Assignemnt: Health Behavior Intervention & Survey
Develop an intervention and survey, based on Health Belief Model(INTRAPersonal/ Within the Individual)
[see Model constructs/review below] + uploaded Examples
Topic: Fire Safety (for both)
1. InterventionInstructions
• The intervention must be based on Health Belief Model
• Use the literature to design your intervention
• Do not implement your intervention, instead view this as proposal
• Include SMART objectives for the intervention
o (Specific. Measurable. Achievable. Relevant. Timed.)
• Explain how you plan to utilize theory
• Make relevant to your career or academic goals
• Format:
o Scope of the problem 1-2 pgs. (double space) - preferable 1.5 page
- Include epidemiological trends
• Factual information
• Avoid "tongue in cheek" anecdotal stories
o Avoid judgmental or moral tone
• Keep formal and scientific
o Program Goals Bullets ≤ 1pg. preferable ½ page
o Explain Intervention 1-3 pgs.preferable 2 page
- Theory - intervention - program goals, must align
- Try to highlight unique/innovative ideas
- Adapt/modify evidences based practices to meet your unique population
• Cite the literature
o Evaluation 1-2 pgs.preferable 1 page
o References 1pg.preferable 1.5 page
Total pages from 5-10 preferable 6-7 pages
Think about these elements when develop your intervention, they will help you to write
• Cite prevalence of the behavior and risk factors
• Discuss: Who, What, Where, Why, and When! with examples, how you will use each of the constructs to design your intervention
• Evaluation plan
o How will you collect data?
- Electronic survey or paper/pencil mailed survey?
o When will you collect data?
- Pre/post?
o What comparisons will you make?
- Will you include a randomly assigned control group?
o What indicators will you track?
o Discuss limitations
2. Survey Instructions
• Include demographics(Last Page)
• Assess the prevalence of Fire Safety of interest
• Assess negative related consequences
• Include at least two constructs Health Belief Model
o Need at least four items per construct
- [place in brackets what construct you are measuring]
• e.g., [attitude]
• Design questions to evaluate your intervention
• Use the literature to develop the survey and principles learned in class
• Survey should be 2 to 4 pagespreferable 2 pages
Format your assignment according to the following formatting requirements:
1. The answer should be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
2. The response also include a cover page containing the title of the assignment, the student's name, the course title, and the date. The cover page is not included in the required page length.
3. Also Include a reference page. The Citations and references should follow APA format. The reference page is not included in the required page length.
Attachment:- Health-Behavior-Intervention-Instructions.rar