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1
Halenar, Jennifer Ann. "Heart health promotion program design". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0002/MQ59810.pdf.
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2
McBride, Anita Susan. "The promotion of health : is the health promoting hospital the way forward?" Thesis, Oxford Brookes University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.395422.
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This thesis investigates whether the Health Promoting Hospital (HPH) is the way forward in the promotion of health. To address this, a number of key areas are considered. Firstly, the thesis places the HPH into historical context, as it is from a long the tradition of efforts to promote health and prevent disease that the HPH emerges. In order to understand the complex field of health promotion, the thesis examines the legacy of health promotion and its impact on contemporary health promotion and therefore on the potential of the HPH. The answers to this provide the immediate context from within which the HPH would be implemented. There is a need not only to understand the HPH as a theoretical concept but also to understand how it has been translated into practice. Thus how the HPH has been adopted as a basis for modelling practice is examined. If the HPH is to be a way forward for health promotion, then it will need to be adopted widely by hospitals that have had little previous interest in, or experience of, promoting health. To investigate the prospect of such widespread adoption, a study was carried out of the attitudes, perceptions and practices of nurses and patients at a typical UK teaching hospital outside the HPH movement. The findings of this study, which drew on Communication of Innovation Theory as a conceptual framework, are reported. For effective health promotion, there is also need to address the legacy of weaknesses that have hitherto hampered progress. Thus the thesis examines the extent to which the HPH can address the contemporary weaknesses of health promotion and, broadening out from this, it suggests other initiatives that might be taken to advance the effective promotion of health and the effectiveness of the HPH. The thesis argues that the Health Promoting Hospital is a useful vehicle to support the development of health promotion in the hospital setting but that effectiveness is hampered by the fundamental weaknesses of health promotion that it is insufficient, on its own, to counter. Initiatives are suggested that can begin to redress this.
3
Chapman, Valerie Ann. "Ideologies of health promotion". Thesis, University of Surrey, 1993. http://epubs.surrey.ac.uk/843030/.
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This thesis represents a study which began when the term health promotion first appeared in health authority policy documents but, at the same time it appeared to be a term little understood by those health care professionals deemed responsible for its implementation. Clarification of the concept of health promotion was pursued by the researcher using grounded theory methodology. Health visitors, health education officers/health promotion officers, and general practitioners participated in a series of group interviews and the data was analysed by cognitive mapping (Jones 1975), and constant comparative analysis (Glaser & Strauss 1967). Results from analysis of the qualitative data formed a theoretical framework which guided the second, quantitative stage, of the study. A postal survey of a national sample of 1000 health visitors was undertaken. The response rate was 65% comprising 557 health visitors. Analysis of data was carried out using the SPSS statistical package. The results revealed that health visiting workloads and priorities remain fairly traditional although over 60% of respondents identified client and community led health education/health promotion work as one of their priorities. Examples of health promotion undertaken by health visitors revealed a wide range of activites but with emphasis placed clearly on parent/child issues. A majority of health visitors (63%) thought health promotion activities could be measured, but over 80% of respondents recognised the complexities of doing so. Although over half of the practising health visitors rated their mode of practice as both individualistic and community approach, over 50% of respondents identified a need for additional skills in group work, teaching, research and assertiveness. A number of obstacles preventing health visitors from developing health promotion activities were identified. The position of health visiting in the context of current political ideology is examined.
4
Dugdill, Lindsey. "Understanding workplace health promotion". Thesis, Liverpool John Moores University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.495067.
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Midha, A. D. "Contradictions in health promotion and workplace health promotion with particular reference to Wales". Thesis, Swansea University, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.638190.
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This thesis examines contradictions in health promotion and workplace health promotion with a particular emphasis on the situation in Wales. The practice of health promotion has become bound up with the ideological bias towards the responsibility of the individual prevalent in current political thinking. This is at the expense of considering the social, cultural, and economic context within which individuals find themselves. This whole approach encourages health to be considered as a commodity which can be purchased by individuals who become consumers of health. Workplace health promotion is practised in a narrow fashion through education and regulation or restriction of lifestyles through workplace policies. A comprehensive approach to promoting employee health must also consider organisational factors which impact on employee health. The thesis contrasts the prevailing economic rationale for workplace health promotion, with a deeper sociological rationale in terms of health promotion acting as a management control strategy. In terms of this sociological rationale, it analyses whether employers focus on employee health in negative terms of exploiting the employee, or in positive terms of seeking to harness the potential of the employee. The widespread application of workplace health promotion in the United Kingdom - where the responsibility for health is placed with the employee - sees labour as being treated as a commodity to be exploited similar to the other factors of production, land and capital. It is argued that it is only when an organisation adopts an holistic approach to workplace health promotion that labour's innate qualities of having a potential which can be harnessed is acknowledged. The feminisation of the workforce is used as an example of how labour has come to be treated as a commodity as opposed to developing its innate potential. It concludes with original case studies which explore the above issues placing them within the context of two particular organisations.
6
Farrell, Kathy, e University of Lethbridge Faculty of Education. "Health care professionals' perceptions of health promotion". Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, 1996, 1996. http://hdl.handle.net/10133/34.
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The concept of health promotion is an alternative and emerging orientation. Here the belief is that all people have strengths and are capable of determining their own needs, finding their own answers, and solving their own problems. Most health care professional have been educated in the medical model of health. In this model,
the health care professional, especially the physician, plays an active part as an expert on disease; the patient or client has essentially a passive role, and the disease rather than the person is the focus. The role of health care professionals in health promotion is an important one and will continue to expand with the new focus of the province of Alberta's health system. The focus of that system, and other health systems in Canada and abroad, is increasingly upon health promotion rather than disease treatment. The purpose of this study was to determine the perceptions of a variety of health care professionals working in the community and in the hospital setting relating to health promotion. The study takes a non-experimental approach utilizing a descriptive design. All professional staff including registered nurses, occupational therapists, recreational therapists, physiotherapists, respiratory therapists, social workers, dental workers, nutritionists, speech-language pathologists, and physicians working in Palliser Health Authority were asked to participate in the survey. Two hundred and thirteen staff responded to a questionnaire desgined to reflect their perceptions on the importance of health promotion, determinants of health, principles of health promotion, and skills and knowledge of health promotion. Staff were also asked to identify health promotion activities occuring at their work site, possible barriers to health promotion, and what was needed regarding training and support. Some of the major findings include: 1) Staff perceive health promotion to be an important part of their job. However staff working in the community perceive health promotion to be more important than those working in the hospital. Physicians were the least positive about questions pertaining to the importance of health promotion. 2) Staff perceive that the purpose of health promotion is to strengthen peoples' control over their health, but responses also indicate uncertainty concerning how control is to be defined and effected. 3) When asked to identify health promotion activities at their work site, the majority of staff pointed to the provision of information to individuals and groups. Community development was listed by very few staff. 4) When staff were asked to identify barriers to health promotion they identified the following in the order: lack of resources, old attitudes about health and health promotion, lack of support from the organization and doctors, lack of knowledge/education, and lack of communication between health care workers.v, 101 leaves : ill. ; 28 cm.
7
Wood, Beryl Joan. "Personal health-imagery : explorations for health promotion". Thesis, Liverpool John Moores University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.438796.
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Rich, Antonia. "DPsych Health Psychology : applied health psychology within health promotion". Thesis, City University London, 2009. http://openaccess.city.ac.uk/8713/.
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The UK has one of the highest teenage pregnancy rates in Western Europe and young people are disproportionately affected by high rates of sexually transmitted infections. An experimental evaluation of a sexual health promotion DVD entitled, “Bedroom Business,” was undertaken to assess its capacity to change the cognitive antecedents of condom use. Bedroom Business is a 27 minute documentary featuring young people and health professionals discussing sexual health. The DVD also tells the story of five local young people who write and produce a song which focuses on the risks of unsafe sex and underlines the importance of using condoms. Schools were randomised to either no intervention (control) or presentation of the DVD followed by group discussion (intervention). Participants were 147 students aged 16-18. The DVD was evaluated in terms of its capacity to change 13 cognitive antecedents of condom use through a self-report questionnaire. Participants completed the questionnaire at baseline and at four week follow-up. Analysis of covariance, with baseline scores as covariates, showed there were no differences between the conditions on any of the variables. The DVD itself was very popular, with nearly all the students responding that they would recommend it to other young people. Qualitative feedback revealed many young people found it appealing because it featured other young people. The implications of the study are discussed in the wider context of research into sexual health interventions. It is suggested interventions that are greater in scope and duration, holistic in nature and which aim to change future life opportunities for young people may serve to be the most effective.
