For this evaluation prepare a power point presentation about your health promotion initiative. The length would equal the sections of your paper. For example, if your paper contains 8 sections, your presentation will be 8 slides plus the introduction and references, totaling 10 slides. 1. Describe the health problem. Using data and statistics support your claim that the issue you selected is a problem. What specifically will you address in your proposed health promotion program? Be sure your proposed outcome is realistic and measureable. (1-2 slides). 2. Describe the vulnerable population and setting. What are the risk factors that make this a vulnerable population? Use evidence to support the risk factors you have identified. (1-2 slides). 3. Present your health promotion/disease prevention theoretical framework or conceptual model that would best serve as the framework guiding the proposal. Provide rationale for your selection which includes discussion of the concepts of the selected model. (1 slide). 4. Present your health promotion program using an evidence-based intervention. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. Be certain to include a timeline. (1-2 slides) 5. Describe your intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. (1-2 slides). 6. Present your plan for evaluation for each outcome. (1-2 slides).  7. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1-2 slides). Follow the rule of 7 of professional presentations: Use no more than 7 lines of text per slide, with around 7 words per line. Explanations would be added to the notes sections or as a separate paper. Running head: ASSIGNMENT 2 ASSIGNMENT 2 Assignment 2 SMART Goal Planning Form Nutrition Florida National University Alina Rivero Health Promotion and Role Development in Advanced Nursing Practice Professor: Alexander Garcia Salas February 16, 2022 Smart Goal Planning Form When children are knowledgeable about the adverse effects of unhealthy nutrition on their health and the risk of complications brought by their diabetes conditions, there will be reduction of the risks and other associated complications to ensure that healthy body weight and a low BMI are attained by consumption of healthy diets within three months. Running head: HEALTH PROMOTION PROGRAM 2 HEALTH PROMOTION PROGRAM 2 Health Promotion Program Alina Rivero Paret Florida National University  April 09, 2022 Obesity is defined as a disorder that involves excess fat that leads to an increase in the risk of health issues. This condition results from the consumption of more calories than those which are burned through exercise activities or normal daily activities. A person is confirmed to be having obes ...

1. For this evaluation prepare a power point presentation about
your health promotion initiative. The length would equal the
sections of your paper. For example, if your paper contains 8
sections, your presentation will be 8 slides plus the introduction
and references, totaling 10 slides.
1. Describe the health problem. Using data and statistics support
your claim that the issue you selected is a problem. What
specifically will you address in your proposed health promotion
program? Be sure your proposed outcome is realistic and
measureable. (1-2 slides).
2. Describe the vulnerable population and setting. What are the
risk factors that make this a vulnerable population? Use
evidence to support the risk factors you have identified. (1-2
slides).
3. Present your health promotion/disease prevention theoretical
framework or conceptual model that would best serve as the
framework guiding the proposal. Provide rationale for your
selection which includes discussion of the concepts of the
selected model. (1 slide).
4. Present your health promotion program using an evidence-
based intervention. Include a thorough discussion of the
specifics of this intervention which include resources necessary,
those involved, and feasibility for a nurse in an advanced role.
Be certain to include a timeline. (1-2 slides)
5. Describe your intended outcomes. Describe the outcomes in
detail concurrent with the SMART goal approach. (1-2 slides).
6. Present your plan for evaluation for each outcome. (1-2
slides).

2. 7. Thoroughly describe possible barriers/challenges to
implementing the proposed project as well as strategies to
address these barriers/challenges. (1-2 slides).
Follow the rule of 7 of professional presentations: Use no more
than 7 lines of text per slide, with around 7 words per line.
Explanations would be added to the notes sections or as a
separate paper.
Running head: ASSIGNMENT 2
ASSIGNMENT 2
Assignment 2 SMART Goal Planning Form
Nutrition
Florida National University
Alina Rivero
Health Promotion and Role Development in Advanced Nursing
Practice
Professor: Alexander Garcia Salas
February 16, 2022

