Asssigment
2 years ago 25
HealthPromotionProposal2.docx
HealthPromotionProposalforVulnerablePopulation2.pdf
HealthPromotionProposal2.docx
Health Promotion Proposal, Part 2
Top of Form
Bottom of Form
Health Promotion Proposal, Part 2 Content
1.
Top of Form
Question <bdi></bdi>
Health Promotion Proposal, Part 2
This is a continuation of the health promotion program proposal, part one, which you submitted previously.
Please approach this assignment as an opportunity to integrate instructor feedback from part I and expand on ideas adhering to the components of the MAP-IT strategy. Include necessary levels of detail you feel appropriate to assure stakeholder buy-in.
Directions
You have already completed the steps 1-4. Do not resubmit part 1. Make sure you revise this initial submission according to your instructor’s comments.
To assist in maintaining harmony between Part I and 2 here you have a reminder of the previous paper outline:
· 1. Describe the health problem. Using data and statistics support your claim that the issue you selected is a problem. What specifically will you address in your proposed health promotion program? Be sure your proposed outcome is realistic and measurable.
· 2. Describe the vulnerable population and setting. What are the risk factors that make this a vulnerable population? Use evidence to support the risk factors you have identified.
· 3. Provide a review of literature from scholarly journals on evidence-based interventions that address the problem. After completing a library search related to effective interventions for your chosen health promotion activity, you will write a review that evaluates the strengths and weaknesses of all the sources you have found. You might consult research texts for information on how to write a review of the literature found in your search.
· 4. Select an appropriate health promotion/disease prevention theoretical framework or conceptual model that would best serve as the framework guiding the proposal. Provide a rationale for your selection which includes a discussion of the concepts of the selected model
For this assignment develop criteria 5-8 as detailed below:
You will submit just this section 5-8 as an essay. Please do not resubmit Part 1.
Use a presentation page. Start the body of content with topic 5.
· 5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which includes resources necessary, those involved, and feasibility for a nurse in an advanced role.
· Be certain to include a timeline. (3 to 4 paragraphs- you may use bullets if appropriate).
· 6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. The SMART goal statement should be no more than one sentence (1 paragraph).
· 7. Provide a detailed plan for the evaluation of each outcome. (2-3 paragraphs).
· 8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (2+ paragraphs).
· Finish the paper with a conclusion paragraph (2 paragraphs) without typing the word "conclusion" before the paragraph.
Paper Requirements
This assignment is to be submitted as an essay- with an introduction, questions developed at the graduate level, and a conclusion to summarize and synthesize key points. Remember, your Proposal must be a scholarly paper demonstrating graduate school-level writing and critical analysis of existing nursing knowledge about health promotion.
APA must be strictly followed.
Your final assignment should be minimally 5 pages (excluding title page and references).
Finish the essay with your reference page.
HealthPromotionProposalforVulnerablePopulation2.pdf
1
Health Promotion Proposal for Vulnerable Population
Tahimi Salfran
Florida National university
NGR6636-Health Promotion & Role Development
Professor: Deborah Crevecoeur
November 23, 2024
2
Health Promotion Proposal for Vulnerable Population
Diabetes is now one of the leading health issues in the Hispanic/Latino population in
the United States, and the data presented below show that this concern is justified. CDC data
also show that Hispanic adults die from diabetes at a rate 50 percent higher than whites, while
they are 1.66 times more likely to develop the disease compared to non-Hispanic whites. At
present, overall 14.7 percent of Hispanic adults are diagnosed with diabetes; about 9.3 million
Hispanics are living with this chronic disease (Office of Minority Health, 2023; CDC, 2023).
Such statistics call for focused interventional programs aimed at preventing and managing
diabetes type within this population. The proposed health promotion program encounters the
problem of high incidence of type 2 diabetes in Hispanic adults in urban communities, and to
improve the existing situation, focus on culturally appropriate interventions and set a specific
goal — to decrease the incidence of new cases of type 2 diabetes by 25% over three years.
The Hispanic/Latino population also experiences multiple risks that put them in a
higher diabetes risk status. Socioeconomic factors have a significant implication. With only
17.6% of Hispanic Americans earning below the poverty line, access to healthier foods and
medical care is restricted. Language differences also contribute to these obstacles, as about
28% of Hispanic adults have a limited ability to speak English, thus preventing them from
adequately functioning within the healthcare system and comprehending the information
provided in related health education materials. Other social determinants include
cultural/nutrition values, family decision-making, and roles: dietary practices and majority
decision making concerning healthcare services. Also, lower health literacy and higher levels
of obesity among this population are observed: in the case of the latter, the percentage is even
higher – 47%, as compared to 37.9% in the general population – and these are also the main
risk factors for the development of type 2 diabetes. These conditions are worsened by gaps in
3
preventive care services as well as health insurance coverage, where Hispanic adults only
have the lowest insurance rates among all races in America.