9
Lepp, Katherine. "Restaurant health promotion feasibility study". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0030/MQ47342.pdf.
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Anderson, Claire Wynn. "Health promotion by community pharmacists". Thesis, King's College London (University of London), 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.299776.
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Heimburg, Dina von. "Public health and health promotion: a salutogenic approach". Thesis, Norges teknisk-naturvitenskapelige universitet, Institutt for sosialt arbeid og helsevitenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-12094.
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Halcomb, Kathleen Ann. "HEALTH PROMOTION AND HEALTH EDUCATION: NURSING STUDENTS’ PERSPECTIVES". UKnowledge, 2010. http://uknowledge.uky.edu/gradschool_diss/13.
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The purpose of this study was to determine student nurses’ perceptions of (1) the role of the nurse in health promotion, and (2) how the concept of health promotion is presented in nursing curricula. Research questions for this study included the following: 1) Can nursing students explain the difference between health education and health promotion? 2) What have nursing students been exposed to within their curriculum regarding health promotion? 3) What health promoting behaviors are nursing faculty role modeling as perceived by nursing students? 4) What is the role of the nurse in implementing health promotion as perceived by nursing students? 5) How do nursing students define health? Attendees of the 57 Annual National Student Nurse Association (NSNA) Convention were asked to complete an anonymous survey. A total of n= 227 surveys were returned resulting in a participation rate of 47%.
The findings from this study indicated that student nurses’ perceptions regarding the role of the nurse in health promotion revolve primarily around the concept of changing individual health behavior. While there are some indications that nursing students were exposed to the idea of health promotion as a socio-ecological approach that incorporates economic, policy, organizational and environmental changes, the majority of student nurses did not see faculty or nurses role-modeling a socio-ecological approach, nor did the students see themselves as participating in a more socio-ecological approach. For nurses to be recognized as health promoters, collaborate with health promotion leaders, and effectively teach nursing education, changes need to be made in the nursing curriculum to reflect appropriate and accurate health promotion concepts.
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Pederson, Ann Patricia. "Sex, gender and health promotion : assessing the potential for health promotion interventions to address health and gender inequities". Thesis, University of British Columbia, 2016. http://hdl.handle.net/2429/57442.
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As a field, health promotion has largely ignored how sex and gender contribute to one’s capacity to increase control over and improve one’s health—the very essence of health promotion. This dissertation urges health promoters to adopt an intersectional view of sex and gender as determinants of health and to develop interventions with explicit attention to improving gender equity. Doing so positions health promotion to improve social as well as health outcomes.
To develop this argument, I use intersectional theory to inform: an historical account of the development of health promotion and documentary review of key health promotion charters; an overview of reviews of interventions to increase physical activity, reduce smoking, and limit alcohol consumption among women; and a qualitative study of older women’s involvement in physical activity.
Using criteria for gender-sensitive interventions articulated by the World Health Organization, the overview of reviews suggests that, to date, programs to address women’s physical activity and substance use are more likely to be gender-specific—aimed at women—than to be gender-sensitive. Building on this limited range of health promotion programs, I outline a conceptual framework to illustrate that health promotion could reduce gender-related health inequities by transforming gender-related norms, roles, and relations. I illustrate the need for and possibilities of such a framework with examples of social marketing messages directed at women and girls.
I then present the findings of a qualitative study of older women’s engagement in physical activity with a gender lens. Though aware of the importance of physical activity for health, the women were motivated to be active to maintain their indepedence and function, rather than by health concerns, which can be understood as reflecting gendered expressions of resistance to the stigma associated with aging and disability—and their challenges to femininity. Informed by the framework on gender-transformative health promotion, programs could increase older women’s involvement in physical activity by aligning with older women’s priorities—stressing how being flexible, strong, and fit can contribute to women’s ability to live independently and pursue personal priorities—and simultaneously working to fight ageism, sexism, and barriers to participation.Medicine, Faculty of
Medicine, Department of
Experimental Medicine, Division of
Graduate
14
Caelli, Kathleen. "Health to health promotion : transforming health experience into nursing practice". Thesis, Curtin University, 1998. http://hdl.handle.net/20.500.11937/605.
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In contemporary Western nursing, the notion of health is considered a basic concept in all nursing theory, yet the many nursing theorists have failed to express unanimity in their various descriptions of health. This situation exists even while the achievement of health is generally identified as the goal or purpose of nursing. In Australia, the requirement that nurses become health-promoting practitioners assumes that nurses understand health in positive ways, which can be translated into nursing practice. Given the myriad definitions of health, confusion among nurses about the nature of health as it is to be promoted appeared possible, even probable.This phenomenological research aimed to illuminate the nature of nurses' understandings of health and the ways such understandings are translated into nursing practice. The purpose of the study was to describe and interpret nurses' experiences of health, and their experiences of giving health care to someone in their care, in order to illuminate the nature of health for nurses and in nursing.The manner in which this research was carried out was informed by the human science approach to phenomenology described by van Manen, which is derived from the traditions of Husserl, Heidegger and Merleau-Ponty. Thus, the inquiry was grounded in the hermeneutic phenomenological philosophical perspective, which began with the work of Husserl who recognised the need to return to the grounding of truths in human experience. The thesis is informed by two views of phenomenology. The first involves the traditional approach to phenomenology advocated by the European phenomenological philosophers while the second approach is referred to by Silverman as arising from 'American continental' philosophy.Data were generated from multiple audiotaped interviews with each of nine participants, and from personal reflection and journalling undertaken by the researcher during the research process. The dual data analyses were guided by the phenomenological approach of van Manen and by that of various nursing scholars who have used phenomenological methodology as it has evolved from American continental philosophy. These analyses included several levels of reflection undertaken by the researcher and each of the participants in the study to illustrate the nature of health in nurses' lives and in nursing.The nature of health, as revealed through the original experience of the participants, was disclosed as manifest in the lives of the participants with most descriptions conveying a sense of contentment that showed as feelings of happiness, feeling alive, complete, energised and optimistic. Health also revealed itself as transient in nature, passing quickly and without notice into and out of the lives of most of the participants. Although obvious in some ways, health simultaneously eluded clear description and, even at the completion of the exploration with each participant, was characterised by an atmosphere of elusiveness. For all the participants, health was an embodied phenomenon with a common element of energy and a sense of wellbeing. These, together with a sense that life was manageable and achievable gave to it a distinctive spirit, even while the spirit simultaneously helped to make life manageable and achievable and thus contributed to health. For all of those who participated, health presented as having the ability to transform their emotional responses to daily life events in such a way that it made those events more acceptable and the tasks of life more achievable.Although health showed as a physical, embodied state which was expressed as vitality and energy, it could not be separated from the mental / emotional state. As it was described, the following leitmotifs of health were lexically revealed: Health: A different encounter for each person, Health described as peace, Health described as feeling good about oneself, Health described as balance, Health as energy, Health as vitality and zest, Health described as happiness and/or contentment, Health described as quality of life, The 'picture of health', Health described as dignity, and Health as the unknown or the inexpressible.The nature of health-focused care in nursing showed as caring, rapport building and support, ever dependent on the social relationship that develops between each nurse-carer and the individual to whom they offer care. However, clear relationships between the meanings of health for the nurses in the study and the way they gave health care could not be elucidated. These relationships have not been identified because of the individualistic nature of health-focused care as these nurses have described it. For this reason, this research makes a strong plea for continued dialogue about the relationships between health and health-focused care in nursing.
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Caelli, Kathleen. "Health to health promotion : transforming health experience into nursing practice". Curtin University of Technology, School of Nursing, 1998. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=10531.
