bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Turkish adaptation of the family and nutrition and physical activity (abfa-tr) screening tool
Authors: Ikiisik H , Ekici E , Ankaralı H , Manav G , Yetim M , Kozan E H 
Published: November 2019

Abstract

Background
Assessing the dieatary and physical activity state of the family is important in determining the causes of obesity in the child. The aim of this study is to adapt The Family Nutrition and Physical Activity Screening Tool (FNPA) to Turkish and evaluate its reliability and validity.

Methods
In this methodological research, mixed probabilistic sampling methods were used. The sample size was not calculated and it was aimed to reach all of the 1126 students and families in the three primary schools with different socioeconomic status (high, medium, low) in Uskudar, Istanbul. A total of 727 students’ and their families’ data were collected. Research data were collected by a two-part questionnaire. Survey forms were composed of an introductory information form and the Turkish version of the (FNPA). The low total score on the scale means high-risk family environment and behavior, and the high total score means a more positive family environment and behavior. Prior to the implementation of the scale in the field, a pilot application was made.

Results
The Cronbach alpha coefficient for the internal consistency of the scale was 0.724. The test-retest reliability coefficient of the scale had a medium to very high level ranged from 0.422 to 0.925. The Kaiser-Meyer-Olkin test result of the 20 questions in the scale was found to be appropriate as 0.771. To evaluate the validity of the content, relationships between the scale score and the answers given the questions about the eating behaviors of the family which were not included in the scale. When these relationships were evaluated, the mean scores of those who had regular breakfast were significantly higher (P = 0.001).

Conclusions
The study shows that the ABFA-TR scale is a valid and reliable measurement tool for Turkish population.

Key messages
It is likely that home environments and parental behaviors with interchangeable risk factors for obesity and overweight may alleviate or aggravate the potential risk of obesity. The development and use of measurement tools related to the family environment as an element of obesogenic environment are among the important steps taken to fight obesity.
“Health Party” intervention on genetic testing for ethnic minority women: study protocol
Authors: Kabeya V , Puthussery S , Furmanski A 
Published: November 2019

Abstract

Background
Culturally appropriate interventions are needed to improve the uptake of genetic counselling and testing among ethnically diverse communities. This study aims to assess the feasibility and preliminary effectiveness of a “Health Party” intervention to increase awareness, knowledge and uptake of genetic testing for breast and ovarian cancer among ethnic minority women in the UK.

Methods
The “Health Party” intervention will include an educational session in a party setting. Participants will be taught by professionals about genetic testing and how to access genetic testing services in the UK National Health Service. We will recruit a sample of 60 women aged 18 years and over from key ethnic minority groups in the UK (Black African, Black Caribbean, Indian, Pakistani, Bangladeshi) and will conduct four community based sessions, each with about 15 participants. The outcomes will primarily relate to recruitment and attrition rates, data collection, study resources and intervention delivery. A quantitative pre-post evaluation with measurements before, shortly after, and at 6 months following the intervention will be conducted to assess the preliminary effectiveness on awareness, knowledge and uptake of genetic testing. We will use three way mixed analysis of variance (MANOVA) to analyse changes pre- and post- intervention. The fidelity of the intervention including facilitation strategies, quality of delivery and participant response will be assessed.

Conclusions
Findings will establish the feasibility of the intervention and will provide insights into its effectiveness to increase the awareness, knowledge and uptake of genetic testing for breast and ovarian cancer among women from ethnic minority groups in the UK.
Impact: Depending on its feasibility and effectiveness, the intervention can be used to help women from ethnic minority groups to make informed choices about genetic testing and improve early diagnosis and treatment of breast and ovarian cancer.

Key messages
“Health Party” may be a feasible intervention for ethnic minority women in the UK. “Health Party” intervention may increase awareness, knowledge and uptake of services.
Developing the Turkish version of the exercise benefits/barriers for the elderly scale
Authors: Erol S , Erdem O , Koç H , Çetin F , Erkek N 
Published: November 2019

Abstract

Objective
The aim of this study was develop the Turkish version of the exercise benefits and barriers scale for elderly people.

Methods
The study was carried out with the methodological research design with a total of N = 300 individuals living in a nursing home (n = 134) and applying to the Family Health Center (n = 131) between October 2017 and May 2018. The study included subjects aged 65 years and older who had no dementia, communication or physical disability. The item pool of the scale consisted of 36 items. Items were structured in five-likert form. Expert opinions of eleven individuals were received for Content Validity Index (CVI). The data of the study were collected with 26-question socio-demographic characteristics form, the Mini Mental Test and the Exercise Benefits/Barriers Scale for the Elderly (EBBSE). Approval and consents were obtained from the relevant Ethics Committee, from the healthcare facility and participants. For the validity and reliability; CVI, exploratory factor analysis (EFA), confirmatory factor analysis (CFA) Hotelling’s T2, paired sample t test have been carried out.

