Changing Settings in Health Promotion: Summary of Poland et al Framework

This template summarizes the 'Changing Settings' component of the health promotion setting analysis framework outlined by Poland et al. It covers the context, capacity, focus, engagement, strategy, and evaluation elements. The article provides evidence from a diabetes program that offers assistance to people of all age groups free of cost. The program is based on a multidisciplinary approach and includes endocrinologists, nurse educators, dieticians, and psychologists. The primary stakeholders develop policies and supervise the implementation process, while the professionals help in assimilating the change into the system by complying with the policy guidelines. The local communities and agencies help in propagating and promoting the campaign, and the government provides fund supplies to continue the campaign.

USC Public Health Programs. This template is a summary of the ‘Changing Settings’ component of the health promotion setting analysis framework outlined by Poland et al. It is vital that you read the article in full for a detailed description (including examples) of each element.
Changing Settings
Area of the Poland et al Framework Evidence from research process
Context
- What is the history of this health promotion setting category?
- How have approaches changed over time?
- What is the Health Promotion practitioner’s (HPP) role?
- What similaries or differences are noted between stakeholders and the HPP?
- Role of broad socio-political context
The diabetes program offers assistance to people of all age groups free of cost. The community
services offered to the patients is based upon a multidisciplinary approach and includes the
endocrinologists, nurse educators, dieticians and psychologists. The role of the health
promotion practitioner is to strategically manage and implement the wellness program at a
community level [10].
Capacity (eg. Policies, staffing, professional development, plans and procedures)
What capacities are required? Among:
- Primary stakeholders
- Professionals
- Local communities
- Local agencies
- Government
The primary stake holders comprising the managers and the administrative post holders develop
policies and supervise the implementation process [9]. The professionals help in assimilating the
change into the system by complying with the policy guidelines. The local communities and
agencies help in propogating band promotion of the campaigh and the Government provides
fund supplies so as to continue the campaign.
Focus
- Identify the values that underpin your approach
- Identify and outline the HP Settings frameworks and theory that will guide your
approach
- What are the priorities in this setting?
The values underpining the proposed approach would be dependent upon the ability of the
workforce to adapt to a proposed change. The HP setting framework that would be responsible
for guiding the aproach would be dependent on the Transtheoretical Model. The priorities in the
setting would be based upon contemplation, devising an action plan, implementation and
measuring the ability of the workforce to accept the change
Engagement
- Please complete the Project Governance template
- Any engagement issues? Entry? Trust? etc
- How will you manage competing interests and expectations?
The engagement of the workforce would be based upon contractual basis. The primary interests
and expectations in relation to the stakeholders would be based upon safeguarding the
expectation of the organization and serving the interest of the secondary stakeholders. This
would be done on the basis of effective communication, employee benefit, stringent compliance
with the ethical guidelines and spontaneous reporting.
Strategy
- What is the history of Health Promotion strategies in this specific setting?
- What evidence-based strategies have been successfully used in this category of
setting?
- Individual? Group? Organisation? Setting?
- Role of broader and indirect stakeholders?
- How participatory?
- What evidence base? Community input?
The health care organization initially started as agroup but gradually emerged out to be an
organization [7]. Initially the organizational health promotion was carried out on a smaler scale but
it gradually emerged to assume an organization form. The indirect stakeholders in the process
include the fianncial fund that the organization receives for the upgradation of the resources. This
has been seen to benefit the community on a broader basis with diverse set of facilities being
offered to the community members [8].
Evaluation
- What is the definition of success and how is it measured?
- What unintended consequences (positive and negative) can be identified?
- What distribution costs and benefits – social justice?
The success would be based upon the evaluation cycle that would be based upon the feedback of
the clients

USC Public Health Programs. This template is a summary of the ‘Changing Settings’ component of the health promotion setting analysis framework outlined by Poland et al. It is vital that you read the article in full for a detailed description (including examples) of each element.