Youth, Health, Extension Marc T' Braverman Program Leader, Extension FCD Oregon State University - PowerPoint PPT Presentation

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Youth, Health, Extension Marc T' Braverman Program Leader, Extension FCD Oregon State University

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Youth, Health, Extension. Marc T. Braverman. Program Leader, Extension FCD. Oregon State University ... Local media campaign (PSA's; promotion of news coverage) ... – PowerPoint PPT presentation

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Title: Youth, Health, Extension Marc T' Braverman Program Leader, Extension FCD Oregon State University


1
Youth, Health, ExtensionMarc T.
BravermanProgram Leader, Extension FCD Oregon
State University Adjunct ProfessorUC Davis
2
Health promotion programs Dimensions of
program complexity
  • Program design
  • Focus From Individual to Community
  • Multiple related outcomes
  • Specification of predictive models

3
Characteristics of effective health promotion
(i.e., prevention) programs
  • Comprehensive
  • Varied teaching methods
  • Sufficient program dosage
  • Theory-driven
  • Positive relationships with adults and peers
  • Appropriately timed
  • Socioculturally relevant
  • Incorporates outcome evaluation
  • Well-trained staff
  • Source M. Nation et al. (2003). What works in
    prevention. American Psychologist, 58 (6-7),
    449-456.

4
Sample components of a community-based health
promotion intervention
  • Youth involvement in a participatory educational
    program
  • Parental training or other involvement of parents
  • Local media campaign (PSAs promotion of news
    coverage)
  • Youth leadership component (incorporating youth
    as change agents)
  • Advocacy for policy changes (e.g., at school)
  • Community coalitions with local organizations and
    stakeholders

5
Contextual models of behavior change
  • Proximal risk and protective factors
  • Individual attributes (e.g., vulnerability
    factors)
  • Prevailing elements within multiple environments
  • Social environment (e.g., cultural norms)
  • Built environment (e.g., parks, activity
    centers, hang-outs)
  • Natural environment (e.g., effects of weather
    conditions on physical activity levels)

6
Categories of variables in an explanatory model
  • Risk factors
  • Protective factors
  • Vulnerability factors
  • Predisposing environmental conditions

7
Risk regulator
  • A feature of the environment that imposes
    constraints and/or opportunities which shape
    behavioral risk factors
  • A mediating structure
  • Examples
  • Neighborhood conditions (housing quality,
    population density)
  • Presence of parks, restaurants, etc.
  • Work conditions, availability of jobs
  • Policies controlling access (e.g., to cigarettes)

Source T.A. Glass M.J. McAtee (2006).
Behavioral science at the crossroads in public
health. Social Science and Medicine, 62,
1650-1671
8
Example 1 Tobacco
  • Track record of educational interventions
  • What works (so far)
  • Explanatory models multi-factorial

9
Example 1 Tobacco
  • Track record of educational interventions
  • What works (so far)
  • Explanatory models multi-factorial
  • Youth leadership programs Floridas truth
    campaign

10
Example 2 Obesity prevention
  • Why now? The rise of the obesogenic environment
    societal, technological, industrial, commercial,
    financial factors (Council on Sports Medicine
    and Fitness Council on School Health, 2006)
  • The social policy setting
  • Components Healthy eating physical activity
  • Potential risk regulators cultural norms,
    availability of technology, laws and policies,
    national and local food environment

11
Where does Extension fit?
12
Extensions role
  • Educational programs
  • Youth leadership programs
  • Promotion of professional expertise information
    dissemination
  • More generally Applied community-based
    problem-solving
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