Health Promotion
By: Alexandra Thomson
Date: September 25, 2023
The first step in a situational assessment is to determine what you need to inform planning decisions. I used Public Health Ontario's (2015) template with three broad questions and sub-questions below to shape the direction of the situational assessment and develop an outline for my situational assessment related to my health promotion project in epilepsy self-management.
References:
BC Epilepsy Society (n.d.). Women in mind. BC Epilepsy Society. Retrieved Sept. 24, 2023 from
http://bcepilepsy.com/programs/women-in-mind
Bethea, T.N., Lopez, R.P., Cozier, Y.C., White, L.F. & McClean, M.D. (2012). The relationship between rural status, individual characteristics, and
self-rated health in the Behavioral Risk Factor Surveillance System. Journal of Rural Health, 28, 327-338.
https://doi.org/10.1111/j.1748-0361.2012.00414.x
Canadian Epilepsy Alliance (2023). March epilepsy awareness month 2023 campaign. Epilepsy awareness month. Retrieved Sept. 23, 2023
from https://www.canadianepilepsyalliance.org/march-epilepsy-awareness-month-2023- campaign
/#:~:text=Every%20March%2026th%2C %20people%20around,events%20to%20support%20epilepsy%20awareness.
Duke, S.M., Gonzalez Otarula, K.A., Canales, T., Lu, E., Stout, A., Ghearing, G.R. & Sajatovic, M. (2021). A systematic literature review of health
disparities among rural people with epilepsy (PWE) in the United States and Canada. Epilepsy & Behavior, 122, 1-6.
https://doi.org/10.1016/j.yebeh.2021.108181
Gaitatzis, A., Carroll, K., Majeed, A. & Sander, J.W. (2004). The epidemiology of the comorbidity of epilepsy in the general population. Epilepsia,
45, 1613-1622.
Josephson, C.B., Patten, S.B., Bulloch, A., Williams, J.V.A., Lavorato, D. & Fiest, K.M. (2017). The impact of seizures on epilepsy outcomes: A
national, community- based survey. Epilepsia, 58, 764-771.
Laxer, K.D., Trinka, E., Hirsch, L.J., Cendes, F., Langfitt, J. & Delanty, N. (2014). The consequences of refractory epilepsy and its treatment.
Epilepsy & Behavior, 37, 59-70.
Lewinski, A.A., Shapiro, A., Gierisch, J.M., Goldstein, K.M., Blalock, D.V., Luedke, M.W., Gordon, A.M., Bosworth, H.B., Drake, C., Lewis, J.D., Sinha,
S.R., Husain, A.M., Tran, T.T., Van Noord, M.G. & Williams, J.W. (2020). Barriers and facilitators to implementation of epilepsy self-
management programs: A systematic review using qualitative evidence synthesis methods. Systematic Reviews, 9, 92-109.
https://doi.org/10.1186/s13643-020-01322-9.
Luedke, M.W., Blalock, D.V., Lewinski, A.A., Shapiro, A., Drake, C., Lewis, J.D., Goldstein, K.M., Husain, A.M., Gierisch, J.M., Sinha, S.R., Tran, T.T.,
Gordon, A.M., Kosinski, A.S., Bosworth, H.B., Van Noord, M. & Williams, J.W. (2019). Self-management of Epilepsy: A Systematic Review.
Evidence Synthesis Program. Retrieved Sept. 24, 2023 from https://www.ncbi.nlm.nih.gov/books/
NBK544549/pdf/Bookshelf_NBK544549.pdf
Mlinar, S., Petek, D. Cotic, Z, Ceplak, M.M. & Zaletel, M. (2016). Persons with epilepsy: Between social inclusion and marginalization.
Behavioural Neurology,1, 1-12. https://doi.org/10.1155/2016/2-185-0
Mutanana, N., Tshababa, M., Senderayi, P, Nyathi, C. (2020). Health promotion and disease prevention: Theories and models influencing
epilepsy management. Journal of Research and Innovation in Social Science, 4(9), 1-5.
Szaflarski, M. (2014). Social determinants of health in epilepsy. Epilepsy & Behavior, 41, 283-289.
https://doi.org/10.1016/j.yebeh.2014.06.013
Tian, N., Boring, M. & Kobau, R. (2018). Active epilepsy and seizure control in adults: United States, 2013 and 2015. MMWR Morb Mortal Wkly
Rep., 67(15), 437-442.