Texto completo da fonteResumo:
In contemporary Western nursing, the notion of health is considered a basic concept in all nursing theory, yet the many nursing theorists have failed to express unanimity in their various descriptions of health. This situation exists even while the achievement of health is generally identified as the goal or purpose of nursing. In Australia, the requirement that nurses become health-promoting practitioners assumes that nurses understand health in positive ways, which can be translated into nursing practice. Given the myriad definitions of health, confusion among nurses about the nature of health as it is to be promoted appeared possible, even probable.This phenomenological research aimed to illuminate the nature of nurses' understandings of health and the ways such understandings are translated into nursing practice. The purpose of the study was to describe and interpret nurses' experiences of health, and their experiences of giving health care to someone in their care, in order to illuminate the nature of health for nurses and in nursing.The manner in which this research was carried out was informed by the human science approach to phenomenology described by van Manen, which is derived from the traditions of Husserl, Heidegger and Merleau-Ponty. Thus, the inquiry was grounded in the hermeneutic phenomenological philosophical perspective, which began with the work of Husserl who recognised the need to return to the grounding of truths in human experience. The thesis is informed by two views of phenomenology. The first involves the traditional approach to phenomenology advocated by the European phenomenological philosophers while the second approach is referred to by Silverman as arising from 'American continental' philosophy.Data were generated from multiple audiotaped interviews with each of nine participants, and from personal reflection and journalling undertaken ++by the researcher during the research process. The dual data analyses were guided by the phenomenological approach of van Manen and by that of various nursing scholars who have used phenomenological methodology as it has evolved from American continental philosophy. These analyses included several levels of reflection undertaken by the researcher and each of the participants in the study to illustrate the nature of health in nurses' lives and in nursing.The nature of health, as revealed through the original experience of the participants, was disclosed as manifest in the lives of the participants with most descriptions conveying a sense of contentment that showed as feelings of happiness, feeling alive, complete, energised and optimistic. Health also revealed itself as transient in nature, passing quickly and without notice into and out of the lives of most of the participants. Although obvious in some ways, health simultaneously eluded clear description and, even at the completion of the exploration with each participant, was characterised by an atmosphere of elusiveness. For all the participants, health was an embodied phenomenon with a common element of energy and a sense of wellbeing. These, together with a sense that life was manageable and achievable gave to it a distinctive spirit, even while the spirit simultaneously helped to make life manageable and achievable and thus contributed to health. For all of those who participated, health presented as having the ability to transform their emotional responses to daily life events in such a way that it made those events more acceptable and the tasks of life more achievable.Although health showed as a physical, embodied state which was expressed as vitality and energy, it could not be separated from the mental / emotional state. As it was described, the following leitmotifs of health were lexically revealed: Health: ++
A different encounter for each person, Health described as peace, Health described as feeling good about oneself, Health described as balance, Health as energy, Health as vitality and zest, Health described as happiness and/or contentment, Health described as quality of life, The 'picture of health', Health described as dignity, and Health as the unknown or the inexpressible.The nature of health-focused care in nursing showed as caring, rapport building and support, ever dependent on the social relationship that develops between each nurse-carer and the individual to whom they offer care. However, clear relationships between the meanings of health for the nurses in the study and the way they gave health care could not be elucidated. These relationships have not been identified because of the individualistic nature of health-focused care as these nurses have described it. For this reason, this research makes a strong plea for continued dialogue about the relationships between health and health-focused care in nursing.
16
Yarashuk, Elvira. "Health promotion at the workplace : Promoting health by embracing the concept of corporate social responsibility". Thesis, Linnéuniversitetet, Institutionen för organisation och entreprenörskap (OE), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-28298.
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The main issues, which arise in that research project, are connected with health dimensions. There are emphasised points, which contribute to the employees’ health and well-being, solutions, which organisations implement to prevent workers from diseases and illnesses, to track their current condition of body and mind and generally to improve their overall health situation. From the very beginning the main stress was supposed to lie on physical activity promotion being an integral part of health promotion at the workplace but the obtained information from the conducted interviews verified that idea. The research also touches other variables contributing to the employees’ health and cons tituting the idea of health promotion at the workplace, namely health profiles and Corporate Social Responsibility. It is argued who may benefit from workplace physical activities and to which extent such programs may succeed. Interviews showed double points of views according to the necessity to encourage employees to train within the organization. Basis for the discussion of the topic were interviews gained from the interaction with the staff of the organization Xylem located in Sweden in Emmaboda, a world leader in water solutions. The chosen methodology based on the case study appeared to be the most relevant to explore health issues thanks to the clear empirical example. The company was distinguished because of the sport and rehabilitation centre, which it had in its possession and which seemed to make Xylem be different from the competitors and gave advantages for the employees in the form of additional benefits causing going in for sport at the company’s expense. The results of the research indicate that health promotion at the workplace may be viewed as a part of Corporate Social Responsibility. The evidences for IV that perspective are presented with a proper motivation mostly in the conclusion part. The research intended to show to the readers to what extent health promotion at the workplace incorporating physical activities, health profiles and CSR is important, how it is regarded and how much attention, time and efforts is and should be devoted to deal with that dimension in a proper way.
17
Ellis, Susan Patricia. "Health promotion programmes : a national survey /". Ann Arbor, MI : UMI Dissertation Information Service, 1992. http://aleph.unisg.ch/hsgscan/hm00092825.pdf.
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Hill, Chloe. "Developing evidence-based health promotion interventions". Thesis, University of Sussex, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.487933.
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Increased health behaviours among young people could reduce national health costs. Brief cost-effective interventions that can be easily administered and replicated are especially likely to be adopted. Focusing on modifiable cognitive antecedents of behaviour is likely to maximise the effectiveness of behaviour change interventions. The theory ofplanned behaviour (TPB) is the most widely applied model of cognitive antecedents of behaviour but there have been surprising few tests ofthe theory in trials ofTPB-based behaviour change interventions. Three studies tested the utility of the TPB as a basis for the design ofhealth promotion leaflets targeting condom use and regular exercise among young people. Study 1 reports a randomised controlled trial (RCn ofan extended TPB-based leaflet plus quiz and motivational incentive designed to promote condom use and preparatory behaviours amongst young people. The intervention promoted pro-condom use cognitions and preparatory actions, compared to a control condition but did not increase condom use. Study 2 reports the results ofa ReT conducted to evaluate the effect of a TPBbased leaflet designed to encourage young people to exercise. The leaflet was evaluated on its own, in combination with a quiz and motivational incentive and in combination with an implementation intention forrmition activity. Results revealed no significant differences in cognitions or behaviour between the three intervention groups when compared to the control. This is discussed in terms of ceiling effects in the target behaviour (exercise).
19
Sykes, Catherine Marie. "Health promotion : evaluation, discourse and practice". Thesis, City University London, 2001. http://openaccess.city.ac.uk/7782/.
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This dissertation for the Degree of Doctor of Psychology (Health) presents three pieces of work: 1) A Re-analysis of a Systematic Review of Psychological Interventions Used to Aid Smoking Cessation; 2) Evaluation and Discourse Analysis of the EC's Health Promotion Programme; 3) A consultancy case study: Evaluation of Educational Needs Assessment Methods Used in General Practices in Barking and Havering and Redbridge and Waltham Forest. The theme that ties these three pieces of work together is evaluation. The re-analysis of the systematic review of psychological methods for smoking cessation shows how errors can be made in evaluation and how different researchers can obtain different results in what is considered to be a method that reduces bias and produces an accurate picture of `evidence' to inform health policy and practice. The evaluation of the EC's Health Promotion Programme gives insight into a case study of an evaluation to inform health promotion policy at an European level. This piece of work presents the results of an independent evaluation. It highlights unexpected difficulties of drawing conclusions from data such as the practical problems of obtaining data and also the pressures that may come from the commissioners of evaluations. The discourse analysis of the Health Promotion Programme reveals how current discourses in health promotion may compel health promotion practitioners to carry out a certain type of evaluation in which in truth they may have little understanding or commitment. As a result, the practice of evaluation becomes a formality or ritual which is a burden to carry out. A panel of health promotion expert assessors found a lack of acceptable evaluation of projects that were funded by the European Commission. This suggests that if evaluation can be avoided, it will be. The same themes of lack of understanding, commitment and time for evaluation were unveiled in the case study. The consultancy case study evaluated educational needs assessment methods used in general practices. The use of evidence-based practice requires that practitioners understand how to evaluate research and incorporate it into their practice. This needs more emphasis in the education and training of health professionals. However there has been a move away from the more didactic approach to education in primary care to one of listening to people's needs and preferred methods of learning. At the same time the ubiquitous need to evaluate to find the best method prevails. This is regardless of obvious limitations to the interpretation of findings. In this case study, it seemed as though the evaluation was an after-thought, rushed to satisfy some other group higher up the hierarchy in the health authority. Similarly, the discourse analysis pointed to a situation in which the Commission's services are constructed as superior, thus leaving no mechanism to question their knowledge or ways of working. While there may be efforts on one level to encourage a two-way flow of information and knowledge, on another level, a construction of decision-makers as being superior means that information and knowledge only flow one way, top down. All three pieces of work have shown that practical limitations restrict the interpretation of evaluations. Lack of time, incomplete data, commitment and knowledge of evaluation revealed here lead to questions about the possibility and desirability of evidence-based health promotion. For evaluation to advance, there is a need for a better understanding of its purpose and for it to have more meaning for all of the stakeholders involved. This requires a rethink concerning evaluation methods in health promotion that recognise the restraints of evaluation and start inquiry from this premise.
