In a 7- to 10-page proposal (not including title page and references), address the following:
- Briefly identify your selected chronic health issue and population.
- Describe the geographic region and important characteristics of this population.
- Describe the patterns of the disease in your selected population using the epidemiologic characteristics of person, place, and time.
- Identify one health outcome you would like to improve for the population.
- Briefly summarize current evidence that supports the importance of improving this health outcome.
- Briefly describe the evidence-based program you are developing, and why this approach will best fit the needs of your population.
- Explain what data you would need to collect, and how you would obtain and analyze it. You may choose to collect primary data or use secondary data. Justify your choice.
- Using the “SMART” method, write short- and long-term objectives for the program.
- Identify the stakeholders who should be involved in program planning.
- Identify which program planning model (see Curley, Chapter 7) you selected for your program. Justify your selection of model. Based on the model, explain how you would plan, implement, and evaluate the program.
- Explain any relevant cultural or ethical considerations related to your program design.
- Explain how you would fund the program.
- Describe strategies that would be appropriate for marketing the program.
- Review the Chronic Disease Prevention and Health Promotion (NCCDPHP) website from the Centers for Disease Control and Prevention (CDC).
- Select one of the identified chronic diseases of national significance that impacts a population of interest to you.
- Consider a health outcome you would like to improve in this population related to the selected chronic disease.
- Develop a program proposal to improve this health outcome for this population using the assignment guidelines below. Select one of the program models in Curley, Chapter 7, to guide your planning.
- Review the SMART objective resources for a review of how to write objectives for your program.
References
- Curley, A. L. C. (Ed.). (2020). Population-based nursing: Concepts and competencies for advanced practice (3rd ed.). Springer.
- Chapter 7, “Concepts in Program Design and Development”
- Center for Community Health and Development. (n.d.). Toolkits. In Community tool box.Links to an external site. University of Kansas. https://ctb.ku.edu/en/toolkits
Note: The toolkits page provides guidance on designing and developing programs to improve population outcomes. - Centers for Disease Control and Prevention. (2021). National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP): Home.Links to an external site. https://www.cdc.gov/chronicdisease/index.htm
- Centers for Disease Control and Prevention. (2018). Writing SMART objectivesLinks to an external site.. Evaluation Briefs.
https://www.cdc.gov/healthyyouth/evaluation/pdf/brief3b.pdf - The Community GuideLinks to an external site.. (n.d.). https://www.thecommunityguide.org/index.html
- Minnesota Department of Health. (n.d.). Smart objectivesLinks to an external site.. https://www.health.state.mn.us/communities/practice/resources/phqitoolbox/objectives.html
### Proposal to Improve Diabetes Management in Hispanic Adults in Texas
#### Title Page
**Title:** Enhancing Diabetes Management in Hispanic Adults in Texas
**Author:** [Your Name]
**Date:** [Submission Date]
**Institution:** [Your Institution]
#### Table of Contents
1. Introduction
2. Selected Chronic Health Issue and Population
3. Geographic Region and Population Characteristics
4. Patterns of Diabetes in the Selected Population
5. Target Health Outcome
6. Current Evidence Supporting Health Outcome Improvement
7. Evidence-Based Program Development
8. Data Collection and Analysis
9. SMART Objectives
10. Stakeholder Involvement
11. Program Planning Model
12. Cultural and Ethical Considerations
13. Funding the Program
14. Program Marketing Strategies
15. References
#### 1. Introduction
Diabetes is a significant public health issue affecting millions of Americans. Hispanic adults in Texas face a particularly high risk of diabetes, making it essential to develop targeted programs to improve diabetes management within this population. This proposal outlines an evidence-based program to enhance diabetes management among Hispanic adults in Texas.
#### 2. Selected Chronic Health Issue and Population
The selected chronic health issue is Type 2 Diabetes Mellitus (T2DM). The targeted population is Hispanic adults aged 30-65 living in Texas.
#### 3. Geographic Region and Population Characteristics
Texas is home to a large and diverse Hispanic population, which comprises approximately 39.6% of the state’s total population. Key characteristics of this population include:
– A high prevalence of diabetes and related complications.
