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1.
Limin Buchanan Heather Yeatman Bridget Kelly Kishan Kariippanon 《Journal of nutrition education and behavior》2018,50(9):888-895
Objective
To examine whether digital marketing strategies are more strongly associated with energy drink use than other marketing and whether Theory of Planned Behavior (TPB) constructs mediated the effects of digital marketing on energy drink use.Design
A cross-sectional online survey using the TPB was administered in 2016.Setting
Illawarra region of New South Wales, Australia.Participants
A total of 359 young adults aged 18–24 years completed the survey. Participants were mainly students.Main Outcome Measures
Relative impacts of digital and other marketing on energy drink use and the mediating effects of TPB constructs: attitudes, subjective norm, and perceived behavioral control.Analysis
Stepwise regression analysis was employed to compare the effects on energy drink use from digital and other marketing. Mediation analysis was used to examine the mediating effects of the TPB constructs.Results
Digital marketing was more strongly associated than other marketing with young adults’ energy drink use. Attitudes, subjective norms, and perceived behavioral control mediated the effects of digital marketing on energy drink use.Conclusions and Implications
The marketing of unhealthy food and beverages such as energy drink products on the Internet requires greater scrutiny. Future interventions may focus on strategies to attenuate young adults’ attitudes toward energy drinks, denormalize energy drink use, and strengthening self-efficacy to reject energy drinks among this age group. 相似文献2.
Erin R. Hager Hee-Jung Song Hannah G. Lane Hallene H. Guo Lea H. Jaspers Megan A. Lopes 《Journal of nutrition education and behavior》2018,50(8):765-775
Objective
To develop and pilot-test Wellness Champions for Change (WCC) to enhance local wellness policy (LWP) implementation by forming wellness teams.Design
Randomized, controlled school-level pilot study.Setting
Five Maryland school districts.Participants
A total of 63 elementary, middle, or high schools.Intervention(s)
Developed from stakeholder interviews, focus groups, and existing programs. Schools were randomized within district to (1) WCC training (6-hour, single-day teacher training), (2) WCC training plus technical assistance (TA), or (3) delayed training (control).Main Outcome Measure(s)
Online teacher/administrator survey pre-post (spring, 1 year apart) that examined the direct effect of the intervention on active wellness team formation (postintervention, 8-item sum score) and LWP implementation (29 items, not implemented to fully implemented)/indirect effect of intervention on LWP implementation via active wellness team formation.Analysis
Adjusted linear or logistic regression and mediation modeling.Results
Postintervention, WCC plus TA and WCC had more active wellness teams (vs control, β?=?1.49, P?=?.02 and β?=?1.42, P?=?.03, respectively). No direct effect of intervention on LWP implementation was found. Formation of active wellness teams mediated the association between both WCC plus TA and WCC and LWP implementation (WCC plus TA confidence interval [CI], 1.22–16.25; WCC CI, 10.98–15.61 [CI was significant without 0]).Conclusions and Implications
The WCC intervention approaches indirectly affected LWP implementation through the formation of active wellness teams. These results support building and school-level wellness teams. 相似文献3.
Cheng Li Garry Auld Karen D&#x;Alonzo Debra Palmer-Keenan 《Journal of nutrition education and behavior》2018,50(10):984-992
Objective
This investigation sought to identify the physical activity (PA) terms and concepts that are best understood by low-income adults.Design
This was a cross-sectional study using semistructured cognitive interviews that employed retrospective verbal probing techniques.Setting
Interviews were conducted in Expanded Food and Nutrition Education Program (EFNEP) sites in New Jersey, Tennessee, and Washington.Participants
A convenience sample of 57 adults participating in or eligible for participation in EFNEP.Phenomenon of Interest
Participants’ interpretations and conceptualizations of PA concepts and terms.Analysis
Template and constant comparative analysis.Results
Participants interpreted many PA terms and concepts in unintended ways. Exercise was the term that came closest to conveying moderate to vigorous PA. Terms used to describe muscle-strengthening activities were mostly understood. Intentional engagement in extra activities was difficult for participants to conceptualize despite multiple tested wordings; making small changes to be active came closest to conveying this concept. Participants’ comprehension of the PA terms differed by their PA and literacy levels.Conclusions and Implications
Nutrition educators should be mindful of the terminologies they used in communicating messages and assessing PA behaviors to EFNEP participants or similar populations. 相似文献4.
