1. Planning Health Promotion Programs

2. O BJECTIVES FOR TODAY Recap from last class: Generalized Planning Model Other Program Planning Models PROCEED-PRECEED SMART Activity

3. M ODELS FOR PROGRAM PLANNING IN HEALTH PROMOTION

4. W HY DO WE NEED TO PLAN ????? Good health promotion programs are not created by chance Good programs are product of coordinated effort Good programs are based on a systematic planning models Planning models are visual representations of steps in the planning process

5. M OST COMMON MODELS USED IN PROGRAM PLANNING Generalized Planning Model (has most basic principles that are emphasized in different planning models) PRECED – PROCEED SMART

6. Health Promotion Health education Policy regulation organization Predisposing factors Reinforcing factors Enabling factors Behavior and lifestyle Environment Health Quality of life Phase 1 Social assessment Phase 2 Epidemiological assessment Phase 3 Behavioral and environmental assessment Phase 5 Administrative and policy assessment Phase 4 Educational and ecological assessment PRECEDE Phase 9 Outcome evaluation Phase 8 Impact evaluation Phase 7 Process evaluation Phase 6 Implementation PROCEED Figure 6.4 The PRECEDE/PROCEED model. This model can be used to identify factors that contribute to health and quality of life within a community. The arrows depict lines of causation and how health promotion efforts can produce positive impacts and outcomes. From Health Promotion Planning: An Educational and Ecological Approach (3 rd ed., p. 35), by L. W. Green and M. w. Kreuter, 1999, Mountain View, CA: Mayfield. PRECEDE –PROCEED MODEL

7. PRECED – PROCEED: S OCIAL A SSESSMENT (Q UALITY OF L IFE ) Perspective of priority population Perspective of community members Indicators: Social economic status (SES) Unemployment Parks, exercise facilities, recreation restaurants Health care facilities and hospitals Quality of schools Welfare programs Crime rate

8. PRECED – PROCEED: E PIDEMIOLOGICAL A SSESSMENT (C OMMUNITY H EALTH S TATUS ) Vital Statistics (on the level of US, state, parish) Mortality Data (Causes of death) Live birth rate Fetal mortality rate Infant mortality rate Morbidity Data Disease incidence (new cases) and prevalence STD rates, HIV/AIDS Teen Pregnancy Rates Fitness Level of Community Members

9. PRECED – PROCEED: A NALYSIS OF C OMMUNITY H EALTH C ARE S YSTEM Manpower doctors, nurses, clinics, psychologists, counselors, nutritionists, health educators Service Delivery Networking with community clinics, mental health centers, public health centers Patient referral system Facilities: hospitals, clinics, etc... Voluntary health organizations (Red Cross, etc...)

10. COMMUNITY INVOLVEMENT Who would you involve? What area agencies would you want collaborating on your program/s? How can some of these people participate in the program (speakers, panelist, etc.)?

11. C OMMUNITY I NVOLVEMENT How to find people Advertise: radio, TV, papers Talk to people in related fields Hold a town hall meeting Place flyers out Develop a task force—set policies

12. PRECED – PROCEED: B EHAVIORAL AND E NVIRONMENTAL A SSESSMENT Some Behavioral Indicators Substance consumption (alcohol, tobacco, other drugs) Physical exercise Dietary practices Violence behaviors/membership in gangs Sexual behaviors Stress management Preventive health behaviors (getting pap smears, physical exams, BSE, TSE, cholesterol or high blood pressure screening )

13. PRECED – PROCEED: B EHAVIORAL A SSESSMENT Measures to use: Surveys such as Youth Risk Behavior Survey or Adult Risk Behavior Survey Develop own survey or utilize other surveys Use interview Use focus groups with the following groups: Law Enforcement, Community Members, Physicians, hospitals, Teachers, Students, Parents

14. PRECED – PROCEED: B EHAVIORAL AND E NVIRONMENTAL A SSESSMENT Environmental Indicators Economic (employment, SES) Physical (air or water pollution, noise) Social (crowding, isolation, health laws and policies)

15. EXAMPLE: E NVIRONMENT & P HYSICAL A CTIVITY http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1448000/pdf/0931500.pdf http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1448000/pdf/0931500.pdf. 15 Proximity of recreational facilities Street design Housing density Safety accommodations Sidewalks Bike lanes Wheel chair accessibility Schools Environment determines a child’s ability to walk or drive to school

16. PRECED – PROCEED: A NALYSIS OF S OCIAL A SSISTANCE S YSTEM How do they pay? (Community and School) Community Medicare Medicaid Private Insurance LaChip Schools Books, Lunches, Athletic and Other Fees

17. PRECED – PROCEED: A NALYSIS OF EDUCATIONAL /O RGANIZATIONAL A SSESSMENT Predisposing Factors Health Knowledge Health Attitudes and Beliefs Health Values and Perceptions Health Skills and Competencies

18. GROUP ACTIVITY Please divide into your groups We brainstormed and chose the topics for your group project last class Work on developing a draft of rationale statement for your group projects Look at your previous lecture slides on how to write a rationale statement

19. R EMEMBER T HE E COLOGICAL M ODEL OF H EALTH AND W ELLNESS ?? D ID YOU NOTICE MANY C OMMONALITIES WITH OTHER M ODELS ? 19