Health Promotion Strategies
Course readings and resources
Week 1: Introduction to course
Week 2: Introduction HP practice
Week 3: Introduction to the Intervention Mapping Approach
Roles of values, evidence and theory in HP practice (not covered in 2012)
Week 4: IMA Step 1: Socio-ecological needs assessment
Week 5: IMA Step 2: Preparing matrices of change objectives
Week 6: Individual change strategies (including health education & health communication)
Reading Week: February 20-24
Week 7: Socio-environmental changes strategies: Organizatinal development & change
Week 8: Social-environmental change strategies: Community organization & community building
Week 9: Social-environmental change strategies: Healthy public policy & advocacy
Week 10: IMA Step 3: Selecting theory-informed intervention methods & practical strategies
Week 11: IMA Steps 4: Producing program components & materials
Week 12: IMA Steps 5: Adoption, implmentation & sustainability of HP interventions
Week 13: IMA Step 6: Evaluation in HP practice & course integration

Week 7: Socio-environmental changes strategies: Organizatinal development & change

 

 

Preparation for Week #7
1.     Regarding social-environmental change strategies: Use the visual representation of your issue (e.g., your IMA logical models, or your Problem-Solution Tree) to identify/portray:
a.     the socio-environmental conditions that are associated with your chosen issue
b.     potential environmental agents who might have an influence on the socio-environmental conditions that are associated with your chosen issue
c.     how you might influence these environmental agents--explore the following resource: Health Nexus’s “Primer to Action: Social Determinants of Health” http://www.healthnexus.ca/projects/primer.pdf
 
2.     Prepare to answer the following questions:
a.     How have organizational factors helped or hindered you in responding to a health-related issue?
b.     What kind of organizational structure and operations would be “ideal” from the perspective of effective health promotion practice?
 
Class Topics
 
Identifying foci for social-environmental change strategies
1.     Identify theories to describe socio-environmental conditions that influence behaviour and health
2.     Identify potential environmental agents whose role behavior influences the environmental conditions
3.     Describe determinants of the behaviour of the environmental agents and theoretical methods to change these behaviours
4.     Discuss the differences in intervention methods due to role and power at higher socio-ecological levels of the environment (From Bartholomew et al., 2011, p. 113)
 
Social-environmental change strategy #1: Organizational development & change
1.       Nature of organizations
2.       Theory and practice of change within organizations
3.       Theory and practice of organizational responses to changes in their external environment
4.       Reducing/removing organizational barriers to best practices in health promotion
5.       Relationships between organizational development and community development
 
Required readings from course textbooks
 
1.     Bartholomew et al. (2011): Chapter 3 (especially 113-136)
2.     Glanz et al. (2008):Chapters 15 & 17 (again)
Additional required reading
Trickett, E. J. (2009). Community Psychology: Individuals and Interventions in Community Context. Annual Review of Psychology, 60(1), 395-419. http://arjournals.annualreviews.org.myaccess.library.utoronto.ca/doi/pdf/10.1146/annurev.psych.60.110707.163517
 

 

