Each student will develop a scholarly presentation using Microsoft PowerPoint? to inform peers/colleagues about?a health problem that is prevalent within?you

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Health Promotion Program Proposal: Part 1

Health Promotion Program Proposal: Part 1

The burden of health disparities remains an engaging issue in the field of care, highly impacting vulnerable groups. Among the most acute health issues that these populations have to deal with are chronic diseases, including obesity, diabetes, hypertension, and cancer. To give only one example, in the U.S., an obesity prevalence of 49.6 percent is present in non-Hispanic Black adults, which is significantly higher as compared to non-Hispanic White adults (Lipshutz et al., 2022). Also, racial minorities, especially Black women, are more prone to death because of breast cancer than White ones (Lipshutz et al., 2022). These differences are worsened by the economic and social conditions among the individuals, such as lack of access to healthcare and education and even capacity to manage health. Considering these, the proposed health promotion program is devised to solve the problem of the rising prevalence of chronic illnesses among the minority groups in Miami, trying to prevent diabetes and manage high blood pressure.

Vulnerable Population

Miami, Florida the Hispanic population is the population that this health promotion program will target. This population group has many risk factors that increase its susceptibility. Among these risk factors, the socioeconomic disadvantages, lack of access to the healthcare services, and language problems, which fail to provide effective acquaintance with the resources offered by the healthcare, should be mentioned. Moreover, this group has a greater prevalence of such chronic conditions as diabetes and hypertension than non-Hispanic Whites in the region (Srour, 2021). These risk factors predispose the Hispanic population to the diseases that are potentially avoidable, therefore resulting in an unequal burden of disease as well as quality of life. To overcome such disparities, a specialized health promotion program should be created, including cultural sensitivity factors and widely available healthcare interventions.

Literature Review of Evidence-Based Interventions

The first article of the review is an article that dwells on the possibility of resolving the health disparity issues with the help of strategic health communication. In his article, Kreps (2023) emphasizes the role of strategic health communication in encouraging the use of health behaviors, especially by vulnerable groups of the population. The research concludes that communication strategies that are accessible and culturally acceptable are required because such strategies are established to enhance health outcomes. The capability to cover a wide range of audiences is one of the strengths of this approach, even to the audiences who might be opposed to health recommendations. Nevertheless, a drawback of this model is that it involves large amounts of resources and time-consistent effort to modify health behaviors (Kreps, 2023).

The second paper by Quilling et al. (2020) is the discussion of the approaches to target the vulnerable population using municipal health promotion. As this study shows, such intervention on vulnerable groups needs to be community-based and needs to interact with the persons on the local level. Such interventions as community health education or provision of screening services and cooperation with local organizations were found to enhance health outcomes within such communities. The positive side of these interventions is that they allow building trust and capturing attention in the community. Nonetheless, another issue that can be outlined by the research is the problem of maintaining the long-term involvement and finances related to such programs (Hogeling et al., 2022).

Evaluation of Literature

The interventions provided in the reviewed articles have their strong and weak sides. Communication strategies described by Kreps (2023) can be considered a comprehensive way of thinking about health promotion, and thus, they can be easily adjusted to many settings. They are, however, effective with efforts and resources extended over time and may be limiting to the underfunded communities. Quilling et al. (2020), on the other hand, place an emphasis on community-based interventions, which, in their turn, have the benefit of support of local ownership and trust. These programs are sometimes, however, hampered with issues relating to long-term sustainability, hence compromising any success they might have in establishing a lasting change in the health state. The two sources emphasize that when attempting to promote health among populations, it is important to take into account the specifics of the vulnerable populations in the context of their needs and resources.

Health Promotion Framework

The activities of the planned health promotion interaction will be directed with the help of the Social Ecological Model (SEM). This model comes in specific to the all-encompassing and multi-interventional factors leading to health disparities among the vulnerable populations. Ho et al. (2022) argue that the SEM focuses on the interaction among the factors related to individual, interpersonal, organizational, community, and societal dimensions, which indeed makes this model possible to advocate health in various populations. SEM helps in forming interventions that can be carried out at various levels of influence, which include the change of behavior of an individual to the change of policies. One of the major advantages of this model is that it is comprehensive and therefore aims not only to target individual behavior change but also to ensure that the treatment is also based on the social determinants of health. A drawback in applying this model, though, is the fact that teamwork in terms of reaching numerous sectors is required, which is not easy to organize.

