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1.
Artículo en Inglés | MEDLINE | ID: mdl-31881652

RESUMEN

BACKGROUND: Globally, an estimated 3.6 billion people rely on solid fuels for cooking over open fires or in simple cookstoves. Universal access to clean cooking fuels and technology by 2030 is a United Nations' Sustainable Development Goal. METHODS: The Mediae Company created a home makeover television and radio show, Shamba Chef, designed to promote modern, cleaner, safer cooking methods and improved nutrition in Kenya, which reached 5 million homes in late 2017. This was accompanied by a mobile phone platform called iChef. Researchers evaluated the effects of Shamba Chef on cookstove purchase, use, and attitudes, beliefs, and intentions. RESULTS: The study revealed dose-response effects of Shamba Chef exposure on several key outcomes. Exposure to the program was associated with an awareness of improved biomass stoves (OR 4.4; 95% CI 2.8 to 6.9), and aspirations to own an improved biomass stove (OR 2.0; 95% CI 1.4 to 2.9). Receiving information about modern stoves from two or more sources generated greater awareness of liquefied petroleum gas (LPG) stoves (OR 2.0; 95% CI 1.3 to 3.1). The qualitative study revealed that Shamba Chef explained how the stoves worked, communicated their benefits, and encouraged participants to trust and purchase those cookstoves. CONCLUSION: Shamba Chef was successful in influencing determinants of cookstove purchase and use, and there is evidence from the qualitative study that it influenced the purchase and use of improved biomass stoves.


Asunto(s)
Contaminación del Aire Interior/prevención & control , Comportamiento del Consumidor , Culinaria/métodos , Artículos Domésticos , Adulto , Actitud , Femenino , Fuego , Conocimientos, Actitudes y Práctica en Salud , Productos Domésticos , Humanos , Kenia , Ciencias de la Nutrición , Tecnología , Televisión
2.
Health Educ Behav ; 46(2_suppl): 81-89, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31742454

RESUMEN

The rapid growth and diffusion of digital media technologies has changed the landscape of market segmentation in the last two decades, including its use in promoting prosocial and behavior change. New, population-specific and culturally appropriate prevention strategies can leverage the potential of digital media to influence health outcomes, especially for the greatest users of digital technology, including youth and young adults. Health behavior change campaigns are increasingly shifting resources to social media, creating opportunities for innovative interventions and new research methods. This article examines three case studies of digital segmentation: (1) tobacco control from the Truth Initiative, (2) community-based public health programs from the Centers for Disease Control and Prevention, and (3) substance use (including opioids) and other risk behavior prevention from Public Good Projects. These case studies of recent digital segmentation efforts in the not-for-profit, government, and academic sectors show that it increases reach and frequency of messages delivered to priority populations. The practice of digital segmentation is rapidly growing, shows early signs of effectiveness, and may enhance future public health campaigns. Additional research could optimize its use and effectiveness in promoting prosocial and behavior change campaign outcomes.

3.
Health Educ Res ; 34(5): 471-482, 2019 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-31106344

RESUMEN

The authors designed and evaluated an innovative, branded campaign called 'Adelante' to promote positive youth development (PYD) and reduce risk behaviors among Latino youth near Washington, DC. Repeated cross-sectional surveys were conducted in the intervention and a comparison community to evaluate campaign exposure and changes in PYD outcomes. The sample consisted of 1549 Latino and immigrant adolescents surveyed at three time points in intervention and comparison communities. A social marketing campaign was implemented using outdoor advertising, Web, video and social media channels to promote PYD and health outcomes over a 1-year period from 2015 to 2016. Measures included media use; self-reported exposure to campaign promotions; Adelante message receptivity; validated PYD scales; substance use, sexual risk taking, violence-related knowledge, attitudes, beliefs, intentions and risk behavior. Outcomes were regressed first on campaign exposure to examine dose-response effects of the Adelante campaign over time. Second, we compared outcomes between the Adelante and comparison communities. We observed a positive effect of self-reported exposure on multiple outcomes, including improvements in pro-violence and sexual risk outcomes and lower pro-violence attitudes and lower risky attitudes toward sex. Adelante was effective in improving youth risk outcomes and offers a promising model for future health promotion with Latino and immigrant populations.


