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Discuss the effectiveness of health promotion strategies

Discuss the effectiveness of health promotion strategies. who. 1986 – HEALTH PROMOTION: ”The process of enabling people to increase control over, and to improve their health ” . So:. The idea is that you can persuade people to act in certain ways – not an easy task though .

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Discuss the effectiveness of health promotion strategies

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  1. Discuss the effectivenessofhealth promotion strategies

  2. who 1986 – HEALTH PROMOTION: ”The process ofenablingpeopletoincreasecontrol over, and toimprovetheirhealth”

  3. So: The idea is thatyoucanpersuadepeopletoact in certainways– not an easy task though. Whatmotivatespeople? Well it differesaccordingto age, sex, socio-economicclass, lifegoals etc. Onetoonecontact is an effectiveway – butwhataboutchangingwhole populations?

  4. Modern health-promotion • Health educationprogrammes – raiseawareness. • Public healthcampaignstochangebeliefs, attitudes, and motivation. • Changing the wider determinants ofhealth (e.g. changing the physicalenvironment) • Public or private health services (e.g. familydoctors, pharmacies, smoking cessationclinics). • Policalactivities(e.g. legislation, setting standards for foodavailable, taxes)

  5. And this is how the US (20 states) did it (implementedevidence-basedhealth-promotion strategiestochange or influencebehavioursrelatedtoobesity, nutrition and physicalactivity (Yee, 2006) Physicalactivity (83%) Increasingfruit and veg. Consumption (55%) Calories vs exercise (55%) Decreasing television viewingtime (38%) Oh, and this supports thathealth promotion is nowoftenbased on research findings.

  6. Links toarticlesabouthealthcampaigns: Alcohol problems in Scotland: http://news.bbc.co.uk/2/hi/uk_news/scotland/6107844.stm Celebrities get payedtocarryhealth promotion messages: http://www.dailymail.co.uk/news/article-1111670/Anger-NHS-pays-90-000-celebrities-public-health-ad-campaigns.html Or a youtube clip- http://www.youtube.com/watch?v=IqJr0WWDzwo

  7. The effectivenessofhealthcampaigns Health campaignsareoftencriticised for not working. Holm (2002 – Danish survey on food habits) replies: theyare, buttheycannotstandalone – they must be an integral part of the entirehealth promotion project.

  8. Denmark and Sweden Holm claimsthat it needsto be based on people’sdailylifein order to be effective – and refersto the Danishryebread sandwich – vs. Butter (7-40% from 1985 to 2001). Shows thatbehaviour CAN be changed. A Swedish equivalent – ”6-8 skivor om dagen” (thiswas a commercialthough – not commonlyknown…) Holm alsoclaimsthatthere is a long-term effectof all the campaigns in Denmark – like ”30 minutesoffitnesseveryday”

  9. Worth knowing Persuasivecommunicationincludes: • The source must be credible (trustworthy or an expert) • The audienceshoulddeterminehow the message is framed • The messageshould be short, direct and explicit (Sepstrup, 1999) • Attitudechange is morelikelyto last if the targetgroup has participated in it actively (and not passively).

  10. An example: ”TRUTH, A GENERATION UNITED AGAINST TOBACCO” anti tobaccocampaign in florida (1998-99) Aims: preventteen smoking by changingattitudes (1) and encouragingthemto form groupstospread the message forwards themselves (2). • MASSIVE ADVERTISING DRIVE WITH COMMERCIALSAND POSTERS • SPONSORSHIPS • ENCOURAGEMENT TO WORK PROACTIVE VS THE INDUSTRY

  11. RESULT OF ”Truth” Meansof survey: telephonesurveys on targetaudiencemeasuringeffect, awareness and attitudes. Middle- and high-schoolteenagersdefined as ”currentsmokers” went down from 19.4 % to 8% And the non-smoking kids saidthattheyhadbeeninfluenced by the campaign (Evaluationplease?) Sly – 2002 carriedout a survey 22 months later toinvestigateif the adshadhad an effecton attitudechange and foundthat the exposure toadswith the keymessagethemepredictedthattheyhadremained a non-smoker. Implications: campaigns CAN be effective.

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