Health Promotion Settings Approach Quiz

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Questions and Answers

What is the primary aim of the settings approach in health interventions?

  • To make settings the focus for health improvements (correct)
  • To promote individual health education exclusively
  • To enhance individual accountability for health
  • To eliminate environmental risk factors entirely

Which of the following is NOT one of the key principles of Healthy Settings?

  • Equity
  • Reduction of individual liberties (correct)
  • Empowerment
  • Community participation

Which type of intervention involves both group and individual approaches?

  • Network size enhancement initiatives
  • Treatments provided by healthcare professionals
  • Peer-support interventions
  • Both group and individual interventions (correct)

What is an example of a setting used for health promotion?

<p>Cities and communities (B)</p> Signup and view all the answers

Which statement reflects a misconception about health responsibility?

<p>Individuals alone should manage their health. (A)</p> Signup and view all the answers

The Ottawa Charter for Health Promotion emphasizes which of the following aspects?

<p>Equitable access to health resources (B)</p> Signup and view all the answers

Which of the following describes the settings-based approach to health promotion best?

<p>Incorporating environmental, organizational, and personal factors (A)</p> Signup and view all the answers

Which type of interventions includes building social skills?

<p>Network size enhancement interventions (D)</p> Signup and view all the answers

What is the main purpose of the Framework Directive 89/391/EEC introduced in 1989?

<p>To promote a goal-oriented approach to occupational health and safety (C)</p> Signup and view all the answers

Which of the following best describes the principle of subsidiarity in legislation?

<p>Decentralizing decision-making to local authorities (B)</p> Signup and view all the answers

Which campaign focuses on the prevention of musculoskeletal disorders?

<p>Lighten the Load (C)</p> Signup and view all the answers

The 'occupational health-route' (DG EMPL) aims to improve workers' health primarily by focusing on which aspect?

<p>Addressing work-related health risks and conditions (B)</p> Signup and view all the answers

What is the term 'Acquis' commonly associated with in the context of occupational health and safety legislation?

<p>The collective body of existing EU law and regulations (C)</p> Signup and view all the answers

What is considered the most effective method for controlling workplace hazards?

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

Which control measure involves replacing a hazardous substance with a less toxic one?

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

What is the main purpose of engineering controls in the hierarchy of control measures?

<p>To prevent hazards from reaching workers (B)</p> Signup and view all the answers

Which control measure is applied to limit exposure duration at the workplace?

<p>Administrative controls (B)</p> Signup and view all the answers

What kind of adjustments can be made to reduce repetitive strain in the workplace?

<p>Redesigning workstations and processes (C)</p> Signup and view all the answers

Why is personal protective equipment considered a last line of defense?

<p>It is less effective compared to other control measures. (B)</p> Signup and view all the answers

What role does worker education play in hazard control?

<p>It helps workers identify hazards and follow safety protocols. (C)</p> Signup and view all the answers

Which method is the least effective in the hierarchy of control measures?

<p>Personal protective equipment (C)</p> Signup and view all the answers

What is a disadvantage of the high-risk strategy in health interventions?

<p>It may disproportionately benefit those with higher socioeconomic status. (C)</p> Signup and view all the answers

What does the population strategy aim to achieve?

<p>Apply interventions to the entire population. (B)</p> Signup and view all the answers

What is the main focus of the vulnerable population approach?

<p>Targeting individuals with the greatest vulnerability. (B)</p> Signup and view all the answers

In the context of the Diderichsen framework, what does differential effectiveness refer to?

<p>The varying impact of interventions on different population groups. (A)</p> Signup and view all the answers

What is a key element in implementing the Diderichsen framework effectively across EU member states?

<p>Identifying disparities and targeting vulnerable groups. (C)</p> Signup and view all the answers

What does DPI stand for in the context of differentiated policy implementation?

<p>Differentiated Policy Implementation (B)</p> Signup and view all the answers

How might differential susceptibility be defined in health interventions?

<p>The variability in outcomes based on individual characteristics. (B)</p> Signup and view all the answers

What is a recommended strategy to improve health equity in EU health policies going forward?

