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Health promotion in public health essay
Approaches to health promotion
Approaches to health promotion
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Table of Contents 1. Introduction 1.1 Aim of the campaign 1.2 Child obesity 1.3 Health inequalities costs NHS 2. Links between Government strategies and models of health promotion 2.1 White paper, health inequalities 2.2 Key -factors who influence health 2.3 Bandura self-efficacy theory (1977) 2.4 Rosenstock health belief theory (1950) 2.5 Medical model of health promotion 2.6 Bronfenbrenner educational theory (1979) 3. Health promotion incorporating into the daily routine …show more content…
and expectancy of behavioural changes 3.1 involving parents, what they can expect from the campaign 3.2 Behavioural change for the long term 3.3 Expectancy of the outcome of the campaign in long-term 4. Explanation of the role of other professionals in meeting government targets and how they get involved in the campaign 4.1 Effective organisation 4.2 Personal development 4.3 Organisational development 4.4 Partnership development 4.5 Health information 4.6 Strategy development 5. Explanation of legislation and guidelines who will be used for the campaign 5.1 Health and Safety at Work Act 2003 5.2 Freedoms Act 2012 5.3 The child protection policy 5.4 Equality Act 2010 5.5 Food Safety Act 1990 5.6 Risk assessment 5.7 Hygiene 5.8 Code of conduct 6. Explanation of how the campaign will be evaluated of success 6.1 Participant feedback 6.2 Feedback of involved partners 6.3 Evidence of previous statistics 7. Current statistics of health programs and obesity 7.1 Figures of Change 4 life campaign (2014) 7.2 Comparison, figures PHE’s and UK Government 2013-2014 7.3 Current Obesity statistic 8. Conclusion 9. Recommendation 1.
Introduction 1.1 This report has been written to promote a healthy eating campaign. The aim is to support existing health promotion strategies by addressing the health issues to those individuals, who are less likely to access health services. The target of the campaign is to involve parents by providing healthy cooking workshops at schools, nursery and community centres. 1.2 The purpose of the campaign is to raise awareness about child obesity and the resulting further health consequences. Currently, “one-in-five-children in reception were found to be either overweight or obese,” (The Telegraph 2015). 1.3 Children who struggle with obesity issues in early years, are likely to become later overweight adults. The resulting consequences, are long-term health issues such as coronary heart disease, diabetes and psychological damage. “It is estimated that the cost of illness resulting from health inequality costs the NHS £5.5 billion per year,” (NHS Prevention 2015). 2. Links between Government strategies and models of health promotion 2.1 Highlighted by the white paper (2010); To tackle health inequalities the government strategy is to promote diverse programmes by working collaboratively with the NHS, the Department of Health and other institutions. The main focus is on five networks; food, alcohol, physical activity, health at work and behaviour change. Currently, the following national health programs are …show more content…
running: • Change 4 life: This involves eating healthily, exercise, child weight management, live longer government campaign. • NHS Life Check: A free online service, where people get the question asked about their lifestyle and give advice and recommendation for changes. • NHS Health: “A Health at Work Program from the British Heart Foundation – this involves promoting health and wellbeing at the workplace”, (UK Government 2015). 2.2 Evidence shows that material circumstance, social environment, psychosocial factors, behaviours and biological factors are all important influences on health (UK Government 2015). The government aim is to focus on early child development and educational attainment as this is crucial for future health and wellbeing, as well as improving job opportunities and providing a way out of poverty. To change the health behaviour of the individual, it is necessary that the person feels personally addressed. 2.3 Different health theories can be linked to the UK government strategy.
