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Health Promotion Programmes (health + promotion_programme)
Selected AbstractsWorking in partnership , developing a young people's service in a rural environmentACTA PSYCHIATRICA SCANDINAVICA, Issue 2002M. Mitchell Specific objective, The Project reviewed , The Provision of Services for Early Psychosis in Cornwall. It looked at staff feedback, user and carers' views, base line assessment and National Guidelines of Best Practice, and proposed significant changes to meet the needs of young people. Method, The Review was carried out under the auspices of the National Clinical Governance Team and used as its framework the RAID model of change. Results, This resulted in a series of recommendations, which informed new developments. Current initiatives include a Health Promotion Programme, Training Strategies in Primary Care and effective partnerships with young people's services. Conclusions, It proposes significant changes to the correct system of care by working outside the traditional healthcare settings and across the service boundaries of health, education and social care. The rurality of Cornwall provides a considerable challenge for service delivery. This review ensured that ownership rested with users, careers, staff and others who contributed and shaped its future direction. [source] Three Levels of Exercise MotivationAPPLIED PSYCHOLOGY: HEALTH AND WELL-BEING, Issue 3 2009David K. Ingledew The aim was to test a three-level model of motivation, derived from self-determination theory. According to the model, dispositional motives (represented by life goals) influence participatory motives (exercise participation motives), which influence regulatory motives (exercise behavioural regulations), which influence behaviour (exercise participation). The participants were 251 young adults. They completed the Aspirations Index, Exercise Motivations Inventory version 2, Behavioural Regulation in Exercise Questionnaire version 2, and a quantity-frequency measure of exercise participation. The model was tested using partial least squares latent variable modelling. Exercise participation was positively predicted by identified and intrinsic but not predicted by external or introjected behavioural regulations. Behavioural regulations were predicted by participation motives: intrinsic regulation by affiliation and challenge motives; identified regulation by health/fitness and stress management motives; introjected regulation by appearance/weight motive; external regulation by social recognition and appearance/weight motives; all positively. Participation motives were themselves predicted by corresponding life goals. The findings support the three-level model of motivation. Health promotion programmes need to take account of individuals' participatory motives and underlying dispositional motives. [source] Primary prevention of eating disorders: characteristics of effective programmes and how to bring them to broader disseminationEUROPEAN EATING DISORDERS REVIEW, Issue 3 2008Uwe Berger Abstract Objective Based upon the observation of advances in the primary prevention of eating disorders (ED), it is summarized that school-based programmes, focusing on risk factors for females with interactive elements, dissonance induction and booster sessions yield significant effects even under strong methodological conditions. However, beyond the presented research findings it remains often unclear, if and how programmes can be brought to a broader dissemination within a community, region or country. Method Introducing the programme PriMa (German school-based programme for the primary prevention of anorexia nervosa (AN) for girls up to the age of 12), we describe the process of programme evaluation (including 1.006 girls from 42 schools in Thuringia, Germany, who participated in a controlled study using a pre-post-design and a 3 months follow-up), programme implementation and development of follow-up programmes, including an intervention for boys and flanking secondary preventive actions (such as a telephone hotline). Results Using standardized measures, the girls in the intervention group of PriMa reported significant improvements in body self esteem, figure dissatisfaction, knowledge and eating attitudes. The teachers, who conducted the programme, felt well qualified and were evaluated significantly positive by their students. Based upon the PriMa evaluation, we established a comprehensive health promotion programme at 60 Thuringian schools within the last 3 years, which could function as a model of a fruitful cooperation between a governmental institution (Thuringian Ministry of Culture) and a research institution (University Hospital Jena). Conclusions Existing programmes have the potential for effective prevention of ED. To confirm these effects under ,real world conditions' within a given community will still be a great challenge that often requires methodological and organizational concessions and compromises. Copyright © 2008 John Wiley & Sons, Ltd and Eating Disorders Association. [source] The effectiveness of a health promotion programme for women in southern TaiwanINTERNATIONAL JOURNAL OF NURSING PRACTICE, Issue 5 2006Su-Hsien Chang MSN RN The purpose of this study was to assess the effectiveness of an 8 week aerobic exercise class for women on changes in their physical activity behaviour. This was a descriptive, retrospective