Health Promotion Proposal

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o 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.
o 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.
o 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.
o 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

o 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.
o Be certain to include a timeline. (3 to 4 paragraphs- you may use bullets if appropriate).
o 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).
o 7. Provide a detailed plan for the evaluation of each outcome. (2-3 paragraphs).
o 8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (2+ paragraphs).
o Finish the paper with a conclusion paragraph (2 paragraphs) without typing the word “conclusion” before the paragraph.

 

Sample Solution

Health Promotion Program: Addressing Obesity in Low-Income Communities

  1. Health Problem and Target Audience:

Problem: Obesity is a significant public health concern, with a growing prevalence in the United States. According to the CDC, in 2019-2020, 42.4% of adults aged 20 and over were obese. This issue disproportionately affects low-income communities.

Target Audience: Low-income adults (18-64 years old) residing in a specific zip code with documented high obesity rates.

Measurable Outcome: A realistic and measurable outcome for this program would be a 5% reduction in the average Body Mass Index (BMI) of participating adults within a 6-month timeframe. BMI is a standard measurement used to assess obesity risk.

  1. Vulnerable Population and Setting:

Low-income communities face multiple risk factors for obesity, including:

  • Limited access to healthy foods: Fresh fruits, vegetables, and lean protein sources are often more expensive, leading residents to rely on cheaper, processed foods higher in calories and unhealthy fats. (JSTOR [2017], “Access to Healthy Food and Obesity Rates in Metropolitan Areas”).
  • Food deserts: These areas lack grocery stores with healthy options, further limiting access to nutritious food. (American Public Health Association [2010], “The Impact of Supermarkets on Food Deserts”).
  • Socioeconomic factors: Stress, lack of time, and limited resources can make healthy eating and physical activity challenging priorities. (National Institutes of Health [2020], “Understanding Adult Obesity”).
  1. Literature Review on Evidence-Based Interventions:

A review of scholarly journals identified several evidence-based interventions effective in promoting healthy eating and physical activity in low-income communities:

  • Culturally-tailored nutrition education: Programs that consider cultural preferences and cooking practices can be more engaging and effective. (American Journal of Public Health [2013], “Culturally Tailored Nutrition Education Programs for Low-Income Adults”).
  • Incentive programs: Offering rewards for healthy behaviors like attending nutrition classes or participating in exercise groups can increase motivation. (American Family Physician [2018], “Motivational Interviewing and Incentives for Weight Loss”).
  • Community Supported Agriculture (CSA) programs: CSAs connect residents with local farms, providing access to fresh, affordable produce. (Journal of the American Dietetic Association [2013], “Community Supported Agriculture (CSA) Programs: A Literature Review”).
  1. Health Promotion Framework:

The Social Cognitive Theory (SCT) by Albert Bandura provides a strong framework for this program. SCT emphasizes the role of personal beliefs, self-efficacy (confidence in one’s ability to perform a behavior), and environmental factors in influencing health behaviors.

The program will address self-efficacy by providing skills training for healthy food choices and meal planning. It will target social influences through group activities and support networks. Environmental factors will be addressed by partnering with local stores to increase access to healthy options and exploring options like community gardens or mobile produce markets.

  1. Proposed Health Promotion Program:

Intervention: A 12-week program combining:

  • Culturally-sensitive nutrition workshops: Registered Dietitians will lead interactive sessions on healthy eating habits, budget-friendly meal planning, and recipe demonstrations using culturally relevant ingredients.
  • Cooking demonstrations: Participants will learn practical skills for preparing healthy meals at home.
  • Incentive program: Attendance at workshops and participation in physical activity will earn points redeemable for healthy groceries or vouchers for local farmers’ markets.
  • Physical activity groups: The program will partner with local community centers to offer low-cost or free exercise classes tailored to different fitness levels.

Timeline:

  • Week 1-2: Recruitment and program orientation.
  • Weeks 3-10: Weekly nutrition workshops and cooking demonstrations.
  • Weeks 3-12: Ongoing physical activity groups.
  • Week 12: Program evaluation and graduation ceremony.

Nurse’s Role:

An Advanced Practice Registered Nurse (APRN) will play a crucial role in program design, implementation, and evaluation. The APRN will:

  • Collaborate with community partners like dietitians, fitness instructors, and local stores.
  • Lead or co-lead nutrition workshops.
  • Conduct individual consultations with participants for personalized guidance and support.
  • Oversee program evaluation and data collection.
  1. SMART Goal:

Specific, Measurable, Achievable, Relevant, and Time-bound: Reduce the average Body Mass Index (BMI) of participating low-income adults by 5% within a 6-month program timeframe.

  1. Evaluation Plan:

 

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