Health Promotion Development Overview

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Questions and Answers

What is a primary focus of health promotion strategies?

  • To reinforce medical staff responsibilities
  • To develop pharmaceuticals for disease management
  • To improve hospital operation efficiency
  • To maintain or improve the health of large populations (correct)

What landmark report identified lifestyle as a crucial factor for health promotion?

  • Epp's framework
  • Labonte's analysis
  • WHO's policy statement
  • Lalonde's report (correct)

Which approach is emphasized as necessary for effective health promotion?

  • Social movements led by the public (correct)
  • Sociological strategies exclusively
  • Government edicts
  • Medical interventions primarily

What was one of the goals of the Public Health Agency of Canada's programs?

<p>To promote stair usage over elevators (D)</p> Signup and view all the answers

According to Epp's framework, who holds the primary responsibility for health?

<p>Individuals and communities (D)</p> Signup and view all the answers

What orientation characterizes the Medical level of health promotion?

<p>Disease-based focus aimed at management (D)</p> Signup and view all the answers

In which decade did province-wide health promotion programs start to emerge in Canada?

<p>Early 1900s (D)</p> Signup and view all the answers

What is the goal of public health promotion as identified by Epp's framework?

<p>Behavior-based initiatives aimed at disease prevention (B)</p> Signup and view all the answers

What is the primary goal of socioenvironmental orientation in health promotion?

<p>Achieve public health policy changes (D)</p> Signup and view all the answers

Which of the following is NOT considered a social determinant of health?

<p>Genetic predisposition (A)</p> Signup and view all the answers

Which factor is linked to health inequities in Canada?

<p>Geographic location (C)</p> Signup and view all the answers

What percentage of Canadians in the highest income bracket rate their health as very good or excellent?

<p>92% (B)</p> Signup and view all the answers

Which health promotion mechanism encourages individuals to take responsibility for their health?

<p>Promotion of self-care (D)</p> Signup and view all the answers

Which health-related issue is associated with low-income status in Canada?

<p>Obesity rates among teenagers (A)</p> Signup and view all the answers

What is a pressing age-related problem affecting Canadian children?

<p>Childhood obesity (A)</p> Signup and view all the answers

Which screening test was introduced in British Columbia in the late 1940s for cancer detection?

<p>Pap test (A)</p> Signup and view all the answers

What is the primary focus of gain-framing in health promotion messages?

<p>Emphasizing the benefits of engaging in a health behavior (D)</p> Signup and view all the answers

Which factor is NOT mentioned as a hurdle during health promotion in pandemics?

<p>Financial constraints (B)</p> Signup and view all the answers

How did the Sturgis Motor rally impact COVID-19 mortality rates?

<p>Caused 5000 deaths (A)</p> Signup and view all the answers

What is the implication of COVID fatigue during health promotion efforts?

<p>Worries about prolonged compliance with measures (D)</p> Signup and view all the answers

Which principle is related to the effectiveness of communication during a pandemic?

<p>Clear communication of risk (B)</p> Signup and view all the answers

What role does source credibility play in health promotion messages?

<p>It influences acceptance via the central route (C)</p> Signup and view all the answers

What challenge arises from confusing messages during health interventions?

<p>It can lead to anxiety and non-compliance (C)</p> Signup and view all the answers

Which audience factor can affect the impact of health promotion messages?

<p>Literacy and language barriers (C)</p> Signup and view all the answers

What are reflexive processes in the context of exercise habits?

<p>Behaviors that become habits and part of our identities. (C)</p> Signup and view all the answers

Which statement best describes the role of one-on-one interactions in habit formation?

<p>They help facilitate habit and identity formation more easily. (B)</p> Signup and view all the answers

What is the primary focus of health promotion programs?

<p>Increasing awareness of health problems and behavior change. (B)</p> Signup and view all the answers

How do health promotion programs attempt to modify people's attitudes?

<p>By influencing beliefs about low-fat diets and health. (D)</p> Signup and view all the answers

What does the Elaboration Likelihood Model highlight regarding persuasion?

<p>Central and peripheral routes influence attitudes through different mechanisms. (D)</p> Signup and view all the answers

What is a key distinction between beliefs and attitudes?

<p>Beliefs pertain to perceived truths; attitudes involve evaluations. (B)</p> Signup and view all the answers

Which of the following best describes the aim of health advertising within health promotion?

<p>To persuade individuals that certain diets are beneficial. (B)</p> Signup and view all the answers

What effect do health promotion programs have on individuals in the pre-contemplative stage?

<p>They encourage contemplation of their behavior and problems. (D)</p> Signup and view all the answers

What do the 'precede' phases of the Precede-Proceed Model primarily focus on?

<p>Planning health promotion programs (D)</p> Signup and view all the answers

Which is a criticism of the Precede-Proceed Model?

<p>It emphasizes individual behavior and lifestyle (A)</p> Signup and view all the answers

What is a challenge in assessing the effectiveness of health promotion programs?

