FINAL PROJECT Proposal

MY OWN PROGRESSES on the FINAL PROJECT:

MODULE2 in the CLASS requested to Post an update on the progress you are making on your Health Promotion Program Proposal. Topics for discussion include the community you have identified, the program planning model you have selected, and the rationale for the selection.

Module 2 READINGS: McKenzie, J. F., Neiger, B. L., & Thackeray, R. (2017). Planning, implementing, and evaluating health promotion programs: A primer (7th ed.). San Francisco, CA: Pearson.

· Chapter 2, “Starting the Planning Process” (pp. 17-37)

· Chapter 3, “Program Planning Models in Health Promotion” (pp. 41-63)

MY TOPIC is:

High blood pressure (hypertension) is a common and dangerous condition.  Hypertension means that the pressure of one’s blood in the blood vessels is higher than it should be.  According to (CDC, 2017) about 1 of 3 adults which is equivalent to 75 million people in the United States have high blood pressure.  This common condition increases the risk for heart disease, stroke, and death.  My health promotion program proposal will focus on optimization of hypertension management in rural communities.  This is because rural populations across United States have an increased likelihood of developing hypertension, therefore, have higher risks associated with hypertension (Bale, 2010).

  The program planning model I have selected for my proposal is the Intervention Mapping Model.  According to (McKenzie, Neiger, & Thackeray, 2017) Intervention mapping model is designed to fill a gap in health promotion practice by translating theoretical social, epidemiological, educational, ecological administrative, organizational or policy data into appropriate interventions.  This model comprises of six basic stages that evaluate theory and then used to plan, design, and implement an intervention model.

The health promotion program proposal will focus on optimization of delivery of rural health care through development of an intervention program that increase hypertension awareness and self-management by using community volunteers as health coaches.  I believe this model is a perfect fit for the proposal because it is also the same model that was employed by program planners in a study that focused on the development of a peer support intervention in rural Alabama (Cherrington, et al., 2012).

References:

Bale, B. (2010). Optimizing hypertension management in underserved rural populations. Journal of the National Medical Association, 102(1), 10-17.

CDC. (2017, November 13). High Blood Pressure . Retrieved from Centers for Disease Control and Prevention :https://www.cdc.gov/bloodpressure/index.htm

Cherrington, A., Martin, M. Y., Hayes, M., Halanych, J. H., Wright, M. A., Appel, S. J., . . . Safford, M. (2012). Intervention Mapping as a Guide for the Development of a Diabetes Peer Support Intervention in Rural Alabama. Preventing Chronic Disease, 9(110053). Retrieved from https://www.cdc.gov/pcd/issues/2012/11_0053.htm

McKenzie, J. F., Neiger, B. L., & Thackeray, R. (2017). Planning, implementing, and evaluating health promotion programs : a primer(7th ed.). USA: Pearson.

PROF.suggestions to my 1st part:

I suggest focusing on a particular state. Maybe a state that is primarily rural or a state with health disparities in hypertension rates between rural and urban areas. 

MY RESPONSE to PROF after considering the feedback:

Hello Dr. Litton,

Thanks for your insight.

According to (Bale, 2010) West Virginia has the highest rate of hypertension at 43 percent. It is also the second largest rural state in the United States. With such distinguishing characteristics, my health promotion program proposal will aim atoptimizing hypertension management in rural communities of West Virginia. THIS IS MY COMMUNITY, has alreday been decided and Approved by Prof!

Reference:

Bale, B. (2010). Optimizing hypertension management in underserved rural populations. Journal of the National Medical Association, 102(1), 10-17.

A Collegues asked me:

You chose a great topic for your health promotion program. High blood pressure is actually one of the negative health conditions associated with my topic of obesity. Do you think you'll address the issue of obesity as a factor in developing high blood pressure in your health promotion planning?

MY RESPONSE to collegue:

Thanks for your question Walker,

According to (Landsberg, et al., 2012) there is a frequent concurrence of obesity and hypertension and as the rate of obesity rises, so does the rate of hypertension.  This is concurrent with other major studies and as you mentioned, it will be imperative to address the topic of obesity.  In relation to that, I will have to develop strategies for the management of obesity in order to reduce the development of obesity-related hypertension and to effectively manage hypertension in obese. MAKE SURE YOU CONSIDER OBESITY

Reference:

Landsberg, L., Aronne, L. J., Beilin, L. J., Burke, V., Igel, L. I., Lloyd-Jones, D., & Sowers, J. (2012). Obesity-Related Hypertension: Pathogenesis, Cardiovascular Risk, and Treatment. The Journal of Clinical Hypertension, 15(1), 14-33

MODULE 3 NEXT UPDATE OF FINAL PROJECT in

MD 3 required this: Post an update on the progress you are making on your Health Promotion Program Proposal. Topics for discussion include methods used to assess the health needs of your chosen community, how program stakeholders were identified, collaboration strategies you propose, and program goals and objectives

READING for MD3:

McKenzie, J. F., Neiger, B. L., & Thackeray, R. (2017). Planning, implementing, and evaluating health promotion programs: A primer (7th ed.). San Francisco, CA: Pearson.