Jessica L. Thomson Melissa H. Goodman Alicia S. Landry Annie Donoghue Audrey Chandler Rachel Bilderback 《Journal of nutrition education and behavior》2018,50(9):868-875
Objective
Determination of feasibility of online nutrition education in the federal workplace.Design
Pretest–posttest pilot study with data collection occurring from September to December, 2016.Setting
Two US Department of Agriculture workplaces.Participants
Convenience sample of 26 federal government employees. Posttest response rate was 85% (22 of 26 employees).Intervention
A 12-week online nutrition education program designed and taught by registered dietitian nutritionists.Variables Measured
Program component satisfaction, use, and understanding ratings and clinical measures including body composition, blood pressure, and skin carotenoid level (biomarker for fruit and vegetable intake).Analysis
Paired t tests to determine whether significant changes occurred after the intervention.Results
Mean number of class videos viewed and program components used were 7 and 5 (out of 12 for both). Mean program component ratings ranged from 4.0 to 4.7 (n?=?12, maximum score of 5) for the surveyitems motivated/helped me to eat healthier. Statistically significant decreases were observed in body mass index, percent body fat, and visceral fat level.Conclusions and Implications
Online nutrition education in the federal workplace is feasible for some employees as evidenced by the program components’ high satisfaction and understanding ratings and high retention rate. Limited evidence was apparent for the intervention's positive impact on health outcomes. 相似文献5.
Shinobu Imai Kiyohide Fushimi Karolina Andersson Sundell 《Health Policy and Technology》2018,7(2):194-199
Objectives
The generic substitution of medicines has been introduced in Europe since the 1990s to increase price competition and the use of cheaper equivalents. Patent expiry is assumed to be associated with changes in sales patterns, particularly when combined with generic substitution. Other changes have been observed when prescribers obtain new information on drug safety and efficacy of medicines. This article examines to what extent patent expiry and new medical information on efficacy influence the pharmaceutical sales patterns of antihypertensive medicines in Japan and Sweden.Methods
Angiotensin-converting enzyme inhibitors and angiotensin Ⅱ antagonists (ARBs) were selected, since they are widely used in both Japan and Sweden. The two analysed interventions were patent expiry and published information on lower efficacy for two ARBs. Seasonal autoregressive integrated moving average modelling with intervention was used to analyse changes in sales volumes.Results
Patent expiry was not associated with any significant changes in sales patterns. In Sweden, the sales rate of losartan increased following new information on lower efficacy for candesartan and telmisartan (0.77650 DDDs/1,000 inhabitants per day, p?=?0.0068), whereas candesartan sales decreased (-0.50760 DDDs/1000 inhabitants per day, p?=?0.0058). In Japan, the publication of new efficacy information was also associated with a significant decrease in candesartan (?1.21215 DDDs/1000 inhabitants per day, p?=?0.001).Conclusions
We found sales patterns of antihypertensive medicines were to a large extent affected by information on efficacy rather than patent expiry. However, further assessment is needed for other medicine groups and settings. (248 words) 相似文献6.
7.
Holly A. Harris Elena Jansen Kimberley M. Mallan Lynne Daniels Karen Thorpe 《Journal of nutrition education and behavior》2018,50(8):757-764
Objective
To examine the role of parent concern in explaining nonresponsive feeding practices in response to child fussy eating in socioeconomically disadvantaged families.Design
Mediation analysis of cross-sectional survey data.Setting
Socioeconomically disadvantaged urban community in Queensland, Australia.Participants
Cohabiting mother–father pairs (n?=?208) with children aged 2–5 years.Main Outcome Measure(s)
Two validated measures of nonresponsive feeding: persuasive feeding and reward for eating.Analysis
Mediation analysis tested concern as a mediator of the relationship between child food fussiness (independent variable) and parent nonresponsive feeding practices (dependent variables), adjusted for significant covariates and modeled separately for mothers and fathers.Results
Maternal concern fully mediated the relationship between child food fussiness and persuasive feeding (indirect effect: B [SE]?=?0.10 [0.05]; 95% confidence interval [CI], 0.01–0.20). Concern also fully mediated the relationship between child food fussiness and reward for eating for mothers (indirect effect: B [SE]?=?0.17 [0.07]; CI, 0.04–0.31) and fathers (indirect effect: B [SE]?=?0.14 [0.05]; CI, 0.04–0.24)Conclusions and Implications
Concern for fussy eating behaviors may explain mothers’ and fathers’ nonresponsive feeding practices. In addition to providing education and behavioral support, health professionals working with socioeconomically disadvantaged families can incorporate strategies that aim to alleviate parents’ concerns about fussy eating. 相似文献8.
