Reduce Obesity
I.
Complications
Obese individuals are at risk of developing several potential health complications. It includes type II diabetes, osteoarthritis, and heart disease. Diabetes results because obesity impacts how insulin is used in the body in regulating sugar levels. Osteoarthritis is likely due to that a substantial weight exerts high pressure in the joints, while heart disease is common due to abnormal cholesterol levels (Kinlen et al.., 2018).
Risk factors
One of the leading risk factors for obesity is the socio-economic aspect. Individuals are recommended to eat healthy foods and exercise. However, certain groups in the country – the ones living in poverty – will be more affected as they lack the financial capacity to follow these guidelines (Broussard & Van Cauter, 2016).
Economy
Obesity has dire impacts on the United States of America and its citizens. It results in excess healthcare expenditure and a temporary or permanent loss of productivity, which happens when the obese individuals seek medical attention or become disabled, respectively (Tremmel et al., 2017).
Ref
Kinlen, D., Cody, D., & O’Shea, D. (2018). Complications of obesity. QJM: An International Journal of Medicine, 111(7), 437-443.
Broussard, J. L., & Van Cauter, E. (2016). Disturbances of sleep and circadian rhythms: novel risk factors for obesity. Current opinion in endocrinology, diabetes, and obesity, 23(5), 353.
Tremmel, M., Gerdtham, U. G., Nilsson, P. M., & Saha, S. (2017). Economic burden of obesity: a systematic literature review. International journal of environmental research and public health, 14(4), 435.
J.
Problem.
Obesity is a chronic condition whereby an individual’s weight is greater than what is normal. These individuals tend to have excessive quantities of body fat. Measuring of obesity is achieved by the use of BMI (Body Mass Index), which is calculated from the weight and height of an individual. Therefore, an adult with a BMI of between 25-29.9 is overweight, and past 30, obese.
Goal
To increase physical activity in the community.
Target Population
The program will be a two-fold. It will involve community-wide campaigns and the establishment of places for physical activity. The community-wide campaigns will involve the use of physical activity marketing strategies, such as radio, television, and print advertisements. To complement the increase in physical activity, the campaigns will enhance community capacity by strengthening and establishing social networks. Doing this will effectively bring about change because there will be collective ability in the community members. The second part of the program will be building facilities for physical activity, which will help evaluate the program’s goal. The facilities will be makeshift structures and will motivate individuals with skills, knowledge, and attitudes to be physically active. Nonetheless, the program will partner will the local administration and free press to maximally sensitize the community.
The program will be focused on Clearlake, as it is one of the poorest town in California, and will run for 6-months. It will study the number of individuals partaking in physical activity in the region. The participants will be above the age of 40 years.
Program Objective
Physical activity energy expenditure
EBP
This program utilizes the concepts of a previous intervention research conducted by Lillis et al., (2105). The study’s central theme was to impart self-regulation skills to individuals, notably obese ones. The skills consist of recognizing and committing to big-picture life values, mindful decision making, and preparedness to accept discomfort. In doing this, the authors utilized a new form of behavioral treatment, instead of using a traditional behavior program, which is the acceptance-based behavioral intervention.
Evaluation
In evaluating the physical activity energy expenditure, a SenseWear will be used. It is a type of accelerometer, and it will be useful in the assessment as it has high accuracy, easy to administer, and captures large amounts of data. It measures acceleration in real-time and senses motion in as far as three orthogonal planes; vertical, Mediolateral, and anteroposterior (Ainsworth et al., 2015). An increase in energy expenditure will be directly related to the increase in physical activity. In addition, the number of individuals enrolling in physical activity places will to act as a measurement of physical activity behavior.
Ref
Lillis, J., Niemeier, H. M., Ross, K. M., Thomas, J. G., Leahey, T., Unick, J., … & Wing, R. R. (2015). Weight loss intervention for individuals with high internal disinhibition: design of the Acceptance Based Behavioral Intervention (ABBI) randomized controlled trial. BMC psychology, 3(1), 1-10.
Ainsworth, B., Cahalin, L., Buman, M., & Ross, R. (2015). The current state of physical activity assessment tools. Progress in cardiovascular diseases, 57(4), 387-395.