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Health Education Research - current issue

Advancing the science and practice of school-based health promotion
Allegrante, J. P. Fri, 14 Nov 2008 00:00:00 -0000

Can schools promote the health of children with asthma?
McWhirter, J., McCann, D., Coleman, H., Calvert, M., Warner, J. Fri, 14 Nov 2008 00:00:00 -0000
This report describes the evaluation of a whole-school intervention to improve morbidity and psychosocial well-being in pupils with asthma. In all, 193 children with asthma (7–9 years) from 23 primary/junior schools in the south of England participated. Schools (n = 12) randomly assigned to the intervention group (IV) received a staff asthma training session, advice on asthma policy and practice and an emergency β2-agonist inhaler with spacer. Pupils participated in an asthma lesson. Staff and pupils in non-intervention (NI) schools (n = 11) received no asthma-oriented input. While wheeze reports improved for all children with asthma, only the IV group showed lower requirement for medication (P = 0.01), clinically significant improvement (P < 0.05) in activity related quality of life (QOL) and increased self-esteem (SE: social P = 0.01; athletic P = 0.05; behaviour P = 0.001) in girls. SE decreased for NI girls but there was no change for non-asthmatic peers in NI or IV schools which had similar baseline levels of SE and QOL. There was a marginal improvement in the establishment of asthma policies/practices and no change in school absence or staff knowledge. The significantly increased peer group understanding of asthma seen in the intervention schools may have mediated increased well-being in the IV group. Primary schools are a potentially important context for improving asthma morbidity and psychosocial well-being of children with asthma.
Social and emotional training in Swedish schools for the promotion of mental health: an effectiveness study of 5 years of intervention
Kimber, B., Sandell, R., Bremberg, S. Fri, 14 Nov 2008 00:00:00 -0000
The school is an obvious arena for interventions designed to promote mental health among children. A set of educational techniques named social and emotional learning, which focuses on students' self-control, social competence, empathy, motivation and self-awareness, has shown promising results in the United States. This is a study of the application of a similar method in Sweden (referred to as social and emotional training) for school years 2000/2001 through to 2004/2005. It is an effectiveness rather than an efficacy study, largely administered by school personnel, which relates duration of the training (1–5 years) to a set of outcomes previously found to be associated with mental health. Positive and significant effects were found on five of seven variables: internalizing problems, externalizing problems, mastery (reflecting self-efficacy or hopelessness), self-image and self-esteem and contentment in school. Effect sizes were medium. Somewhat surprisingly, no relationship was found between the intervention and the promotion of social skills. Nor was there any detectable long-term impact on bullying. Controlling for student gender did not moderate any of the effects.

Public Health News From Medical News Today

NHS Top-Up System Has Hidden Costs That Have Not Been Accounted For, UK
Thu, 04 Dec 2008 05:00:00 -0800
The "cost" of top-up payments to the NHS are not confined to the cost of the drug and require the NHS to make some long overdue changes or risk financial failure, argue two editorials published in Clinical Oncology, by Elsevier. Dr Rob Glynne-Jones and Prof. Karol Sikora debate the issues of top-up payments with both concluding that the NHS must make substantial changes in administration and management structure.
Cleveland Clinic Begins Public Disclosure Of Physician-Industry Relationships
Thu, 04 Dec 2008 03:00:00 -0800
Cleveland Clinic this week began publishing on its Web site complete disclosures of physicians' and researchers' business relationships and financial ties, the New York Times reports.
IOM Panel Recommends Medical Residents Get Five Hours Of Uninterrupted Sleep After Working 16 Hours
Thu, 04 Dec 2008 03:00:00 -0800
Medical residents working a 30-hour shift should get a five-hour, uninterrupted break to sleep after working 16 hours, an Institute of Medicine panel recommended on Tuesday, the AP/Houston Chronicle reports (AP/Houston Chronicle, 12/2).

Public Health News Headlines from Johns Hopkins

Johns Hopkins and Uganda?s Makerere University to Collaborate on African Health Education Initiative
paffairs@jhsph.edu (Office of Communications) Mon, 01 Dec 2008 14:30:00 -0500
The Johns Hopkins University has received a $4.97 million grant from the Bill & Melinda Gates Foundation to undertake the initial phase of a unique program aimed at improving health outcomes in Uganda and East Africa, in coordination with the Johns Hopkins Center for Global Health, and the Makerere University College of Health Sciences in Kampala, Uganda. As part of the initiative, the faculties of medicine, nursing, and public health at both schools will develop an institution-building relationship to further extend the educational capacity of Makerere University, Uganda?s largest university.
Transporting Broiler Chickens Could Spread Antibiotic-Resistant Organisms
paffairs@jhsph.edu (Office of Communications) Mon, 24 Nov 2008 09:45:00 -0500
Researchers at the Johns Hopkins Bloomberg School of Public Health have found evidence of a novel pathway for potential human exposure to antibiotic-resistant bacteria from intensively raised poultry?driving behind the trucks transporting broiler chickens from farm to slaughterhouse. A study by the Hopkins researchers found increased levels of pathogenic bacteria, both susceptible and drug-resistant, on surfaces and in the air inside cars traveling behind trucks that carry broiler chickens. The study is the first to look at exposure to antibiotic-resistant bacteria from the transportation of poultry. The findings are published in the first issue of the Journal of Infection and Public Health.
Grandparents a Safe Source of Childcare
paffairs@jhsph.edu (Office of Communications) Mon, 03 Nov 2008 12:00:00 -0500
For working parents, having grandparents as caregivers can cut the risk of childhood injury roughly in half, according to a new study by researchers from the Johns Hopkins Bloomberg School of Public Health. Compared to organized daycare or care by the mother or other relatives, having a grandmother watch a child was associated with a decreased risk of injury for the child. The study is among the first to examine the relationship between grandparents? care and childhood injury rates.

 
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