Health Promotion Proposal Part 2
- 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.
- 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.
- 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.
- Barriers and Strategies to Overcome Them
There are a number of obstacles that might affect the effective execution of such a health promotion program:
- 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.
- 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).
- 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
