Highlights
This assessment addresses the following learning outcomes:
1. Examine health promotion principle and strategies.
2. Apply concepts of community capacity building and empowerment
3. Integrate health promotion theories and public health frameworks into practice
4. Demonstrate clear and assertive communication across a range of settings and situations.
Public Health Program Instructions
Review one existing community-based health promotion program provided by your lecturer.
Then use the assessment template to develop a report drawn from your critical analysis and applying theory into practice.
The list of health promotion programs and the assessment template will be provided separately.
1. Critically explain the target group of the chosen program in the following topics based on the evidence derived from the chosen program. Use creditable evidence to support you point of view.
• Explain the target population of the chosen program in the context of community health.
• Explain the importance and significance of this prevention among the target population.
2. Use the following topics to critically analyse the appropriateness of the chosen program. Support your point of view with the evidence derived from the chosen program and creditable evidence.
• Aims and level of disease prevention of your chosen program.
• Health promotion strategies (Ottawa Charter strategies) that had been applied to the chosen program.
• Health promotion activities/interventions that had been incorporated into the chosen program such as lifestyle change program, health education session, screening test etc.
• Community capacity building and empowerment strategies (Laverack’s ladder) that had been applied to chosen program.
• Main communication channels used in the chosen program.
Lifestyle change program to prevent type 2 diabetes Background
Globally, more than 425 million people are living with diabetes, accounting for 8.8% of the world population and estimated to project to 629 million (9.9%) by 2045 (International Diabetes Federation, 2017). Type 2 diabetes is responsible for 90% of all diabetes population. Without treatment and disease management, diabetes can cause serious complications such as cardiovascular disease, blindness, kidney failure, amputations and premature death. Approximately, AUD1,088 billion annually has spent on the healthcare costs of diabetes (NCD Risk Factor Collaboration, 2016) which means diabetes corresponds to one in every eight dollars of healthcare costs (International Diabetes Federation, 2017). The WHO has recommended four simple and effective strategies to prevent type 2 diabetes and its complications, including 1) achieve and maintain a healthy body weight; 2) be physically active; 3) eat a healthy diet, low sugar and saturated fat intake; and 4) avoid tobacco use (World Health Organisation, 2017).
The National Diabetes Prevention Program: a community-based health promotion
The Diabetes Prevention Program (DPP) trial was a large-scale Randomised Control Trial conducted in the USA between 1996-1999 to examine the effectiveness of a lifestyle change intervention in preventing type 2 diabetes. The outcomes of the DPP trial revealed that a physical activity and healthy diet intervention effectively reduced diabetes incidence by 58% regardless of gender and ethnicity (Diabetes Prevention Program Research Group, 2002). The 3-year follow up study also found the diabetes risk was reduced by 16% for every kilogram of weight loss (Hamman et al., 2006).
The research evidence derived from the DPP trial has positively influenced the Centers for Disease Control and Prevention (CDC) to translate research into reality at community level within public and private sectors. The CDC developed the evidence-based diabetes prevention program entitled ‘The USA National Diabetes Prevention Program’ (National DPP) also known as ‘Prevent T2’ implemented in 2012. The CDC formed a cooperative agreement with State Health Departments to launch the Prevent T2 program. The Prevent T2 is a year-long lifestyle change program providing physical activity and healthy eating sessions through individual goal setting plans. A digital format of the program is also offered as an optional mode.
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