3. Smart Goal Planning Form
When children are knowledgeable about the adverse effects
of unhealthy nutrition on their health and the risk of
complications brought by their diabetes conditions, there will be
reduction of the risks and other associated complications to
ensure that healthy body weight and a low BMI are attained by
consumption of healthy diets within three months.
Running head: HEALTH PROMOTION PROGRAM 2
HEALTH PROMOTION PROGRAM 2
Health Promotion Program
Alina Rivero Paret
Florida National University
April 09, 2022
Obesity is defined as a disorder that involves excess fat
that leads to an increase in the risk of health issues. This
condition results from the consumption of more calories than
those which are burned through exercise activities or normal
daily activities. A person is confirmed to be having obesity
when the body mass index is 30 or more. Obesity is a common,
severe, and costly public health issue. Over 40 percent of the

4. United States adults (42.5 percent) of age 20 years and above
are obese. Additionally, 21.1 percent of adolescents of age 12-
19, 20.3 percent of children of ages 6-11, and 13.4 percent of
children aged 2-5 years have been confirmed to be obese. Even
though this condition is effectively managed through a healthy
lifestyle, little attention is put to the role played by this
intervention. Physical exercise and healthy eating have been
confirmed to be playing an important role in the reduction of
obesity risks (Connecticut State, Department of Public Health,
2022). Therefore, this paper is focused on discussing a proposed
health promotion program using the evidence-based intervention
i.e. nutrition, physical activity, and obesity program.
Nutrition, Physical Activity, and Obesity (NPAO) health
promotion program
The obesity epidemic does not have a single or simple
solution and it is considered to be a complex issue that requires
a multifaceted strategy. The policymakers; the state as well as
the local organizations; the business, the school, and the
community leaders; the childcare and healthcare professionals;
and individuals are expected to work together to help in the
creation of an environment that supports healthy lifestyles.
The NPAO program is focused on the provision of quality
education and supporting the implementation of public health
policies, systems, and environmental change (PSE) approaches.
The focus is to promote healthy eating and active living for
individuals of all ages (Pearce et al., 2019). Healthy eating and
physical activeness have been confirmed to be important in the
maintenance of healthy body weight and the prevention of the
risk of developing chronic illnesses.
Changing eating habits is important for the loss and
maintenance of weight. To ensure there is a loss of weight,
individuals need to eat fewer calories and utilize more calories
than what has been taken. Even though this can be a challenging
procedure, sticking to the plan can be important in the reduction
of the weight and maintenance of a healthy weight. Based on the
NPAO health promotion program, following a healthy eating

5. plan is influenced by various factors such as age, weight,
metabolism, food preferences, access to food, culture, and
traditions. Under this health promotion program, a healthy
eating plan is encouraged and it includes a variety of
vegetables, fruits, and whole grains like oats, brown rice, and
whole-wheat bread (Pearce et al., 2019). There are also fat-free
or low-fat dairy products like milk, yogurt, and cheese;
consumption of various protein foods that include seafood, lean
meats, and poultry, legumes, nuts, soy products, and seeds; oils
like olive and canola oils.
The healthy eating plans under the NPAO health promotion
also include the consumption of fewer foods and beverages that
contain refined carbohydrates, sodium, and added sugars. The
eating plan encouraged in the community also includes the
control portion size and restricting foods that have saturated
fats and trans fats. The required or defined physical exercise
promoted in the community is a regular physical activity that
takes at least 150 minutes every week and it’s characterized by
moderate to intense aerobic activity like brisk walking.
Moderate to the intensity aerobic physical activity is important
in making the heart beat faster and making a person breathe
harder (CDC, 2021). This type of exercise does not overwork or
overheat a person, therefore, they are considered to be safe for
most individuals. Individuals with physical disabilities can take
part in physical activities such as wheelchair aerobics or
basketball. Before the engagement of the individuals in the
physical activities, a thorough assessment of health condition is
done to find the presence of heart disease, high blood pressure,
or diabetes. The assessment is important in determining the type
or the amount of physical activity that suits the lifestyle,
interest, and skills.
The successful attainment of the expected outcome from
the implementation of the NPAO health promotion program
involves various activities. The targeted individuals are
expected to ensure that there is adherence to the proposed
activities (CDC, 2021). Some of the activities that can be

