The trans-theoretical model is widely used in health promotion. The model occurs through a series of phases including pre-contemplation, contemplation, preparation, action, maintenance, and termination. The health models aim at changing the attitudes of the family members towards risky behaviours and allow them to take conscious actions and control over the change process. The model is the most appropriate for the family presenting with social issues such as alcoholism, lack of sleep, limited exercise, and excessive watching of T.V. The model aims at promoting a sustained change process (Liu et al., 2018). The health risks presenting to the family can only be eliminated when the members embrace the proposed health modifications and sustain them. The change model is guided by four major tenets, the stages of change, self-efficiency, decision balance, and processes of change (Liu et al., 2018).
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The first step in the change process is to allow the family members to understand the need for change. At the pre-contemplation stage, the family members are not ready and willing to change their risky behaviours. The children are used to watching T.V and so telling them to stop may appear impossible. Therefore, informing them of the risks involved in their current practices and how changing would be beneficial to them creates a sense of willingness to change (Rahimi et al., 2019). At the contemplation stage, they are ready for change because they understand the benefits involved in regular exercising, having enough sleep, and avoiding alcohol consumption. Subsequently, the family members are prepared for the change at the preparation stage. The stage also involves the identification of the resources needed for the change.
The self-change approach means that the family members will start planning for their programs and set time for physical exercise, sleeping, and reduce alcohol consumption. The process requires one-on-one communication that allows the family members to express their opinion and what they feel about their current lifestyle. The next stages are action and maintenance. At the action stage, the members implement the proposed changes. Maintaining the changes may be difficult and so the family members may require follow-up. The members will also be motivated by the change initiative after they realize the beneficial outcomes.
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The social determinants of health identified in the family’s case include lack of enough sleep due to prolonged watching of T.V, limited exercise, and alcohol consumption. Furthermore, some of the family members are unable to control their emotions and manage stress; such can be addressed through meditation which is already a common practice in the family. The lifestyle patterns present significant health risks; therefore, adopting the trans-theoretical change model will significantly help the family stop the risky behaviours and embrace health-promoting practices.
Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000 word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:
Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.
Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance.
Family Assessment Part II – Rubric
SDOH Affecting Family and Family Health Status
Criteria Description
SDOH Affecting Family and Family Health Status
5. Excellent
30 points
The SDOH directly affecting family health status are relevant, accurately identified and thoroughly described. The direct impact to the family, and why the factors are prevalent to the family, are discussed in detail. The discussion is well supported and illustrates insight into SDOH and their effect on family health status.
4. Good
26.7 points
The overall SDOH affecting family health status are accurately identified and described. The SDOH identified are relevant to the family. The direct impact to the family, and why the factors are prevalent to the family, are discussed.
3. Satisfactory
23.7 points
Key SDOH affecting family health status are summarized. The SDOH identified are relevant to the family. The direct impact to the family, and why the factors are prevalent to the family, are generally discussed. More support or rationale is needed in some areas.
2. Less than Satisfactory
22.5 points
SDOH affecting family health status are partially presented. SDOH listed are not relevant to the family. The direct impact to the family, and why the factors are prevalent to the family, are unclear. There are inaccuracies.
1. Unsatisfactory
0 points
SDOH affecting family health status, and the direct impact to the family, are not presented.
Age-Appropriate Screening Recommendations
Criteria Description
Age-Appropriate Screening Recommendations
5. Excellent
30 points
Screenings presented for each family member are age appropriate and highly relevant. Screenings correlate to the information gathered through family health assessment. Strong rationale and support is presented.
4. Good
26.7 points
Screenings presented for each family member are age appropriate. Screenings are relevant and based on the information gathered through family health assessment. Some minor rationale or support is needed.
3. Satisfactory
23.7 points
Screenings are presented for each family member. Screenings are generally age appropriate, but entirely not relevant based on the information gathered through family health assessment. More rationale and support is required.
2. Less than Satisfactory
22.5 points
Screenings are presented for some family members. The screenings are not age appropriate. Screenings are not relevant to the information gathered through family health assessment.
1. Unsatisfactory
0 points
Age-appropriate screenings are not presented.
Assessment of Health Model
Criteria Description
Assessment of Health Model
5. Excellent
30 points
A health model is selected and thoroughly described. A detailed discussion of how the model will assist in creating a plan of action is presented. Reasons for why it is best for this family are clearly outlined. Strong rationale and support are provided to support reasoning.
4. Good
26.7 points
A health model is selected and described. A discussion of how the model will assist in creating a plan of action is presented. Reasons for why it is best for this family are provided. Some rationale or support is needed.
3. Satisfactory
23.7 points
A health model is selected and described. A summary of how the model will assist in creating a plan of action is presented. A general overview for why it is best for this family is provided. More rationale and support is required.
2. Less than Satisfactory
22.5 points
A health model is selected to assist in creating a plan of action. The description of the model is incomplete. It is unclear why the chosen model is best for this family.
1. Unsatisfactory
0 points
A health model to assist in the creation of a plan of action is not presented. The model chosen is not a health model.
Application of Health Model
Criteria Description
Application of Health Model
5. Excellent
30 points
The health model is used to create a relevant and viable family-centered health promotion. The steps to achieve the desired outcome are described in detail. Appropriate strategies for communication with the family are clearly presented. The health promotion is well-designed and demonstrates an ability to assimilate findings and appropriately apply theoretical knowledge to achieve desired outcomes.
4. Good
26.7 points
The health model is used to create a relevant family-centered health promotion. The steps to achieve the desired outcome are illustrated. Strategies for communication with the family are presented.
3. Satisfactory
23.7 points
The health model is used to create a general family-centered health promotion. The steps to achieve the desired outcome require more detail to illustrate a clear plan of action. A general plan for communication with the family is presented. More rationale and support is required.
2. Less than Satisfactory
22.5 points
Steps for a family-centered health promotion are partially presented. The health promotion is not based on the health model. Significant aspects are missing. There are major inaccuracies.
1. Unsatisfactory
0 points
Family-centered health promotion using selected health model is omitted.
Thesis Development and Purpose
Criteria Description
Thesis Development and Purpose
5. Excellent
7.5 points
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
4. Good
6.68 points
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
3. Satisfactory
5.93 points
Thesis is apparent and appropriate to purpose.
2. Less than Satisfactory
5.63 points
Thesis is insufficiently developed or vague. Purpose is not clear.
1. Unsatisfactory
0 points
Paper lacks any discernible overall purpose or organizing claim.
Argument Logic and Construction
Criteria Description
Argument Logic and Construction
5. Excellent
7.5 points
Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
4. Good
6.68 points
Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
3. Satisfactory
5.93 points
Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
2. Less than Satisfactory
5.63 points
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
1. Unsatisfactory
0 points
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Criteria Description
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
5. Excellent
7.5 points
Writer is clearly in command of standard, written, academic English.
4. Good
6.68 points
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
