Health Promotion Practice

Arts participation has been linked to positive health outcomes around the globe. As more research is taking place on this topic, there is heightened need for definitions for the complex concepts involved. While significant work to define "arts participation" has taken place in the arts sector, less work has been undertaken for the purpose of researching the arts in public health. This study developed a definition for "arts participation" to guide a national arts in public health research agenda and to advance and make more inclusive previous work to define the term. A convergent mixed-methods study design with sequential elements was used to iteratively develop a definition that integrated the perspectives of field experts as well as the general public. Literature review was followed by four iterative phases of data collection, analysis, and integration, and a proposed definition was iteratively revised at each stage. The final definition includes modes, or ways, in which people engage with the arts, and includes examples of various art forms intended to frame arts participation broadly and inclusively. This definition has the potential to help advance the quality and precision of research aimed at evaluating relationships between arts participation and health, as well as outcomes of arts-based health programs and interventions in communities. With its more inclusive framing than previous definitions, it can also help guide the development of more inclusive search strategies for evidence synthesis in this rapidly growing arena and assist researchers in developing more effective survey questions and instruments.

Jill Sonke

Alexandra K. Rodriguez

Aaron Colverson

Seher Akram

Nicole Morgan

Donna Hancox

Caroline Wagner-Jacobson

Virginia Pesata

Defining “Arts Participation” for Public Health Research

定义“艺术参与”用于公共卫生研究

Compared to other age groups, 18- to 25-year olds (young adults) are more likely to engage in heavy alcohol use and inconsistent contraceptive use, increasing their susceptibility to sexually transmitted infections (STIs) and unintended pregnancy. The Studying Alcohol and Related Risks (STARR) intervention was efficacious in reducing young adult alcohol-related risky sexual behavior, including reducing the number of casual sexual partners and alcohol use prior to sex. We conducted a qualitative study to guide the adaptation of the STARR intervention to include additional content on contraceptive use and prepare for dissemination of the intervention to a community audience. We conducted 10 focus groups with young adults (n = 16) and semistructured interviews with local community stakeholders (n = 12) to examine: (a) intervention characteristics, such as compatibility, adaptability, and design and packaging and (b) dissemination and communication channels. Focus groups and interviews were audio-recorded, transcribed, and thematically analyzed. Participants found the proposed intervention acceptable and highlighted the need to promote STI prevention among young adults. Participants viewed text-based interventions as accessible and effective. Key considerations included developing personalized messages from credible sources, using gender-inclusive language, and sending messages at strategic timepoints. Social media (Instagram, Twitter, Snapchat, TikTok), events, and campus resources were described as avenues to create awareness and disseminate information about the proposed intervention. Findings demonstrate the need for innovative and tailored young adult health programs that incorporate multilevel dissemination strategies. This study highlights the need for implementation activities that will improve the adoption and dissemination of evidence-based programs, particularly among young adults.

Stacey B. Griner

Idara Akpan

Kaeli C. Johnson

Grace Maynard

Sarah A. Alkhatib

Nathaniel J. Webb

Annalynn Galvin

Nolan Kline

Dana M. Litt

Melissa A. Lewis

Erika L. Thompson

Examining Community Preferences for Adaption and Dissemination of an Efficacious Brief Intervention on Alcohol Use and Sexual Behavior

考察社区对有效简短干预措施在酒精使用和性行为方面的适应与传播的偏好

The first Ebola Virus Disease (EVD) cases in the 2021 Ebola outbreak were reported by the Democratic Republic of the Congo (DRC) Ministry of Health in February. However, 1 week later, the Guinea Ministry of Health reported its first EVD outbreak since April 2016. U.S. Centers for Disease Control (CDC) in-country operational and workforce capacity were built during the 2014–2016 Ebola outbreak response in West Africa and leveraged during the 2021 EVD outbreaks. During the 2014–2016 West Africa response and the 2021 EVD outbreaks, capacity and capability improvements in laboratory systems, risk communication, surveillance, epidemiology, infection prevention, and control were needed for a successful response. The overarching goal of CDC’s operational and workforce capacity improvements was to strengthen countries’ abilities to prevent, detect, and respond to outbreaks quickly. The Ebola outbreaks are examples of enhanced public health interventions where CDC has contributed as a partner with in-country ministries of health to save lives and control disease outbreaks. Lessons learned from the recent Ebola outbreaks indicate that a capacity-building approach has the potential application to other public health emergencies and contributes to strengthening global health security.

