NURBN2009 Health Promotion: Diabetes Prevention Program S1 2018

This document outlines a health promotion program named "Care for You," designed for the eastern Melbourne community to prevent type 2 diabetes, particularly among older adults. It addresses the need for improved health literacy and strategies for diabetes prevention. The program includes a community assessment and needs analysis, considering social, environmental, and behavioral determinants of health. It builds upon existing programs while identifying gaps such as the need for better healthcare program distribution and more comprehensive services, including primary health check-ups and medication. The planning phase focuses on setting SMART goals, employing healthcare professionals, and implementing interventions tailored for older adults. Strategies include community health campaigns, educational sessions, and lifestyle interventions. Implementation draws upon health belief models, stages of change, and the Ottawa Charter, utilizing venues like schools, town halls, and hospitals to reach the target population. The program emphasizes addressing knowledge gaps related to nutrition, diet, and medication adherence, involving stakeholders to maximize impact. A six-month timeline is set for planning, research, employment, and implementation, with funding sought from government and private organizations. The program considers cultural and political factors to ensure relevance and effectiveness within the community.

NURBN2009 Health Promotion and Illness Prevention,
Semester 1, 2018
Health Promotion Program Document
Name of Health Promotion program:
“Care for you”
Population or Community for which the program has been developed:
This healthcare promotional program has been developed for the eastern community suffering from
type 2 diabetes in Melbourne.
The overall aim of this health promotion program is:
To provide proper heath education to the community residing in the location so that their health
literacy can be increased and they can be taught the techniques to prevent diabetes.
Group Members
Student 1:
Student 2:
Student 3:
Student 4:
Document section: Community Assessment and NeedsAnalysis.
Student responsible:___________________________________
Word count: 400-500 words

This section will be the collaboration of all research and community profile information collated from
research conducted during NURBN1004. As a group consider the following questions whilst
developing your health promotion program. Think about the ‘Who, Why, Where, How, What &
When’ whilst making your decisions. Remember to also utilise the information from LGA health &
Wellbeing Plans and Priority areas of Local, State or Federal governments.
Question 1:
What evidence do you have from your
community to specify the health issue and
focus population for this program?
(What data tells you there is a problem
here? Who is at risk?)
 The data collected from eastern Melbourne
governmental and hospital records determined
that in the year 2014-15 financial year, there
were more than 18,000 hospital admissions
recoded
 This occurred due to the elevated complications
of diabetes.
 Older adults are the primary group or community
affected with type 2 diabetes
 Therefore, healthcare program against them
should be implemented.
 Hence, older adults having little or no health
literacy are under constant risk as they are
unable to prevent and manage their diabetic
condition.
Question 2:
What social, environmental and
behavioural determinants of health are
contributing to this health issue? How?
(What is CAUSING this issue? Why?)
Several social, environmental and behavioral
determinants enhance diabetic condition in patients.
These factors are responsible for the food intake and
nutrient related imbalance in the community.
The social factors include education, economy,
communication and political factors. Behavioral factors
include food and diet habit, life style and activity level.
Environmental factors include level of pollution, social
environment and presence of influence I the society
(Dennis et al., 2012). Researcher Lewis, (2015) has
determined that due to health illiteracy and low income,
there are several countries who are suffering from
diabetes related disorders. Behavioral determinants such
as social isolation, and discrimination can be another
reason Due to these, the community is not being able to
seek help for their diabetic condition from the facility,
Hence, leading to severe diabetic symptoms.
Question 3:
Are there any existing programs/policies
etc., already addressing this issue in this
community? If so, what are they and are
they being effective?
(What is already being done? What gaps
are there?)
There are several health promotional programs have
been formulated by the central and the state
government This has been done so that the eastern older
adult community of the Melbourne can be saved from
diabetic condition. The first program that should
mentioned in this condition, is the Royal Melbourne
hospital related health education, in which, health
education was provided on social level to the older adults
(Harris et al., 2012). The second health promotion

