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Sustaining Health Promotion Programs

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If you cannot see the s, access them from our blog at: http://www.thcu.ca/blogs/lc/?cat=22 ... Original administrators retreat and disengage. Program Stages ... – PowerPoint PPT presentation

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Title: Sustaining Health Promotion Programs


1
Sustaining Health Promotion Programs
  • At a Glance
  • Webinar
  • (75 minutes)
  • Facilitator
  • Nancy Dubois
  • n.dubois_at_utoronto.ca
  • 519.446.3636

2
Introductions
  • Facilitator
  • Webinar Courtesy
  • Quiet / Mute
  • Questions turn your mood button purple
  • The LiveMeeting Technology
  • lecture format for AAG
  • Interactive ones at other times

3
Introductions (2)
  • If you cannot see the slides, access them from
    our blog at http//www.thcu.ca/blogs/lc/?cat22
  • If you have a group of people participating at
    your location, please let Cathy know the and
    contact information for each person
    (hc.unit_at_utoronto.ca )

4
Agenda Overview
  • Introductions
  • Objectives
  • Positioning Sustainability
  • What
  • When
  • The 4 Components
  • Examples Resources throughout
  • QAs
  • Closing Remarks

5
Objectives of the Webinar
  • To ensure participants understand the various
    interpretations of sustainability.
  • To ensure that participants are comfortable with
    key sustainability concepts and terms.
  • To ensure that participants understand the basic
    why and how of each step in THCUs approach
    to sustainability.
  • To ensure that participants know how to access
    additional quality sources of information, tools
    and consultation services.

6
The Health Communication Unit would like to
acknowledge the Heart Health Resource Centre for
generously providing the original resource, Heart
Health Sustainability Workbook for Action, on
which this resource is based.
7
  • The Concept of Sustainability

8
Sustainability is a broad term referring to
continuation.
9
Guiding Principles / Assumptions
  1. Sustainability is an important element for the
    process of behaviour change.
  2. Sustainability is essential to successful health
    promotion programming and is a key component of
    planning.
  3. Sustainability is possible, probable and
    desirable.
  4. Planning for sustainability through the life of
    the project will enhance its implementation.

10
Guiding Principles (cont)
  1. Approaches to sustainability include an element
    of resource generation. It is not exclusive to,
    and may not even include the procurement of
    actual money.
  2. Evaluation is fundamental to sustainability in
    that only effective elements of a project should
    be sustained.
  3. Components that are sustained may look different
    than they did during the start-up phase.
  4. Not all programs or activities warrant
    sustainability efforts.

11
When to consider sustainability -
  • When developing a proposal.
  • When creating strategic direction.
  • When planning programs.
  • When regularly re-visiting plans.
  • When a change in status is known or anticipated.

12
Four Components of Sustainability
  • What are we trying to sustain over time?
  • An issue on a variety of agendas.
  • The behaviour changes that people have made or
    started to make.
  • Effective programs that are still needed.
  • The partnership, in some form, if needed.

13
Definitions
  • See AAG handout

14
  • Key Concepts Applicable to All Components

15
Key Concepts
Component of Sustainability Component-Specific Key Concepts Key Concepts that Apply to All Components
Issue Health Communication Diffusion Leadership Resource Considerations
Programs Community Integration Diffusion Leadership Resource Considerations
Behaviour Changes Population supports Individual supports Diffusion Leadership Resource Considerations
Partnership Membership Involvement Community Capacity Infrastructure Ways of Work Diffusion Leadership Resource Considerations
16
Some Related Resources
  • THCUs On-line Health Communication Planner
  • http//www.thcu.ca/infoandresources/ohc/
  • Changing Behaviours A Practical Framework
  • http//www.mdfilestorage.com/thcu/pubs/598362925.
    pdf
  • NCIs Theory at a Glance
  • http//www.cancer.gov/PDF/481f5d53-63df-41bc-bfaf
    -5aa48ee1da4d/TAAG3.pdf

17
Sustaining the Issue
  • Involves keeping the issue on the agenda of some
    or all stakeholders including the public,
    community partners and decision makers.
  • This means raising/maintaining awareness about
    and support for community and individual changes.
  • Means providing effective messages.

18
Various Agendas
  • Public education, social marketing campaigns
  • media, interpersonal, event-based approaches
  • Public policy decision-makers
  • media advocacy
  • System decision-makers (e.g. schools)
  • making the case
  • Strategic persuasion techniques
  • Robert Cialdini www.influence_at_work.com
  • Partners
  • recruitment retention

19
Health Communication Activities
Media Interpersonal Events
Public Awareness Campaigns -mass mailings -distribution of pamphlets and booklets -mass communication campaigns (radio, tv, etc.) Presentations Displays Client-patient interactions Worksite awareness programs Telephone hotlines Forums Festivals Contests Running/walking events Fairs
Decision makers Awareness Campaigns -mass mailings -distribution of pamphlets and booklets -mass communication campaigns (radio, tv, etc.) Presentations to decision makers Meeting with politicians Political action march
Partners Profiling Partners -their logo on project materials -partner names in articles Presentations at partners board meetings Recognition awards Annual meeting Recognition event
20
Health Communication Message Review Tool
  1. The message will get and maintain audience
    attention.
  2. The strongest points are given at the beginning
    of the message.
  3. The message is clear (I.e. the audience can
    identify the main message points, including
    topic, incentives, actions)
  4. The action you are asking the audience to take is
    relatively easy.
  5. The message uses incentives effectively (more
    than one type, the audience cares about the
    incentives presented and the audience thinks the
    incentives are serious and likely).
  6. Good evidence for threats and benefits is
    provided.