Ashley L. Greiner

Christopher K. Brown

Jenna Kirschenman

Tushar Singh

Stephanie Dopson

Operational and Workforce Capacity Improvements for Supporting Public Health Emergency Management: Lessons Learned for Preparing for and Responding to 2014–2022 Ebola Outbreaks in Africa

支持公共卫生应急管理的运营和劳动力能力提升：为应对2014-2022年非洲埃博拉疫情爆发所吸取的经验教训

University wellness programs often employ health campaigns to promote awareness and engagement in health behaviors. However, with limited resources, it is challenging to develop and test health campaign materials in a timely manner. The Design Thinking Approach (DTA) provides a promising strategy for developing materials in a quicker, less expensive way compared to traditional methods. This pilot study examined the feasibility and short-term impact of implementing the DTA to develop a self-care campaign at a university to reach students on campus. University peer health educators and staff completed a 5-session DTA workshop to learn how to apply the DTA to develop and test a self-care campaign. Feasibility of the approach was conducted by having workshop participants rate the acceptability and practicality of the process. To examine the short-term impact, the self-care campaign was compared to an existing mental health campaign. Results from the feasibility analysis indicated that the participants responded well to the approach and found it to be overall beneficial. Results also revealed that the self-care campaign had a greater number of event attendees compared to the existing mental health campaign. However, the reach on social media was similar, but slightly higher, for the existing mental health campaign. No significant difference in perceived effectiveness score was found. Results provide evidence for the potential for the DTA to be a feasible and efficient tool for testing health campaign ideas. However, more extensive testing is needed to understand its impact long-term and which feedback methods (e.g., interviews and surveys) are most useful.

Julia M. Alber

David Askay

Christine Nelson

James Ramirez-Crippen

Using the Design Thinking Approach for a University Health Promotion Program: A Pilot Study

大学健康促进计划的设计思维方法应用：一项试点研究

Water justice—equitable, reliable access to clean, sufficient water, and the knowledge and mechanisms related to its management—is a key global social justice and environmental issue. Cape Town, South Africa, is an important context to explore water justice due to its 2018 water crisis. Water scarcity intersects with other issues, including health disparities, food insecurity, and gender inequity, in turn requiring citizen engagement in water-related issues and knowledge sharing to produce sustainable, contextually relevant solutions. The arts are powerful tools for citizen engagement and knowledge sharing and translation in research, as well as social and environmental action. In this Resources, Frameworks, and Perspectives article, we outline the methods and lessons learned from developing Confluency, an arts-based exhibit and resource that aimed to generate and share knowledge on water justice issues between academics, practitioners, artists, and activists in Canada and South Africa. We detail the methods used to develop the Confluency exhibit and resource, including preparing the art exhibit framework, facilitating art workshops, designing interactive stations, and implementing the interactive art exhibit. Lessons learned are shared from implementing Confluency in diverse South African and Canadian settings. These case studies signal that the methodological approaches used in designing and implementing this exhibit and resource hold promise for providing opportunities to reflect on, and learn about, global and local water justice issues. This resource could be expanded to engage communities in research, policy, and practices regarding water justice in other diverse global settings to advance health, equity, and rights.

