| 1. |
- Abrahamsson, Agneta, 1951-, et al.
(författare)
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Making sense of the challenge of smoking cessation during pregnancy : a phenomenographic approach.
- 2005
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Ingår i: Health Education Research. - : Oxford University Press. - 0268-1153 .- 1465-3648. ; 20:3, s. 367-378
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Tidskriftsartikel (refereegranskat)abstract
- In general, most women are familiar with the need to stop smoking when they are pregnant. In spite of this, many women find it difficult to stop. Using a phenomenographic approach, this study explored Swedish pregnant and post-pregnant women's ways of making sense of smoking during pregnancy. A total of 17 women who either smoked throughout pregnancy or stopped smoking during pregnancy were interviewed. Five different story types of how they are making sense of smoking during pregnancy were identified: smoking can be justified; will stop later; my smoking might hurt the baby; smoking is just given up; smoking must be taken charge of. Based on the study it is argued that the approach used in health education in relation to smoking cessation in antenatal care needs to move from information transfer and advice-giving to the creation of a dialogue. The starting point should be the woman's knowledge, concerns, rationalizations and prejudices. A model is suggested in which a woman may move in a space on three axes depending on life encounters, dialogue and reflections on meaning. The goal in health education would be to encourage movement along three axes: 'increase of self-efficacy towards control', 'increase awareness by reflection on meaning of the smoking issue' and 'avoidance of defense of the smoking behavior'.
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| 2. |
- Abrahamsson, Agneta, et al.
(författare)
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Making sense of the challenge of smoking cessation during pregnancy : a phenomenographic approach.
- 2005
-
Ingår i: Health Education Research. - : Oxford University Press. - 0268-1153 .- 1465-3648. ; 20:3, s. 367-378
-
Tidskriftsartikel (refereegranskat)abstract
- In general, most women are familiar with the need to stop smoking when they are pregnant. In spite of this, many women find it difficult to stop. Using a phenomenographic approach, this study explored Swedish pregnant and post-pregnant women's ways of making sense of smoking during pregnancy. A total of 17 women who either smoked throughout pregnancy or stopped smoking during pregnancy were interviewed. Five different story types of how they are making sense of smoking during pregnancy were identified: smoking can be justified; will stop later; my smoking might hurt the baby; smoking is just given up; smoking must be taken charge of. Based on the study it is argued that the approach used in health education in relation to smoking cessation in antenatal care needs to move from information transfer and advice-giving to the creation of a dialogue. The starting point should be the woman's knowledge, concerns, rationalizations and prejudices. A model is suggested in which a woman may move in a space on three axes depending on life encounters, dialogue and reflections on meaning. The goal in health education would be to encourage movement along three axes: 'increase of self-efficacy towards control', 'increase awareness by reflection on meaning of the smoking issue' and 'avoidance of defense of the smoking behavior'.
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| 3. |
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| 4. |
- Brännström, Inger, 1945-, et al.
(författare)
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Co-operation, participation and conflicts faced in public health : lessons learned from a long-term prevention programme in Sweden
- 1994
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Ingår i: Health Education Research. - : Oxford University Press. - 0268-1153 .- 1465-3648. ; 9:3, s. 317-329
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Tidskriftsartikel (refereegranskat)abstract
- A comprehensive community-based programme for prevention of cardiovascular diseases (CVD) and diabetes was established in 1985 in a small municipality in northern Sweden. A cross-sectional survey to the general public was performed and semi-structured open-ended interviews were taken of actors at different levels. Notes from official records were also included in the study. The aim was to describe and discuss some factors that promote or constrain community participation in health programmes. The results generally confirmed that the right of definition concerning the health programme mainly remained with the health professionals. Community participation was mainly defined by the actors based on the medical and health planning approach and, thereby, as a means to transform health policy plans into reality by transmitting health knowledge and increasing consciousness among the citizens of the need for changing lifestyles. However, participation as a means of identifying problems and demonstrating power relationships and as elements in promoting local democracy was hardly represented among the actors at all. Overall, the CVD health programme was characterized by consensus between the actors. Despite this, debates and arguments about interpretations, social interests, personal conflicts and ideological constraints were observed. However, a majority of the public wanted the CVD preventive programme to continue.
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| 5. |
- Fernandes, Sara, et al.
(författare)
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Providing preoperative information for children undergoing surgery: a randomized study testing different types of educational material to reduce children’s preoperative worries
- 2014
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Ingår i: Health Education Research. - : Oxford University Press (OUP). - 0268-1153 .- 1465-3648. ; 29:6, s. 1058-1076
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Tidskriftsartikel (refereegranskat)abstract
- This study developed three types of educational preoperative materials and examined their efficacy in preparing children for surgery by analysing children’s preoperative worries and parental anxiety. The sample was recruited from three hospitals in Lisbon and consisted of 125 children, aged 8–12 years, scheduled to undergo outpatient surgery. The participants were randomly assigned to one of the seven independent conditions that were combined into the following three main groups: an experimental group, which received educational materials with information about surgery and hospitalization (a board game, a video or a booklet); a comparison group, which received entertaining material with the same format type; and a control group, which did not receive any material. Children’s preoperative worries and parental anxiety were evaluated after the experimental manipulation. Children who received educational materials were significantly less worried about surgery and hospital procedures than children in the comparison and the control groups, although no statistically differences were found between the type of materials within the experimental group, and no significant effect occurred on parental state anxiety. These results do however support the hypothesis that providing preoperative materials with educational information reduce children’s preoperative worries.