– Cultural and language barriers that impact healthcare access and adherence.
– Socioeconomic factors such as lower income and educational levels that influence health outcomes.
#### 4. Patterns of Diabetes in the Selected Population
Using the epidemiologic characteristics of person, place, and time:
– **Person:** Hispanic adults aged 30-65, both male and female, with a higher prevalence of diabetes in individuals with lower socioeconomic status.
– **Place:** Urban and rural areas of Texas, with higher rates observed in regions with limited healthcare resources.
– **Time:** Increasing prevalence over the past two decades, with projections indicating a continued rise in diabetes rates among Hispanic adults in Texas.
#### 5. Target Health Outcome
The primary health outcome to improve is glycemic control, measured by a reduction in HbA1c levels among the target population.
#### 6. Current Evidence Supporting Health Outcome Improvement
Evidence indicates that improved glycemic control can significantly reduce the risk of diabetes-related complications, including cardiovascular disease, kidney failure, and neuropathy. Studies have shown that culturally tailored diabetes education and management programs can lead to better health outcomes in Hispanic populations.
#### 7. Evidence-Based Program Development
The proposed program, “Diabetes Management for Hispanic Adults in Texas,” will include:
– Culturally tailored diabetes education sessions.
– Peer support groups led by trained community health workers.
– Regular monitoring of HbA1c levels.
– Integration of technology, such as mobile health apps, to support self-management.
#### 8. Data Collection and Analysis
– **Data Collection:** Primary data will be collected through patient surveys, HbA1c tests, and program attendance records. Secondary data will be obtained from existing health records and community health surveys.
– **Analysis:** Data will be analyzed using statistical software to assess changes in HbA1c levels, program adherence, and patient satisfaction. Qualitative data from patient interviews will provide insights into program effectiveness and areas for improvement.
#### 9. SMART Objectives
– **Short-Term Objective:** Increase the percentage of program participants who attend at least 80% of the diabetes education sessions within six months.
– **Long-Term Objective:** Achieve a 1% reduction in average HbA1c levels among participants within one year of program implementation.
#### 10. Stakeholder Involvement
Key stakeholders include:
– Healthcare providers (doctors, nurses, dietitians).
– Community health workers.
– Patients and their families.
– Local health departments.
– Non-profit organizations focused on diabetes care.
#### 11. Program Planning Model
The PRECEDE-PROCEED model will guide the program planning, implementation, and evaluation process. This model is appropriate as it emphasizes a thorough assessment of community needs and incorporates both educational and ecological strategies.
#### 12. Cultural and Ethical Considerations
Cultural considerations include:
– Providing materials and sessions in both English and Spanish.
– Ensuring cultural competence among program staff.
Ethical considerations include:
– Ensuring informed consent for all participants.
– Maintaining confidentiality of patient data.
#### 13. Funding the Program
Potential funding sources include:
– Grants from the Centers for Disease Control and Prevention (CDC).
– Partnerships with local non-profit organizations.
– Funding from pharmaceutical companies with an interest in diabetes care.
#### 14. Program Marketing Strategies
Marketing strategies will include:
– Community outreach through local health fairs and events.
– Collaboration with local media outlets to promote the program.
– Use of social media platforms to reach a broader audience.
#### 15. References
1. Curley, A. L. C. (Ed.). (2020). Population-based nursing: Concepts and competencies for advanced practice (3rd ed.). Springer.
2. Centers for Disease Control and Prevention. (2021). National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP): Home. https://www.cdc.gov/chronicdisease/index.htm
3. Minnesota Department of Health. (n.d.). Smart objectives. https://www.health.state.mn.us/communities/practice/resources/phqitoolbox/objectives.html
4. The Community Guide. (n.d.). https://www.thecommunityguide.org/index.html
—
This proposal outlines a comprehensive approach to improving diabetes management among Hispanic adults in Texas, integrating evidence-based strategies and considering cultural and ethical factors. By implementing this program, we aim to enhance health outcomes and reduce the burden of diabetes in this vulnerable population.
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