Conclusion

Such health issues of the Hispanic population in Miami as the health disparities, in special connection with chronic diseases, such as diabetes and hypertension, demand specific health promotion strategies. Said disparities can be mitigated and health outcomes can be improved through intervention-based strategies: strategic health communication and community-based health promotion are the evidence-based interventions. This program will include all the components that lead to a healthy lifestyle by using the Social Ecological Model to deal with all subject matters that affect health and offer a long-term solution to the health of the vulnerable populations.

 

 

 

 

References

Ho, Y. C. L., Mahirah, D., Ho, C. Z. H., & Thumboo, J. (2022). The role of the family in health promotion: a scoping review of models and mechanisms. Health Promotion International, 37(6), daac119. https://academic.oup.com/heapro/article-abstract/37/6/daac119/6833053

Hogeling, L., Lammers, C., Vaandrager, L., & Koelen, M. (2022). What works for vulnerable families? Interpretations of effective health promotion. Health Promotion International, 37(1), daab108. https://academic.oup.com/heapro/article-abstract/37/1/daab108/6321598

Kreps, G. L. (2023). Addressing resistance to adopting relevant health promotion recommendations with strategic health communication. Information Services and Use, 43(2), 131-142. https://journals.sagepub.com/doi/abs/10.3233/ISU-230187

Lipshutz, J. A., Hall, J. E., Penman-Aguilar, A., Skillen, E., Naoom, S., & Irune, I. (2022). Leveraging social and structural determinants of health at the centers for disease control and prevention: a systems-level opportunity to improve public health.  Journal of Public Health Management and Practice,  28(2), E380-E389. https://journals.lww.com/jphmp/fulltext/2022/03000/Leveraging_Social_and_Structural_Determinants_of.27.aspx

Quilling, E., Kuchler, M., Leimann, J., Dieterich, S., & Plantz, C. (2020). Strategies for reaching vulnerable groups in municipal health promotion. European Journal of Public Health, 30(Supplement_5), ckaa165-1355. https://academic.oup.com/eurpub/article-pdf/doi/10.1093/eurpub/ckaa165.1355/33820055/ckaa165.1355.pdf

Srour, M. L. (2021). Child health promotion for refugees and other vulnerable populations. In Child Refugee and Migrant Health: A Manual for Health Professionals (pp. 171-183). Cham: Springer International Publishing. https://link.springer.com/chapter/10.1007/978-3-030-74906-4_14

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Health Promotion Proposal Part 2

Health Promotion Proposal Part 2

5. Proposed Health Promotion Program

The health promotion program I will suggest is that of diminishing the prevalence rates of diabetes and hypertension among the Hispanic population in the city of Miami where the disparity aspect of these two chronic conditions will be addressed. One of the evidence-based interventions in line with this objective is Community-Based Health Promotion Model, which seems to be emphasized by the literature (Quilling et al., 2020). The chosen model focuses on an active approach to the community that will help to promote a healthier behavior. The people included in the interventions will be screened on blood-pressure levels and given diabetes self-management workshops, which will be specific to the needs of the Hispanic people. The content of these workshops will revolve around the knowledge of the participants about lifestyle changes and dietary modifications and the need to undergo regular health checks.

Resources Necessary:

Clearly qualified health practitioners (nurses, dietitians, social workers)

Social institutions to use as a venue to conduct workshops and screenings

Spanish-language health materials (pamphlets, video)

Screening services mobile vans (in the event of mobility problems)

The area volunteers and peer educators

Those Involved:

Advanced practice nurses (APNs) will be the primary facilitators in conducting screenings and health coaching or conducting workshops.

They will engage community leaders and faith-based groups so that they use their local trust and leadership power.

Social workers will support the people with complex needs and make referrals.

Feasibility for Nurses in Advanced Roles:

APNs can easily execute the program because they have advanced knowledge of the management of chronic diseases and health education. APNs are going to take part in every detail of intervention; they will carry out screenings and offer follow-up assistance (Ho et al., 2022).

Timeline:

Months 1–3: Preparation of the program (training of the staff, material development, and establishment of screening locations).

The 4-6 months: Start workshops and screenings; follow-up is needed on a regular basis to check the progress. 

Months 7-12: More workshops and screenings, evaluation of program effect, and the adjustment of the program should it be needed.

6. Intended Outcomes

The planned results of this program would be the decrease of the prevalence of uncontrolled hypertension and diabetes among the target population and the rise of overall health literacy and rate of prevention services use. Through the SMART goal strategy, the result could be well stated as

SMART Goal Statement: Within 12 months, the goal is to lower average A1c levels by 0.5 percentage points in 200 participants of the program with 70 percent turnout in the follow-up screenings.

