Nutrition

Running head: NUTRITION & PERFORMANCE IN TEENAGERS

1

EFFECTIVE DISSEMINATION & EVALUATION PLAN

13

NU600-01 Nutrition & Performance in Teenagers

Cheryl Rand

Kaplan University

Nutrition and Performance in Teenagers

Objective of the Program

The main objective of this nutrition education program is to educate non-Hispanic white diabetic patients. To be specific, the target audience is the non-Hispanic white teenagers aged between 15 and 19 years. Most parents tend to ignore their responsibility of controlling what their children in high school are eating. It has made such children have much freedom but with less financial support to make a difference they feel like. This group has been considered to be at the highest risk of developing health disorders that are caused by poor eating habits. It is considered as an obese population and in most cases it is identified with the increasing population affected by type 1 diabetes. Chronic diseases are common among patients who are diagnosed with type 1 diabetes for the non-Hispanic whites who are under the age of nineteen (Fertman & Allensworth, 2010).

Type 1 diabetes means the human body cannot produce the integral chemical messenger, insulin, and sugar cannot be metabolized by the body. Five percent of all diagnosed diabetics are diagnosed with type 1 diabetes usually at a young age (ADA, 2013). The pancreas of an individual with type 1 diabetes is faulty and will not break down sugars and sugars into energy as it is supposed to do.

Dissemination planning for type 1 diabetic education is needed to provide much support and up to date information regarding scientific progress of the disease to these high school teenagers. According to the report by the Center for Disease Control, 11.3 percent of the population over the age of twenty in America has diabetes. This group ought to be educated on type 1diabetes regardless of whether they know it or not (CDC, 2011). They need to be aware of genetic testing. Diabetes type 1 is typically caused by outside risk like bacteria that possibly attack the immune system causing an autoimmune disorder or genetics. It is necessary for a type I diabetic patient to have a daily insulin injection. The patients and their families are educated on the optimum health benefits they can get from interventions.

The target population for this study is the ethnicity of Caucasian teenagers living in Philadelphia PA. The highest percentage of those patients who are diagnosed with type 1 diabetes is non-Hispanic whites in this region. The patients who are under the age of nineteen make 22.6 out of 100,000 people. These teenagers are between the ages of 15 to 18 years. The report on CDC predicted that this group is the most growing population to be diagnosed with type 1 diabetes. The Caucasian teenagers barely complete high school because they have low income families who earn an average of 45,000 dollars on a yearly basis (U.S. Consensus, 2011).

Caucasian is a smaller community inside a densely populated city, Philadelphia PA. The community consists mainly of middle, working class residents of non-Hispanic white persuasion. The community is a tight knit collaboration of people rich with tradition and values. An as per the latest CDC findings (cdc.gov-2011), the population of this neighborhood falls in the quickest growing percentage of Type I Diabetic patients under the age of 19 years old. The residents of this community prefer private life and they would not share information with health educators. It requires the health educators to be wise enough and win their trust first to gain information from them.

Although the community does not have a high percentage of college graduates, they are not illiterate. This means they can easily understand and interpret presentations on healthy lifestyles, genetic testing and exercise. The major health issue that has invaded the community are obesity and both Diabetes Type 1 and Type II. The government in Philadelphia is concerned with dealing with Obesity and Chronic Illness. Diabetes Type 1 and Type is not among its master plan in terms of eradication. The CDC (2011) has made requests to the government so that they would set apart some money to sponsor education on diabetes to the public.

Diabetes type 1 is a chronic disease that is rapidly increasing in this region. This calls for remedial measures to combat this problem. The non-Hispanic whites under the age of nineteen years are increasingly contacting this disease. The major health issues noted among these youths include them practicing a sedentary lifestyle and unhealthy diets. This calls for the need for them to be educated on having a healthy lifestyle (CDC, 2011).

The unhealthy living exposes the youths to contracting this chronic disease. The population is composed of low income earners. They are not stable enough to acquire nutritional foods because of such financial instabilities. Teenagers also involve in unhealthy eating of fast foods which has more calories. This predisposes them to diabetes type 1. Far the more, these youths do not involve in physical activities but they prefer sedentary lives of playing video games, watching television, and among others. They do not know how to prepare healthy foods. These leave them exposed to contract chronic diseases.

Interviews from the recent research of the students revealed that most parents in the region did not have time to prepare foods for their households. They are preoccupied in their work places. The restaurants from the schools do not offer healthy nutritious foods to their student. The community is doing its best to encourage the teens to participate in co-curriculum activities like being active in school clubs, sports and physical fitness activities availed in the school. Below is a table showing the rate at which the students under the age of 19 involve in unhealthy living.