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Hariri, Shapour. "Multimedia health promotion in community pharmacy". Thesis, King's College London (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.301212.
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FOLEY, SUSAN MARIE. "HEALTH PROMOTION AND PRESYMPTOMATIC GENETIC TESTING". University of Cincinnati / OhioLINK, 2001. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1005250853.
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22
Carlsson, Dru. "School health services, health promotion and health outcomes: an investigation of the Health Promoting Schools approach as supported by school nurses". Thesis, Queensland University of Technology, 2005. https://eprints.qut.edu.au/16192/1/Dru_Carlsson_Thesis.pdf.
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Health promotion interventions in schools have grown in popularity and have demonstrated varying degrees of effectiveness on the health of the school and its individuals. The School Based Youth Health Nurse (SBYHN) Program introduced in 1999 by Queensland Health into state secondary schools supports and encourages use of the Health Promoting Schools (HPS) approach in addressing health issues, in addition to providing individual health consultations to the school community. This Program is unique in that a health service is entering into the education system with a role of supporting implementation of a comprehensive approach to addressing health issues.
The study investigates how SBYHNs support the implementation of the HPS approach in the secondary school setting and explores the health outcomes for the school community. A statewide survey of SBYHNs examines the variety of health promotion and HPS work being undertaken within schools and identifies key implementation and practice issues. Qualitative case studies of three schools further investigates the barriers faced by nurses in supporting HPS implementation, and explores the perceived outcomes of implementing the HPS approach that have begun to emerge within the school community.
Results found that nurses have the capacity to support the implementation of whole-of-school health promotion, with the presence of enablers influencing the comprehensiveness with which schools address health issues or decide to adopt the HPS approach. The study also indicated several outcomes of nurse and school-supported, comprehensive school health promotion across three major areas corresponding with the HPS framework (curriculum, teaching and learning; school organisation, ethos and environment; partnerships and services) and the addition of outcomes in specific health issues.
Implications for future developments in health promotion-orientated, school health service interventions and research into the evidence of effectiveness of the HPS approach are discussed.
23
Carlsson, Dru. "School health services, health promotion and health outcomes: an investigation of the Health Promoting Schools approach as supported by school nurses". Queensland University of Technology, 2005. http://eprints.qut.edu.au/16192/.
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Health promotion interventions in schools have grown in popularity and have demonstrated varying degrees of effectiveness on the health of the school and its individuals. The School Based Youth Health Nurse (SBYHN) Program introduced in 1999 by Queensland Health into state secondary schools supports and encourages use of the Health Promoting Schools (HPS) approach in addressing health issues, in addition to providing individual health consultations to the school community. This Program is unique in that a health service is entering into the education system with a role of supporting implementation of a comprehensive approach to addressing health issues. The study investigates how SBYHNs support the implementation of the HPS approach in the secondary school setting and explores the health outcomes for the school community. A statewide survey of SBYHNs examines the variety of health promotion and HPS work being undertaken within schools and identifies key implementation and practice issues. Qualitative case studies of three schools further investigates the barriers faced by nurses in supporting HPS implementation, and explores the perceived outcomes of implementing the HPS approach that have begun to emerge within the school community. Results found that nurses have the capacity to support the implementation of whole-of-school health promotion, with the presence of enablers influencing the comprehensiveness with which schools address health issues or decide to adopt the HPS approach. The study also indicated several outcomes of nurse and school-supported, comprehensive school health promotion across three major areas corresponding with the HPS framework (curriculum, teaching and learning; school organisation, ethos and environment; partnerships and services) and the addition of outcomes in specific health issues. Implications for future developments in health promotion-orientated, school health service interventions and research into the evidence of effectiveness of the HPS approach are discussed.
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Jackson, Christine A. "Health promotion in the workplace : a strategic approach to health promotion in the workplace; the process captured". Thesis, University of Southampton, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.239363.
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Tarro, Sanchez Lucia. "HEALTHY LIFESTYLES -EDUCATION AND HEALTH PROMOTION. EDUCACIÓ EN ALIMENTACIÓ (EDAL) COHORT". Doctoral thesis, Universitat Rovira i Virgili, 2014. http://hdl.handle.net/10803/284707.
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L’Obesitat (OB) és un dels principals determinants de mortalitat evitable. L’objectiu és avaluar els efectes del programa escolar EdAl que promou estils saludables de vida, inclouen recomanacions dietètiques i d’activitat física (AF) en la prevalença d’OB, en nens de 7-8 anys, durant 28 mesos i dos anys després de la seva finalització. La intervenció del programa es basa en 8 objectius d’estil de vida desenvolupats en 4 activitats/any durant 3 anys (12 activitats; 1h/activitat) realitzat per estudiants universitaris en qualitat d’Agent Promotor de la Salut (APS). Les dades recollides inclouen nom, gènere, any i lloc de naixement, pes, alçada, Índex de Massa Corporal (IMC) i perímetre de cintura, cada any de seguiment i un qüestionari sobre hàbits d’alimentació i d’Activitat Física (AF) contestat pels pares/tutors. Després de 28 mesos d’intervenció, la prevalença d’OB en els nens intervenció va disminuir 4,39% (p<0.05) en comparació amb els nens control, i van tenir una reducció efectiva de -0,24 unitats en el canvi d’IMC z-score, en comparació amb els controls (p=0,02), però les nenes no; el 5,1% dels escolars del grup intervenció feien >5h/setmana d’AF extraescolar al final de la intervenció comparat amb el grup control (p=0,02). Després de 2 anys de finalitzar el programa, el grup intervenció va canviar el seu IMC z-score amb una efectiva reducció dels dos gèneres. Un 16% més dels escolars practiquen ≥4h/setmana AF extraescolar en el grup intervenció (p<0,01). El programa EDAL proporciona 12 activitats desenvolupades per APS, centrades en els conceptes d'estil saludables de vida que es poden aconseguir mitjançant la millora de la dieta i la pràctica d'AF; és una eina fàcil per ser implementat per APS com a part del currículum universitari per reduir la prevalença d’OB i incrementar l’AF en nens/es mantenint aquests beneficis durant 2 anys després de la seva finalització.La obesidad (OB) es un determinante de mortalidad evitable. El objetivo es evaluar los efectos del programa escolar EdAl que promueve estilos saludables de vida, incluyendo recomendaciones dietéticas y de actividad física (AF) en prevalencia de OB, en niños de 7-8 años, durante 28 meses y dos años después de su finalización. La intervención del programa se basa en 8 objetivos de estilo de vida desarrollados en 4 actividades/año durante 3 años (12 actividades; 1h/actividad) realizado por estudiantes universitarios como Agentes Promotores de Salud (APS). Los datos recogidos incluyen nombre, género, año y lugar de nacimiento, peso, altura, índice de masa corporal (IMC) y perímetro de cintura, cada año de seguimiento y un cuestionario sobre hábitos de alimentación y de Actividad Física (AF) contestado por los padres/tutores. Después de 28 meses de intervención, la prevalencia de OB en los niños intervención disminuyó 4,39% (p<0,05) en comparación con los niños control, y tuvieron una reducción efectiva de -0,24 unidades en el cambio de IMC z- score, en comparación con los controles (p=0,02), pero las niñas no; el 5,1 % de los escolares del grupo intervención hacían >5h/semana de AF extraescolar al final de la intervención comparado con el control (p=0,02). Después de 2 años de finalizar el programa, el grupo intervención cambió su IMC z-score con una efectiva reducción de los dos géneros. Un 16 % más de los escolares practican ≥4h/semana AF extraescolar en el grupo intervención (p< 0,01). El programa EdAl proporciona 12 actividades desarrolladas por APS, centradas en estilos saludables de vida alcanzables mejorando la dieta y la práctica de AF; es una herramienta fácil para ser implementada por APS como parte del currículum universitario para reducir la prevalencia de OB e incrementar la AF en niños/as manteniendo estos beneficios 2 años después de su finalización.
