TY - JOUR
AU - Smerecnik, Chris
AB - Purpose.Present a 10-year update of the ecologic model of health promotion publishedby Richard et al. in the American Journal of Health Promotion in 1996.Approach.We adapted and simplified the model by leaving out settings, focusing onlevels, and incorporating interpersonal and individual levels and agentsthat are in control of environmental conditions.Setting.Health care facilities, schools, workplaces, living environments, and publicenvironments were represented in program descriptions.Participants.Forty-three program coordinators responsible for 47 programs were interviewedin the United States and The Netherlands.Methods.A systematic interview protocol elicited general program descriptions andrelevant aspects of the ecologic approach. Program aspects from writtenreports were coded by the authors into levels, interventions, targets, andstrategies.Results.The programs had 234 strategies and 276 targets, with a mean of 2.15 levels.Twenty-seven distinct intervention strategies were identified, with the mostcommon being modification of an organization to which the at-riskindividuals belong, followed by policy and community changes.Conclusion.Our data fit the ecologic model and our adaptations and indicate that overthe past decade health promotion practice may have changed to include moremultilevel programs. Systematic analysis of program strategies within andacross environmental levels allows better understanding of the socialecology of health-related behavior and potential leverage points forchange.
TI - The Ecological Approach in Health Promotion Programs: A Decade Later
JF - American Journal of Health Promotion
DO - 10.4278/ajhp.22.6.437
DA - 2008-07-01
UR - https://www.deepdyve.com/lp/sage/the-ecological-approach-in-health-promotion-programs-a-decade-later-HUQW7eNZGz
SP - 437
EP - 442
VL - 22
IS - 6
DP - DeepDyve
ER -