World Health Organization (WHO) (2019). Epilepsy: A public health imperative. World Health Organization. Retrieved Sept. 24, 2023 from
https://www.who.int/publications/i/item/epilepsy-a-public-health-imperative
By: Alexandra Thomson
Date: October 13, 2023
Identifying relevant stakeholders and hearing their perspectives are fundamental steps in effective health promotion and decision-making. I used Bartholomew Eldredge et al.'s (2016) template below with comprehensive questions to consider when identifying and recruiting stakeholders in assessing, planning, implementing, and evaluating health promotion action to address epilepsy self-management.
Reference:
​
Bartholomew Eldredge, L. K., Markham, C. M., Ruiter, R. A. C., Fernández, M. E., Kok, G., & Parcel, G. S. (2016). Planning health promotion
programs: An intervention mapping approach. John Wiley & Sons.
By: Alexandra Thomson
Date: October 16, 2023
A logic model helps define the sequence of activities, necessary resources, and expectations for a health promotion project. The logic models I created provide a visual representation of the planning, implementation, and evaluation of my community engagement and epilepsy self-management strategies. The community engagement logic model focuses on the relevant stakeholders that should communicate their expertise or needs to effectively design the epilepsy self-management training. The epilepsy self-management logic model clarifies the program's objectives, activities, and expected outcomes.
References:
​
BC Epilepsy Society (2022). How are we celebrating epilepsy awareness month and International Purple Day for epilepsy awareness this
year? BC Epilepsy Society. Retrieved October 16, 2023 from https://bcepilepsy.com/blog/how-are-we-celebrating-epilepsy-
awareness- month-and-international-purple-day-for-epilepsy-awareness-this-year/
Champion, V.L. & Skinner, C.S. (2008). The health belief model. In Glanz, K., Rimer, B.K. & Viswanath, K. (Eds.), Health behaviour and health
education: Theory, research, and practice (pp.45-65). Jossey-Bass. England, M.J., Liverman, C.T., Schultz, A.M. & Strawbridge, L.A.
(2012). Epilepsy across the spectrum: Promoting health and understanding: A summary of the Institute of Medicine report. Epilepsy &
Behavior, 25(2), 266-276. https://doi.org/10.1016/j.yebeh.2012.06.016
HealthLink BC (2021). Epilepsy. HealthLink BC. Retrieved October 16, 2023 from https://www.healthlinkbc.ca/illnesses-conditions/epilepsy Luedke, M.W., Blalock, D.V., Lewinski, A.A., Shapiro, A., Drake, C., Lewis, J.D., Goldstein, K.M., Husain, A.M., Gierisch, J.M., Sinha, S.R., Tran, T.T.,
Gordon, A.M., Kosinski, A.S., Bosworth, H.B., Van Noord, M., Williams, J.W. (2019). Self-management of Epilepsy: A systematic review.
Evidence Synthesis Program. Retrieved February 4, 2023 from
https://www.ncbi.hlm.nih/gov/books/NBK544549/pdf/Bookshelf_NBK544549.pdf
World Health Organization (2017). Infographics on epilepsy. WHO. Retrieved October 16, 2023 from
https://apps.who/int/mediacentre/infographic/mental-health/epilepsy/en/index.html
My reflection: Building upon MHST/NURS 631 in MHST/NURS 632
Link
By: Alexandra Thomson
Date: September 8, 2023
​
Environmental Scan: Post-Surgical Epilepsy Care
Link
By: Alexandra Thomson
Date: November 6, 2023
Limitations of Evidence-based Medicine
Link
By: Alexandra Thomson
Date: September 8, 2023
Knowledge Translation Initiative
Link
By: Alexandra Thomson
Date: December 1, 2023
By: Alexandra Thomson
Date: Feb. 1, 2023
-Model used in the development of the epilepsy self-management model
-Describes the influence of perceptions (of benefits, barriers, susceptibility and severity) on adoption of health promoting behaviours
References:
Bergeron, K., Abdi, S., DeCorby, K., Mensah, G., Rempel, B & Mason, H. (2017). Theories, models and frameworks used in capacity building
interventions relevant to public health: A systematic review. BMC Public Health, 17, 1-13. https://doi.org/10.1186/s12889-017-4919-y
Champion, V.L. & Skinner, C.S. (2008). The health belief model. In Glanz, K., Rimer, B.K. & Viswanath, K. (Eds.), Health behaviour and health
education: Theory, research, and practice (pp.45-65). Jossey-Bass.