6. performed include keeping track of the body weight, sticking to
a healthy eating plan, ensuring that there is an ongoing regular
physical activity, and taking part in the weight loss maintenance
program.
Intended Outcomes
The NPAO health promotion program is targeted at
developing a comprehensive, integrated strategy for
enhancement of the nutrition and physical activity to help in the
reduction of obesity in the community. The implementation of
the program is aimed at achieving specific outcomes (Pearce et
al., 2019). In this case, the expected outcomes, in this case,
include an increase in the physical activity, an increase in the
consumption of the fruits and vegetables, a reduction in the
consumption of the sugar-sweetened beverages, an increase in
the initiation and duration of the breastfeeding, a reduction in
the consumption of the high-energy dense foods, and the
reduction in the rates of the television watching.
Detailed Plan for Evaluation for Each Outcome
The evaluation of the health promotion program helps in
providing the information that allows states to help in the
successful development and implementation of the plan
effectively and efficiently (Connecticut State, Department of
Public Health, 2022). The plan for the evaluation can involve
the collection of the information from the baseline data and this
means the data on the amount of physical activity, the amount
of the fruits and vegetables consumed by the population, the
amount of sugar-sweetened beverages consumed, the duration
and how often breastfeeding is initiated, the amount of energy-
dense foods consumed, and the number of hours spent while
watching the television.
Following the successful implementation of the program, it
is expected that there will be an improvement in the physical
activities, an increase in the consumption of healthy foods such
as fruits and vegetables, a reduction in the amount of the
energy-dense foods, and a reduction in the number of hours
spent on watching television. There will be an improvement in

7. the level of satisfaction and the attitudes of the participants in
the development process (Connecticut State, Department of
Public Health, 2022). The information can be used to help in
strengthening the activities such as the improvement of the
shareholder’s engagement, stimulation of the partnership
formation, and identification of the suitable content and
objectives for the plan.
The Potential Barriers or Challenges Towards the
Implementation of the Proposed Project
The implementation of the NPAO program helps in
attaining the excellent results and activities that lead to the
reduction of the individual risk of obesity disease. There are
various interventions such as the NPAO intervention that have
been proposed to help in addressing the issue of obesity within
the community, nevertheless, there are various challenges and
barriers that affect the attainment of the expected outcomes.
One of the barriers that affect the successful
implementation of the NPAO health promotion program is the
culture. One of the interventions under NPAO is the promotion
of healthy eating and avoidance of unhealthy foods that expose
individuals to the risk of obesity. However, this intervention
might not come to reality as a result of the cultural and
traditional practices. There are individuals in the community
who believe in the traditional practices and often consume
unhealthy traditional foods whose value and nutritional contents
are not known (Connecticut State, Department of Public Health,
2022). Based on these traditional practices, it is becoming hard
to convince these people to quit such practices thus affecting
the efforts put in place to ensure that there is a reduction in the
consumption of unhealthy foods.
The other challenge is the language barrier which affects
the communication with the individuals in the community. The
language barrier is also affecting the rates at which individuals
seek healthcare services for example the early screening process
for the obesity risks. The language barrier affects the realization
of effective communication and education to the population

8. about some of the healthy practices that need to be adopted to
reduce the risk of obesity diagnosis (Albury et al., 2020). The
language barrier makes it hard to reach a specific group of the
population and inform them about the available resources on
obesity diseases, the risk factors, and the healthy practices that
can be adopted to ensure that there is a reduced rate of obesity
diseases within the society.
The other barrier is linked to the lack of commitment from
the healthcare providers, government, and the population in
general. Even though health education can be provided about
the role of nutrition and physical activity in the reduction of the
risk and complications of obesity disease, not all patients or
community individuals will adhere to the recommendations
made under the NPAO health promotion program (Coupe et al.,
2019). The adherence to the proposed recommendation requires
the willingness and the readiness of the targeted population.
The adherence to the recommendations based on the
proposed NPAO intervention is also affected by the busy
working schedules in the places of work. Many adults find it
hard to prepare food at home and carry it to their workplaces.
This means that the only source of foods that can be easily
accessed is fast foods whose contents are not well known. These
behaviors increase the risk of the individual to obesity illness
and make it hard to implement the NPAO interventions (Brown
& Perrin, 2018). The type of work performed by some groups of
people requires them to spend several hours in the office and
find it hard to create time for physical exercise as a result of
their work and family schedules.
Due to the rise in chronic illness, there is a growth in the
number of patients seeking healthcare services. The ratio of
nurses to patients is becoming a major concern since few nurses
are available to handle the growing number of patients.
Therefore, it is sometimes becoming impossible for the majority
of the nurses to engage in other health promotion practices such
as community health education that targets the promotion of
healthy living (Bump, 2018). As a result, the lack of awareness