Carmen H. Logie

Sarah Van Borek

Lesley Gittings

Amber Abrams

Kirsty Carden

Gillian F. Black

Frannie MacKenzie

Tsitsi J. Mpofu-Mketwa

Abeer Abazeed

Confluency: Development of an Interactive Mobile Art Exhibit and Resource on Water Justice in South Africa and Canada

汇聚性：南非与加拿大互动式移动艺术展及水正义资源开发

To address complex problems like health disparities, public health interventions have become increasingly ‘‘complex’’—engaging multisector partners and communities at multiple ecological levels. Complex interventions are intentionally flexible, making them challenging to evaluate with predetermined measures. While innovative evaluation methods tailored to complex interventions have been developed, there is a need for practical guidance to enhance capacity within public health. This article describes the qualitative FIND (Frame, Identify, Narrow, Do) evaluation process for a complex, community-engaged health equity intervention. Illustrative examples and take-away tools are provided. The FIND process is sensitive to complexity, involving ongoing data collection that helps guide implementation. The evaluator is embedded within the project team, facilitating frequent, direct interaction between the evaluator and those whose roles position them to hear or see happenings with the on-the-ground implementation in real time. The FIND process includes (a) developing a flexible framework for determining relevant processes and outcomes, (b) identifying important project events, (c) narrowing in on the most impactful events, and (d) making decisions informed by data. Using the FIND process, the project team learned about significant project events that would have been missed without a complexity-sensitive approach. Having the evaluator embedded within the project team, rather than as an independent entity, was crucial for understanding and utilizing on-the-ground developments in an evolving intervention. There is a need for more practical guidance to build capacity for evaluating complex public health interventions, including strategies for communicating with stakeholders about approaches that diverge from traditional scientific norms.

Celeste Nicholas

Tess D. Weathers

Lisa K. Staten

From Daunting to Doable: Tools for Qualitative Evaluation of a Complex Public Health Intervention

从艰巨到可行：复杂公共卫生干预的定性评估工具

Purpose. Lung cancer is the leading cause of cancer death, with most cases attributable to cigarette smoking. Many communities within the lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ+) umbrella have high rates of smoking, but focused lung cancer prevention is limited. Our objective was to utilize a community-based participatory research (CBPR) approach to guide the development of a program focused on lung cancer prevention in LGBTQ+ elders. Methods. Through community partnerships, we recruited participants who self-identified as LGBTQ+ and were eligible for lung cancer screening (LCS) to participate in semi-structured qualitative discussions with complementary surveys. Qualitative guides were developed to collect data on determinants of smoking cessation and LCS and to elicit feedback on interventions to support lung cancer prevention through a tailored approach to patient navigation. Qualitative data were analyzed using rapid templated analysis to elucidate themes. Results. The 21 enrolled participants had diverse sexual and gender identities and 57% were of minoritized race/ethnicity. Most (81%) had experience with smoking cessation but few (10%) had undergone LCS. Overall themes suggest interest in personalized (to individuals), tailored (to the LGBTQ+ community) and integrated longitudinal programs to support lung cancer prevention. Themes suggest strong endorsement of focused messaging to LGBTQ+ persons and reducing stigma related to LGBTQ+ identity and smoking. Conclusions. Themes highlight the need for integrated tobacco and LCS programming which can provide longitudinal support, and ideally, center community settings and peer support. This formative work will be utilized to adapt a patient navigation program to assist screen-eligible LGBTQ+ elders.

Matthew Triplette

Madison Snidarich

Jaimee L. Heffner

Brandon Omernik

Alwiya Ahmed

Elle Brooks

Bekah Telew

Kristina Crothers

Meagan Brown

A Community-Engaged Research Study to Inform Tailored Programming for Smoking Cessation and Lung Cancer Screening Among At-Risk LGBTQ+ Elders

一项社区参与式研究，旨在为高风险LGBTQ+老年人提供量身定制的戒烟和肺癌筛查计划

Introduction We examined youth and young adult access to flavored vaping products following New York’s (NY’s) flavored vaping product sales restriction in 2020. Method In 2021, we conducted an online survey (N = 493) and focus groups (N = 33) with NY youth and young adults who vaped in the past year (ages 15–24). We summarize findings and use logistic regression to assess associations with access to flavored vaping products. Results Most youth and young adults who vaped in the past year (64%) had obtained flavored vaping products. Among them, 49% purchased in a store, 47% got them from social sources, and 11% bought online. Focus group participants reported restricted products were available on store shelves or behind the counter. Those under age 21 were less likely to buy flavored vaping products in store than those aged 21–24, but age was unrelated to online purchases. Focus group participants reported websites did not require age verification, or they found ways to circumvent it. Most believed buying flavored vaping products was easy (77%) and had gotten easier or stayed the same in the past year (70%). Discussion Most NY youth and young adults who vaped in the past year obtained flavored vaping products and found it easy to buy them after the statewide sales restriction, suggesting that implementation has not occurred as intended. Findings also raise questions about retailer compliance and highlight enforcement challenges with online purchases. Continued retailer education and enforcement efforts, including for online sales, may help flavored vaping product sales restrictions achieve intended outcomes.