Health by Harb [Health by Harb] (2021, February 6). Theories of health behaviour [Video]. YouTube. Retrieved from
https://www.youtube.com/watch?v=sE8DzgRwjUo
Jones, C.L., Jensen, J.D., Scherr, C.L., Brown, N.R., Christy, K. & Weaver, J. (2015). The Health Belief Model as an explanatory framework in
communication research: Exploring parallel, serial, and moderated mediation. Health Commun, 30(6), 566-576.
https://doi.org/10.1080/10410236.2013.873363
Rideout, C. [Candice Rideout] (2015, December 21). FNH 473 video 1: Introduction to health behaviour theories [Video]. YouTube. Retrieved from https://www.youtube.com/watch?v=OexKKEUIgSU
By: Alexandra Thomson
Date: Feb. 23, 2023
-Infographic describes the importance of epilepsy self-management
-Infographic provides community resources and organizations relevant to epilepsy (with links to employment services)
-Infographic lists common seizure triggers
-Infographic describes self-monitoring tools
References:
BC Epilepsy Society (2022). How are we celebrating epilepsy awareness month and International Purple Day for epilepsy awareness this
year? BC Epilepsy Society. Retrieved February 20, 2023 from https://bcepilepsy.com/blog/how-are-we-celebrating-epilepsy-
awareness- month-and-international-purple-day-for-epilepsy-awareness-this-year/
Champion, V.L. & Skinner, C.S. (2008). The health belief model. In Glanz, K., Rimer, B.K. & Viswanath, K. (Eds.), Health behaviour and health
education: Theory, research, and practice (pp.45-65). Jossey-Bass.
England, M.J., Liverman, C.T., Schultz, A.M. & Strawbridge, L.A. (2012). Epilepsy across the spectrum: Promoting health and understanding: A
summary of the Institute of Medicine report. Epilepsy & Behavior, 25(2), 266-276. https://doi.org/10.1016/j.yebeh.2012.06.016
HealthLink BC (2021). Epilepsy. HealthLink BC. Retrieved February 20, 2023 from https://www.healthlinkbc.ca/illnesses-conditions/epilepsy
Luedke, M.W., Blalock, D.V., Lewinski, A.A., Shapiro, A., Drake, C., Lewis, J.D., Goldstein, K.M., Husain, A.M., Gierisch, J.M., Sinha, S.R., Tran, T.T.,
Gordon, A.M., Kosinski, A.S., Bosworth, H.B., Van Noord, M., Williams, J.W. (2019). Self-management of Epilepsy: A systematic review.
Evidence Synthesis Program. Retrieved February 4, 2023 from https://www.ncbi.hlm.nih/gov/books/NBK544549/pdf/
Bookshelf_NBK544549.pdf
Seizure Tracker (2023). Empowering people living with seizures to play an active role in their own healthcare. Seizure Tracker: Be aware.
Track it. Retrieved February 20, 2023 from www.seizuretracker.com
World Health Organization (2017). Infographics on epilepsy. WHO. Retrieved February 20, 2023 from
https://apps.who/int/mediacentre/infographic/mental-health/epilepsy/en/index.html
By: Alexandra Thomson
Date: March 15, 2023
-Intended use of community engagement strategy is to improve clinical quality and health outcomes
-Principles of engagement framework are highlighted with an emphasis on diversity and inclusion
-The full spectrum of participation (i.e., Informing, consulting, involving, collaborating, and empowering) is used
-The use of advisory committees and evaluating responsiveness of programs is highlighted
-Success and risk factors are listed
Reference:
Vancouver Coastal Health (2 020). Community Engagement Framework. Vancouver Coastal Health. Retrieved March 15, 2023 from
https://www.vch.ca/sites/default/files/import/documents/CE-Framework.pdf
References:
​
Flynn, M.A.T. (2014). Empowering people to be healthier: Public health nutrition through the Ottawa Charter. Proceedings of the Nutrition
Society, 74, 303-312. https://www.doi.org/10.1017/S002966511400161X
Lalonde, M. (1974). A new perspective on the health of Canadians. Ottawa: Government of Canada. https://www.phac-aspc.gc.ca/ph-
sp/pdf/perspect-eng.pdf
Nutbeam, D. (2008). What would the Ottawa Charter look like if it were written today? Critical Public Health, 18(4), 435-411.
https://doi.org/10.1080/09581590802551208
Thompson, S. R., Watson, M. C., & Tilford, S. (2017). The Ottawa Charter 30 years on: Still an important standard for health promotion.