7. Evaluation Plan for Each Outcome

Outcome 1: Reduction in A1c levels

Evaluation Method: The measurement will use the A1c reading before and after the program, where recordings will be done at the beginning and end of the program. This will enable us to determine the differences in the blood sugar control of participants throughout the period of the intervention (Kreps, 2023).

Data collection: Each participant will be recorded (in terms of baseline and endpoint) for A1c levels. The qualitative feedback associated with the program includes obtaining information on the perceptions of the participants as to whether they improved their health and understood more about the management of diabetes.

Outcome 2: Increase in Health Literacy and Preventive Engagement

Evaluation Method: An assessment of knowledge of the participants concerning the overall management of diabetes, hypertension prevention, and control of hypertension will be evaluated with two pre-program and post-program surveys.

Data Collection: Knowledge gains will be measured through a knowledge questionnaire, and after the intercession, a follow-up phone call or interview will be made to identify whether the subjects sustain healthy habits, including frequent screening and medication, or not.

8. Barriers and Strategies to Overcome Them

There are a number of obstacles that might affect the effective execution of such a health promotion program:

1. Socioeconomic Barriers: 

Access to healthcare services may be low among many of the participants since they may be low-waged or uninsured. This may interfere with their participation in workshops or screening.

Strategy: It would be helpful to collaborate with the local community organization, including the churches and nonprofits that will assist in offering free or subsidized services. There is also the provision of mobile screening vans to provide access to the underserved areas.

2. Language and Cultural Barriers:

The Hispanic society can be imprisoned with language, and cultural variations can alter their receptiveness towards health schemes.

Strategy: Let all program materials be available in Spanish, and employ more culturally competent staff who appreciate the challenges posed by distinct health problems to the Hispanic communities. Also, by relying on credible local community leaders to popularize the program, there will be improved participation (Quilling et al., 2020).

3. Sustainability of Funding:

According to the literature, the community-based health programs may be difficult to receive long-term funding.

Strategy: We are going to apply for local and federal grants and consider partnerships with local businesses and health organizations to guarantee sustainability. It will also be beneficial to engage in advocacy activities to help in seeking municipal funding to support connection with bilingual health materials and community-based programs (Ho et al., 2022).

This evidence-based health promotion program with cultural adaptation and community involvement would help tackle the inequitable burden of diabetes and hypertension among the Hispanic population of Miami. The program includes mobile screenings, bilingual education, and highly skilled nursing leadership to address both personal and larger, socially based impacts of health. Utilization of the community-based health promotion model guarantees the effectiveness of the intervention not only in the clinical sense but also as an activity that is sensitive to the cultural and logistic needs of the community. As per the strategic collaboration with the local organizations involved in the initiative and faith-based organizations, the efforts will utilize the available networks of trust and enhance the participation to sustain health improvements over the long term.

When executed accordingly, the program will result in the measurable changes in the uncontrolled rates of diabetes and hypertension as well as the improvement in the health literacy and involvement in preventive care. SMART objectives will help gauge progress effectively through the evaluation process, as it will be done accurately and transparently. In the long term, the experience gained during this initiative may guide further national-level approaches to public health and be an example of how to solve the problem of health disparities in other culturally diverse populations. The focus on culturally competent care, the availability of services, and the sustainability of the funding procedures are some of the dimensions that can make the program have impactful and positive effects on the health outcomes of the community.

References

Ho, Y. C. L., Mahirah, D., Ho, C. Z. H., & Thumboo, J. (2022). The role of the family in health promotion: a scoping review of models and mechanisms.  Health promotion international,  37(6), daac119. https://academic.oup.com/heapro/article-abstract/37/6/daac119/6833053

Kreps, G. L. (2023). Addressing resistance to adopting relevant health promotion recommendations with strategic health communication.  Information Services and Use,  43(2), 131-142. https://journals.sagepub.com/doi/abs/10.3233/ISU-230187

Quilling, E., Kuchler, M., Leimann, J., Dieterich, S., & Plantz, C. (2020). Strategies for reaching vulnerable groups in municipal health promotion.  European Journal of Public Health,  30(Supplement_5), ckaa165-1355. https://academic.oup.com/eurpub/article-pdf/doi/10.1093/eurpub/ckaa165.1355/33820055/ckaa165.1355.pdf