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Promoting Health: A Practical Guide - E-Book

Promoting Health: A Practical Guide - E-Book

Angela Scriven

(2017)

Additional Information

Book Details

Abstract

Promoting Health: A Practical Guide continues to offer health promotion workers with an essential guide to day-to-day planning and service delivery in a variety of different areas of practice.

  • Describes the international and national strategies and movements that have emerged to reduce inequalities in health
  • Examines the concept of need and provides tools to assist in the identification of health promotion needs
  • Contains almost 50 exercises and 20 Case Studies to engage readers and reinforce learning
  • Describes the knowledge and skills required to draw on evidence, undertake research and use various techniques to inform and prioritise health promotion practice
  • Shows how to ensure that health promotion work contributes to local and national strategies
  • Looks at the concept of ‘value for money’ via learning ways of thinking based in health economics
  • Shows how to develop key skills that include information management, report writing, time management, project management, and change management
  • Looks at the effectiveness of good communication skills and emphasises the importance of establishing high-quality professional relationships
  • Provides practical guidance on the preparation of communication tools which range from leaflets, posters and display boards to the use of radio and television
  • Will reflects recent changes to the structure and organisation of the NHS
  • To include national standards for work in health promotion and public health
  • Discusses the latest research on the comparative effectiveness of different approaches to health promotion
  • Refers to the effectiveness of novel techniques, including the use of Social Media via Twitter and YouTube.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Promoting Health: A Practical Guide iii
Copyright iv
Contents v
Foreword vii
Preface ix
Acknowledgements xi
Part 1 Thinking About Health, Health Promotion and Public Health 1
Part Contents 1
Part Summary 1
1 What is Health? 3
Summary 3
What does being healthy mean to you? 3
Concepts of health and wellbeing 4
Lay Perceptions 4
Concepts of Health 5
The Medical Model 5
The Holistic Model 5
The Biopsychosocial Model 6
The Ecological Model 6
The Wellness Model 6
Determinants of health and wellbeing 10
Health and Medicine 10
The Wider Determinants of Health 11
Improving Health – Historical Overview 12
International initiatives for improving health 13
National initiatives 14
Where Are We Now? 14
Practice points 14
References 15
Websites 16
Blogs 16
Facebook 16
2 What is health promotion? 17
Summary 17
Defining health promotion 17
Action Areas 18
Strategies 18
The Connection Between Health Promotion and Public Health 20
What is Public Health? 20
The scope of health promotion 22
Illness and Disability Services 22
Positive Health Activities 23
Health Education Programmes 23
Social Marketing 24
Preventive Health Services 25
Community-Based Work 25
Organisational Development 25
Healthy Public Policies 25
Environmental Health Measures 25
Economic and Regulatory Activities 25
A framework for health promotion activities 25
Areas of competencies important to promoting health 27
Managing, Planning and Evaluating 27
Communicating and Educating 27
Marketing and Publicising 27
Facilitating, Networking, Partnership Working 27
Influencing Policy and Practice 28
Competencies in public health and health promotion 28
Practice points 33
References 33
Websites 33
Blogs 34
Facebook 34
Twitter 34
Youtube 34
3 Who Promotes Health? 35
Summary 35
National public health agencies 37
The Government 37
The National Institute for Health and Care Excellence (NICE) 37
Public Health England 38
Health Services 38
Online Public Health Resources: NHS Direct Wales, NHS Choices 39
NHS Walk-In Centres (WICS) 39
Other National and Local Public Health Agencies 40
Non-Government Organisations 40
The Royal Society for Public Health (RSPH) 40
The Institute of Health Promotion and Education (IHPE) 40
Voluntary and Charitable Organisations and Pressure Groups 40
Professional Associations 40
Trade Unions 40
