scribes examples of interventions at the principal levels of the ecologic perspective, as described in Table 1–1 (individual, family, social network, organization, community, society). Note that those “levels” can describe either mechanisms that affect health status and disease etiology functioning at that level or the level at which a particular intervention is delivered. Thus, the distinction is made between community-wide interventions (which for the most part define community as a geographic place within which to carry out interventions that address individual-level behavior change relevant to health outcomes) and community-level interventions (which target social and structural changes associated with health status in the community as a whole).

Chapter 5 begins by presenting models and interventions relevant to the individual and family levels of the ecologic perspective. Chapter 6 then turns to the organization, community, and society levels. Chapter 7 reviews evaluation of the interventions and dissemination of health messages.

REFERENCES

Brown, E.R. (1991). Community action for health promotion: A strategy to empower individuals and communities. International Journal of Health Services, 21, 441–456.


Campbell, T.L. (1986). Family’s impact on health: A critical review. Family Systems Medicine, 4, 135–328.

Campbell, T.L. and Patterson, J.M. (1995). The effectiveness of family interventions in the treatment of physical illness. Journal of Marital and Family Therapy, 21, 545–583.


Fisher, E.B.J. (1995). Editorial: The results of the COMMIT trial. American Journal of Public Health, 85, 159–160.

Fisher, L., Chesla, C.A., Bartz, R.J., Gilliss, C., Skaff, M.A., Sabogal, F., Kanter, R.A., and Lutz, C.P. (1998). The family and type 2 diabetes: A framework for intervention. Diabetes Educator, 24, 599–607.


Gottlieb, N.H. and McLeroy, K.R. (1994). Social health. In M.P.O’Donnell and J.S.Harris (Eds.) Health Promotion in the Workplace, 2nd edition (pp. 459–493). Albany, NY: Delmar.

Green, L.W., George, M.A., Daniel, M., Frankish, C.J., Herbert, C.J., Bowie, W.R., and O’Neill, M. (1995). Study of Participatory Research in Health Promotion. University of British Columbia, Vancouver: The Royal Society of Canada.


Hatch, J., Moss, N., Saran, A., Presley-Cantrell, L., and Mallory, C. (1993). Community research: partnership in Black communities. American Journal of Preventive Medicine, 9, 27–31.


Israel, B.A., Cummings, K.M., Dignan, M.B., Heaney, C.A., Perales, D.P., Simons-Morton, B.G., and Zimmerman, M.A. (1995). Evaluation of health education programs: current assessment and future directions. Health Education Quarterly, 22, 364–389.



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