Obesity (OB) is one of the main determinants of avoidable disease burden. The objective is to evaluate the effects of the EdAl primary-school-based program that promotes healthy lifestyle, including dietary and Physical Activity (PA recommendations on OB prevalence, in childhood aged 7-8-year-old, over 28 months, and 2-year post-cessation EdAl program. The intervention program is based on 8 lifestyles topics that are developed in 4 educational activities/year for 3 years (12 activities; 1 h/activity) performed by university students acting as Health Promoter Agent (HPA). Data collected include name, gender, date and place of birth, weight, height, body mass index (BMI) and waist circumference, each year of follow-up. Questionnaires on eating and PA habits are filled-in by the parents or guardians each year of follow-up. After 28-months of EdAl program, OB prevalence in intervention boys was decreased 4.39% (p<0.05) compared with control boys, but not in girls. The intervention boys had an effective reduction of −0.24 units in the change of BMI z-score, compared to control; 5.1% more intervention pupils undertook PA >5 hours/week than control pupils (p=0.02). Two-year follow-up, OB prevalence of intervention group was reduced (-5.5%; p<0.01) and BMI z-score (-0.25; p<0.01) in both genders; 16% higher scholars practice ≥4 after-school PA h/week in intervention group (51.7% vs. 34.9%; p<0.01). The design of EdAl program provided 12 activities developed by HPA and are designed to be entertaining but as well informative, and are focused on healthy lifestyle concepts that can be achieved by improving diet and PA practice. A regular, systematic, educational intervention that promotes healthy lifestyle, including dietary and PA recommendations is an easy tool implemented by HPA as part of their university curriculum to reduce the prevalence of OB and increase after-school PA practice in children and these benefits achieved are sustained at 2-year post-cessation intervention.
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Björklund, Erika. "Constituting the healthy employee? : Governing gendered subjects in workplace health promotion". Doctoral thesis, Umeå universitet, Pedagogik, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1953.
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With a post-structural approach and an analytical focus on processes of governmentality and biopower, this study is concerned with how discourses of health are contextualized in educational practice and interaction between educators and participants in workplace health promotion (WHP) interventions. Of concern are issues of the discursive production, regulation and representation of power, knowledge and subjects as gendered beings in workplace health promotion interventions. The methods for generating data are participant observation, interviews and gathering of documentation pertaining to four different workplace health promotion nterventions. Based on these data, the thesis offers an analysis of the health discourses drawn on in the interventions and the technologies of power and of the self by which the participants are governed and invited to govern themselves in the name of health. It also asks what practices and positions that thus come to be made available or not to the participants. Two health discourses are identified: the biomedical discourse and the wellness discourse. Both discourses are drawn on in all four studied interventions, the biomedical discourse being the dominating discourse drawn on. The biomedical discourse is informed by scientific ‘facts’ and statistics and is underpinned by a notion of risk. The wellness discourse is informed by an understanding of health as a subjective embodied experience and is underpinned by a notion of pleasure. Drawing on these discourses, the responsibility for health is placed with the participants and the healthy participant/employee is constituted as a rationally motivated risk-avoider and disciplined pleasure seeker who is both willing and able to actively make ‘good’ choices regarding their lifestyle. Furthermore, and informed by essentialist and heteronormative ideas about gender, the ideal healthy person is modelled on a male norm, representing women as the deviant Other.
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Holmes, Catherine Ann, University of Western Sydney, of Science Technology and Environment College e School of Environment and Agriculture. "Healthy marketplaces: insights into policy, practice and potential for health promotion". THESIS_CSTE_EAG_Holmes_C.xml, 2003. http://handle.uws.edu.au:8081/1959.7/502.
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The World Health Organization (WHO) has been implementing the Healthy Marketplace initiative in the market setting of developing countries since 1997. This initiative forms part of the Healthy Cities strategy and is reinforced through the Ottawa Charter for Health Promotion. The WHO Food Safety Division has indicated that every city in the WHO Healthy City program will eventually also have a Healthy Marketplace program. This is despite the absence of any published guidelines for facilitating program implementation, a clearly articulated Healthy Marketplace concept, and a dearth of meaningful program evaluations. This thesis set out to explore the views and experiences of in-country stakeholders involved in a Vietnamese Healthy Marketplace program. It also set out to examine the roles and perceptions of experts engaged in the design and delivery of programs across the developing world. Through an iterative and post-positivist research methodology, this inquiry collected and analysed data from five key sources: documents, detailed questionnaires, semi-structured interviews, and observations and reflections. The findings revealed that various and even conflicting program concepts and aims existed across and within groups, having significant implications for practice. The settings approach was not the dominant approach to health promotion in the Vietnamese market, but rather a 'top-down' topic-based approach dominated as the mechanism for program delivery. Consequently, numerous challenges have been identified for Healthy Marketplace policy and practice. The challenges are prefaced on the adoption of a settings approach, and include the need for : market communities to set their own agendas; the program target audience to be redefined; increased power sharing across stakeholders; the re-education of professionals; the sharing of knowledge; and the adequate resourcing of Healthy Marketplace programsMaster of Science (Hons)
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Holmes, Catherine Ann. "Healthy marketplaces : insights into policy, practice and potential for health promotion /". View thesis, 2003. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20031031.160623/index.html.
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Burton, Salma. "Evaluation in health promotion : assessing effectiveness of Healthy City Project evaluations". Thesis, London South Bank University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.326942.
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Eriksson, Malin. "Social capital, health and community action : implications for health promotion". Doctoral thesis, Umeå universitet, Epidemiologi och global hälsa, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-34198.
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Background; The overwhelming increase in studies about social capital and health occurring since 1995 indicates a renewed interest in the social determinants of health and a call for a more explicit use of theory in public health and epidemiology. The links between social capital and health are still not clear and the meanings of different forms of individual and collective social capital and their implications for health promotion needs further exploration. The overall aims of this thesis are to explore the relationship between social capital and health and to contribute to the theoretical framework of the role of social capital for health and health promotion. Methods; Data from a social capital survey were used to investigate the associations between individual social capital and self-rated health for men and women and different educational groups. Survey data were also analyzed to determine the association between collective social capital and self-rated health for men and women. A qualitative case study in a small community with observed high levels of civic engagement formed the basis for exploring the role of social capital for community action. Data from the same study were utilized for a grounded theory situational analysis of the social mechanisms leading to social capital mobilization. Main findings; Access to individual social capital increases the odds for good self-rated health equally for men and women and different educational groups. However, the likelihood of having access to social capital differs between groups. The results indicate a positive association between collective social capital and self-rated health for women but not for men. Results from the qualitative case study illustrate how social capital in local communities can facilitate collective actions for public good but may also increase social inequality. Mobilizing social capital in local communities requires identification of community issues that call for action, a fighting spirit from trusted local leaders, “know-how” from creative entrepreneurs, and broad legitimacy and support in the community. Conclusions; This thesis supports the idea that individual social capital is health-enhancing and that strengthening individual social capital can be considered one important health promotion strategy. Collective social capital may have a positive effect on self-rated health for women but not for men and therefore mobilizing collective social capital might be more health-enhancing for women. Collective social capital may have indirect positive effects on health for all by facilitating the ability of communities to solve collective health problems. However, mobilizing social capital in local communities requires an awareness of the risk for increased social inequality.
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Weierbach, Florence M. "Relationships Between Rural Family Caregiver Health and Health Promotion Activities". Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7400.
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Schira, Norma. "A Survey of Health Promotion Activities of Health Systems Agencies". TopSCHOLAR®, 1986. http://digitalcommons.wku.edu/theses/1980.
