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5 Non-Obvious Questions Raised By Pew Internet's Health Online 2013 Study

5 Non-Obvious Questions Raised By Pew Internet's Health Online 2013 Study | Health promotion. Social marketing | Scoop.it

Pew’s research is very important to us, as it has had a major influence on digihealth pulse, our ongoing tracking study of active digital health consumers (and our previous digihealth pulse research on online moms and health providers).

While coverage of this study has been plentiful, there are a number of what I call non-obvious questions raised by Pew’s current and previous research that we have been investigating and thinking about for some time.

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Health promotion. Social marketing
Health promotion: marketing sociale, comunicazione, salute, ambiente, disuguaglianze sociali.
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eHealth Promotion: Social media "Patient included"

#e-HealthPromotion: social media “Patient included” Giuseppe Fattori Laboratorio promozione della salute: organizzazione, nuovi media, indicatori.


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Why won’t they participate? Barriers to participation in worksite health promotion programmes

Why won’t they participate? Barriers to participation in worksite health promotion programmes | Health promotion. Social marketing | Scoop.it
Abstract

Research suggests that worksite health promotion (WHP) programmes, and specifically health risk assessment (HRA) surveys and health education workshops, can be effective in enhancing employees’ health. However, 50–75% of employees choose not to participate when offered the opportunity to do so. The reasons for nonparticipation and the characteristics of nonparticipants have largely been overlooked. Building on premises of Conservation of Resources (COR) theory, we hypothesize that nonparticipation results from lack or loss of resources, or from the perceived low value of resources. These barriers to participation are expected to be related to employees’ characteristics and beliefs (termed implicit barriers) and reflected in employees’ self-reported reasons for nonparticipation (termed explicit barriers). We surveyed a large random sample of participants and nonparticipants in a WHP programme (= 1926 employees), which included two steps: a HRA survey and a health education workshop. Participants completed an anonymous web-based questionnaire. Implicit and explicit barriers that reflect resource availability (e.g., age, health status) and valuation (e.g., low value of making a lifestyle change) were identified. The magnitude and nature of these barriers differed between the HRA survey and the workshop. We discuss how future research on WHP programmes can build on these findings and propose practical implications for reducing nonparticipation.

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Young physicians should be on Twitter. Here's why.

Young physicians should be on Twitter. Here's why. | Health promotion. Social marketing | Scoop.it
Therefore, fellow young health care professionals, I am eagerly awaiting to learn and engage with you via Twitter.

Via Philippe Marchal/Pharma Hub
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Global Survey Says We're Eating Better, But Our Diet Is Still Unsustainable

Global Survey Says We're Eating Better, But Our Diet Is Still Unsustainable | Health promotion. Social marketing | Scoop.it
More people are eating local and organic foods, but the planetary diet still is not sustainable.
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Peer navigation in African American breast cancer survivors. - PubMed - NCBI

Results support current literature indicating that AA women who have survived breast cancer can be an important source of support, knowledge, and motivation for those completing breast cancer treatment. Areas for future research include standardization of training and larger randomized trials of PN intervention.
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Quality of life over 5 years after a breast cancer diagnosis among low-income women: Effects of race/ethnicity and patient-physician communication.

Abstract
BACKGROUND:

The current study was performed to identify risk factors for a lower quality of life (QOL) among low-income women withbreast cancer (BC), with an emphasis on the impact of patient-physician communication. In addition, ethnic/racial group differences in QOL changes over time were examined.

METHODS:

A longitudinal study was conducted among 921 low-income women with BC. Patients were interviewed at 6 months, 18 months, 36 months, and 60 months after their diagnosis of BC. Mixed-effect regression models were performed to investigate predictors for and time effects on QOL. The main outcomes included the Medical Outcomes Study Health Survey Short Form-36 Mental Component Summary scale (SF-36 MCS), Medical Outcomes Study Health Survey Short Form-36 Physical Component Summary scale (SF-36 PCS), and the Ladder of Life scale. Chief independent variables included physician information-giving and patient self-efficacy in interacting with physicians.