· Chapter 4, “Assessing Needs” (pp. 67-102)

· Chapter 6, “Mission Statement, Goals, and Objectives” (pp. 133-142)

· Chapter 9, “Community Organizing and Community Building” (pp. 237-255)

MY UPDATE in MD3

Health Promotion Program Proposals

Assessment methods depict ways that apply in optimizing hypertension management in rural societies.  They are essential to reduce expenses, improve outcomes and enhance care among patients.  The methods used to assess health needs of my chosen community include:

Sharing the best practices with the staff; it helps the organization to identify the vital developments that apply in controlling the disease and ways to achieve them.  It also incorporates ways that the staff can embrace to determine rates of the disease prevalence among the victims in the community.  It entails implementation of standardized approaches and procedures that physicians use to update important details of their patients (Brent, 2013).  For instance, this involve cheaper medications and allowing free blood pressure reading in communities.

Disseminating monthly physician report: it is a vital method to assess health needs which enhances a transparent and a timely feedback.  It increases the engagement of physicians hence facilitate their performance improvement.  It also incorporates use of electric health record data that gives a report concerning their blood pressure and ways to improve their health.

Utilization of patient engagement tools: this is another approach that is used to assess how patients respond to medication in the community.  These tools determine whether they maintain a healthy diet, exercise on a regular basis or keep medical appointments.  They are key elements in assessing and managing hypertension among patients.  Through this procedure, the sick individuals are encouraged to be active participants to cater for their own health.  The assessment enables them to indulge in activities that allows them to manage their blood pressure effectively.  They incorporate monitoring blood pressure from home.  It enables patients to learn on tips to measure, record and provide accurate readings to their physicians.  This enables them to determine whether they should change medication and the lifestyle of patients.  To assess health needs of the community, it is also significant to involve educational materials.

Additionally, the participating groups require to offer the sick with free reading materials.  This will help patients to understand the vital aspects of the hypertension disease and make the necessary adjustments (Brent, 2013).

The program stakeholders were identified based on their interest on knowledge pertaining hypertension disease.  This strategy engages stakeholders by identifying experts to aid in expanding the sustainability of the program.  These stakeholders are program champions who are influential in their groups and are active in the care management program.  They are also recognized in relation to how they can offer feedback about hypertension by suggesting the new initiatives to apply in this health program.  The ability to communicate effectively was another strategy that assisted to identify stakeholders. This was determined in the manner in which they planned and designed different stages of the program.

The collaboration strategies that I propose include team based care to improve blood pressure among patients.  It is helpful because it involves individuals who communicate with patients to determine their progress.  This implies that they reschedule and make follow up appointments especially to patients who fail to see physicians on time (Klag, 2014).

The Program goals is to ensure that free care is granted to patients who are suffering from hypertension in rural regions.  It also intends to provide tools to aid for screening to improve the conditions of people with high blood pressure in the community.  The objective of this program is to reduce the number of hypertension cases in the society. (PLEASE CHECK the FEEDBACK below)  This is by ensuring that physicians access and offer care to the rural population.

References:

Brent, H. (2013). Hypertension and Collaboration Strategies. Journal of Health Programs Issue     85(6), 16-28.

Klag, M. (2014).  Hypertension. Baltimore, MD: Johns Hopkins Medical Institutions. 

PROF.feedback to me in MD3:

I suggest making the program objective more specific and measurable such as "reduce hypertension in this community by 50% within 1 year of program initiation." IS BEEN ALREADY DECIDED THIS is FINAL OJECTIVE!

MODULE 4 REQUIRED an UPDATE

Post a final update on your Health Promotion Program Proposal. Topics for discussion include an explanation of the analysis conducted in order to select your chosen behavioral theory, intervention strategy, and program activity.

RESOURCE:

McKenzie, J. F., Neiger, B. L., & Thackeray, R. (2017). Planning, implementing, and evaluating health promotion programs: A primer (7th ed.). San Francisco, CA: Pearson.

· Chapter 7, “Theories and Models Commonly Used for Health Promotion Interventions” (pp. 151-188)

· Chapter 8, “Interventions” (pp. 191-234)

·

PLEASE READ ch 7+ch8, they are CRITICAL to understand what to apply for my TOPIC in FINAL PROJECT! LOOK at each theory, read APPLICATIONS (see if applied to HTN).

