THIS PROJECT TO CONTINUE AND BEFORE STARTING READ CAREFULLY EVERYTHING IN THIS EMAIL ESPECIAL THE ATTACHMENT DOCUMENT.
Goal and Objectives
For this assignment, you will need to identify your overall program goal and at least 2 process objectives, 1 impact objective and 1 outcome objective for the proposed intervention. Note that at this time you are still not telling the funder the specific details of the intervention. Though you do need SOME of the details so that you can identify you can develop your objectives. For now, you need to think about what you want to do (given the evidence) and what you want to accomplish.
Last, but not least – provide a paragraph explaining how you developed the goal and objectives. What did you consider when you developed the goal and objectives? Was this based on the evidence?Did you consider the possible predisposing, enabling and reinforcing factors? Why or why not? What theoretical model best aligns with your program goals and objectives? Please identify the model/theory. You do not need to go into lots of details here, I am just looking for how you are connecting the pieces so far. In your program narrative you will need to go into the theory and how it aligns specifically with what you are proposing.
Length: This assignment should be no more than 2 pages in length.
Citations: There is no required citations for this assignment.
Grading: This assignment will be evaluated on the description of the various factors and their identification, the content of the goal and objectives and overall connection to the information provided in the Health Profile I report. Work will also be evaluated on the requirements of the assignment provided above. Failure to complete all the requirements will result in a lower grade.
BELOW IS WHAT WE DID BEFORE SO FAR.
A Parent-Centered Childhood Obesity Prevention Progra
Childhood obesity is a serious issue in the United States and particularly in Alexandria, Virginia. More than 1/3 of the United States’ adults and approximately 17 percent (12.5million) of adolescents and children between 2 and 19 years are obese (The Community Guide, 2015). Despite the recent declines in obesity prevalence among the school-aged children, it is still too high among them. For kids and adolescents between the ages of 2 and 19 years, the prevalence remains fairly constant as 17 percent and affects approximately 12.7 million adolescents and children for the past decade (CDC, 2015, p.4).According to the Center for Disease Control and Prevention, obesity is a body mass index at or above ninety-fifth percentile for teens and children of the same sex and age. The BMI is a measure that is used in determining childhood overweight as well as obesity.
Obesity rates vary according to cities and states. However, this paper seeks to examine the prevalence of this condition among the population of Alexandria. According to the 2010 center for disease control, 32% of Virginia’s low-income children, ages 2-10, are overweight or obese (Childhood obesity Network action, 2013, p.1). For ages 11 to 17, 29.8 percent are currently overweight or obese (Childhood obesity Network action, 2013, p.2). Almost, 26.4% 100,000 children in Northern Virginia are either overweight or obese (Childhood obesity Network action, 2013, p .2). Moreover, among Alexandria children 43.5% are overweight or obese. These numbers are significantly higher compared to other children in Alexandria 23.5% of children ages2 to 19; 13.1% of children ages 11-14; 13.7% of children ages 15-18(Childhood obesity Network action, 2013, p.3). In addition to that, Alexandria children who are Hispanic (32.9% overweight/obese) or with income below 200 percent of the federal poverty level (29.9% overweight/obese) are particularly at risk (Childhood obesity Network action, 2013).
As a result of the above, the target population for this program will be children from the ages of 11 to thirteen. The main reasons for the excess weight among this group are similar to those in the adult group, including individual cases such as genetics and behavior. Behaviors can include inactivity, physical activities, dietary patterns, use of medication, among other exposures (Alexandria Health Department, 2015). Other contributing factors in Alexandria include the physical environment, educational skills, and fast food promotion campaigns. According to CDC (2015), the less access to supermarkets and stores which sell health and affordable food has contributed to obesity among children and adults, particularly in lower-income neighborhoods. Moreover, the portion sizes of unhealthy foods have increased in grocery stores, restaurants and vending machines (Mcconahy et al., 2004). Studies show that children and adolescents consume more without realizing they are eating larger portions. This implies that they consume a lot of calories, especially when takin in high-calorie meals (CDC, 2015).
According to the American Heart Association, about one in three children in the United States (Alexandria included) is obese or overweight. The prevalence of this condition in kids was increased by a factor of three from 1971 to 2011. With sufficient evidence, childhood obesity is currently a number one health concern, exceeding smoking and drug abuse. Among children today, it is causing a wide range of health complications which previously were not seen until adulthood. These conditions include type 2 diabetes, high blood pressure, and increased levels of blood cholesterol. In addition to that, obese children may experience some psychological effects since they are more vulnerable to depression, negative body image, and low self-esteem (American Heart Association, 2016). Moreover, they may experience sleep apnea, a condition which forces their neck tissues and heavy throat to sink in, leading to sleep interruptions. Additionally, their bones, as well as cartilages, become too weak to carry the excessive body weight, a condition that may result in slipped capital femoral epiphysis (Glavas & Horn, 2012). The additional weight among obese children requires more energy, forcing the heart to worker extra hard. This effect stiffens the muscles of the heart making its operation difficult and inefficient.
Other economic impacts include the rising costs of health insurance and an increase in mortality among the youth of Alexandria. In addition to the loss of productivity, obesity could lead to an increase in disability premium insurance and other payments. This kind of increase could reflect the loss of productivity beyond what absenteeism captures if the recipients are not able to hold a job. Moreover, the increase in disability rolls represents an increase in fiscal costs to the state.
There are some interventions that have been used to help mitigate the issue of childhood obesity and its associated impact. The inclusion of school-based physical activity along with a home components has helped in improving obesity outcomes. The combination of diet and physical activity at home and in schools also effectively improve outcomes. However, this program introduces a novel design for a family-centered intervention. The aim is to work collaboratively with adolescent parents to identify resources and assets necessary for curbing childhood obesity. This parent-centered program will have a number of advantages over the traditional interventions. First, it will foster parent or guardian engagement. Meetings will be held regularly to brainstorm and come up with better measures to enhance the program in existence. Second, it will build on the pre-existing Head Start assets and resources available to families including Family Fun Days and BMI reporting procedures. Finally, this program will foster sustainability through the use of techniques such as capacity building on issues of obesity and the significance of intervention.
Alexandria Childhood Obesity Action Network. (2013X). Retrieved October 04, 2016, fromhttp://healthieralexandria.org/healthylifestyles/
American Heart Association. (2016, July 05). Overweight in Children. Retrieved October 04, 2016, fromhttp://www.heart.org/HEARTORG/HealthyLiving/HealthyKids/ChildhoodObesity/Overweight-in-Children_UCM_304054_Article.jsp#.V_NrtqL6goM
Defining Childhood Obesity. (2015). Retrieved October 04, 2016, fromhttp://www.cdc.gov/obesity/childhood/defining.html
Glavas, P. P., & Horn, B. D. (2012). Slipped Capital Femoral Epiphysis. Pediatric Orthopedic Surgical Emergencies, 203-231. doi:10.1007/978-1-4419-8005-2_13
Mcconahy, K. L., Smiciklas-Wright, H., Mitchell, D. C., & Picciano, M. F. (2004). Portion size of common foods predicts energy intake among preschool-aged children. Journal of the American Dietetic Association, 104(6), 975-979. doi:10.1016/j.jada.2004.03.027
HEALTH PROFILE I Health Behaviors, Morbidity, and Mortality. (2015). Alexandria Health Department.
Obesity Prevention and Control. (n.d.). Retrieved October 04, 2016, fromhttp://www.thecommunityguide.org/obesity/index.htm