Table 1:

Behavior/practice	Importance for health issue	Modifiable*	Feasible	Desirable to audience
1. Bringing in too many sugary drinks	5	5	5	4
2. Lowering amount of fast food, replace with more nutritional food	5	4	4	2
3. Be physically active every day, seven days a week	5	5	5	5
4. Be vigilant of doctor visits, preventative screening	5	5	3	5
5. Increase consumption of unprocessed foods ( fruits, vegetables, & meats)	5	4	4	3

The Sociocultural Environment of the Audience

The target audience is non-Hispanic whites who fall below the age of 19 years. These are high school students who are no longer under many restrictions of their parents. They also do no have disposable income to spend. This is the group that is highly susceptible to contracting the disease in question. They have been identified as the group with the highest growing new cases of type 1 diabetes. The population numbers for Franklin Town High School students are unique and different from how it is in the present day schools. The administration of the school encourages healthy meals for the students. They gain the support of the parents to these students.

The report of CDC (2011) indicates that 18.4 percent of high school students are physically active each hour for seven days a week. The physical activities will be encouraged among the students as it a way of preventing new entries of the diabetes type 1. 23 percent of the high school students are not active participants in the physical activities throughput the day. 54 percent of the targeted audience at least had one organized sport they were involved in. The unity of Bridesburg will help support the program of restoring good lifestyles to the children.

I would like to create a healthy lifestyle portfolio which will again get the audience up and involved, creating exercise plans that fit their schedules and meal plans that fit their budgets. The main objective of the program will be to promote prevention of diabetes type 1 through check-ups and testing for diabetes. The program will emphasize in the students involving in physical activities and preferably those that they take interest on. A comprehensive directory of websites and contact information for support systems like family doctor’s and local Endocrinologists will be included to provide on hand information for patients. A round robin exchange of phone numbers will be encouraged to create a support system that will be comfortable because of the community relationships that had already existed.

A group discussion covering a day in the life of a healthy person and vice versa, to enforce information that is presented during the power point will be held. In conclusion of the meeting, expectations of how life may change with implantation of dietary and exercise changes will take place. A healthy diabetic recipe book will also be part of the presentation, this setting up a follow up meeting that will serve as a buffet of the participants favorite recipes from the book. A summary evaluation will be used to measure learning outcomes. Like the summary of a book or article, there may be more than one main idea, in a summative evaluation both impact and outcome evaluation may be used to measure the effectiveness of a program (Fertman & Allensworth-2010).

Type 1 diabetes education will include two main ideas, prevention including genetic testing and living with the disease. Once the education is completed, a summary evaluation is used to ensure objectives have been met. This evaluation takes places after the program has been completed to evaluate whether or not the goals or objectives where met. The suggestions and recommendations of the participants will also be taken to help in the subsequent programs that might be done on the youths of that community or other regions.

The health education program will take three forms which include a six hour session on Saturday, the following month the hours will be reduced to two and two months later a physical examination will be done. This will be two hours session with survey. The sessions will be facilitated in Bridesburg Recreation Center. for these sessions

The use of social marketing to advertise that type 1 diabetes education will be held, where it will be held and when it will be held will be relayed. Placing the education or the product in an area frequented by the residents at risk will allow for a sense of comfort for attendees and will create a hub for future support workshops. Brochures and flyers geared to draw the attention of an older, more traditional crowd will be generated and strategically placed. Placement is key to reach a mature crowd, placement would be best in local pharmacies and message boards at retail shops and markets. There should also be advertisement on social media to bring technology savvy youngsters into the group. Use of twitter and Facebook will prove invaluable to disseminate information regarding planned education processes. If word about the education is not engaging there will not be an audience to educate. It is integral for optimum health benefits that patients and their families are educated early on as to gain the most benefit from intervention so all ages should be targeted.

Nutrition Education Evaluation Plan

The education for a type I diabetic patient should be geared towards maintaining a healthy lifestyle but also living with insulin injections and genetic testing for predisposition to diabetes. To implement an all-inclusive type 1 diabetic education. The type I diabetic patient seems to need more socioeconomic intervention with percentages of the disease more prevalent in areas with poor nutritional habits and less income (NCHEC, 2010). The second step in a process evaluation plan would be to identify the audience which would be all ages as education for children of type I diabetic patients would benefit from early intervention regarding the importance of diet and exercise. Education for the type I diabetic should possibly start with pregnant females at risk for type I, the importance of avoiding gestational diabetes. Research and collection of information allows the best use of process evaluation (ADA, 2013).