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| 6. |
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| 7. |
- Haerens, L., et al.
(författare)
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Developing the IDEFICS community-based intervention program to enhance eating behaviors in 2-to 8-year-old children : findings from focus groups with children and parents
- 2009
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Ingår i: Health Education Research. - Cary, NC : Oxford University Press. - 0268-1153 .- 1465-3648. ; 24:3, s. 381-393
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Tidskriftsartikel (refereegranskat)abstract
- One purpose of 'identification and prevention of dietary- and lifestyle-induced health effects in children and infants' (IDEFICS) is to implement a standardized community-based multi-component healthy eating intervention for younger children in eight different countries. The present study describes important influencing factors for dietary behaviors among children aged 2-8 years old in order to determine the best approaches for developing the dietary components of the standardized intervention. Twenty focus groups with children (74 boys, 81 girls) and 36 focus groups with 189 parents (28 men, 161 women) were conducted. Only in two countries, children mentioned receiving nutrition education at school. Rules at home and at school ranged from not allowing the consumption of unhealthy products to allowing everything. The same diversity was found for availability of (un)healthy products at home and school. Parents mentioned personal (lack of time, financial constraints, preferences), socio-environmental (family, peer influences), institutional (school policies) and physical-environmental (availability of unhealthy products, price, season) barriers for healthy eating. This focus group research provided valuable information to guide the first phase in the IDEFICS intervention development. There was a large variability in findings within countries. Interventions should be tailored at the personal and environmental level to increase the likelihood of behavioral change.
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| 8. |
- Hasson, Henna, et al.
(författare)
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Factors associated with high use of a workplace web-based stress management program in a randomized controlled intervention study
- 2010
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Ingår i: Health Education Research. - : Oxford University Press (OUP). - 0268-1153 .- 1465-3648. ; 25:4, s. 596-607
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Tidskriftsartikel (refereegranskat)abstract
- In web-based health promotion programs, large variations in participant engagement are common. The aim was to investigate determinants of high use of a worksite self-help web-based program for stress management. Two versions of the program were offered to randomly selected departments in IT and media companies. A static version of the program including health screening tool, diary and information about stress was offered to the control group. Additional materials, i.e. interactive, cognitive-based and classical stress management exercises and a chat room, were offered to the intervention group. Baseline data regarding participants' demographics, health (self-ratings and biological measures), lifestyle, work-related factors and group membership were analyzed to study determinants of employees' participation in the program during a period of 12 months. Multiple logistic regression analysis was used and found intervention group membership, being a woman, having at most a secondary education, regular physical exercise habits and having positive expectations of the program were significant predictors of high use. The findings demonstrate that the interactivity of a web-based program is an important factor for determining participation in a web-based worksite stress management program. Implications for those developing and implementing future web-based health promotion activities are discussed.
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| 9. |
- Kimber, Birgitta, et al.
(författare)
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Social and emotional training in Swedish schools for the promotion of mental health : an effectiveness study of 5 years of intervention
- 2008
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Ingår i: HEALTH EDUCATION RESEARCH. - : Oxford University Press (OUP). - 0268-1153 .- 1465-3648. ; 23:6, s. 931-940
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Tidskriftsartikel (refereegranskat)abstract
- The school is an obvious arena for interventions designed to promote mental health among children. A set of educational techniques named social and emotional learning, which focuses on students self-control, social competence, empathy, motivation and self-awareness, has shown promising results in the United States. This is a study of the application of a similar method in Sweden (referred to as social and emotional training) for school years 2000/2001 through to 2004/2005. It is an effectiveness rather than an efficacy study, largely administered by school personnel, which relates duration of the training (1-5 years) to a set of outcomes previously found to be associated with mental health. Positive and significant effects were found on five of seven variables: internalizing problems, externalizing problems, mastery (reflecting self-efficacy or hopelessness), self-image and self-esteem and contentment in school. Effect sizes were medium. Somewhat surprisingly, no relationship was found between the intervention and the promotion of social skills. Nor was there any detectable long-term impact on bullying. Controlling for student gender did not moderate any of the effects.
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| 10. |
- Kinsman, John, et al.
(författare)
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Evaluation of a comprehensive school-based AIDS education programme in rural Masaka, Uganda
- 2001
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Ingår i: Health Education Research. - : Oxford University Press (OUP). - 0268-1153 .- 1465-3648. ; 16:1, s. 85-100
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Tidskriftsartikel (refereegranskat)abstract
- A 19 activity extracurricular school-based AIDS education programme lasting 1 year was conducted in rural southwestern Uganda using specially trained teachers, and was evaluated using mutually supportive quantitative and qualitative methods. In total, 1274 students from 20 intervention schools and 803 students from 11 control schools completed questionnaires at baseline, and their classes were followed up. In addition, 93 students from five of the intervention schools participated in 12 focus group discussions. The programme had very little effect--seven of the nine key questionnaire variables showed no significant increase in score after the intervention. Data from the focus group discussions suggest that the programme was incompletely implemented, and that key activities such as condoms and the role-play exercises were covered only very superficially. The main reasons for this were a shortage of classroom time, as well as teachers' fear of controversy and the unfamiliar. We conclude that large-scale comprehensive school-based AIDS education programmes in sub-Saharan Africa may be more completely implemented if they are fully incorporated into national curricula and examined as part of life-skills education. This would require teachers to be trained in participatory teaching methods while still at training college.
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