9. about obesity disease, the prevention measures, and the poor
knowledge of the risk associated with obesity has resulted in the
rise of obesity incidences within the community. The rise in
obesity incidences within these communities is linked to
environmental, social, and genetic factors.
The fight against obesity in the community is also affected
by the lack of commitment from governmental agencies. The
lack of commitment from both the local, state, and federal
governments affects the fights against obesity and this implies
that the implementation of the NPAO health promotion program
is affected hence making it hard to reduce this incidence within
the society. The government is making little effort to ensure
that the companies producing fast food products adhere to the
rules. There is a growth in fast-food products and the targeted
individuals are children and adults working in the busy
schedules in the organizations (Bump, 2018). These adults lack
time to cook their foods at home, therefore, choose to buy fast
foods whose contents are not well described in the labeling of
these products. Therefore, the problem of obesity begins at a
younger age as a result of the poor control laws on the firms
that produce these fast foods in the country.
Strategies to Addressing the Barriers or Challenges
The successful implementation of the NPAO health
promotion program requires effective solutions to the barriers
mentioned above. It is evident that culture affects the fight
against obesity, therefore, as a healthcare provider, it is
important to practice cultural competency to ensure that there is
support and understanding of the traditional practices. When the
community feels understood and appreciated based on their
traditions and cultural values, they can listen to the new
proposals made by the providers (Jongen et al., 2018). As a
provider, it is important to appreciate such cultures while
informing them about the negative side of such cultures and the
potential replacement of the traditions. This helps in changing
the perceptions of the individuals within the community. The
cultural-competency also helps in ensuring that the interpreter

10. is employed to help in the effective communication with the
targeted individuals.
The other solution is focused on the role of the government
and its commitment to fighting the obesity disease. The
government must ensure that there is the existence of the strict
rules that register the food processing firms so that their
licenses can be revoked if they fail to adhere to the nutritional
value guidelines on the foods produced (Mozaffarian et al.,
2018). Government commitment is also required in ensuring
that the number of healthcare providers is increased (Kamal et
al., 2019). This is an important approach since it helps in
making sure that while some providers offer services at the
facility, some teams can be assigned to the local communities to
help in promoting health education on healthy behaviors so that
the population is secured from the risks associated with the
unhealthy behaviors.
References
Albury, C., Strain, W. D., Le Brocq, S., Logue, J., Lloyd, C.,
Tahrani, A., & Language Matters working group. (2020). The
importance of language in engagement between health-care
professionals and people living with obesity: a joint consensus
statement. The Lancet Diabetes & Endocrinology, 8(5), 447-
455. https://doi.org/10.1016/S2213-8587(20)30102-9
Brown, C. L., & Perrin, E. M. (2018). Obesity prevention and
treatment in primary care. Academic pediatrics, 18(7), 736-745.
https://doi.org/10.1016/j.acap.2018.05.004
Bump, J. B. (2018). Undernutrition, obesity, and governance: a
unified framework for upholding the right to food. BMJ Global
Health, 3(Suppl 4), e000886. http://dx.doi.org/10.1136/bmjgh-
2018-000886
CDC. (2021, June 7). Obesity is a common, serious, and costly
disease. Centers for Disease Control and
Prevention. https://www.cdc.gov/obesity/data/adult.html
Connecticut State, Department of Public Health. (2022, April
1). Nutrition, Physical Activity & Obesity Program. Retrieved

