PM 562: Intervention Approaches for Health Promotion and Disease Prevention Master of Public Health Program, Department of Preventive Medicine, Keck School of Medicine, University of Southern California PLEASE NOTE: this syllabus is tentative and subject to change Instructors Office Email Carol Koprowski, PhD 312G koprowsk@usc.edu Joel Milam, PhD 312D milam@usc.edu Phone 323-442-8248 323-442-8200 TA Holly Shim, EdD (c) hollyshi@usc.edu COURSE DESCRIPTION: This course reviews various approaches to health promotion and disease prevention intervention strategies. The course is intended to be practical in nature, focusing on the logistics of intervention development and delivery and how these might vary across settings, behaviors, strategies/theories, and populations. Examples of intervention creation, delivery and effectiveness will be provided and the practical considerations necessary to produce, deliver, monitor, and disseminate an intervention with demonstrated effectiveness will be emphasized. COURSE OBJECTIVES Following participation in PM 562, students will be able to: 1) Describe the opportunities, advantages, and disadvantages for intervention in different settings and using different strategies. 2) Identify and review existing effective health promotion interventions. 3) Identify the resources required to create and deliver an effective health promotion intervention. 4) Design and deliver interventions in a diverse group of settings understanding the advantages and disadvantages of working in each of these settings. 5) Design and deliver interventions using different strategies (e.g., electronic media). 6) Recognize the challenges associated with behavior change. 7) Identify the factors that will facilitate long-term adoption, dissemination, and maintenance of a health promotion intervention. COURSE REQUIREMENTS AND EVALUATION: 1. Presentation of a research article (20 points): most weeks 1-2 students will present a research article concerning a health behavior intervention. The presenting student will be expected to create a PowerPoint presentation and to upload that presentation into the Document1 1 course Dropbox folder before their presentation (# of days determined by the class). The student will be expected to present a careful analysis of the article that also contains insight on what they would do differently. Guidelines will be provided in class. 2. Presentation Responses (20 points): Students will provide a brief response/critique of each presentation (and related article). These must be submitted to the course BlackBoard site within 24 hours of each student presentation. You will be graded on thoughtfulness, thoroughness, and creativity of response. Guidelines will be provided in class. 3. Group presentation of a health behavior intervention/program (30 points): Students will work in small groups of three to four students and will seek out a health promotion program. The group will present information about this program including a description of the program’s goals, content and delivery to the class as a whole. (You are encouraged to conduct in-person or telephone interviews with program staff/developers to gain additional details). The class presentation is expected to be 40 to 60 minutes in length. Guidelines will be provided in class. 4. Personal project (20 points): Each student will work on a health-related behavior they would like to improve using an existing program that is available online or via mobile device. Students will monitor and share their progress each week. At the end of the semester, students will submit a summary report on their success/failure, experienced barriers/facilitators to change, linkages with course content, and suggestions for program improvement. Additional guidelines for this requirement will be provided in class. GRADING Article presentation = 20 points Article presentation responses = 20 Group Presentation = 30 points Personal Project = 20 points Class participation = 10 points REQUIRED COURSE READINGS will be posted on the course Blackboard site. Week 1 2 3 Date Jan 11 Jan 18 Jan 25 Document1 Topic Introduction Note Readings Creating health promotion programs Theory at a glance School based Interventions Sallis J, McKenzie T, Conway T, et al. Environmental interventions for eating and physical activity: A randomized controlled trial in middle schools. American Journal of Preventive Medicine 2003;24(3):209-17. Readings TBD 2 4 Feb 1 Electronic & Mass Media; Software Design Ashish Soni, Guest Lecture Fitzgibbon ML, Stolley MR, Schiffer L, Van Horn L, KauferChristoffel K, Dyer A: Two-year follow-up results fro HIP-HOP to Heath JR.: A randomized controlled trial for overweight prevention in preschool minority children. Jour of Pediatrics 2005;146:618-625. Tate DF, Jackvony EH, Wing RR. A randomized trial comparing human e-mail counseling, computer-automated tailored counseling, and no counseling in an internet weight loss program. Archives of Internal Medicine 2006;166:16201625. Baranowski T, Baranowski J, Cullen KW, Marsh T, Islam N, Zakeri I, Honess-Morreale L, deMoor C. Squire’s Quest! Dietary outcome evaluation of a multimedia game. American Journal of Preventive Medicine 2003;24(1):52-61. Huhman M, Potter L, Wong F, Banspach S, Duke J, Heitzler C. Effects of a Mass Media Campaign to Increase Physical Activity Among Children: Year-1 Results of the VERB Campaign. Pediatrics 2005;116:277-84. Valente TW, Murphy S, Beck V, Greene J, Huang G, Gusek J. Evaluating a minor storyline on ER about teen obesity, hypertension and 5 A Day. Journal of Health Communication 2007; 12:551-566. 