Commercial and Industrial Organisations 40
Manufacturers and Retailers 41
The Mass Media 41
Churches and Religious Organisations 41
International public health agencies 41
The European Community 41
The World Health Organization (WHO) 42
Other International Agencies 42
The International Union for Health Promotion and Education (IUHPE) 42
European Public Health Alliance (EPHA) 43
World Federation of Public Health Associations (WFPHA) 43
Agents of Health Promotion 43
Directors of Public Health 44
Health Promotion Specialists 44
Public Health Practitioners 44
Public Health Specialists 46
Health Trainers and Community Health Champions 46
General Practitioners 47
Nurses and Midwives 48
Other Health Professions 49
Health promotion agents and agencies outside the NHS 49
Local Authorities 49
Environmental Health Officers/Practitioners 49
Personal, Social and Health and Economic (PSHE) Teachers and Schools 49
Social Services 49
Complementary and Alternative Medicine Practitioners 50
Other local organisations and groups 50
Universities and Colleges 50
Community Groups 50
Employers 50
Police, Probation and Prison Officers 50
Fire and Rescue Authorities 50
Practice points 51
References 51
Websites 53
Blogs 53
Facebook 53
4 Values and ethical considerations in health promotion and public health 55
Summary 55
Exploring the Aims of health promotion and public health practice 55
Aiming for Compliance or Informed Choice? 57
Analysing aims and values: five approaches 57
1. The Medical Approach 58
2. The Behaviour-Change Approach 58
3. The Educational Approach 58
4. The Client-Centred Approach 58
5. The Societal-Change Approach 58
Ethical dilemmas 61
Bottom Up or Top Down? 61
Just Widening the Inequalities? 62
The Health Promoter and Public Health Practitioner: A Shining Example? 62
Facts, Fads or Fashions? 63
Health At Any Cost? 63
Health Information: An Insensitive Blunderbuss? 63
Empower the People? 63
Health for Sale? 63
Individual Freedom or Community Health? 63
Behaviour change and nudging, an ethical approach? 64
Making ethical decisions 64
Towards an ethical code of practice 65
Practice points 66
References 66
Websites 67
Facebook 67
Blog 67
Youtube 67
BBC Iplayer 67
Part 2 Planning and Managing Health Promotion and Public Health Practice 69
Part Contents 69
Part Summary 69
5 Planning and evaluating health promotion and public health interventions 71
Summary 71
The planning process 71
The planning framework 73
Stage 1: Identify Needs and Priorities 73
Stage 2: Set Aims and Objectives 73
Setting Health Educational Objectives 74
Objectives About ‘Knowing’ 75
Objectives About ‘Feeling’ 75
Objectives About ‘Doing’ 75
Stage 3: Decide the Best Way of Achieving the Aims 76
Stage 4: Identify Resources 77
Professional Input 77
Your Client or Client/Target Group 78
People Who Influence Your Client or Client Group 79
Existing Policies and Public Health Strategies 79
Existing Facilities and Services 79
Material Resources 79
Media Resources 79
Stage 5: Plan Evaluation Methods 79
What is Meant by Evaluation? 79
Why Evaluate? 80
Who is the Evaluation For? 80
Assessing the Outcome 80
Changes in Health Awareness Can Be Assessed By: 80
Changes in Knowledge or Attitude Can Be Assessed By: 81
Behaviour Change Can Be Assessed By: 81
Policy Changes Can Be Assessed By: 81
Changes to the Physical Environment Can Be Assessed By: 81
Changes in Health Status Can Be Assessed By: 81
Assessing the Process 81
Measuring the Input 82
Self-evaluation 82
Feedback From Other People 82
Stage 6: Set an Action Plan 82
Stage 7: Action! 82
Practice points 84
References 84
Websites 84
Facebook 84
6 Identifying health promotion and public health practice needs and priorities 85
Summary 85
Concepts of need 86
1. Normative Need – Defined by the Expert 86
2. Felt Need – Wants 86
3. Expressed Need – Demands 86
4. Comparative Need 86
Need, demand and supply 87
Example of a Quality Statement 87
Identifying health promotion needs 87
The Scope 88
Reactive or Proactive? 88
Putting Users’ Needs First 88
Finding and using information 89
Epidemiological Data 90
Lifestyle Data 91
Socioeconomic Data 91
Professional Views 91
Public Views 91
Local and National Media and Social Media 92
Assessing health promotion and public health practice needs 92
1. What TYPE of Need Is It? 92