11. from https://portal.ct.gov/DPH/Health-Education-Management--
Surveillance/Nutrition-Physical-Activity-and-Obesity-
Prevention-Program/Nutrition-Physical-Activity--Obesity-
Prevention-Program
Coupe, N., Peters, S., Rhodes, S., & Cotterill, S. (2019). The
effect of commitment-making on weight loss and behavior
change in adults with obesity/overweight; a systematic
review. BMC Public Health, 19(1), 1-16.
https://doi.org/10.1186/s12889-019-7185-3
Jongen, C., McCalman, J., & Bainbridge, R. (2018). Health
workforce cultural competency interventions: a systematic
scoping review. BMC health services research, 18(1), 1-15.
https://doi.org/10.1186/s12913-018-3001-5
Kamal, A. H., Wolf, S. P., Troy, J., Leff, V., Dahlin, C.,
Rotella, J. D., ... & Myers, E. R. (2019). Policy changes are key
to promoting sustainability and growth of the specialty
palliative care workforce. Health Affairs, 38(6), 910-918.
https://doi.org/10.1377/hlthaff.2019.00018
Mozaffarian, D., Angell, S. Y., Lang, T., & Rivera, J. A.
(2018). Role of government policy in nutrition—barriers to and
opportunities for healthier eating. BMJ, 361.
Doi: https://doi.org/10.1136/bmj.k2426.
Pearce, C., Rychetnik, L., Wutzke, S., & Wilson, A. (2019).
Obesity prevention and the role of hospital and community-
based health services: A scoping review. BMC Health Services
Research, 19(1). https://doi.org/10.1186/s12913-019-4262-3
RUNNING HEAD: HEALTH PROGRAM PROPOSAL 1
HEALTH PROGRAM PROPOSAL 1
Health program proposal
Alina Rivero Paret
Florida National University

12. March 05, 2022
Obesity has increasingly become a global health Barking
concern in the modern era. Health organizations worldwide are
concerned about the increasing number of overweight and obese
adults in the world. The World Health Organization (WHO) has
facts that worldwide obesity rates have tripled since 1975, with
more than 1.9 billion adults being overweight in 2016, of which
650 million of these were obese ("Obesity and overweight,"
2021). In the United States, the prevalence of obesity increased
to 42.4% in 2017-2018 from 30.5% in 1999-2000. Obesity-
related diseases include stroke, heart attack, type 2 diabetes,
among other conditions (CDC, 2021). the above data shows that
obesity is a significant health concern in the community, and
there is an increasing need to sensitize the community on its
effects.
With the rising number of obese people in the population, the
need to create a health promotion program that helps sensitize
the community on the effects of obesity and how to prevent the
health threat increases every day. With a health promotion
program for obesity in place, the prevalence of obesity in
vulnerable communities would lower, and people would
establish healthier ways of living to avoid obesity. This
program will address the rising number of obesity-related
ailments and deaths in the affected communities. For this
program to be successful, much in-depth and personal research
needs to be done before health practitioners get to work on the
ground.
When well carried out, the research will give the practitioners
accurate information on the obesity situation in a selected
community or area. Without this research, the health officials
would be working on guesswork which could prove futile since
not all areas have the same obesity prevalence data. After
analysis, the strategy created will depend on the data collected.

13. In high obesity-prevalence areas, the groundwork will be on
reducing the number of obese occupants through processes such
as counseling, guidance, and promotion of a healthy lifestyle.
The groundwork in low-prevalence areas would mainly be on
maintaining these low numbers while also advocating for a
healthier lifestyle and preventing obesity.
Several populations are more at risk of getting obese than
others. These groups include; children, low-income individuals,
individuals above 65 years old, and rural populations. Most of
these groups are vulnerable to getting obesity over several pre -
disposed factors. These factors may be cultural, behavioral,
socio-demographic, or biological (Stevens et al., 2017, p. xx).
Some risk factors for obesity can be changed while others
cannot. With those risk factors that cannot be changed, getting
obesity can be reduced by maintaining a healthy lifestyle. Some
of these risk factors include; lack of physical activity, unhealthy
eating behaviors, lack of enough sleep, too much stress, age,
unhealthy environments, and family history (U.S. Department of
Health & Human Services, n.d.). Most of these risk factors span
the various vulnerable groups mentioned above, but some are
more group-specific than others.
With the above data search done on a general scope, there is no
doubt that a more thorough targeted research could reveal more
community-specific values that would assist in the formulation
of effective strategies to combat the prevalence of obesity.
Health practitioners could use search research as the base for
their work on patients of obesity so that they can make more
targeted treatments on the population. For example, an old
obese person over 65 years of age will be prioritized in
treatment since they could fall more vulnerable in a specific
population setting. This would show that different population
settings have different prevalence rates of obesity [ and the
need to do in-depth personal research in a community before
commencing on any health problem would be of utmost
importance.
Obesity is ranked as the fifth cause of death globally. This

