Ch. 5 Health Promotion Programming

Health Promotion Programming

away from curing diseases and towards preventing them and promoting health... this has become an important tool!

Health Education

any combo of planned learning experiences using evidence-based practices and/or sound theories to acquire knowledge, attitudes, and skills

Health Promotion

planning combo of educational, political, environmental, regulatory, or organizational mechanisms that support actions of living conducive to health

program planning

process in which intervention is planned to help meet the needs of a specific group of people

Health Promotion Program Models

-PRECEDE/PROCEED
-Multilevel Approach to Community Health (MATCH)
-Intervention Mapping
-CDCynergy
-Social Marketing Assessment and Response Tool (SMART)

What model is the best known/most used?

PRECEDE/PROCEED

consumer based models

-CDCynergy
-Social Marketing Assessment and Response Tool (MATCH)

steps of health promotion program

-assessing needs
-settings goals & objectives
-developing intervention
-implementing intervention
-evaluating results

Assessing Needs

determine whether the needs of people are being met. 6 step approach

6 steps of assessing needs

1) determining the purpose and scope
2) gathering data
3) analyzing the data
4) identifying the factors linked to the health problem
5) identifying the program focus
6) validating the prioritized need

whats the foundation of a program?

setting goals & objectives

goals

future event toward which a committed endeavor is directed
-more general
-overall direction

objectives

steps taken in pursuit of a goal
-more precise

creating/developing an intervention

design activities that will help priority population meet objectives and achieve program goals

Intervention

activity designed to create change in people

Multiplicity of Intervention

the number of components or activities

Dose of Intervention

The number of program units delivered

6 Questions to ask when developing an intervention

1)what needs to change?
2) at what level of prevention (primary, secondary, tertiary)?
3) what level of influence (intrapersonal, interpersonal, institutional, community, public policy, culture)?
4) are there effective strategies available?
-best practice

best practices

recommendations for interventions based on critical review of research and evaluation studies

best experiences

when practices arent available for use, strategies used in prior/existing programs that dont have critical research & evaluations are used

best processes

original intervention strategies that planners create using theories, models, and involvement of priority population

implementing the intervention

actually carrying out or putting into practice, you learn whether the product will be useful or not

two ways of implementing the intervention

pilot testing or phasing in

pilot test

a trial run... its presented to just a few individuals to determine any problems and to collect feedback

phasing-in

step-by-step implementation where intervention is introduced to smaller groups vs. the entire priority population

Evaluation

planners determine the value or worth of object of interest by comparing it against:
-standard of acceptability
-formative evaluation
-summative evaluation

standard of acceptability

comparative mandate, norm, value of the group.

formative evaluation

it's done during the planning and implementing process to improve or refine the program.
-It validates the needs assessment
-pilot testing

summative evaluation

it begins with the development of goals and objectives and conducted
after implementation
in order to determine the effect.
-Impact
-Outcome

impact evaluation

focuses on immediate observable effects of the program

outcome evaluation

focuses on the end result