The document summarizes a study examining the relationships between personality, motivation, and consumer decisions regarding weight loss products and services. It outlines hypotheses that personality traits like extroversion and conscientiousness may correlate with weight loss success. It also hypothesizes that self-image will be a primary motivator for initiating weight loss. The study involved a questionnaire and personality test completed by 46 female participants. Results found little evidence that personality determines program preference or success, but did indicate respondents struggle to maintain weight loss long-term. Understanding factors influencing consumer purchases can help marketers better position products.
A randomized controlled trial tested the efficacy of a web-based behavioral weight loss intervention compared to usual care among obese primary care patients with hypertension. The intervention included self-monitoring tools, health coaching calls, and social support forums accessible via website. At 12 weeks, those in the intervention lost more weight on average than the control group. Website logins were associated with greater weight loss. The study provided preliminary evidence for web-based obesity interventions in primary care but had limitations including short duration and small sample size.
Case study pantene’s solution for bad hair days pantene made its dehoney690131
Pantene sought to address falling sales by developing a mobile app called Haircast to help consumers address bad hair days. The app provided localized weather forecasts and humidity levels to advise users on appropriate Pantene products. Pantene partnered with The Weather Channel for credibility and promoted Haircast through mobile and social media advertising. Post-campaign metrics showed a 10% sales increase at Walgreens and 24% year-over-year growth, exceeding goals and contributing to a 4% category lift. Pantene increased merchandising by 37.5% through in-store displays.
Dr. Daniel Berman has extensive experience in healthcare administration, nursing, and education. He currently serves as Chief Innovation Officer at the Center for Health Practitioner Innovations in Florida. He has held leadership roles such as director of nursing and case management. Berman has taught at several universities and developed healthcare administration courses. He maintains professional licenses and memberships in numerous healthcare-related organizations.
Neha Kumar, IFPRI - Evidence review on women's group platforms and pathways t...POSHAN
Presentation made at an IFPRI event on "What Lies Beneath:
Women’s and Girls’ Wellbeing as a Critical Underpinning of India’s Nutritional Challenge" on December 10, 2018, in New Delhi
draft adult participation in excercise-3Oliver Oxby
This study examined barriers and motivations for exercise participation among adults in South Bradford. Questionnaires were given to two groups - a weight maintenance group and weight loss group. Barriers identified included lack of time, cost, lack of confidence in joining a gym, and associating exercise with boredom. The weight maintenance group exercised more minutes per week than the weight loss group, but the weight loss group exercised more times per week. Limitations included a small sample size focused only on clients of one company.
This document provides biographical information on Bradley Gray including his education and professional experience. Gray has a PhD in Economics from University of Wisconsin-Madison and has held several research positions focusing on health economics, health policy, and quality of care. He has published numerous peer-reviewed papers on these topics and is currently a senior researcher at the American Board of Internal Medicine.
This document summarizes a study that classified veterans based on their long-term trends in primary care use between the VA healthcare system and Medicare from 2000 to 2012. It identified 4 groups - one that was low users of both, one that was heavy VA/light Medicare users, and two that were heavy Medicare/light VA users. The study found that veterans who were heavy VA users had greater health risks, poorer health behaviors, and higher social risks compared to those who were heavy Medicare users. The results suggest that heavy VA users who choose VA over Medicare represent the most at-risk veteran population.
How Does U.S. Health Care Quality Compare Internationally?edocteur
The document compares the quality of health care in the United States to other developed countries. It discusses several key findings:
1) Life expectancy in the US is lower than average among developed countries, though it is above the OECD average at age 65. The US also has higher rates of "amenable mortality" - deaths that could potentially be prevented by health care.
2) Studies of specific health conditions have found mixed results, with the US performing better than peers for some conditions but worse for others. International comparisons of health care quality are limited by differences in data collection across countries.