Asunto(s)
Conducta del Adolescente , Emigrantes e Inmigrantes/educación , Promoción de la Salud/organización & administración , Hispanoamericanos , Mercadeo Social , Adolescente , Publicidad/métodos , Estudios Transversales , Femenino , Humanos , Internet , Masculino , Evaluación de Programas y Proyectos de Salud , Asunción de Riesgos , Conducta Sexual/etnología , Medios de Comunicación Sociales , Trastornos Relacionados con Sustancias/etnología , Trastornos Relacionados con Sustancias/prevención & control , Violencia/etnología , Violencia/prevención & control
4.
PLoS One ; 14(3): e0213380, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30861029

RESUMEN

PURPOSE: The overall goal of the Saleema Initiative in Sudan is to promote long-term abandonment of female genital mutilation and cutting (FGM) through a contribution to changing social norms, attitudes, and intentions related to the practice. The initiative aims to create positive cultural associations with a girl remaining uncut, a new social norm. Saleema hypothesizes that branding the alternative to FGM (abandonment) will promote social norms change. In 2014, the lead author designed a monitoring and evaluation framework for Saleema in partnership with UNICEF, the National Council for Child Welfare (NCCW), and local organizations. METHODS: The Saleema evaluation aimed to evaluate the effectiveness of the campaign in reducing pro-FGM social norms. A quasi-experimental design controlled for dosage of campaign messages delivered across the 18 states in Sudan to measure a dose-response effect. We operationalized social norms through a 4-item scale validated in previous research. RESULTS: This paper reports on quantitative evaluation findings based on data gathered in from 2015-2017 and focuses on the dose-response relationship between Saleema exposure and changes in FGM social norms. We found that self-reported exposure was associated with reduced pro-FGM social norms (coeff. = -0.329, p < .001). Additionally, higher doses of Saleema, measured through an exogenous measure of campaign event exposure from an independent monitoring system was associated with reduced pro-FGM social norms (coeff. = -0.146, p < .001). CONCLUSIONS: Saleema was effective in reducing pro-FGM social norms. It is a promising strategy and findings contribute to the growing literature on social norms approaches to behavior change.


Asunto(s)
Circuncisión Femenina/etnología , Normas Sociales/etnología , Adolescente , Adulto , Niño , Circuncisión Femenina/psicología , Circuncisión Femenina/estadística & datos numéricos , Femenino , Programas de Gobierno , Conocimientos, Actitudes y Práctica en Salud/etnología , Humanos , Sudán , Naciones Unidas , Adulto Joven
5.
J Adolesc Health ; 64(2): 158-164, 2019 02.
Artículo en Inglés | MEDLINE | ID: mdl-30269907

RESUMEN

PURPOSE: Social media use is pervasive among young adults, and different sites have different purposes, features, and audiences. This study identified classes of young adults based on what combination of sites they use and how frequently, and compared their health risk factors and behaviors. METHODS: Latent profile models were developed based on frequency of using 10 sites from a national sample of young adults aged 18-24 years (n = 1,062). Bivariate analyses and multivariable regressions examined the relationship between class membership and alcohol, tobacco, and other drug (ATOD) use, and symptoms of depression and anxiety. RESULTS: The optimal model identified five classes: Low Users (7.9%), High Users (63.1%), Professional Users - high use of LinkedIn (10.1%), Creative Users - high use of Vine and Tumblr (11.5%), and Mainstream Users - high use of Facebook and YouTube (7.4%). Classes differed significantly on ATOD use and depressive symptoms. Compared to High Users, Creative Users had higher odds of using most substances and lower odds of depressive symptoms, Mainstream Users had higher odds of substances used socially (alcohol and hookah), Professional Users had higher odds of using alcohol, cigarettes, and cigars, and Low Users had higher odds of using other drugs (e.g., cocaine and heroin). CONCLUSIONS: A young adult's social media site use profile is associated with ATOD use and depressive symptoms. Use and co-use of certain sites may influence the volume and nature of ATOD-related content and norms young adults experience in social media. Targeting interventions to sites selected based on use patterns associated with each health risk may be effective.

