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