program is the DESMOND program in the eastern
Melbourne so that the patients can be taught the
strategies through which, the diabetic condition can be
managed. This program was successful in its first edition
and now will again be arranged by its authority so that
more knowledge related to disease management can be
spread in the public.
There are several barriers that can become gaps for
further healthcare promotional programs for diabetes.
The first gap can be proper distribution of the healthcare
promotional or literacy related program. As there are
locations where the heath literacy is higher, however
such programs were arranged, that limited the scope of
the program. This is because, arrangement of such health
literacy in places having lowest health literacy could have
been more effective (Lewis, 2015). Secondly, the
healthcare programs were just providing knowledge
related to the diabetic condition. Besides these, the
program can also provide primary heath heck ups and
medication so that people with low income families can
have their treatment with quality medication
Question 4:
What resources, assets or strengths does
your community have?
(What can you use from within your
community to help your program?)
 There are several things that can be taken
from the health promotional program.
 Planning and implementation of healthcare
campaign with so many people having
different issues related to the topic.
 Secondly, ability to arrange and employ
people and volunteers so that work force can
be created
 Thirdly, setting up goals for each healthcare
campaign in the community as per the need
and concern related to type 2 diabetes.
Document section: Planning.
Student responsible:_________________________________
Word count: 400-500 words
This section will demonstrate the considerations you have needed to make when planning your
program and what you want to achieve. It will include the processes you will need to put in place to
achieve your goals, the objectives you wish to address in order to get there and any challenges you
might need to be overcome? What cultural or political considerations might need to be made? Why
you might make the decisions you have in terms of how you wish your program to appear or what
you would like it to do for your target audience?

Question 1:
What is the goal of your program?
This is the broad overall aim (long term changes)
and who is your target population? – relates to
outcome evaluation
(What do you want to achieve? Who do you
want to achieve it?)
The first goal will be directing the program to a
set direction of proving healthcare information
and strategies to control the type 2 diabetic
condition. To clarify the population of eastern
Melbourne about the effects and outcomes of
their behavior that can lead to diabetes. Provide
them with healthcare education, so that their
health literacy can be enhanced. Influence the
target population that is older adults to adapt to
new lifestyle and include activities such as
exercises, so that behavioral determinants can
be eliminated from the diabetic condition.
Further, promote healthy habits and arrange
sessions like quit smoking, running or jogging
campaigns so that the secondary factors that
can lead to type 2 diabetic condition, can be
eliminated (Goetzel et al., 2014).
Question 2:
What are the objectives that relate to the goals?
How will you realise these goals? – relates to
impact evaluation
(What do you need to do to achieve the goal?)
To achieve the goals, a time limit and
measurement will be decided this will made the
goals SMART or specific to a community,
measureable, attainable, relevant to the health
concerns and timely. Further, employment of
temporary and permanent healthcare
employees such as registered nurses, enrolled
nurses, physicians, volunteers and self
volunteers so that implementation of these
goals can be made easier (Sallis, Owen & Fisher,
2015). Objectives will be decided so that using
them, addressing the issues can be done
properly. And should be bound within a period
so that achieving smaller targets becomes
easier. Such interventions will be decided of
which, implementation and using them in daily
life becomes easier for older adults and
therefore they can easily use that every day in
their life. Before implementation, these
interventions will be assessed so that faster and
appropriate health treatment and preventing
strategy can be provided to patients.
Question 3:
What are the strategies, or activities related to
the objectives? What things will take place on
the ground? -relates to Process evaluation
(What actions will you take to do this?)
The first strategy and activity will be for
employments, and for that, local newspapers
and social media will be used to collect
employees. A detailed analysis of the eastern
Melbourne communities will be provided to
each employee and they will be provided with
locations where they will arrange health
promotional campaign for type 2 diabetes.
Thirdly, all the adults having diabetes in the

community will be provided the information of
health promotional campaign date and place, so
that they can come and have a productive
session to understand the level of their disease
and complication (Eldredge et al., 2016).
Question 4:
What are your timelines? How will you know
when you have realised your objectives?
(How long do you need to make things happen?)
 For this healthcare campaign in
Melbourne eastern area, a time line
of 6 months will be used
 to understand the health concern of
the community and to take proper
step to eliminate those issues,
proper planning, research,
employment and implementation
would require with funding from
government and private
organizations.
 Hence, a timeline of 6 months will
be chosen for this purpose (Korda &
Itani, 2013).
Document section: Implementation
Student responsible:__________________________________
Word count: 400-500 words
This section will demonstrate the considerations you will need to make to implement your program
into your community. It will look at the framework you have based your processes on, the ‘Who,
Where, When and Why’ factors that you need to address when presenting or delivering your
program. You will need to consider the decisions being made as to how you wish to make the best
impact through your program design.
Question 1:
What health promotion model or models is the
program going to utilise and why?
(Eg: Health Belief Model, Stages of Change,
Ottawa Charter, etc?)
Health belief model
 This model is a psychological model that
help to determine the health behaviors.
 Using this in the health promotional
model will help to determine the
attitudes and beliefs of patients affected
with diabetes type 2 towards the
healthcare program.
 Using these the ability of the seniors to
take up the healthcare can be
determined (Gerend & Shepherd, 2012).