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The National Health Planning and Resources Development Act. Public Law 93-641, the last major step in the regulation of the health care system, created a network of health system agencies and state level health planning agencies. Subsequent legislation, the Health Planning and Resources Development Amendment 1929, Public Law 96-79, amended 1974 Law and changed the role and function of health systems agencies to include more regulatory activities. By 1981, the activities of Health System Agencies were being curtained by the action of the Reagan administration.
The Health promotion/wellness movement which seeks to improve health has been developing as a compliment to medical medicine for several years. Previous research has determined that health systems agencies were active in health promotion and identified several planning and implementation activities related to this involvement. This is a survey of health systems agencies to determine their efforts in healthy promotions. Resources allocated to these activities, and opinions of the director relevant to agency involvement in health promotion.
All active healthy system agencies listed in the 1980. Directory of Health System Agencies (DHSH) were surveyed by a mailed questionnaire. Reponses were receive from 112 agencies (57%) and the respondents were found to be representative of the population.
The results revealed health systems agencies to be involved in health promotion. More than 90 percent of the responders listed some type of health promotion activity in their Healthy System Plans for the 1979-1980 planning year. Approximately half of the responders reported some community activity in health promotion. The majority of executive directors saw health systems agencies as being only moderately effective in controlling health care costs: considered healthy promotion as a viable means of controlling health care cost: and believed that modifications of individual life-styles had the greatest potential for improving health status.
The survey revealed that Healthy System Agencies did not restrict the wellness/health promotion activities to traditional health facilities, but were defining health broadly and working with a variety of agencies to develop services.
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Johnson, Bridget Ann. "Mental health promotion in Western Cape schools :an exploration of factors relating to risk, resilience and health promotion". Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
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Recent South African research has confirmed that there is reason to be concerned about the mental health status and well-being of our youth. School-going youth are engaging in a wide array of risk behaviours that seriously threaten their well-being and hamper their chances of experiencing success in the future. The aim of this research was to explore factors relating to risk, resilience and health promoting schools in order to enhance the well-being of youth in South Africa.
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Douchand, Brown Sandra Elaine. "Health Promotion Behaviors among African American Women". Scholarly Repository, 2009. http://scholarlyrepository.miami.edu/oa_dissertations/205.
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The purpose of this research was to examine and describe the relationships among health status, marital status, income level, education level, age, and body mass index (BMI) with the added influence of spirituality on the health promotion behaviors of African American women, living in South Florida. The sample consisted of 137 women, 18 to 64 years of age, who were born in the United States and whose parents were born in the United States. Each participant completed a demographic questionnaire, the Health-Promoting Lifestyle Profile II (HPLP II), the Short Form-36 Health survey (SF-36), and the Spiritual Well-Being Scale (SWBS). Descriptive and inferential statistics with an alpha level of .05 were used for data analysis. Statistically significant findings were (1) a positive relationship between health promotion behaviors and formal education, (2) a positive relationship between health promotion behaviors and spirituality (existential well-being), and (3) a negative relationship between health promotion behaviors and number of children. In the regression model, the five sets of variables together accounted for 25.5% of the variance in overall health promotion behaviors of African American women F (15, 121) = 2.768, p < .01. The health promotion behaviors of African American women were not significantly affected by health status, marital status or BMI. Of the five demographic variables entered in the model, only number of children and education made statistically significant, unique contributions to health promotion behaviors. A sense of life satisfaction and purpose (existential well-being) made an additional, statistically significant, unique contribution to health promotion behaviors among African American women. The unique contribution of religious well-being was trivial. Therefore, formal education, number of children, and spirituality (existential well-being) may be used as predictors of health promotion behaviors among African American women, based on the results of this study. Culturally appropriate and relevant interventions used to encourage and educate African American women to increase physical activity, and decrease caloric intake are critical to mitigate the high rate of morbidity and mortality that African American women experience from CVD.
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Dowd, Anna Justine. "The need to belong and health promotion". Thesis, University of British Columbia, 2014. http://hdl.handle.net/2429/47149.
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The overall purpose of this PhD thesis was to examine the need to belong and a sense of belonging in relation to health-enhancing cognitions and behaviours. In chapter 1, an overview is provided of the need to belong and a sense of belonging in relation to human behaviour. Next, in chapter 2, the findings are presented from two studies that examined the effectiveness of framing exercise as a means of boosting social skills (versus health benefits) for increasing self-regulatory efficacy, exercise intentions, and exercise behaviour among socially isolated individuals. Results from Study 1 revealed that the social skills manipulation led to greater self-regulatory efficacy (but not exercise intentions). In Study 2, all participants reported engaging in more exercise; however, those in the social skills condition also reported a greater sense of belonging than those in the health benefits comparison condition. Chapters 3, 4 and 5 present findings from a program evaluation that sought to examine a group-based mentorship lifestyle program for adolescent girls, which aims to foster a sense of belonging among participants. In chapter 3, results from the outcome evaluation are presented in which participants reported significant increases in health enhancing cognitions and behaviours at the end of, and 7 weeks after, program completion. Findings discussed in chapter 4 revealed that participants’ cognitions at the end of the program prospectively predicted physical activity and healthy eating behaviour 7 weeks after program completion. In chapter 5, findings from a qualitative interview-based study indicated that participants enjoyed the program, reported changes in important health-enhancing cognitions and behaviours and developed meaningful relationships with program mentors and other program participants (i.e., a sense of connection to the program). Finally, a summary is provided in chapter 6 of the novel contributions of this research as well as limitations and future directions for inquiry. In conclusion, the research presented within this dissertation demonstrates that the need to belong can be used to improve health-enhancing cognitions and exercise behaviour (chapter 2) and feelings of belonging are an important component of effective mentoring programs that target health behaviours among adolescent girls (chapters 3, 4 and 5).Education, Faculty of
Kinesiology, School of
Graduate
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Arneson, Hanna. "Empowerment and health promotion in working life /". Linköping : Department of Health and Society, Linköping University, 2006. http://www.bibl.liu.se/liupubl/disp/disp2006/med934s.pdf.
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Shagott, Todd P. "Physical health promotion in consumer run organizations". Diss., Wichita State University, 2009. http://hdl.handle.net/10057/2494.
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There are large disparities in physical health within psychiatric population. These disparities are
made greater by the poor health behaviors of the psychiatric population in general. Change in
health behaviors is aided by social support, a resource common within consumer run
organizations (CROs). This study both investigated the health of people with psychiatric
disabilities in Kansas and examined CROs to determine their organizational and setting level
support for physical activity and eating a healthy diet.
Collection of data was primarily through semi-structured interviews. Interviews were conducted
with two samples, attendees of the 2008 Recovery Conference, and members and staff of 16
CROs in Kansas.
Consistent with previous literature, the participants in this study were found to be in much poorer
health than the general population. The dietary behaviors of participants included high
consumption of foods with low nutritional value and low consumption of foods high in
nutritional value. In general, the organization and setting characteristics of CROs provided little
support for either healthy eating a healthy diet or physical activity. Discussion focused on the
potential for CROs to enhance healthy eating and physical activity through setting changes.Thesis (Ph.D.)--Wichita State University, College of Liberal Arts and Sciences, Dept. of Psychology
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Talbot, Molly A. "Nutrition and health promotion activities and nutrition". Virtual Press, 1991. http://liblink.bsu.edu/uhtbin/catkey/774735.
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The study was designed to identify current levels of corporate health promotion and nutrition activities and to highlight the need for continued health promotion activities, in particular nutrition education, throughout corporate America.Five hundred surveys were mailed to the Fortune 500 companies throughout the United States. One hundred and twenty-one were completed, yielding a 24% sample for analysis.The wellness/health promotion activities reported to be a part of corporate wellness programs included exercise, nutrition education, CPR training, stress management and intramural sports. It appeared that size of the corporation influenced the nutrition promotion provided at the worksite. There appeared to be no difference between CEO support or lack of support to the wellness/health promotion program and the variety of health promotion activities. It was apparent that having a nutrition consultant resulted in greater and more varied nutrition health promotion activities at the worksite, and that in the future, America's Fortune 500 companies will need to hire a nutrition professional to disseminate nutrition and health promotion information at the worksite.Institute for Wellness
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Larsson, Robert. "Managing workplace health promotion in municipal organizations". Doctoral thesis, Mälardalens högskola, Hälsa och välfärd, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-27245.