Bandura’s self-efficacy theory (1977) is used by the NHS” to support people to adopt healthier behaviours and avoid risky ones,” (King Fund 2008), who analysed the NHS strategies. This theory applies if the individual is not satisfied with his current health condition. For example, the individual is overweight and therefore has other health issues. The bad health condition encourages the individual to consider if a diet will make changes to his life and he will search for solutions. Here the NHS steps in and offers “practical support on healthy eating, exercise, weight gain, and clinical treatment for obesity, “(Department of Health 2004). With that support the individual is more successful and will see quick results which motivate the individual to carry on to change his life style. 2.4 The Rosenstock health belief model (1950) applies if the individual believes that he is personally vulnerable to a specific disease. For example, the individual travels to a country with a high malaria rate, the individual is concerned about possible health consequences and will therefore consider to take action by taking antimalarial medicine. The HBM model can be also linked with the NHS Life check
(2.1) 2.5 The medical model is not only about the apparent power of a doctor. It is more complex in the relationship between patient and doctor. Usually the patient seeks a doctor because they think it will be helpful.” Getting better has always been an active process involving seeking help, evaluating options and making decisions about treatments,” (British Journal of Psychiatry 2007). At the end it is for the individual to determine whether to engage with treatment. The doctor’s responsibility is to advise on the most effective intervention, the patient’s will be deciding and acting on that advice while making sense of complex and conflicting emotions. 2.6 For the campaign, Bronfenbrenner’s educational theory (1979) will be used. Bronfenbrenner believes that not only the parents’ influence the attitude of the children. He believes that the whole environment of a child such as, neighbours, schools or friends has an effect on his development. If the child learns in school to be aware of eating healthy, then that child will pass that lifestyle forward to the next generation, (Bronfenbrenner 1979). By providing healthy week lessons in their schools, the child learns playfully about the importance of healthy eating. This will have an impact on the child’s attitude. This theory can also be linked with the national Change 4 Life campaign. 3. Health promotion incorporating into daily routine and expectancy of behaviour changes For a successful outcome of the campaign, simple recipes will be used, to incorporate them into the daily routine. Jamie Oliver can be used as a role model. His recipes are simple, healthy and take less time. 3.1 Promoting healthy living, includes involve the parents, in cooking workshops parents will learn that: • healthy cooking must not be expensive • Groups can be formed, to shop together and ingredients can be shared which reduce the costs and save money. • Food label reading: To identify hidden ingredients in nutrition such as sugar, salt and fat • Child weight management • Balanced diet • Food safety, how to store food at home correctly 3.2 The aim of the campaign is to change the individual’s behaviour for the long term. By continuing to provide meetings after the workshop, the individual can share the experience gained about their new lifestyle. Competitions about the best recipe or how much money groups saved by shopping together, can be used, to encourage the individual to carry on with their new lifestyle. 3.3 The expectation of the campaign is:” To help parents to make the link between the behaviours that cause excess weight gain and poor health outcome and that the behavioural change of the individual will be passed forward to the next generation”, (Marketing Society 2011). Here applies the Bronfenbrenner educational theory (1979). 4. Explanation of the role of other professionals in meeting government targets and how they get involved in the campaign The promoted health campaign will work collaboratively with the local nursery, schools and community centres. This includes incorporating staff from different working sectors. Working at different levels with groups and communities, to more strategic working such as policy development. Health promotion is more than persuading and advising individuals to make lifestyle changes. By providing health promotion and to meet the government targets, following must be considered: 4.1 Effective organisation, of the project to make sure it will be delivered to a high standard, so that the result is efficiency. Furthermore, it must be ethical. 