1. Health Promotion & Aging
Resource Review for Teaching
Health Promotion & Aging
Section 2: A Framework for Health Promotion in Aging
Victoria M. Rizzo, LCSW-R, PhD
Jessica Seidman, LMSW
Columbia University School of Social Work

2. The History of Health Promotion Models
1950 – 1975: A link between human behavior and chronic illness was recognized.
1979: The U.S. Public health Service released an official document that declared a corresponding primarily behavioral view of health promotion.

3. The History of Health Promotion Models
1984: The shift from a disease/disability framework for aging to a positive aging framework occurred.
1986: The World Health Organization presented the Ottawa Charter for Health Promotion.

4. Definition of Health Promotion
“Health promotion is defined as the process of enabling people to increase control over, and to improve, their health” (Marshall & Altpeter, 2005, p. 136).

5. Health Promotion Models
Successful Aging (Rowe & Kahn, 1998)
Key Features: avoiding disease; engagement with life; maintaining physical & cognitive function
Other Comments: This framework provides the foundation for other models, including the Alberta Rose Model * the Healthy Aging Model.

6. Health Promotion Models
Healthy Aging (Centers for Disease Control & Prevention, 2008)
Key Features: development and maintenance of physical, mental, and social abilities in older adults.
Other Comments: focuses on communities that take action to prevent and/or reduce the impact of disease on older adults

7. Health Promotion Models
Active Aging (World Health Organization, 2002)
Key Features: participation in life; meaning of the family & community; health promotion & activities to promote health
Other Comments: Identifies conditions necessary for health promotion, such as peace, shelter, stable ecosystem, social justice, & equity

8. Health Promotion Models
Alberta Rose Model ( KPMG Consulting, 2002)
Key Features: Promoting health & preventing disease & injury; optimizing mental & physical function; managing chronic conditions; engaging with life
Other Comments: Builds on the Rowe & Kahn (1998)Successful Aging Framework

9. Implementation of Health Promotion Frameworks
Latest attempt in the U.S. is through the Healthy People 2010 initiative. The following healthy behaviors are targeted for health promotion among the aging population:
Physical Activity
Nutrition
Obesity

10. R = Reach E = Efficacy A = Adoption I = Implementation M = Maintenance
The RE-AIM Framework
R = Reach
E = Efficacy
A = Adoption
I = Implementation
M = Maintenance

11. The RE-AIM Framework
The RE-AIM framework can be used to considered the strengths and weaknesses of health promotion programs to guide their implementation in specific communities. It is a powerful tool for program planners and macro-level social workers.