6.
JMIR Public Health Surveill ; 4(4): e71, 2018 Dec 19.
Artículo en Inglés | MEDLINE | ID: mdl-30567689

RESUMEN

BACKGROUND: Generating participant engagement in social media applications for health promotion and disease prevention efforts is vital for their effectiveness and increases the likelihood of effecting sustainable behavior change. However, there is limited evidence regarding effective strategies for engaging Latino immigrant youth using social media. As part of the Avance Center for the Advancement of Immigrant/Refugee Health in Washington, DC, USA, we implemented Adelante, a branded primary prevention program, to address risk factors for co-occurring substance use, sexual risk, and interpersonal violence among Latino immigrant adolescents aged 12 to 19 years in a Washington, DC suburb. OBJECTIVE: The objectives of this study were to (1) characterize Adelante participant Facebook reach and engagement and (2) identify post content and features that resulted in greater user engagement. METHODS: We established the Adelante Facebook fan page in October of 2013, and the Adelante social marketing campaign used this platform for campaign activities from September 2015 to September 2016. We used Facebook Insights metrics to examine reach and post engagement of Adelante Facebook page fans (n=743). Data consisted of Facebook fan page posts between October 1, 2013 and September 30, 2016 (n=871). We developed a 2-phased mixed-methods analytical plan and coding scheme, and explored the association between post content categories and features and a composite measure of post engagement using 1-way analysis of variance tests. P<.05 determined statistical significance. RESULTS: Posts on the Adelante Facebook page had a total of 34,318 clicks, 473 comments, 9080 likes or reactions, and 617 shares. Post content categories that were statistically significantly associated with post engagement were Adelante program updates (P<.001); youth achievement showcases (P=.001); news links (P<.001); social marketing campaign posts (P<.001); and prevention topics, including substance abuse (P<.001), safe sex (P=.02), sexually transmitted disease prevention (P<.001), and violence or fighting (P=.047). Post features that were significantly associated with post engagement comprised the inclusion of photos (P<.001); Spanish (P<.001) or bilingual (P=.001) posts; and portrayal of youth of both sexes (P<.001) portrayed in groups (P<.001) that were facilitated by adults (P<.001). CONCLUSIONS: Social media outreach is a promising strategy that youth programs can use to complement in-person programming for augmented engagement. The Latino immigrant youth audience in this study had a tendency toward more passive social media consumption, having implications for outreach strategies and engagement measurement in future studies. While study findings confirmed the utility of social marketing campaigns for increasing user engagement, findings also highlighted a high level of engagement among youth with posts that covered casual, day-to-day program activity participation. This finding identifies an underexplored area that should be considered for health messaging, and also supports interventions that use peer-to-peer and user-generated health promotion approaches.

7.
Conf Proc IEEE Eng Med Biol Soc ; 2018: 5142-5145, 2018 07.
Artículo en Inglés | MEDLINE | ID: mdl-30441497

RESUMEN

Unintentional child poisoning represents an increasingly important health issue in the United States and worldwide, partially due to increased use of drugs and food supplements. Biometric authentication is complex for pill bottles, but we propose a new method of user identification using touch capacitance during bottle-opening attempts. A smart pill bottle could generate an immediate warning to deter a child from opening the bottle and send an alert to parents/guardians. In this paper, we present principle of operation and implementation of a prototype "safe bottle We present the results of pilot testing with 5 adults and 3 children using support vector machine (SVM) and neural network (NN). From 232 bottle-opening events, our optimized NN generated no false detections of children as adults and four false detections of adults as children. Preliminary results indicate that smart pill bottles can be used to reliably detect children trying to open pill bottles and reduce risk of child-poisoning events.


