I need someone to do this cumulative project by Tomorrow. I will attach the essays that will be needed for this project.

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EBP-Section-D.docx

EBP - Section D

February 10, 2021

Section D: The Selected Model or the Theoretical Framework

The project is based on the use of a community-based exercise/physical activity program to help in the management of type 2 diabetes. Physical activity is an important component of treating type 2 diabetes mellitus. However, to ensure that its associated morbidities are prevented, the physical activity requires an instant and long-term change of lifestyle. The utilization of the behavioral change theories like the trans-theoretical model is helping in the promotion of physical activity. According to this model, individuals vary in terms of their motivation and the progress through some stages of the motivational readiness towards the behavioral change. According to this model, people tend to utilize diverse approaches and methods at every stage of change (Kang & Kim, 2017).

This model is therefore important in the implementation of the community-based exercise/physical activity program through providing a framework that is used in the categorization of the individuals' preparedness to the changes in their behaviors. It includes the stages that individuals have to take through to ensure that the habit of physical exercise becomes a norm. It helps in ensuring that there is the existence of self-efficacy and a successful process of change (Kleis et al., 2020).

Discussion of Each Stage in the Model

There are six sequential stages that involves the change process. In the pre-contemplation, the intention is not to take action in the next 6 months. Individuals are not well informed about the problems of their behaviors. In the contemplation stage, the intention is to start healthy behavior in the future i.e. 6 months. In this stage, people have discovered about the adviser impacts of their behaviors and have made a thoughtful consideration. In the preparation stage, there is determination and people are ready to engage in the action in the next 30 days. People are making necessary steps in changing their behaviors (Mettling et al., 2018).

In the action stage, there is a change in the behavior and there is an intention of keeping them. There is modification of the problem behaviors and the acquisition of the new and healthy behaviors. There is maintenance where there is sustenance of the behavior change for sometimes and there is an intention of maintaining them. There is an effort being made to prevent any relapse. In the termination stage, there is no desire of returning back to the unhealthy behaviors. The relapse is not accepted in this stage and therefore, individuals will stay in the maintenance stage (Kleis et al., 2020).

How the Stages would be Applied to the Proposed Implementation

Based on the intervention of the community-based exercise/physical activity program, the pre - contemplation stage is where the individual is still in a sedentary lifestyle and have no intention of changing or actively taking part in the physical exercise. (Appendix ?)Therefore, the focus would be to ensure that the sedentary lifestyle of individuals in the community is stopped. This is done by ensuring that the person is provided with the knowledge related to the adverse impact of the inactive lifestyle and watching television for several hours on their health. The individuals are also informed about the health benefits of active involvement in physical exercise (Kang & Kim, 2017). Comment by carma erickson-hurt: Cite your conceptual model here

In the contemplation stage, there is still a sedentary and 6-month intention, nevertheless, an individual have started to realize that their behavior might be problematic. Therefore, they have a thoughtful consideration of the advantages and disadvantages of changing the behavior with equal emphasis on both. This person is provided with the support to attain the desired change. They are helped to substitute unhealthy behavior with healthy behavior (Kleis et al., 2020).

In the preparation stage, there is irregular active physical exercise and still the intention. This step needed reinforcement through rewarding the positive behavior and penalty or taking the rewards for negative behaviors. In this case, the individuals can be motivated by praising them on how they have managed to attain certain physical fitness levels and body mass index (Kang & Kim, 2017).

In the action stage, there is regular activeness in the physical activities for the last 6 months. The individual has changed the behavior and is intending to maintain and move forward with that physical exercise activities. This step requires social liberation whereby the individual is made aware that active involvement in the physical exercise is a possible thing the person is supported by including them in the peer group to ensure that they remain motivated to take part in the physical activities (Kang & Kim, 2017).

In the maintenance stage, there is a regular activity for the long-term and there is no desire of returning to a sedentary lifestyle. This stage requires a re-engineering process and the environment is re-engineered to have the reminders as well as the cues that help in supporting and encouraging involvement in physical activities (Kang & Kim, 2017).

Appendix

Comment by carma erickson-hurt: The appendix is attached at the vey end of your final paper. Make sure this is specific to your project, so include the specifics of your project in each stage in this diagram

References

Kang, S., & Kim, Y. (2017). Application of the transtheoretical model to identify predictors of physical activity transition in university students. Revista de psicología del deporte, 26(3), 6-11.

Kleis, R. R., Hoch, M. C., Hong-Graham, R., & Hoch, J. M. (2020). The effectiveness of the transtheoretical model to improve physical activity in healthy adults: A systematic review. Journal of Physical Activity and Health, 18(1), 94-108. https://doi.org/10.1123/jpah.2020-0334

Mettling, S., Lee, J. M., Blount, A., & Dinkel, D. (2018). A Needs Assessment for Physical Activity Programming Based on the Transtheoretical Model. Recreational Sports Journal, 42(2), 202-216. https://doi.org/10.1123/rsj.2017-0019