RESULTS:

There were no significant changes noted over time in QOL except with regard to physical functioning, with survivors reporting a significant decrease over time (P<.0001). Mean SF-36 MCS and SF-36 PCS scores were lower than national general population norms at all time points. Both patient self-efficacy in interacting with physicians and physician information-giving were found to be positively associated with the SF-36 MCS (P = .03 and P = .02, respectively) and Ladder of Life (P = .01 and P = .03, respectively) scales. Latinas who were less acculturated reported higher SF-36 MCS and SF-36 PCS scores (P<.0001 and P = .01, respectively) and better global QOL (P<.0001) than white women.

CONCLUSIONS:

Low-income women with BC experienced poor physical and mental health. The results of the current study suggest that QOL among low-income women with BC would be enhanced by interventions aimed at empowering patients in communicating with physicians and increasing the amount of information provided by physicians. Cancer 2014. © 2014 American Cancer Society.

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Exercise interventions on health-related quality of life for people with cancer during active treatment - The Cochrane Library - Mishra - Wiley Online Library

This systematic review indicates that exercise may have beneficial effects at varying follow-up periods on HRQoL and certain HRQoL domains including physical functioning, role function, social functioning, and fatigue. Positive effects of exercise interventions are more pronounced with moderate- or vigorous-intensity versus mild-intensity exercise programs. The positive results must be interpreted cautiously because of the heterogeneity of exercise programs tested and measures used to assess HRQoL and HRQoL domains, and the risk of bias in many trials. Further research is required to investigate how to sustain positive effects of exercise over time and to determine essential attributes of exercise (mode, intensity, frequency, duration, timing) by cancer type and cancer treatment for optimal effects on HRQoL and its domains.

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Coca-Cola Leveraging Social To Drive Leadership in Social Media Marketing - Forbes

Coca-Cola Leveraging Social To Drive Leadership in Social Media Marketing - Forbes | Health promotion. Social marketing | Scoop.it
Co.Create
Coca-Cola Leveraging Social To Drive Leadership in Social Media Marketing
Forbes
Gone are the days when companies like Coca-Cola Coca-Cola could rest on their laurels and rely on their global brand image to capture market share.

Via craig lefebvre
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10 Ways Social Change Agents Can Use Storytelling To Engage Audiences | feliciapride

10 Ways Social Change Agents Can Use Storytelling To Engage Audiences | feliciapride | Health promotion. Social marketing | Scoop.it

Remember the last great story that you heard? Your community does too. So the question that social change agents should continually ask is, what story are we telling?

 

Wondering where to begin, or where to continue?  Read the full article to find out about these 10 ways social change agents can use storytelling as a valuable tool:

1. Amplify Challenging Causes

2. Give Your Issue a Face

3. Highlight Your Supporters

4. Tell Your Whys

5. Share Your Successes

6. Document the Event

7. Tell Stories through Social Media

8. Data Storytelling

9. Teach Storytelling

10. Invite Your Community to Share Their Story


Via Kim Zinke (aka Gimli Goose), craig lefebvre
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Effects of a Multidisciplinary Educational Rehabilitative Intervention in Breast Cancer Survivors: The Role of Body Image on Quality of Life Outcomes

Effects of a Multidisciplinary Educational Rehabilitative Intervention in Breast Cancer Survivors: The Role of Body Image on Quality of Life Outcomes | Health promotion. Social marketing | Scoop.it
Abstract

In breast cancer survivors, own body image may change due to physical and psychological reasons, worsening women's living. The aim of the study was to investigate whether body image may affect the functional and quality of life outcomes after a multidisciplinary and educational rehabilitative intervention in sixty women with primary nonmetastatic breast cancer who have undergone conservative surgery. To assess the quality of life was administered The European Organization for Research and Treatment of Cancer Study Group on Quality of Life core questionnaire, while to investigate the psychological features and self-image were administered the following scales: the Body Image Scale, the Hamilton Rating Scale for Depression, and the State-Trait Anxiety Inventory. To assess the recovery of the function of the shoulder were administered: the Disabilities of the Arm, Shoulder, and Hand Questionnaire and the Constant-Murley Score. Data were collected at the baseline, at the end of the intervention, and at 3-month follow-up. We found a general improvement in the outcomes related to quality of life, and physical and psychological features after treatment (P< 0.001). During follow-up period, a higher further improvement in women without alterations in body image in respect of those with an altered self-perception of their own body was found (P = 0.01). In conclusion, the body image may influence the efficacy of a rehabilitative intervention, especially in the short term of follow-up.

