Development and validation of an instrument to assess institutionalization of health promotion in faith-based organizations

Institutionalization of health promotion interventions occurs when the organization makes changes to support the program as a component of its routine operations. To date there has not been a way to systematically measure institutionalization of health promotion interventions outside of healthcare settings. The purpose of the present study was to develop and evaluate the initial psychometric properties of an instrument to assess institutionalization (i.e., integration) of health activities into faith-based organizations (i.e., churches). This process was informed by previous institutionalization models led by a team of experts and a community-based advisory panel. We recruited African American church leaders (N = 91) to complete a 22-item instrument. An exploratory factor analysis revealed four factors: 1) Organizational Structures (e.g., existing health ministry, health team), 2) Organizational Processes (e.g., records on health activities; instituted health policy), 3) Organizational Resources (e.g., health promotion budget; space for health activities), and 4) Organizational Communication (e.g., health content in church bulletins, discussion of health within sermons) that explained 62.3 % of the variance. The measure, the Faith-Based Organization Health Integration Inventory (FBO-HII), had excellent internal consistency reliability (α = .89) including the subscales (α = .90, .82, .81, and .87). This measure has promising initial psychometric properties for assessing institutionalization of health promotion interventions in faith-based settings.     

Effective elements of care-physical activity initiatives for adults with a low socioeconomic status: A concept mapping study with health promotion experts

In care-physical activity (care-PA) initiatives, primary care and sports are combined to stimulate PA among adults at risk of lifestyle related diseases. Preliminary results from Dutch care-PA initiatives for adults with a low socioeconomic status (SES) indicate a decrease in participants’ body weight and an improved quality of life, however, the elements that make these initiatives successful are yet to be identified. In total, 19 Dutch health promotion experts participated in our concept mapping (CM) of the effective elements of care-PA initiatives for adults with a low SES. The experts identified 111 effective elements of these initiatives, which were grouped into 11 clusters, focusing on: 1) approaching participants within the care-PA initiative, 2) barriers experienced throughout the initiative, 3) long-term implementation, 4) customizing the care-PA initiative to the target population, 5) social support, 6) structure and guidance, 7) the professionals within the care-PA initiative, 8) the accessibility of the care-PA initiative, 9) targeted behaviour and progression, 10) recruitment and administration, and 11) intersectoral collaboration. CM was useful for creating a valuable overview of these effective elements. Our results could be used to improve the development and implementation of future care-PA initiatives for adults with a low SES.     

Best practices for online Canadian prenatal health promotion: A public health approach

Background

Prenatal health promotion provides information regarding pregnancy risks, protective behaviours and clinical and community resources. Typically, women obtain prenatal health information from health care providers, prenatal classes, peers/family, media and increasingly, Internet sites and mobile apps. Barriers to prenatal health promotion and related services include language, rural/remote location, citizenship and disability. Online public health platforms represent the capacity to reach underserved women and can be customised to address the needs of a heterogeneous population of pregnant women.

Proposing a model for promoting Children's Health in Early Childhood Education and Care Settings

This pilot study was conducted in one early childhood pre-school nursery setting in an area of high deprivation in England to explore the under-researched area of how practitioners promote the health of children. The research used an original tool, Child Health Promotion: A Toolkit for Early Childhood Education and Care Practitioners, containing a 5 Step Programme as a model to guide practitioners in identifying and implementing a health promotion activity. The findings will help to set the onward agenda for a larger scale study which will foreground the voices of practitioners and highlight the role that ECEC practitioners can play in promoting the health of children.     

工匠精神在当代应用型人才职业价值观的缺失与培育研究

工匠精神是当代职业教育中的重要理念，也是顺应时代发展需求，推进产业升级、经济转型的重要职业精神。文章围绕工匠精神的内涵、如何挖掘职业教育的工匠精神、如何将工匠精神纳入到当代职业人才价值观培育实践中等问题展开论述，并提出积极的建议和对策。     