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The workplace is a suitable setting for health promotion, not least due to the amount of time employees spend at work. Previous research indicates large variations in employers' handling of workplace health promotion (WHP) efforts. However, more empirical knowledge of how WHP is handled in public sector organizations is needed. The overall aim of the thesis was to explore how WHP is managed and implemented in municipal organizations. The thesis draws on health promotion as the point of departure, further accompanied with concepts related to organizational change and implementation research. The thesis is based on three studies using different empirical materials. Both quantitative and qualitative research designs were used. In the first study, questionnaires were sent to both top managers and employees in a nationwide random sample of 60 of the 290 municipal social care organizations in Sweden. Data were analysed at the organizational level, linking WHP measures provided by the employer to employee health. In the second study, interviews concerning the management of WHP were carried out with senior managers representing various departments in two municipalities. The third study analysed the implementation of a health-promoting leadership programme, and the interviews made, concerned the experiences of line and middle managers participating in the programme. The results show that the provision of individual- and organizational-directed WHP measures was associated to employee health at the organizational level. Furthermore, the senior managers described WHP management as components contributing to the organization's capacity for WHP. However, they mainly described WHP as providing healthy lifestyle activities, and mapping working conditions and employee health. In the study analysing the implementation of the leadership programme, line and middle managers described employee involvement as an enabling factor, whereas high workload and lack of senior management support were barriers described. Recurrent organizational changes and other politically-initiated projects and routines were also pointed out as competing events in the implementation process. From this thesis, it can be concluded that WHP management is dominated by measures directed towards the individual employee and needs to include more of psychosocial and organizational measures. Finally, the varied organizational conditions for municipal managers as well as the support from senior management and human resources staff needs to be considered and ensured as part of an active and continuous WHP practice.
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French, Jeff. "Understanding health promotion through its fault lines". Thesis, Leeds Beckett University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.312981.
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Larsson, Madelene. "Formal Female Mentoring Relationship as Health Promotion". Licentiate thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-55263.
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The transition from adolescence to adulthood can bring with it mental health problems, resulting in reduced mental well-being among young women and an increasing public health issue. Perceived mental health problems can be a major obstacle to personal development and opportunities for becoming established in society. Thus, promotive interventions are needed. The overall aim of this thesis was to explore women’s experience of mentoring relationships as health promotion from the perspectives of both parties in the dyad: the young woman transitioning from adolescence to adulthood (the protégé), and her ten-year-older female mentor. This thesis used a practice-based approach to investigate a group of participants involved in a Swedish non-governmental organization, the Girls Zone. Data collection was conducted including interviews (n = 5) and surveys (n = 52) with female protégés, and interviews with female mentors (n = 12). Study I explored the characteristics of the female protégés and the development of the mentoring relationship, and used mixed methods. Study II, which investigated mentors’ initial motives and the organizational context which enabled the mentors’ engagement, used an explorative qualitative method. This thesis showed that female mentoring relationships seem to have potential to be a health-promoting intervention. A variety of young women were attracted to the mentoring program, and mentorships in line with the perspectives of relational-cultural theory could meet the relationship needs expressed by the female protégés. Further, mentors’ motivations for engaging as mentors were linked to the fulfillment of basic psychological needs for autonomy, competence, and relatedness, in accordance with the perspective of self-determination theory.
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Gonçalves, Tatiana Santos. "Audiovisual for health promotion: smoking cessation case". Master's thesis, Universidade de Aveiro, 2011. http://hdl.handle.net/10773/7512.
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Mestrado em Comunicação MultimédiaThis project aims on the development of three videos which will function as a tool to used along with therapeutical treatment for individuals who intent to change their health behaviors. The videos were developed using experts’ therapeutic practical experiences and printed materials following certain, learning and communication theories such as Behaviorism, Cognitivism, Construtivism, Persuasion theory, Transtheoretical and Elaboration Likelihood models. A profound study on these theories and models helped to understand health behaviors facilitating thus the development of the videos which might contribute smoker’s efforts to alter bad health habits, bad addictive behaviours and shift to healthier lifestyle. The project took place at the University of Thessaly, Departament of Physical Education and Sports Science, at the city of Trikala, Greece. The conceptual model was elaborated with the influence of user centred design concepts from therapists specialized on this technique, originating the development of a prototype with audiovisual elements. Its assessment content was done between some experts in the fields of smoking cessation intervention program, media and smokers to evaluate certain of its aspects (design, quality, messages and others). This preliminary evaluation allow to the conclusion that audiovisual material might play an important role on smoking cessation interventions, since its usage might bring extra motivation for the smokers and present information through more interesting strategies.
Este projecto consiste no desenvolvimento de vídeos que irão funcionar como materiais alternativos no tratamento terapêutico a indivíduos que querem alterar os seus comportamentos aditivos. Os vídeos foram desenvolvidos de acordo com experiencias nas práticas terapêuticas e materiais impressos, seguindo certas teorias de aprendizagem e comunicação, tais como, Behaviorismo, Cognitivismo, Construtivismo, Teoria da Persuasão e modelos Transteorético e de Probabilidade de Elaboração. Um estudo aprofundado destas teorias e modelos ira ajudar a compreender como o indivíduo pensa, facilitando o desenvolvimento dos vídeos que podem ajudar os pacientes. Este projecto é desenvolvido na área de utilização de práticas terapêuticas, aplicando à realidade grega através do audiovisual. O projecto teve lugar na Universidade de Tessália, Departamento de Educação Física e Ciência do Desporto, na cidade de Trikala, Grécia. O modelo conceptual foi elaborado com a influência de conceitos de design centrado em terapias especializadas com componentes audiovisuais. A sua avaliação de conteúdo foi feita por especialistas em programas de cessação tabágica, media e fumadores onde foram avaliados aspectos como o design, qualidade, mensagem, entre outros. Esta avaliação preliminar permitiu concluir que o uso do audiovisual pode ter um papel importante na luta pela cessação tabágica, já que o seu uso pode trazer motivação adicional para fumadores e apresentar informações através de estratégias interessantes.
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Eke, Hilda. "The health promotion center A business plan". Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10260115.
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This business plan proposes a health promotion center to help educate low-income families in Compton suffering from obesity on how to begin and maintain weight loss. Obesity is one of the leading causes of preventable deaths in adults and children. By creating a family and community-based center that provides individualized and group nutrition and fitness services, the rate of obesity can be significantly reduced.
The center which will be located in east Compton will operate as a non-profit organization. It will offer nutrition and fitness services through certified nutritionist and fitness specialist with emphasis placed on gradual weight loss. Meal planning, label reading and training, and grocery store tours are some of the nutrition services that will be offered, while aerobic training and weight training will be part of the fitness service. There will be a life coach and an on-site daycare at the center. The life coach will help potential families establish their weight loss needs, while the on-site day care will provide care for children while families exercise. Services will be offered at reduced prices, and payment will only be made out-of pocket.
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Mushoriwa, Fadzai. "Health promotion: approaches to dietary salt reduction". Thesis, Rhodes University, 2017. http://hdl.handle.net/10962/44761.
