A nurse is looking at a Nurse-Family Partnership impact report as an example of a community impact report. Which of the following stands out as an aspect of this impact report?

Choice A Reason:
Local ordinances are important for shaping the built environment, as they dictate land use, zoning, and building codes. However, they are not a core feature of the built environment assessment tool itself. Instead, they are external factors that influence the built environment.

Choice B Reason:
Financial stability is crucial for the overall well-being of a community, but it is not a direct feature of the built environment assessment tool. Financial stability impacts the resources available for community development and maintenance but does not directly assess the physical environment.

Choice C Reason:
The community at large refers to the broader population and social dynamics within a community. While understanding the community is essential for comprehensive assessments, the built environment assessment tool focuses more on physical and infrastructural elements rather than social aspects.

Choice D Reason:
Walkability is a core feature of the built environment assessment tool. Walkability assesses how friendly an area is to walking, considering factors such as the presence of sidewalks, pedestrian crossings, and the proximity of amenities. High walkability is associated with numerous health benefits, including increased physical activity and reduced risk of chronic diseases. It is a critical component in evaluating the built environment's impact on community health.

Choice A Reason:
The Social Cognitive Theory, developed by Albert Bandura, emphasizes the role of observational learning, social experiences, and reciprocal determinism in behavior change. It considers both internal factors (such as self-efficacy) and external factors (such as social influences and environmental conditions) in motivating behavior change. Therefore, it does not focus solely on internal factors.

Choice B Reason:
The Ecological Model, also known as the Social-Ecological Model, looks at multiple levels of influence on behavior, including individual, interpersonal, organizational, community, and public policy levels. This model highlights the interaction between individuals and their physical and sociocultural environments. It does not focus exclusively on internal factors but rather on a broad range of influences.

Choice C Reason:
The Transtheoretical Theory, also known as the Stages of Change Model, describes the process of intentional behavior change through five stages: precontemplation, contemplation, preparation, action, and maintenance. While it considers internal factors such as motivation and readiness to change, it also acknowledges the role of external factors and interventions in facilitating progress through these stages.

Choice D Reason:
The Health Belief Model focuses on individual perceptions and beliefs as the primary motivators for adopting healthier behaviors. It considers factors such as perceived susceptibility, perceived severity, perceived benefits, and perceived barriers. This model is centered on internal cognitive factors that influence a person's decision to engage in health-promoting behaviors, making it the correct answer for a model that looks only at internal factors.