and comparison study. Because the data were collected after an 8 week aerobic exercise class, there were two groups of subjects. Subjects in the exercise group had attended exercise classes, but subjects in the control group had not. Results showed statistically significant differences between the two groups in the frequency/week of moderately intense exercise-related activities, caloric expenditure/week in all exercise-related activities and caloric expenditure/week in moderately intense exercise-related activities. However, there was no statistically significant difference in the frequency/week of all exercise-related activities. The result that women in the exercise group practised physical activities more than women in the control group might be related to their high exercise self-efficacy expectations. [source] Dental health of 5-year-olds following community-based oral health promotion in Glasgow, UKINTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 6 2006Y. BLAIR Summary., Aim., A community development oral health promotion programme based on the principles of the Ottawa Charter was conducted in an attempt to improve the dental health of children under 5 years of age in two severely socioeconomically challenged pilot districts in Glasgow, UK. Later phased extension involved all of the area's most deprived communities. The aim of the present study was to assess dental health outcomes by secondary analysis of routine caries datasets for Glasgow 5-year-olds over the interval from 1997,1998 to 2003,2004. Design., Wilcoxon tests assessed change in d3mft scores and logistic regression was used to analyse binomial scores (e.g. % d3mft = 0). Results., After adjusting for age and deprivation (DepCat) in pilot districts 1 and 2, significant redistributions of the relative frequency of d3mft scores were observed (P = 0·012 and P < 0·001, respectively), mean d3mft decreased from 5·5 to 3·6 and from 6·0 to 3·6, respectively, and the proportions with d3mft = 0 increased from 11% to 29% and from 10% to 32%, respectively [P = 0·010, odds ratio (OR) = 0·25, and P = 0·006, OR = 0·30, respectively, for d3mft > 0]. Following extension of the programme into all of Glasgow's socioeconomically challenged areas, the mean d3mft values of 5-year-olds reduced in all DepCat 7 communities, and across Glasgow as a whole from 4·9 to 4·1 and from 3·5 to 3·1, respectively, while the proportion with d3mft = 0 increased from 20% to 32% (P < 0·001) and from 34% to 42% (P < 0·001), respectively. Conclusion., Dental health improvements were observed in pilot districts and across all DepCat 7 communities following the roll-out of the programme. This change was of sufficient magnitude to impact upon area-wide statistics for Glasgow. [source] Assessing the effectiveness of a school-based oral health promotion programme in Yichang City, ChinaCOMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY, Issue 5 2009Bao-Jun Tai Abstract,,, Objectives:, To assess the outcome of oral health promotion in schoolchildren over a 3-year period in Yichang City, Hubei, China. Methods:, In a cluster randomized controlled trial, the concept of the World Health Organization Health Promoting Schools Project was applied to primary schoolchildren. Seven intervention schools and eight control schools were randomly selected from one district by stratified cluster sampling. The study was conducted as a 3-year follow-up study. After 3 years, 661 children remained in the intervention group and 697 children in the control group. Data on dental caries, plaque accumulation, and sulcus bleeding were collected by clinical examination, while behavioural data were gathered by self-administered questionnaires. Results:, The 3-year net mean DMFS increment score was 0.22 in the intervention schools and 0.35 in the control schools (P < 0.013). A statistically significant difference in mean plaque (P < 0.013) and sulcus bleeding (P < 0.005) increment scores after 3 years was found between the two groups. Statistically significant higher scores were observed in restorations received and sealants placed, and a lower score in untreated dental caries, in children from the intervention group than the control group after 3 years (P < 0.01). In addition, more children in the intervention schools adopted regular oral health behavioural practices such as brushing their teeth at least twice a day, visiting the dentist within the past calendar year, and using fluoride toothpaste. Conclusion:, The study suggests that the school-based oral health promotion was an effective way to reduce new caries incidence, improve oral hygiene and establish positive oral health behavioural practices in the targeted schoolchildren. [source] Mental health in Europe: problems, advances and challengesACTA PSYCHIATRICA SCANDINAVICA, Issue 2001W. Rutz Objective:,To describe mental health care needs and challenges across the WHO European region of 51 nations. Method:,Based on morbidity and mortality data from HFA Statistical Database and Health21, the policy framework of WHO Europe, major trends in mental health care needs, psychiatric reform and mental health promotion are discussed. Results:,There is a mortality crisis related to mental ill health in Eastern European populations of transition. Destigmatization is required to improve early intervention and humanization of services, and national mental health audits are needed to create