Assignment 1_6475
doc
keyboard_arrow_up
School
Jomo Kenyatta University of Agriculture and Technology *
*We aren’t endorsed by this school
Course
45
Subject
Health Science
Date
Nov 24, 2024
Type
doc
Pages
7
Uploaded by MateRiverVulture29
Intervention Development Article Review Worksheet
1. APA citation for article selected (5 points)
Oreskovic, N. M., Goodman, E., Park, E. R., Robinson, A. I., & Winickoff, J. P. (2014).
Design and implementation of a physical activity intervention to enhance
children's use of the built environment (the CUBE study).
Contemporary clinical
trials
,
40
, 172-179.
2. Identify the health behavior
theory
used in this article. (5 points)
The article sought to increase youth physical activity in order to lower the risk of
obesity and to advance both physical and mental health using through the Children's Use
of the Built Environment (CUBE). The CUBE is a workplace intervention that teaches
young people how to make better use of their physical surroundings. Physical activity
initiatives have been designed using health behavior theories, including the ecological
model and the health belief model (HBM) or health behavior theory. By recognizing,
explaining, and forecasting health behaviors as well as assisting in the creation of
messages that help in promoting health actions and choices, including exercising, the
health belief theory was used to enhance teenagers' responses to physical exercise
(Oreskovic et al., 2014). Health belief theory emphasizes individual variables that
encourage embrace of the proposed health activity, including perceived obstacles,
rewards, durability, intensity, and hint to action. For example, the health belief theory was
used to identify potential obstacles that needed to be tackled, including concerns about
peer stigmatization and safety issues (Oreskovic et al., 2014). By using maps that showed
a participant's surrounding built environment and physical exercise trends, the authors
© 2018 Laureate Education, Inc.
Page 1 of 7
were able to assess a participant's expertise, perceptions, and beliefs regarding physical
activity guided by the health belief model. They also sought to work with the subject to
identify strategies for maximizing physical activity by encouraging use of the built
environment.
The ecological theory, on the other hand, was utilized to recognize the effects of
macro-level environmental factors. Determining the connection between people and their
physical settings and how it affects their health behaviors was part of this theory. Family,
the community in which one lives, and healthcare institutions are some ecological
elements that have an impact on an individual's ability to change their beliefs,
perceptions, and expertise (Oreskovic et al., 2014). For example, the authors discovered
that family participation reduces perceived obstacles to physical activity and offers
individuals social support.
3. Identify the
level
of intervention targeted by the intervention (individual,
interpersonal, community). (15 points)
Many layers of influence on health behaviors are targeted by the health
intervention, including individual (intrapersonal), organizational and institutional,
interpersonal, and community levels. The authors identified a number of ideas and
methods that are successful at fostering physical activity and attaining weight loss
through lifestyle changes, including family support, goal setting with attainable goals, use
of rewards, the significance of setting aside time for physical activity, physician
participation, physical exercise as enjoyment, routine alerts, and stimulating the lessening
of non-academic sedentary activities. Ecological models were employed in the study to
identify these levels because they give a comprehensive view of the variables influencing
© 2018 Laureate Education, Inc.
Page 2 of 7
particular health behaviors. Personal elements, including attitudes, boldness, and other
intrapersonal habits were evaluated, and the first intervention was changed to
accommodate the behaviors. Further, institutional levels, including physician
participation were found to improve the physical activity intervention. Besides, social
support from family interactions and the removal of obstacles to interpersonal
development were found to be interpersonal elements that successfully promote and
enhance physical activity. In addition, local rules and regulations as well as other aspects
of public policy were promoted to lessen non-academic sedentary activities. The
healthcare facilities in the community and local youth clubs recruited youths in a bid to
tackle the social conventions that are prevalent in the community among the people or
groups and promote physical activity (Oreskovic et al., 2014). For example, the
interventions were changed to accommodate the nearby homes and schools, to involve
family members, and to concentrate on the activities that the respondents had authorized.
4. Identify the
intervention strategy
used in this article (15 points) and provide your
assessment of its appropriateness
(15 points).
The article utilized many interventions, including changes to the built
environment, educational initiatives, counseling programs, behavioral and lifestyle
changes, and incentives to promote health in the community. The CUBE intervention
adhered to the guidance that pediatric obesity care counseling to integrate use of the built
environment to realize physical activity goals in a bid to boost the chance and possibility
that adolescents will complete the daily 60 minutes of MVPA that is nationally
recommended. Both the participants in the control and the intervention groups received
standardized care advice on lifestyle changes, such as eating a healthy diet and getting
© 2018 Laureate Education, Inc.
