Health promotion practice
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Health promotion practice · Jul 2009
Comparative StudyReducing farmworker residential pesticide exposure: evaluation of a lay health advisor intervention.
The goal of this analysis is to evaluate the effectiveness of a promotora program for teaching women in Latino farmworker families about pesticide safety and increasing pesticide safety behaviors. Volunteer promotoras delivered a pesticide safety curriculum (intervention) and nutrition curriculum (control) to farmworker women residing in western North Carolina and Virginia. Pre-and postintervention interviews assessed differences in delivery of the intervention, recognition of the intervention, pesticide knowledge, pesticide exposures behaviors, and integrated pest management behaviors. ⋯ However, their knowledge, pesticide exposure behaviors, and integrated pest management behaviors did not change. A more structured program is needed to be sure that the dose of interventions is large enough to overcome educational and cultural characteristics of immigrant communities. Policy changes are needed to address circumstances outside of farmworkers' control that affect pesticide exposure.
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The Department of Health and Human Services initiated a pilot "microgrant" or small grants program in 2001 to promote Healthy People 2010 (HP 2010) implemented by the Yale-Griffin Prevention Research Center. This article describes the 103 agencies funded under this initiative and 67 control group agencies. ⋯ Changes in knowledge of HP 2010 goals for the microgrant group increased significantly from 5.24 +/- 3.67 to 7.83 +/- 1.86 (p < .05). The results suggest that microgrants can be a useful mechanism to plant the seeds for developing community and organizational capacity to define local health priorities, practice and test new initiatives or expand existing programs and promote knowledge about HP 2010.
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Health promotion practice · Oct 2008
Development of a planning and evaluation methodology for assessing the contribution of theory to a diabetes prevention lifestyle intervention.
The benefits of utilizing and measuring application of theory for behavior change programs are numerous, including the emergence of new theories and theoretically bound strategies. Despite recent attempts to make theory use more salient, there remains a dearth of practical frameworks for the development and evaluation of theory-based programs. ⋯ Using a case study example of a diabetes prevention program, this article describes how theory was used for the program design and the evaluation and provides a framework for using theory in other programs. Issues discussed include: the challenges in successfully utilizing theory for intervention development and the processes of developing theoretically based instruments.
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Health promotion practice · Jul 2007
The economic burden of chronic cardiovascular disease for major insurers.
Accounting models provide less precise estimates of disease burden than do econometric models. The authors seek to improve these estimates for cardiovascular disease using a nationally representative survey and econometric modeling to isolate the proportion of medical expenditures attributable to four chronic cardiovascular diseases: stroke, hypertension, congestive heart failure, and other heart diseases. ⋯ The large number of people with cardiovascular disease who are eligible for both Medicare and Medicaid could lead to large shifts in the burden to these payers as prescription drug coverage is included in Medicare. A societal perspective is important when describing the economic burden of cardiovascular disease.
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Health promotion practice · Jul 2007
Networking for career-long success: a powerful strategy for health education professionals.
Networking is a proven strategy to enhance professional recognition and skills while promoting career development. Through a variety of techniques and for a multitude of reasons, health educators can enrich their professional endeavors by interacting and engaging in formal and informal networking with others. Through networking, health education professionals can offer each other assistance and support while establishing long-lasting mutually beneficial relationships. This article provides an overview of the basics of networking, reasons that networking is important, persons who can benefit from networking, and strategies on how to network and how to develop, maintain, and nurture a network.