Health program planning: an educational and ecological approach
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Boston [u.a.]
McGraw-Hill
2005
|
| Edition: | 4. ed. |
| Series: | McGraw-Hill higher education
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Item Description: | Previous publ. with title: Health promotion planning. Includes bibliographical references (p. B1-B91) and index |
| Physical Description: | Getr. Zählung Ill., graph. Darst. 24 cm |
| ISBN: | 0072556838 9780072985429 |
Staff View
MARC
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| 245 | 1 | 0 | |a Health program planning |b an educational and ecological approach |c Lawrence W. Green ; Marshall W. Kreuter |
| 250 | |a 4. ed. | ||
| 264 | 1 | |a Boston [u.a.] |b McGraw-Hill |c 2005 | |
| 300 | |a Getr. Zählung |b Ill., graph. Darst. |c 24 cm | ||
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| 490 | 0 | |a McGraw-Hill higher education | |
| 500 | |a Previous publ. with title: Health promotion planning. | ||
| 500 | |a Includes bibliographical references (p. B1-B91) and index | ||
| 650 | 4 | |a Promotion de la santé - États-Unis - Planification | |
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| 650 | 4 | |a aHealth promotion |a xPlanning | |
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Record in the Search Index
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|---|---|
| adam_text | BRIEF CONTENTS
1 A Framework for Planning 1
2 Social Assessment, Participatory Planning,
and Situation Analysis 29
3 Epidemiological Diagnosis: Health, Behavioral,
and Environmental Assessments 78
4 Ecological and Educational Diagnosis 146
5 Program, Administrative, and Policy Design:
Turning the Corner From Formative to Process
Evaluation, From PRECEDE to PROCEED 190
6 Applications in Communities 255
7 Applications in Occupational Settings 317
8 Applications in Educational Settings 372
9 Applications in Health Care Settings 441
CONTENTS
1 A Framework for Planning l
Key Concepts 1
A Population Health Program 1
The Ecological and Educational Approach 2
Respecting Context and People in the Adaptation of Best Practices 6
The Precede Proceed Model 7
What Are the Phases of the Precede Proceed Approach to Population Health
Planning? 7
How Does the Precede Proceed Model Work? 9
Phase 1: Social Assessment and Situational Analysis 9
Phase 2: Epidemiological Assessment 10
Phase 3: Ecological and Educational Assessment 14
Phases 4, 5, and 6: Intervention Alignment, Administrative and Policy
Assessment, and Implementation 15
Hallmarks 17
Hallmark: Flexibility and Scalability 18
Hallmark: Evidenced Based and Evaluable 18
Hallmark: Participation 19
Hallmark: A Platform for Evidence Based Best Practice 21
Summary 22
Exercises 23
Notes and Citations 23
2 Social Assessment, Participatory Planning,
and Situation Analysis 29
Social Diagnosis and Participation: The Rationale 30
Social and Health Conditions: A Reciprocal Relationship 31
Health as an Instrumental Rather Than Terminal Value 32
Quality of Life: An Expression of Ultimate Values 34
Eliciting Subjective Assessments of Community Quality of Life 34
X Contents
Measuring Quality of Life 35
Relevance of an Ecological and Environmental Approach 35
Limitations of Data 37
The Principle and Process of Participation 37
Forms of Participation 38
Participation in Setting Priorities 39
Public Perception and Professional Diagnosis: Common Ground 40
The Capacity Building and Sustainability Case
for Participation 42
Examining the Steps of Assessment 44
Two Functional Levels 44
Technical Support 44
Tasks Common Across Precede Phases 44
Official Functions 45
Implementation and Evaluation 46
The Capacity Building, Self Reliance, and Sustainability Cycle 46
Evaluation, Demonstration, and Diffusion 46
Keeping Perspective on Participation and Partnership 46
Methods and Strategies for Social Diagnosis
and Situation Analysis 48
Assessing Urgency and Assets: Situation Analysis 49
Assessing Capacity: Community Competence and Readiness 51
Effects of Social Capital on Community Health 52
Asset Mapping 52
The Social Reconnaissance Method for Community Social Diagnosis 54
Application at the State Level 54
Application at the Community Level 55
Other Assessment Methods 57
Nominal Group Process 57
The Delphi Method 57
Focus Groups 58
Central Location Intercept Interviews 58
Surveys 59
Public Service Data 60
Using Data from a Social Assessment and Situation Analysis to Map
