Health Promotion

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Health Promotion
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The theoretical health promotion models
According to WHO, promoting health involves empowering individuals to improve
and enhance health their control. It focuses beyond personal behavior and extends towards a
wide range of environmental and social interventions. People's attitude towards healthcare is
gradually changing the model of the biomedical to the social illness model. This means that
the public has taken a more dynamic role within their healthcare and therefore, health
practitioners have come in handy to assist individuals in maintaining better health. This essay
thus outlines some of the theoretical models that support health advancements and health
education practices. It also highlights the philosophical, moral theories that can be applied in
health provision.
The theoretical models underpinning health education activities and advancements
include the Prochaska and DiClemenete's change model of 1992, the Becker's belief health
model of 1984, and Albert's Bandura's social learning theory of 1977. According to Prochaska
and DiClemenete stages of change model, health promotion involves practicing healthy
behaviors such as engaging in physical fitness activities and avoiding unhealthy practices like
watching television (“Health Studies,” n.d). Individuals progress through five change related
levels constituting the pre-contemplation which is the first step, followed by contemplation,
preparation, action and lastly the maintenance stage. During this period people do not
consider change, and they are described as in denial because of the claim that they don't
experience any problem with their behavior ( Bunton, Macdonald & Macdonald, 2003). In
contemplation stage, individuals recognize the potential benefits of making a change.
Nevertheless, the costs of producing the change tend to be much more thus resulting in a
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strong sense of ambivalence conflict about changing.
During the preparation phase, one prepares for more significant life changes by
starting to make small changes. The action is the fourth stage, and during this phase,
individuals start acquiring direct operations to accomplish their goals ( Bunton et al., 2003).
In most cases, the resolutions adopted fail because enough thoughts or time had not been
given to the previous steps. The maintenance is the last phase, and it involves avoiding past
behaviors and keeping up with the new ones successfully. For the time of support, people are
more ascertained that they will eventually accomplish their change (“Health Studies,” n.d).
These stages of evolution are relevant to health promotion because they address people’s
unhealthy behaviors such as taking junk foods and smoking and it helps modify these
behaviors to strive for better health.
Beckers health belief model is the second theoretical model underpinning health
promotion. The model has widely been applied to other health-related behaviors, and it
explains the utilization of healthcare services (“Health Studies,” n.d). Besides, it also
illustrates the health actions through the fundamental interaction of three categories of beliefs
which include perceived susceptibility, seriousness, advantages, and disadvantages. In
adopting the recommended physical activity behavior, people’s perceived benefits of action,
as well as the perceived threats of the disease, must outweigh the perceived action barriers
(Tones & Green 2004). The model encompasses six main components namely perceived
susceptibility, severity, action benefits and barriers, cues to action, as well as the perceived
self-efficacy. Perceived susceptibility involves altering a person’s chances of acquiring a
condition. It is significant to describe personal risks based on one's behaviors and also the
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population risks.
Perceived severity influences an individual’s opinion on the seriousness and the
consequences of a condition. The key is to specify the outcome of the risk. The benefits of
action provide individuals with the information on the merits of changing behavior to keep
them away from infections or illness ( Bunton et al., 2003). It concerns defining the actions to
take, and when, where and how they should be made as well as providing a clarification of
the expected positive effects. Addressing perceived barriers involves debating on the advised
action psychological effects and identifying or reducing the barriers through carrying out
activities like giving reassurance, incentives, and arguing that assistance is indeed a better
tactic. Action cues are the strategies aimed at activating participation and establishing change
through promoting awareness and offering information which involves providing educational
services (Tones & Green 2004). Self-efficacy is the last component of health belief, and it
concerns encouraging ones confidence ability to take action. Health belief is relevant to in
promoting health because it also addresses the people’s negative behaviors and it develops a
sustainable positive behavioral change from within.
According to Albert Bandura’s theory, the behavior is acquired from the surrounding
through the observational learning process. He believes that all humans are active processors
of information and that they often relate their practices with their expected outcome (“Health
Studies,” n.d). He explains that dynamic cognitive processes lead to the occurrence of
observational learning and the observed individuals are called models. Therefore, in the
society, various models such as parents within the family, friends within the peer groups and
children’s characters significantly influence the children’s learning (Naidoo & Wills, 2015).
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That is, they provide observable behaviors which are quickly imitated, for example, feminine
and masculine characters and anti-social and pro behaviors. Children pay close observation to
these models and encode their actions and are likely to imitate them at a later time. They may
practice the behaviors without considering gender appropriateness, however, is probable that
a child will reproduce the response that the society deems appropriate for their sex.
