• C Graf, D Starke, and M Nellen.
• Deutsche Sporthochschule, Köln, BRD. C.Graf@dshs-koeln.de
• Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2008 Nov 1; 51 (11): 1321-8.

AbstractIn industrial nations, and other countries, lifestyle diseases, for example adiposity, are on the increase. To counter this many prevention and health promotion programs have been set up; as a rule these programs are well meant, but are lacking in theoretical conception and are rarely accompanied by a sustainable design. This approach unfortunately leads to important decision makers not being involved and an inefficient use of personnel and financial resources. The structural model presented here for the planning and implementation of preventative and health-promoting measures is based on the interaction between various prevention and health promotion approaches (population-oriented/individual-oriented) within a political and economic framework; the resulting programs and the individual projects based upon them are designed at macro, meso and micro levels. This combination is rounded off by the addition of an extended public health action cycle. The new model's aim is twofold, first to offer the users a systematic approach with clearly structured planning and secondly to clarify the quality assurance steps required.

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