Page 3 of 7
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
more exercise, from their research assistants (Oreskovic et al., 2014). The participants
received the information through both written and verbal versions. Also, the participants
received recommendations on how to use the built environment to promote physical
activity according to their views as determined through interaction with them and their
families.
According to the results of the consultation, parents and family members should
be invited to the time 2 and time 3 sessions as they serve as important sources of
motivation for the physical exercise (Oreskovic et al., 2014). As a result, the individuals
who struck an agreement with their neighbors to reach new physical activity goals were
encouraged to engage in positive social change. They decided to take advantage of the
newly built environment by going to school on foot, having fun in the neighborhood
parks or playgrounds, planning a new family strolling route, and doing a loop of the
blocks after school before heading home. Rewards of $5 to $10 were given to the family
as well as physical activity-promoting prizes, including tossing balls, badminton sets, and
jumping ropes to the participants, which also helped to improve their behavior
(Oreskovic et al., 2014). Participants also had the benefit of obtaining up to two monetary
incentives totaling $25, one probable grand prize, and one small bonus award if they met
their new physical exercise targets.
The intervention approaches were effective and appropriate in getting youths to
exercise more and increase physical activity. Long-lasting lifelong healthy behaviors can
be attained by instructing young people on how to utilize their current built environment
and adopt a healthier diet. For example, when teaching and counseling young people
about physical activity, they should identify opportunities to include it into their everyday
© 2018 Laureate Education, Inc.
Page 4 of 7
routines, including walking the stairs at school or the neighboring park after school. Also,
giving youths money incentives motivates them to adopt practices that are good for their
health. For example, the majority of participants will follow the intervention guidelines to
maximize their likelihood of winning cash rewards, grand prizes, and tangible
promotional items like bouncing balls.
5. Summarize how the theory was used in the development of the intervention
activities.
(15 points)
Adolescents and youths' behavioral dietary and physical activity were improved
using the Health Belief Theory (HBT) and ecological theory. Analysis of the health habits
that raise health risks was done using the theories. The theories were used to
identify behavioral risk factors and determine the risk factors' integrators or determinants.
These factors encompassed aspects at several levels, including those at the personal,
interpersonal, communal, and institutional and organizational levels, among others. The
ecological theory was employed to identify these behavioral health-influencing elements.
Under the direction of The HBT theory helped in mapping the intervention targets and
initiatives with the antecedents of behavioral risks to aid in evaluating personal attitudes,
beliefs, ideologies, and awareness regarding physical exercise and discover ways to
maximize physical activity by championing the use of the built environment.
6. Provide your assessment of why this theory would or would not be a good fit for
the program you are proposing for your Health Promotion Program Proposal. (15
points)
The health belief theory (HBT) and ecological theory would be a good fit for the
proposed Precede-Proceed planning healthcare program. The program entails lifestyle
© 2018 Laureate Education, Inc.
Page 5 of 7
and dietary changes in the prevention of diabetes. Both theories help in adopting and
maintaining health behavior changes, including physical activity and eating healthier
foods. The health belief theory will be applied to examine the person's beliefs of the
threat (sensitivity, intensity), advantages of avoiding the risk, and factors that influence
the decision to act (cues to action, obstacles, and self-efficacy) presented by the diabetes
health issue (Badamasi & Jackson, 2023). The behavioral intention of weight control will
be examined using HBT in order to determine what influences it. Potential threat,
perceived advantages, and self-efficacy in exercising and dieting will all positively
impact behavioral intention to control weight. Perceived obstacles will have a detrimental
impact on behavioral intentions to manage weight. The link between action cues and
behavioral intentions of weight control will be mediated by perceived threat. The
ecological model talks about how different elements interact and depend on one another
at every level of a health issue (Badamasi & Jackson, 2023). It will emphasize on how
individuals interact with their natural and social settings. Therefore, both theories will be
a good fit for the proposed healthcare program.
© 2018 Laureate Education, Inc.
Page 6 of 7
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
References
Badamasi, H. S., & Jackson, K. (2023).
Health Promotion Theories and Models
.
Physiopedia. Retrieved from https://www.physio-
pedia.com/Health_Promotion_Theories_and_Models
Oreskovic, N. M., Goodman, E., Park, E. R., Robinson, A. I., & Winickoff, J. P. (2014).
Design and implementation of a physical activity intervention to enhance
children's use of the built environment (the CUBE study).
Contemporary clinical
trials
,
40
, 172-179.
© 2018 Laureate Education, Inc.
Page 7 of 7