<p>Enhance targeted interventions for the most vulnerable groups. (C)</p> Signup and view all the answers

What is essential for professionals to effectively support smoking cessation in low-literate populations?

<p>Having a non-judgmental and respectful attitude (B)</p> Signup and view all the answers

Why is it beneficial to involve target groups in the development of interventions?

<p>It ensures interventions are more relevant to the target group (A)</p> Signup and view all the answers

What type of materials should be developed for individuals with low literacy?

<p>Audiobooks and picture books (A)</p> Signup and view all the answers

What is the role of financial incentives in smoking cessation programs?

<p>They should complement but not replace good support (C)</p> Signup and view all the answers

How should support for individuals from lower socioeconomic backgrounds be structured?

<p>More intensive and long-term than regular support (C)</p> Signup and view all the answers

What type of support is essential for helping participants manage stress during smoking cessation?

<p>Providing emotional support and warm referrals (D)</p> Signup and view all the answers

What is a possible benefit of using experts by experience in smoking cessation interventions?

<p>They can aid in building a connection with participants (D)</p> Signup and view all the answers

What should be considered when evaluating the necessity of certain educational materials in smoking cessation programs?

<p>The effectiveness of the materials in engaging participants (B)</p> Signup and view all the answers

What is a key factor that influences a person's likelihood of adopting a health protective behavior according to the health belief model?

<p>Feeling personally threatened by the disease (D)</p> Signup and view all the answers

Which of the following describes the 'obesogenic environment'?

<p>An environment that increases the risk of obesity (B)</p> Signup and view all the answers

In the ANGELO framework, which level focuses on the social settings related to food environments?

<p>Micro level (C)</p> Signup and view all the answers

What is an example of a factor that can influence behavior change in the economic environment?

<p>Energy-dense foods being cheaper (D)</p> Signup and view all the answers

How does perceived control affect a person's decision to increase physical activity?

<p>It enhances feelings of self-efficacy (A)</p> Signup and view all the answers

Which of the following factors is NOT part of the ANGELO framework?

<p>Personal habits (C)</p> Signup and view all the answers

According to the health belief model, what must individuals believe to overcome perceived barriers to taking preventive actions?

<p>The benefits outweigh the barriers (B)</p> Signup and view all the answers

Which environment may contribute to modeling behavior related to physical activity?

<p>Social environment (B)</p> Signup and view all the answers

Flashcards

Soft law

Non-binding guidelines and principles that aim to influence behavior and promote certain objectives, often used to encourage member states' policies to align with broader goals.

Goal-oriented directives

EU directives that set broad objectives and principles, allowing member states flexibility in how they implement them.

Prescriptive directives

EU directives that provide specific and detailed instructions on how to achieve a particular goal, leaving less room for member states to adapt.

Subsidiarity

A principle in EU law that ensures decisions are taken at the lowest possible level of government, giving member states more autonomy.

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Acquis

The body of EU law that relates to occupational health and safety, encompassing directives, regulations, and soft law measures.

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High-Risk Strategy

A health policy approach that focuses on individuals at high risk of experiencing poor health outcomes.

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Population Strategy

A health policy approach that applies interventions to the entire population, aiming to reduce health risks for everyone.

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Vulnerable Population Approach

A health policy approach that concentrates on groups with a high vulnerability to poor health outcomes.

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Differential Exposure

The extent to which a health program reaches different population groups effectively.

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Differential Effectiveness

The difference in how interventions affect exposure to risks in different population groups.

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Differential Capability

The capacity of different population groups to benefit from a health intervention.

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Differential Susceptibility

The varying levels of susceptibility to health risks among different population groups.

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Differentiated Policy Implementation (DPI)

A concept that emphasizes tailoring health policies to specific groups based on their unique vulnerabilities and needs.

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What is a Setting (WHO)?

A setting, in WHO's definition, is where people engage in daily activities, considering the interplay of environmental, organizational, and personal factors, all impacting health and well-being.

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What is the Aim of the Settings Approach?

The settings approach aims to directly intervene within settings like workplaces, schools, or communities to improve health outcomes by tailoring interventions to the specific context and needs of the people within those settings.