A search for the latest literature shows that there are potential interventions for
diabetes prevention in the Hispanic population. Using mixed methods, Amagyei et al. (2020)
assessed the feasibility of a community health worker-implemented diabetes prevention
program among Hispanics living in urban communities. The program that embraced cultural
perceptions of diet and was based on the family format was followed by the exhibition of
reduced risk of diabetes among participants within 18 months by thirty-five percent. It must
be noted that the strength of the intervention studied here was a cultural adaptation and the
involvement of promotors, CHW; however, it had a relatively small participant count, which
was 156 only, which somewhat reduced the generalizability of the study. Another large-scale
research by Katula et al. (2022) focused on using a mHealth intervention to provide bilingual
DP education and lifestyle counseling. In the case of the evaluated program, the following
improvements were realized: An increase in healthy eating by 28% and, on average,
participants lost 2.5 kg of their weight within six months. The aforenoted digital perspective
demonstrated early success in connecting with the younger Hispanic adults; however, the
study’s flaw observed the barriers in targeting senior Hispanic adults less familiar with the
technological possibilities.
The Health Belief Model (HBM) is the theoretical framework of this proposal as it
presents a holistic perspective on modifying and predicting health behaviors in the Hispanic
population. This model is particularly appropriate because it addresses key components
influencing health-related decision-making: Knowledge, self-efficacy, perceived benefits of a
change, and perceived risk regarding diabetes. The HBM captures aspects of cultural
perceptions of health and illness that fit the target population well. Moreover, by targeting
cues to action and self-efficacy, the model efficiently directs the design and implementation
4
of culturally appropriate interventions for behavior change. For example, the model makes it
possible to comprehend why, perhaps, fatalism, or ‘susto,’ the cultural beliefs about the
disease might affect prevention behavior and inform the creation of suitable, culturally
appropriate intercessions. The HBM will incorporate community approaches to target
behavior change and environmental modification at the individual and community levels in
developing the program’s strategies for improving diabetes prevention behaviors among
Hispanic adults (Muchow, 2021).
Implementing this evidence-based diabetes prevention program requires careful
consideration of sustainability and community engagement factors. The program has
identified optimal long-term support points by engaging and opening communication
channels with existing Hispanic community-based organizations, churches, and healthcare
providers (Campbell et al., 2020). Engagement with these stakeholders will be critical to
forming partnerships that will help sustain the program in the long term; program evaluation
and continuing assessment of community needs will also be necessary to ensure that the
program is as effective as possible for decreasing diabetes risk among Hispanic adults.
Based on the literature review and theoretical framework, diabetes prevention is best
characterized by a multifaceted approach considering cultural sensitivity and evidence-based
practices. Findings suggest that for effective interventions, strategies aimed at sustaining
behavior change need to consider the clinical, social, and cultural contexts that affect
program implementation. This understanding will feed into the design of the community
engagement and technology strategy that will be used to target various strata of the Hispanic
population.
5
References
Amagyei, A., Meal, A., Shaw, I., & Adams, G. G. (2020). Effectiveness of community health
worker-led diabetes self-management education on type 2 diabetes patients: a
systematic review and meta-analysis. Int J Diabetes, 1(2), 40-50.
Campbell, J. A., Yan, A., & Egede, L. E. (2020). Community-based participatory research
interventions to improve diabetes outcomes: a systematic review. The Diabetes
Educator, 46(6), 527-539.
Centers for Disease Control and Prevention. (2023). National diabetes statistics report:
Estimates of diabetes and its burden in the United States. U.S. Department of Health
and Human Services. https://www.cdc.gov/diabetes/data/statistics-report/
Katula, J. A., Dressler, E. V., Kittel, C. A., Harvin, L. N., Almeida, F. A., Wilson, K. E., ... &
Estabrooks, P. A. (2022). Effects of a digital diabetes prevention program: an
RCT. American journal of preventive medicine, 62(4), 567-577.
Muchow, C. A. (2021). An Integrated Framework of Health Beliefs and Health Behaviors:
The Impact of Socio-Cultural Factors in the Case of Type II Diabetes. Columbia
University.
Office of Minority Health. (2023). Diabetes and Hispanic Americans. U.S. Department of
Health and Human Services. https://minorityhealth.hhs.gov/omh/browse.aspx?
lvl=4&lvlid=63
U.S. Census Bureau. (2023). Income and poverty in the United States: 2022. Current
Population Reports. U.S. Department of Commerce.
https://www.census.gov/library/publications/2023/demo/p60-276.html
HealthPromotionProposal2.docx
Health Promotion Proposal, Part 2
Top of Form
Bottom of Form
Health Promotion Proposal, Part 2 Content
1.