3) Available evidence suggests opportunities for the US to improve quality in areas like prevention and management of chronic diseases, where access
A randomized controlled trial tested the efficacy of a web-based behavioral weight loss intervention compared to usual care among obese primary care patients with hypertension. The intervention included self-monitoring tools, health coaching calls, and social support forums accessible via website. At 12 weeks, those in the intervention lost more weight on average than the control group. Website logins were associated with greater weight loss. The study provided preliminary evidence for web-based obesity interventions in primary care but had limitations including short duration and small sample size.
Case study pantene’s solution for bad hair days pantene made its dehoney690131
Pantene sought to address falling sales by developing a mobile app called Haircast to help consumers address bad hair days. The app provided localized weather forecasts and humidity levels to advise users on appropriate Pantene products. Pantene partnered with The Weather Channel for credibility and promoted Haircast through mobile and social media advertising. Post-campaign metrics showed a 10% sales increase at Walgreens and 24% year-over-year growth, exceeding goals and contributing to a 4% category lift. Pantene increased merchandising by 37.5% through in-store displays.
Dr. Daniel Berman has extensive experience in healthcare administration, nursing, and education. He currently serves as Chief Innovation Officer at the Center for Health Practitioner Innovations in Florida. He has held leadership roles such as director of nursing and case management. Berman has taught at several universities and developed healthcare administration courses. He maintains professional licenses and memberships in numerous healthcare-related organizations.
Neha Kumar, IFPRI - Evidence review on women's group platforms and pathways t...POSHAN
Presentation made at an IFPRI event on "What Lies Beneath:
Women’s and Girls’ Wellbeing as a Critical Underpinning of India’s Nutritional Challenge" on December 10, 2018, in New Delhi
draft adult participation in excercise-3Oliver Oxby
This study examined barriers and motivations for exercise participation among adults in South Bradford. Questionnaires were given to two groups - a weight maintenance group and weight loss group. Barriers identified included lack of time, cost, lack of confidence in joining a gym, and associating exercise with boredom. The weight maintenance group exercised more minutes per week than the weight loss group, but the weight loss group exercised more times per week. Limitations included a small sample size focused only on clients of one company.
This document provides biographical information on Bradley Gray including his education and professional experience. Gray has a PhD in Economics from University of Wisconsin-Madison and has held several research positions focusing on health economics, health policy, and quality of care. He has published numerous peer-reviewed papers on these topics and is currently a senior researcher at the American Board of Internal Medicine.
This document summarizes a study that classified veterans based on their long-term trends in primary care use between the VA healthcare system and Medicare from 2000 to 2012. It identified 4 groups - one that was low users of both, one that was heavy VA/light Medicare users, and two that were heavy Medicare/light VA users. The study found that veterans who were heavy VA users had greater health risks, poorer health behaviors, and higher social risks compared to those who were heavy Medicare users. The results suggest that heavy VA users who choose VA over Medicare represent the most at-risk veteran population.
How Does U.S. Health Care Quality Compare Internationally?edocteur
The document compares the quality of health care in the United States to other developed countries. It discusses several key findings:
1) Life expectancy in the US is lower than average among developed countries, though it is above the OECD average at age 65. The US also has higher rates of "amenable mortality" - deaths that could potentially be prevented by health care.
2) Studies of specific health conditions have found mixed results, with the US performing better than peers for some conditions but worse for others. International comparisons of health care quality are limited by differences in data collection across countries.
3) Available evidence suggests opportunities for the US to improve quality in areas like prevention and management of chronic diseases, where access
Involvement of hub nurses in hiv policy developmentAlexander Decker
This document summarizes a study on the involvement of nurses in HIV policy development in Nyanza Province, Kenya.
1. The study found that nurses are involved in policy development at local and district levels but their involvement is still minimal at provincial and national levels. Linkages and collaborations with other organizations provided the greatest benefit.
2. Nurses perceived they were more involved in policy implementation than formulation due to lack of knowledge and skills. They also lacked confidence to participate.
3. Benefits of involvement included improved nursing care, support from workplaces, and relationships built with other health professions through collaborations. Linkages were formed with government departments, NGOs, communities, and learning institutions.
