Open Access Articles - Health Behavior and Policy Review

The Role of Health Literacy in Patient-Physician Communication: A Scoping Review

A Fast Track Open Access article published in the Health Behavior and Policy Review Journal.

Authors:

Sandra D. Vamos, EdD
Michelle E. Vine, PhD, CE
Ian D. Gordon, MLS, MEd
Domenic F. Alaimo, MPH

Objective:

Our objective was to explore the influence of health literacy on patient-physician communication.

Methods:

We conducted a scoping review of academic papers using PRISMA guidelines and guidance from the Joanna Briggs Institute. We explored health literacy competencies in studies by examining methods used to evaluate the effectiveness of patient-physician communication and identifying barriers and facilitators to communication in the broader context of relevant health literacy domains.

Results:

In total, we identified 51 papers that met inclusion criteria. Barriers to effective patient-physician communication were physicians’ lack of understanding of patients’ health literacy capacity, changes in healthcare delivery (time constraints and transforming technology due to COVID-19), and language barriers. Facilitators to communication included patient health literacy level, patient trust in the patient-physician relationship leading to decision-making, telehealth/digital health services, health literacy tools, and patient education materials.

Conclusions:

Future research, policy, and practice should aim for comprehensive assessment of all health literacy domains crucial for patient-physician communication. Delineating health literacy competencies is essential given increasing emphasis on technological resources in healthcare, culturally and linguistically appropriate care in multicultural societies, and addressing service backlogs precipitated by the COVID-19 pandemic. Findings may inform educational programs focused on health literacy.

Source: Health Behavior and Policy Review
Publisher: Paris Scholar Publishing Ltd.
Article Link: https://www.ingentaconnect.com/content/psp/hbpr/pre-prints/content-psp_hbpr_11412

Steven Rowe2024-09-11T16:33:44-06:00September 11th, 2024|Health Literacy|

Driving Innovative Healthcare Reform through Meta-governance Strategies

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A Fast Track Open Access article published in the Health Behavior and Policy Review Journal.

Authors:

Intan Fitri Meutia, PhD
Devi Yulianti, MA
Bayu Sujadmiko, PhD

Objective:

This study explores the transformative potential of innovation in public sector governance, specifically within the healthcare sector, through meta-governance strategies.

Methods:

Employing qualitative case study methodology, the study thoroughly analyzes the impact of Bandar Lampung’s free health service program. Drawing from interviews, documents, and observations, the research highlights the critical influence of meta-governance in guiding innovation within the healthcare sector.

Results:

The findings contribute significantly to our understanding of public sector innovation, emphasizing the importance of meta-governance in fostering transformative change.

Conclusions:

By highlighting technological advancements in Bandar Lampung, this study offers actionable insights for policymakers, practitioners, and scholars to enhance public service delivery and promote societal progress through innovation.

Source: Health Behavior and Policy Review
Publisher: Paris Scholar Publishing Ltd.
Article Link: https://www.ingentaconnect.com/content/psp/hbpr/pre-prints/content-psp_hbpr_1141

Steven Rowe2024-09-11T16:27:08-06:00September 11th, 2024|Healthcare Reform, Indonesia|

The Effects of Supervision and Activity Status on Physical Activity Participation with Activity Zoned Playgrounds in Elementary-Aged Children

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An Open Access article published in the Health Behavior and Policy Review Journal.

Authors:

Jillian L. Barnas, PhD
Travis Emerson, MS
Stephen D. Ball, PhD

Objective:

We compared changes in physical activity (PA) in active and inactive youth during school recess with supervised and unsupervised activity zoned playgrounds (AZP).

Methods:

We analyzed PA of 143 third-, fourth-, and fifth-graders from 2 elementary institutions using Actigraph-GT3X accelerometers for 4 weeks. We collected baseline data for one week prior to activity zoning. Afterwards, the playgrounds were divided into 6 activity zones for 2 weeks, with activity zones supervised at only one institution. Activity zones were removed, and PA data were collected for one-week post intervention.

Results:

We saw few differences in PA engagement between the supervision conditions throughout the duration of AZP implementation such that moderate and vigorous PA decreased with supervision (ps < .05). Initial activity status influenced PA engagement with AZP implementation. AZPs significantly reduced vigorous PA engagement in active kids with subsequent increases in light PA engagement, whereas PA engagement remained relatively unchanged among inactive children.

