1. Program Planning: Models and Theories

3. Why Theories and Models?
Builds clarity in understanding targeted health behavior and environmental context.
Directs program planning - why, what and how?
Directs evaluation as integral part

4. Explanatory Theory = Theory of the Problem
Change Theory = Theory of Action

5. Planning Models

6. Social Marketing Approach

7. Key Concepts of Social Marketing
Consumer orientation not expert driven
Concentrates on a defined target group
Must understand what drives current behavior and what “levers” can be used to drive and maintain new behavior

8. 4 “Ps” of Social Marketing
Product
Price
Place (distribution)
Promotion (communication)

9. PRECEDE-PROCEED (Green and Kreuter)
Systematic planning process
Empowers individuals with
understanding
motivation
skills
active engagement in community affairs

10. 9 phases
1-5 are diagnostic
6-9 are implementation and evaluation

11. PRECEED-PROCEED Planning Model

12. What is a Theory? Set of concepts, definitions, and propositions
Systematic view of events or situations
Allows explanation of events or situations

13. Applying Theories to Health Promotion
Different theories work in different situations
Combinations of theories are often most effective

14. A Good Fit Theory Is logical Is consistent with observations
Is similar to those used in previous successful interventions for a similar situation

15. Two Main Options Change people Change the environment
The most powerful approaches do both

17. Individual Level

18. Interpersonal Level

19. Community Level

20. RE-AIM Systematic way to evaluate health behavior interventions
Reach into the target population
Efficacy or effectiveness
Adoption by target settings or institutions
Implementation—consistency of delivery of intervention
Maintenance of intervention effects in individuals and populations over time

21. Reach
The absolute number, proportion, and representativeness of individuals who are willing to participate in a given initiative, intervention, or program.

22. Efficacy/Effectiveness
The impact of an intervention on important outcomes, including potential negative effects, quality of life, and economic outcomes.

23. Adoption
The absolute number, proportion, and representativeness of settings and intervention agents (people who deliver the program) who are willing to initiate a program.

24. Implementation
At the setting level, implementation refers to the intervention agents' fidelity to the various elements of an intervention's protocol, including consistency of delivery as intended and the time and cost of the intervention. At the individual level, implementation refers to clients’ use of the intervention strategies

25. Maintenance
The extent to which a program or policy becomes institutionalized or part of the routine organizational practices and policies. Within the RE-AIM framework, maintenance also applies at the individual level. At the individual level, maintenance has been defined as the long-term effects of a program on outcomes after 6 or more months after the most recent intervention contact.