Kerr Dianne L, Van Wasshenova Emily, Mahas Rachel, Everhart F Jeannine, Thompson Amy, Boardley Debra
1 Kent State University, Kent, OH, USA.
2 University of Toledo, Toledo, OH, USA.
Health Promot Pract. 2017 Sep;18(5):706-714. doi: 10.1177/1524839916676463. Epub 2016 Nov 9.
Master Certified Health Education Specialists (MCHES; n = 186) participated in a mail survey on advocacy and public policy. Over half of participants reported that they had contacted a public official or provided policy-related information to consumers or other professionals. Participants identified barriers and benefits to influencing public policy. The greatest benefit was identified as improving the health or welfare of the public while the greatest barrier was that they were busy with other priorities. Participants also described their level of involvement, knowledge, training in advocacy, and their self-efficacy in performing various advocacy activities. Most MCHES reported voting and other basic advocacy functions while far fewer had participated in more advanced advocacy activities. Although nearly 73% had formal training on advocacy and policy, only 26% received it through college coursework. Factors predictive of advocacy and policy involvement were determined through a stepwise regression analysis. Five independent variables predicted the total number of advocacy activities and when combined accounted for nearly 61% of the variance. Government-level health educators' misconception that they cannot participate in advocacy and public policy issues should be dispelled. Health education specialists with the MCHES credential need coursework and additional training on how to effectively influence public health policy.
注册健康教育培训师(MCHES;n = 186)参与了一项关于宣传与公共政策的邮件调查。超过半数的参与者报告称,他们曾联系过政府官员,或向消费者或其他专业人员提供过与政策相关的信息。参与者们指出了影响公共政策的障碍和益处。最大的益处被认为是改善公众的健康或福祉,而最大的障碍则是他们忙于其他优先事务。参与者们还描述了他们的参与程度、知识水平、宣传培训情况以及他们在开展各种宣传活动时的自我效能感。大多数注册健康教育培训师报告称参与过投票及其他基本的宣传职能活动,而参与更高级宣传活动的人数则少得多。尽管近73%的人接受过关于宣传和政策的正规培训,但只有26%是通过大学课程获得的。通过逐步回归分析确定了预测宣传和政策参与度的因素。五个自变量预测了宣传活动的总数,这些自变量综合起来解释了近61%的方差。政府层面的健康教育工作者认为他们不能参与宣传和公共政策问题的误解应该被消除。拥有注册健康教育培训师资质的健康教育专家需要有关如何有效影响公共卫生政策的课程学习和额外培训。