Nanne de Vries

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Master of Public Health Health Education and
Promotion

• Nanne de Vries
• Professor of Health Promotion, track coordinator

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Opleidingen aan de UM
Health Education and Promotion

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• What is Health Promotion
• the combination of educational and environmental
  supports for actions and conditions of living
  conducive to health (Green Kreuter, 1999)
• thereby including health education

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Opleidingen aan de UM
Health Education and Promotion

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• This may include the development of policy plans,
  creating a healthy living environment, persuading
  people to adopt healthy behaviour, and teaching
  skills to enhance and sustain a healthy lifestyle
• Targeting healthy, at risk and ill persons

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Opleidingen aan de UM
Example

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

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Opleidingen aan de UM
Example

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

6
Opleidingen aan de UM
Example

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

7
Opleidingen aan de UM
Example

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

8
Opleidingen aan de UM
Example

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

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Opleidingen aan de UM
Its not simple at all!

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• People avoid scary information
• Mass media do not reach target group
• Knowledge is not the crucial factor
• People think they already behave healthy
• Often one lacks ability and skills
• The (poisonous) environment often stimulates
  unhealthy behavior

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Opleidingen aan de UM
Some peculiarities about behavior

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• For most behavior, health is not the motive
• E.g one eats because one is hungry
• Eating high fat foods helps best!
• Time Perspective
• Advantages of present behavior are short term,
  disadvantages are long term
• Changing behavior incurs immediate costs, profits
  are later
• The further away, the less serious

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Opleidingen aan de UM
Some peculiarities about behavior (2)

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• Many behaviors are multiple behaviors
• E.g. nutrition, physical activity
• Contrary to e.g. smoking
• Often, norms are unclear
• Compare no smoking with eating a healthy,
  varied and moderate diet

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Opleidingen aan de UM
Some peculiarities about behavior (3)

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• Misperceptions
• Again nutrition
• 60 of the population think to meet the Dutch
  standard VF
• SO why reduce fat intake and increase FV ?
• Many health behaviors are (no longer) the
  conclusion of a decision process but rather
  habitual and repetitive

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Opleidingen aan de UM
Some peculiarities about behavior(4)

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• Habitual behavior
• A situation activates a goal
• And/or a behavioral repertoire
• Behavior leads to goal accomplishment
• Habits are a closed system that is accessed and
  used without effort and attention
• Situationally controlled

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Opleidingen aan de UM
Use a mix of strategies

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• Training (to resist social pressure, abilities)
• Interactive education (web, tailoring)
• Role playing
• Environmental change (e.g. healthy food in
  company restaurants)
• Stimulate self-reflection
• Information

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Opleidingen aan de UM
Example

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

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Opleidingen aan de UM
Address different levels

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• e.g. School Health Promotion
• Pupils
• Parents
• Teachers
• School boards organizations
• Suppliers (health institutions, publishers, etc.)
• Government (local and national)
• etceteras

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Opleidingen aan de UM
School Health Promotion

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

Healthy Safe school climate
participation of parents neighborhood
Psychological and social-emotional guidance care
Workplace health promotion
School care
Food policy
Health education
Sport and exercise
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Opleidingen aan de UM
Health Education and Promotion

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• Smoking, drinking, other addictions
• Nutrition and physical activity (energy)
• Sexual habits
• Patient education and self-management
• Community interventions
• Theory development (micro macro)

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Opleidingen aan de UM
Planned health promotion

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• Problem analysis
• Behavioural factors
• Behavioural determinants
• Intervention development
• Evaluation
• Diffusion and implementation

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Opleidingen aan de UM
Approach

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• Evidence-based
• Theory-based
• Best practice

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Opleidingen aan de UM
Masters program

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• Emphasis on development of knowledge and research
• Theory base
• Evidence base
• Linkage
• Implementation
• International orientation EUMAHP, Socrates,
  Erasmus-Mundi, SHE, PhD contacts
• Placements in, e.g., Sudan, South Africa,
  Nigeria, Kenya, Colombia, New EU-states,
  Australia
• Students from, e.g., Belgium, Germany, Israel,
  Jordan, Canada, US, Ghana, New member states

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Opleidingen aan de UM
Master in Public HealthHealth Education and
Promotion

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• Main objective
• Learning how to use evidence and theory in
  developing health promotion interventions
• Through a practice-oriented programme that
  focuses on the development and evaluation of
  health interventions in combination with a solid
  theory and research basis

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Opleidingen aan de UM
Master in Public HealthHealth Education and
Promotion

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• Offers English program
• Intended for different groups
• Students with Bachelor in Health Sciences
• Students with academic training in other
  disciplines
• Students with professional backgrounds

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• En geheel in het Engels
• Econometrics
• Economics
• European Law School
• European Studies
• International Business
• University College Maastricht
• Knowledge Engineering
• Arts and Culture
• European Public Health

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Opleidingen aan de UM
Master in Public HealthHealth Education and
Promotion

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• Elements shared with other PH-masters
• Worksite Health Promotion
• Organisational Transformation and Change
• Thesis preparation, including methodology and
  statistics
• Colloquium series
• Correspondence with UMC-priorities

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Opleidingen aan de UM
Is this useful for students with bachelor, major
or minor HEP?

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• More targeted towards developing interventions
• Old AND new theory
• More practice in using and contributing to
  evidence rigourous meth stats
• Therefore stronger research focus

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Opleidingen aan de UM
Is this do-able for students with other training?

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• See www.gvo.unimaas.nl for specifications of
  methodological and theoretical preparation
• As an advice the school also requires entrance
  tests

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Opleidingen aan de UM
Coming together

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• Academic training, professional training, field
  workers
• E.g. HEP, fysiotherapists, dieticians, nurses
• Complementary experience
• Different inputs
• Exchange and stimulate

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Opleidingen aan de UM
Do our students find jobs?

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• Paid employment 92
• Other work 3
• No job 5
• Data 2002
• We have no data for new Masters program, of
  course

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Opleidingen aan de UM
Which sector?

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• Health care (46)
• Research and education (22)
• Business employment (12)
• Government (6)

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Opleidingen aan de UM
SO

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie

• Health education and health promotion
• Do not only focus on the individual
• But address other ecological levels as well
• Planning and the use of theory and evidence is
  crucial
• And this is reflected in the research program
• Masters learn to integrate and develop knowledge
• With a positive professional perspective

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Curriculum overview MSc Public Health Health
Education and Promotion
Opleidingen aan de UM

• Nederlands Recht
• European Law School
• Fiscaal Recht
• Fiscale Economie
• Geneeskunde
• Gezondheidswetenschappen
• Kennistechnologie
• Cultuurwetenschappen
• Moleculaire Levenswetenschappen
• Psychologie