14. would place it among the top preventable causes of death
worldwide. There exist several evidence-based strategies to
combat the problem of obesity. A review of the process of
obesity screening shows that most doctors do not follow the
process of screening for obesity during check-ups. This review
supported obesity screening combined with referral to quality
intervention services for all healthcare patients and showed that
most health practitioners do not follow this due process. The
review supported that health service providers incorporate
obesity screening in their medical check-ups (Pearce et al.,
2019, p. xx).
The journal of the association of American nurse practitioners
concludes that the modest weight loss of even 5% -10% of body
weight could help reduce the prevalence of obesity. The journal
uses current figures and statistics to conclude the reduction of
body weight as a strategy to reduce the prevalence of obesity in
the population. It also outlines ways nursing practitioners may
help individuals achieve weight loss (Fruh, 2017, p. xx).
The evidence-based strategies outlined in the above journals
will be helpful in the health program. The document's research
and conclusions clearly show that obesity is a preventable
disease if healthcare professionals test for it during regular
medical check-ups. Both reviews show an in-depth look at the
problem of obesity and how it could be prevented and treated.
However, to fully incorporate the research into the health
program model, several changes must be made to impact a
community effectively. Both pieces of research have to have
their numbers adjusted to fit the community we are working in.
this could cause the research not to hold water in certain areas
as both were carried out on a generalized global scope.
This health program will incorporate field research before
embarking on the job, which will tackle the problem of obesity
in the community. The research will be based on age, ethnicity,
race, genetic disorders, and family history. In addition to
screening for obesity, a weight loss program and exercise
program will be incorporated into the general health promotion

15. program. This helps more people reduce obesity and those not
overweight to maintain their body mass index. Using electronic
media, public gatherings, sports activities, and one-on-one
obesity campaigns will also help sensitize the community on the
dangers of obesity.
References
CDC. (2021, June 7). Obesity is a common, serious, and costly
disease. Centers for Disease Control and
Prevention. https://www.cdc.gov/obesity/data/adult.html
Fruh, S. M. (2017). Obesity. Journal of the American
Association of Nurse Practitioners, 29(S1), S3-
S14. https://doi.org/10.1002/2327-6924.12510
Obesity and overweight. (2021, June 9). WHO | World Health
Organization. Retrieved March 5, 2022,
from https://www.who.int/news-room/fact-sheets/detail/obesity-
and-overweight
Pearce, C., Rychetnik, L., Wutzke, S., & Wilson, A. (2019).
Obesity prevention and the role of hospital and community-
based health services: A scoping review. BMC Health Services
Research, 19(1). https://doi.org/10.1186/s12913-019-4262-3
Stevens, J., Pratt, C., Boyington, J., Nelson, C.,
Truesdale, K. P., Ward, D. S., Lytle, L., Sherwood, N. E.,
Robinson, T. N., Moore, S., Barkin, S., Cheung, Y. K., &
Murray, D. M. (2017). Multilevel interventions targeting
obesity: Research recommendations for vulnerable
populations. American Journal of Preventive Medicine, 52(1),
115-124. https://doi.org/10.1016/j.amepre.2016.09.011
U.S. Department of Health & Human Services.
(n.d.). Overweight and obesity. Advancing Heart, Lung, Blood,
and Sleep Research & Innovation | NHLBI,
NIH. https://www.nhlbi.nih.gov/health-topics/overweight-and-
obesity