D o w n P UN Edited by Wendy Macdowall load U ed B D by LIC ERS Chris Bonell [ Fac HEA TAN & Maggie Davies ulty of N UNDERSTANDING PUBLIC HEALTH LTH DING ursing, C h ia n g SSEERRIIEESS EEDDIITTOORRSS::NICK BLACK & ROSALIND RAINE m a i U Health Promotion Practice There is an increasing niv e global awareness of the rsity Tphraisc tbicoeo ok fc hoenasildthe rps rtohme okteiyo nst.e Itp sst ianr ttsh bey iinnedvivitidabulael lhimeaitltsh o cfare and He Health 5.62.15 sdtinhoeto treewerrvvimineengiwni nhe tgo ht.whee si tcn iieese nfdtirisfs itoc n fe eavc ipedosespnaucreyla tttooio jnu satnifdy Uospufun ctbdhheli ercs se nthraeveneiacddleti nhtsog ws tcPirotuahmbt eleipgcff liHeeecmse.taievltneht alth Pro Promotion 8.117] at [07/18/1 6 The wide range of approaches available is an innovative series of m ]. C o op are co◗◗nMTshidoeetairvteradet,i oinncalul idnitnegr:viewing tOcwopleleannbt yoU rbnaoitviooeknrss ,iw tpyiut Phbr eltihsshse eind by tion P Practice yright © McG ◗ Mass media London School of Hygiene r ra a w ◗ Social marketing & Tropical Medicine. c -H ◗ Community development Itprovides self-directed tic ill Glo ◗ Public policy learning covering the major e bal E issues in public health du Finally the authors discuss how to plan ca affecting low, middle and tio health promotion programmes, how to high income countries. W n H evaluate them and how to expand their e old ipmoppauclat tbioy nscs.aling-up the activities to larger Tsthued syeinrige sp ius baliimc ehdea altth t,hose &ndy M ings, LLC either by distance learning Ma . N Wendy Macdowallis Lecturer in Health or more traditional agcdo ot to b PLEHerpyocigdtmiueeormneteirioo &innlo TaSgronyocd pai aitCc lhta Shlrc ieMise LBenoodcnenicd eaionlnlnedi .sS Schenoioolr of mhpeoealtilchtyho mdpsra,a kacestri twsi.oenlle arss panudblic gie Davieswall, Chris e redistributed or m MaggieDaviesis Associate Director for B od Development at the National Institute for on ified e in Health and Clinical Excellence. ll an y w a y w ith o u t p e rm issio n Cover design Hybert Design •www.hybertdesign.com . UNDERSTANDING PUBLIC HEALTH www.openup.co.uk D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 8 .1 1 7 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . Page 1 D o w n lo a d e d b y [ F a c u lty o Health Promotion Practice f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 8 .1 1 7 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . Page 1 Page 2 D o w n lo a d e d b Understanding Public Health y [ F a c u Series editors: Nick Black and Rosalind Raine, London School of Hygiene & Tropical Medicine lty o f N u Throughout the world, recognition of the importance of public health to sustainable, safe and rsin healthy societies is growing. The achievements of public health in nineteenth-century Europe were g, C for much of the twentieth century overshadowed by advances in personal care, in particular in h ia hospital care. Now, with the dawning of a new century, there is increasing understanding of the ng m inevitable limits of individual health care and of the need to complement such services with effective a public health strategies. Major improvements in people’s health will come from controlling com- i U n municable diseases, eradicating environmental hazards, improving people’s diets and enhancing ive the availability and quality of effective health care. To achieve this, every country needs a cadre of rsity knowledgeable public health practitioners with social, political and organizational skills to lead and 5 .6 bring about changes at international, national and local levels. 