Additional recommended readings
 
General discussions
1.     Barnes, M., MacLean, J., & Cousens, L. (2010). Understanding the structure of community collaboration: The case of one Canadian health promotion network. Health Promotion International, 25(2), 238-247. http://journals2.scholarsportal.info.myaccess.library.utoronto.ca/details.xqy?uri=/09574824/v25i0002/238_utsoccoochpn.xml
2.     Priority article: Bryan, K. S., Klein, D. A., & Elias, M. J. (2007). Applying organizational theories to action research in community settings: A case study in urban schools. Journal of Community Psychology, 35(3), 383-398. http://resolver.scholarsportal.info.myaccess.library.utoronto.ca/resolve/00904392/v35i0003/383_aottaracsius&form=pdf&file=file.pdf
3.     Kaplan, S. A., Calman, N. S., Golub, M., Ruddock, C., & Billings, J. (2006). Fostering Organizational Change Through a Community-Based Initiative. Health Promotion Practice, 7(3), 181S-190S. http://www.csa.com/ids70/gateway.php?mode=pdf&doi=10.1177%2F1524839906288691&db=sagenurs-set-c&s1=21e0ad893198063d04c948b7955bc7e1&s2=8f08411358633eaeb37b319cc4fb7717
4.     Lick, D. W. (2006). A new perspective on organizational learning: Creating learning teams. Evaluation and Program Planning, 29(1), 88-96. http://resolver.scholarsportal.info.myaccess.library.utoronto.ca/resolve/01497189/v29i0001/88_anpoolclt&form=pdf&file=file.pdf
5.     Robinson, K. L., Driedger, M. S., Elliott, S. J., & Eyles, J. (2006). Understanding Facilitators of and Barriers to Health Promotion Practice. Health Promotion Practice, 7(4), 467-476. http://www.csa.com/ids70/gateway.php?mode=pdf&doi=10.1177%2F1524839905278955&db=sagenurs-set-c&s1=21e0ad893198063d04c948b7955bc7e1&s2=9f5280be5b0643afd1600f08f83a9182
 
Examples of planning/evaluation frameworks
1.     Canadian Heart Health Initiative:
a.     Joffres, C., Heath, S., Farquharson, J., Barkhouse, K., Hood, R., Latter, C., et al. (2004). Defining and operationalizing capacity for heart health promotion in Nova Scotia, Canada. Health Promot. Int., 19(1), 39-49. http://heapro.oxfordjournals.org.myaccess.library.utoronto.ca/cgi/reprint/19/1/39
b.     (N) Hanusaik, N., O'Loughlin, J. L., Paradis, G., & Kishchuk, N. (2011). A national survey of organizational transfer practices in chronic disease prevention in Canada. Health education research, 26(4), 698-710. http://resolver.scholarsportal.info.myaccess.library.utoronto.ca/resolve/02681153/v26i0004/698_ansooticdpic
c.     MacLean, D. R., Farquharson, J., Heath, S., Barkhouse, K., Latter, C., & Joffres, C. (2003). Building capacity for heart health promotion: Results of a 5-year experience in Nova Scotia, Canada. American Journal of Health Promotion, 17(3), 202-212. (Not available in electronic format)
d.     Masuda, J. R., Robinson, K., Elliott, S., & Eyles, J. (2009). Disseminating Chronic Disease Prevention "to or With" Canadian Public Health Systems. Health Educ Behav, 36(6), 1026-1050. http://heb.sagepub.com.myaccess.library.utoronto.ca/cgi/reprint/36/6/1026
e.     Riley, B. L., Taylor, S. M., & Elliott, S. J. (2003). Organizational capacity and implementation change: a comparative case study of heart health promotion in Ontario public health agencies. Health Educ. Res., 18(6), 754-769. http://her.oxfordjournals.org.myaccess.library.utoronto.ca/cgi/reprint/18/6/754
f.      Robinson, K., Elliott, S. J., Driedger, S. M., Eyles, J., O’Loughlin, J., Riley, B., et al. (2005). Using linking systems to build capacity and enhance dissemination in heart health promotion: a Canadian multiple-case study. Health Educ. Res., 20(5), 499-513.http://her.oxfordjournals.org.myaccess.library.utoronto.ca/cgi/reprint/20/5/499
2.     Germann, K., & Wilson, D. (2004). Organizational capacity for community development in regional health authorities: a conceptual model. Health Promot. Int., 19(3), 289-298. http://heapro.oxfordjournals.org.myaccess.library.utoronto.ca/cgi/reprint/19/3/289
3.     Thach, S. B., Eng, E., & Thomas, J. C. (2002). Defining and assessing organizational competence in serving communities at risk for sexually transmitted diseases. Health Promotion Practice, 3(2), 217-232.  http://hpp.sagepub.com.myaccess.library.utoronto.ca/cgi/reprint/3/2/217
 
 

 
Michael Goodstadt Ph.D., C.Psych. Director MPH Program in Health Promotion, Dalla Lana School of Public Health, University of Toronto, Canada m.goodstadt@utoronto.ca