<p>Difficulty in measuring abstract concepts (B)</p> Signup and view all the answers

What type of standard evaluates health promotion programs based on legal and ethical issues?

<p>Propriety standards (A)</p> Signup and view all the answers

Which standard is based on direct experiences of the community involved in the promotional campaign?

<p>Experiential standards (A)</p> Signup and view all the answers

Which phase of the Precede-Proceed Model encompasses evaluation?

<p>Phase 6 (B)</p> Signup and view all the answers

Which standard uses data published in scientific literature for evaluation?

<p>Scientific standards (A)</p> Signup and view all the answers

What is emphasized in the feasibility standards for evaluating health promotion programs?

<p>Practicality or sustainability (B)</p> Signup and view all the answers

What is a key characteristic of the peripheral route in health promotion?

<p>Appeals to emotion and general impression (C)</p> Signup and view all the answers

What is the goal of using fear appeals in health promotion?

<p>To motivate people to control the danger presented (C)</p> Signup and view all the answers

Which factor is considered more important than simple fear arousal according to threat perception?

<p>The belief that the threat is real and the audience is vulnerable (D)</p> Signup and view all the answers

In the context of the Extended Parallel Process Model, when might individuals avoid responding to fear appeals?

<p>When fear arousal is perceived as too high (A)</p> Signup and view all the answers

What aspect of the Health Belief Model directly influences behavior change?

<p>Beliefs regarding vulnerability to health issues (D)</p> Signup and view all the answers

What outcome occurs when there is a mismatch between the threat and the threat-reducing behavior?

<p>Reduced motivation to address the threat (B)</p> Signup and view all the answers

When health promotion campaigns feature healthy-looking individuals, which route of persuasion are they primarily using?

<p>Peripheral route (A)</p> Signup and view all the answers

What is a potential consequence of relying too heavily on fear appeals without addressing efficacy?

<p>Heightened fear with no behavioral change (A)</p> Signup and view all the answers

Flashcards

Health Promotion

Strategies to improve or maintain the health of large populations.

Lalonde's Report

Identified lifestyle as a key factor in health, a target for promotion.

Epp's Framework

A framework for Canadian health promotion; individual responsibility for health.

Labonte's Levels

Three levels of health promotion: medical, public health, and social. Each level has different goals.

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Medical Level

Health promotion focused on managing disease, like recovering from a heart attack or finding a cure for cancer.

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Public Health Level

Health promotion that aims to prevent diseases, like promoting safe sex or anti-drinking and driving programs.

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Social Movement

Effective health promotion is a broad community effort, not just a government order.

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Locus of Responsibility

The idea that individuals and communities are primarily responsible for their own health.

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Socioenvironmental Health Promotion

An approach to health promotion that focuses on social change to improve public health policies. Examples include policies aimed at providing health-essential resources like school lunches.

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Social Determinants of Health

Factors like income, social status, social support, education, employment, gender, culture, race, and racism that directly influence health outcomes.

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Health Inequities

Unfair or unjust differences in health, impacting different groups based on factors like culture, geography, education, income, age, and occupation.

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Health Promotion Goal (Government)

Saving government money through healthcare cost savings, especially in countries like Canada where expenditures are substantial.

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Self-Care in Health Promotion

Encouraging individuals to prioritize their health through actions like exercise, diet, regular checkups, and disease screenings.

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Pap Test (Pap Smear)

A screening test for cervical cancer, that was first introduced in the late 1940s in BC, Canada.

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Leading Causes of Death (15-25)

Transport accidents and intentional self-harm are among the primary causes of death for Canadians between the ages of 15-25.

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Childhood Obesity (5-17)

Childhood obesity was a substantial issue in Canada, with 10.6% obese and another 18 % overweight (ages 5 to 17).

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Reflexive Processes

Behaviors that become habits or part of our identity, requiring less conscious thought.

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Habit Formation

The process by which a behavior becomes automatic and routine.

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Pre-contemplative Stage

Stage where a person isn't considering changing a behavior.

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Contemplative Stage

Stage where a person acknowledges a problem and considers changing a behavior.

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Persuasion

Attempt to change people's attitudes and beliefs.

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Attitude

A cognition in which a person evaluates a target, using adjectives or verbs like "good," "bad," "like," or "dislike".

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Belief

Something considered true, not evaluative.

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Central Route to Persuasion

Persuasion that relies on logic, reason, and facts to change attitudes

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Gain-Framing

Emphasizing the positive outcomes of engaging in a health behavior.

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Loss-Framing

Highlighting the negative consequences of not engaging in a health behavior.

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Response Efficacy

The belief that a specific action will lead to a desired outcome.

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Self-Efficacy

Confidence in one's ability to perform a specific behavior.

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Self-Accountability

Taking responsibility for one's own actions and choices.

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Pandemic Uncertainty

The lack of clear information and unpredictable nature of a pandemic.

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COVID Fatigue

The feeling of exhaustion and frustration from prolonged pandemic-related restrictions.