Asunto(s)
Intoxicación por Agua , Niño , Humanos , Máquina de Vectores de Soporte , Estados Unidos
8.
J Health Commun ; 23(7): 606-613, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30138045

RESUMEN

This paper reports on mediation analysis of effects of the Adelante brand, an innovative program for Latino immigrant adolescents and their families, and positive youth development (PYD) outcomes. Specific objectives were to increase adolescent engagement and participation in a community-based program called Adelante, based on PYD theory, which sought to reduce substance use, sexual risk taking, and interpersonal violence among Latino immigrant youth. A total of 238 parent-child dyads were recruited from a predominantly low-income Latino immigrant community and followed for an average of 22 months. Measures included demographics; acculturation; stress and coping; social support; violence, substance use, and sexual risk attitudes; future expectations; the Adelante brand equity scale; and PYD asset measures. Multiple regression modeling shows that the leadership brand equity construct is associated with decreased proviolence and increased antiviolence attitudes. Additionally, having any program exposure (vs. none) is associated with improved substance abuse attitudes in models adjusting for the loyalty brand equity construct. In mediation analysis, we observed a mediating effect of the leadership brand equity construct on improved antiviolence attitudes among those exposed to the Adelante program. As found in previous research, Adelante brand equity operated as a mediator of program effects on Latino youth PYD outcomes.


Asunto(s)
Conducta del Adolescente , Emigrantes e Inmigrantes/psicología , Promoción de la Salud/métodos , Hispanoamericanos/psicología , Psicología del Adolescente , Mercadeo Social , Aculturación , Adaptación Psicológica , Adolescente , Femenino , Humanos , Masculino , Relaciones Padres-Hijo , Pobreza , Sexo Seguro , Apoyo Social , Trastornos Relacionados con Sustancias/prevención & control , Violencia/prevención & control
9.
Transl Behav Med ; 8(5): 745-752, 2018 09 08.
Artículo en Inglés | MEDLINE | ID: mdl-29425333

RESUMEN

Research tested interventions are seldom ready for wide spread use. Successful intervention adaptation to clinical settings demands an iterative process with target audience feedback. We describe the adaptation process of implementing an NCI research tested HPV vaccine intervention, Women's Stories, to a community clinic context (Planned Parenthood). Five phases are described for the adaptation of content and the development of a health kiosk intervention delivery system: (a) informant interviews with the target audience of young adult, predominantly African-American women, (b) translating HPV vaccine decision narratives into prevention messages, (c) health kiosk interface design, (d) conducting a usability study of the health kiosk intervention product, and (e) conducting a waiting room observational study. Lessons learned and challenges in adapting prevention interventions to clinical settings are discussed.


Asunto(s)
Servicios de Salud Comunitaria/métodos , Programas de Inmunización/métodos , Infecciones por Papillomavirus/prevención & control , Vacunas contra Papillomavirus , Prevención Primaria/métodos , Vacunación/métodos , Adolescente , Adulto , Afroamericanos , Humanos , Federación Internacional para la Paternidad Responsable , Estados Unidos , Adulto Joven
10.
Prev Med Rep ; 9: 6-11, 2018 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-29276667

RESUMEN

Since 2000, the truth campaign has grown as a social marketing brand. Back then, truth employed branding to compete directly with the tobacco industry. In 2014, the launch of truth FinishIt reflected changes in the brand's strategy, the tobacco control environment, and youth/young adult behavior. Building on a previous validation study, the current study examined brand equity in truth FinishIt, as measured by validated multi-dimensional scales, and tobacco related attitudes, beliefs, and behavior based on two waves of the Truth Longitudinal Cohort data from 2015 and 2016. A fixed effects logistic regression was used to estimate the change in brand equity between panel survey waves 3 and 4 on past 30-day smoking among ever and current smokers. Additional models determined the effects of brand equity predicting tobacco attitudes/use at follow up among the full sample. All analyses controlled for demographic factors. A one-point increase in the brand equity scale between the two waves was associated with a 66% greater chance of not smoking among ever smokers (OR 1.66, CI 1.11-2.48, p < 0.05) and an 80% greater chance of not smoking among current smokers (OR 1.80, CI 1.05-3.10, p < 0.05). Higher overall truth brand equity at wave 3 predicted less smoking at wave 4 and more positive anti-tobacco attitudes. Being male, younger, and non-white predicted some of the tobacco related attitudes. Future research should examine long-term effects of brand equity on tobacco use and how tobacco control can optimize the use of branding in campaigns.

