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E-cigarettes - miracle or menace?

E-cigarettes - miracle or menace? | Health promotion. Social marketing | Scoop.it
The number of people using e-cigarettes in the UK is expected to reach a million this year, but the electronic alternative to tobacco continue to divide medical opinion.
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Health promotion. Social marketing
Health promotion: marketing sociale, comunicazione, salute, ambiente, disuguaglianze sociali.
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Social marketing guide for public health managers and practitioners - Edizione italiana- Parte 1

L’ European Centre for Disease Prevention and Control (ECDC) con “Social marketing guide for public health programme managers and practitioners” fornisce ai responsabili dei programmi di salute pubblica una sintesi dei principali concetti e approcci del marketing sociale nelle attività di prevenzione delle malattie e promozione della salute.

Il Marketing sociale è una disciplina che integra i concetti del marketing commerciale con altri tipi di approcci per influenzare i comportamenti a beneficio degli individui e delle comunità. 

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Reducing occupational sedentary time: a systematic review and meta-analysis of evidence on activity-permissive workstations - Neuhaus - 2014 - Obesity Reviews

Reducing occupational sedentary time: a systematic review and meta-analysis of evidence on activity-permissive workstations - Neuhaus - 2014 - Obesity Reviews | Health promotion. Social marketing | Scoop.it
Summary

Excessive sedentary time is detrimentally linked to obesity, type 2 diabetes, cardiovascular disease and premature mortality. Studies have been investigating the use of activity-permissive workstations to reduce sedentary time in office workers, a highly sedentary target group. This review systematically summarizes the evidence for activity-permissive workstations on sedentary time, health-risk biomarkers, work performance and feasibility indicators in office workplaces. In July 2013, a literature search identified 38 relevant peer-reviewed publications. Key findings were independently extracted by two researchers. The average intervention effect on sedentary time was calculated via meta-analysis. In total, 984 participants across 19 field-based trials and 19 laboratory investigations were included, with sample sizes ranging fromn = 2 to 66 per study. Sedentary time, health-risk biomarkers and work performance indicators were reported in 13, 23 and 23 studies, respectively. The pooled effect size from the meta-analysis was −77 min of sedentary time/8-h workday (95% confidence interval = −120, −35 min). Non-significant changes were reported for most health- and work-related outcomes. Studies with acceptability measures reported predominantly positive feedback. Findings suggest that activity-permissive workstations can be effective to reduce occupational sedentary time, without compromising work performance. Larger and longer-term randomized-controlled trials are needed to understand the sustainability of the sedentary time reductions and their longer-term impacts on health- and work-related outcomes.

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A systematic review of standing and treadmill desks in the workplace

Objectives

Standing and treadmill desks are intended to reduce the amount of time spent sitting in today's otherwise sedentary office. Proponents of these desks suggest that health benefits may be acquired as standing desk use discourages long periods of sitting, which has been identified as an independent health risk factor. Our objectives were thus to analyze the evidence for standing and treadmill desk use in relation to physiological (chronic disease prevention and management) and psychological (worker productivity, well-being) outcomes.

Methods

A computer-assisted systematic search of Medline, PubMed, PsycINFO, SPORTDiscus, CINAHL, CENTRAL, and EMBASE databases was employed to identify all relevant articles related to standing and treadmill desk use.

Results

Treadmill desks led to the greatest improvement in physiological outcomes including postprandial glucose, HDL cholesterol, and anthropometrics, while standing desk use was associated with few physiological changes. Standing and treadmill desks both showed mixed results for improving psychological well-being with little impact on work performance.

Discussion

Standing and treadmill desks show some utility for breaking up sitting time and potentially improving select components of health. At present; however, there exist substantial evidence gaps to comprehensively evaluate the utility of each type of desk to enhance health benefits by reducing sedentary time.

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Ethical Issues in Using Twitter for Public Health Surveillance and Research: Developing a Taxonomy of Ethical Concepts From the Research Literature

Ethical Issues in Using Twitter for Public Health Surveillance and Research: Developing a Taxonomy of Ethical Concepts From the Research Literature | Health promotion. Social marketing | Scoop.it
  • ABSTRACT

    Background: The rise of social media and microblogging platforms in recent years, in conjunction with the development of techniques for the processing and analysis of “big data”, has provided significant opportunities for public health surveillance using user-generated content. However, relatively little attention has been focused on developing ethically appropriate approaches to working with these new data sources.

