respects. Many Indigenous communities have called for knowledge sharing in this area. However, dog health education programs are in their infancy, and lack data on effective practices. Without this core knowledge, heal...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/das013
更新日期:2013-09-01 00:00:00
abstract::It has been highlighted that youth empowerment and participation are important principles for school health promotion. Despite this fact, children and youth are rarely given instruments to participate or to influence their situations and the environments in their schools. Photovoice is a method to increased empowermen...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/das011
更新日期:2013-09-01 00:00:00