Mohamad Sorani Sogand Tourani Hamid Reza Khankeh Sirous Panahi 《Health Policy and Technology》2018,7(4):374-378
Objectives
After implementing a health system reform plan in Iran, Helicopter Emergency Medical Services (HEMS) have been developed to provide critical care for time-sensitive critical patients. The current study aimed to explore the challenges experienced in providing and developing helicopter emergency medical services in Iran.Methods
A qualitative study was conducted by using a content analysis approach. Data were collected through interviews with 27 experienced persons.Results
Four main challenges facing HEMS were explored including infrastructure deficiencies, safety concerns for staff, patients and public, insufficient resource management and the problems related to staff competencies.Conclusions
Based on the results, the development program of Iranian helicopter emergency medical services should be revised. It seems that developing national standards and regulations is prerequisite to improving the quality of services. Considering the safety concerns and high cost of HEMS in Iran, it is suggested that more commitment is needed for triage criteria. 相似文献9.
Gicheol Jeong 《Health Policy and Technology》2018,7(4):358-364
Aims
This study analyzes public preferences for the adoption of personal genomic testing (PGT) to determine the important attributes for PGT adoption and to qualitatively compare their relative importance.Methods
The best–worst scaling method is used for the analysis by using 13 attributes related to adoption of PGT. A web-based survey was conducted to collect data from 604 respondents in South Korea in November 2017.Results
The results show that accuracy of test is the most important attribute with the following order of importance: accuracy of test > risk of disease > aim of test, insurance reimbursement/coverage, price, burden of disease, testable items > privacy protection > method of collecting sample, person explaining the results, medical intervention availability, test accessibility > time required for completing test.Conclusions
From a consumer perspective, the findings suggest that it is important how PGT can accurately provide information on various high-risk, high-burden diseases, even though there are no known preventive or treatment measures. Further, the price of PGT is burdensome, and therefore, insurance coverage is important. If accurate and reliable information is provided, how to request PGT and who explains the result are not important. 相似文献10.
Background
Today, there is a clear understanding of what Brexit means in legal terms and how it involves the health-related issues but, there is no clear view as to how these issues can vary for different Brexit scenarios or how Brexit negotiations impact the citizens healthcare concerns.Objective
In this study, we investigate the facts and issues surrounding Brexit options and their possible influences on healthcare issues from the public perspectives.Methods
We designed two scenarios for controlled online experiments. We used Analysis of Variance to compare participants’ perceptions about the two Brexit scenarios (hard and soft). Data were collected from four countries (England, Scotland, Wales and Northern Ireland). Totally, 459 respondents participated in the two experiments.Results
The findings show that there are significance differences in respondents’ perceptions of medical products and technologies, information management, service delivery, and healthcare leadership between two Brexit scenarios. Our results show that perception of health risks is significantly lower for soft Brexit scenario comparing to the hard Brexit. Soft Brexit perceived to be significantly more effective in improving medical technology accessibility, information management, service delivery, and healthcare leadership.Conclusions
This work is among the first attempts to describe the way the British public feel about the possible Brexit options’ implications for healthcare. The significant difference between Brexit scenarios on medical products, information management, service delivery, and healthcare leadership indicates that the future EU–UK relations depend on how effectively the entire health community and policy systems in the UK address these challenges. The results of this study recommend guidelines for reshaping existing agreements or reaching new arrangements in the Brexit negotiations. 相似文献11.