the basis for national mental health planning, implementation and monitoring. There are both problems and advances in service restructuring, and comprehensive mental health promotion programmes, preventive and monitoring strategies are required. Conclusion:,Partnerships between national and international organizations, especially WHO and the European Union, have to be strengthened to make progress on the way to integrated community mental health services. [source] Promoting the health of people with chronic obstructive pulmonary disease: patients' and carers' viewsJOURNAL OF CLINICAL NURSING, Issue 3-4 2010Ann Caress Aims and objectives., The aim of this study was to generate in-depth insights into patients' and family members' understanding of the causation, progression and prevention of chronic obstructive pulmonary disease and the role of health promotion with this population. In particular, we were interested in identifying the ways patients and family members considered that they could maximise their (patients') health, in the presence of this disease. Background., Chronic obstructive pulmonary disease is highly prevalent and a significant cause of morbidity and mortality, impacting on quality of life and healthcare expenditure. Health promotion is, therefore, an important consideration. There are few examples in the literature of health promotion programmes for this population, including those directed at smoking cessation, which also focus on the family or significant others. Design., An exploratory, descriptive design was employed. Method., Semi-structured, audio-recorded interviews were conducted with 14 patients and 12 family caregivers. Interviews were transcribed verbatim and thematically analysed using content analysis procedures which captured the meaning of the data. Results., The three main themes were ,health promotion: what's that?', ,community resources for health promotion' and ,it wasn't just the smoking'. Many participants seemed unaware that their health might benefit from a healthier life style and provided little spontaneous information on any activities they carried out to maintain or improve their health. Conclusions., This study highlighted a dearth of health promoting activity amongst people affected by chronic obstructive pulmonary disease. The reality for most patients was to manage the day-to-day demands that the symptoms of the disease imposed on them. Our data suggest that a more wide-ranging approach, encompassing aspects of health promotion, might be welcomed by many patients and their family carers. Relevance to clinical practice., The findings from this study highlight gaps in patients' and carers' understanding of the potential role of health promotion in chronic obstructive pulmonary disease and areas for intervention by health professionals. With the increase in smoking rates of women and predicted future increases in chronic obstructive pulmonary disease, it is imperative that health professionals find effective ways to provide support and health promotive care for patients and families. [source] Quality of life and attitudes towards psychotropics and dependency: consumers vs. non-consumers aged 50 and overJOURNAL OF CLINICAL PHARMACY & THERAPEUTICS, Issue 5 2004M. Baumann SocD PhD Summary Aim:, To assess the relationships between socio-demographic factors, quality of life and attitudes towards psychotropic drugs and dependency and to compare those relationships in continuous consumers (CC), occasional consumers (OC) and non-consumers (NC) of those drugs. Methods:, Quality of life (SF36) and attitudes (14 statements) were measured in 601 subjects (45,60 years old) from the SUVIMAX cohort (SUpplémentation en VItamines et en sels Minéraux AntioXydants). Data were obtained on 334 NC, 142 CC, 125 OC from the inclusion questionnaire and the monthly consumption report notebooks kept by subjects between 1994 and 1998. Dichotomous and polychotomous logistic regressions were used for the analysis. Results:, The lower the quality of life score the more frequent was consumption. NC tended to be men, with high quality of life scores. They entertained negative attitudes towards psychotropics and dependency. OC tended to be women reporting a chronic pathology, with fairly high social status. They had intermediate quality of life and denied dependency. CC tended to be men with no professional activity and low quality of life scores in particular for mental health and perceived health. They had positive attitudes towards psychotropics and accept dependency. Discussion:, Assessment of patients' quality of life and understanding of their attitudes towards psychotropics can provide essential information for those in charge of health promotion programmes and may help in identifying new intervention strategies. Preventive education and follow-up of therapy may be better suited to the needs of patients. [source] Trends in the number and administrative characteristics of medical school health promotion programmesMEDICAL EDUCATION, Issue 2 2001Carolyn C Cox Over the course of almost 10 years, 1988,97, there has been a significant decline in the number of United States and Canadian medical schools offering health promotion programmes for students. All efforts should be made to enhance the overall health and well-being of medical students and to increase the number of health promotion programmes for them. [source] | |||||||||||||