Health Promotion Plan

Health Promotion Plan – Template

Complete the following template to outline your Patient Education Brochure that you will create later in the course.

Student Name:

PART I: IDENTIFYING A SHORT-TERM GOAL AND THEORY / MODEL

Title of your patient education brochure

Topic you selected from Healthy People 2030

Objective you selected from Healthy People 2030

Target population for your brochure

Short-term goal for what the reader can accomplish from reading your brochure

Behavioral Change Theory or model you will use to guide the development of your brochure

Continue to the next page to complete Parts II and III.

PART II: OUTLINING OBJECTIVES AND CONTENT FOR YOUR BROCHURE

Learning Objectives

Write 3 SMART objectives below.

Level of Prevention

Identify the level of prevention relevant to the objective.

Rationale

Provide a detailed rationale for each objective supported with evidence. Include in-text citations.

Outline

Provide a detailed outline of the content you will include in your brochure to help the reader achieve this objective.

Evaluation

Plan an evaluation strategy for each objective supported with evidence. Include in-text citations.

PART III: REFERENCES

Include APA-formatted references below for the scholarly or professional sources you used to support your rationales and evaluation strategies.