2.1 5 8 This is one of a series of 20 books that provides a foundation for those wishing to join in and .1 1 contribute to the twenty-first-century regeneration of public health, helping to put the concerns and 7] a perspectives of public health at the heart of policy-making and service provision. While each book t [0 stands alone, together they provide a comprehensive account of the three main aims of public health: 7/1 8 protecting the public from environmental hazards, improving the health of the public and ensuring /1 6 high quality health services are available to all. Some of the books focus on methods, others on key ]. C topics. They have been written by staff at the London School of Hygiene & Tropical Medicine with op y considerable experience of teaching public health to students from low, middle and high income rig countries. Much of the material has been developed and tested with postgraduate students both in ht © face-to-face teaching and through distance learning. M c G The books are designed for self-directed learning. Each chapter has explicit learning objectives, key ra w terms are highlighted and the text contains many activities to enable the reader to test their own -H understanding of the ideas and material covered. Written in a clear and accessible style, the series will ill G be essential reading for students taking postgraduate courses in public health and will also be of lo b interest to public health practitioners and policy-makers. a l E d Titles in the series u c a tio Analytical models for decision making: Colin Sanderson and Reinhold Gruen n H Controlling communicable disease: Norman Noah o ld Economic analysis for management and policy: Stephen Jan, Lilani Kumaranayake, in g Jenny Roberts, Kara Hanson and Kate Archibald s, L Economic evaluation: Julia Fox-Rushby and John Cairns (eds) LC Environmental epidemiology: Paul Wilkinson . N o Environment, health and sustainable development: Megan Landon t to Environmental health policy: David Ball (ed) b e Financial management in health services: Reinhold Gruen and Anne Howarth re d GHleoabltahl ccharaen egvea alunadt hioena:l tSha:r Kahel Slemy iLthee, Danodn JSeifnf cClaoilrl,i nR o(esadlsi)nd Raine and Barnaby Reeves istribu Health promotion practice: Wendy Macdowall, Chris Bonell and Maggie Davies (eds) ted o Health promotion theory: Maggie Davies and Wendy Macdowall (eds) r m Introduction to epidemiology: Lucianne Bailey, Katerina Vardulaki, Julia Langham and od Daniel Chandramohan ifie d Introduction to health economics: David Wonderling, Reinhold Gruen and Nick Black in Issues in public health: Joceline Pomerleau and Martin McKee (eds) an y Making health policy: Kent Buse, Nicholas Mays and Gill Walt w a Managing health services: Nick Goodwin, Reinhold Gruen and Valerie Iles y w Medical anthropology: Robert Pool and Wenzel Geissler ith o Principles of social research: Judith Green and John Browne (eds) ut p Understanding health services: Nick Black and Reinhold Gruen erm issio n . Page 2 Page 3 D o w n lo a d e d b y [ F a c u lty o Health Promotion f N u rsin g Practice , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 Edited by Wendy Macdowall, Chris Bonell 8 .1 1 7 ] a and Maggie Davies t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u Open University Press t pe rm issio n . Page 3 Page 4 D o w n lo a d e d b Open University Press y [ F McGraw-Hill Education ac u McGraw-Hill House lty o Shoppenhangers Road f N MBearikdsehnirheead ursing , C England h ia SL6 2QL ng m a email: [email protected] i U n world wide web: www.openup.co.uk iv e and Two Penn Plaza, New York, NY 10121-2289, USA rsity 5 .6 2 .1 5 8 First published 2006 .11 7 ] a Copyright © London School of Hygiene & Tropical Medicine 2006 t [0 7 All rights reserved. Except for the quotation of short passages for the purpose of /18 /1 criticism and review, no part of this publication may be reproduced, stored in a 6 retrieval system, or transmitted, in any form or by any means, electronic, ]. Co p mechanical, photocopying, recording or otherwise, without the prior written yrig permission of the publisher or a licence from the Copyright Licensing Agency ht © Limited. Details of such licences (for reprographic reproduction) may be obtained M from the Copyright Licensing Agency Ltd of 90 Tottenham Court Road, London cG W1T 4LP. raw -H A catalogue record of this book is available from the British Library ill G lo ISBN-10: 0 335 218407 (pb) ba ISBN-13: 978 0 335 218400 (pb) l Ed u c a Library of Congress Cataloging-in-Publication Data tio n CIP data has been applied for H o ld Typeset by RefineCatch Limited, Bungay, Suffolk ing Printed in Poland by OZGraf S.A. s, L L www.polskabook.pl C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . Page 4 Page 5 D o w n lo a d e d Contents b y [ F a c u lty o f N u rsin g , C h