Professor comments : for the purposes of this assignment, please only select 1 theory that fits the best and you can definitely use more than one intervention strategy. 

The intervention strategy must be specific. Students, If your intervention is aimed at the individual level, then you should select an intervention strategy for individuals. Please review Table 8.5 on page 231 in the McKenzie text that depicts the type of objective, outcome, theory, intervention strategy and possible activities. 

THIS IS an exachnge btw PROF and a COLLEGUE:

Colleague:When I discuss stage theory, my discussion is more focus on TTM. So my theory based on TTM.For the intervention part,  I have checked our textbook and chose the intervention strategy that goes with TTM theory construct.My proposed intervention strategy is providing health communication and health education through class seminars and workshop. However not limited to seminars and workshop but create awareness through a mini-organization that invites the priority population to participate in the radical change. For instance, healthy lifestyle matters, stand for the right diet!

PROF said: Thank you for the clarification. These sound good. Just be sure to use the exact wording of the public health terms used in the textbook!!!!

HERE IS FINAL PROJECT MY UPDATE for MODULE 4 (MD4)

MY UPDATE for MD4 FINAL PROJECT UPDATE:

The theory I chose is the SCT Expectation and Behavioral capability.

According to McKenzie, reinforcement is very important in the process of learning, although the reinforcement combined with the expectations developed by the individual from the consequences of a behavior is what determines the final behavior (McKenzie, 2017). ).

Expectations refers to the ability of an individual to think and to foresee a certain outcome to take place in certain situations. If a person is to perform a certain behavior, this person must be informed first what the behavior is and then how to correctly perform the behavior. This is referred to as behavioral capability, according to (Mckenzie,2017)

This theory fits my hypertension topic of my final project proposal.

The intervention strategy is at the interpersonal level. Possible program activities I consider are Classes, Seminars and Workshops to educate my community about the disease.

MODULE4 FINAL PROJECT INSTRUCTIONS:

Obtaining the funding and/or approval to develop a program is often dependent upon one’s ability to clearly articulate each element of the proposed program. Proposing a health promotion program requires a well-thought-out plan that clearly identifies the health condition, target population, and anticipated activities.

Modules 2, 3, and 4 have covered the steps for planning and designing a health promotion program. For this Assignment,you will submit a proposal for the health promotion program you have been developing that meets a health need for a specific community.

12- to 15-page proposal (double- spaced, Times New Roman font):

Cover page should include:

· Project title

· Primary contact person, title

Sections of your proposal:

1. Introduction

a. Briefly describe the project relevance and need

b. Describe how your project complements or adds to other similar initiatives.

2. Community Description

a. Describe the target audience(s) for the project (e.g. health practitioners, policy-makers, underserved population).

b. Provide list the geographic location(s) and sites/settings (e.g. hospital, community-based center, school, work setting) where the project activities will take place.

3. Needs Assessment

a. Provide a summary of the mini-needs assessment conducted to determine a priority health issue for this community. The mini-needs assessment should be based on available statistics.

4. Socio-ecological factors

a. Provide a description of the primary socio-ecological factors related to the health issue.

5. Stakeholders

a. Identify and describe types of resources and community stakeholders. Indicate the name of the partners you will work with during the project. Describe the role and contribution of each partner.

b. Provide a description of the stakeholder collaboration strategy that would be used and explain why it is most appropriate.

6. Mission, goals and objectives

a. Identify

· the mission,

· at least one program goal and

· at least two objectives

7. Theoretical framework

a. Identify the theory or model used to guide development of the interventions and provide a rationale for your selection.

8. Intervention strategy

a. Select an appropriate intervention strategy based on your theoretical framework that targets one of the socio-ecological factors associated with this health condition and target population.

9. Activities

a. Identify at least two specific program activities and explain how it would be used in the program.

b. Explain how each activity is related to your theoretical framework.

10. Logic Model

a. Develop a Logic Model for the program.

Support your work with specific citations from this module’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style

MY UPDATE for MD4 FINAL UPDATE

The theory I chose is the SCT Expectation and Behavioral capability.

According to McKenzie, reinforcement is very important in the process of learning, although the reinforcement combined with the expectations developed by the individual from the consequences of a behavior is what determines the final behavior (McKenzie, 2017). ).

Expectations refers to the ability of an individual to think and to foresee a certain outcome to take place in certain situations. If a person is to perform a certain behavior, this person must be informed first what the behavior is and then how to correctly perform the behavior. This is referred to as behavioral capability, according to (Mckenzie,2017)

This theory fits my hypertension topic of my final project proposal.

The intervention strategy is at the interpersonal level. Possible program activities I consider are Classes, Seminars and Workshops to educate my community about the disease.