Results
The mean age of the subjects was 72.44±5.94 years. Scale’s CVI was 90. The factor analysis demonstrated that the scale included three sub-dimensions of 18 items in Physical and Psychological Benefits of Exercise, 2 items in Social Benefits of Exercise and 8 items inExercise Barriers accounting for 55.36 % of the total variance of the scale. Cronbach Alpha internal consistency coefficients of the scale was .84. All of the four fit indices obtained in the CFA had desirable magnitudes (RMR=.05;RMSEA=,07;NFI=.81;CFI=.87), indicating a good fit between the model and the data. The item total score correlations ranged from .40 to .69. The scale’s test-retest correlation was .99.

Conclusions
EBBSE is a valid and reliable scale that can be used to evaluate benefits and barriers perceptions in physical activity practices.

Key messages
Developed EBBSE can be used to determine the perceptions of exercise for elderly. Developed EBBSE can be used to change barrier perceptions of exercise.
Effectiveness of the universal substance use prevention program on alcohol consumption among adults
Authors: Dobrowolska-Kulanová M , Štefaňáková M , Orosová O 
Published: November 2019

Abstract

Background
Universal substance use prevention program (PUNAV) is a 24-hour course primarily aimed at developing the competencies of future teachers and prevention trainers. One of the key strategies in the PUNAV is correcting the misperceptions and this way changing normative beliefs about risky behaviour, which, when overestimated, are a predictor of risky behaviour.

Objective
To explore whether the participation in PUNAV has an effect on alcohol use of future teachers and whether this relationship is mediated by descriptive normative belief regarding alcohol use while considering gender as a possible moderator of these processes.

Methods
The sample consisted of university students from Slovakia; n = 277, 78% women, Mage=22.23, SD = 2.12. The PUNAV effect was explored within an experimental design. The potential pre-test effect was rejected based on a comparison within the experimental groups and within the control groups (using Solomon model of four groups). The bootstrapping analysis was used to test for moderated mediation according to gender using SPSS Process macro and linear regressions.

Results
The results showed that participation in the PUNAV has a direct effect on alcohol consumption (AUDIT subscore) only among men (b=-1.88, 95%CI -2.9- -.8). An indirect effect through the descriptive normative beliefs about alcohol use (effect size: -.25, BootCI: -.46 - -.07) was found when the whole sample was taken into account. Participation in PUNAV was found to be related to normative beliefs about alcohol use (β=-.32, p&lt;.001) and these were related to alcohol consumption (β=.20, p&lt;.001).

Conclusions
Participation in the PUNAV, which aims primarily to develop the competencies of future teachers proved useful for prevention showing a significant effect with respect to their alcohol consumption.
Acknowledgement: This work was supported by grant projects APVV-0253-11 and APVV-15-0662.

Key messages
Well-designed and databased prevention programs can affect risk behaviour among adult population. The importance of normative beliefs as a major strategy to achieve effectiveness of prevention programs has been constantly supported by empirical evidence.
Obesity Prevalence in Alabama: Trends from 2011 to 2017 and Evaluation of a State Obesity Program
Authors: Dong Z , Pan S W 
Published: November 2019

Abstract

Background
Alabama, one of the southeastern states in the US, suffers from a heavy burden of obesity. In 2014, Alabama launched a state program named ’ALProHealth’, aiming to prevent and reduce obesity prevalence. The objective of this study is to evaluate the potential impact of the ALProHealth Program on the prevalence of obesity in Alabama from 2014 to 2017.

Methods
Data for this study come from the Behavioral Risk Factor Surveillance System (BRFSS). An interrupted time series design was employed. The state obesity prevalence trend for the pre-program period (2011-2014) was estimated and compared with the post-program period (2015-2017). Statistical analyses were conducted using segmented linear regression. Indiana was chosen as the control group in this study.

Results
The obesity prevalence in Alabama significantly increased from 31.8% in 2011 to 36.2% in 2017, increasing by 0.81% on average each year (95% CI: 0.47 to 1.15, p = 0.002). Before the ALProHealth Program, the obesity prevalence increased by 0.59% (p = 0.11) and 0.32% (p = 0.34) in both Alabama and Indiana respectively, though it is not statistically significant. After the program implementation, the slope of obesity prevalence increased by 0.43 (p = 0.45) and 0.03 (p = 0.96) in Alabama and Indiana respectively, though change is not significant. When comparing Alabama and Indiana, the rate of slope change is higher in Alabama (0.73) compared with Indiana (0.093), indicating the rate of slope change in obesity prevalence increased faster in Alabama than Indiana.

