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Delivering the Science
and the Art of Health Promotion |
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Robert F. Allen
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| iv | Editor’s Notes: Integrating Health Promotion into All Sectors of Society: Art and Science of Health Promotion Conference, March 26-April 1, 2007, San Francisco, California | |
| THE SCIENCE OF HEALTH PROMOTION | ||
| Interventions | ||
| Fitness | ||
| Patrick L. Schneider David R. Bassett, Jr. Dixie L. Thompson Nicolaas P. Pronk Kenneth M. Bielak |
85 | Effects of a 10,000 Steps per
Day Goal in Overweight Adults This study was designed: a) To examine the effects of a 10,000 steps.d-1 exercise prescription on sedentary, overweight/obese middle-aged adults, and b) To examine the effects of adherence on body composition and cardiovascular risk factors. One-third of the 56 participants adhered (defined as averaging >9,500 steps.d-1 from week 4 to week 36) and had significant improvements in body weight and body composition. This suggests that a minimal intervention consisting of a pedometer and a 10,000 steps per day goal can produce weight loss in previously sedentary, overweight adults. |
| Smoking Control | ||
| Kathryn I. Pollak Donald H. Baucom Carleton A. Palmer Bercedis L. Peterson Truls Østbye Susan Stanton |
90 | Couples’ Reports of Support for
Smoking Cessation Predicting Women’s Late Pregnancy Cessation Data from a large randomized intervention trial to promote smoking cessation among pregnant couples were used to test the relationship of baseline reports of positive and negative support in early pregnancy (20 weeks or less) with women’s late pregnancy cessation (28 weeks). Results indicate that women’s reports of received support were not predictive by themselves; the same was true for male partner’s reports of provided support. The effects of both, however, were in the predicted direction in that higher reports of positive support at baseline were related to cessation in late pregnancy. |
| Meghan O'Connell Beth Patton Comerford Hilary K. Wall Valentine Yanchou-Njike Zubaida Faridi David L. Katz |
97 | Impediment Profiling for
Smoking Cessation: Application in the Worksite Hospital employees (n=51) used an “impediment profiling” instrument to rate seven barriers to quitting: nicotine dependence, stress, anxiety, depression, weight concern, chemical dependency, and household smoking. They were then assigned to between one and seven interventions, including prescription medications, transdermal nicotine replacement therapy, stress reduction classes, and weight loss counseling. At one-year and 2.5 years, 47.5% and 38.2% respectively of program completers (n=40) were smoke-free. This pilot study suggests that impediment profiling holds promise for smoking cessation and demonstrates feasibility in a worksite setting. |
| Applications | ||
| Health Promoting Community Design | ||
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Marc A. Adams Melbourne F. Hovell Veronica Irvin James F. Sallis Karen J. Coleman Sandy Liles |
101 | Promoting Stair Use by
Modeling: An Experimental Application of the Behavioral Ecological Model This experimental study compared the effects of three types of behavioral modeling, as well as social factors, on stair use at the San Diego, California International Airport. A total of 15,339 airport patrons were video-taped using the escalators or stairs, and the tapes were analyzed and coded on the basis of demographics, day/time, dress, luggage, children, social group, and speed of ascending or descending the stairs or escalators. The results from bivariate and logistic regression models suggest that modeling can prompt stair use, and findings for social and environmental reinforcement contingencies support the Behavioral Ecological Model. |
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Ryan E. Rhodes Shane G. Brown Carolyn A. McIntyre |
110 | Integrating the Perceived
Neighborhood Environment and the Theory of Planned Behavior when Predicting
Walking in a Canadian Adult Sample A random sample of 351 adults (36% response rate) completed a mailed questionnaire containing measures of perceived neighborhood environment, the Theory of Planned Behavior (TPB), and walking behavior. Results using structural equation modeling indicated that retail land-mix use and neighborhood aesthetics were associated with walking through the TPB constructs of affective and instrumental attitudes. Results using moderated regression analyses showed that recreation land-mix use moderated the intention-behavior relationship. These findings underscore the importance of neighborhood characteristics in the decision to walk. |
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Neena L. Chappell Laura M. Funk Diane Allan |
119 | Defining Community Boundaries
in Health Promotion Research This study examined integrating subjective experience in the operationalization of community boundaries incorporating both psycho-social and structural resources. The results indicated that the community rich in both income and sense of belonging had higher community participation and perceived health than communities low on both or with mixed resources. |
| Research Methods | ||
| Financial Impact | ||
| Shirley Musich Dan Hook Stephanie Baaner Michelle Spooner Dee W. Edington |
127 | The Association of Corporate
Work Environment Factors, Health Risks and Medical Conditions with
Presenteeism Among Australian Employees A study of 1523 employees in ten diverse corporations across Australia used self reported measures to examine the relationship between health risks, corporate environmental factors and presenteeism. In multivariate logistic regression models with 627 women, lack of worklife balance (OR 3.673), younger age (OR 0.948), back pain (OR1.919), life dissatisfaction (OR 2.261), allergies (OR 2.045), poor working conditions (OR 1.756), and high stress (OR 1.609), explained 26.8% of the variance in presenteeism. In multivariate logistic regression models with 896 men, life dissatisfaction (OR 2.302), poor working conditions (OR 1.657), lack of worklife balance (OR 1.620), high stress (OR 1.550), back pain (OR 1.427), and younger age (OR 0.983), explained 12.8 % of the variance in presenteeism. |
| Measurement Issues | ||
| Seth A. Brown Daniel Huber Amber Bergman |
137 | A Perceived Benefits and
Barriers Scale for Strenuous Physical Activity in College Students A new scale for measuring perceived benefits and barriers to physical activity among college students was constructed and tested by the authors. The instrument – called the Physical Activity Benefits and Barriers Scale (PABBS) – was designed specifically for college students. Factor analysis was used to identify the factors that accounted for strenuous physical activity among 493 college students. Low motivation accounted for the greatest amount of variance (36%) in strenuous physical activity in this study population. |
| Abstracts | 141 | 11 abstracts are featured from a variety of publications. |
| DataBase: Research and Evaluation Results | 145 | Four new studies are critiqued and added to the DataBase chart. |
| 150 | Call for Conference Proposals | |
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The Art of Health Promotion |
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| Larry S. Chapman | 1 | Do We need a “Virtual” Program Infrastructure
for Worksite and Population Health Promotion Efforts? As the demand for Worksite Health Promotion heats up, it is becoming clear that the traditional models of programming that work well in worksites with large number of employees will not meet the needs of small and medium size employer organizations. Additionally, the large number of individuals who are served by health plans are also likely to require different types of Health Promotion interventions. In presenting the concept of a “virtual” set of interventions that form a “program infrastructure” this article seeks to bridge the gap between large employer programming strategies and small employer and health plan settings. A set of eleven interventions are described and recommended technical specifications are presented. |
| 7 |
Selected Abstracts Abstracts are provided for seventeen (17) peer review articles that address various facets of the methods and issues relevant to the design and development of a program infrastructure approach. |
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| Larry S. Chapman | 11 |
Closing Thoughts Editorial comments on the implications of this approach with five (5) observations of interest. |
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American Journal of Health Promotion | 248-682-0707 |
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