Using Ecological Models of Health Behavior to Promote Health Care Access and Physical Activity Engagement for Persons With Disabilities

Kennedy, Winston; Fruin, Robert C.; Lue, Abigail; Logan, Samuel W.

doi:10.1177/23743735211034031

Cited by 14 publications

(15 citation statements)

References 9 publications

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“…We will present groups of similar systematic reviews and/or outcome measures together, in order to group similar populations or outcome measures. Risk factors will be classified into the following five domains in accordance with the health ecological model26 27: innate personal trait (pathophysiological factors, genetic predisposition, age, BMI, family history, disease history, surgery type, treatment received, etc), behavioural lifestyles (physical exercise, diet, sleep quality, smoking and drinking history, self-management behaviours, etc), interpersonal network (marital status, family structure, social support, etc), socioeconomic status (education, occupation, family’s financial situation), macro-environments (resident type, type of basic medical insurance, etc). Characteristics of the included studies will be tabulated alongside the factors they identify that affect the development of BCRL.…”

Section: Methods and Analysismentioning

confidence: 99%

Risk factors of breast cancer-related lymphoedema: protocol of an umbrella review

et al. 2023

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IntroductionBreast cancer-related lymphoedema (BCRL) is a progressive and debilitating complication post-breast cancer treatment. Identifying potential risk factors facilitates the prevention and management of BCRL. Multiple systematic reviews have been conducted to address the variables correlated with the occurrence of BCRL. This study aims to identify and examine factors predicting the development of BCRL, to clarify the predicting mechanism of these factors, as well to determine the credibility of risk factors for BCRL.Methods and analysisThis umbrella review will be conducted with the methodological guidance of the Joanna Briggs Institute and the Cochrane handbook. A comprehensive systematic search will be performed in ten databases: PubMed, Embase, CINAHL, Web of Science, Scopus, CNKI, SinoMed, Wangfang database, the JBI Database of Systematic Reviews, Cochrane Database of Systematic Reviews. The search for unpublished studies will include ProQuest and the PROSPERO register. Reference lists will also be hand searched. Two reviewers will independently screen the studies, extract data and assess the methodological quality using the Methodological Quality of Systematic Reviews-2 and the Risk of Bias in Systematic Reviews. The degree of overlap between included reviews will be assessed by calculating the Corrected Covered Area. The credibility of the associations between risk factors and lymphoedema will be graded into four classes: convincing, highly suggestive, suggestive and weak, referring to the classification system of recent umbrella reviews. A descriptive, narrative synthesis and suggestions for clinical practice and future research will be made based on included systematic reviews, considering the quality of the evidence.Ethics and disseminationEthical approval is not required for this umbrella review. We will seek to submit the results for publication in a peer-reviewed journal or present it at conferences.PROSPERO registration numberCRD42022375710.

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Section: Methods and Analysismentioning

confidence: 99%

Risk factors of breast cancer-related lymphoedema: protocol of an umbrella review

et al. 2023

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“…Over the years, the socio-ecological model has evolved, been refined, expanded, and prevalently adopted to advance different fields including biology, psychology, education, social work, and public health (Paat 2013; Richard, Gauvin, and Raine 2011). Furthermore, the use of this holistic model in health promotion programs to improve well-being is becoming more evident in health research central to closing the gap in disparities and increasing the strength and effectiveness of community-based interventions (Caperon, Saville, and Ahern 2022; Kennedy et al 2021; Zhang and Warner 2023).…”

Section: Literature Reviewmentioning

confidence: 99%

A Socio-Ecological Approach to A Community-Based Health Promotion Intervention on the U.S.-Mexico Border: Insights and Lessons Learned During the COVID-19 Pandemic

Paat,

Camacho,

Ruiz

et al. 2023

Journal of Applied Social Science

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The Healthy Families Healthy Kids Initiative (HFHKI) is a community-based initiative developed based on the socio-ecological model to address preventive health care needs in El Paso County, Texas, one of the most economically and health-challenged border communities in the United States. HFHKI’s three main goals are to increase access to experiential learning and health education, service delivery, and sustainable systems/linkages of care. These were accomplished through seven critical activities. We present the rationale, background, setting, and conceptual framework for the initiative, followed by the methods used to develop and assess the success of the activities and results of our project outcomes. We end with a discussion of lessons learned and future directions. We also share insights gained from our community health promotion intervention during the COVID-19 pandemic, which will enrich current conversations among applied social scientists. Overall, our project served 2,347 participants of all age ranges during our first year of project implementation across all 7 activities. We recommend the use of the socio-ecological model in designing, implementing, and improving health interventions aimed at enhancing family and community health, with each intervention tailored to the needs of different segments of the community. While the need to contain the COVID-19 virus amid the pandemic has created challenges in health promotion efforts, the need to help affected communities regain control of their health cannot be stressed enough. Our project can serve as an implementation framework for community-based projects on the U.S.-Mexico border.

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“…Public health research has been guided by many different theoretical approaches. The ecological models of health behavior [28] tend to focus on the environmental and policy contexts of behavior and draw on social and psychological factors in doing so. They acknowledge multiple levels of influence, including intrapsychic, interpersonal, community/institutional factors and public/policy factors, thereby attempting to provide a more comprehensive framework for understanding health behavior, including risk-taking.…”

Section: Public Health Approaches To Health Behaviormentioning

confidence: 99%

Chemsex, Identity and Sexual Health among Gay and Bisexual Men

Jaspal

2022

IJERPH

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This article focuses on some of the social, cultural and psychological aspects of drug use in sexualized settings in gay and bisexual men (referred to as “chemsex”). Using a narrative review approach, the article examines previous empirical research in this area and presents a novel theoretical approach for understanding and predicting chemsex behavior. Tenets of identity process theory from social psychology are drawn upon to offer an integrative theoretical framework within which the social, cultural and psychological underpinnings of chemsex can be collectively examined. Existing empirical research suggests that gay and bisexual men may experience sexuality-related stressors that can undermine feelings of self-esteem, self-efficacy, continuity and positive distinctiveness. Identity process theory examines how individuals react to threats to identity brought about by these stressors. In response to identity threat, gay and bisexual men may engage in chemsex as a coping response that encompasses and facilitates various, largely maladaptive, coping strategies and tactics. The more chemsex is perceived as enhancing identity processes and as averting identity threat, the more central it is likely to be to the identities of participants. The centrality of chemsex to one’s identity may preclude self-withdrawal from the practice. Several directions for future research are presented based on existing work on chemsex viewed through the lens of identity process theory. These should form the basis of future empirical research in the sphere of sexual health among gay and bisexual men and the outcomes of this research should inform policy and practice in this area.

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Using Ecological Models of Health Behavior to Promote Health Care Access and Physical Activity Engagement for Persons With Disabilities

Cited by 14 publications

References 9 publications

Risk factors of breast cancer-related lymphoedema: protocol of an umbrella review

Risk factors of breast cancer-related lymphoedema: protocol of an umbrella review

A Socio-Ecological Approach to A Community-Based Health Promotion Intervention on the U.S.-Mexico Border: Insights and Lessons Learned During the COVID-19 Pandemic

Chemsex, Identity and Sexual Health among Gay and Bisexual Men

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