Understanding facilitators of and barriers to health promotion practice.
ABSTRACT The health promotion best practices literature is imbued with hope for knowledge mobilization, enhanced practice, and improved population health. Given constrained medical care systems, health promotion is key to reducing the significant burden of chronic disease. However, we have seen little evidence of change. This article investigates facilitators of, and barriers to, three stages of health promotion practice in public health organizations, interagency coalitions, and volunteer committees. The article focuses not on what works but why it does or does not, drawing on five case studies within the Canadian Heart Health Initiative. Results indicate that the presence or absence of appropriately committed and/or skilled people, funds and/or resources, and priority and/or interest are the most common factors affecting all stages of health promotion practice. The article extends the literature on internal and external factors affecting health promotion and highlights strategic influences to consider in support of effective health promotion practice.
SourceAvailable from: Jeroen Meganck[Show abstract] [Hide abstract]
ABSTRACT: Setting and Objective: For decades, the World Health Organisation has promoted settings-based health promotion, but its application in leisure settings is minimal. Focusing on organised sports as an important leisure activity, the present study had three goals: exploring the health promotion profile of youth sports clubs, identifying objective club characteristics (e.g. size, type of sport), predicting the presence/absence of health promotion in youth sports clubs and identifying perceived motives and barriers to health promotion in youth sports clubs, thereby improving the basis for policy guidelines. Method: Respondents were representatives from the board of 154 youth sports clubs. Data were collected through an online survey, including the health-promoting sports club index (HPSC-I). Linear regression and analysis of variance were used to identify predictors and differences. Results: Even though the motives were strongly supported, a majority of youth sports clubs were rated as low health promoting on the HPSC-I (59%). Overall, linear regression indicated that clubs founded more recently, offering multiple types of sports and offering both recreation and competition scored higher on the health promotion indices. Health promotion not being a priority of the board and lack of expertise were identified as the most important barriers. Conclusion: Progress is needed before youth sports clubs can truly be considered health-promoting settings. Policy suggestions are made to address the barriers, for example, financial incentives to maximise efforts and establishing collaborations between sports clubs and health promotion experts.Health Education Journal 09/2014; DOI:10.1177/0017896914549486 · 0.73 Impact Factor
Article: Health Promoting Sports Club
[Show abstract] [Hide abstract]
ABSTRACT: Background and objective: Some districts in the United Kingdom (UK), where the level of child dental caries is high and water fluoridation has not been possible, implement school-based fluoridated milk (FM) schemes. However, process variables, such as consent to drink FM and loss of children as they mature, impede the effectiveness of these schemes. The aim of this study was to investigate the views of lay participants in FM schemes on the barriers and potential solutions to optimizing schemes and understand how this may inform the implementation of other school-based health-promotion programmes. Design and setting: A qualitative study based on semi-structured interviews and focus groups was carried out in schools participating in FM schemes in the north west of England. Findings: Grounded theory analysis on interview data revealed that the overarching potential solution for optimizing schemes was the need for engagement by schools in the scheme. The degree of engagement with the scheme was related to (the interrelated categories of) acceptability and understanding of FM by the school community. Conclusion: The concept of the need for engagement by schools in health-promotion programmes may be useful for sensitizing health planners to the needs of the school community when developing strategies for the implementation of fluoridated-milk schemes and other school-based health-promotion programmes.Health Education Journal 03/2012; 72(2):163-171. DOI:10.1177/0017896912437298 · 0.73 Impact Factor