International Journal of Health Promotion and Education, 56, 73-84. https://doi.org/10.1080/14635240.2017.1415765
UK Parliament Health Committee. 2015. Public Health Post 2013: Structures, Organisation, Funding and Delivery Enquiry. Health Committee.
Retrieved from https://www.parliament.uk/business/ committees/committees-a-z/commons-select/health-
committee/inquiries/parliament-2015/public-healthpost-2013-inquiry-15-16/
WHO Regional Office for Europe [WHO Regional Office for Europe]. (2011, September 13). The journey from Ottawa to health 2020. YouTube.
Retrieved from https://www.youtube.com/watch?v=gJ1H2ojwb2Q
References:
​
Lalonde, M. (1974). A new perspective on the health of Canadians. Ottawa: Government of Canada. https://www.phac-aspc.gc.ca/ph-
sp/pdf/perspect-eng.pdf
Let’s Learn Public Health [Let’s Learn Public Health]. (2017, March 4). An introduction to health promotion and the Ottawa Charter. YouTube.
Retrieved from https://www.youtube.com/watch?v=G2quVLcJVBk
Nutbeam, D. (2008). What would the Ottawa Charter look like if it were written today? Critical Public Health, 18(4), 435-411.
https://doi.org/10.1080/09581590802551208
World Health Organization. (1986). Ottawa charter for health promotion, 1986. Regional Office for Europe.
Retrieved from https://www.canada.ca/content/dam/phac-aspc/documents/services/health-
promotion/population-health/ottawa-charter-health-promotion-international-conference- on-health-promotion/charter.pdf
References:
Beghi, E. (2016). Addressing the burden of epilepsy: Many unmet needs. Pharmacological Research, 107, 79-84.
http://dx.doi.org/10.1016/j.phrs.2016.03.003
Brinkmann, B.H., Karolv, P., Nurse, E.S., Dumanis, S.B., Nasseri, M., Viana, P.F. Schulze-Bonhage, A., Freestone, D.R., Worrell, G., Richardson,
M.P. & Cook, M.J. (2016). Seizure diaries and forecasting with wearables: Epilepsy monitoring outside the clinic. Frontiers in Neurology,
12, 1-14. https://doi.org/10.3389/fneur.2021.690404
Duke, S.M., Gonzalea Otarula, K.A., Canales, T., Lu, E., Stout, A., Ghearing, G.R., Sajatovic, M. (2021). A systematic literature review of health
disparities among rural people with epilepsy (RPWE) in the United States and Canada. Epilepsy & Behavior, 122, 181-186.
https://doi.org/10.1016/j.yebeh.2021.108181
Epilepsy Foundation (2022). Seizure triggers. Epilepsy Foundation. Retrieved January 28, 2023 from https://www.epilepsy.com/what-is-
epilepsy/seizure-triggers
US Centers for Disease Control and Prevention Epilepsy Program (2016). About one-half of adults with active epilepsy and seizures have
annual family incomes under $25,000: The 2010 and 2013 US National Health Interview Surveys. Epilepsy & Behavior, 58, 33-34.
https://doi.org/10.1016/j.yebeh.2016.02.024
References:
Becker, D.A., Long, L., Santilli, N., Babrowicz, J. & Peck, E.Y. (2021). Patient, caregiver and healthcare professional perspectives on seizure
control and treatment goals. Epilepsy & Behavior, 117, 1-8. https://doi.org/10.1016/j.yebeh.2021.107816
Bishop, M. & Allen, C. (2007). Coping with epilepsy: Research and intervention. In Martz, E. & Livneh, H. (Eds.), Coping with chronic illness and
disability: Theoretical, empirical, and clinical aspects (pp. 241-66). Springer.
Centers for Disease Control and Prevention (2013). Comorbidity in adults with epilepsy: United States, 2010. MMWR Morb Mortal Wkly Rep,
62(43), 849–53
Champion, V.L. & Skinner, C.S. (2008). The health belief model. In Glanz, K., Rimer, B.K. & Viswanath, K. (Eds.), Health behaviour and health
education: Theory, research, and practice (pp.45-65). Jossey-Bass.