Conclusions:

Supervising AZP may be detrimental to PA engagement during recess; however, this could be dependent on the reliability of employed supervisors. Additionally, considerable attention is needed with activity development that will appease students of differing activity statuses and prevent decreases in higher intensity PA engagement.

Source: Health Behavior and Policy Review, Volume 11, Number 3, June 2024, pp. 1599-1612(14)
Publisher: Paris Scholar Publishing Ltd.
Article Link: https://doi.org/10.14485/HBPR.11.3.5

Steven Rowe2024-08-03T10:47:13-06:00July 24th, 2024|Physical Activity, School Health|

Effects of Activity-zoned Playgrounds on Social Skills, Problem Behavior, and Academic Achievement in Elementary-aged Children

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An Open Access article published in the Health Behavior and Policy Review Journal.

Authors:

Jillian L. Barnas, PhD
Travis Emerson, MS
Stephen D. Ball, PhD

Objective:

We assessed changes in social skill development, problem behaviors, and academic competencies with an acute implementation of an activity-zoned playground (AZP) during recess.

Methods:

Third- and fifth-grade students (N = 116) from 2 midwestern elementary institutions were selected to wear an accelerometer at recess and have their teacher complete a pre- and post-intervention assessment of the Social Skills Improvement System (SSIS). We measured physical activity (PA) using Actigraph-GT3X accelerometers for 4 continuous weeks: one week of baseline, 2 weeks of activity zone intervention, one week of post-intervention with activity zone removal.

Results:

The AZP intervention was effective at increasing MVPA with decreases in sedentary activity during recess for third-grade students whereas fifth-grade students showed no significant change in PA (ps < .001). Furthermore, third-grade children improved their social skill scores by 3% (p = .003), but no change in social skill behavior was noted for fifth-grade students (p = .73); we detected no differences in problem behaviors or academic competence (ps > .05).

Conclusions:

Activity-zoned playgrounds can improve PA engagement and can lead to improvements in social skill development without worsening problem behaviors, especially in younger students.

Source: Health Behavior and Policy Review, Volume 11, Number 3, June 2024, pp. 1587-1598(12)
Publisher: Paris Scholar Publishing Ltd.
Article Link: https://doi.org/10.14485/HBPR.11.3.4

Steven Rowe2024-08-03T10:44:21-06:00July 24th, 2024|Physical Activity, School Health|

Internalized Homonegativity is Indirectly Associated with Smoking Status through Somatic Anxiety

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An Open Access article published in the Health Behavior and Policy Review Journal.

Authors:

Ty A. Robinson, EdM
Nathan Grant Smith, PhD
Ezemenari M. Obasi, PhD
Lorraine R. Reitzel, PhD, FAAHB, FSRNT

Objective:

In this study, we examined how internalized homonegativity (IH), a non-adaptive cognitive response to lesbian, gay, and bisexual (LGB) minority stressors, related to the manifestation of somatic anxiety symptoms and reduced the likelihood of being a former smoker.

Methods:

Participants (N = 77) smoked ≥ 100 cigarettes in their lifetime, some of whom successfully quit their use (N = 23 former smokers). The Lesbian, Gay, and Bisexual Identity Scale and the State-Trait Inventory for Cognitive and Somatic Anxiety were used to assess IH and somatic anxiety.

Results:

Current smokers experienced higher IH rates than former smokers (former = 0, current = 1; b = .65, p < .05). IH was positively associated with somatic anxiety (b = .17, p < .001), and the association between IH and smoking status was mediated through somatic anxiety (b = .17; CI = [.0002, .6539]).

Conclusions:

One’s experience with IH may be a risk factor for psychological distress and continued smoking. Current findings can aid in the development of future longitudinal or experimental studies to examine the causality between IH and somatic anxiety and include confounding variables.

Source: Health Behavior and Policy Review, Volume 11, Number 3, June 2024, pp. 1549-1557(9)
Publisher: Paris Scholar Publishing Ltd.
Article Link: https://doi.org/10.14485/HBPR.11.3.1

Steven Rowe2024-08-03T10:45:09-06:00July 2nd, 2024|Tobacco|

Perceived Impact and Feasibility of Health Equity Policy Actions among Obesity Practitioners, Researchers, and Policymakers

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A Fast Track Open Access article published in the Health Behavior and Policy Review Journal.