Top of Form
Question <bdi></bdi>
Health Promotion Proposal, Part 2
This is a continuation of the health promotion program proposal, part one, which you submitted previously.
Please approach this assignment as an opportunity to integrate instructor feedback from part I and expand on ideas adhering to the components of the MAP-IT strategy. Include necessary levels of detail you feel appropriate to assure stakeholder buy-in.
Directions
You have already completed the steps 1-4. Do not resubmit part 1. Make sure you revise this initial submission according to your instructor’s comments.
To assist in maintaining harmony between Part I and 2 here you have a reminder of the previous paper outline:
· 1. Describe the health problem. Using data and statistics support your claim that the issue you selected is a problem. What specifically will you address in your proposed health promotion program? Be sure your proposed outcome is realistic and measurable.
· 2. Describe the vulnerable population and setting. What are the risk factors that make this a vulnerable population? Use evidence to support the risk factors you have identified.
· 3. Provide a review of literature from scholarly journals on evidence-based interventions that address the problem. After completing a library search related to effective interventions for your chosen health promotion activity, you will write a review that evaluates the strengths and weaknesses of all the sources you have found. You might consult research texts for information on how to write a review of the literature found in your search.
· 4. Select an appropriate health promotion/disease prevention theoretical framework or conceptual model that would best serve as the framework guiding the proposal. Provide a rationale for your selection which includes a discussion of the concepts of the selected model
For this assignment develop criteria 5-8 as detailed below:
You will submit just this section 5-8 as an essay. Please do not resubmit Part 1.
Use a presentation page. Start the body of content with topic 5.
· 5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which includes resources necessary, those involved, and feasibility for a nurse in an advanced role.
· Be certain to include a timeline. (3 to 4 paragraphs- you may use bullets if appropriate).
· 6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. The SMART goal statement should be no more than one sentence (1 paragraph).
· 7. Provide a detailed plan for the evaluation of each outcome. (2-3 paragraphs).
· 8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (2+ paragraphs).
· Finish the paper with a conclusion paragraph (2 paragraphs) without typing the word "conclusion" before the paragraph.
Paper Requirements
This assignment is to be submitted as an essay- with an introduction, questions developed at the graduate level, and a conclusion to summarize and synthesize key points. Remember, your Proposal must be a scholarly paper demonstrating graduate school-level writing and critical analysis of existing nursing knowledge about health promotion.
APA must be strictly followed.
Your final assignment should be minimally 5 pages (excluding title page and references).
Finish the essay with your reference page.
HealthPromotionProposalforVulnerablePopulation2.pdf
1
Health Promotion Proposal for Vulnerable Population
Tahimi Salfran
Florida National university
NGR6636-Health Promotion & Role Development
Professor: Deborah Crevecoeur
November 23, 2024
2
Health Promotion Proposal for Vulnerable Population
Diabetes is now one of the leading health issues in the Hispanic/Latino population in
the United States, and the data presented below show that this concern is justified. CDC data
also show that Hispanic adults die from diabetes at a rate 50 percent higher than whites, while
they are 1.66 times more likely to develop the disease compared to non-Hispanic whites. At
present, overall 14.7 percent of Hispanic adults are diagnosed with diabetes; about 9.3 million
Hispanics are living with this chronic disease (Office of Minority Health, 2023; CDC, 2023).
Such statistics call for focused interventional programs aimed at preventing and managing
diabetes type within this population. The proposed health promotion program encounters the
problem of high incidence of type 2 diabetes in Hispanic adults in urban communities, and to
improve the existing situation, focus on culturally appropriate interventions and set a specific
goal — to decrease the incidence of new cases of type 2 diabetes by 25% over three years.
The Hispanic/Latino population also experiences multiple risks that put them in a
higher diabetes risk status. Socioeconomic factors have a significant implication. With only
17.6% of Hispanic Americans earning below the poverty line, access to healthier foods and
medical care is restricted. Language differences also contribute to these obstacles, as about
28% of Hispanic adults have a limited ability to speak English, thus preventing them from
adequately functioning within the healthcare system and comprehending the information
provided in related health education materials. Other social determinants include
cultural/nutrition values, family decision-making, and roles: dietary practices and majority
decision making concerning healthcare services. Also, lower health literacy and higher levels
of obesity among this population are observed: in the case of the latter, the percentage is even
higher – 47%, as compared to 37.9% in the general population – and these are also the main
risk factors for the development of type 2 diabetes. These conditions are worsened by gaps in
3
preventive care services as well as health insurance coverage, where Hispanic adults only
have the lowest insurance rates among all races in America.