11.
J Health Commun ; 22(7): 604-611, 2017 07.
Artículo en Inglés | MEDLINE | ID: mdl-28598730

RESUMEN

Indoor tanning (IT) increases the risks of skin cancer, but evidence on how to design health education messaging targeting IT among young adult women remains limited. This study investigated the effects of theory-guided gain-, loss-, and balanced-framed IT prevention messages. Young adult women ages 18-30 who indoor tan (n = 552, mean age = 24.9 years [standard deviation = 3.1]) were recruited online, completed pre-exposure measures, and were randomized to view a gain-, loss-, or balanced-framed message. Participants completed post-exposure measures of message response (emotional response, message receptivity), IT risk (perceived severity, susceptibility), and efficacy (self-efficacy, perceived benefits of avoiding IT) beliefs, and IT behavioral intentions. Loss- and balanced-framed messages promoted significantly greater emotional response and message receptivity and lower IT behavioral intentions than gain-framed messages. The effects of loss- and balanced-framed messages on IT behavioral intentions were mediated by greater emotional response and message receptivity compared with the gain-framed message. These results can inform the development of public health education campaigns to prevent and reduce IT among young adult women. Future research can build from these findings by investigating additional message themes and tailoring strategies to maximize their effects, examining the effects of framed messages prospectively, and investigating ways to enhance message receptivity, such as through novel message delivery channels (e.g., mobile devices).


Asunto(s)
Comunicación en Salud/métodos , Educación en Salud , Neoplasias Cutáneas/prevención & control , Baño de Sol/psicología , Adolescente , Adulto , Femenino , Humanos , Intención , Medición de Riesgo , Autoeficacia , Adulto Joven
12.
J Health Commun ; 22(6): 459-468, 2017 06.
Artículo en Inglés | MEDLINE | ID: mdl-28426322

RESUMEN

Latinos consume more sugary drinks and less water than other demographic groups. Our objective was to understand beverage choice motivations and test promotional concepts that can encourage Central American Latino urban youth to drink more water. Two rounds of focus group discussions were conducted (n = 10 focus groups, 61 participants, 6-18 years old). Data were transcribed verbatim and analyzed using inductive and deductive coding approaches. Youth motivations for drinking water were shaped by level of thirst, weather, energy, and perceptions of health benefits. Youth were discouraged from drinking water due to its taste and perceptions of the safety and cleanliness of tap water. Youth beverage preference depended on what their friends were drinking. Availability of water versus other beverages at home and other settings influenced their choice. Promotional materials that included mixed language, informative messages about the benefits of drinking water, and celebrities or athletes who were active, energized, and drinking water were preferred. A promotional campaign to increase water consumption among these Latino youth should include bicultural messages to underscore the power of water to quench true thirst, highlight the health benefits of drinking water, and address the safety of tap water.


Asunto(s)
Agua Potable/administración & dosificación , Promoción de la Salud/métodos , Hispanoamericanos/psicología , Población Urbana , Adolescente , Bebidas , América Central/etnología , Niño , Conducta de Elección , Comportamiento del Consumidor , District of Columbia , Femenino , Grupos Focales , Hispanoamericanos/estadística & datos numéricos , Humanos , Masculino , Motivación , Proyectos de Investigación , Población Urbana/estadística & datos numéricos
13.
Health Promot Pract ; 18(4): 488-496, 2017 07.
Artículo en Inglés | MEDLINE | ID: mdl-27091606

RESUMEN

This article outlines the theory and resulting approach employed in a multilevel, integrated, collaborative community intervention called Adelante, implemented by a university-community partnership in a Latino immigrant community to address co-occurring health disparities of substance abuse, sex risk, and interpersonal violence among youth. The basis for the intervention is a social-ecological interpretation of positive youth development theory, which focuses on changes in the person environment context and community assets as a preventive mechanism. This approach is viewed as appropriate for a community facing multiple barriers to health equity. The article describes the translation of this positive youth development model to practice, including the design of the intervention, intervention components, and the protocol for evaluation. The Adelante intervention is intended to reduce health disparities and, in addition, to add a broader community model to the evidence base.