This document discusses team-based care in the context of the patient-centered medical home (PCMH) model. It outlines six key qualities of effective team-based care: 1) a physician servant leader, 2) a clear mission and goals, 3) defined roles, 4) strong communication, 5) optimized systems, and 6) enhanced training. The article then provides strategies for implementing team-based care in small practices, noting they have limited resources but are adaptable, and in larger practices with multiple locations. Overall, the document emphasizes that developing the right team is essential before practices can transform to the patient-centered medical home model.
This document summarizes research on worksite wellness programs conducted over several decades. It discusses:
1. Studies implemented in over 100 worksites of various sizes, reaching over 100,000 people and achieving participation rates of 75% or more. These studies reduced cardiovascular disease (CVD) risks by 50% or more.
2. Later research tested different models of worksite wellness programs and found that programs offering personal outreach, counseling, and ongoing follow-up achieved greater improvements in health risks like high blood pressure than programs relying only on health education.
3. Subsequent studies confirmed that worksite programs can effectively address health issues like alcohol use when they incorporate screening, individual outreach, and a
Evaluating a mobile app for healthier snacking behavioursYitong HUANG
Randomised Controlled Trials of full vs. Lite version of the app yielded confusing yet intriguing results. New questions were generated for qualitative research in the next phase of the study.Presented by Yitong Huang (Echo) on 25 June 2014 at Festival for Digital Health, London.
Manuscript GNUR741 Diabetes group visit in a primary careSelma Mujezinovic
This document summarizes a study that evaluated the effectiveness of group visits for diabetes management compared to individual appointments. The study found that patients who participated in 6 monthly 90-minute group visits showed statistically significant improvements in A1C, LDL, and systolic blood pressure over 6 months compared to patients receiving standard individual care, with the exception of diastolic blood pressure. Group visits incorporated education, monitoring, and support from healthcare providers and peers. This low-cost group approach could help address the growing burden of diabetes care if implemented widely.
- Falls are the most common adverse event in inpatient settings in the US, with 424,000 deaths annually and 37.3 million medical attendances resulting from falls.
- At New York Presbyterian Hospital's 5C medical-surgical unit, the fall rate is approximately 3 falls per month, with 3 of those falls resulting in injury over the past year.
- By designating a "falls champion" nurse on each shift to oversee fall prevention protocols and education, the authors hope to reduce fall rates and improve patient safety compared to the unit's current fall prevention practices of bed alarms, bracelets, and signage.
2013 community health workers nej mp1305636Roger Zapata
This document discusses the potential for community health workers (CHWs) to improve health outcomes and reduce costs in the United States. It makes three key points:
1) CHWs have been shown to be effective in improving health in multiple areas like maternal/child health and chronic disease management in other countries. Expanding CHWs in the US could improve health and create new jobs.
2) There are three models for organizing CHWs in the US - as extensions of hospitals, through community non-profits, or through dedicated management organizations. More research is needed but CHW programs have shown potential to reduce costs for Medicaid/Medicare patients.
3) Policy changes like developing the evidence base on CH
The document discusses essential components for transforming healthcare delivery systems. It identifies leadership, collaboration, balancing regulation and creativity, health information systems, and research as key elements. It provides examples of research studying the adoption of evidence-based practices and the impact of interventions on outcomes like costs, falls, and pain management.
The survey found that care coordinators need more support and resources to help patients. Nearly 70% rely on colleagues and 60% use personally collected materials for referrals. 98% want additional support like online referral resources and networking. Over half preferred online referral resources. The survey identified needs for improved training, current information, and abilities to understand learning styles and listen to patients. Care coordinators help with various needs including education, appointments, insurance, and translation. More support is needed for their important role in improving health outcomes.
Ader et al (2015) The Medical Home and Integrated Behavioral Health Advancing...Ben Miller
This document discusses recommendations for advancing the integration of behavioral health and primary care. It recommends:
1. Building demonstration projects to test integrated care approaches and evaluate them using standardized measures.
2. Developing training programs for integrated care teams, which typically include the patient, primary care provider, behavioral health specialist, and care manager.
3. Implementing population-based strategies to improve behavioral health and strengthen relationships between practices and community resources.