Stages of change
 It is also known as the trans-theoretical
model and Prochaska and DiClemente
developed it in the late 1970s.
 There are six stages of change such as
procontemplation, contemplation,
preparation, action, maintenance,
termination.
 It provides benefits such as self-
reevaluation, raises consciousness, self
belief and so on (Colley, Brownrigg &
Tremblay, 2012)
Ottawa Charter
It was a health promotional program developed
in Ottawa’s and was implemented with a
primary goal of responding to growing
expectations for a new public health movement
around the world. It included several aspects of
health such as food, shelter, education, peace,
income, sustainable resources, justice, and
environment so that health can be achieved
(Solhi et al., 2012).
Question 2:
What is the setting/supportive environment
where your program will take place? Is this the
most appropriate given your target population?
Why?
(What venue/location will you use? How will it
be accessed? What facilities are required, etc?)
The chosen venues will be government schools,
town halls, hospitals and auditoriums so that
under one roof, such crowd of populations can
be addressed. The government and non-
governmental healthcare, and diagnosis and
counseling facilities will be used so that
providing detailed suggestion to the patients
becomes easier. Thirdly, access to their
authorized facility will be required as those
equipment can help the healthcare officers
associated with ‘care for you’ can determine the
effectiveness (Gauba et al., 2012).
Question 3:
What individual health education (or personal
skills) need to be considered? What knowledge
deficits do you need to address?
(What education is needed or gap in knowledge
recognised? For Whom? Why?)
The Educational gap, which was identified in the
older community of eastern Melbourne, will be
the gap related to details of nutrition and diet,
so that controlling diabetes becomes easier. The
second educational gap, which was determined,
related to medication, and patients were
reluctant to take medication for their diabetic
condition.

Question 4:
What other stakeholders need to be involved in
your program? And why?
(Who else could be involved? How might they
contribute?)
There are a number of stakeholders that can be
involved in this session. These can be :
1. One psychiatrist
2. physiotherapist
3. Healthcare fitness expert
4. Nutritionist
5. Mental healthcare professional
While going through diabetes, there are several
negative thought that can arise and hence,
mental healthcare expert and psychiatrists can
help in such situation. Nutritionist can provide
on spot education regarding the food and diet
habit to the patient. As diabetes can also occur
due to inactivity and living a sedentary life,
fitness expert and physiotherapists (Gauba et
al., 2012) will provide them with educational
training regarding fitness and exercise.
Document section: Evaluation
Student responsible:_______________________________
Word count: 400-500 words
This section will demonstrate your thoughts around the appropriate way to evaluate the
effectiveness of your program. Evaluation of your program must be considered throughout the
development, not just at the end to evaluate if it has been successful. Think about how you might
continuously reflect on the processes being under taken in order to gather information and make
your decisions.Consider the challenges you have to face to measure the impact of your program.
Think about the strategies you have chosen in order to reach your goal, are they appropriate? How
do you know? What changes may have been necessary along the way?
Question 1:
Outcome Evaluation
How will you know that you have reached your
goal? Or that your strategies have been
addressed?
(What tells you your intended outcome has been
achieved?)
To understand the achievement of goals, after 6
months, all the patients will be asked to provide
their feedback. Secondly, they will be asked to
determine their current food, diet, activity
related habits so that understanding of goal
achievement can be understood (Bauman &
Nutbeam, 2013).

Question 2:
Impact Evaluation
How will you know when you have reached your
objectives?
(What is telling you that changes have
occurred?)
This will be done by using questionnaires that
will be filled by patients so that achievement of
targets can be understood. The healthcare
program will again ask those patients regarding
their knowledge of diabetes and from this the
health literacy related data will be understood
(Neiger et al., 2012).
Question 3:
Process Evaluation
How will you assess that the strategies, or
activities related to the objectives are effective?
What day to day mechanisms can help you to
evaluate the success of these activities of the
program?
(How will you know if what you are DOING in
your program is effective?)
To understand that, in small intervals, outcomes
of the breath promotional camp will be
measured, so that the understanding of
shortcomings and strengths can be understood.
Further, senior healthcare experts in the
hospital and other governmental organizations
will be asked to guide us in a right was so that
we can understand our faults (Neiger et al.,
2012).
Question 4:
Evaluation Tools
What tools will you use to measure the
effectiveness related to the areas above in each
of the evaluation phases? Informal and formal
(What resources will provide data or information
regarding your program’s success?)
To understand this, community based survey,
questionnaires and feedbacks will be collected
and after proper assessment, the result can be
determined. If maximum patients are benefitted
with healthcare promotional campo, they will
success in their mission (Colley, Brownrigg &
Tremblay, 2012).

References: (minimum of 10 references)
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