HHeeallth Prromootiion Programms:: From Theory to Practice A L L F Health Promotion Programs introduces the theory of health promotion and presents an overview of current E E HEALTH best practices from a wide variety of settings that include schools, health care organizations, workplace, and N R community. The 43 contributors to Health Promotion Programs focus on students and professionals interested S T in planning, implementing, and evaluating programs that promote health equity. In addition to the focus on best W M practices, each chapter contains information on: O A R N (cid:129) Identifying health promotion programs T (cid:129) Eliminating health disparities H (cid:129) Defi ning and applying health promotion theories and models PROMOTION (cid:129) Assessing the needs of program participants (cid:129) Creating and supporting evidence-based programs (cid:129) Implementing health promotion programs: Tools, program staff, and budgets H (cid:129) Advocacy E (cid:129) Communicating health information effectively (cid:129) Developing and increasing program funding A (cid:129) Evaluating, improving, and sustaining health promotion programs PROGR AMS L (cid:129) Health promotion challenges and opportunities T (cid:129) Health promotion resources and career links H “The authors have clearly connected the dots among planning, theory, evaluation, health disparity, and FF advocacy, and have created a user-friendly toolbox for health promotion empowerment.” — Ronald L. Braithwaite, PhD, professor, Morehouse School of Medicine, Departments of rr P o Community Health and Preventive Medicine, Family Medicine, and Psychiatry R m O “The most comprehensive program planning text to date, this book examines all facets of planning and TT implementation across four key work environments where health educators function.” — Mal Goldsmith, PhD, CHES, professor and coordinator of Health Education, h M Frrromm TTheeoryy tto Practice Southern Illinois University, Edwardsville e o O “Health Promotion Programs . . . . explores the thinking of some of our fi eld’s leaders and confi rms its r well-deserved place in the fi eld and in our personal collections.” yy T — Susan M. Radius, PhD, CHES, professor and program director, Health Science Department, tt I Towson University O o The Editors P N r Carl I. Fertman, PhD, CHES, is associate professor in Health and Physical Activity and executive a director of the Maximizing Adolescent Potentials (MAPS) Program, both in the School of Education at the c P University of Pittsburgh. He is the author of Youth Leadership from Jossey-Bass. t R i c O Diane D. Allensworth, PhD, is professor emeritus, College of Education, Kent State University. CARL I. FERTMAN e G Society for Public Health Education (SOPHE) is the leading international professional association for health education professionals, faculty, and students. Founded in 1950, SOPHE is the only R DIANE D. ALLENSWORTH independent, professional organization devoted exclusively to health education and health promotion in A all settings. M PUBLIC HEALTH/HEALTH BEHAVIOR EDITORS Cover design by Michael Rutkowski S www.josseybass.com Society for Public Health Education ffttoocc..iinndddd vviiiiii 22//2233//1100 11::3311::3366 PPMM Health Promotion Programs From Theory to Practice CARL I. FERTMAN DIANE D. ALLENSWORTH EDITORS THE SOCIETY FOR PUBLIC HEALTH EDUCATION ffffiirrss..iinndddd ii 22//2233//1100 44::0055::1111 PPMM Copyright © 2010 by the Society for Public Health Education. All rights reserved. Published by Jossey-Bass A Wiley Imprint 989 Market Street, San Francisco, CA 94103-1741—www.josseybass.com No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax 978-646-8600, or on the Web at www.copyright.com. Requests to the publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, 201-748-6011, fax 201-748-6008, or online at www.wiley.com/go/permissions. Readers should be aware that Internet Web sites offered as citations and/or sources for further information may have changed or disappeared between the time this was written and when it is read. Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifi cally disclaim any implied warranties of merchantability or fi tness for a particular purpose. No warranty may be created or extended by sales representatives or written sales materials. The advice and strategies contained herein may not be suitable for your situation. You should consult with a professional where appropriate. Neither the publisher nor author shall be liable for any loss of profi t or any other commercial damages, including but not limited to special, incidental, consequential, or other damages. Jossey-Bass books and products are available through most bookstores. To contact Jossey-Bass directly call our Customer Care Department within the U.S. at 800-956-7739, outside the U.S. at 317-572-3986, or fax 317-572-4002. Jossey-Bass also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Library of Congress Cataloging-in-Publication Data Health promotion programs: from theory to practice/Carl I. Fertman, Diane D. Allensworth, editors. p.; cm. Includes bibliographical references and index. ISBN 978-0-470-24155-4 (pbk.) 1. Health promotion. I. Fertman, Carl I., date. II. Allensworth, Diane DeMuth. [DNLM: 1. Health Promotion—United States. 2. Health Education—United States. WA 590 H4396 2010] RA427.8.H5255 2010 613—dc22 2009054080 Printed in the United States of America FIRST EDITION PB Printing 10 9 8 7 6 5 4 3 2 1 ffffiirrss..iinndddd iiii 22//2233//1100 44::0055::1122 PPMM C O N T E N T S Figures, Tables, and Exhibits ix Preface xiii Carl I. Fertman, Diane D. Allensworth The Contributors xix SOPHE xxv PART ONE: FOUNDATIONS OF HEALTH PROMOTION PROGRAMS 1. What Are Health Promotion Programs? 