Lecture%2013%20Chapter%204%20Progplanning%20SB - Today...

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Unformatted text preview: Today Review Chapter 4, 15,18,19 field activity #2 due field Community Nutrition GCH 421 Chapter 4 Program Planning for Success Factors that trigger program planning Usually a program begins in response to Usually something. something. Research Community assessment Mandate Community leader Steps in Program Planning Review mission statement Review the results of the community needs assessment. Review (Ex: cranberry sauce) (Ex: Define program goals and objectives Goals – Broad statements of desired changes or outcomes outcomes Objectives – Specific measurable actions to be completed within a specified time frame. There are 4 components: components: Action or activity to be undertaken The target population The target An indication of how success will be measured or An how evaluated evaluated The time frame in which the objective will be met. The time Types of Objectives Outcome objectives – Changes in a health Outcome or nutritional outcome (ex: weight) or Process objectives – Measurable activities Process carried out by team members. (What will be done during intervention and by whom) be Structural objectives – Involve budget, Structural staff, etc.. staff, Developing a program plan Consists of a description of the proposed Consists intervention, the nutrition education component, and the marketing plan. component, Here you may want to consider many Here factors such as: who is eligible, are there are any regulations, who is responsible, is there follow-up, how is it evaluated… follow-up, Let’s look at the listserves on pages 133134. Here you can find out about current 134. information related to nutrition intervention programs. programs. Developing a management system Management refers to personnel and data Management systems. systems. Personnel are the people who will carry it Personnel out and the data concerns the data being collected concerning the clients, the use of the program, and outcomes. the Important to figure in costs of management. Identify Funding Sources Grant applications. Development. HELP!! Implement the Program Implementation – The set of activities Implementation directed toward putting a program into effect. effect. Observe all aspects of program delivery and Observe consider ways in which delivery can be improved. improved. Evaluate Program Elements and Effectiveness Evaluation – The measurable determination Evaluation of the value of degree of success in achieving specific objectives. achieving Forces you to determine if you are Forces progressing towards your initial goals or not. not. Findings can be used to influence and gain Findings further support. Evaluation Continued Questions to ask when evaluating: Did the intervention reach the target population? For which participants was the program most For effective? effective? For which participants was the program least For effective? effective? Was the intervention implemented according to the Was original program plan? original Was the program effective – that is, did it Was accomplish what it was supposed to accomplish? accomplish How much does the program cost? What are the program’s costs relative to its What effectiveness and benefits? effectiveness Evaluation as a planning tool Formative evaluation – The process of testing and assessing certain elements of a program before it is implemented fully. Process evaluation – A measure of program activities or efforts – that is, how a program is implemented. (activities rather than outcomes) implemented. Ex: why didn’t everyone participate? Impact evaluation – The process of determining whether the program’s methods and activities resulted in the desired immediate changes in the client. (measure knowledge, beliefs, etc.) client. Outcome evaluation – The process of measuring a program’s effectiveness in changing one of more aspects of nutritional or health status. aspects Chapter 15 Chapter Community Nutritionists in Action: Community Underdstanding Behavior Change Underdstanding You must have information about target You population and what they do and why population This will help in influencing and changing This behavior behavior Need tools- newspaper article, cooking Need demos, health fairs, etc. demos, Choose an intervention strategy Review program’s goals and objectives; specify Review program outcomes program Address how the program will be implemented Address how Target groups – individuals, communities, systems Multiple levels Build awareness – seldom results in behavior Build change – health fairs, flyers, special events, etc. change Change lifestyles- small changes, i.e. eating Change more fruits and veggies more Create supportive environment- company Create program to lower cholesterol- worksites, municipal policy municipal Study the target population Study the target population to understand Study their values – why they do what they do their Understand their food-related behavior – symbolic meanings Type and availability of food Food distribution system, regulatory Food environment environment Income and Food prices The poorer the family is, the greater is The the percentage of income spent on food the Price and value Study the target population Impact of social groups How food is stored, processed , consumed, How disposed of disposed Religion Cognition – what we think Education Access to information Attitude Beliefs Stages of Change Model Pre-contemplation- unaware or not unaware interested in making a change interested Contemplation – thinking about making change change Preparation – actively decides to make change change Action – started making a change Maintenance – sustained change for 6 sustained months or longer – has become part of daily routine routine The Health Belief Model Designed to explain why people, especially those in highDesigned high- risk groups, fail to participate in programs risk designed to detect or prevent disease designed 1. Perception of threat to health –consequences 1. may be physical or clinical may 2. Perception that certain behaviors will have 2. benefits; recognition of barriers to adopting behavior behavior 3. Self-efficacy – conviction that one can execute 3. behavior required to produce the outcomes. (belief that you can lose weight.) can 4. Strategy is to influence beliefs of people in high 4. –risk groups –risk Theory of Reasoned Action Predicts a person’s intention to perform a Predicts behavior in a well-defined setting. behavior Intention – instructions people give Intention themselves to behave in certain ways themselves Influenced by attitudes and subjective Influenced norms norms Weight loss readiness test Diffusion of Innovation Model- explains how a product or idea becomes accepted by a majority of consumers Knowledge – aware of innovation; has acquired Knowledge some knowledge some Persuasion – forms an attitude either for or against Decision – adopts or rejects Confirmation – looks for reinforcement, may Confirmation change if exposed to counter-reinforcing messages change Low fat message; low carb message Go back to stages of change Pick a behavior that you wan to change and Pick fill in the blank! Another words, jot down what you have to do to change at each point along the way. along Now go back two slides- Diffusion of Now Innovation ModelWork through the stages for either low-fat or lowcarb diet. How convinced are you about the efficacy of the How diet? diet? ...
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