Asunto(s)
Emigrantes e Inmigrantes , Promoción de la Salud/organización & administración , Disparidades en el Estado de Salud , Hispanoamericanos , Medio Social , Adolescente , Desarrollo del Adolescente , Conducta Cooperativa , Relaciones Familiares , Humanos , Liderazgo , Conducta Sexual/etnología , Salud Sexual , Trastornos Relacionados con Sustancias/etnología , Violencia/etnología
14.
J Health Commun ; 21(7): 800-8, 2016 07.
Artículo en Inglés | MEDLINE | ID: mdl-27315354

RESUMEN

The original truth campaign was a branded, national smoking prevention mass media effort focused on at-risk youth ages 12-17. Today the truth brand focuses on the goal of finishing tobacco (truth FinishIt). There have been significant changes in the tobacco control landscape, leading FinishIt to focus on 15- to 21-year-olds. The present article reports on formative research and media monitoring data collected to pilot test a new truth FinishIt brand equity scale. The goals of this study were to (a) content analyze truth FinishIt mass media ads, (b) assess truth's social media and followers' perceptions of truth's digital brand identity, and (c) develop and feasibility test a new version of the truth FinishIt brand equity scale using data from an existing Truth Initiative media monitoring study. Through factor analysis, we identified a brand equity scale, as in previous research, consisting of 4 main constructs: brand loyalty, leadership/satisfaction, personality, and awareness. Targeted truth attitudes and beliefs about social perceptions, acceptability, and industry-related beliefs were regressed on the higher order factor and each of the 4 individual brand equity factors. Ordinary least squares regression models generally showed associations in the expected directions (positive for anti-tobacco and negative for pro-tobacco) between targeted attitudes/beliefs and truth FinishIt brand equity. This study succeeded in developing and validating a new truth FinishIt brand equity scale. The scale may be a valuable metric for future campaign evaluation. Future studies should examine the effects of truth FinishIt brand equity on tobacco use behavioral outcomes over time.


Asunto(s)
Publicidad/estadística & datos numéricos , Promoción de la Salud/métodos , Medios de Comunicación de Masas , Prevención del Hábito de Fumar , Revelación de la Verdad , Adolescente , Análisis Factorial , Estudios de Factibilidad , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Proyectos de Investigación , Fumar/psicología , Adulto Joven
15.
Milbank Q ; 94(1): 51-76, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-26994709

RESUMEN

POLICY POINTS: Both the underuse and overuse of clinical preventive services relative to evidence-based guidelines are a public health concern. Informed consumers are an important foundation of many components of the Affordable Care Act, including coverage mandates for proven clinical preventive services recommended by the US Preventive Services Task Force. Across sociodemographic groups, however, knowledge of and positive attitudes toward evidence-based guidelines for preventive care are extremely low. Given the demonstrated low levels of consumers' knowledge of and trust in guidelines, coupled with their strong preference for involvement in preventive care decisions, better education and decision-making support for evidence-based preventive services are greatly needed. CONTEXT: Both the underuse and overuse of clinical preventive services are a serious public health problem. The goal of our study was to produce population-based national data that could assist in the design of communication strategies to increase knowledge of and positive attitudes toward evidence-based guidelines for clinical preventive services (including the US Preventive Services Task Force, USPSTF) and to reduce uncertainty among patients when guidelines change or are controversial. METHODS: In late 2013 we implemented an Internet-based survey of a nationally representative sample of 2,529 adults via KnowledgePanel, a probability-based survey panel of approximately 60,000 adults, statistically representative of the US noninstitutionalized population. African Americans, Hispanics, and those with less than a high school education were oversampled. We then conducted descriptive statistics and multivariable logistic regression analysis to identify the prevalence of and sociodemographic characteristics associated with key knowledge and attitudinal variables. FINDINGS: While 36.4% of adults reported knowing that the Affordable Care Act requires insurance companies to cover proven preventive services without cost sharing, only 7.7% had heard of the USPSTF. Approximately 1 in 3 (32.6%) reported trusting that a government task force would make fair guidelines for preventive services, and 38.2% believed that the government uses guidelines to ration health care. Most of the respondents endorsed the notion that research/scientific evidence and expert medical opinion are important for the creation of guidelines and that clinicians should follow guidelines based on evidence. But when presented with patient vignettes in which a physician made a guideline-based recommendation against a cancer-screening test, less than 10% believed that this recommendation alone, without further dialogue and/or the patient's own research, was sufficient to make such a decision. CONCLUSIONS: Given these demonstrated low levels of knowledge and mistrust regarding guidelines, coupled with a strong preference for shared decision making, better consumer education and decision supports for evidence-based guidelines for clinical preventive services are greatly needed.


