Module 1: Health Risk Assessment and Health Promotion Contract
Name: Nathalie Augustin Date: 2/28/20
Overview: Health Risk Assessment and Health Promotion Contract
For each section of the Health Self-Assessment in the document below, provide a substantial
summary of your current health status. In each section’s summary, be sure to include any
information regarding your health and lifestyle that might play a role in your overall wellness.
You will contract to change/improve one health behavior during this course. Your Health
Assessment can give you guidance on your choice, but ultimately the choice is yours.
Part of the contract requires you to evaluate your current “stage of change” according to the stages
described by Zimmerman, Olsen, and Bosworth in the article, “A ‘Stages of Change’ Approach to
Helping Patients Change Behavior.” (www.aafp.org/afp/20000301/1409.html.)
You will be tracking your progress toward the goals in your contract by completing journal entries
for four weeks, then analyzing your motivation, successes, and obstacles in the final week of the
course.
Objectives:
Devise a personal Health Promotion contract to be used for the duration of the course.
Discuss the Stages of Change model in relation to health behavior changes for others and self.
©2019 UTA College of Nursing and Health Innovation
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, N3335 Promoting Healthy Lifestyles
Rubric
Use this rubric to guide your work on the assignment, “Health Risk Assessment and Health
Promotion Contract.”
Needs
Task Accomplished Competent
Improvement
Health Risk All sections At least 5 At least 2
Assessment include thorough sections sections
and substantial completed completed
(Total 50 points) summaries of thoroughly, with thoroughly, with
your current substantial substantial
health status, summaries and summaries and
with details of details, but not details, or no
your health and all sections sections
lifestyle that completed completed
might play a role thoroughly with thoroughly.
in your overall substantial detail.
wellness (ie. “I
don’t drink or (35 points)
(15 points)
smoke” is not
considered a
substantial
explanation. If
you don’t drink or
smoke, include
how this will help
prevent certain
illnesses.)
(50 points)
Health Promotion All 5 sections All sections Minimal sections
Contract completed, completed, but addressed
including not all goals are completely or
(Total 50 points) measurable measureable or correctly, or no
goals, correct inalignment with sections
target dates, and final goal, dates addressed
reasonable are missing or all
rewards, etc… not inserted in
the template,
Each item missing some or
inserted in the all rewards
correct field on
the template (15points)
(goals, dates,
rewards, etc…) (35 points)
(50 points)
©2019 UTA College of Nursing and Health Innovation
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