New approaches for moving upstream how state and local health departments can...Jim Bloyd, DrPH, MPH
Growing evidence shows that unequal distribution of wealth and power across race, class, and gender produces the differences in living conditions that are “upstream” drivers of health inequalities. Health educators and other public health professionals, however, still develop interventions that focus mainly on “downstream” behavioral risks. Three factors explain the difficulty in translating this knowledge into practice. First, in their allegiance to the status quo, powerful elites often resist upstream policies and programs that redistribute wealth and power. Second, public health practice is often grounded in dominant biomedical and behavioral paradigms, and health departments also face legal and political limits on expanding their scope of activities. Finally, the evidence for the impact of upstream interventions is limited, in part because methodologies for evaluating upstream interventions are less developed. To illustrate strategies to overcome these obstacles, we profile recent campaigns in the United States to enact living wages, prevent mortgage foreclosures, and reduce exposure to air pollution. We then examine how health educators working in state and local health departments can transform their practice to contribute to campaigns that reallocate the wealth and power that shape the living conditions that determine health and health inequalities. We also consider health educators’ role in producing the evidence that can guide transformative expansion of upstream interventions to reduce health inequalities.
How the Affordable Care Act (ACA) and Medicaid Expansion Impacted Access, Cos...Chelsea Dade, MS
This paper presentation summarizes finding from the literature for my final paper in HLTHCOMM 410: The U.S. Healthcare System during Fall 2017. The presentation focuses on how the Affordable Care Act (ACA) and Medicaid expansion impacted access, quality, and cost of care, as well as population health, for the newly eligible group of non-elderly adults.
DSmith_Increasing Prevention Utilization among African Americans_The_6_18_App...Denise Smith
This document provides a literature review and proposes a system-level solution to increase utilization of preventive services among African Americans. It summarizes approaches at the individual, provider, and system levels. At the system level, it advocates for the Centers for Disease Control and Prevention's 6|18 Initiative, which aims to rapidly adopt evidence-based interventions for six high-burden conditions disproportionately impacting African Americans through alignment of public health, clinical care, payers and providers. The initiative has potential to benefit millions of African Americans covered by Medicare and Medicaid.
DSmith_Increasing Prevention Utilization among African Americans_The 6 18 App...Denise Smith
This document provides an overview of approaches to increase the utilization of preventative services among African Americans, including interventions at the individual, provider, and system levels. It discusses challenges with purely individual behavioral change approaches, such as a lack of consideration for social determinants of health. At the provider level, value-based payment models that incentivize high-value preventative care show promise but face issues around a lack of consensus on what constitutes "value" and a need for more research on interventions proven to benefit African Americans specifically. The document argues that a system-level intervention like the CDC's 6|18 Initiative, which identifies high-burden preventable conditions affecting African Americans and coordinates public health prevention resources, shows the most promise
This document discusses chronic disease self-management. It describes common models of self-management support like the Flinders Model and Stanford Model. The Flinders Model uses tools to assess self-management behaviors and create individualized care plans. The Stanford Model provides group-based education over 6 weeks. Effective self-management requires collaboration, personalized care plans, education, treatment adherence and monitoring. Australia is advancing chronic disease self-management through initiatives like the National Chronic Disease Strategy and workforce training to develop skills like motivational interviewing and health coaching.
Recovery from Addictions in Healthcare workers - by Ann Sparks (research synt...Ann Hinnen Sparks
This document provides background information for a proposed qualitative study examining the experiences and perceptions of healthcare practitioners in long-term recovery from addiction. The study aims to understand how perceptions of stigma, social support, and spirituality change throughout the recovery process. 18 participants who entered non-punitive recovery programs at least 5 years prior will be interviewed. Modeling and Role Modeling theory guides the study by taking a holistic, client-centered approach. Key concepts of stigma, social support, and spirituality are defined. The proposed method is a phenomenological analysis of interviews to identify themes in practitioners' recovery journeys and how their views have changed over time.