Conclusions
To sum up, the study found no evidence that the ALProHealth Program contributed to the decrease of obesity prevalence in Alabama. One possible reason is that there was low program coverage. Future studies should examine the potential effectiveness of other programs using a similar conceptual model as ALProHealth Program.

Key messages
In 2014, Alabama launched a state program named ‘ALProHealth’, aiming to prevent and reduce obesity prevalence. The study found no evidence that the ALProHealth Program contributed to the statewide decrease of obesity prevalence in Alabama, which may attribute to low program coverage.
Transition to health democracy in France: occupational therapy for population-based interventions
Authors: Albuquerque S , Farias L 
Published: November 2019

Abstract

Background
Health promotion stands as a core value of occupational therapy, a client-centred healthcare profession that achieves this goal by enhancing individuals’ ability to engage in activities that they want to, need to, or are expected to do. Yet, occupational therapists in France have not been working in alliance with Public Health funding or programs in the community to reduce possible illnesses leading to chronic conditions and hospitalizations. There is a need to discuss how these professionals can collaborate with Public Health initiatives to move beyond individual interventions and address population-based needs. This study explores occupational therapists opportunities to develop health promotion practices in France.

Methods
A participatory action research was conducted with six co-participants using occupational justice-based frameworks and the French National Public Health report on Health Promotion as a ground for discussion which extended over 3 months. Qualitative content analysis and Kemmis’ practice architecture theory was used to understand how practices are shaped by discursive, economic and socio-political circumstances.

Results
Preliminary results show that occupational justice-based reasoning enables practitioners to shift from an individual to a population needs focus. Yet, the lack of education for this type of practices is evident. The findings highlight prerequisites that need to be fulfilled in order to apply an occupational justice-based approach within health promotion initiatives.

Conclusions
Working on community settings allows practitioners to comprehend the complex interactions between individuals and context. Public Health field provides an interface between society requirements and populations needs in which occupational therapist could enact health promoting interventions. The practice in this field is emerging and therefore it is relevant to discuss the competencies that should be included within occupational therapy education.

Key messages
A healthcare system that does not consider its population’s contextual situation is a failing system. France’s welfare transformation requires all professionals to develop community-based initiatives. The findings will support the development of the first guidelines for health promotion occupational therapy practices in France.
Measuring health promotion in a sports club setting: a modified Delphi study
Authors: Johnson S , Vuillemin A , Geidne S , Kokko S , Epstein J , Van Hoye A 
Published: November 2019

Abstract

Background
The settings-based approach has become an increasing focus in health promotion since the World Health Organization’s 1986 Ottawa Charter. Schools and cities have implemented this approach, but development within sports clubs is limited. Thus, an internationally validated measurement of health promotion within this setting is lacking.

Methods
A modified Delphi study was completed to develop an international evaluation tool grounded in the settings-based approach. Expert panelists from academia, sports and health sectors were invited to participate in 3 online rounds. Items were generated or selected based on 3 prior Delphi-based studies and 2 nationally validated scales. Round one created a collaborative list of items, round two validated items based on relevance, importance and feasibility and the final round classified items into one of four determinants: cultural, social, environmental or economic.

Results
Panelists (69) from 13 countries participated in creating a final list of 62 items at 3 organizational levels. The sports club level included; 5 cultural, 6 social, 6 environmental and 5 economic items. The management level included; 5 cultural, 5 social, 5 environmental and 3 economic items. The coaching level included; 5 cultural, 5 social, 4 environmental and 4 economic items.

Conclusions
This study provides three important innovations; 1- it is rooted in theory through the settings-based approach, 2- the measurement tool includes three levels within sports clubs, capturing a whole club dynamic and 3- all items included in the tool have been validated by an international panel of experts.

Key messages
This 62-item measurement tool allows the comparison of perceptions from participants, coaches and management regarding how health is promoted within their sports club. This information offers insight on the capacity of sports clubs to implement and monitor policies and practices on the promotion of health beyond sports performance within their organization.
Improving health outcomes in Northamptonshire’s Homeless population
Authors: Latif S , Sen A 
Published: November 2019

Abstract

Issue
Homeless people experience inequalities and barriers to accessing healthcare. Northamptonshire had significantly higher number of homeless compared to the England average.
This pilot aimed to provide health screening and interventions for Northampton’s homeless population using an integrated system wide approach. This would inform commissioning and contribute to the database.

Description
The project used a collaborative resource pooling approach by 24 NHS and non-NHS partners. Planning was reliant on information from voluntary sector so budgets were estimated.
Health outreach clinics were planned over 3 months and delivered over 3 weeks at 10 voluntary centres offering blood borne viruses (BBV) and latent tuberculosis screening; basic health checks; and Hepatitis B and seasonal flu vaccinations. Unregistered people were supported to register with a GP. Evaluation will determine how to better collect data and promote and offer such a service.

