Promoting Health: A Practical Guide - E-Book , livre ebook

Table of Contents

Cover image
Front Matter
Dedication
Copyright
Foreword
Foreword
Preface
Acknowledgements
Thinking about health and health promotion
Chapter 1. What is health?
Chapter 2. What is health promotion?
Chapter 3. Aims, values and ethical considerations
Chapter 4. Who promotes health?
Planning and managing for effective practice
Chapter 5. Planning and evaluating health promotion
Chapter 6. Identifying health promotion needs and priorities
Chapter 7. Evidence and research in health promotion
Chapter 8. Skills of personal effectiveness
Chapter 9. Working effectively with other people
Developing competence in health promotion
Chapter 10. Fundamentals of communication
Chapter 11. Using communication tools in health promotion practice
Chapter 12. Educating for health
Chapter 13. Working with groups
Chapter 14. Enabling healthier living
Chapter 15. Working with communities
Chapter 16. Influencing and implementing policy
Glossary
Index
Front Matter

Promoting Health
A Practical Guide
Angela Scriven BA(Hons) MEd CertEd FRSPH MIUHPE Reader in Health Promotion, Brunel University, London, UK
Forewords by
Linda Ewles BSc MSc MA
Ina Simnett MA(Oxon) DPhil CertEd Bristol, UK
Richard Parish BSc Med PDHEd CBiol MIBiol FRSPH FFPH CMIPR HonMAPHA Chief Executive, Royal Society for Public Health, London, UK
SIXTH EDITION

EDINBURGH   LONDON   NEW YORK   OXFORD   PHILADELPHIA   ST LOUIS   SYDNEY   TORONTO   2010© 2010 Elsevier Ltd. All rights reserved.
Commissioning Editor: Mairi McCubbin
Development Editor: Sally Davies
Project Manager: Elouise Ball
Designer: Kirsteen Wright
Illustration Manager: Merlyn Harvey
Dedication
To Jon and Sara
Copyright

© 2010 Elsevier Ltd. All rights reserved.
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This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
First edition 1985
Second edition 1992
Third edition 1995
Fourth edition 1999
Fifth edition 2003
Sixth edition 2010
ISBN: 978 0 7020 3139 7
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the author assumes any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.


Printed in China
Foreword
We are delighted that Promoting Health is now in its sixth edition.
We embarked on writing the first edition back in the early 1980s. One of us (Linda Ewles) was then working at Bristol Polytechnic (now the University of the West of England) running one of the three postgraduate Diploma courses in health education which existed in the UK at that time. The other (Ina Simnett) had recently moved to Bristol and was working in health education in the NHS. We had each independently recognised the need for a health education textbook; amazing as it seems now, at the time there were none in the UK. We were put in touch with each other by Jane Randell who did much to develop education and training at the national Health Education Council. It was the start of our long collaboration and friendship.
We put together an outline of the book's proposed content, drawing heavily on our combined experience and training. We typed the chapters on a manual typewriter (no word processors then) and laboriously looked up all the references in libraries (no Internet). Our first publisher was John Wiley, and Promoting Health: A Practical Guide To Health Education was launched in May 1985 at a nursing conference in Harrogate.
We fully expected that the book would have a shelf life of a few years, and then be superseded by many others. Indeed, more textbooks on health education and health promotion (when that new term started to be used) did appear – but ours continued to be well used. We had met a need. Every few years from then on, our publisher (who changed several times as publishing companies were sold and amalgamated) approached us for an updated edition.
But the last request for a new edition came at the stage in our lives when we had both retired from work in health promotion. We felt that the update should be done by someone in closer touch with current professional thinking and practice. We are delighted that Angela Scriven undertook the task and has given the book a new lease of life with a thoroughly updated version which still retains the style and scope of its predecessors. We are very grateful to her for her excellent work.
Twenty-five years after the first edition was written, we can look back and see that some themes we wrote about then are still totally relevant today. Health promoters still need to explore what ‘health’ means, understand the underlying values and approaches in health promotion, think about ethical issues, base their work on evidence of effectiveness and learn skills of communicating and managing, planning and evaluating. A surprising amount of the sixth edition has scarcely changed since the first one.
But of course a great deal has changed, and this is reflected in the current edition. We are struck by the huge expansion of the evidence base of ‘what works’ and how much research and information is now available on the Internet. In terms of delivering health promotion, the rise of partnership working between sectors and agencies and the integration of health promotion specialist work in the NHS into mainstream public health (rather than remaining a Cinderella ‘add-on’ service) are also remarkable. Health promotion has become an integral part of basic training for health workers and there has been a massive growth in specialist training opportunities.
Some health education acorns undoubtedly failed to take root, but others have become sturdy oak trees. For example, stop-smoking group work by a few health educators has grown into a huge mainstream NHS smoking cessation programme. A handful of health workers going into schools to give talks has developed into a European-wide health-promoting schools network with fully-fledged personal, social and health education school programmes.
We are gratified and humbled to think that our book has made a small contribution to these and other developments over the last 25 years. It has been widely used in the UK but also in over 50 countries around the world. It has been translated into seven European and Asian languages and has been useful in health development in Africa, parts of Asia and the Middle East. We are pleased to think that we must have got something right! We would also like to take this opportunity to thank all those people who, in so many different ways, have helped to make Promoting Health a success.
Of course, as Richard Parish points out in his Foreword, health promoters now face 21st-century challenges, such as obesity, alcohol consumption levels, climate change and new forms of communicable diseases. We hope that this edition continues to contribute to the spread of sound health promotion practice in tackling these and other issues which undermine health today. We also hope that it helps people to continue their efforts to reduce health inequalities in the UK and across the world.
Linda Ewles and Ina Simnett
Foreword
The need for effective health promotion has never been greater. We face immense challenges to health as we move through the 21st century. Regrettably, modern-day life is not always as conducive to health and wellbeing as we would wish. The current scourge of overweight and obesity is but one measure of our unhealthy lifestyles. To this we must add the growing impact of climate change and the emergence of new strains of communicable disease. Never before have we faced such an assault upon our health, with the disadvantaged suffering the greatest.
The forces waged against health are complex and comprehensive. We need a skilled and competent workforce if we are to improve health for all over the coming years. The earlier editions of