the Planning Process 60
Social Diagnosis and Situation Analysis After the Fact 62
Situation Analysis: Cutting To the Chase, Leaping Past the Obvious 64
Summary 67
Exercises 68
Notes and Citations 69
Contents xi
3 Epidemiological Diagnosis: Health, Behavioral,
and Environmental Assessments 78
The Epidemiological, Population Health Approach 79
Where s the Evidence? 79
Organization of the Chapter 80
Starting in the Middle: A Reality for Practitioners 81
Three Reasons Why Planners Should Know the Whole Model 81
Reason 1 82
Reason 2 82
Reason 3 83
Maintaining a Reciprocal Balance 84
Participatory Research as Part of Participatory Planning 85
Key Principles and Terms of Descriptive Epidemiology 86
Epidemiology: A Definition 86
What Is the Problem? 88
Rates 88
Specific and Adjusted Rates 89
Incidence and Prevalence 89
Incidence 91
Prevalence 92
Prevalence of Chronic Disease Rates: A Word of Caution 94
Surveillance 94
Making Comparisons to Gain Insight 95
Obtaining Data to Make Comparisons 97
Setting Priorities and Objectives for Health Programs 99
Key Questions 99
Developing Health Objectives 100
Etiology: Why Do Those with the Problem Have It? 102
Risk Factors: Finding Relevance for Planning 104
Risk Factor Surveillance 106
Population Attributable Risk 108
Cost Benefit Analysis From PAR 109
Data: Follow the Signs 110
Ecological Correlations 112
Advantages 112
Disadvantages 113
An Example: Coal Miners in Appalachia 113
Protective Factors 114
Behavioral Diagnosis 115
Three Levels or Categories of Behavior 115
xii Contents
Genetics and Behavioral Interactions 117
Step 1: Listing Potential Behavioral Risks for the Health Problem 120
Keep an Eye on the Literature 120
Systems Thinking 122
Case Example: Roseville 122
Step 2: Rating Behaviors on Importance 123
Continuing the Roseville Case 124
Step 3: Rating Behaviors on Changeability 125
Step 4: Choosing Behavioral Targets 128
Step 5: Stating Behavioral Objectives 129
Environmental Diagnosis 130
Step 1: Identifying Environmental Factors 132
Step 2: Rating Environmental Factors on Relative Importance 132
Step 3: Rating Environmental Factors on Changeability 133
Step 4: Choosing the Environmental Targets 135
Step 5: Stating Environmental Objectives 136
Evaluation Summary 137
Definition 138
Objects (and Order) of Interest 138
Standards of Acceptability 138
Being an Accountable Practitioner 139
Outcome Evaluation 139
Impact Evaluation 139
Process Evaluation 141
Exercises 142
Notes And Citations 142
4 Ecological and Educational Diagnosis 146
Factors Influencing Behavior and the Environment 147
The Theory Underlying This Part of the Model 148
The Practical Uses of This Component of the Model 151
Predisposing Factors 152
Capacity Building Cycle of Predisposing and Enabling Factors 153
Awareness, Knowledge, and Health Literacy 154
Beliefs, Values, and Attitudes 156
Beliefs 157
Fear 158
Values 158
Attitudes 159
Self Efficacy and Social Cognitive Theory 160
Contents xiii
Behavioral Intention 161
Precontemplation to Contemplation and Preparation 162
Existing Skills 163
Enabling Factors 163
The Health Care Environment 164
Other Environmental Conditions that Affect Health Related
Behavior 165
New Skills 167
Reinforcing Factors 167
Selecting Determinants of Behavior and Environmental
Change 170
Step 1: Identifying and Sorting 171
Informal Methods 171
Formal Methods 172
Step 2: Setting Priorities Among Categories 175
Step 3: Establishing Priorities Within Categories 176
Importance 176
Changeability 177
Learning And Resource Objectives 178
Summary 180
Exercises 180
Notes and Citations 180
5 Program, Administrative, and Policy Design:
Turning the Corner From Formative to Process
Evaluation, From PRECEDE to PROCEED 190
Some Definitions 192
Some Principles 195
Aligning Priority Determinants with Program Components 196
Alignment 1: Intervention Matching, Mapping, Pooling, and
Patching 197
The Ecological Level of Matching 197
Mapping Causal Theory, Action Theory, and Program Theory 199
Pooling and Patching Prior and Existing Interventions 201
Alignment 2: Formative Evaluation and Blending Interventions into
Comprehensive Programs 203
Best Practices 205
Best Experiences 206
Best Processes 208
Innovate and Evaluate 210
What Is an Innovation? 210
xiv Contents
A Summary of the Developmental Process Steps to a Comprehensive
Program 213
Fidelity to Best Practices versus Adaptation to Population
and Circumstances 213
Alignment 3: From Formative Evaluation to Process Evaluation: Pretesting