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Risk Factors for the Development of Uterine Cancer in Breast Cancer Survivors: An Army of Women Study


BACKGROUND:

Our study compares breast cancer survivors without a secondary diagnosis of uterine cancer (BC) to breast cancersurvivors with a diagnosis of uterine cancer (BUC) to determine clinical characteristics that increase the odds of developing uterine cancer.

METHODS:

A total of 7,228 breast cancer survivors were surveyed. A case-control study was performed with 173 BUC patients matched by age and race in a 1:5 ratio to 865 BC patients. Multivariable logistic regression examined which factors influence the odds of developing uterine cancer.

RESULTS:

A total of 5,980 (82.3 %) women did not have a previous hysterectomy at the time of breast cancer diagnosis, of which 173 (2.9 %) subsequently developed uterine cancer. There was no significant difference in body mass index (BMI) (34.4 vs. 34.1, p = 0.388) or age (52.3 vs. 52.3 years, p = 0.999) between the two groups. Increased odds for developing uterine cancer were found in patients with a personal history of hypertension [odds ratio (OR) = 1.62, 95 % confidence interval (CI) 1.45-2.70, p < 0.001], gallbladder disease (OR = 1.30, 95 % CI 1.14-1.55, p = 0.005), and thyroid disease (OR = 1.55, 95 % CI 1.37-1.69, p < 0.001). More than 80 % of women in both groups expressed a desire for a blood test to estimate the risk of uterine cancer (80.4 % BUC vs. 91.2 % BC, p < 0.001).

CONCLUSIONS:

Hypertension, gallbladder disease, and thyroid disease in breast cancer survivors increase the odds of developing uterinecancerBreast cancer survivors also express significant interest in potential serum tests to assess the risk of developing uterine cancer.

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L'inactivité physique est la 1ère cause de mortalité évitable - Journal du Net

L'inactivité physique est la 1ère cause de mortalité évitable - Journal du Net | Health promotion. Social marketing | Scoop.it
L'Etat pourrait économiser 500 millions d'euros par an, dans le cas où seul 5 % des personnes "sédentaires" se mettraient à une pratique sportive hebdomadaire.

Via Marie Françoise de Roulhac, Emmanuel Capitaine , Celine Sportisse
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Michel Mazuez's curator insight, November 9, 12:21 PM

Raisonnement fréquent : "si je prends des médicaments en prévention , je peux éviter de faire des efforts physiques ( ou je peux manger des charcuteries tous les jours ... ) " ...  C'est d'ailleurs plus ou moins le raisonnement inconscient des soignants qui passent plus de temps à renouveler des médicaments  qu'à démontrer  que l'activité physique a un effet préventif majeur , sans commune mesure avec les traitements . Les médicaments ne font que modifier  la probabilité d'accident cardio-vasculaire ( du genre 10 infarctus de moins  si on traite 100 patients durant 10 ans ) alors que marcher tous les jours améliore directement la santé de la personne concernée , sans compter sur la chance ... Bien entendu , si les facteurs de risque cardio-vasculaires sont élevés , activité physique + traitement adapté à ces facteurs de risque est la meilleure stratégie ...

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Deepening income inequality

Deepening income inequality | Health promotion. Social marketing | Scoop.it

Inequality is one of the key challenges of our time. Income inequality specifically is one of the most visible aspects of a broader and more complex issue, one that entails inequality of opportunity and extends to gender, ethnicity, disability, and age, among others. Ranking second in last year’s Outlook, it was identified as the most significant trend of 2015 by our Network’s experts. This affects all countries around the world. In developed and developing countries alike, the poorest half of the population often controls less than 10% of its wealth. This is a universal challenge that the whole world must address

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Ethical debate-Should industry sponsor research?Tobacco industry research: collaboration, not confrontation, is the best approachTobacco company sponsorship discredits medical but not all researchC...

