| List of Figures | ix |
| List of Tables | xi |
| Preface | xiii |
| About the Authors | xix |
Chapter 1 | Finding True North | 1 |
| Case Story: Why Do We Do What We Do? | 1 |
| Case Analysis | 5 |
| Why Did Linda Undertake the Stress Management Project? | 5 |
| What Do Dr. Jameson's Actions Tell Us? | 6 |
| How Would You Assess the Approach Linda Took in Implementing Her Stress Management Project? | 12 |
| Realistically, Can a Staff Person Have Any Influence on Setting Program Priorities? | 14 |
| Summary | 15 |
| Endnotes | 16 |
Chapter 2 | Using Diverse Sources of Data | 17 |
| Case Story: Let's Take a "Comprehensive" Approach | 17 |
| Prologue | 17 |
| The Staff Meeting | 18 |
| Thinking It Through | 22 |
| Input from the Epidemiologist | 25 |
| The First Draft | 28 |
| The Draft | 32 |
| Four Months Later | 32 |
| Case Analysis | 34 |
| Types and Sources of Public Health Data | 35 |
| Helpful Resources and Models | 35 |
Step 1 | Prepare for the Community | 37 |
Step 2 | Collect Data for the Core Indicators | 37 |
Step 3 | Identify Locally Appropriate Indicators and Collect Data | 37 |
Step 4 | Organize and Analyze Data, Compile the Findings, and Disseminate the Information | 37 |
Step 5 | Establish a System to Monitor Indicators over Time | 38 |
Step 6 | Identify Challenges and Opportunities Related to Health Status | 38 |
| Finding Data | 38 |
| People: Experience, Perception, and Wisdom | 41 |
| A Cautionary Note | 41 |
| Using Local Data to Stimulate Local Action | 42 |
| Local Use of Data | 43 |
| Summary | 48 |
| Endnotes | 48 |
Chapter 3 | Promoting Participation for Health | 51 |
| Case Story: The Court of Public Opinion | 51 |
| Case Analysis | 59 |
| Participation | 59 |
| Why Is Participation Important? | 60 |
| Building Political and Public Support | 67 |
| Heightening Public Awareness: Strategic Thinking | 73 |
| Summary | 75 |
| Endnotes | 76 |
Chapter 4 | What's the Plan? Is It Working? | 79 |
| Case Story: What Causes the Causes? | 79 |
| Case Analysis | 87 |
| Assumptions | 88 |
| The Targets for Change | 88 |
Step 1 | List Risk Factors | 88 |
Step 2 | Differentiate Between Behavioral and Environmental Factors | 89 |
Step 3 | Shorten the List | 89 |
Step 4 | Determine Factor Importance | 90 |
Step 5 | Determine Changeability | 90 |
Step 6 | Create a Matrix | 93 |
Step 7 | Set Objectives | 95 |
| Identifying the Causes | 96 |
| Generating Predisposing, Reinforcing, and Enabling Factors | 98 |
| G'Day: Australia's Diagnostic Approach | 99 |
| Evaluation: Staying on Course | 104 |
| Finding Evaluation Evidence: An Example | 109 |
| Summary | 112 |
| Endnotes | 113 |
Chapter 5 | Theory Applied | 115 |
| Case Story: The Old Horse | 115 |
| Case Analysis | 122 |
| Theory: A Primer | 123 |
| Is the Theory Relevant to My Problem? | 125 |
| How Does the Theory Help Me Understand Targets for Change? | 125 |
| How Does the Theory Help in the Selection or Development of an Intervention Method or Tactic? | 125 |
| Theory Summaries | 126 |
| Health Belief Model | 126 |
| Self-Efficacy | 128 |
| Theory of Reasoned Action | 131 |
| Diffusion of Innovations Theory | 133 |
| Community Capacity, Coalition-Building, and Social Capital Theories | 138 |
| Summary | 143 |
| Endnotes | 144 |
Chapter 6 | Tactics | 147 |
| Case Story: Checkmate | 147 |
| Case Analysis | 152 |
| Six Principles | 152 |
Principle 1 | Use Objectives to Stay Focused | 152 |
Principle 2 | Make Informed Decisions | 153 |
Principle 3 | Don't Reinvent the Wheel | 153 |
Principle 4 | There Is No Such Thing as a Free Lunch | 153 |
Principle 5 | To Maximize Effectiveness, Strategically Combine Multiple Tactics to Influence Complex Problems | 154 |
Principle 6 | Be Creative | 154 |
| Health Communication: Follow the Signposts | 155 |
Signpost 1 | What Can Health Communication Do for You? | 155 |
Signpost 2 | With Whom Are You Trying to Communicate? | 156 |
Signpost 3 | What Does It Cost Your Audience to Hear Your Message? | 157 |
Signpost 4 | What Do You Want to Say? | 158 |
Signpost 5 | How Will the Message Get to Your Audience? | 159 |
| Media Advocacy: Addressing the "Manufacturers of Illness" | 161 |
| Enter Media Advocacy and Politics | 162 |
| Some Practical First Steps | 163 |
| If You Don't "Frame It" Correctly, They Aren't Likely to Get It! | 165 |
| The Key: Anticipation | 166 |
| Scenario | 166 |
| Policy, Regulatory, and Environmental Actions | 168 |
| Policy and Regulatory Actions | 168 |
| Environmental Interventions | 174 |
| Reminders or "Prompts" | 175 |
| Be Ready to Use "Evidence" | 176 |
| Tailoring: Combining Technology with Theory | 177 |
| What Is Tailoring? | 177 |
| Tailoring Works! | 178 |
| How Are Tailored Materials Created? | 179 |
| Coordinate Multiple Tactics | 184 |
| Summary | 186 |
| Endnotes | 186 |
Chapter 7 | Steering Versus Rowing | 191 |
| Case Story: Jameson | 191 |
| Case Analysis | 197 |
| Management and Organizations | 198 |
| Essential Services | 199 |
| Strategic Planning | 199 |
| Benchmarking | 202 |
| Private- and Public-Sector Enterprises | 202 |
| Budgeting | 204 |
| Management and Individuals | 205 |
| Information Flow | 205 |
| The Supervisory Relationship | 206 |
| Professional Development | 207 |
| Professional Identity | 207 |
| Summary | 208 |
| Endnotes | 208 |
| Index | 209 |