Community Conceptual Model

The Health Belief Model is the model I have selected to guide me through the internship. In the Health Belief Model there is the assumption that people will take responsibility and action if they believe that their health issues is possible to address, they have a positive outlook on the proposed plan of action, and if the person believes they are able to take the proposed action. The levels of the Health Belief Model go step by step with how people process their logic of the health issue they are faced with. Taking obesity in children. If the child or parent takes an assessment of how likely they are to get the perceived issue of obesity is perceived susceptibility.

Using the health belief model, how can nurses encourage patients to make immediate and permanent behavior changes; particularly as they relate to lifestyle choices?

By utilizing independent resources, consumers can educate themselves on important information about selecting care and diverse healthcare services available.

Social structure, such as education, job, and location along with insurance status also influence health care utilization. These factors almost always have an impact on each other. An individual with an education is more likely to get a good job, and therefore have insurance benefits. Availability of health care services correlates with location. Those who live in certain areas are more likely to have health care services readily available. On the other hand, there are areas with plenty of well educated individuals who have good jobs and insurance benefits, but because of their location access to health care services is limited. Changes in insurance have also impacted health care utilization. Cuts in payments combined with an increase in paperwork have been met with unwillingness by health care providers to participate with government programs, such as Medicare and Medicaid. Unfortunately, this also affects health care utilization for those who are poor or living with disabilities (Barsukiewicz et al., 2010).

Health care is one of the major worries for Americans. It is hard to believe that nearly “forty seven million Americans are uninsured”(Tucker). There are many people without health insurance because of pre-existing health conditions. There are also people who have health insurance but could lose their insurance if they should develop a serious medical problem. Then there are others who have health insurance, but are in danger of losing it because of rising health-care premiums. “Two million insured Americans spent more than a quarter of his or her salary on health care” (Tucker).

The Health Belief Model (HBM) was developed by a group of social psychologists at the U.S. Public Health Service in the 1950s in an attempt to understand “the widespread failure of people to participate in programs to prevent and detect disease.” It was later applied to patient responses to symptoms and to compliance with prescribed medical regimens (Champion, Stretcher, & Janz, 2002, p. 46).

A geographical perspective can facilitate better understanding of how everyday lived environments are complicit in producing higher rates of obesity and its associated diseases among New Zealanders, particularly in children. Childhood obesity is widely regarded as a significant health concern in New Zealand (NZ), owing to its growing national prevalence, its links to long term ill-health, and high economic burden on the health system. A socio-ecological model can be used to demonstrate how environments, ranging from individual to societal, influence personal behaviours, everyday lifestyle choices and eating patterns that contribute to an increased likelihood of a child being or becoming obese. The socio-ecological model recognises that cultural and societal norms which promote personal responsibility for obesity influences legislative action and more importantly, in-action around excessive unhealthy food availability and marketing. Consequently, the everyday lived environments of children are largely ‘obesogenic’. Specifically, the neighbourhood, school, and home environment will be examined, looking at how they interact with individuals to shape food consumption and physical activity behaviours, the major factors linked to childhood obesity.

While consumers search for affordable health insurance, they have price in their mind as the top priority. A general conception among the consumers is that cheap health plans should not be costly-the cheapest health plan available in the market is their target. However, this approach is not good. Sometimes, paying for a cheap health insurance plan but still not getting the required level of coverage results only in wastage of

Many lifestyle choices are considered to be personal so if one chooses to smoke or do drugs then he /she should be responsible for their own coverage of insurance security. Although, insurance coverage is needed to assist many problems associated with lifestyle choices. For example, many chronic diseases associated with lifestyle choices, such as heart failure, and cancer; are diseases that develop because of smoking and bad dieting. Because of such matters insurance companies have increased premium cost, and has made affordability hard to obtain (Gregory,

Conner and Norman, 1995 describe the health belief model as ‘the oldest and most widely used model in health psychology’. It originated in the 50’s and was developed further by Hochbaum, Rosenstock and Kegals throughout the 1980’s for health education programmes and to predict different health behaviours and responses to treatments. The four terms that are the basis for the HBM are perceived susceptibility, perceived barriers, perceived severity and perceived benefits. The behaviour of the individual depends on their belief that they are susceptible to a health problem, how serious they deem it to be, whether they think that treatment will benefit them and if there are barriers that may get in the way.

The Health Belief Model (HBM) is one of the first theories of health behavior. It was developed in the 1950s by social psychologists in the U.S. Public Health Services to better understand the widespread failure of tuberculosis screening programs. Today it continues to be one of the most widely used theories. Research studies use it to explain and predict health behaviors seen in individuals. There is a broad range of health behaviors and subject populations that it is applied in. The concepts in the model involve perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. Focusing on the attitudes and beliefs of individuals being studied create an understanding of their

Health belief model was one of the first and most widely recognized theories of health behavior. (Butts & Rich, 2011). This theory was formulated in an attempt to predict health behaviors by focusing on the attitude and beliefs of individuals. It is aimed to determine the likelihood of an individual to participate in health-promotion and disease prevention programs. (Kozier & Erb, 2011). This theory postulated that if a patient is well- motivated, there is a possibility that he will participate in these activities. Motivation can be derived by the individual's perceptions towards his condition. According to Becker (1974), individual perceptions include patient's perceived susceptibility, perceived seriousness of the disease and perceived threat.

A community is established when more than two people share the same values and through time this personal connection evolves into a fellowship governed by rituals, traditions, and a particular form of communication that when taken together makes a group of individuals whether living in a specific geographical area or connected by ideals so distinct that their distinguishing marks allow them to stand out from among the crowd. They do not just believe in something like an organization but they need each other to survive and thrive. A good example is the Old Order Amish Mennonite community wherein the community serves as source of identity, strength and provides the reason why they should sustain the community’s way of life.

The ‘Community Architecture’ is kind of architectural practice between architects and users. Also, it can be described as architect follow the wish of users or community to design the building fit the requirement by using local materials and helps the residents to build the structure. Royal Institute of British Architects (RIBA) described ‘Community Architecture’ should follow the idea about "The aim of community architecture is to improve the quality of the environment by involving people in the design and management of the buildings and spaces they inhabit." () In general, architect call ‘Conventional Architecture’ product, nevertheless ‘Community Architecture’ represents the process rather than the product and most proponents claim that the built product of ‘Community Architecture’ is often better than the product of conventional architecture. “Community architecture means that the personal who inhabit it are involved in and may even be instigators of, its creation and its management as well. The inhabitants are the clients; and the architect works for, or at least with them--in contrast to the typical situation where architects and user never meet.” () The ‘ community architecture’ was the newly invented notion that user participation in the environment is more important than any of another architectural concept, especially in contrast to ‘conventional architecture’. The reasons of that could be limited resources, materials and

I wouldn’t really say my community as a whole has an impact on me as a person but people in around me have had a huge impact on me for who I am today. The people who have the biggest impact on me is defiantly my family and friends, I have done so many things with them that made me the person who I am today.