4.2 Personal development, by increasing the personal social skills and abilities of everyone. To enable opportunities of the service user to maximise their health and to build a health promoting attitude for those around them. 4.3 Organisational development, by encouraging the different organisations to become more health promoting such as, nurseries, schools, work places and hospitals. 4.4 Partnership development, by building partnerships with other organisations, who can support health promotion and to help other partnerships to be better educated to promote health. 4.5 Providing correct and up to date health information about people’s health. Explanations about how social and behavioural factors can affect their health and providing solutions, and what can be done to improve health. 4.6 Strategy Development, by progressing a planned issue to improve health and to make sure that local, regional and national policies that could influence the public’s health do so in a health promoting way. 5. Explanation of legislation and guidelines used by the campaign 5.1 Health and Safety at Work Act 2003: !!! 5.2 Safeguarding Police this includes:” The Protection of Freedoms Act 2012 established the DBS which processes criminal records checks and manages the Barred Children’s and Barred Adults’ Lists of unsuitable people who should not work in regulated activities with these groups”, (UK Government 2014) 5.3 The child protection policy: “the welfare of the child is paramount,” (UK Government 2014) 5.4 Equality Act 2010: all children and parents have equal opportunities to access the workshop 5.5 Food Safety Act 1990:” to ensure nothing is removed or included in food, or to treat food in an unapproached way what cause damaging to the health of people eating it”, (Food Standard Agency 2015) 5.6 Risk assessment must be carried out: use of correct cooking equipment, is the room safe for parents and children, identify possible hazards, fire exit, first aid access (staff) 5.7 Hygiene: workshop leader must provide food hygiene certificate, wash hands before start to cook, provide gloves, hats, aprons and appropriate clothes 5.8 Depend where the workshop is running, policies of that institution become effective, such as Code of Conduct. 6. Explanation of how the campaign will be evaluated for success 6.1 Participant feedback of the workshop will be compared with previous campaigns. 6.2 Feedback from involved partners of the campaign will be analysed: How successful was the collaborative work? What should be considered for future workshops. 6.3 Evidence of previous statistics show also that:” Some parents had tried to implement healthier lifestyles, failed, and then rejected the concept as too difficult”, Department of Health (2014). Therefore, evaluation of participants and staff feedback take regard of concept style. 7.Current statistics of health programs and obesity 7.1 “400,000 families joined Change4Life in 2009. 1 million parents claimed to have made changes to their children’s behaviours as a direct result of Change4Life”, (Department of Health 2009) 7.2“Figures show that the purchase of sugary fizzy drinks fell by more than 8% following Public Health England’s (PHE’s) Change4Life January 2014 campaign when compared with January 2013,”UK Government (2014). 7.3 Evidence of the National Child Measurement Program for England (2015) shows the latest figures, for 2014/15:” 19.1% of children aged 10-11, were obese. Children in Reception aged 4-5, 9.1% were obese. The rate slowed by 0.4 % between 2004 and 2013. The highest rates were among 11-15 year olds, ranging from 28.3 % in 1995 to 36.7 % in 2013”. These statistics show that public health campaigns are working. 8. Conclusion To conclude, in this report the aim of the prompted campaign is introduced. A variety of theories of health promotion and present strategies of the UK Government are compared, analysed and linked to the campaign. The possible expectance of the outcome of the campaign is explained. The use of relevant legislation and guidelines are included. Examples of involving other professional are provided. An evaluation how successful the campaign will be, is considered. 9. Recommendation The figures of the outcome of the Change4 Life campaigns, provided by the UK Government (2014) and by Change 4 Life (2014), don’t show any graphs. It is to recommended to provide more statistics in graph form for accurate clear comparison.
This is an argument discussing the most important health promotion issue in Newham, borough of London, about the obesity. This borough (New ham) has massive issue about healthy food promotion, where there is too many fast food shop and restaurants all around schools. Many children in the area of Newham are obese according to the new report on 29 November 2015 published Newham Recorder news. The report identified that nearly half of year sex children in Newham city are overweight.
