THEORIES OF CHANGE IN HEALT PROMOTION (part 3)

Question 1

(Organization change)
four stage theory

Steckler, Goodman and Kegler (2002) propose a four stage model for organizational change that can be applied to health promotion practice.
The four stages are:?

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Answer 1

 awareness raising
 adoption
 implementation
 institutionalization

Question 2

This stage is intended to raise interest and create support for organizational change at a senior level by
 clarifying health-related problems in the organizational environment
 and identifying potential solutions.

Answer 2

Stage 1: Awareness Raising

Question 3

This stage involves planning for and adopting a policy, program or other innovation addressing the problem mentioned In stage one.

Answer 3

Stage 2: Adoption

Question 4

 clarifying health-related problems in the organizational environment
 and identifying potential solutions.

What stage ?

Answer 4

Stage 1: Awareness Raising

Question 5

 the identification of resources needed for implementation.

What stage ?

Answer 5

Stage 2: Adoption

Question 6

 Ideally, this stage will involve negotiation and the possible modification of the innovation to make it more compatible with the unique features and culture of an organization.

What stage ?

Answer 6

Stage 2: Adoption

Question 7

 The organizational ‘gatekeepers’ who are most closely involved in the day-to-day running of an organization are also the most directly involved in this stage.

What stage ?

Answer 7

Stage 2: Adoption

Question 8

This stage is concerned with the technical aspects of program delivery

Answer 8

Stage 3: Implementation

Question 9

This stage is concerned with the technical aspects of program delivery, including :
 the provision of training and material support needed for the
 introduction of change. The capacity building that occurs during this stage is essential
 for the successful introduction and maintenance of change in organizations. Those who
 play a direct role in implementing the solution are most closely involved in this stage.

Answer 9

Stage 3: Implementation

Question 10

This stage is concerned with the long-term maintenance of an innovation.

 Senior administrators again become the leading players by establishing systems for monitoring and quality control, including the continued investment in resources and training.

Answer 10

Stage 4: Institutionalization