Asunto(s)
Actitud Frente a la Salud , Información de Salud al Consumidor/organización & administración , Medicina Basada en la Evidencia/normas , Mal Uso de los Servicios de Salud/prevención & control , Beneficios del Seguro/legislación & jurisprudencia , Seguro de Salud/legislación & jurisprudencia , Patient Protection and Affordable Care Act/normas , Servicios Preventivos de Salud/normas , Adolescente , Adulto , Comunicación , Información de Salud al Consumidor/normas , Escolaridad , Medicina Basada en la Evidencia/legislación & jurisprudencia , Femenino , Guías como Asunto/normas , Humanos , Difusión de la Información/métodos , Beneficios del Seguro/economía , Seguro de Salud/economía , Masculino , Persona de Mediana Edad , Relaciones Médico-Paciente , Servicios Preventivos de Salud/legislación & jurisprudencia , Análisis de Regresión , Factores Socioeconómicos , Encuestas y Cuestionarios , Estados Unidos , Adulto Joven
16.
J Health Commun ; 21(3): 356-65, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26735802

RESUMEN

A growing number of institutions offer a master's degree in health communication to prepare individuals for applied work in the field, but there is very little literature on the career paths graduates pursue. The current study reports the results of a national survey that targeted the alumni of five institutions that offer the degree. Of the 522 total graduates to whom the survey was sent, 398 responded (76.2% response rate). Results show that the degree recipients have found employment in a wide variety of organizations across the country, including jobs within very prestigious organizations, such as the National Cancer Institute. Common job titles include manager, coordinator, communication associate/specialist, and program/project director. The most common job responsibilities include research activities, the development of health communication materials, project/program management, communication management, and social media/website management. The results also include stories of graduates across programs that illustrate details of career paths. The discussion of the findings addresses implications for career preparation, curriculum development, and advising.


Asunto(s)
Educación de Postgrado , Empleo/estadística & datos numéricos , Comunicación en Salud , Selección de Profesión , Humanos , Perfil Laboral , Encuestas y Cuestionarios , Estados Unidos
17.
J Health Commun ; 20(12): 1465-72, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26252644

RESUMEN

Entertainment-education (E-E) approaches for young audiences continue to evolve in order to keep stride with younger generations' affinity for technology. E-E and novelas have been used with a wide variety of audiences in the United States, in particular hard-to-reach Latino populations, and have demonstrated effectiveness in disseminating culturally relevant prevention information for a wide variety of health-related risk factors and behaviors. This study discusses the formative research and active engagement of Latino youth living in Langley Park, Maryland, for the development and filming of an innovative 6-episode webnovela titled Victor and Erika (V&E). V&E is part of a larger branding strategy of the Adelante Positive Youth Development intervention that seeks to prevent substance abuse, sexual risk, and interpersonal violence among Latino youth; V&E is also an intervention component. The V&E webnovela is a dramatic portrayal of the lives of 2 immigrant Latino teenagers that also disseminates risk prevention messages. The storyline represents the turning the corner (to a better life) theme that underlies the Adelante intervention brand. Formative research was conducted for character development (n = 20) and creative development of the episodes (n = 14). Results of the formative research showed that youth recommended inclusion of the following topics in V&E episodes: sex, unintended pregnancy, fidelity, trust, family dynamics, immigration status, violence, school dropout, respect, home life, and poverty. Detailed character and episode descriptions are provided, and the implications of using the V&E series as a tool for in-person and online engagement of youth and the dissemination of prevention messages are also discussed.