Objective
To investigate (1) how perceived parental control, perceived parental modeling, and parent–teen co–decision making are associated with teenagers’ consumption of fruits and vegetables as well as sugary drinks and less healthful food; and (2) whether self-efficacy mediates this relationship.Design
Cross-sectional survey.Participants
A total of 1,657 adolescents aged 12–17years.Main Outcome Measure(s)
Perceived parental control, perceived parental modeling, parent–teen co–decision making, self-efficacy, and consumption of fruits and vegetables as well as sugary drinks and less healthful food.Analysis
Ordinary least-squares regressions and mediation analyses.Results
After controlling for teenagers’ self-efficacy, perceived parental control was not significantly associated with teenagers’ fruit and vegetable consumption but it was negatively related to teenagers’ consumption of sugary drinks and less nutrient-dense food. Perceived parental modeling had a positive correlation to teenagers’ fruit and vegetable consumption and a negative relationship to their consumption of sugary drinks and less healthful food. Parent–teen co–decision making regarding teenagers’ food consumption emerged as a positive predictor for teenagers’ fruit and vegetable consumption but not for that of sugary drinks and foods with little nutritional value after controlling for self-efficacy.Conclusions and Implications
Findings from this study demonstrated that perceived parental behaviors were related to teenagers’ nutrition intakes. Not exerting too much control and having teenagers participate in the decision-making process could help teenagers eat more healthily. Furthermore, providing a positive role model for teenagers can be an effective strategy to encourage teenagers to eat better. 相似文献12.
Petra J. Porte Jill D.M. Meijs Lisanne M. Verweij Martine C. de Bruijne Cees P.M. van der Vleuten Cordula Wagner 《Health Policy and Technology》2018,7(2):166-172
Objectives
To gain insight into the current implementation of national guidelines on training, examination and registration of proficiencies for the safe use of medical devices and to explore the barriers and facilitators faced during the implementation of these national guidelines.Methods
A questionnaire was sent to all Dutch hospitals and interviews were held with staff at six hospitals.Results
There are differences between hospitals in the implementation stage, but also within hospitals. The questionnaire showed differences between training and examination for devices used by nurses and those used by medical specialists. The interviews showed that most barriers and facilitators for implementation of the national guidelines can be found in organizational factors.Conclusions
According to the hospitals, implementation of national guidelines for the safe use of medical devices is a complex process that involves all departments. Furthermore, the staff do not always feel a sense of urgency to improve the safe use of medical devices. To facilitate implementation, more national guidance could be helpful. 相似文献13.
Objectives
This research focuses on assessing the potential technology adoption of medical devices particular to tracking the mobility of neurosurgery and orthopedics patients. Wearable medical devices that track the mobility of patients after spinal procedures could help surgeons to provide post-operative care, analysis of treatment outcomes, and patient mobility.Methods
The assessment of medical devices by physicians is a complex process associated with various criteria and sub criteria. The hierarchical decision model (HDM) is used to break down the problem into hierarchical levels, and alternatives are calculated by using pairwise comparison scales and the judgment quantification technique. Inconsistencies, disagreement, sensitivity, and scenario analysis are performed as well. HDM research software is created by Ruby and R Studio.Results
Patient perspective dominates in the main criteria for technology adoption potential of wearable devices for pervasive care in neurosurgery and orthopedics, followed by technical and financial criteria. The Valedo – wearable device, which aims to relieve back pain through exercises, motivation, and mobility tracking, received the highest ranking for adoption potential, while other devices also received high relative scores.Conclusions
The framework could serve as a supplementary technology assessment tool, and could be tested in other settings: private clinics, small clinics etc. by taking into account the experts and special needs of the physicians in particular healthcare departments. 相似文献14.
Gicheol Jeong 《Health Policy and Technology》2018,7(3):233-238
Objective
The purpose of this study was to identify which consumer characteristics influence their intention to use direct-to-consumer genetic testing (DTC-GT).Methods
This study conducted a survey to obtain data pertaining to consumer characteristics and their intention to use DTC-GT and then analyzed the survey results econometrically. The consumer survey was conducted in August 2016 and included 2400 respondents residing in Korea, aged 20 to 59. This study used a binary probit model to investigate how consumer characteristics affect the intention to use DTC-GT.Results
Respondents with knowledge of DTC-GT, a higher level of education, greater interest in healthcare management, greater familiarity with new technology, a higher income level, and a younger age exhibited greater intention to use DTC-GT. Marital status and gender were not determinants of intention to use DTC-GT.Conclusions
Consumer characteristics are important factors affecting DTC-GT adoption; however, the effects differ depending on the characteristics. 相似文献15.
