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sequential steps build on one another |
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planning adapted to stakeholders and modified over time |
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models are tools to improve health outcomes |
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Generalized Model of Program Planning |
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1. Understand and engaging 2. Assessing needs 3. Setting goals/objectives 4. Developing an intervention 5. Implementing an intervention 6. Evaluating results |
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P-predisposing R-reinforcing E-enabling C-constructs E-environmental and ecological D-diagnosis E-evaluation |
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P-policy R-regulation O-organizational C-constructs E- educational E-environmental D-developmental |
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R-Reach E-Efficacy A-Adoption I-Implementation M-Maintenance extend notion of impact critiques other models as being too impractical |
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5 Principles of Social Marketing |
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1. focusing on behavior 2. prioritizing consumer benefits 3. maintaining a market perspective 4. determining mix with 4 Ps 5. using audience segmentation |
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Product Price Place Promotion |
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process where innovation is communicated through certain channels over time among members of a social system |
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1. Innovation Development 2. Adaption 3. Implementation 4. Maintenance 5. Sustainability 6. Institutionalization |
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(Characteristics of Innovations) Relative Advantage |
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Is it better than what we currently have? |
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(Characteristics of Innovations) Compatibility |
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Does it fit our needs and desires? |
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(Characteristics of Innovations) Observability |
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Are the benefits of use obvious? |
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(Characteristics of Innovations) Soft periphery |
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Is there an infrastructure to deliver it? |
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developed based on current consumer behaviors and campaign goal |
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costs and barriers that are monetary, social or psychological |
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where the consumer is reached, learns about it, and voluntary exchange takes place |
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communication and messaging about other ps |
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targets voluntary behaviors as the product goal is to improve personal and social well-being
voluntary exchange |
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satisfying consumer needs and desire |
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communication of information |
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communicate about products, costs, use, benefits, access |
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competing for consumer attention and resources in a crowed marketplace |
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Diffusion of Innovation Adopter Categories |
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Innovators 2.5% Early Adopters 13.5% Early Majority 34% Late Majority 34% Laggards 16% |
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systematic efforts designed to make a program or innovation more widely available to a target audience or members of a social system |
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process that results in community members gaining mastery over their own lives and communities |
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ability to identify, mobilize, and address problems |
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relationships between community members including trust, reciprocity, and civic engagement necessary to sustain them |
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1. winnable 2. specific 3. Unifying 4. Involve and affect the community 5. Build capacity for leadership 6. Part of a large strategy or plan |
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finding and funding a solution embodied withing a SINGLE organization and hoping it can be brought to scale |
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commitment of a group of important actors from specific sectors to a common agenda for solving a specific problem |
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Strategies for partnership |
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1.reflect 2.partner 3.negotiate 4.sustain |
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Phase 4: Administrative and Policy Assessment/Intervention Alignment |
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Align intervention priorities with resources, policies, and organizational facilitators and barriers related to implementation Macro level: organizational and environmental systems Micro level: individual, peer, family and others to change predisposing, reinforcing, and enabling factors |
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Select methods and strategies after gathering needed resources Implement the intervention |
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Phase 6: Process Evaluation |
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Concerned with faithfulness to intervention protocol Also assesses how various stakeholders worked together Ongoing process used to modify intervention as necessary |
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Phase 7: Impact Evaluation |
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Determines extent to which there were changes in predisposing, reinforcing, and enabling factors Also assesses change in behavioral and environmental factors |
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Phase 8: Outcome Evaluation |
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Determine the effect of the intervention on health and quality of life outcomes |
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Phase 1: Social Assessment |
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Collect data on needs, assets, and aspirations of individuals in a community Examples: Interviews with opinion leaders Focus groups with community members Observations Surveys Theory: Community organizing |
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Phase 2: Epidemiological, Behavioral and Environmental Assessment |
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Epidemiological Identify health problems or goals (genetics for high risk) Identify behavioral and environmental determinants Translate priorities into objectives Behavioral Behaviors or lifestyles of individuals Behaviors of others that directly impact individuals Policy maker decisions that impact environments Environmental Social and physical factors external to individual Often beyond personal control Modification requires strategies other than education Theory: SCT, organizational change |
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Phase 3: Educational and Ecological Assessment |
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Predisposing factors: come before the behavior; provide motivation or rationale (e.g., knowledge, attitudes, beliefs, preferences, self-efficacy) Reinforcing factors: come after the behavior; make behavior more likely to occur (e.g., social support, rewards) Enabling factors: provide context for behavior (e.g., programs, services, resources, skills) Theory: Predisposing (HBM, TPB); Reinforcing (SCT); Enabling (community and organizational change) |
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an organization’s planned activity to achieve a goal Public – local, state, federal laws Private – corporate or non-profit organizations |
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an assessment of the health impact of various approaches to solving a problem |
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efforts to change policies that harm health |
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perceived susceptibility perceived barriers cues to action (increase opportunities)
perceived benefits (incentives) |
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attitudes toward the behavior, outcome expediencies (increase opportunities for behavior) social norms, perceived behavioral control |
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Outcome expectancies self efficacy reinforcement reciprocal determinism |
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integrated regulation intrinsic regulation external regulation external regulation introjected regulation |
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consciouness raising precontemplation to contemplation
stimulus ocntrol preparation to action and maintenance
reinforcement management
social liberation maintenance |
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