2. Who Decided That There Is a Need? 92
3. What are the Grounds for Deciding That There Is a Need? 93
4. What are the Aims and the Appropriate Response to the Need? 93
Setting health promotion and public health priorities 94
Practice points 97
References 97
Websites 97
Facebook 98
Twitter 98
7 Evidence and research for health promotion and public health practice 99
Summary 99
Evidence-informed health promotion and public health practice 99
What Health Promotion and Public Health Interventions Work? 100
Evidence-Informed Health Promotion and Public Health Practice 101
Judging the cost effectiveness of public health interventions 102
Cost–Utility Analysis 102
Cost–Consequences and Cost– Benefit Analyses 102
Audit 103
Audit, Research and Evaluation 104
Health impact assessment 105
Using published research 106
How to Search the Literature 106
Doing your own small-scale research 107
Basic Tools of Research 109
Questionnaires 109
Personal Interviews 109
Participant and Non-participant Observation 110
Sampling 110
Random sampling. 110
Quota sampling. 110
Convenience sampling. 110
The Research Report 112
Practice points 113
References 113
Websites 114
Facebook 114
Twitter 114
Youtube 114
Blogs 114
8 Skills of personal effectiveness 115
Summary 115
Management skills in health promotion and public health practice 115
Managing information 116
Principles of Effective Information Systems 116
Writing reports 116
Stage 1: Define the purpose 116
Stage 2: Define the readers 117
Stage 3: Prepare the structure 117
Stage 4: Write the report 117
Stage 5: Review and revision 117
Stage 6: Final check 117
Using time effectively 119
Time Logs and Time Diaries 119
Scheduling Your Work 119
Managing project work 120
Starting Health Promotion and Public Health Projects 120
Detailed Planning 120
Controlling Implementation 122
Managing change 122
Implementing Change 123
Key Factors for Successful Change 123
Reasons for Resistance to Change 124
Methods for Overcoming Resistance to Change 125
Working for quality 125
Criteria for Quality 125
Improving Quality 126
Developing Quality Standards 128
Practice points 128
References 128
Websites 129
Facebook 129
Blogs 129
Youtube 129
9 Working effectively with other people 131
Summary 131
Communicating with colleagues 131
Coordination and teamwork 132
Appointing a Coordinator 132
Using Your Reputation 132
Establishing Good Relationships 132
Bargaining 133
Out-ranking 133
Discussion and Negotiation 133
Policies, Procedures and Protocols 133
Joint Planning 133
Joint Working Through Creating Teams 133
Creation of Lateral Relations 133
Characteristics of Successful Teams 134
Participating in meetings 134
Effective committee work 134
Officers 134
Chair 135
Secretary 135
Treasurer 135
Quorum 135
Committee Behaviour 135
Understanding Conflict 135
Working in partnership with other organisations 136
Networking 137
Cooperating 137
Joint Working 138
Factors for Successful Public Health Partnership Working 138
Potential Difficulties With Public Health Partnership Working 139
Practice points 139
References 139
Websites 140
Facebook 140
Blogs 140
Youtube 140
Twitter 140
Part 3 Competencies in Health Promotion and Public Health Practice 141
Part Contents 141
Part Summary 141
10 Fundamentals of communication in public health 143
Summary 143
Exploring relationships with clients 144
Accepting or Judging? 144
Autonomy or Dependency? 144
A Partnership or a One-Way Process? 144
Clients’ Feelings – Positive or Negative? 145
Self-esteem, self-confidence and communication 145
Listening 146
Enabling people to talk 147
Giving an Invitation to Talk 147
Giving Attention 147
Encouraging 147
Paraphrasing 147
Reflecting Feelings 147
Reflecting Meanings 147
Summing Up 148
Asking questions and getting feedback 148
Types of Questions 148
Getting Feedback 149
Communication barriers 149
1. Social and Cultural Gaps 150
2. Limited Receptiveness 150
3. Negative Attitude to the Health Promoter and Public Health Practitioner 150
4. Limited Understanding and Memory 150
5. Insufficient Emphasis by the Health Promoter 150
6. Contradictory Messages 150
Overcoming language barriers 151
Nonverbal communication 152
Bodily Contact 152
Proximity 152
Orientation 152
Level 152
Posture 152
Physical Appearance 152
Facial Expression 152