21
Health Communication Message Review Tool
  • The messenger is seen as credible source of
    information.
  • Messages are believable.
  • The message uses an appropriate tone for the
    audience (e.g. funny, cheery, serious, dramatic).
  • The message uses an appeal that is appropriate
    for the audience (I.e. rational or emotional).
    If fear appeals are used, the audience is
    provided with an easy solution.
  • The message will not harm or be offensive to
    people who see it (even people outside the
    intended audience). This includes avoiding
    blaming the victim.
  • Identity is displayed throughout.
  • Criteria and review tool are available in
    WORD/PDF format at http//www.thcu.ca/infoandresou
    rces/Step20820Health20Communication20Message2
    0Development.htm

22
Sustaining Behaviour Changes
  • Involves building skills and creating / modifying
    the physical and social environment so that they
    are supportive of healthy behaviours.
  • Involves creating a program that addresses the
    important elements of behaviour change.

23
Behaviour change occurs over an extended period
and includes a tendency to relapse. If behaviour
change supports are withdrawn prematurely, a
percentage of individuals will revert back to
unhealthy behaviours.
24
Conditions for Program Success (Fishbein)
  • Generally speaking it appears that in order for a
    person to perform a given behaviour
  • The person must have formed a strong positive
    intention (or made a commitment) to perform the
    behaviour.
  • There are no environmental constraints that make
    it impossible to perform the behaviour.
  • The person has the skills necessary to perform
    that behaviour.
  • The person believes that the advantages
    (benefits, anticipated positive outcomes) of
    performing the behaviour outweigh the
    disadvantages (costs, anticipated negative
    outcomes).

25
Conditions for Success (2)(Fishbein)
  • The person perceives more social (normative)
    pressure to perform the behavior than to not
    perform the behaviour.
  • The person perceives that performance of the
    behaviour is more consistent than inconsistent
    with his or her self image, or that its
    performance does not violate personal standards
    that activate negative self-actions.
  • The persons emotional reaction to performing the
    behaviour is more positive than negative.
  • 8. The person perceives that he or she has the
    capabilities to perform the behavior under a
    number of different circumstances.

26
Supportive Environments
  • Social supports
  • buddies
  • call-in support lines
  • Physical supports
  • facilities
  • trails
  • Policy supports
  • by-laws
  • organizational policies

27
Sustaining Programs
  • Involves integrating one or more related
    activities (a program) such as an awareness
    campaign, a support group, or educational
    sessions into an existing organization or
    collective that agrees to take responsibility for
    the program over the long-term.

28
Key ConceptCommunity Integration
  • Integration is dependent on a natural fit
    between program and adopter.
  • Gradual process of transfer.
  • Original administrators retreat and disengage.

29
Program Stages
  • Programs go through various stages
  • Initiation
  • Implementation
  • Evaluation
  • Integration
  • Consider all recommendations, because some apply
    to all stages.
  • Key concepts have been incorporated into
    recommendations within stage framework.

30
Sustaining the Partnership
  • Involves creating and maintaining productive
    working relationships and maximizing the benefits
    of addressing an issue with a group of
    stakeholders.

31
Key Concepts Related to Sustaining a Partnership
  • Membership Involvement
  • Enhancing commitment
  • Strategic recruitment
  • Community Capacity
  • Infrastructure
  • Ways of Work

32
Commitment grows when people work together,feel
successful at what they do,make decisions
together, work through conflicts, support each
other, have fun and play together, overcome
obstacles, challenge each other, experience a
victory together and learn from mistakes and
setbacks.
33
  • A Process for Sustainability

34
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35
Step 1
  • Determine which of the 4 components is most
    relevant right now and begin there
  • Consider others as well
  • See AAG Handout

36
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37
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38
Step Three Worksheet
  • Determine whether sustainability efforts are
    required and feasible.
  • See AAG Handout

39
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40
Sample Worksheet
41
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42
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43
Step Six Assess Progress Toward Outcome Goal
  • Annually assess your progress.
  • Periodically revisit the key recommendations to
    see if you can plan more action steps.
  • If progress is evident, continue implementing as
    many action steps as possible, until projected
    result is achieved.
  • If no progress, but your have addressed the key
    recommendations and your activities are
    effective, there may be a sustainability barrier
    (revisit step one) that you were previously
    unaware of OR you might be working towards an
    inappropriate result.

44
Resources
45
THCU Searchable Database
46
Health Promotion 101
  • Health Promotion 101 on-line, self-directed
    course for health promotion practitioners and
    those interested in learning more about the field
    of health promotion.
  • Nine modules address the key aspects of health
    promotion theory and practice.
  • http//www.ohprs.ca/hp101/main.htm

47
THCU on Sustainability(search Information
Resources)
  • Overview of Sustainability Workbook
  • Making the Case (for health promotion)
    Presentation
  • Media Advocacy Workbook
  • Policy Development At a Glance
  • http//www.thcu.ca/infoandresources/policy_resourc
    es.htm

48
Sustainability resources Not ours, but also
good!
  • Sustaining Community-Based Programs
    Relationships Between Sustainability Factors and
    Program Result
  • Sustainability Toolkit University of Montreal
  • Sustainability Ensuring Continuity in
    Improvement (Healthcare focus)

49
Questions
  • Turn PURPLE

50
  • Summary

51
Next steps
  • Evaluation
  • watch for an e-survey shortly (please circulate
    to all if you are in a group setting)
  • Interactive Session
  • Consultations
  • Advice-giving
  • Guided Process

52
A big thank you to
  • THCU colleagues
  • Ontario Ministry of Health Promotion
  • Our workshop participants
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