3 Carl I. Fertman, Diane D. Allensworth, M. Elaine Auld Health, Health Promotion, and Health Promotion Programs 4 Historical Context for Health Promotion 8 Healthy People: A National Public-Private Partnership to Promote Health 12 Health Education and Health Promotion 15 Settings for Health Promotion Programs 18 Stakeholders in Health Promotion Programs 21 2. Health Promotion Programs Designed to Eliminate Health Disparities 29 Francisco Soto Mas, Diane D. Allensworth, Camara Phyllis Jones Population Groups and Health Disparities 30 Understanding Racial and Ethnic Differences in Health 37 Program Strategies to Eliminate Health Disparities Among Minorities 38 ffttoocc..iinndddd iiiiii 22//2233//1100 11::3311::3333 PPMM IV CONTENTS 3. Theory in Health Promotion Programs 57 Leonard Jack Jr., Melissa Grim, Tyra Gross, Sara Lynch, Carlen McLin Theory in Health Promotion Programs 58 Foundational Theories: Intrapersonal Level 60 Foundational Theories: Interpersonal Level 64 Foundational Theories: Population Level 67 Health Promotion Program Planning Models 71 Using Health Theories and Planning Models 79 PART TWO: PLANNING HEALTH PROMOTION PROGRAMS 4. Assessing the Needs of Program Participants 91 James H. Price, Joseph A. Dake, Britney Ward Defi ning a Needs Assessment 92 Conducting a Health Needs Assessment 97 Promoting a Needs Assessment 98 Using Primary Data Methods and Tools 99 Using Secondary Data Methods and Tools 106 Reporting and Sharing the Findings 108 5. Making Decisions to Create and Support a Program 121 W. William Chen, Jiunn-Jye Sheu, Huey-Shys Chen Identifying a Mission Statement, Goals, and Objectives 122 Writing Program Objectives 124 Deciding on Program Interventions 127 Selecting Health Promotion Materials 131 Using Evidence-Based Interventions 132 Developing Effective Policies and Procedures 139 Transitioning to Program Implementation 146 PART THREE: IMPLEMENTING HEALTH PROMOTION PROGRAMS 6. Implementation Tools, Program Staff, and Budgets 153 Jean M. Breny Bontempi, Michael C. Fagen, Kathleen M. Roe From Program Planning to Action Planning 154 Preparing a Logic Model 155 ffttoocc..iinndddd iivv 22//2233//1100 11::3311::3355 PPMM CONTENTS V Using a Gantt Chart to Guide Implementation 161 Planning for Implementation Challenges 164 Hiring and Managing High-Quality Program Staff 168 Budgeting and Fiscal Management 171 7. Advocacy 181 Regina A. Galer-Unti, Kelly Bishop Alley, Regina McCoy Pulliam Creating an Advocacy Agenda for a Program 182 Advocacy as a Professional Responsibility 184 Examples of Successful Health Policy Advocacy 185 Becoming Fluent in the Language of Advocacy 187 Forming Alliances and Partnerships for Advocacy 192 Advocacy Methods 194 Advocacy and Technology 199 8. Communicating Health Information Effectively 203 Neyal J. Ammary-Risch, Allison Zambon, Kelli McCormack Brown Communication in Health Promotion Programs 204 Developing a Communication Plan for a Site 212 Developing and Pretesting Concepts, Messages, and Materials 218 9. Developing and Increasing Program Funding 233 Carl I. Fertman, Karen A. Spiller, Angela D. Mickalide Sources of Program Funding 234 Funding Varies by Program Participants and Setting 238 Writing a Grant Proposal 240 Maintaining Relationships with Funders 247 Fundraising 249 Working with Board Members 252 PART FOUR: EVALUATING AND SUSTAINING HEALTH PROMOTION PROGRAMS 10. Evaluating and Improving a Health Promotion Program 259 Daniel Perales, Andy Fourney, Barbara MkNelly, Edward Mamary Program Evaluation Defi nition, Types, and Terms 260 Evaluation Frameworks 267 Evaluation Designs 271 Data Collection and Analysis 274 Evaluation Reports 274 ffttoocc..iinndddd vv 22//2233//1100 11::3311::3355 PPMM VI CONTENTS Evaluation and Program Design 280 Implementing an Evaluation 283 11. Leadership for Change and Sustainability 291 David A. Sleet, Sara L. Cole Catalyzing and Mastering Change 292 Engaging Participants and Building Support 295 Ensuring Competence Through Credentialing 303 Enhancing Program Impact and Sustainability 306 PART FIVE: HEALTH PROMOTION PROGRAMS IN DIVERSE SETTINGS 12. Promoting Health in Schools and Universities 313 Marlene K. Tappe, Diane D. Allensworth, Jim Grizzell Rationale for Promoting Health in Schools and Universities 314 Evolving Role of Promoting Health in Schools and Universities 316 Current Role of Promoting Health in Schools and Universities 316 Resources and Tools 324 Challenges 330 Career Opportunities 334 13. Patient-Focused Health Promotion Programs in Health Care Organizations 341 Louise Villejo, Cezanne Garcia, Katherine Crosson Evolving Role of Programs in Health Care Organizations 342 Effective Programs in Health Care Organizations 345 Resources for Programs in Health Care Organizations 352 Challenges for Programs in Health Care Organizations 357 Career Opportunities in Health Care Organizations 361 14. Health Promotion Programs in Workplace Settings 369 Laura Linnan, Kimberly L. Peabody, Jennifer Wieland Workplace Health Promotion—1970 to the Present 370 Resources and Tools 374 Challenges 379 Career Opportunities 385 ffttoocc..iinndddd vvii 22//2233//1100 11::3311::3355 PPMM CONTENTS VII 15. Promoting Community Health: Local Health Departments and Community Health Organizations 393 Michael T. Hatcher, Diane D. Allensworth, Frances D. Butterfoss Brief History of Local Health Organizations 394 Local Health Department Services 397 Community Health Organization Services 401 Resources and Tools 404 Challenges 410 Career Opportunities 414 Glossary 421 Index 443 ffttoocc..iinndddd vviiii 22//2233//1100 11::3311::3366 PPMM ffttoocc..iinndddd vviiiiii 22//2233//1100 11::3311::3366 PPMM