ia n g m Overview of the book 1 a i U n Section 1: The groundwork 5 ive 1 Developing a programmatic approach to health promotion 7 rsity 5 Ford Hickson .62 .1 2 Needs assessment 21 5 8 Antony Morgan .11 7 3 Reviewing the evidence base for health promotion planning 37 ] a Ginny Brunton, Rebecca Rees and Chris Bonell t [0 7 /1 8 Section 2: Choosing approaches and methods 59 /16 ]. C 4 Cognitive behavioural approaches to health promotion 61 o p y Oliver Davidson rig 5 Motivational interviewing in health promotion 74 ht © Melvyn Hillsdon M c 6 Theatre in health promotion 86 G ra Fiona Sawney w -H 7 Peer education 97 ill G Vicki Strange lo b 8 Mass media campaigns 112 al E Wendy Macdowall, Roy Head and Kaye Wellings du c 9 Media advocacy 125 atio Martine Stead and Gerard Hastings n H 10 Social marketing 139 old Gerard Hastings and Martine Stead ing 11 Community development 152 s, L L C James Hargreaves and Rhian Twine . N 12 VDievv Seploelpleinrg healthy settings 164 ot to b e 13 Healthy public policy 178 re d Mark Petticrew and Matt Egan istrib u Section 3: Delivery and reflection 189 ted o 14 Project planning and budgeting 191 r m o Liza Cragg difie 15 Evaluating health promotion 207 d in Meg Wiggins, Chris Bonell and Helen Burchett a n y 16 Transfer and scale-up of health promotion interventions 220 w a Chris Bonell y w ith Glossary 231 ou Index 235 t pe rm issio n . Page 5 Page 6 D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 8 .1 1 7 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . Page 6 Page 7 D o w n lo a d e d Acknowledgements b y [ F a c u lty o f N u rsin g , C h ia n g m Health Promotion International by Johnson, A. et al. Copyright 2001 by Oxford a i U University Press – Journals. Reproduced with permission of Oxford University n iv P12re.2ss – Journals in the format textbook via Copyright Clearance Center. Table ersity 5 Department of Health (2005) National Healthy Schools Status – A Guide for .6 2 Schools. © Crown copyright. Chapter 12 text extracts .15 8 Reproduced with permission from Harden et al (2001) Peer-delivered health promo- .11 7 tion for young people: a systematic review of different study designs, Copyright © ] a Health Education Journal, 2001, by permission of Sage Publications Ltd. Figure t [0 7 3.5 /18 /1 ‘The Marketing Plan’. Source: Adapted from Hastings and Elliot (1993) reproduced 6 in Road Transport and Intermodal Linkages Research Programme Marketing of ]. Co p Traffic Safety, © OECD 1993 Figure 10.3 yrig Hickson, F et al (2003) Making it Count, 3rd edition. Table 1.1 ht © Jackson, N & Waters, E. for the Guidelines for Systematic Reviews of Health M Promotion and Public Health Interventions Task Force (2005a) Guidelines for cG systematic reviews of health promotion and public health interventions, Version 1.2. raw -H McKMnieglhbot,u Jr.n (e1,9 A9u6)s tTrahlei aC. aDreelaekssin S oUcnieitvye: rcsoimtym, Aupnritily 2a0n0d5 i.t sA clsoou nTtaebrfleei t3s. 1Copyright © ill G lo Basic Books. Figures 2.1 & 2.2 ba Oliver, S & Peersman G. (2001) Using Research for Effective Health Promotion. © l Ed u Copyright 2001, Open University Press. Reproduced with the kind permission ca tio of the Open University Press / McGraw-Hill Publishing Company. Table 3.1, n H Figure 3.1, Figure 3.3 & Figure 3.4 old Adapted from Health Education Research by Stead, M., Hastings, G. & Eadie, D. ing Copyright 2002 by Oxford University Press – Journals. Reproduced with per- s, L L mission of Oxford University Press – Journals in the format Textbook via Copy- C . N right Clearance Center. Figure 9.2 o Wellings, K and MacDowall W. ‘Evaluating mass media approaches’ in Coombes, Y t to b & Thorogood, M (eds), Evaluation of Health Promotion (2004). Copyright Oxford e re d HealUthn iPvreormsitoyt iPornes sIn. Ctehrnapattieorn 8a tle bxyt Whitelaw, S. et al, Copyright 2001 by Oxford istrib u University Press - Journals. Reproduced with permission of Oxford University ted o Press - Journals in the format Textbook by Copyright Clearance Center. Table r m 12.1 od ifie d in a n y w a y w ith o u t p e rm issio n . Page 7 Page 8 D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 8 .1 1 7 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . Page 8