Albert Bandura’s theory is similar to the Sociologist Talcott Parsons concepts of
learning as they also argue that learning fundamental norms and values occur through the
socialization process. That is, the child is most likely to imitate and attend to those models
that it perceives as having similar characteristics to itself (Naidoo & Wills, 2015). Also, it is
probable that children will imitate the behaviors modeled by people of same sex. Furthermore,
the people around the child will always provide reinforcement or punishment as a way of
responding to the practices that the child imitates. The relevance of this learning theory is that
regarding the design campaign, the creation of relatable role models for the young instigates
behavioral change. Also, regarding thematic design, people rewarding improved healthy
behavior results in positive health choices.
Health promotion constitutes two broad perspectives namely, the Lalonde Report and
the Tannahill. The Lalonde Report was a new health perspective in Canada, and it proposed
the health field concept. It identified the two major health concerns that are the promotion of
good health and the prevention of health problems (Bunton et al., 2003). The report
acknowledges that biomedical emphasizes on the healthcare system is wrong and that people
should focus beyond the traditional healthcare. Tannahill, on the other hand, places health
promotion within the broad range of conventional public health domain framework (Naidoo
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& Wills, 2015). Health promotion is seen as three overlapping activity circles which identify
the critical public health functions. These circles include offering health training, protection,
and prevention. Health education or training enhances the well being and prevents ill health.
Health protection encompasses the codes of practice, laws, and policies and it aims at ill
health prevention, and health prevention constitutes the specified interventions aimed at
minimizing disease contact and reducing harmful disease consequences.
Theories of moral philosophy
Three critical moral philosophy principles can be applied to health provision. These
principles include Utilitarianism and Deontology and autonomy. In utilitarianism approach,
decisions are chosen by the highest amount of benefit that is likely to satisfy the most
significant number of individuals (Connell, 2008). The method is also referred to as
consequentialism where the outcome determines the means or the morality of intervention.
Therefore, the approach is established through the calculations of the benefits or the harm
that results from an action. An example of the practical implication of healthcare provision is
targeting resuscitation of premature newborns or burn treating based on the availability of
resources and time (Connell, 2008). Therefore, the approach is always related to the alleged
paternalism in healthcare.
Paternalism refers to a state interference or an individual interference with another
person against their consent. And the approach is motivated or defended that there will be a
better off or protection of the person interfered with. Paternalism issues medical contexts
arise concerning law restrictions such as the physician required to withhold relevant patient
information (Greenhalgh, 2013). At the theoretical level, paternalism raises on how to handle
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the less entirely rational persons. Other issues include the state intrusion upon individual
liberty to promote safety and health. Public health measures are vulnerable to paternalism
charges, and their objective is to provide support, restore and protect people’s health.
Deontology regulation can be applied to public health, and it states that its principles
and moral rules consistency recognize the good. It emphasizes much on the relation between
morality and reason (Tones & Green 2004). This is what makes the distinction between
human beings and the rest of the animals thus making them subject to the moral law.
Therefore, in the medical provision the physicians are responsible for all their actions were
that they moral agents. However, this does not mean that they ignore the outcomes but rather
the consequences become relevant only if the corrective proposed actions are morally
permissible since actions are intrinsically considered wrong or right regardless of their results
(Greenhalgh, 2013). Health practitioners, therefore, must act according to the guiding
principles of the public health for them to be ascertained that their actions are morally
permissible.
Autonomy considers the individual as the core value that promotes and enhances
individual health. It is the condition of self-governance. A question arises whether the role of
an individual and that of the state in the society begins and ends. The traditional Labour Party
believes that the country needs to take control of the social institutions to have a support
network and bring about opportunities (Naidoo & Wills, 2015). However, the Traditional
Conservative Party considers individualism and acquiring a more hands-off advance.
Regarding health provision, it is significant to avoid dictating people to change their ways
against their will whereas when considering autonomy, it is useful that people acquire the
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essential support and information to encourage them in making long-lasting.
In summary, health promotion is a process that empowers individuals to improve and
enhance control over health. The theoretical models underpinning health education activities
and advancements include the Prochaska and DiClemenete's change model stages of 1992,
the Becker's belief health model of 1984, and Albert's Bandura's social learning theory of
1977. These ideas are relevant in promoting health because they address the people’s negative
behaviors and encourage sustainable positive behavioral changes as well as making
appropriate choices. Also, there are three moral philosophy principles that can be applied to
health provision. These principles include Utilitarianism and Deontology and Autonomy.
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References
Bunton, R., Macdonald, G. and Macdonald, G. eds., 2003. Health promotion: disciplines and
diversity. Routledge.
Connell, B., 2008. Exploring the media: text, industry, audience. Auteur Pub.
Greenhalgh, T., 2013. Primary health care: theory and practice. John Wiley & Sons.
Health Studies., (n.d.). Access to HE Diploma (nursing and midwifery) health promotion.
Naidoo, J. and Wills, J. eds., 2015. Health studies: an introduction. Palgrave Macmillan.
Tones, K. and Green, J., 2004. Health promotion: planning and strategies. Sage.

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