The target audience will be motivated to surrender their non-nutritious foods and start taking ones which do not have a lot of calories. They will be informed that giving up such foods is basic in reducing the risks of contracting diabetes. Coaches would be provided to enhance the attitudes of the participants such that they will be willing to involve in the physical activities. They will be made understand that healthy lifestyles make them be productive in the community and the world at large. They will therefore be obliged to take small portions of foods that contain a lot of calories.

To instill early on to a child how important diet and exercise will be to maintain. The second step in a process evaluation plan would be to is to effectively communicate to the working class population of this small community in Research concerning the genetic involvement of type 1 diabetes and contracting the disease makes advances every day. Once the relationship between genealogy and external risk factors is more concrete, plans to wipe out the disease may be possible (CDC, 2011). It is the primary responsibility of the health educator to set the hook of diabetes prevention and maintenance.

By setting the hook, health educators must grab the attention of the audience and set clear sights on how helpful living a healthy lifestyle will be. Without clear case information on the benefits of utilizing a healthy lifestyle the audience may not only nibble on the bait but also they may swim right by it. By utilizing an education effectiveness survey, like below, will allow the health educator to ensure the most effective relay of information has occurred (Fertman & Allensworth, 2010).

The Conceptual Framework

Testing of those who have diabetes type 1

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Education on the benefits of taking nutritious food

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Programs of Physical Activities

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Motivation of non-sedentary Life

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Assessing the Impact of the Program

The assessments of the students will be done against the goals and objectives that were set before the implementation of the program. Through the assessment and subsequent evaluations, the limitations can be addressed and all the deviations rectified. Further improvements will be made based on the observations of the facilitators as well as the recommendations that were collected from the student participants themselves. The suggestions of the parents will also be considered because they play a key role in the lives of the students.

Evaluation Plan Surveys

Nutrition & Teen Performance

Nutrition & Teen Performance Behavioral Outcomes

Top of Form

1. How often have you participated in a health education program?

2. How likely is it that you would recommend this health education program to a friend?

Not at all likely

Extremely likely

3. Are you male or female?

Male

Female

4. How physically healthy do you consider yourself?

Extremely healthy

Very healthy

Moderately healthy

Slightly healthy

Not at all healthy

5. What do you most often do for exercise?

Lift weights

Walk

Run

Ride bikes

Swim

Play a team sport

6. How many sodas do you consume daily? _________

7. In a typical day, how many of your meals or snacks include carbohydrates? ______

8. In a typical day, how many of your meals or snacks include fresh vegetables?______

9. In a typical day, how many of your meals or snacks include fruit? _______Bottom of Form

Top of Form

Bottom of Form

H

10. How often do you participate in activities in 19137?

Choices

· Extremely often

· Very often

· Moderately often

· Slightly often

· Not at all often

· City or urban community

· Suburban community

· Rural community

		Type 1 Diabetes Education Survey
	Please help us help you with your understanding of Type 1 diabetes and how type1 diabetes can affect your life.
	Please circle the number that best corresponds with how you felt the information was presented.
				Not At All	A Little Helpful	Somewhat helpful	Very Helpful
				0	1	2	3
1. How helpful do you feel the information presented will be?	0	1	2	3
2. Was the information new information to you?	0	1	2	3
3. How helpful was the interactive video?	0	1	2	3
4. How helpful is was the nutrition education session?	0	1	2	3
5. How helpful was learning about fresh fruits & vegetables in your diet?
			0	1	2	3
In general what was the most informative and useful part of the presentation to you? ________________________
Have you been diagnosed with any type of diabetes?	yes	no
Has anyone in your family ever been diagnosed with type 1 diabetes? yes	no
If so who?

(NCHEC,2010).

References

American Diabetes Association (2013) Living With Type 1 Diabetes. Retrieved from

http://www.diabetes.org/living-with-diabetes/recently-diagnosed/living-with-type-1-diabetes

Center for Disease Control and Prevention. (2011). National Diabetes Fact Sheet. Retrieved From cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf

Fertman, C. & Allensworth, D. eds. (2010).  Health Promotion Programs From Theory To Practice.San Francisco,Ca.:Jossey-Bass

NCHEC, (2010). The Health Education Specialist:  A Companion Guide for Professional Excellence, (6th ed.)  Whitehall, PA: National Commission for

Health Education Credentialing, Inc.

U.S. Census Bureau’s American Community Survey, one-year estimates, 2011, available at http://fact-finder2.census.gov