Authors:

Alexandra B. Morshed, PhD
Valerie Madas, MPH
Sarah J. Kang, MPH
Fanice Thomas, PhD
Rachel G. Tabak, PhD
Ian Thomas, PhD
Mary C. Politi, PhD
Amy A. Eyler, PhD
Debra Haire-Joshu, PhD
Elizabeth A. Dodson, PhD
Edward Tsai, PhD
Renee G. Parks, MS
Ross C. Brownson, PhD

Objective:

There is a broad array of health equity policy actions that may be important for addressing social determinants of obesity. The objective of this study was to identify local policy actions most salient for addressing health equity among practitioners, policymakers, and researchers active in obesity.

Methods:

We surveyed 195 participants in August-November 2020, including US public health practitioners, local policymakers, and researchers active in obesity policy or health equity. We asked them to select the most important health equity policy actions and rate them for potential impact and feasibility.

Results:

Living wage and access to early education scored highly across 3 dimensions of importance, potential impact, and feasibility among 3 of the 4 groups – local public service employees and policymakers, academics, and others. Local public service employees and policymakers also rated expanded childcare and job/skills training programs highly across all 3 dimensions. Respondents rated policy actions higher for potential impact than feasibility.

Conclusions:

We present novel, timely findings for prioritizing health equity policy actions for addressing obesity at the local level. Several policy actions not typically considered in obesity research were identified as salient by groups relevant to local obesity policymaking.

Source: Health Behavior and Policy Review, Volume 11, Number 2, April 2024, pp. 1539-1548(10)
Publisher: Paris Scholar Publishing Ltd.
Article Link: https://doi.org/10.14485/HBPR.11.2.5

Steven Rowe2024-06-13T15:36:40-06:00May 31st, 2024|Health Equity|

The Wellbeing of Rural K-12 Educators: Applying PERMA in Rural Schools during the COVID-19 Pandemic

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A Fast Track Open Access article published in the Health Behavior and Policy Review Journal.

Authors:

Benjamin C. Ingman, PhD
Elizabeth Anderson, PhD
Sandra Bertram Grant, MEd
Elaine S. Belansky, PhD

Objective:

In this paper we describe the status of wellbeing for school personnel in the 2021-22 school year through the PERMA framework and the extent to which the COVID-19 pandemic adversely impacted dimensions of wellbeing.

Methods:

We administered the workplace wellbeing survey (a quantitative instrument based on PERMA) to school staff members in a rural/frontier region of a western state of the United States. Overall, 777 persons completed it, including 463 teachers from 23 school districts.

Results:

PERMA constructs of meaning and accomplishment were higher than other constructs and may serve as an anchor for wellbeing in education. Teachers showed lower levels of positive emotion, engagement, and accomplishment, when compared to nonteachers in schools. When compared with non-Hispanic personnel, Hispanic personnel had lower levels of wellbeing in the domain of relationships and reported a more severe adverse impact from the COVID-19 pandemic on both social and physical wellbeing.

Conclusions:

Adopting a more nuanced view of educator wellbeing, as defined by more than the mere absence of burnout and attrition is critical to fostering educational practices that promote the flourishing of school personnel.

Source: Health Behavior and Policy Review
Publisher: Paris Scholar Publishing Ltd.
Article Link: https://www.ingentaconnect.com/content/psp/hbpr/pre-prints/content-psp_hbpr_1124

Steven Rowe2024-05-31T09:58:23-06:00May 30th, 2024|COVID19, Rural Health, School Health|

A Reflection on 10 Years of Health Behavior and Policy Review

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An Open Access article published in the Health Behavior and Policy Review Journal.

Authors:

Robert J. McDermott, PhD
Annie L. Nguyen, MPH, PhD

Objective:

In this historical brief about the journal, we examine the original and future intentions of Health Behavior and Policy Review as a contributor to the scholarly literature and look back at some of the challenges faced by academic journals.

Methods:

We review the purpose and principles upon which the journal was founded and offer some of the journal’s highlights of the past decade.

Results:

We report some specific benchmarks of achievement – notably major coverage of historically relevant and emerging public health issues, linkage with World Health Organization and Healthy People 2030 objectives, articulation of health behavior and policy, and recognition of the journal’s impact factor and rank among peer journals in social sciences and humanities.

Conclusions:

The journal has evolved into an outlet for reporting the results of scientific research and learned opinion that is international in scope.