A of his current state of health and lifestyle behaviours (Harris, Nutbeam, Wise, 2004). For example, the model explores 6 behavioural stages; pre-contemplation, contemplation, determination, action, maintenance and termination. These stages focus on the individual’s experience, behavioural changes and processes as opposed to an event which has determined a behaviour change. Evidently, the transtheoretical model determines that Mr. A is at the pre-contemplation stage (Prochaska & Velicer, 1997). Due to Mr. A experiencing this stage, he is not planning change to his current lifestyle choices. Although Mr. A is not planning changes in the foreseeable future, the transtheoretical model in conjunction with an education campaign can inform Mr. A about different behavioural stages that he may experience. However, understanding this behaviour change model of health cannot determine why Mr. A’s his current lifestyle and behaviour (Prochaska & Velicer, 1997). Fortunately, inclusion of maslow’s hierarchy of needs psychology theory (Donovan, Egger, Spark, 2005) used in conjunction with the transtheoretical model of health, can identify barriers that are stopping Mr A from actively using information from health education campaigns to change his behaviour (Harris, Nutbeam, Wise,
A child who is obese is automatically more likely to be exposed to a variety of health hazards throughout his or her life. It is estimated that “15 percent of children between six and nineteen suffer from obesity” (Lee and Sprague). A person who is deemed obese, is someone who has “a body fat percentage of more than 25 percent in boys and 32 percent in girls” (Lee and Sprague). Being severely overweight exposes you to more diseases than someone who is not overweight. Obese people “are more likely to develop type 2 diabetes . . . [from] being overweight” (Lee and Sprague). Some health issues, such as hypertension, heart attacks, and cancer can be obtained from being obese. There is also a great risk of “heart disease, stroke, diabetes, cancer and other chronic illnesses” when you are obese (“Hope”). high cholesterol as well as high blood pressure. Being obes...
The Health Belief Model (HBM) comes from the psychological and behavioral theorists. The premise is that there are two parts involved in health related behavior. “People are more inclined to engage in a health behavior when they think doing so can reduce a threat that is likely and would have severe consequences if it occurred.” (Brewer & Rimer, 2008, p. 152). The patient believes that a specific health action will prevent or cure the illness. How the individual responds depends on the perceived benefits and barriers of that health behavior.
Many would argue that children should not focus on their weight because children should lead a youth with little worries, yet obesity affects a child much more than people with that argument think. Being overweight can cause increased risks for several serious diseases and even can result in decreased mental health on account of low self-esteem and social discrimination. Children who are overweight also are at least twice as likely to have heart disease, diabetes, and orthopedic problems (Internicola, 2009). Sadly, children are being pressured into unhealthy lifestyles even more so than adults are.
In the 21st century childhood obesity is regarded as one of the most serious public health challenges faced by the World Health Organisation (WHO, 2013). Figures recorded by the National Child Measurement programme for the 2011/12 period showed children aged 10-11, of which 14.7% were overweight and a further 19.2% figure were classed as obese. Statistics from the same report also indicate boys in the same age group are more likely to be obese with a figure of 20.7% compared to a 17.7% figure for girls. These figures are a large cause for concern for both these children and on a wider scale, society. Obesity is caused by a number of factors that can range from the not so obvious of social class, to the clear lack of exercise and poor diet. Obese or overweight children are more likely to carry this status into adulthood and put themselves at an increased risk of developing associated health problems such as raised cholesterol, high blood pressure and even premature mortality (Public Health England, 2013). Obesity is defined as the over consumption of calories in relation to little physical activity, this means calories consumed are not being burnt but turned into fat cells (NHS, 2012).
The key concept of the health belief model includes threat perception (perceived threat), behavioral evaluation, self-efficacy and other variables. The threat perception has very great relevance in health-related behaviors. This perception are measured by perceived susceptibility (the beliefs about the likelihood of contacting a disease) and perceived severity (the feeling about the seriousness of contacting an illness and leaving it untreated). The behavioral evaluation is assessed by the levels of perceived benefits (the positive effects to be expected), perceived barriers (potential negative aspects of a health behavior), and cues to action (the strategies to activated one’s readiness). The self-efficacy key concept was not originally included in of the health belief model, and it was just added in 1998 to look at a person’s belief in his/her ability to take action in order to make a health related change. The other variables that are also the key concepts of the model include diverse demography, sociopsychology, education, and structure. These factors are variable from one to another and indirectly influence an individual’s health-related behavior because the factors influence the perception...
