CHES Exam Flashcards
Health Belief Model
Model in which people assess the threat of an emerging disease by assessing their perceived susceptibility against the severity of the disease
Programs
A set of planned activities over time designed to achieve specific objectives
Program Planning
The process of identifying needs, establishing priorities, diagnosing causes of problems, assessing and allocating resources and determining barriers to achieving objectives
Vision Statement
One-sentence or one-phrase statement that describes the long term desired change stemming from efforts of an organization or program
Program Mission Statement
Statement of the general focus or purposes of the program. Can be one-sentence statement or short narrative that broadly defines the program’s purpose. Mission statements identify the scope or focus of the organization or program and are enduring over time
Goals
General, long-term statements or desired program outcomes and provide the direction upon which all objectives are based
Objectives
Statements that describe, in measurable terms, the changes in behavior, attitude, knowledge, skills, or health status that will occur in the intervention group as a result of the program. They are small, specific steps that enable the goal to be met
Community-based Organizations (CBOs)
Public or private, nonprofit organization of demonstrated effectiveness that is representative of a community or significant segments of a community and provides educational or related services to individuals in the community
Coalition
A group of diverse organizations and constituencies working together toward a common goal
Cultural competence/cy
An ability to understand, communicate with and effectively interact with people across cultures
What are the components of cultural competence?
- awareness of one’s own cultural worldview
- attitude towards cultural differences
- knowledge of one’s orientation affects different professional practices and relationships
Stakeholders
Groups of key people such as those involved in the program operations, those served or affected by the program, and the primary users of the program
Expressed needs
Observed through individuals’ use of services such as an exercise class taken by older adults at a senior center
Actual needs
May be inferred through the discrepancy of services provided to one community group as compared to another, such as bicycling and walking lanes
Perceived needs
Refer to what individuals in a community state that they want, such as more healthy food choices in a school’s vending machine
Normative needs
A discrepancy between an individual’s or group’s current status and that of others, such as smoke free environment in restaurants among different cities
What are the qualities of a well planned health education program?
- incorporate collected data about the health issues addressed and/or about other similar programs
- organize at the grassroots level to involve the populations that will be affected
- will be most successful if the proprietary population feels it has been instrumental in program development
- important to provide a sense of ownership and empowerment among those in the population of interest
The community organization process includes:
Community recognition of the issue, entrance of health education specialists into the community to help organize the citizens, community assessment, priority setting, selection and implementation of an intervention, and evaluation and reassessment of the action plan
Health education specialists should:
- weigh the benefits and shortcomings of conference calls, webinars, face-to-face meetings, and strive to make participation seamless for priority populations, partners, and other stakeholders
- should communicate about gatherings via oral messages, newsletters, and traditional and/or social media to ensure the broadest possible participation
Coalition
Community groups and collaborative efforts
Collaborative efforts
Provide the opportunity for program planners to bring together representatives from diverse organizations, segments, or constituencies within the community to work toward a common goal. Also bring together a combination of resources and expertise
Steps for an effective coalition:
- analyze the issue or problem on which the coalition will focus
- create awareness of the issue
- conduct initial coalition planning and recruitment
- develop resources and funding for the coalition
- create coalition infrastructure
- elect coalition leadership
- create an action plan
To promote this collaborative effort, health education specialists:
Need to research the partner organizations missions, establish clear goals, tasks, and communication methods, and continually monitor effectiveness
People who may be interested in the program planning process:
- individuals who represent various groups within the priority population
- representatives of other stakeholders not represented in the priority population
- individuals who have key roles within the organization sponsoring the program
Obstacles:
- lack of time
- lack of awareness
- lack of transportation and communication barriers
- lack of interest/empathy
- inconvenient locations or times
Remove these obstacles by:
Making personal contact with key representatives, provide incentives for participation, choose easily accessible meeting locations and conduct training programs
Goals:
- help measure a program’s processes and outcomes
- include program components, activities, deliveries, and time frame while the outcomes could include short-term changes (knowledge, attitudes, skills, behaviors) or long-term changes (behavior adherence, health status)
Primary Prevention
Focused on protecting people from developing a disease or injury
Secondary Prevention
Emphasizes early diagnosis of disease or potential injury
Example: regular preventative exams or screening tests
Tertiary Prevention:
Rehabilitation after diagnosis or a disease or injury. Goal is to prevent further deterioration and maximize quality of life through self-management or support groups
SMART
Specific
Measurable
Attainable
Realistic
Time-sensitive
Program objective
Changes in health status, morbidity, mortality, quality of life.
What is the outcome?
Is there a change in health status and is it attributed to the program?
Environmental objective
Changes in environment
How has the environment changed to improve behavior and health?
Behavioral objective
Changes in behavior or actions of the priority population
What is the impact?
Is there adoption of a new healthier behavior and can it be attributed to the program?
Learning objective
Changes in awareness, knowledge, attitude, skills, etc.
Is there requisite change in knowledge, attitudes, habits, and skills needed for behavior change?
Administrative objective
Adherence to timeline tasks, completion of activities, efficient use of resources.
