RHP&EO is the electronic journal of the International Union for Health Promotion and Education

Effect And Stage Models For Community Intervention Programmes - A Review And Presentation Of A New Model For Managing The Preparatory Stages

Bo JA Haglund(1), Colin Sanderson(2), Per Tillgren(1), (2), Henrik UIlen(3), Claes-Goran Ostenson(4), Leif Svanstrom(1).

1.Department of International Health & Social Medicine ,Karolinska Institute, Stockholm, Sweden
2. Health Services Research Unit Department of Public Health & Policy London School of Hygiene & Tropical Medicine, London, England.
3. Department of Oncology. Karolinska Institute,

Over the last twenty years a number of diagrammatic 'models' have been developed in the context of health promotion. There have been two basic types, one involving actual or hypothetical causal relationships (effect, or how-it-works models) and the other, sequences of activities or events (stage, or how-to-do-it models). A selection of such models, with their roots in different theories of social change, health education and health promotion, are reviewed in the light of this distinction. Both types of model are important. Existing stage models for health promotion programmes imply an ordered or cyclical set of activities, in which preparation is followed by implementation, maintenance, evaluation and revision. In the presentation a new and more detailed type of stage model is presented for the preparatory phase. In practice this phase involves a series of parallel but interdependent activity streams. These add up to a complex process that needs to be carefully planned and managed. In such circumstances it is important to be able to convey to the various people and organisations involved how their different contributions mesh together. The new model is designed to help with this. It has been developed in the light of experience of planning community-based disease prevention programmes in Stockholm and elsewhere, with the objective of making the lessons learned available for others in a compact and accessible form.

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