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Understanding Settings

The settings approach considers the interconnectedness of settings, how changing them can impact health, and how knowledge is developed and applied to foster health promotion.

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What is the Healthy Settings Approach?

The settings approach seeks to promote health through a holistic, multi-disciplinary method that considers all risk factors in various settings. It emphasizes maximizing disease prevention through a 'whole system' approach.

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What are the Key Principles of Healthy Settings?

The settings approach considers community involvement, collaboration, empowerment, and equality as central to its success. It emphasizes that everyone has a role to play in creating healthier settings.

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Examples of Settings for Health Promotion

Examples of settings used for health promotion include schools, workplaces, hospitals, cities and communities, and prisons. Each setting presents unique opportunities to improve health outcomes.

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Types of Interventions in Settings

Interventions in settings can be categorized as group or individual initiatives, delivered by professionals or peers, and aimed at increasing social networks or building social skills to foster support.

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Ethical Views on Settings Approach

The settings approach promotes a nuanced understanding of health, acknowledging both individual responsibility and societal factors that influence health outcomes. It encourages a shift away from solely individualizing the responsibility for health.

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Hazard Elimination

The most effective approach to managing workplace hazards, completely eliminating the risk by removing it. For example, removing asbestos from a building.

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Substitution

Replacing a harmful substance with a less dangerous one. For example, switching from a toxic solvent to a safer alternative for cleaning.

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Engineering Controls

Preventing hazards from reaching workers through physical barriers or enclosures. Examples include ventilation systems to remove contaminants or isolating noisy equipment.

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Redesign of Workstations and Processes

Adjusting work processes and workstations to reduce strain and improve comfort. Examples include ergonomic design of equipment and providing rest breaks.

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Administrative Controls

Using administrative measures to limit exposure to hazards. Examples include job rotation, limiting time spent in hazardous areas, and training workers.

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Personal Protective Equipment (PPE)

The final line of defense against hazards, involving protective equipment like respirators, gloves, and earplugs. Only used when other controls aren't enough or during emergencies.

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Hierarchy of Control Measures

A systematic approach to minimizing or eliminating workplace hazards and associated risks, prioritizing control measures from most effective to least effective.

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Containment

The method of reducing exposure by enclosing the hazard, preventing its escape into the environment. Examples: using a sealed container for hazardous chemicals or isolating a noisy machine.

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Resistance Training

Training that helps professionals understand and respond to resistance during smoking cessation interventions.

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Low-Literacy Communication

Using methods and materials tailored for individuals with limited literacy skills to ensure effective communication.

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Non-Judgmental Attitude

Approaching interventions with empathy and respect for the individual, avoiding judgment or criticism.

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Connecting Interventions

Involving the target group in the development and design of interventions to ensure relevance and engagement.

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Flexibility and Learning Attitude

Adapting interventions to individual needs and being open to learning and changing approaches.

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Experts by Experience

Using individuals with lived experience to enhance the connection and credibility of interventions.

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Financial Incentives

Offering financial incentives for successful smoking cessation, as an additional motivation.

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Intensive Support

Providing more extensive and consistent support for people with lower socioeconomic status during smoking cessation.

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Health Belief Model

A model explaining that people will engage in health-protective behaviors when they perceive a personal risk of a disease, believe the benefits outweigh the barriers, and feel confident in their ability to take action.

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Ecological Approach to Behavior Change

A model that considers external factors influencing health behavior, including physical, social, economic, and policy environments.

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Self-efficacy

The belief that one can successfully perform a behavior, such as starting an exercise routine.

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Perceived Susceptibility

The perception that the negative consequences of a behavior are severe and likely to occur.

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Perceived Benefits

The perception that the benefits of taking action outweigh the costs or barriers.

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Perceived Barriers

The factors that make it difficult or inconvenient to engage in a specific behavior, like cost or time constraints.

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Obesogenic Environment

An environment that promotes unhealthy behaviors, particularly related to overeating and physical inactivity.

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ANGELO Framework

A framework focusing on the influence of the food environment on obesity-related behaviors, examining both individual settings (homes, workplaces) and broader sectors (healthcare, food production).