A search for the latest literature shows that there are potential interventions for
diabetes prevention in the Hispanic population. Using mixed methods, Amagyei et al. (2020)
assessed the feasibility of a community health worker-implemented diabetes prevention
program among Hispanics living in urban communities. The program that embraced cultural
perceptions of diet and was based on the family format was followed by the exhibition of
reduced risk of diabetes among participants within 18 months by thirty-five percent. It must
be noted that the strength of the intervention studied here was a cultural adaptation and the
involvement of promotors, CHW; however, it had a relatively small participant count, which
was 156 only, which somewhat reduced the generalizability of the study. Another large-scale
research by Katula et al. (2022) focused on using a mHealth intervention to provide bilingual
DP education and lifestyle counseling. In the case of the evaluated program, the following
improvements were realized: An increase in healthy eating by 28% and, on average,
participants lost 2.5 kg of their weight within six months. The aforenoted digital perspective
demonstrated early success in connecting with the younger Hispanic adults; however, the
study’s flaw observed the barriers in targeting senior Hispanic adults less familiar with the
technological possibilities.
The Health Belief Model (HBM) is the theoretical framework of this proposal as it
presents a holistic perspective on modifying and predicting health behaviors in the Hispanic
population. This model is particularly appropriate because it addresses key components
influencing health-related decision-making: Knowledge, self-efficacy, perceived benefits of a
change, and perceived risk regarding diabetes. The HBM captures aspects of cultural
perceptions of health and illness that fit the target population well. Moreover, by targeting
cues to action and self-efficacy, the model efficiently directs the design and implementation
4
of culturally appropriate interventions for behavior change. For example, the model makes it
possible to comprehend why, perhaps, fatalism, or ‘susto,’ the cultural beliefs about the
disease might affect prevention behavior and inform the creation of suitable, culturally
appropriate intercessions. The HBM will incorporate community approaches to target
behavior change and environmental modification at the individual and community levels in
developing the program’s strategies for improving diabetes prevention behaviors among
Hispanic adults (Muchow, 2021).
Implementing this evidence-based diabetes prevention program requires careful
consideration of sustainability and community engagement factors. The program has
identified optimal long-term support points by engaging and opening communication
channels with existing Hispanic community-based organizations, churches, and healthcare
providers (Campbell et al., 2020). Engagement with these stakeholders will be critical to
forming partnerships that will help sustain the program in the long term; program evaluation
and continuing assessment of community needs will also be necessary to ensure that the
program is as effective as possible for decreasing diabetes risk among Hispanic adults.
Based on the literature review and theoretical framework, diabetes prevention is best
characterized by a multifaceted approach considering cultural sensitivity and evidence-based
practices. Findings suggest that for effective interventions, strategies aimed at sustaining
behavior change need to consider the clinical, social, and cultural contexts that affect
program implementation. This understanding will feed into the design of the community
engagement and technology strategy that will be used to target various strata of the Hispanic
population.
5
References
Amagyei, A., Meal, A., Shaw, I., & Adams, G. G. (2020). Effectiveness of community health
worker-led diabetes self-management education on type 2 diabetes patients: a
systematic review and meta-analysis. Int J Diabetes, 1(2), 40-50.
Campbell, J. A., Yan, A., & Egede, L. E. (2020). Community-based participatory research
interventions to improve diabetes outcomes: a systematic review. The Diabetes
Educator, 46(6), 527-539.
Centers for Disease Control and Prevention. (2023). National diabetes statistics report:
Estimates of diabetes and its burden in the United States. U.S. Department of Health
and Human Services. https://www.cdc.gov/diabetes/data/statistics-report/
Katula, J. A., Dressler, E. V., Kittel, C. A., Harvin, L. N., Almeida, F. A., Wilson, K. E., ... &
Estabrooks, P. A. (2022). Effects of a digital diabetes prevention program: an
RCT. American journal of preventive medicine, 62(4), 567-577.
Muchow, C. A. (2021). An Integrated Framework of Health Beliefs and Health Behaviors:
The Impact of Socio-Cultural Factors in the Case of Type II Diabetes. Columbia
University.
Office of Minority Health. (2023). Diabetes and Hispanic Americans. U.S. Department of
Health and Human Services. https://minorityhealth.hhs.gov/omh/browse.aspx?
lvl=4&lvlid=63
U.S. Census Bureau. (2023). Income and poverty in the United States: 2022. Current
Population Reports. U.S. Department of Commerce.
https://www.census.gov/library/publications/2023/demo/p60-276.html