Source: Health Behavior and Policy Review, Volume 11, Number 1, February 2024
Publisher: Paris Scholar Publishing Ltd.
Article Link: https://doi.org/10.14485/HBPR.11.1.7

Steven Rowe2024-03-27T15:56:25-06:00March 27th, 2024|Health Policy, Healthy People 2030|

Total vs Partial Workplace Tobacco Use Bans in Texas Behavioral Health Centers: Employees’ Perceptions Related to Best Practices Implementation

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An Open Access article published in the Health Behavior and Policy Review Journal.

Authors:

Sriya N. Kakarla & Noor Shabaneh (Authors contributed equally)
Midhat Z. Jafry, BS
Maggie Britton, PhD
Anastasia Rogova, PhD
Brian J. Carter, JD
Tzuan A. Chen, PhD
Isabel Martinez Leal, PhD
Bryce Kyburz, MA
Teresa Williams, MS
Lorraine R. Reitzel, PhD

Objective:

Tobacco-free workplace policies (TFWPs) at behavioral health treatment centers can curb clients’ tobacco use and secondhand smoke/vape exposure. However, there is little extant observational research about how total versus partial workplace tobacco use bans are associated with employees’ perceptions of best tobacco-related practices in behavioral health centers. Little is understood about the relationship between total or partial TFWPs and other factors that influence evidence-based client care including employees’ beliefs and their tobacco treatment practices. In this study, we examined these associations within Local Mental Health Authorities (LMHAs) providing behavioral healthcare throughout Texas.

Methods:

Employees from 30 of 39 LMHAs (> 75% of Texas’ statewide service area) responded to a 2021 survey on their TFWP characteristics. We explored associations between the TFWP (total vs partial) and variables of interest using independent proportions tests (p < .10).

Results:
LMHAs with total TFWPs reported clearer signage, more consistent enforcement, and greater client, contractor, and visitor awareness (ps = .013 to .078). They were also more likely to offer tobacco screening training, promote the Quitline, and believe in the benefits of concurrent treatment of behavioral health needs and tobacco use (ps = .024 to .079).

Conclusions:

LMHAs with partial TFWPs had weaknesses in communication, enforcement, awareness, and greater barriers to tobacco use care. There are opportunities for collaboration between LMHAs to share policies and care-facilitation practices to reduce the research-to-practice gap and resultant tobacco use inequities statewide.

Source: Health Behavior and Policy Review, Volume 11, Number 1, February 2024
Publisher: Paris Scholar Publishing Ltd.
Article Link: https://doi.org/10.14485/HBPR.11.1.4

Steven Rowe2024-03-27T15:36:38-06:00March 22nd, 2024|Tobacco|

Improving Water Consumption in Underserved Elementary Schools: Implementation and Evaluation of a School-based Hydration Initiative

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An Open Access article published in the Health Behavior and Policy Review Journal.

Authors:

Kristina L. Tatum, PsyD
Jessica Gokee LaRose, PhD
Danyel I. Smith, PhD
Mary Dunne Stewart, MSW
Elizabeth Theriault, MPH, MSW
Melanie K. Bean, PhD

Objective:

Our objective was to evaluate the feasibility and effectiveness of a school-based hydration initiative in elementary schools.

Methods:

Hydration initiative included (1) placement of hydration stations, (2) promotional and educational activities during “Water Week,” and (3) provision of reusable water bottles. Surveys were administered at baseline and follow-up to assess student beverage intake and perceptions about the school’s environmental hydration policies and practices. Water bottle fills were assessed objectively at baseline, post-Water Week, and followup via weekly counts from hydration stations.

Results:
Water use increased post-Water Week (2.97±2.14), declining to 0.71±0.47 2 weeks later. At follow-up, frequency of soda consumption decreased (-.01 times/day; p < .001), self-reported water refill station use increased (p = .011), and a decrease (-.04 cups/day) in overall daily water intake (p = .043). At follow-up, there was an increase in the percentage of school personnel who reported their school promoted water as the best choice (p = .039). Students and teachers reported positive attitudes towards hydration stations, with some concerns about water bottle use in classrooms.

Conclusions:

The intervention reduced soda consumption and improved school hydration culture. Results can inform hydration policy and programming efforts for elementary school students.

Source: Health Behavior and Policy Review, Volume 11, Number 1, February 2024
Publisher: Paris Scholar Publishing Ltd.
Article Link: https://doi.org/10.14485/HBPR.11.1.6

Steven Rowe2024-03-27T15:54:54-06:00March 15th, 2024|School Health|

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