基于混合CVaR的供应链绿色研发-广告决策与协调机制研究

针对消费者绿色偏好异质性而引发产品需求不确定性的情形，构建了基于混合CVaR准则的绿色供应链双层风险决策模型，研究了一个具有不同风险态度制造商与一个具有不同风险态度零售商所组成供应链的最优绿色研发投入及广告宣传水平等决策问题，分析了成员不同风险态度对供应链相关决策的影响。在此基础上，提出一个基于风险补偿的双向成本分担契约协调机制，并给出实现供应链协调的合理转移支付区间，最后通过数值分析验证该协调机制的有效性。结果表明，无论供应链成员表现为何种风险态度，该契约均能实现供应链协调，并且对由风险规避制造商与风险追逐零售商所组成的供应链协调效果最为显著。     

Breaking through the silence in antenatal care: Fetal movement and stillbirth education

BackgroundFetal movements are a key indicator of fetal health. Research has established significant correlations between altered fetal activity and stillbirth. However, women are generally unaware of this relationship. Providing pregnant women with information about the importance of fetal movements could improve stillbirth rates. However, there are no consistent fetal movements awareness messages globally for pregnant women.AimsThis study aimed to explore the antenatal care experiences of Australian mothers who had recently had a live birth to determine their knowledge of fetal movements, the nature and source of that information.MethodsAn online survey method was used for 428 women who had a live birth and received antenatal care in Australia. Women’s knowledge of fetal movements, stillbirth risk, and the sources of this knowledge was explored.FindingsA large proportion of participants (84.6%; n = 362) stated they had been informed by health care professionals of the importance of fetal movements during pregnancy. Open-ended responses indicate that fetal movements messages are often myth based. Awareness that stillbirth occurs was high (95.2%; n = 398), although, 65% (n = 272) were unable to identify the current incidence of stillbirth in Australia.ConclusionWomen who received antenatal care have high-awareness of fetal movements, but the information they received was inconsistent. Participants knew stillbirth occurred but did not generally indicate they had obtained that knowledge from health care professionals. We recommend a consistent approach to fetal movements messaging throughout pregnancy which focuses on stillbirth prevention.     

Longitudinal Mediators of Relations Between Family Violence and Adolescent Dating Aggression Perpetration

Few longitudinal studies have examined the pathways through which family violence leads to dating aggression. In the current study the authors used 3 waves of data obtained from 8th‐ and 9th‐grade adolescents (N = 1,965) to examine the hypotheses that the prospective relationship between witnessing family violence and directly experiencing violence and physical dating aggression perpetration is mediated by 3 constructs: (a) normative beliefs about dating aggression (norms), (b) anger dysregulation, and (c) depression. Results from cross‐lagged regression models suggest that the relationship between having been hit by an adult and dating aggression is mediated by changes in norms and anger dysregulation, but not depression. No evidence of indirect effects from witnessing family violence to dating aggression was found through any of the proposed mediators. Taken together, the findings suggest that anger dysregulation and normative beliefs are potential targets for dating abuse prevention efforts aimed at youth who have directly experienced violence.     

试析“秘书问题”的本质及解决路径

“秘书问题”是20世纪90年代出现的一个具有特殊含义的词语，主要指存在于部分秘书身上的晋升快、越权干政、贪污腐败和领导权力掮客等负面现象。其实“秘书问题”与领导问题息息相关，与领导权力寻租、权力失控有密切的关系。要解决“秘书问题”，可从加强领导权力制约和运行监管、健全秘书使用监管机制、培育秘书信念道德三条途径入手，关键是有效制约领导权力。     

网络反腐视角下政府信息公开存在的问题及完善路径

政府信息公开在网络反腐中具有重要的意义和作用，其不仅能够加强公民对政府权力的监督和制约，保障公民的监督权和知情权，而且有利于政府深入开展反腐败工作，树立廉洁形象，有效地预防和遏制腐败。目前，政府信息公开在网络反腐中还存在着许多问题：如政府机构信息公开意识淡薄，对网络反腐存在抵触心理；政府机构滥用自由裁量权，垄断网络信息资源；信息公开质量不高，形式主义严重；政府网站建设存在不足，公开内容和方式需要完善等。为保证政府信息公开在网络反腐中的有效实施，应加快网络反腐立法建设、推行官员财产网上公开、加强政府网站平台建设、积极开通政府微博、不断改进网络发言人公开方式，从而推进网络反腐的进程。