Health Promotion Practice

Translating evidence-based intervention in public health is important to improve health behaviors and other outcomes and reduce health disparities. Culturally adapting intervention is one approach to reaching different cultural groups. The goals of this paper were to compile definitions of program adaptations, identify processes and steps in cultural adaptations, and pose recommendations for future research related to cultural adaptations. We performed a scoping review of cultural adaptation frameworks or models for public health. Studies were coded for definitions of adaptation, cultural adaptation, other cultural concepts, process steps, community engagement, and public health topic. We found 15 frameworks that described cultural adaptation concepts and processes, and nine had varying definitions of cultural adaptations. All frameworks included tasks of information gathering about the community and developing a preliminary adapted program; over 50% had making refinements to the adapted program after some pilot testing. Only one framework mentioned the role of experts in the adaptation or enhancement process, and one mentioned dissemination. Thirteen articles (86.7%) reported the inclusion of community engagement in the adaptation process. These data present key definitions related to cultural adaptation and themes related to the process of cultural adaptation. We also report on key steps for conducting cultural adaptations. Findings can be utilized to guide future adaptations of evidence-based interventions to ensure culturally competent research and practice.

Jerik Leung

Swathi Sekar

Lillian Madrigal

Cam Escoffery

A Scoping Study of Cultural Adaptation Frameworks

文化适应框架的初步研究

Background. Rural schoolchildren outpace their urban counterparts in obesity and diet-related chronic disease rates. Educating students on nutrition basics may help reduce these health burdens in this focus population. Rural schoolteachers are ideally positioned to teach students about nutrition; however, to teach nutrition, one must first understand basic nutrition concepts. The nutrition literacy and knowledge of rural schoolteachers, as well as strategies to and barriers for integrating nutrition into rural classrooms, are understudied. Examining these topics may provide a deeper understanding of nutrition education in rural schools. Methods. Data were collected via an online survey of K–12 teachers ( n = 153) from seven Midwestern rural school districts. This survey collected data on nutrition literacy, nutrition knowledge, and preferred methods for implementing nutrition education into current curricula. Descriptive statistics were reported; associations between nutrition literacy and knowledge were examined. Results. Nutrition literacy levels were borderline low (mean score 45.7 out of 64). Nutrition knowledge and literacy were associated ( p &lt; .001). Most teachers ( n = 108, 70%) were/may be willing to change lessons to incorporate nutrition information, with hands-on and group activities being preferred strategies. Barriers to including nutrition information into curricula included lack of time, knowledge, and resources. Most teachers reported little support from administration for promoting nutrition in the classroom. Discussion. Implementing nutrition education into teachers’ continuing education requirements may provide a means of improving teacher nutrition literacy and knowledge. Support from both state-level and local administration could benefit both nutrition knowledge acquisition by schoolteachers and implementation of nutrition education throughout the curriculum.

Nicholas J. Marchello

Matthew Chrisman

Mary Hastert

Anita Skarbek

Patricia Endsley

Jamee Hagen

An Assessment of Rural Midwestern Schoolteachers’ Nutrition Literacy and MyPlate Knowledge: Implications for Current Practice and Policy

中西部农村学校教师营养素养及MyPlate知识评估：对当前实践和政策的启示

Background. Providing youth the opportunity to express their attitudes toward and recommendations for improvement of a home-based physical activity (PA) program may help to improve engagement in virtual PA program activities. Youth voice is an often-overlooked component that may be necessary for understanding what contributes to low participation and may have important implications for long-term adherence. Purpose. Informed by Self-Determination Theory, this study aimed to formatively evaluate home-based exercise videos, incorporating youth feedback for improvement in the development of the videos. Methods. Youth participated in four (8-minute) PA videos varying in type (strength; cardio; mindfulness; sports skill). Youth accessed the videos and answered open-ended questions via an online survey. Data were analyzed using qualitative content analysis to identify emerging themes in responses. Results. Sixty-eight K-12 youth in the United States (52% girls; 38% non-White; 55% in K-5 grade; 17% in 6–8 grade; 28% in 9–12 grade) participated in this study. Overall, 61.9% of affective responses were positive, with mindfulness rating the highest and strength the lowest. Children were satisfied with the video structure, enjoyed having an opportunity to move at home and reported liking the engaging instructors. Suggestions were also given related to modifying video length, adding modifications for varying fitness levels, adding more kid-like features, and providing incentives. Conclusions. Youth recommendations may be used to create tailored adaptations and implementation supports for PA programs in the home. Findings from this study demonstrate that incorporating youth voice may be an important step toward increasing engagement in home-based PA programming.

