Chapter 8: Intervention Strategies & Examples

List 5 stages of a health education curriculum

1. Gain attention ---Convey threats and benefits 2. Present stimulus material ---Tailor message to audience knowledge & values ---Demonstrate observable effectiveness ---Make behaviors easy to understand & do 3. Provide guidance ---Use trustworthy models to demonstrate 4. Elicit performance & provide feedback for proficiency & self efficacy 5. Enhance retention & transfer ---Social support & behavioral cues

List and describe the 7 categories of intervention strategies

1. Health Communication--> inform and influence individuals and community decisions related to health 2. Health education--> planned learning activities designed to provide knowledge and skills 3. Health policy/ enforcement--> executive orders, laws, ordinances, policies, position statements, regulations, and format/informal rules designed to influence behavior and health outcomes 4. Environmental change--> strategies that remove barriers to health in the environment, create health enhancing environments -physical: clean air, built environment -economic: affordability of products and services -service: accessibility of care or education -social: social support, norms -political: support for healthy environments 5. Health-related community service--> test, treatments care to improve the health of the community 6. Community mobilization-> involve helping committees identify and take action on shared concerns using participatory decision making and include such methods of empowerment -community organization and community building -community advocacy 7. Other--> -behavior modification -social support activities

the 8 considerations of intervention development

1. What needs to change? And, where is the change needed? 2. At what level of prevention will the program be aimed? 3. At what level(s) of influence will the intervention be focused? 4. What types of intervention strategies are known to be effective in dealing with the program focus? What strategies have been successful in previous programs 5. Is the intervention an appropriate fit for the priority population? 6. Are the necessary resources available to implement the intervention selected? 7. Would it be better to use an intervention that consists of a single strategy or one that is made up of multiple strategies? 8. Planned Intervention

Rationale for using multiple intervention strategies

Multiple intervention strategies give participants as many tools as possible and makes their environment as conducive as possible to the intervention. It appeals to a variety of learning styles and increases the chances of it helping to reach the goals and objectives of the program.

Multiplicity

Number of components or activities used in the intervention

Intervention strategies

Plan of action, including specific techniques, used to change the health behavior or health outcome

Develop appropriate health communication messages

Use media, statements, and interpersonal methods (small classes/gatherings) effectively with demographic of target population in mind

Dose

What is actually delivered to participants - Quantitative - quantity of intervention given to participants -number of program units delivered helps quantify how much exposure to the intervention that the person is getting -valuable b/c can use this to determine how much more exposure people need to have stronger results

Health Interventions

an activity or set of activities that help to achieve the outcomes stated in the goals and objectives They should be effective (achieves target outcome) and efficient (uses resources appropriately)