Ethical debateShould industry sponsor research?Tobacco industry research: collaboration, not confrontation, is the best approachTobacco company sponsorship discredits medical but not all researchCondemning the drinks industry rules out potentially useful researchIf the drinks industry does not clean up its act, pariah status is inevitableCollaborative research with infant formula companies should not always be censoredHow much research in infant feeding comes from unethical marketing?

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Worksite health promotion programs: Why don't people participate?

Worksite health promotion programs: Why don't people participate? | Health promotion. Social marketing | Scoop.it
Worksite health promotion (WHP) programs are designed to help identify and address health and lifestyle issues, and are offered by 40–75% of employers in Europe and the US. But research suggests that a high proportion (50–75%) of workers do not participate. Why do so many employees choose not to take part? Researchers investigated the reasons for nonparticipation, and have identified a variety of barriers.
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Social marketing guide fo public health programm managers and practitioners

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Meeting Physical Activity Guidelines in Rural Breast Cancer Survivors

Objectives: To examine the contribution of social cognitive constructs to meeting physical activity (PA) recommendations in rural breast cancer survivors (BCS). Methods: Rural BCS (N = 483) completed a mail-based survey. PA, fatigue, barriers and exercise self-efficacy, environment, social support, and perceived barriers to PA were assessed. PA was dichotomized into either meeting guidelines (150+minutes/week) or not. Results: Our model fit the data well with less fatigue, greater efficacy, and lower barriers being associated with PA (χ²=804.532(418), p < .001, CFI=.948, RMSEA=.044, SRMR=.046). Conclusions: Fatigue, self-efficacy, and perceived barriers are key targets for future interventions designed to increase PA in rural BCS. Enhancing self-efficacy and overcoming barriers will require strategies unique and relevant to BCS living in rural settings.

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Multidisciplinary rehabilitation can motivate obese breast cancer survivors to lose weight

Abstract

Accumulating evidence suggests that obesity has a negative impact on breast cancer survivors. In this project we developed and tried out a residential 6 + 3 days rehabilitation programme with focus on weight reduction for breast cancer survivors. The key focus was to work with their motivation to change habits by use of cognitive therapy tools. It seems that this residential rehabilitation stay can motivate obese breast cancer survivors to change habits and lose weight. In all the 42 women with complete data lost 6.1 kg in average.

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Impact on obesity in a cost-effective way: DALYs saved, cost per DALY, Strength of evidence

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Exercise interventions on health-related quality of life for cancer survivors - The Cochrane Library - Mishra - Wiley Online Library

This systematic review indicates that exercise may have beneficial effects on HRQoL and certain HRQoL domains including cancer-specific concerns (e.g. breast cancer), body image/self-esteem, emotional well-being, sexuality, sleep disturbance, social functioning, anxiety, fatigue, and pain at varying follow-up periods. The positive results must be interpreted cautiously due to the heterogeneity of exercise programs tested and measures used to assess HRQoL and HRQoL domains, and the risk of bias in many trials. Further research is required to investigate how to sustain positive effects of exercise over time and to determine essential attributes of exercise (mode, intensity, frequency, duration, timing) by cancer type and cancer treatment for optimal effects on HRQoL and its domains.

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How Social Media Changes Everything You Know about Marketing

How Social Media Changes Everything You Know about Marketing | Health promotion. Social marketing | Scoop.it
Social media has become integral part of our society. No business can survive without having a robust social media marketing strategy. Learn how to implement it here.

Via Wendy Forbes, craig lefebvre
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The effects of physical activity on breast cancer survivors after diagnosis.