Components of Program for Feasibility, Acceptability, and Fit 214
The Administrative Assessment and Process Evaluation 215
Step 1: Assessment of Resources Needed 215
Time 215
Personnel 217
Budget 218
Attention to Detail 219
Step 2: Assessment, Enhancement, and Process Evaluation of Available
Resources 221
Personnel 221
Other Budgetary Constraints 222
Step 3: Assessment, Modification, and Process Evaluation of Factors
Influencing Implementation 223
Staff Commitment, Values, and Attitudes 225
Program Goal(s) 225
Rate of Change 226
Familiarity 226
Complexity 226
Space 226
Community Circumstances 226
Quality Assurance, Training, and Supervision 226
Policy Assessment and Accountability 227
Step 1: Assessment of the Organizational Mission, Policies,
and Regulations 227
Being Informed 228
Anticipating 228
Flexibility 229
Step 2: Assessing Political Forces 229
Level of Analysis 229
The Zero Sum Game 231
Systems Approach 231
Exchange Theory 232
Power Equalization Approach 233
Power Educative Approach 233
Conflict Approach 233
Advocacy and Educating the Electorate 233
Empowerment Education and Community Development 234
Participatory Research and Community Capacity Approaches 234
Contents XV
Implementation and Evaluation: Ensuring Reach, Coverage, Quality,
Impact, and Outcomes 234
Estimating and Calculating the Inputs and Outputs of
Your Program 237
Practical Realities 237
Population Concerns 239
Need 239
Reach 240
Coverage 240
Impact 240
Efficacy 241
Effectiveness 241
Economic Measures 241
Program Cost 241
Efficiency 241
Cost Effectiveness 242
Benefits 242
Cost Benefit 243
Income 243
Net Gain 243
Summary 244
Exercises 246
Notes and Citations 246
6 Applications in Communities 255
Community: A Medium for Change and a Changing Medium 255
Defining Community 255
Community Interventions and Interventions in Communities 257
The Epidemiological Case for the Community Approach 257
The Social Psychological Case for the Community Approach 258
The Economic Case for the Community Approach 259
The Political Case for the Community Approach 261
The Demonstration and Multiplier Value of Smaller Programs 262
Community Participation 264
The Dilemma of Complex Problems and Multiple Stakeholders 264
Tackling Complex Community Problems 267
The Dilemma of External Funding 268
Two Points of View 269
Coalitions: Compelling, Important, But Not Easy and Not
a Panacea 270
The Capacities of Communities to Support Health Programs 27i
xvi Contents
The Politics of Coalitions and Community Power 275
Coalitions: Some Basic Principles 277
Basic Steps to Keep in Mind 277
Creating an Organizational Framework 282
Applications in Communities 283
A Kentucky Case Study 286
Results 286
Strategy: Multiple Tactics 287
Implications for Practitioners 288
Implementation Lesson 289
The North Karelia Project 290
The Design 290
The Impact 291
Diffusion 292
Penetrate the Community 292
Never Promise Too Much Too Soon 293
Selecting Multiple Strategies 295
Ideas From PATCH 295
Intervention Matrix 297
Intervention Mapping 298
Reaching the Masses 300
Segmenting 302
A Su Salud 305
Social Marketing: Square One for a Campaign 306
Take It Outside 306
Examples From Developing Countries 307
So Much to Know and Do, So Little Time! 309
Summary 310
Exercises 310
Notes and Citations 311
7 Applications in Occupational Settings 317
The Ecological Context of Workplace Health Programs 318
Historical Context of Health Programs in the Workplace 318
Demographic Context 321
Regulatory Context: Occupational Health and Safety Legislation 321
Legislative Initiatives 321
The Problem of Coordination 322
Problems Requiring Regulatory Intervention 323
Environmental Protections Versus Health Promotion 323
Protection of Women 324
Contents Xvii
Educational Protections 324
Medical Surveillance and Risk Assessment 325
Psychosocial Factors 326
Recent Trends 326
Current Limitations 326
Economic Context 327
Containing Health Care Costs 327
Econometric Evaluation 327
Tobacco Control 330
Stress Management, Nutrition, and Physical Activity 331
Hypertension 332
Comprehensive Programs 332
Limitations of Evaluation 333
Employee Dependents 333
Substance Abuse Context: Employee Assistance Programs 334
The U.S. Organizational Context 334
The Canadian Organizational Context 334
The Diffusion of EAPs 334
From Medical Model to Constructive Confrontation 335
From Treatment to Secondary Prevention 335
Converging Interests of EAPs and Health Promotion 336