Hand Movements and Head Movements 152
Direction of Gaze and Eye Contact 152
Nonverbal Aspects of Speech 153
Other forms of communication 154
Health Literacy and Health Communications 155
Practice points 155
References 155
Websites 156
Youtube 156
Twitter 156
11 Using communication tools in health promotion and public health practice 157
Summary 157
Selecting public health resources 157
Is It Appropriate for Achieving Your Aims? 159
Is It the Most Appropriate Kind of Resource? 159
Is It Consistent With Your Values and Approach? 159
Is It Relevant for Your Clients? 159
Is It Racist, Sexist, Ageist? 159
Will It Be Understood? 159
Is the Information Reliable? 159
Does It Contain Advertising? 159
The range of public health resources: uses, advantages and limitations 160
Producing health promotion and public health resources 160
Making the Most of Display Materials: Posters, Charts, Display Boards and Stands 160
Making the Most of Written Materials: Instruction Sheets and Cards, Leaflets and Booklets 161
Nonsexist Writing 161
Presenting statistical information 162
Using the mass media to promote health 163
Mass Media as Tools for Health Promotion and Public Health 163
Using Mass Media to Promote Health 165
Creating Opportunities 165
Working with Radio and Television 166
Basic Information 166
The Programmes 166
Interviews 166
Finding Out About a Specific Programme 166
Preparing the Message 166
Presenting Your Message 167
Working With the Local Press 167
Basic Information 167
The Copy 167
The Subjects 168
The Language 168
Your Special Interests 168
How to Write a Press Release 168
Writing Letters to the Editor 169
Using the internet and social media to promote health 170
The Social Media 170
Assessing the Quality of Health Information on the Internet 171
Author 171
Purpose 172
Objectivity 172
Accuracy 172
Reliability and Credibility 172
Currency 172
Links 172
Practice points 173
References 173
Websites 174
Blogs 174
Facebook 174
Twitter 174
Youtube 174
12 Educating for health 175
Summary 175
Principles of learning for health 175
Facilitating health learning 176
Plan Your Session 176
Work from the Known to the Unknown 177
Aim for Maximum Involvement 177
Vary Your Learning Methods 177
Devise Public Health Education Activities 177
Ensure Relevance 179
Identify Realistic Health Goals and Objectives 179
Use Learning Contracts 179
Step 1: Diagnose Health Learning Needs With the Learners 179
Step 2: Specify the Learning Objectives of Each Learner 179
Step 3: Specify Learning Methods 179
Step 4: Evaluate Learning 180
Organise Your Public Health Education Material 180
Evaluation, Feedback and Assessment 181
Assessing Your Own Performance 181
Getting Feedback 181
Assessing the Health Learning Outcomes 181
Guidelines for giving public health talks 182
Check the Facilities 182
Make a Plan for the Session 182
Making and Using Notes 182
Prepare Your Introduction 184
Prepare the Key Points 184
Plan a Conclusion 184
Ask for Questions 184
Work on Your Presentation 184
Plan for Contingencies 185
Improving patient education 185
Teaching practical skills for health 185
Practice points 187
References 187
Website 187
Youtube 187
Facebook 187
Blog 187
13 Working with groups to promote health 189
Summary 189
Types of groups 190
When to use group work 190
Group leadership 191
Leadership Style 191
Leadership Responsibilities 192
Group behaviour 193
Group Development 193
Group Members’ Roles 193
Hidden Agendas 193
Setting up a group 194
Why Are You Proposing to Run the Group? 194
Who Will the Members Be? 194
What Are the Group’s Aims and Objectives? 194
Where Will the Group Meet? 194
What Resources Do You Need? 195
When Will the Group Meet? 195
How Will the Group Be Run? 195
How Will the Group Be Evaluated? 195
Getting groups going 196
Before the First Meeting 196
On Arrival 196
Getting to Know Each Other 196
Introduction in Pairs 196
Name Games 196
Sharing Initial Feelings and Expectations 196
Setting Ground Rules 197
Discussion skills 197
Trigger Materials 197
Brainstorms/Think Sessions 197
Rounds 198
Buzz Groups 198
Safe Revelations 198
Dealing with difficulties 199
Silence 199
Disasters 199
Distractions 199
Difficult Behaviour 199
Virtual groups 200
Setting Up a Social Media Group 200
Practice points 202
References 203
Youtube 203