Amy Henes

Ellen M. Coats

Riley Hein

James Nonnemaker

Brian Cunningham-Rhoads

Elizabeth M. Brown

Matthew C. Farrelly

OlaOluwa Fajobi

Elizabeth Anker

Jennifer Lee

Youth and Young Adult Access to Flavored Vaping Products Following a Sales Restriction in New York State: A Mixed Methods Approach

纽约州销售限制后青少年和年轻成人获取调味电子烟产品的途径：混合方法研究

The COVID-19 pandemic and its related economic challenges exacerbated food insecurity across New York State (NYS). Approximately one third of New York City residents reported use of emergency food services in the pandemic's first year and, in 2021, approximately 1 in 10 NYS residents was food insecure, with rates among Hispanic and Black New Yorkers more than double that of White residents. Although these numbers have decreased following the acute phase of the pandemic, disparities by race and ethnicity persist and use of emergency food services remain elevated for New Yorkers born outside of the United States. Despite this, few policies and interventions that aim to improve the charitable and emergency food systems focus on the cultural relevance and appropriateness of foods provided. In 2022, researchers conducted 12 interviews with key stakeholders from organizations and institutions providing food distribution services to culturally diverse New Yorkers to understand barriers and facilitators related to providing culturally appropriate foods and elicit lessons learned and recommendations to inform future programs and policies. Findings from this study indicate that organizations serving diverse communities recognize the importance of providing culturally appropriate food services and make efforts to tailor these services accordingly. However, they face challenges that limit their capacity to offer foods consistent with the dietary needs and preferences of their clients. Additional funding, policies, and support are needed to improve the availability of culturally inclusive food distribution services within the emergency and charitable food systems.

Maya Scherer

Luisa Cárdenas

Rienna Russo

Helen Ahn

Celine Chan

Victoria Lanza

Steve Mei

Rehan Mehmood

Stella Yi

“It Has to Be Culturally Inclusive”: Food Distribution Services for Diverse Communities in New York City

“必须具有文化包容性”：纽约市多元社区的食物分发服务

Our collaboration to strengthen applied practice in public health training between two public universities in New Mexico has offered us insight into the types of institutional, administrative, and programmatic support beneficial for navigating work with limited resources and varying geographic considerations. We share some lessons from this burgeoning partnership between University of New Mexico’s (UNM) College of Population Health and New Mexico State University’s (NMSU) Department of Public Health Sciences which began in 2022. The main areas of learning focus on exchanging resources to extend relationships with fieldwork sites and site supervisors, engage and support students in their planning and implementation of their fieldwork, and identify institutional resources to maintain and grow programmatic quality. Implications from this work include efforts to reinforce the public health workforce pipeline, especially to ensure the participation and success of students from underrepresented backgrounds.

Kimberly Wu

Isabel Latz

Alyssa Estrada Ulibarri

Noell Stone

Strengthening Academic Public Health Programs and Workforce Development Through Fieldwork: Insights From a Novel Partnership Between New Mexico’s Two Major Universities

通过实地工作加强学术公共卫生项目和人才培养：新墨西哥州两所主要大学新型合作关系的启示

Abbreviation	Health Promot. Pract.
Journal Impact	1.66
Quartiles(Global)	PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH(Q3)

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

Publication Information	Publisher: SAGE Publications Inc.，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 2000，Proportion of original research papers: 97.39%，Self Citation Rate:12.50%， Gold OA Rate: 12.97%

Health Promotion Practice

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