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“Practice What You Teach” Public Health Nurses Promoting Healthy Lifestyles (PHeeL-PHiNe): Program Evaluation

Hasson, Ronnie, MSc, RD; Stark, Aliza, H., PhD, RD; Constantini, Naama, MD; Polak, Rani, MD, MBA; Verbov, Gina, MSc; Edelstein, Naomi, MPH, RN; Lachmi, Michel, MPH, RN; Cohen, Rivka, MPH, RN; Maoz, Shuli, MPH, RN; Daoud, Nihaya, PhD, MPH; Soltz-Aharony, Hannah, MA; Stein-Zamir, Chen, MD, PhD, MPH

Journal of Ambulatory Care Management: July/September 2018 - Volume 41 - Issue 3 - p 171–180
doi: 10.1097/JAC.0000000000000243
Original Articles

Healthy lifestyle programs are essential for meeting the challenge of noncommunicable diseases. The Public Health Nurses Promoting Healthy Lifestyles (PHeeL-PHiNe) program engaged nurses from family health clinics in Jerusalem District and included physical activity, healthy nutrition, and motivational skills. Questionnaires were completed at baseline, postintervention, and at 18 months. Results showed a marked effect on health practices. The proportion of nurses consuming a balanced diet and the use of food labels significantly increased and were maintained over time. Short-term improvements in physical activity were also observed. Nurses who practiced a healthy lifestyle were significantly more likely to provide guidance and counseling to families on healthy behaviors.

School of Nutritional Sciences, Institute of Biochemistry, Food Science and Nutrition, The Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of Jerusalem, Rehovot, Israel (Mr Hasson and Dr Stark); Department of Orthopedic Surgery (Dr Constantini) and Healthy Cooking and Lifestyle Center (Dr Polak), Hadassah-Hebrew University Medical Center, Jerusalem, Israel; District Health Office of Jerusalem, Ministry of Health, Jerusalem, Israel (Messrs Verbov and Lachmi, Ms Edelstein, and Dr Stein-Zamir); Public Health Division, Jerusalem Municipality, Jerusalem, Israel (Mss Cohen and Maoz); Department of Public Health, Ben-Gurion University of the Negev, Beer Sheva, Israel (Dr Daoud); ISHA Project, Jewish Federation of Cleveland, Beachwood, Ohio (Mr Soltz-Aharony); and Braun School of Public and Community Medicine, The Hebrew University of Jerusalem and Hadassah Faculty of Medicine, Jerusalem, Israel (Dr Stein-Zamir).

Correspondence: Chen Stein-Zamir, MD, PhD, MPH, District Health Office of Jerusalem, Ministry of Health, Jerusalem, Israel (

The authors are indebted to all the public health nurses in the Mother and Child Health Clinics of the Jerusalem District for their participation in the PHeeL-PHiNe program and for their lasting contribution to the health of the district's population.

The PHeeL-PHiNe training program was supported by the Jewish Community Federation of Cleveland, Ohio, and the Project ISHA, the Ministry of Health, Jerusalem District, Jerusalem Municipality, Public Health Department and Hadassah Optimal, Jerusalem, Israel.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

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