Websites 203
14 Enabling healthier living through behaviour change 205
Summary 205
Models of behaviour change 206
The Health Action Process Approach 206
The Motivation Phase 206
The Volition Phase 207
Transtheoretical Model and Stages of Change 208
Working with a client’s motivation 209
Ideas For Exploring Importance 210
Ideas For Building Confidence 210
Dangerous Assumptions About Motivation 210
Working for client self-empowerment 210
Strategies for increasing self-awareness, clarifying values and changing attitudes 211
Deciding What to Change 211
Ranking or Categorising 211
Using Polarised Views 211
Using a Values Continuum 212
Using Role-Play 212
Using Structured Activities 212
Strategies for decision making 212
Stage 1: Identify the Need and Create the Climate 213
Stage 2: Explore the Needs and the Concerns 213
Stage 3: Help the Client to Set Goals and Identify Options 214
Stage 4: Help the Client to Decide Which Option to Choose 214
Stage 5: Help the Client to Develop an Action Plan 214
Strategies for changing behaviour 214
Self-monitoring 214
Identifying Costs, Benefits and Rewards 214
Setting Targets and Evaluating Progress 215
Devising Coping Strategies 215
Using strategies effectively 216
Advocacy and Working in Partnership 216
Making Healthier Choices Easy Choices 216
Relating to Clients 217
Dealing With Resistance 218
Using Methods Sensitively 218
Brief interventions 218
Barriers to behaviour change 219
Practice points 220
References 220
Youtube 221
Websites 221
15 Working with communities 223
Summary 223
Community engagement in health promotion and public health 223
Key Terms 223
Community 223
Community Work 224
Community Health Work 224
Community Action 224
Community Participation 224
Community Development 224
Community Health Projects 224
Community Health Services 224
Principles of community-based engagement 225
1. The Centrality of the Community 225
2. The Facilitator Role of Community Health Promoters and Public Health Practitioners 225
3. The Importance of Addressing Inequalities 225
4. A Broad Perspective on Health 225
Community participation 225
Community Participation in Planning 225
Ways of Developing Community Participation 226
Community development in practice 227
Assets-Based Community Development 227
1. Asset Mapping 228
2. WITTY (What’s Important To You?) 229
3. Social Mirror 232
Some Implications of the Community Engagement Approach 232
1. Different Priorities and Agendas 232
2. Threat to Local Health Workers 232
3. No Instant Results 232
4. A Token Gesture or an Easy Option 232
5. Evaluation Conflicts 232
Community health projects 233
Stage 1. Identifying Needs and Priorities 233
Stages 2 and 3. Setting Aims and Objectives, and Deciding the Best Way of Achieving Them 233
Stage 4. Identifying Resources 233
Stage 5. Planning Evaluation Methods 235
Stage 6. Setting An Action Plan 235
Stage 7. Implementing Your Plan 236
Developing competence in community work 237
Practice points 237
References 238
Websites 238
Youtube 239
Twitter 239
Facebook 239
16 Influencing and implementing public health policy 241
Summary 241
European health policy framework: health 2020 241
Making and influencing local and national health policy 242
Local and National Public Health Policy Themes 242
Behavioural Change as a Policy Directive 243
Place-Based Health 244
Implementing national health policies at a local level 244
Challenging policy 245
Characteristics of Power and Influence 246
The Politics of Influence 246
Planning 246
Making Allies 247
Networking 247
Influencing Policy by Making Deals and Negotiating 248
On Being Political 248
Developing and Implementing Policies 249
Policies on Promoting Health in Workplaces 249
Policies on Promoting Health in Hospitals 250
Promoting Health in Urban Settings: Healthy Cities 250
Policies on Promoting Health in Schools and Universities 250
Policies on Promoting Health in Prisons 250
Guidelines on Developing and Implementing a Policy 250
1. Preparation Of The Policy 253
2. Implementation of The Policy 253
3. Education and Training 253
4. Evaluation 254
Campaigning 254
Principles of Campaigning for Policy Change 254
Planning a Policy Campaign 254
Practice points 255
References 255
Websites 256
Blogs 256
Youtube 256
Webinars 257
Twitter 257
Facebook 257
Index 259