Results
127 people received basic health checks; 27 were overweight and 20 had high blood pressure. Of the 102 tested for BBVs, 5 were Hep C +ive and 2 were Hep B +ive. A fifth of those tested for LTBI were positive. In total, 67 Hepatitis B and 12 seasonal-flu vaccinations were given. 12 people required GP registrations. Primary and secondary care referrals were made.
Following the pilot, services will provide wrap around care for Northamptonshire’s homeless. Clinics at various times and locations will enable homeless people to engage with health and social services.

Lessons
Difficult to stratify the homeless and identify needs This innovative project was used as a case study by other areas Published data underestimates numbers of homeless Allow Adequate preparation for such events Consider health and safety risk assessment of venues during planning Staff continuity ensures consistent team working Dedicated communications lead support required

Key messages
Wraparound health promoting services are required to enable this cohort of population to engage with and seek health and social care. A multisectoral approach is required to improve and address inequalities of vulnerable groups.
School children’s perspectives on food literacy as competencies – insights from a qualitative study
Authors: Ljungmann C , Stjernqvist N , Bonde A 
Published: November 2019

Abstract

Background
Food literacy (FL) has developed as a relatively new theoretical concept, which according to Benn (2014) captures not only knowledge about healthy food (to know) and cooking skills (to do), but also the sensing of food (to sense), care of others (to care) as well as citizenship involvement in food issues (to want). Empirical studies of the concept are, however, few. The aim was to test the applicability of the 5 theoretical competencies of food literacy in school children aged 12-14 years.

Methods
The operationalisation of the theory into a practical context occurred in three steps using a qualitative approach; 1) Concretizing the domains of the model by defining sub elements to each domain and questions to each sub element. 2) Reviewing questions by a panel of 10 experts in food and education, and subsequently adjusting and reducing according to comments. 3) Conducting participatory observations on a food camp and 4 focus group interviews with a total of 21 school children.

Findings
In practice the competencies are often complementing each other as described by the theory. In relation to the competence ’to know’, the children argued how they achieved more knowledge through hands-on activities. An important element of the competence ’to do’ was getting support from adults when trying new techniques. ’To sense’ was illuminated in the children’s talks about learning to seasoning. ’To care’ was apparent in the children’s appreciation of making food together and the development of cooperation skills while ’to want’ was observed in making of leftovers into “new” dishes and talks on subjects such as food production.

Conclusions
The 5 competencies can be found in everyday practices and are often complementing each other in a learning process. This highlights the need to build on a broad concept of food literacy that addresses more than one competence hence creating broader understandings and practical skills.

Key messages
This study has tested the applicability of a theoretical concept, food literacy, and has found it useful in practice to highlight specific competencies and their interconnectedness. The insights into practical examples of the interconnected competencies can be used to guide future interventions that aims to promote food literacy.
Internalization of rules and risk-behavior among early adolescents and relevance for public health
Authors: Benka J , Orosova O , Bacikova-Sleskova M 
Published: November 2019

Abstract

Introduction
Self-determination theory (SDT) is a macro theory of human behavior and provides a substantial theoretical background for understanding and changing qualitative aspects of behavioral regulation such as the level of internalization in the context of health-related behaviors of individuals and communities. The aim of this study is to use this theory to focus on the internalization of parental rules in early adolescents in Slovakia and examine it in relation to their risk behavior.

Methods
A sample of 581 early adolescents (mean age = 12.5 SD = 0.5; 49% girls) from Slovakia participated in a larger project focusing on health-related behaviors (APVV-0253-11, APVV-15-0662). They completed measures based on SDT addressing the level of internalization or parental rules and the risk behaviors of alcohol use and smoking. These risk behaviors were measured on a dichotomous level (used/ not used). Binary logistic regressions were used to explore the relationship between the level of the internalization of rules with respect to alcohol use and smoking controlling for the relevant variables.

Results
The results of the analyses showed that after controlling for age and gender, internalized parental rules were negatively associated with alcohol use (95%CI=0.918-0.981). Conversely, the extrinsic regulation of parental rules indicated a higher likelihood of using alcohol (95%CI=1.039-1.151). However, this was not observed in smoking which was found to not be associated with rule internalization.

Conclusions
The findings stress the importance and relevance of the internalization process when studying behavioral regulation in the context of health. This was demonstrated in the internalizing of parental rules among early adolescents. However, the findings also suggest that a different approach might be needed with different contexts and different health related behaviors.

Key messages
Acknowledging the importance of the qualitative aspects of self/behavioral regulation such as the level of internalization may improve public health interventions. A different approach might be needed when internalization is considered in different contexts and different health related behaviors.