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Summarize this information AnalysisSouth Texas has the utmost strength in having accessible resources, with social services and hospitals being of high importance, furthermore there are numerous opportunities within the South Texas region of benefit and many are unaware. With inadequate knowledge, there is an increase in obesity throughout, but strictly in children. Social services such as immunization clinics, federal aiding programs such as Medicare, Medicaid, WIC, SNAP, etc. There are readily available hospitals in South Texas, in every city, if not there are emergency clinics available. Children lack the knowledge in school, with their parents, on television, with families and others. Families that do not have a good source of income or the knowledge of the resources mentioned, it is easier for them to resort to cheap unhealthy foods and fast food resulting in a rise of childhood obesity. Imbalanced Nutrition (more than body requirements) among South Texas children related to obesity rates secondary to lack of knowledge What clinical intervention should be developed to resolve this health problem? With the initiation of community health nurses visiting schools in the South Texas Region, they shall provide the education with the program we propose called, “Reach Healthy”, this intervention will include active participation of the children by teaching them how to make healthier choices whether that be at school or at home. This is done by using food in an appealing way both at eyesight and taste, such as using small amounts of sugar free juices, or sugar free condiments to supplement a breakfast or snack to make a happy face. In what way does the proposed intervention accommodate strengthens and weakness or needs of the community? With this program, it highlights nutritional needs for children as well as educating parents and local employees at school. This intervention is a great implementation and is cost efficient. Upon research, children obesity rates skyrocketed as they lacked knowledge at home and at school. Even with low income and the little they had, it was easier for them to eat a heated up pizza than eat fruit. This is a strength as once knowledge is instilled, it can never be taken away. This will also bring families help with the resources they never knew about. Since this intervention is being implemented at a very young age, it will be seen and carried on to others and encourage others in the community to do the same. Despite the positive in what this program will bring, there can result in them not compiling or seing the importance in doing so. Describe community resources/strengths that support this intervention. There has been a project implementation by local university in South Texas, in the prevention of obesity strictly in preschoolers ages 4, by creating the project, “STEPS Pre-K”, they educate and empower on nutritional needs in preventing obesity and comorbidities that come with obesity, but it is only in 2 school districts in the South Texas. They were funded with a 3- year grant from 2017-2020. During this time, it was noticed there was a decrease in obesity with their project. “The BCSHP, in large randomized studies, has been shown to reduce risk factors of children and it is recognized as evidence-based by the National Cancer Institute, the Agency for Healthcare Research and Quality and the Healthy Communities Institute” Identify Target Audience Who is your intervention trying to reach and why? Target Audience: Children Pre-Kindergarten- 5th grade (elementary schools) , families Why? In Texas 20.3% of youth ages 10 to 17 have obesity, giving Texas a ranking of 8 among the 50 states and D.C(State Obesity Data,2020). South Texas overall has significantly high rates of childhood obesity especially amongst Hispanics. It would be vital to target children ages 4- 10 because the likelihood of childhood obesity persisting into adulthood increases as the child ages. This puts the person at high risk of diabetes, high blood pressure, and heart disease. Target Audience Assessment What cultural, religious, or other factors may affect your target audience’s interaction with your project? The cultural factors that affect our target audience is the Hispanic culture. Almost 84 percent of the South Texas region’s total population was Hispanic, more than double the state’s Hispanic share. The region had the state’s highest concentration of Hispanics and lowest concentration of black (non Hispanic) residents, at slightly more than 1 percent. A study by the CDC reports that Non-Hispanic Black adults (49.6%) had the highest age-adjusted prevalence of obesity, followed by Hispanic adults (44.8%), non-Hispanic White adults (42.2%) and non-Hispanic Asian adults (17.4%). With hispanics being the second highest obesity prevalence in adults it is obvious that the hispanic culture lacks awareness about obesity. What have you done to address these factors in your project? It is vital to address the lack of awareness of obesity among the community. “Reach Healthy” will be inviting parents as well as teachers and campus child nutrition personnel to attend our weekly sessions to demonstrate healthy recipes as well as providing bilingual pamphlets to all children to take home that will bring awareness to preventative methods to decrease childhood obesity such as healthy diet and take home activities for children and parents to do together, reinforcing the importance of supporting children’s healthy habits at home. These bilingual pamphlets will also include the risks that childhood obesity puts on the person when they become adults. What is the intended outcome of the intervention for the community (i.e. what change in health status is anticipated from implementation of the recommended intervention)? Future Recommendations What are possible future interventions for each level of intervention (primary, secondary, and tertiary) based on your identified problem? Primary: Providing the education and knowledge to these children and their families about proper nutrition and the effects that eating a high sugar, fats, and processed diet can cause. Secondary: start a “mileage club” during the elementary schools physical education classes. Offering simple/healthy/age appropriate prizes to children at the end of the school year, or even quarterly, when they hit a target number of miles walked/jogged/ran. Through donations, fundraisers, and grant programs, the cost of all prizes would be covered. Even a Parent-Teacher Organization sponsored a field trip, at the end of the school year, for all children that participated and hit a designated number of miles. This would help children already obese or at risk of comorbidities to get active and have healthy snack education at the same time. Tertiary: for children already suffering from illnesses associated with obesity we would work closely with the school nurse for monitoring of children with diabetes to control the disease process. This would include glucose checks during school hours, breakfast, lunch, and school snack logs by the teacher for young children and the student for the older children, constant education for these individuals and how they can control their disease at home. The intended outcome for the intervention program is to instill knowledge in children at a young age about food, nutrition, and how to make positive choices for life. With instillation, we are expecting to see the obesity rate among preschool to adolescent age children decline by a measurable percentage. With help from teachers and the school nurses, we will be able to test the outcomes by lowering the need for pharmaceutical interventions, lowering the occurring persistent illness in the schools, and the amount of times children seek medical attention during the school year. Our timeline is through one school, fiscal, year and doing monthly checkups. How will you measure the extent to which desired outcomes are achieved? The school nurse will have documentation of how many times a child comes to the nurses office with an illness related to lack of consuming proper nutrition, attendance records of children being present and the number of documented physicians notes turned in, and upon monthly assessments evidence of a child’s weight gain/loss, vitals, and test of knowledge about healthy snacks/meals. Our team will provide classrooms with activity sheets of age appropriate tasks to test their retained knowledge about proper food choices.

 
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