The Blending of the Four Work Site Health Ecologies 336
Prevention Versus Health Promotion 336
Health Risk Appraisals 337
Work Organization, Control, and Health 337
Organizational Culture 337
Caveats 339
Ethical Concerns 339
The Victim Blaming Versus Paternalism Problems 339
The Divided Loyalties Problem 340
Caution: Do Not OverSell Economic Benefits 341
Application of PRECEDE PROCEED 341
Phase 1: Social Diagnosis and Participation 341
From the Perspective of Employers 341
From the Perspective of Employees 342
Phase 2: Epidemiological Assessment 343
Phase 3: Educational and Ecological Assessment 348
Predisposing Factors 349
Reinforcing Factors 350
Enabling Factors 350
Phase 4: Administrative, Organizational, and Policy Assessment 351
Implementation and Evaluation Phases 352
xviii Contents
Screening and Wait Listing 353
Self Care and Community Referrals 354
Triage and Stepped Program of Interventions 354
A Case Study: Air Quality Control in a State Agency 356
Social and Epidemiological Assessment 356
Educational and Ecological Assessment 357
The Environment 357
Behavior/Lifestyle 357
From Administrative and Policy Assessment to Implementation 359
Implementation and Structural Evaluation 361
Process Evaluation 361
Impact Evaluation 363
Outcome Evaluation 364
Summary 364
Exercises 365
Notes and Citations 365
8 Applications in Educational Settings 372
What Is a School Health Program? 373
Key Concept: Coordinated 374
Progress In School Health Research and Policy 375
Assessing the Effects of School Health Education 375
The National Institutes of Health 376
The Challenge of Parental Participation 377
Policy Analysis and Advances 377
Policy Surveys 377
Policy Analysis 381
Comprehensive School Health Education: A Response to the AIDS
Epidemic 382
Using PRECEDE and PROCEED for Planning in Schools 384
Social Assessment 384
Health: An Instrumental Value for Schools 384
Education and Health: A Two Way Relationship 385
Developmental Assets 385
Epidemiological Assessment 390
Using Multiple Approaches 390
Health Problems and Health Behaviors 391
Emphasize Flexibility 392
The School Health Index: A Practical Example of Epidemiological
Assessment 392
Contents xix
Behavioral, Environmental, and Educational Assessment 393
What Is the Goal? 393
Skills: A Legitimate Focus 395
Using Theory 395
PRECEDE PROCEED and Schools: A Hypothetical Case 397
Where Are We? 397
What Matters? 398
Sorting Out the Complexity 400
Can the Literature and Other Outside Sources Help Us? 401
Time and Resources 401
Within Reason 402
Public Opinion 403
Using Policy 403
Summary 405
Exercises 405
Notes and Citations 406
9 Applications in Health Care Settings 411
Disease Prevention, Health Promotion, and Self Care as Priorities
of Clinical Care 412
Definitions 413
The Opportunity 413
Clinical Credibility 414
Access to Teachable Moments 414
Public Interest 414
Readiness of Clinical Practitioners 415
The Missed Opportu nity 415
The Rationale 416
An Ecolological and Community Approach to Health Care 419
Epidemiology of Health Care Errors 420
Health Care Errors of Omission 423
The Undiagnosed 423
Nonusers 423
Health Care Errors of Commission 424
Professional Errors 424
Patient Errors 424
Special Groups 425
Patient Considerations in Targeting Interventions 426
The Undiagnosed 426
XX Contents
Diagnosed Nonusers Who Received Inappropriate Medical
Recommendations 427
Nonusers Who Did Not Obtain a Recommended Drug or Device All
Policy Changes 428
Misusers 428
Allocation Decisions 429
Application of Educational and Ecological Assessment to
Individual Patients 430
A Hierarchy of Factors Affecting Self Care Behavior 434
Triage According to Motivation 438
Triage According to Enabling Factors 439
Assessing Reinforcing Factors Necessary for Patients Adherence 439
Balancing the Three Sets of Determinants 440
Making Reinforcement Intrinsic Rather Than Extrinsic 441
Self Monitoring 441
Changing the Behavior of Health Care Staff 442
Educational and Ecological Assessment of
Practitioners Behavior 443
Predisposing Factors 443
Enabling Factors 445
Reinforcing Factors 445
Managed Care 446
Complications and Barriers 447
Summary 449
Exercises 450
Notes and Citations 451
Glossary G ll
Bibliography B l
Index 1 1
|
| any_adam_object | 1 |
| author | Green, Lawrence W. Kreuter, Marshall W. |
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| bvnumber | BV019987303 |
| callnumber-first | R - Medicine |
| callnumber-label | RA440 |
| callnumber-raw | RA440 |
| callnumber-search | RA440 |
