Health promotion organizations increasingly encourage multilevel, multisector interventions,
because such approaches can produce more widespread and sustainable impacts than individual
behavior change efforts alone.
1
Many public health agencies and foundations recommend or require that funded projects
include policy, system, and environment (PSE) change activities. Growing numbers of
health coalitions and youth advocacy programs inspire members to implement community-level
changes. The Cooperative Extension System, which includes the 4-H Youth Development Program, has adopted a National Framework for Health and Wellness
2
calling for strategies informed by the social ecological model (SEM) principle that
behavior is influenced by multiple interacting factors.
- Braun B.
- Bruns K.
- Cronk L.
- et al.
Cooperative extension's national framework health and wellness.
http://www.aplu.org/members/commissions/food-environmentand-renewable-resources/CFERR_Library/national-framework-for-health-and-wellness/file
Date: 2014
Date accessed: February 1, 2017
3
,
4
,
5
,
6
In reality, however, practitioners often lack familiarity with and confidence in
applying PSE change strategies or find terms such as policy change daunting.
7
Recognizing that educational games convey and reinforce knowledge,
- Smathers C.A.
- Lobb J.M.
Extension professionals and community coalitions: professional development opportunities
related to leadership and policy, system, and environment change.
J Extension. 2015; 53 (6FEA1)
https://www.joe.org/joe/2015december/a1.php
Date accessed: June 2, 2017
8
,
9
an interactive game was developed to help practitioners identify various PSE strategies,
understand basic tenets of the SEM, and explore ways to initiate PSE changes. Feedback
from 94% of 118 nutrition educators who engaged in the game (n = 111) supports the
efficacy of the game in meeting these objectives and points to the feasibility of
its use with various groups.To read this article in full you will need to make a payment
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References
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Article info
Publication history
Published online: December 15, 2017
Footnotes
Conflict of Interest Disclosure: The authors' conflict of interest disclosures can be found online with this article on www.jneb.org.
Identification
Copyright
© 2017 Society for Nutrition Education and Behavior. Published by Elsevier, Inc. All rights reserved.