Cramer, J.A., Perrine, K., Devinsky, O., Bryant-Comstock, L., Meador, K. & Hermann, B.P. (1998). Development and cross-cultural translation of a
31-item quality of life questionnaire (QOLIE-31). Epilepsia, 39(1), 81-88. https://doi.org/10.1111/j.1528-1157.1998.tb01278.x.
Devinsky, O., Ryvlin, P., Friedman, D (2018). Preventing sudden unexpected death in epilepsy. JAMA Neurol, 75(5), 531-532.
https://doi.org/10.1001/jamaneurol.2018.0400.
England, M.J., Liverman, C.T., Schultz, A.M. & Strawbridge, L.A. (2012). Epilepsy across the spectrum: Promoting health and understanding: A
summary of the Institute of Medicine report. Epilepsy & Behavior, 25(2), 266-276. https://doi.org/10.1016/j.yebeh.2012.06.016
Institute of Medicine (2012). Epilepsy across the spectrum: Promoting health and understanding. National Academies. Retrieved Feb. 3, 2023
from https://www.nap.edu/catalog/13379/epilepsy-acrossthe-spectrum-promoting- health-and-understanding.
Josephson, C.B., Patten, S.B., Bulloch, A., Williams, J.V.A., Lavorato, D. & Fiest, K.M (2017). The impact of seizures on epilepsy outcomes: A
national, community- based survey. Epilepsia, 58(5), 764–71. https://doi.org/10.1111/epi.13723
Lewinski, A.A., Shapiro, A., Gierisch, J.M., Goldstein, K.M., Blalock, D.V., Luedke, M.W., Gordon, A.M., Bosworth, H.B., Drake, C., Lewis, J.D., Sinha,
S.R., Husain, A.M., Tran, T.T., Van Noord, M.G. & Williams, J. (2020). Barriers and facilitators to implementation of epilepsy self-
management programs: A systematic review using qualitative evidence synthesis methods. Systematic Reviews, 9(92), 1-17.
https://doi.org/10.1186/s13643-020-01322-9
Liporace, J. & D'Abreu, A. (2003). Epilepsy and women's health: Family planning, bone health, menopause, and menstrual-related seizures.
Mayo Clin Proc., 78(4), 497- 506. https://doi.org/10.4065/78.4.497
Luedke, M.W., Blalock, D.V., Lewinski, A.A., Shapiro, A., Drake, C., Lewis, J.D., Goldstein, K.M., Husain, A.M., Gierisch, J.M., Sinha, S.R., Tran, T.T.,
Gordon, A.M., Kosinski, A.S., Bosworth, H.B., Van Noord, M., Williams, J.W. (2019). Self-management of Epilepsy: A Systematic Review.
Evidence Synthesis Program. Retrieved Feb. 4, 2023 from https://www.ncbi.nlm.nih.gov/books/NBK544549/pdf/
Bookshelf_NBK544549.pdf
Morrell, M.J. (2002). Stigma and epilepsy. Epilepsy Behav, 3(6S2), 21-25. https://doi.org/ 10.1016/s1525-5050(02)00547-4
Samsonsen, C., Reimers, A. & Brathen, G. (2014). Nonadherence to treatment causing acute hospitalizations in people with epilepsy: An
observational, prospective study. Epilepsia, 55(11), 125-128. https://doi.org/10.1111/epi.12801
Tian, N., Boring, M. & Kobau, R. (2018). Active epilepsy and seizure control in adults: United States, 2013 and 2015. MMWR Morb Mortal Wkly
Rep, 67(15), 437-442.
US Centers For Disease Controls and Prevention (2016). About one-half of adults with active epilepsy and seizures have annual family incomes
under $25,000: The 2010 and 2013 US National Health Interview Surveys. Epilepsy & Behavior, 58, 33-4.
https://doi.org/10.1016/j.yebeh.2016.02.024
US Department of Health and Human Services (2005). Theory at a glance: A guide for health promotion practice. National Cancer Institute.
Retrieved Feb. 4, 2023 from https://cancercontrol.cancer.gov/sites/default/files/2020-06/theory.pdf .
World Health Organization (2019). Epilepsy: A public health imperative. World Health Organization. Retrieved February 4, 2023 from
https://www.who.int/publications/i/item/epilepsy-a-public-health-imperative
​
​