Anne R. Lindsay Anthony J. Dyrek Jonathan L. Blitstein Teresa Byington Madeleine Sigman-Grant 《Journal of nutrition education and behavior》2018,50(10):1040-1045
Objective
To determine the interrater reliability of the Preschool Movement Assessment (PMA), a unique field-based assessment tool for use by early childhood professionals in preschool settings.Methods
A total of 123 preschool children, aged 3–5years, were assessed by 6 trained raters using the PMA tool in an intervention. Interrater agreement on individual items of the PMA was determined using the kappa (κ) and intraclass correlation coefficient statistics.Results
Weighted κ values were 0.82–0.96, indicating excellent agreement for all constructs of the PMA. The 95% confidence intervals indicated that all weighted κ’s were statistically significant. The intraclass correlation coefficient for the PMA total score was 0.97.Conclusions and Implications
After additional developmental research, the tool might serve to establish and support a minimum level of functional movements that should be attained before a child enters grade school. 相似文献16.
Kaipeng Wang Yoosun Chu Adolfo G. Cuevas Robert G. Hasson III Katherine L. Tucker Luis M. Falcón 《Journal of nutrition education and behavior》2018,50(8):829-835
Objective
To examine the associations among acculturation, food environment, and food insecurity among Puerto Ricans in Boston.Methods
The researchers used data from the second wave of the Boston Puerto Rican Health Study. The sample included 719 Puerto Rican adults in Boston. The researchers used logistic regression to examine the associations between psychological and language acculturation and food insecurity.Results
Individuals with medium psychological acculturation were more likely to be food insecure than were those with low or high psychological acculturation (P = .01). The association between language acculturation and food insecurity differed by distance of residence from primary shopping location (P = .02).Conclusions and Implications
This study extends the understanding of acculturation and food insecurity by investigating the impact of psychological and language acculturation. The findings highlight biculturalism, indicated by medium psychological acculturation, as a risk factor for food insecurity. People with low language acculturation who live far from food shopping locations had the highest prevalence of food insecurity. 相似文献17.
18.
Ronel Suthers Michelle Broom Eleanor Beck 《Journal of nutrition education and behavior》2018,50(8):813-823
Objective
To identify characteristics of successful public health interventions aimed at increasing whole grain consumption.Methods
The Preferred Reporting Items for Systematic Reviews and Meta-analyses framework, guided by higher-quality interventions with greatest effect size, was adopted to conduct a systematic literature review.Results
Of 8,500 initial records, only 8 interventions with demonstrated reach (up to national populations) and effectiveness (increasing consumption 8–27 g/d) were eligible for synthesis. Their characteristics included multiple stakeholder involvement, specified target intakes in dietary guidelines, manufacturer codes of practice, product reformulation, evidence-based educational resources, social media, and community events with tasting and preparation opportunities. Empowerment of food service providers was also linked to success.Conclusions and Implications
Successful interventions require multifaceted strategies across multiple aspects of the food system, underpinned by multiple stakeholder partnerships. Uniform capture of interventions using an online, searchable, public domain resource may provide a strategy to enable health professionals globally to plan local interventions across cultural settings, drawing on best practice guidelines developed from interventions with demonstrated reach and effectiveness. 相似文献19.
Objectives
Simulation-based nursing education has increased dramatically in the past decade. Simulation as a pedagogy is considered a more effective teaching and learning method, appropriate to the rapidly changing environment of nursing education. Many studies have explored the positive aspects of simulation; however, barriers still exist in the implementation of simulation-based education. This report focuses on the policy aspects related to the various problems.Methods
This review introduces the current status of simulation-based education, a major trend in the last decade, and focuses especially on the impact of policy changes within the education of health professionals with reference to the present situation in Korea.Results
As a result of policy changes in nursing education, the use of simulators as recognition elements for obtaining nursing education accreditation, as well as the benefits of specialized simulation-based education, have allowed for the repetition of difficult specialty nursing skills being applied to specific patients under the current situation of insufficient hospitals for practice and increasing awareness of patient rights. Further, the changes in policy have led to the development of simulation technology.Conclusion
Many barriers need to be resolved to further develop nursing simulation-based education. For this reason, standardized continuing education for professors and enhanced resources and an educational support system, especially in terms of policy improvement, should be provided. 相似文献20.