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Study Notes

EPH 2022 - Lifestyle, Work, and Health in the EU

  • Tutorial group assignments are listed, with specified chairs and scribes for each case.
  • Case 1 inequalities in working and behaving in a healthy way focuses on health determinants, how lifestyle and work affect health, the Precede and Proceed model, different ways to deal with cancer, views on health (screening participation), work policy, exposure to harmful substances, and factors leading to worse health outcomes.
  • The impact of socioeconomic status (SES) on lifestyle is considered, along with predisposing, enabling, and reinforcing factors.
  • The impact of SES on someone's profession, including education access, job security, and safety, is assessed.
  • The impact of lifestyle on health outcomes is explored.
  • The impact of profession on health outcomes through a systematic review is discussed, including occupational stress.
  • The link between lifestyle and profession, and the differences, is highlighted.

Case 2: Good Intentions

  • Keywords include difficulties in changing lifestyle, how good health professionals develop interventions, and the interplay of various factors.
  • Determinants of health behavior are outlined.
  • Learning goals include understanding determinants of health behavior and individual and environmental determinants.
  • Individual and environmental determinants factors.
  • Financial factors' role in behavior.
  • Scarcity's impact on health behaviour.
  • Strategies for changing health behaviours.
  • Behaviour change intervention examples: stoptober

Case 3: Different Perspectives

  • Keywords related to health promotion (ethical considerations), policies, education, environment, intervention mapping, and levels of intervention (micro- to macro-level).
  • Health promotion is defined as enabling people to control and improve their health
  • The emphasis of health promotion in the Western Pacific Region is on strengthening capacity, promoting urban health, building healthy settings, and developing health literacy.
  • The Ottawa Charter for Health Promotion's strategies are explained.
  • Intervention mapping is a framework for health programming focused on a systematic framework with steps for program design, development, implementation, and evaluation.

Case 4: Occupational exposure to paint

  • Keywords include occupational exposure limits (OELS), aspects of the work environment, precautionary principle, and occupational health services.
  • Occupational exposure factors (physical, ergonomic, biological, chemical) and control measures are discussed.
  • The effect of work/occupation (environment) on health (positive and negative aspects) is considered.
  • The concept of occupational toxicology is defined, along with its goals and nature.
  • Exposure routes of paint (oral, dermal, and respiratory) are elaborated upon

Case 5: Healthy@work: Interventions at the workplace

  • Keywords include interventions, workplace interventions, promotion and prevention of health risks, work environment, and musculoskeletal disorders (MSDs).
  • MSDs and risk factors – physical, psychosocial, and individual factors- are considered.
  • Prevention and workplace measures for MSDs (pre-employment exams, ergonomic design, and risk assessments) are presented.
  • Different types of prevention measures and their classifications.

Case 6: Wrap-up & Reflect

  • The core case messages and connections among cases 1-5 are summarized for each group.
  • Macro- and micro-level perspectives are mentioned.

Case 7: EU Law and Policies for Occupational Health and Safety

  • EU law and different policies to protect employees' health.
  • "Soft" policies (e.g., campaigns) and "hard" policies (e.g., legislation) are described.
  • Important EU directives and policies (e.g., Framework Directive 89/391/EEC) are elaborated upon.
  • Obligations for employers and workers related to health and safety are outlined.

Case 8: EU Policy and Regulation on Lifestyle

  • Policies concerning tobacco, alcohol use, and healthy diets.
  • EU policies on related directives, standards, and regulations are mentioned.
  • Health outcome evaluation of the non-harmonized alcohol policies. Non-harmonized policies in a comparison with specific countries are elaborated.

Case 9: Everything is connected to everything else

  • The case examines health inequalities within the EU.
  • The Diderichsen theoretical framework on differential vulnerability and susceptibility and its application to the context of EU health policies are discussed.
  • A framework for analyzing these disparities.
  • The difficulties that EU member states face in implementing the 24 OSH directives, due to issues such as a lack of resources, cultural differences, and weak enforcement mechanisms.
  • How differences in legislation affect health outcomes across the EU.

Case 10: Wrap up

  • Presentations and summaries from each group in this final case .
  • Definitions of Lifestyle and Precede-Proceed model.

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