Is the program working?
Are people attending?
Are the methods appropriate?
Components of Program Planning
- understanding and engaging the priority population
- conducting a needs assessment
- developing goals and objectives
- creating an intervention
- implementing the intervention
- conducting program evaluation
The PRECEDE-PROCEDE Model:
Most often used formal planning model in health education
PRECEDE:
Phase 1: Social Assessment - define the quality of life of the prior population
Phase 2: Epidemiological assessment - identify the health problems of the priority population and determine and prioritize behavioral (individual) and environmental (external) risk factors associated with the health problem
Phase 3: Educational and ecological assessment - determine predisposing (individual knowledge and affective traits), enabling (those that make possibly a change in behavior, such as skills), and reinforcing (feedback and encouragement for a changed behavior, perhaps from significant or important others) factors
PROCEED:
Phase 4: Administrative and policy assessment - determine the resources (funding, staff, other) available for the program
Phase 5: Implementation - select strategies and activities; begin program
Phase 6: Process evaluation -document program feasibility
Phase 7: Impact evaluation - assess the immediate effect of an intervention
Phase 8: Outcome evaluation - determines whether long-term program goals were met
Multilevel Approach to Community Health (MATCH)
- Goals selection
- Intervention planning
- Program development
- Implementation preparation
- Evaluation
CDCynergy (Community Level Model)
- Define and describe the problem
- Analyze the problem
- Identify and profile the audience
- Develop communication strategies
- Develop evaluation plan
- Launch the plan and obtain feedback
Diffusion of Innovations
Community level theory that describes the rate at which a new program or activity will spread throughout a group of people.
According to this theory, the characteristics of those accepting the program help to explain community readiness to change.
Health education specialists motivate groups of people to adopt the new idea or program by demonstrating how much better it is than the status quo
Health disparities
A particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage
Health equity
Attainment of the highest level of health for all people. Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and health care disparities
Infrastructure/Supplies
When organizational inputs are assessed, computer hardware and software costs are included in the budget, typically categorized as physical resources
Examples include: computers, phones, mobile devices, web sites, and data storage and back-up systems
Communication Channels
Newsletters, community meetings, public service announcements, and social networking sites
Health Policy and enforcement strategies
Mandate actions through laws, regulations, policies, or rules. Such actions are justified on the basis of the “the common good”; that is, they are actions implemented to protect the public’s health
Educational Strategies
Activities usually associated with classroom-based courses, workshops, distance learning courses, or seminars
Examples: audiovisual materials, printed materials, e-learning courses, social network sites, classroom techniques, health fairs, field trips
Health engineering strategies
Change the social or physical environment in which people live or work. Affect a large number of people and may change behavior by influencing awareness, attitudes, and knowledge or through guided choice
Examples: modification of offerings in vending machines (inclusion of only health foods and beverages)
Community health mobilization strategies
Directly involve participants in the change process. These strategies include initiatives such as coalition building and lobbying
Examples: community organization, community building, and community advocacy
Health communication strategies
All types of communication channels to change behavior, impact knowledge, awareness, or attitudes. Communication may also provide cues for action and provide reinforcement of behaviors
Health related community service strategies
Services, tests, or treatments to improve the health of the priority population
Examples: activities that enable individuals to evaluate their personal level of health through the use of health-risk appraisals, screenings, and self-examination
Results
Section of an original research paper presents evidence tested against the stated hypothesis or research questions and presents statistical findings
Informed consent
It explains the benefits, risks, and participation is voluntary and may be terminated at any time
Focus Groups
Techniques capitalize on communication among participants selected based on specific criteria. Individuals invited to participate, and a facilitator leads the focus group. It may be difficult to infer consensus and the results may not be generalizable
Advocacy questions to consider (in order)
- How are advocated building their professional capacities by learning skills such as communications, media relations, strategy development, and campaign planning?
- Based on influential factors in the political, social, and economic environments, what advocacy strategies are likely to be most effective for policy change efforts?
- How can multiple agencies work together effectively to advocate for mutually desirable policy changes?
- How can advocacy strategies can be changed during a campaign to more effectively influence desired policy changes?
MEDLINE
Database contains primary medical journals, many health education journals are also indexed. PubMed is its online searchable interface through the Web site of the National Library of Medicine (NLM). Offers free access to citations from MEDLINE and other journals
Education Resource Information Center (ERIC)
Contains journals related to school health, school-aged children, and education in its broadest sense
Cumulative Index for Nursing and Allied Health Literature (CINAHL)
Database for health education information indices, major health education journals, and journals from nursing and many other disciplines
Evidence-based Medicine Reviews (EBMR)
Collection of databases that offer evidence-based strategies, programs, and medicine, such as Cochrane Database of Systematic Reviews, The Database of Abstracts of Reviews of Effectiveness (DARE), Health Technology Assessments (HTA), methods, and article reviews
Health and Psychosocial Instruments (HaPI)
Collects rating scales, questionnarie, checklists, tests, interview schedules, and coding schemes/manuals for health and social sciences