    Objective: Based on a review of the literature, this study seeks to develop a taxonomy of public health surveillance-related ethical concepts that emerge when using Twitter data, with a view to: (1) explicitly identifying a set of potential ethical issues and concerns that may arise when researchers work with Twitter data, and (2) providing a starting point for the formation of a set of best practices for public health surveillance through the development of an empirically derived taxonomy of ethical concepts.

    Methods: We searched Medline, Compendex, PsycINFO, and the Philosopher’s Index using a set of keywords selected to identify Twitter-related research papers that reference ethical concepts. Our initial set of queries identified 342 references across the four bibliographic databases. We screened titles and abstracts of these references using our inclusion/exclusion criteria, eliminating duplicates and unavailable papers, until 49 references remained. We then read the full text of these 49 articles and discarded 36, resulting in a final inclusion set of 13 articles. Ethical concepts were then identified in each of these 13 articles. Finally, based on a close reading of the text, a taxonomy of ethical concepts was constructed based on ethical concepts discovered in the papers.

    Results: From these 13 articles, we iteratively generated a taxonomy of ethical concepts consisting of 10 top level categories: privacy, informed consent, ethical theory, institutional review board (IRB)/regulation, traditional research vs Twitter research, geographical information, researcher lurking, economic value of personal information, medical exceptionalism, and benefit of identifying socially harmful medical conditions.

    Conclusions: In summary, based on a review of the literature, we present a provisional taxonomy of public health surveillance-related ethical concepts that emerge when using Twitter data.

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Post-exposure HIV prophylaxis - Summary - Best Practice - English

  • There is a 72-hour window from exposure for commencing administration of post-exposure prophylaxis (PEP).
  • Most exposures have only a low risk of HIV transmission even in the absence of PEP.
  • Antiretroviral medication given to HIV-negative people reduces likelihood of HIV seroconversion by approximately 80%.
  • Duration of treatment is 28 days.
  • Benefits of PEP need to be balanced against potential toxicities and adverse effects.
  • New antiretroviral treatment regimens for post-exposure prophylaxis offer decreased toxicity.
  • There is an absence of randomised controlled studies evaluating PEP.
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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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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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What's Most Likely To Kill You? Hint: Probably Not An Epidemic

What's Most Likely To Kill You? Hint: Probably Not An Epidemic | Health promotion. Social marketing | Scoop.it
Noncommunicable diseases like cancer, diabetes and heart disease are now the biggest killers on Earth. They account for 68 percent of deaths — and have an even greater impact in the developing world.
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Why diets don’t work and the rehabilitation of saturated fat. BMJ

Why diets don’t work and the rehabilitation of saturated fat. BMJ | Health promotion. Social marketing | Scoop.it
Depending on your world view, our obsession with food at Christmas (witness packed supermarket aisles, and the acres of menu ideas churned out by newspapers) is either a glorious, well deserved indulgence or evidence of an obscene festival of gluttony.
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On Social Marketing and Social Change

On Social Marketing and Social Change | Health promotion. Social marketing | Scoop.it
Evidence, insights and opinions about the application of marketing and social technologies to health, financial and environmental behaviors, and social well-being.
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HIV testing and management of newly diagnosed HIV

  • HIV testing is the gateway to both HIV treatment and HIV prevention

  • Patients with a diagnosis of HIV infection before moderate to severe immunosuppression occurs should plan for a normal life expectancy with effective access to antiretroviral therapy

  • The UK HIV epidemic continues to grow and remains marred by a high proportion of cases (50%) diagnosed at a late stage in the clinical course of the infection, and a persistent undiagnosed fraction (22% of patients living with HIV are unaware of their status)

  • Every clinician can, and should, offer patients an HIV test in line with national guidelines

  • Primary HIV infection should be considered, and an HIV test offered to all patients with a mononucleosis-like illness

  • All patients living with HIV infection should be encouraged to disclose their HIV status to other healthcare providers, especially their general practitioner

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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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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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