| callnumber-sort | RA 3440 |
| callnumber-subject | RA - Public Medicine |
| classification_rvk | XE 4800 |
| ctrlnum | (OCoLC)54529109 (DE-599)BVBBV019987303 |
| dewey-full | 613/.0973 |
| dewey-hundreds | 600 - Technology (Applied sciences) |
| dewey-ones | 613 - Personal health & safety |
| dewey-raw | 613/.0973 |
| dewey-search | 613/.0973 |
| dewey-sort | 3613 3973 |
| dewey-tens | 610 - Medicine and health |
| discipline | Medizin |
| edition | 4. ed. |
| format | Book |
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| indexdate | 2024-07-09T20:10:12Z |
| institution | BVB |
| isbn | 0072556838 9780072985429 |
| language | English |
| lccn | 2004044976 |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-013309275 |
| oclc_num | 54529109 |
| open_access_boolean | |
| owner | DE-703 DE-355 DE-BY-UBR |
| owner_facet | DE-703 DE-355 DE-BY-UBR |
| physical | Getr. Zählung Ill., graph. Darst. 24 cm |
| publishDate | 2005 |
| publishDateSearch | 2005 |
| publishDateSort | 2005 |
| publisher | McGraw-Hill |
| record_format | marc |
| series2 | McGraw-Hill higher education |
| spelling | Green, Lawrence W. Verfasser aut Health program planning an educational and ecological approach Lawrence W. Green ; Marshall W. Kreuter 4. ed. Boston [u.a.] McGraw-Hill 2005 Getr. Zählung Ill., graph. Darst. 24 cm txt rdacontent n rdamedia nc rdacarrier McGraw-Hill higher education Previous publ. with title: Health promotion planning. Includes bibliographical references (p. B1-B91) and index Promotion de la santé - États-Unis - Planification Santé publique - États-Unis - Planification Éducation sanitaire - États-Unis - Planification aHealth education xPlanning aHealth promotion xPlanning aHealth planning Gesundheitserziehung (DE-588)4020759-6 gnd rswk-swf Gesundheitswissenschaften und öffentliche Gesundheitsförderung (DE-588)4234722-1 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Gesundheitswissenschaften und öffentliche Gesundheitsförderung (DE-588)4234722-1 s DE-604 Gesundheitserziehung (DE-588)4020759-6 s b DE-604 Kreuter, Marshall W. Verfasser aut HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=013309275&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Green, Lawrence W. Kreuter, Marshall W. Health program planning an educational and ecological approach Promotion de la santé - États-Unis - Planification Santé publique - États-Unis - Planification Éducation sanitaire - États-Unis - Planification aHealth education xPlanning aHealth promotion xPlanning aHealth planning Gesundheitserziehung (DE-588)4020759-6 gnd Gesundheitswissenschaften und öffentliche Gesundheitsförderung (DE-588)4234722-1 gnd |
| subject_GND | (DE-588)4020759-6 (DE-588)4234722-1 (DE-588)4143413-4 |
| title | Health program planning an educational and ecological approach |
| title_auth | Health program planning an educational and ecological approach |
| title_exact_search | Health program planning an educational and ecological approach |
| title_full | Health program planning an educational and ecological approach Lawrence W. Green ; Marshall W. Kreuter |
| title_fullStr | Health program planning an educational and ecological approach Lawrence W. Green ; Marshall W. Kreuter |
| title_full_unstemmed | Health program planning an educational and ecological approach Lawrence W. Green ; Marshall W. Kreuter |
| title_short | Health program planning |
| title_sort | health program planning an educational and ecological approach |
| title_sub | an educational and ecological approach |
| topic | Promotion de la santé - États-Unis - Planification Santé publique - États-Unis - Planification Éducation sanitaire - États-Unis - Planification aHealth education xPlanning aHealth promotion xPlanning aHealth planning Gesundheitserziehung (DE-588)4020759-6 gnd Gesundheitswissenschaften und öffentliche Gesundheitsförderung (DE-588)4234722-1 gnd |
| topic_facet | Promotion de la santé - États-Unis - Planification Santé publique - États-Unis - Planification Éducation sanitaire - États-Unis - Planification aHealth education xPlanning aHealth promotion xPlanning aHealth planning Gesundheitserziehung Gesundheitswissenschaften und öffentliche Gesundheitsförderung Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=013309275&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT greenlawrencew healthprogramplanninganeducationalandecologicalapproach AT kreutermarshallw healthprogramplanninganeducationalandecologicalapproach |