Lexie R. Beemer

Wendy Tackett

Dominique Kinnett-Hopkins

Thomas Templin

Alison Miller

Leah E. Robinson

Andria B. Eisman

Rebecca E. Hasson

The Centering of Youth Voice in the Development of a Virtual, Instructor-Led Physical Activity Program

虚拟引导式体育活动项目中青年声音的中心化

Returning to campus after remote learning during the COVID-19 pandemic, many of us were excited about participating in interactive, hands-on health promotion for students. In response, our Office of Wellness Promotion planned a student health and well-being expo in partnership with the university’s College of Health Sciences (CHS). Faculty were invited to involve their students in the delivery. Student groups were encouraged to deliver health education in an interactive format. The event was open to the campus community, and participants were able to further their knowledge and skills in health and well-being topics. The student health and well-being expo was the first of its kind at the university, where students could learn with and from their peers and share their skills in many dimensions of wellness. The interactive nature of the activities allowed participants to practice health promotion skills and engage a diverse audience. Analysis of program evaluation data yielded overwhelmingly positive results, with most attendees considering the expo an innovative campus activity that fulfilled a need. Specifically, the interactive nature, peer learning, and incentives were aspects of the event students want to see return in future iterations of the expo.

Rebecca Rich

Leah Frantz

Zeinab Baba

Heather Edelblute

Jayme L. Trogus

Peer Learning in a College Student Health and Well-Being Expo: Together Again After Returning From Remote Learning

大学生健康与福祉博览会中的同伴学习：远程学习归来后的再次相聚

Low racial/ethnic diversity among public health academics undermines our research, teaching, and practice. One important step for addressing this problem is to increase the diversity of applicant pools for open faculty positions. In this commentary, we share our experience conducting a tenure-track faculty search at a large public university. Through consultation with leaders within and beyond our school, we identified strategies to maintain a diverse pool of applicants across the search process. These strategies were to (a) convene and train well-rounded teams, including equity advocates, (b) write and advertise job announcements to welcome diverse applicants, (c) set and monitor data-informed diversity goals, and (d) evaluate applicants equitably. For each strategy, we share available data and resources. Although much work remains, search committees can benefit from emerging best practices in hiring to recruit applicants who better reflect the vibrant diversity of the students and communities that public health seeks to serve.

Patsy M. Polston

Sarah D. Kowitt

Deborah Baron

Eliana G. Armora Langoni

Kathryn E. Muessig

Melissa B. Gilkey

Searching for Equity: Strategies for Enhancing Racial/Ethnic Diversity in Applicant Pools for Public Health Faculty Searches

寻找公平：提升公共卫生学院招聘申请者中种族/民族多样性的策略

Local government is well placed to provide leadership for the national ambition in England to halve childhood obesity by 2030 and has delegated authority for many policies thought necessary for effective action. However, with currently constrained local government finances, resources may not be prioritized for the wide range of policies and interventions necessary. Thus, local political commitment is vital for directing local government investment to tackle the issue. This qualitative study investigated how political commitment has been demonstrated in local government, the strategies used to build such political commitment, and the role of the public health workforce. Public health staff from 13 local authorities participated in semi-structured telephone interviews using questions informed by a conceptual framework composed of five previously defined levels of political commitment: rhetorical, institutional, operational, embedded, and system-wide. Thematic analysis showed that public health officers secured a political commitment by framing childhood obesity in line with existing priorities to build support among councillors in a position to advocate for the issue. Public health officers also engaged with multiple stakeholders, gathering data and insights to develop operational and embedded commitment. The study shows that effective health promotion practice requires a skilled and committed public health workforce, acting as policy entrepreneurs to secure system-wide political commitment in local government by proactively navigating local governance and policy processes, to build in opportunities for feedback and accountability.

Ravita Taheem

Kathyrn Woods-Townsend

Wendy Lawrence

Janis Baird

Keith M. Godfrey

Debbie Chase

Mark A. Hanson

The Role of the Public Health Workforce in Securing Political Commitment for Tackling Childhood Obesity in Local Government

公共卫生队伍在确保地方政府解决儿童肥胖问题的政治承诺中的作用

短名	Health Promot. Pract.
Journal Impact	1.66
国际分区	PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH(Q3)

ISSN	1524-8399, 1552-6372
h-index	61

涉及主题	医学政治学法学心理学护理部经济病理社会学经济增长公共卫生医疗保健环境卫生生物公共关系计算机科学业务精神科医学教育老年学人类学健康促进数学哲学内科学
出版信息	出版商: SAGE Publications Inc.，出版周期: ，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 2000，原创研究文献占比: 97.39%，自引率:12.50%， Gold OA占比: 12.97%

Health Promotion Practice

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A Scoping Study of Cultural Adaptation Frameworks

An Assessment of Rural Midwestern Schoolteachers’ Nutrition Literacy and MyPlate Knowledge: Implications for Current Practice and Policy

The Centering of Youth Voice in the Development of a Virtual, Instructor-Led Physical Activity Program

Peer Learning in a College Student Health and Well-Being Expo: Together Again After Returning From Remote Learning

Searching for Equity: Strategies for Enhancing Racial/Ethnic Diversity in Applicant Pools for Public Health Faculty Searches

The Role of the Public Health Workforce in Securing Political Commitment for Tackling Childhood Obesity in Local Government

Peer Learning in a College Student Health and Well-Being Expo: Together Again After Returning From Remote Learning

Searching for Equity: Strategies for Enhancing Racial/Ethnic Diversity in Applicant Pools for Public Health Faculty Searches

An Assessment of Rural Midwestern Schoolteachers’ Nutrition Literacy and MyPlate Knowledge: Implications for Current Practice and Policy

The Centering of Youth Voice in the Development of a Virtual, Instructor-Led Physical Activity Program