90 likes | 208 Views
Health Promotion Planning Green (1991). Gero 302 Feb 2012. Framework for Planning. PRECEEDE-MODEL: Predisposing factors, Reinforcing factors, Enabling constructs, Education/Environment, Diagnosis, Evaluation
E N D
Health Promotion PlanningGreen (1991) Gero 302 Feb 2012
Framework for Planning • PRECEEDE-MODEL: Predisposing factors, Reinforcing factors, Enabling constructs, Education/Environment, Diagnosis, Evaluation • PROCEED-MODEL: Policy, Regulatory, Organizational constructs, Education, Environment, Development. • Health Directed Behavior is intended to reduce risk • Health Related Behavior is directed at individuals and families, communities and organizations. • Conditions of Living
Cont. • Increase in chronic diseases is impacted by: • Self-care, individual participation and responsibility. • Private Sector initiatives (self-help products/work site HP) • Independent Sector initiatives, Heart and Stroke Foundation • Federal/Provincial Initiatives, Smoking/Seat Belt Legislation • Global Initiatives, WHO, AIDS, HIV
Planning Model • Intervention------Process of Change------Target of Change----Immediate Outcomes----Intermediate Outcomes----Ultimate Outcomes. • Behavior/Environment------Health • Behavior variables: Compliance, Consumption, Coping, Preventive Action, Self-Care, Utilization • The Dimensions of Behavior include: Frequency, Persistence, Promptness, Quality, Range. • The Dimensions of Environment include: Economic, Physical, Services, Social, Access, Affordability and Equitable.
Planning Model Indicators • Disability, Discomfort, Fertility, Fitness, Morbidity, Mortality, Physiological. These are contained within the following dimensions: Distribution, Duration, Incidence, Intensity, Longevity, Prevalence.
QOL • Social Indicators: Achievement, Absenteeism, Comfort, Self-Esteem, Employment • Social Diagnosis: Perception of Need, QOL, Use of multiple information gathering techniques. • QOL measures: Unemployment rates, Housing density and air quality, Education, Risk reduction, ADL’s, Satisfaction and Wellness, Ability to perform certain valued social roles.
Planning Goals • To reduce drug/alcohol/ tobacco use • Improve nutrition • Increase physical activity • Improve Mental Health • Reduce environmental hazards • Reduce violent and abusive behavior • Prevent and control STD’s • Improve Mat/Child health • Prevent, detect and control disease
Cont. • Improve data and surveillance systems • The planning process using these goals is therefore to study/document/formulate decisions and policies/allocate resources/implement programs/and evaluate outcomes. • Some Quantitative techniques include: estimating prevalence, financial burden, lost productivity, short and long term health care costs. • Many techniques are used to gather information such as surveys, focus groups, data analysis and interpretation
Drop Down Model • Predisposing Factors: including knowledge, beliefs, attitudes, values and confidence • Enabling Factors: including Available resources, Accessibility, Community and Governmental legislation and regulations, related skill sets. • Reinforcing Factors: including Family, Peers, Teachers, Employers, Providers, Leaders, Decision-Makers.