5 Feb 8 Family Beech BM, et al.: Child- and Parent-targeted interventions: The Memphis GEMS Pilot study. Ethnicity & Disease 2003;13(suppl1):S1-40-S1-53. Story M, et al: An after-school obesity prevention program for African-American girls: The Minnesota GEMS pilot study. Ethnicity & Disease 2003;13(suppl1):S1-54-S1-64. 6 Feb 15 Health care settings Pinto BM, Goldstein MG, Ashba J, Sciamanna CN, Jette A: Randomized controlled trial of physical activity counseling for older primary care patients. Am J Prev Med 2005;29(4):247255. Calfas KJ, Sallis JF, Zabinski MF, Wilfley DE, Rupp J, Prochaska JJ, Thompson S, Pratt M, Patrick K: Preliminary evaluation of a multicomponent program for nutrition and physical activity change in primary care: PACE+ for adults. Preventive Medicine 2002;34:153-161. 7 Feb 22 Tailored Programs Kreuter MW, et al: Cultural tailoring for mammography and fruit and vegetable intake among low-income AfricanAmerican women in urban public health centers. Preventive Medicine 2005;41:53-62. Rothert K, Strecher VJ, Doyle LA, Caplan WM, Joyce JS, Jimison HB, Karm LM, Mims, AD, Roth MA. Web-based weight management programs in an integrated health care setting: A randomized, controlled trial. Obesity 2006;14(2):266-272. Document1 3 8 Feb 29 Worksites and Places of Worship Buller D, Andersen PA, Walkosz, Scott MD, Cutter GR, Dignan MB, Zarlengo EM, Voeks JH, Giese AJ. Randomzed trial testing a worksite sun protection program in an outdoor recreation industry. Health Education & Behavior 2005;32(4):514-535. Campbell MK, Tessaro I, DeVellis B, Benedict S, Kelsey K, Belton L, Sanhueza A. Effects of a tailored health promotion program for female blue-collar workers: Health Works for Women. Preventive Medicine 2002;34:313-323. Resnicow K, Taylor R, Baskin M, McCarty F: Results of Go Girls: A weight control program for overweight AfricanAmerican adolescent females. Obesity Research 2005;13(10):1739-1748. Campbell M, James A, Hudson M, et al. Improved multiple behaviors for colorectal cancer prevention among African American church members. Health Psychology 2004;23(5):492-502. 9 Mar 7 Motivational Interviewing 10 Mar 14 Mar 21 SPRING BREAK 11 Social Networks; Community Building Liz Barnett Guest Lecture TBD Buller DB, Morrill C, Taren D, Aickin M, Sennott-Miller L, Buller MK, Larkey L, Alatorre C, Wentzel TM. Randomized trial testing the effect of per education at increasing fruit and vegetable intake. Journal of the National Cancer Institute 1999;91(17):1491-1500. Valente T, Hoffman B, Ritt-Olson A, Lichtman K, Johnson C. The effects of a social network method for group assignment strategies on peer led tobacco prevention programs in schools. Am J Public Health. 2003;93:1837-1843. Wang C, Morrel-Samuels S, Hutchinson P, Bell L, Pestronik R. Flint Photovoice: Community Building Among Youths, Adults, and Policymakers. American Journal of Public Health 2004; 94(6):911-913. Wilcox S, Laken M, Bopp M, Gethers O, Huang P, McClorin L, Parrott AW, Swinton R, Yancey A. Increasing Physical Activity Among Church Members: Community-Based Participatory Research. American Journal of Preventive Medicine 2007;32(2):131-138. 12 Mar 28 Document1 Environment & Policy French S, Story M, Fulkerson J, Hannan P. An Environmental Intervention to Promote Lower-Fat Food Choices in Secondary Schools: Outcomes of the TACOS Study. American Journal of Public Health. 2004;94(9):1507-1512. 4 Evenson K, Herring A, Huston S. Evaluating Change in Physical Activity with the Building of a Multi-Use Trail. American Journal of Preventive Medicine. 2005;28(2S2):177185. Sung HY, Ong M, Keeler TE, Sheu M. a Major State Tobacco Tax Increase, the Master Settlement Agreement, and Cigarette Consumption: The California Experience. American Journal of Public Health 2005;95(6):1030-1035. Kim D, Kawachi I. Food Taxation and Pricing Strategies to “Thin Out” the Obesity Epidemic. American Journal of Preventive Medicine 2006;30(5):430-437. 13 Apr 4 Interpersonal Reynolds, KD, Spruijt-Metz D, Unger J: Health Behavior Research and Intervention. In Wallace/Maxcy, Rosenau, & Last (Editors). Public Health & Preventive Medicine, 15th Edition. McGraw Hill: New York, 2008. Morisky DE, Nguyen C, Ang A, Tiglao TV: HIV/AIDS prevention among the male population: Results of a peer education program for taxicab and tricycle drivers in the Philippines. Health Education & Health Behavior 2005; 32(1):57-68. Ershoff D, Quinn V, Boyd N, Stern J, Gregory M. The Kaiser Permanente prenatal smoking-cessation trial: when more isn't better, what is enough? Am J Prev Med 1999;17(3):161-8 14 Apr 11 15 Apr 18 16 Apr 25 Document1 Summary Group Presentations I Group Presentations II Group Presentations III 5