Asunto(s)
Educación en Salud/métodos , Hispanoamericanos/psicología , Internet , Películas Cinematográficas , Conducta Sexual/etnología , Trastornos Relacionados con Sustancias/etnología , Violencia/etnología , Adolescente , Difusión de Innovaciones , Hispanoamericanos/estadística & datos numéricos , Humanos , Asunción de Riesgos , Conducta Sexual/psicología , Trastornos Relacionados con Sustancias/prevención & control , Estados Unidos , Violencia/prevención & control
18.
Transl Behav Med ; 5(1): 24-36, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25729450

RESUMEN

Brands are marketing tools that create mental representations in the minds of consumers about products, services, and organizations. Brands create schema that help consumers decide whether to initiate or continue use of a product or service. Health branding determines behavioral choice by building consumer relationships and identification with health behaviors and their benefits. Health branding can be measured by the associations individuals form with health behaviors. In 2008, Evans and colleagues systematically reviewed the literature on health brands, reported on branded health messages and campaigns worldwide, and examined specific branding strategies in multiple subject areas. This paper extends that review. We replicated the comprehensive online literature search strategy from 2008. We screened a total of 311 articles and included 130 for full-text review. This included both articles from the 2008 review and new articles. After excluding those new articles that did not meet full-text inclusion criteria, we reviewed 69 in total. Of these, 32 were new articles since the 2008 review. Branded health campaigns cover most major domains of public health and appear worldwide. Since 2008, we observed improvement in evaluation, application of theory, and description of campaign strategies in published work. We recommend enhanced education of public health practitioners and researchers on the use and evaluation of branding.

19.
J Health Commun ; 20(5): 512-20, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25794355

RESUMEN

In recent years, community-based obesity prevention programs have taken an ecological approach and addressed social determinants of obesity. The branded 5-4-3-2-1 Go! obesity prevention program aims to change obesity risk behaviors in low-income neighborhoods in Chicago with a multilevel approach. This study follows a previous evaluation, which showed 5-4-3-2-1 Go! exposure to be associated with increased fruit and vegetable consumption. The authors examined whether increased positive beliefs about fruit and vegetable consumption were associated with exposure to program messages. Exploratory factor analysis identified a fresh fruit/vegetable availability satisfaction factor. The authors compared outcome measures between baseline and follow-up samples and between exposure and control conditions. Multivariable logistic regression models were estimated to evaluate the effects of program exposure on changes in nutrition beliefs. The study found that participants' (n = 246) beliefs about fruit and vegetable consumption were negatively associated with exposure to the program and that demographic factors, social environment, and physical environment were strongly associated with beliefs about fruit and vegetable consumption. These findings merit further research and may indicate the environmental factors that are associated with attitude formation among those reached by obesity prevention interventions, especially when many participants live in neighborhoods lacking convenient fruit and vegetable shopping options.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Promoción de la Salud/métodos , Obesidad/prevención & control , Padres/educación , Padres/psicología , Adolescente , Adulto , Chicago , Femenino , Estudios de Seguimiento , Frutas , Humanos , Masculino , Persona de Mediana Edad , Actividad Motora , Obesidad/psicología , Pobreza , Evaluación de Programas y Proyectos de Salud , Características de la Residencia/estadística & datos numéricos , Verduras , Adulto Joven
20.
J Health Commun ; 20(3): 354-66, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25668684

RESUMEN

The field of health communication has seen substantial growth in recent years, but existing health communication research literature contains little information on individuals who practice health communication in applied settings. This study reports the results of a national survey that targeted the alumni of 5 institutions that offer a master's degree in health communication. Of the 522 total graduates to whom the survey was sent, 398 responded. Survey results provided information in a number of areas including undergraduate education background; criteria used to determine what type of master's degree in health communication to pursue; strategies used to gain employment; employment sector of first job after graduation; salaries received after completion of a master's degree in health communication; satisfaction with career choice after completion of master's degree; satisfaction with type of master's degree in health communication received; satisfaction with career choice after completion of master's degree; and the degree to which respondents felt their master's program in health communication prepared them to meet core competencies in the field. These findings have significant implications for the health communication field and the programs that prepare individuals for a career as a health communication practitioner.


Asunto(s)
Actitud del Personal de Salud , Educación de Postgrado , Comunicación en Salud , Selección de Profesión , Recolección de Datos , Educación/estadística & datos numéricos , Empleo/estadística & datos numéricos , Humanos , Satisfacción en el Trabajo , Salarios y Beneficios/estadística & datos numéricos , Estados Unidos
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