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Background Globally, non-communicable diseases are the leading causes of mortality and morbidity, with the majority of these occurring in low-middle income countries. The devastating consequences of non-communicable diseases could be curtailed through better management of four modifiable factors: physical inactivity; tobacco use; harmful use of alcohol; and unhealthy diets. The World Health Organisation has recommended dietary salt reduction as a cost-effective strategy in combatting the burden of NCDs. Consumer awareness and education is one of three primary strategies that have been identified by the World Health Organisation to achieve population-wide salt reduction. It involves the provision of salt reduction knowledge and the promotion of healthy salt related practices. These campaigns are a necessity in populations with high discretionary salt use such as South Africa. For these health promotion activities to succeed, they need to be developed with consideration of factors such as the environment, culture, and socio-economic standing of the intended target population. This two-phase health promotion study was conducted at St Mary’s Development and Care Centre and the Assumption Sisters Nutrition Centre. These are two community based organisations located in Grahamstown, South Africa. A needs assessment was conducted to identify the knowledge and practices of cooks and guardians from these centres on dietary salt reduction. The aim of the second phase of the study was to conduct an educational intervention and to develop a culturally appropriate and contextually specific health information intervention through a participatory process. Method: This was a qualitative study that was supported by elements of quantitative research.. The first phase of the current study was a needs assessment. The first step involved an observational phase with cooks from the centres. The aim was to observe their discretionary salt use during food preparation and to document the salt content in the processed foods available at each centre. Semi-structured interviews were then conducted, with 3 cooks and 16 guardians1 from the centres, to assess their knowledge and practices regarding salt reduction.Parents or the people responsible for the care of the children attending both centres. Guided by findings from the needs assessment phase, an educational intervention was developed. This phase involved the participatory development of three health information leaflets and a series of educational interactive sessions were conducted. Quantitative tests to assess the readability, suitability, and actionability were conducted on the leaflets. Qualitative assessment of the leaflets involved formative evaluations conducted by health care professionals, phase 1 participants, Rhodes University peer educators, an African languages and cultural expert, and a Rhodes University student wellness manager. This step was included to assess the content validity, context specificity, acceptability, and cultural appropriateness of the materials. Educational interactive sessions were guided by constructs of the Social Cognitive Theory and were conducted on three main topics: ‘Salt and my health’, ‘Reducing salt in my diet’, and ‘Reading food labels’. Results: The majority of the processed foods available at both centres contained low to medium levels of salt. Children at the centres were not provided with salt shakers on the tables during meal times. Cooks did not use measuring utensils when adding salt during meal preparation. Semistructured interviews revealed that participants lacked both declarative and procedural knowledge. In terms of declarative knowledge, they were unaware of the daily salt intake recommendations and the relationship between salt and sodium. Participants were able to identify hypertension as one of the health related consequences of high salt consumption. Most participants were responsible for purchasing groceries in their households. Their selfreported food label reading behaviours and inability to read food labels highlighted their lack of procedural knowledge. Most participants reported that they added salt during meal preparation and at mealtimes, highlighting high discretionary salt use. Some participants were also aware of cultural or religious uses of salt. The developed health information leaflets were considered to be written at a readability level appropriate for the target audience. The leaflets were also deemed to be actionable, culturally appropriate, and contextually specific and suitable materials. The educational interactive sessions were found to be interesting and informative. Conclusions: Findings from the needs assessment revealed the need for an educational intervention to address the identified gaps in the participants’ knowledge and practices regarding dietary salt reduction. The developed health information leaflets were found to be informative, culturally appropriate, and contextually specific, as planned. Interactive sessions provided an excellent platform to supply participants with concise and accurate information, increasing the possibility of improving their salt reduction related knowledge.
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Aceves, Martins Magaly. "Health promotion in youth as a global public health challenge: effective strategies to encourage healthy lifestyles". Doctoral thesis, Universitat Rovira i Virgili, 2016. http://hdl.handle.net/10803/396152.
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La combinació de més d'un strategia metodològica (com el màrqueting social, la participació de la joventut, l'educació dirigida per iguals i l'ús dels mitjans de comunicació social) i strategias de cambio de antorn (intervenció basada en l'escola, basada en la intervenció restaurant, basat en la família de la intervenció) pot augmentar l'eficàcia de involucrar els joves en les intervencions de salut destinades a fomentar hàbits i estils de vida saludables. Aquesta tesi té com a objectiu comprendre els factors que intervenen en l'epidèmia de l'obesitat juvenil a tot el món i com influeixen en l'obesitat. En resposta a aquest desafiament global, aquest treball proporciona estratègies basades en proves científiques innovadores, eficaces i de qualitat per millorar els estils de vida saludables entre els joves. Aquestes estratègies podrien donar lloc a un enfocament d'investigació més fort que podrien beneficiar tant a la comunitat científica i el coneixement general de les parts interessades i els responsables polítics, fomentant així un enfocament multidisciplinari participatiu i inclusiu per obtenir resultats duradors i eficaçosLa combinación de más de una estrategía metodológica (como el marketing social, la participación de la juventud, la educación dirigida por pares y el uso de los medios de comunicación social) y/o de una estrategia de cambio de entorno (intervención basada en la escuela, basada en la intervención restaurante, basado en la familia de la intervención) puede aumentar la eficacia de involucrar a los jóvenes en las intervenciones de salud destinadas a fomentar hábitos y estilos de vida saludables. Esta tesis tiene como objetivo comprender los factores que intervienen en la epidemia de la obesidad juvenil en todo el mundo. En respuesta a este desafío global, este trabajo proporciona estrategias basadas en pruebas científicas innovadoras, eficaces y de calidad para mejorar los estilos de vida saludables entre los jóvenes. Estas estrategias podrían dar lugar a un enfoque de investigaciónque podrían beneficiar tanto a la comunidad científica y el conocimiento general de las partes interesadas en prevenir este problema así como a responsables políticos, fomentando así un enfoque multidisciplinario participativo e inclusivo para obtener resultados duraderos y eficaces.
The combination of more than one methodological (such as social marketing, youth involvement, peer-led education and social media usage) and environmental (school-based intervention, restaurant-based intervention, family-based-intervention) strategy may increase the effectiveness of engaging young people in health interventions aimed at encouraging healthy habits and lifestyles. This thesis aims to understand the factors involved in the worldwide youth obesity epidemic and how they influence obesity. In response to this global challenge, this work provides innovative, effective and quality scientific evidence-based strategies for improving healthy lifestyles among young people. These strategies could lead to a stronger research approach that could benefit both the scientific community and the general knowledge of relevant stakeholders and policy makers, thus fostering a participatory and inclusive multidisciplinary approach for long-lasting and effective results.
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Schetzina, Karen E., e Julie Ware. "Breastfeeding Promotion". Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/5023.
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Danis, Ajau. "Health communication and health literacy : participants perspectives on the PROSTAR Health Promotion Programme". Thesis, Liverpool John Moores University, 2006. http://researchonline.ljmu.ac.uk/5800/.
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Ratima, M. M. (Mihi M. )., e n/a. "Kia uruuru mai a hauora : being healthy, being Maori: conceptualising Maori health promotion". University of Otago. Wellington School of Medicine & Health Sciences, 2001. http://adt.otago.ac.nz./public/adt-NZDU20070508.152546.
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The Decade of Maori Development (1984-1994) stimulated the re-emergence of distinctly Maori approaches to progressing their own advancement. Maori health promotion is one such approach that has a central concern for improving Maori health outcomes. A range of Maori collectives are providing what they claim to be distinctly Maori health promotion initiatives. However, Maori health promotion has a pragmatic orientation, and this has, at least in part, led to conceptual and theoretical under-development. There is an almost complete lack of empirically and theoretically sound work to conceptualise Maori health promotion. This research programme has focused on identifying the defining characteristics of Maori health promotion.
The primary data source for this research programme was three case studies of Maori health promotion interventions.
Tipu Ora - a Maori community-based well-child programme;
the Plunket Kaiawhina Service - a national Maori focussed initiative located within a mainstream service; and,
the Wairarapa Maori Asthma Project - a tribally-based asthma management initiative.
The main source of data in each of the case studies was in-depth open-ended interviews with programme participants and stakeholders. Data was also drawn from document review and archival records.
The findings of this research indicate that Maori health promotion is based on a broad concept of health, which can be expanded as the basis for a more general argument for Maori advancement. Maori health promotion is the process of enabling Maori to increase control over the determinants of health and strengthen their identity as Maori, and thereby improve their health and position in society. Its defining characteristics have been identified in this research programme, and presented in �Kia uruuru mai a hauora�, a framework for Maori health promotion. The Framework has the potential to provide the basis for a more consistent and rigorous approach to Maori health promotion practice, policy, purchasing, and research. Aspects of the Framework may also have wider application to generic health promotion and other indigenous peoples� approaches to health promotion.
This study concludes that Maori health promotion draws primarily on the heritage and new knowledge that arises from Maori and Western experiences. However, it remains grounded in the distinctive concepts and values of Maori worldviews. Maori health promotion is a distinctly Maori process, in step with and indigenous health promotion, but primarily on the determination of Maori to be Maori.
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Llewellyn-Jones, Lorraine M. 1951. "The relationship between health professionals and community participation in health promotion". Monash University, Faculty of Education, 2003. http://arrow.monash.edu.au/hdl/1959.1/7843.
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Kiiskinen, Urpo. "A health production approach to the economic analysis of health promotion". Thesis, University of York, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.425432.
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