This model was put in place to avoid health problems. Some people are more likely to take action towards their health if they feel threatened. An example can be an obese lady who might be at risk of suffering from a heart attack, she is likely to go to her GP and seek for help as having a heart attack can lead to death, and if she gets help, and her health will be less damaged. In order to help her the GP would refer her to a nutritionist which will help her maintain a healthier diet, even more the professionals from the GP would explain the side effects of what can happen if she doesn’t get healthier. The health care professional will also encourage the lady to start doing physical activities to avoid other diseases such as heart diseases or if she has a heart disease, it helps her avoid having a heart attack.
This essay which will identify the five approaches with health promotion. It will focus on two approaches for the sake of this essay. These approaches will be defined and show how it could be used to tackle a life style behaviour using the Beattie’s model. The Beattie’s model is one of the several models health promoters use as a guide to direct the intervention mode and strategy which is suitable for any particular problem. This model will be used to identify the location of each of the two approaches, highlighting role of the health promoter in each approach, as well as discuss policies and ethical issues which are associated with each approach. Furthermore the essay will cover the values of each approach while it emphasis the need for health promoters to consider the effectiveness of a model to ensure suitability for any presented problem.
Childhood obesity is a serious problem among American children. Some doctors are even calling childhood obesity an epidemic because of the large percentage of children being diagnosed each year as either overweight or obese. “According to DASH sixteen to thirty-three percent of American children each year is being told they are obese.” (Childhood Obesity) There is only a small percentage, approximately one percent, of those children who are obese due to physical or health related issues; although, a condition that is this serious, like obesity, could have been prevented. With close monitoring and choosing a healthier lifestyle there would be no reason to have such a high obesity rate in the United States (Caryn). Unfortunately, for these children that are now considered to be obese, they could possibly be facing some serious health conditions, such as heart disease, diabetes, and some types of cancers. All of these diseases have been linked to obesity through research. These children never asked for this to happen to them; however, it has happened, and now they will either live their entire life being obese, or they will be forced to reverse what has already been done (Childhood Obesity).
The present public health problem has become a great public concern and the future of these children and future adults has also been brought to attention. For example, "as obese children are more than likely to become obese adults, they are at an increased risk for type 2 diabetes, heart disease, arthritis, and several cancers" (Gollust, 2014). Research has also indicated that the current generation of children are on track to have shorter lives than their parents because of increasing rates of obesity (Gollust, 2014).
Behavior is an important keyword when discussing health promotion theories because lifestyle modification requires a change in beliefs and attitude. Many health promotion theories explain how behavior can enhance or deter a patients progress in health related activities. Nola Pender, a nursing theorist and educator, has developed the Health Promotion Model (HPM). The three main parts of the HPM ar...
Childhood obesity that is due to food insecurity has great influence over children’s health and future. The consequences of childhood obesity include diabetes, high blood pressure, depression, poor academic performance, behavioral problems, school absenteeism, and greater risk of obesity as an adult (O’Connor).
A lot of children are overweight and obese too, unfortunately. Childhood obesity is especially sad because, for the most part, the parents are at fault. The child, especially when they’re young, have no control over what they eat and couldn’t try to be healthy, even if they wanted to. “In 2013, 42 million children under the age of 5 were overweight of obese.” (Obesity and
I want to investigate how schools and parents can work together to support healthy eating for young children. Many schools already have healthy eating initiatives in place, however, there is still a high percentage of children with obesity. I firmly believe that if schools and parents have a close partnership in promoting healthy eating young children will have consistency both in the school and home environment. Healthy eating is an area that I feel passionate about due to the effects poor nutrition can have on the child both in the short term and in the long term. During my second school placement, I witnessed a healthy eating initiative that was extremely successful both with the staff and the students. This has influenced my enthusiasm to promote healthy eating in the early years by including parents in order to combat the serious issue of childhood