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Message Clarity

Simple, easy-to-understand communication about health behaviors.

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Peripheral Route to Persuasion

Persuasion relying on emotions, appearance, and general impressions rather than logic.

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Fear Appeal

A persuasive technique using fear to encourage behavior change or avoid risk.

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Threat Perception

A person's belief that a threat is real and that they are vulnerable to it.

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Extended Parallel Process Model (EPPM)

A model describing how fear appeals can lead to avoidance, fear control, or danger control.

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Danger Control

Responding to a fear appeal by changing behavior to reduce the threat.

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Health Belief Model

A theory suggesting that changing beliefs can lead to behavioral changes related to health.

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Efficacy of Preventative Behaviors

The likelihood that a specific action will reduce a health risk.

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Pandemic Fatigue

A state of exhaustion and demotivation caused by prolonged exposure to a pandemic, leading to decreased adherence to safety measures.

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Precede-Proceed Model

A comprehensive framework for planning, implementing, and evaluating health promotion programs, encompassing both preparatory and action phases.

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Precede Phases

The first five phases of the Precede-Proceed model, focusing on planning and assessment, such as identifying community needs and desired outcomes.

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Proceed Phases

The latter four phases of the Precede-Proceed model, focusing on program implementation and evaluation, such as putting plans into action and measuring their impact.

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Assessing Health Promotion Effectiveness

Evaluating the impact of health promotion programs to determine their success and identify areas for improvement.

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Challenges in Assessment

Difficulties in measuring the effectiveness of health promotion programs, often due to abstract concepts, long-term benefits, and underreporting.

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Arbitrary Standards

Evaluation criteria based on decisions made by external bodies, like government agencies, regarding community needs.

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Experiential Standards

Evaluation based on direct experiences of the community involved in the health promotion campaign.

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Study Notes

Health Promotion Development

  • Health promotion focuses on maintaining or improving the health of large populations.
  • The World Health Organization (WHO) uses political and sociological approaches to improve global health.
  • Canada's Public Health Agency of Canada (PHAC) offers health promotion programs like "Stairway to Health" to encourage healthy choices.
  • Marc Lalonde's paper highlighted lifestyle as a key factor in health and well-being.
  • Effective health promotion involves a social movement, not just government directives.
  • Health promotion emphasizes individual and community responsibility rather than solely relying on medical professionals.
  • Early health promotion in Canada focused on sanitation and hospital operations.
  • The focus then shifted towards educating the public on healthy lifestyles.
  • A key development was Lalonde's report (1974) which highlighted healthy lifestyle as a target.
  • The Epp framework (1986) provides a framework for health promotion in Canada which emphasizes individual responsibility and mutual support.

Canada's Framework for Health Promotion

  • The framework aims to achieve health for all Canadians through addressing health challenges.
  • Health challenges include reducing inequities, increasing prevention, and enhancing coping.
  • Mechanisms to address these challenges include self-care, mutual aid, and healthy environments.
  • Implementation strategies include fostering participation, strengthening community services, and coordinating healthy public policy.

Levels of Successful Health Promotion

  • Labonte (1987) identified three levels: medical (disease management), public health (behavior-based prevention), and socioenvironmental (social change for public health policies)

Health Challenges in Canada

  • Health inequities exist in Canada based on several factors (ethnicity, geography, culture, age, income, education).
  • Poorer health is often associated with lower income status or Aboriginal status.
  • Age-related health concerns (e.g., smoking prevalence among adolescents, increased stress levels).
  • Changing demographics (increasing older population) pose challenges for Canadian healthcare.
  • High rates of transportation accidents and intentional self-harm among younger people are significant concerns.

Health Promotion Mechanisms

  • Promotion of self-care encourages individuals to look after their well-being.
  • Social support systems (friends, family, colleagues) positively impact health outcomes.
  • Agency-provided support fills gaps where naturally occurring support is lacking.

Psychology & Health Promotion

  • Several psychological theories apply to health promotion.
  • The multi-process action control model integrates aspects of planning, enacting, maintaining behaviour.
  • Health belief model, theory of planned behaviour, and theory of reasoned action help understand individual beliefs and behaviours relevant to health promotion.
  • Health promotion campaigns consider persuasive techniques such as fear-arousing messaging (with a focus on efficacy) and framing (emphasizing positives or negatives), for behaviour change.

Health Promotion Strategies

  • People are more likely to adopt healthy behaviours when they believe that those behaviours are beneficial.
  • Promotion of behaviour change based on beliefs and attitudes is effective.
  • Social determinants play a crucial role in health promotion.

Assessing Health Promotion Program Effectiveness

  • Evaluation considers community needs, experiential aspects, historical comparisons, scientific/normative standards, and ethical considerations.
  • Co-production between health institutions, individuals, and communities supports effective health promotion.
  • The Precede-Proceed model is a framework for planning, implementing, and evaluating health promotion programs, consisting of 9 phases.

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