Health promotion in context: A reflective-analytical                     model

Liveng, Anne; Andersen, Heidi Myglegård; Lehn-Christiansen, Sine

doi:10.1177/1403494817743899

Cited by 7 publications

(6 citation statements)

References 14 publications

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“…Even an approach to target people's leisure time in general was envisaged including sport events with similar problematic alcohol or drug use, which could support the sharing of experiences. This would merit further research and a more integrated framework for the evaluation and contextualization could be provided by health promotion [73,74] or the super-setting frameworks [75].…”

Section: Discussionmentioning

confidence: 99%

Preventive Interventions for Young Adults in Nightlife: Coproduction for a Systematic Literature Assessment Followed by a Stakeholder Dialogue Process

Brunn

Brunner

Mütsch³

2021

Eur Addict Res

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Introduction: The nightlife-associated illicit drug and alcohol use presents diverse problems and includes different areas. In the Canton of Zurich, Switzerland, young adults in the nightlife setting were recently set as a priority group for preventive interventions. Method: Based on the predefined protocol, we systematically collated evidence on preventive interventions regarding young adults’ use of alcohol and illicit drugs in nightlife. EBSCO Medline, Embase, PsycInfo, and PsyIndex were searched for reviews (1990–2016) and primary studies (2012–2016). Additional sources and experts were consulted, and stakeholders involved throughout the research process. Interventions were summarized according to the before-, at- and after-the-party stages. Results: Before the party, good-quality studies were found for social media interventions, indicating positive effects on alcohol consumption. For the at-the-party stage, good evidence of low to medium quality was presented for crisis interventions and medical care at festivals and for multi-sector approaches. The after-the-party setting was mainly covered by gray literature, and evidence remained limited for designated drivers and street safety interventions in the target group. The stakeholder dialogue was a structured exchange and favored the following evidence-informed preventive intervention fields: personalized feedback via social media, sustaining awareness among nightlife managers, focus on public nighttime transportation, and multi-sector approaches. Conclusion: The systematic involvement of stakeholders was an inspiring means for identifying evidence relevant for practice and policy in nightlife and fostering implementation. Especially, individual-based interventions, such as personalized feedback via social media and guided reflection on alcohol or drug use, and broader networking, were considered promising.

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Section: Discussionmentioning

confidence: 99%

Preventive Interventions for Young Adults in Nightlife: Coproduction for a Systematic Literature Assessment Followed by a Stakeholder Dialogue Process

Brunn

Brunner

Mütsch³

2021

Eur Addict Res

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“…While nurses may be ideally placed to deliver health promotion messages, obesity prevention and management requires a multidisciplinary approach, requiring contextual knowledge. It therefore requires an integrated education and framework to be developed that encompasses both staff and the environment in which the message is delivered [100]. Similarly, it is difficult for nurses with the already acknowledged pressures on their workload to identify those in need of intervention.…”

Section: Attitudes Towards Health Promotion (Athpp)mentioning

confidence: 99%

Obesity and Diet Predict Attitudes towards Health Promotion in Pre-Registered Nurses and Midwives

Blake

Watkins

Middleton

et al. 2021

IJERPH

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Nurses and midwives are integral to public health promotion; in the UK, they are advised to act as role models by their governing body, but overweight or obesity rates are high. We explored whether obesity and dietary habits are related to attitudes towards healthy role modelling and health promotion practice. A total of 346 pre-registered UK nurses and midwives (92.6% female; 18–53 years) completed an online survey. Items included body composition, dietary habits assessed by the Lifestyle Behaviour Questionnaire (LBQ), attitudes towards being role models for health (RA: role attitudes) and attitudes toward health promotion practice (ATHPP): 33.8% of the sample self-reported as overweight or obese; 67.6% did not consume 5-a-day portions of fruit/veg; 31.5% reported a healthy diet; and 89.6% believed their diet could be healthier. Positive RA was significantly linked to health promotion engagement (HP) (ß = 0.33, p < 0.001). Positive ATHPP was significantly predicted by lower BMI (ß = −0.08, p = 0.078), positive RA (ß = 0.67, p < 0.001), lower HP (ß = −0.25, p < 0.001) and male gender (ß = 0.09, p = 0.02). Greater confidence in patients valuing healthcare professional’s advice was predicted by healthier diet (ß = 0.11, p = 0.03), lower BMI (ß = −0. 16, p < 0.01), more positive RA (ß = 0.14, p < 0.01) as well as HP engagement during training (ß = 0.20, p < 0.01). One’s own motivation to promote health, similarly to ATHPP, was predicted by RA (ß = 0.17, p = 0.001) and previous HP engagement (ß = 0.39, p < 0.001). Findings show that overweight and obesity are prevalent in pre-registered nurses and midwives; the majority did not consume a healthy diet. Individual’s body composition, diet and attitudes towards role modelling are positively associated with their attitudes towards, and confidence in, health promotion practice. Experiences of health promotion practice during training can have either a positive or a negative influence on attitudes. Mentors and educators could actively promote healthy lifestyles for pre-registered nurses and midwives and facilitate more opportunities for health promotion practice during placements, which includes time for reflection.

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“…Health-promoting strategies PHC assume that individuals can use their own resources to strengthen their health, in accordance with the salutogenic theory [5,6]. In addition to factors related to the individual HCPs (micro level), organisational factors in PHC (meso level), national and local policies and guidelines (macro level) are of importance [7].…”

Section: Introductionmentioning

confidence: 99%

Healthcare professionals’ experiences of targeted health dialogues in primary health care

Johansson,

Eriksson,

Dahlin

et al. 2023

Scandinavian Caring Sciences

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BackgroundIn Sweden, population‐based targeted health dialogues are an important part of health promotion and disease prevention in primary health care. Targeted health dialogues are performed with a pedagogical approach to allow individuals to reflect over their resources, situation and motivation to change lifestyle habits together with a healthcare professional.AimThe aim of this study was to explore healthcare professionals' experiences of targeted health dialogues in primary health care.MethodsThree focus group interviews were conducted with 20 healthcare professionals. The interviews were analysed using qualitative content analysis.ResultsThe main category A possibility to promote healthy behaviours and prevent disease describes how the targeted health dialogues were experienced as a valuable opportunity to promote health among inhabitants. The significance of the primary healthcare centre's health promotion and prevention strategies was emphasised to enable the targeted health dialogues as a part of the assignment to promote health. These strategies were expressed as shared focus and organisational space and support making it possible for example to reach all socioeconomic groups. The work with targeted health dialogue was described as a complex task requiring extensive competence. Furthermore, the pedagogical tool including the visual health profile was experienced to have an important impact on the dialogue offering direction for actions to promote health and prevent disease.ConclusionsTargeted health dialogues can be a valuable opportunity for healthcare professionals in primary health care to promote a healthy lifestyle among inhabitants. Certain preconditions at both the meso‐ and the micro level is however required for this to come about.

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Health promotion in context: A reflective-analytical model

Cited by 7 publications

References 14 publications

Preventive Interventions for Young Adults in Nightlife: Coproduction for a Systematic Literature Assessment Followed by a Stakeholder Dialogue Process

Preventive Interventions for Young Adults in Nightlife: Coproduction for a Systematic Literature Assessment Followed by a Stakeholder Dialogue Process

Obesity and Diet Predict Attitudes towards Health Promotion in Pre-Registered Nurses and Midwives

Healthcare professionals’ experiences of targeted health dialogues in primary health care

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