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Module 4: Theories >> Content Discussion
Section A
Foundations of Health Promotion

  Module 1
  Definitions and Concepts

--Module 2
--Milestones
--Module 3
--Models of Health
--& Health Promotion
--Module 4
--Theories
   ---Learning Outcomes
   ---Reflective Exercise
   ---Content Discussion
   ---Reflective Exercise
   ---Content Discussion
   ---Reflective Exercise
   ---Readings and Resources

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Section B
Health Promotion in Action
--Module 5
--Strategies
--Module 6
--Features
--Module 7
--Values
Section C
Building your Health Promotion Practice
--Module 8
--Current Practice
--Module 9
--Future Considerations
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Content Discussion

Diffusion of innovation theory divides individuals into five categories according to the length of time they take to adopt an innovation:

innovators (the source of the innovation)
early adopters (“first on the block”)
early majority
late majority
laggards

As Figure 4.3 illustrates, the adoption of innovations tends to follow an 'S-shaped’ curve, with a small number of early adopters and a small portion of laggards adopting an innovation after the majority. Early adopters tend to be ‘trend setters’, people who are influential in encouraging others to adopt new practices.

Figure 4.3: The S-shaped Diffusion Curve and Adopter Categories
Source: Adapted from Nutbeam and Harris, 1998

Diffusion of Innovation theory has been tested in a wide variety of settings for many different purposes. The theory provides a helpful diagnostic tool for analyzing how and why populations respond to the introduction of new ideas. It’s particularly useful for guiding health promotion interventions which are devoted to maximizing the adoption of ideas and practices which have been proven to be effective.

However, the theory’s concept of “laggards” poses a serious limitation.

When promoting change in a community, one needs to be aware of the social, economic and structural barriers that prevent marginalized groups from making healthy choices. An uncritical adoption of the theory may only serve to reinforce structural inequalities that are not due to individual choice.

 

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