Adverse health outcomes are often seen in breast cancer survivors due to prolonged treatment with side effects such as loss of energy and lack of physical strength. Physical activity (PA) has been proposed as an adequate intervention for women with breast cancer. Therefore, this review summarizes the effects of physical activity on breast cancer survivors after diagnosis. We searched electronic databases including PubMed, Medline, Embase, and Google Scholar for articles published between January 1980 and May 2013. We included a variety of studies such as randomized controlled trials, pilot studies, and clinical trials. We reviewed these studies for three major outcomes: changes in breast cancer mortality, physiological functions, and metabolic biomarkers. Of 127 studies, 33 studies were selected as eligible studies. These studies included physical activities of varying type, duration, frequency, and intensity (e.g., aerobic and resistance training) and examined changes in three major outcomes among breast cancer survivors. Many of the studies suggest that breast cancer survivors benefit from engaging in physical activity, but some studies were limited in their ability to provide adequate evidence due to relatively small sample sizes, short intervention periods, or high attrition. Based on epidemiological evidence, recent studies demonstrated that those breast cancersurvivors who engaged in physical activity significantly lowered their risk of breast cancer mortality and improved their physiological and immune functions. Some studies demonstrated changes in metabolic biomarkers such as insulin and insulin-like growth factors. However, further investigation is required to support these findings because these results are not consistent.

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Healthy Lifestyle Behaviors of Breast Cancer Survivors

The purpose of this secondary analysis was to describe the extent to which women with breast cancer, who participated in a randomized control trial on exercise, adopted American Cancer Society (ACS) guidelines for healthy lifestyle behaviors. Women in the study exercised during cancer treatment and for 6 months after completion of treatment. The sample included 106 women, average age 50.7 years (SD = 9.6). Adherence to guidelines for 5 servings of fruits and vegetables ranged from 36% (n = 28) to 39% (n = 36). Adherence with alcohol consumption guidelines was 71% (n = 28) to 83% (n = 30). Adherence with meeting a healthy weight ranged from 52% (n = 33) to 61% (n = 31). Adherence with physical activity guidelines ranged from 13% (n = 30) to 31% (n = 35). Alcohol and healthy weight guidelines were followed by more than half of the participants, but physical activity and dietary guidelines were followed by far fewer women. Further prospective clinical studies are indicated to determine whether interventions are effective in producing a healthy lifestyle in cancer survivors.

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The environmental cost of protein food choices - Sabaté &al (2014) - Public Health Nutr

The environmental cost of protein food choices - Sabaté &al (2014) - Public Health Nutr | Health promotion. Social marketing | Scoop.it

To investigate the resource efficiency and environmental impacts of producing one kilogram of edible protein from... plant- and... animal-protein sources... data were collected and applied... to calculate the indices required to compare the environmental impact of producing 1 kg of edible protein from kidney beans, almonds, eggs, chicken and beef.


Inputs included land and water for raising animals and growing animal feed, total fuel, and total fertilizer and pesticide for growing the plant commodities and animal feed. Animal waste generated was computed for the animal commodities. 


To produce 1 kg of protein from kidney beans required approximately eighteen times less land, ten times less water, nine times less fuel, twelve times less fertilizer and ten times less pesticide in comparison to producing 1 kg of protein from beef. Compared with producing 1 kg of protein from chicken and eggs, beef generated five to six times more waste (manure) to produce 1 kg of protein.


The substitution of beef with beans in meal patterns will significantly reduce the environmental footprint worldwide and should also be encouraged to reduce the prevalence of non-communicable chronic diseases. Societies must work together to change the perception that red meat (e.g. beef) is the mainstay of an affluent and healthy diet.

 

http://dx.doi.org/10.1017/S1368980014002377

 


Via Alexander J. Stein
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Looking Back at the “Health Reality,” and Looking Forward to Your Behavior Change | IFIC Foundation

Looking Back at the “Health Reality,” and Looking Forward to Your Behavior Change | IFIC Foundation | Health promotion. Social marketing | Scoop.it
Looking Back at the “Health Reality” Campaign, and Looking Forward to Your Behavior Change This month, we introduced three consumer profiles corresponding with stages along the behavior change continuum based on analysis of our 2014 Food & Health Survey:
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