The document describes the use of the Roy Adaptation Model in caring for a patient diagnosed with breast cancer who underwent breast-conserving surgery. The Roy Adaptation Model evaluates patients across four modes of adaptation: physiologic, self-concept, role function, and interdependence. The case study applies the nursing process based on the Roy Adaptation Model by assessing the patient in the four modes and identifying nursing diagnoses to develop a holistic care plan. The goal is to increase the patient's adaptation through meeting needs across the four modes of the model.
Quantitative/Mixed-Methods
American InterContinental University
March 27, 2018
Running head: QUANTITATIVE/MIXED-METHODS
1
QUANTITATIVE/MIXED-METHODS
2
Quantitative/Mixed-Methods
Abstract
Case studies which are done in the field of medicine work towards improving the health of the population. There are some of the parts contained in case studies which are abstract, results, limitations of results, conclusions, and applications. The common statistical methods used in research are descriptive numerical and qualitative thematic analyses. The results of the studies show that equal participation of individuals in the health sector will help boost public health. Limitations of results are that although some strategies may work towards improving health sector, not all of them are effective.
Public health is an important sector in any country for it directly affects the economy of the nation. There need to be certain ways which should be employed with the aim of supporting and improving public health. In this paper, I am going to examine 4 contemporary peer-reviewed articles which employ quantitative or mixed-methods concerning ways on how to improve the health of the public. The interest of the paper is to aid in achieving the best impact in public health sector via using programs which will improve health outcomes drastically. Enhancement of public health will in return help to improve the well-being of populations across the world. Public health awareness on how to avoid unhealthy lifestyles should be created.
In the articles, samples and populations used were appropriate for it showed the real representative of the population at hand. All the samples used in the 4-contemporary peer-reviewed articles fulfilled the rule of thumb hence making them appropriate. The samples used were suitable for they were used to estimate the population parameters for it stood for the entire inhabitants. The samples used were larger but not too large to consume more resources of money and time. The larger sample has helped to produce accurate results making the samples valid and appropriate. The appropriateness of the samples used in these articles, it has been proved via usage of target variance. In using target variance an estimate to be derived from the model eventually attained.
Each article which has been used includes having results, limitations of results, conclusions, and applications. The first contemporary peer-reviewed article is entitled, Refugee women’s involvements of maternity-care facilities in Canada: a methodical review using a description synthesis written by Gina MA Higginbottom, Myfanwy Morgan, Miranda Alexandre, Yvonne Chiu, Joan Forgeron, Deb Kocay and Rubina Barolia. The article was published 11 February 2015. The results show that there needs to have a healthier understanding of the aspects that produce discrepancies in availability, adequacy, and outcomes during parenthood care (Higginbottom, Morgan, Alexandre, Chiu, Forg ...
This document provides a campaign plan book for Cultured Love, a specialty food company based in Grand Rapids, MI that produces various flavored sauerkrauts. It includes research conducted, target audience analysis, messaging, objectives, tactics, budget, timeline and evaluation plans for a promotional campaign.
Key findings from secondary research showed growing consumer awareness of and interest in specialty/functional foods and using food as medicine. Primary research through a focus group and survey of the target audience found that sampling the product, the company story and supporting local businesses would influence purchases, and over 50% said Facebook recommendations affect buying decisions. The campaign will target women ages 25-45 interested in healthy eating via social media like Facebook.
Involvement of hub nurses in hiv policy developmentAlexander Decker
This document summarizes a study on the involvement of nurses in HIV policy development in Nyanza Province, Kenya.
1. The study found that nurses are involved in policy development at local and district levels but their involvement is still minimal at provincial and national levels. Linkages and collaborations with other organizations provided the greatest benefit.
2. Nurses perceived they were more involved in policy implementation than formulation due to lack of knowledge and skills. They also lacked confidence to participate.
3. Benefits of involvement included improved nursing care, support from workplaces, and relationships built with other health professions through collaborations. Linkages were formed with government departments, NGOs, communities, and learning institutions.
This document discusses team-based care in the context of the patient-centered medical home (PCMH) model. It outlines six key qualities of effective team-based care: 1) a physician servant leader, 2) a clear mission and goals, 3) defined roles, 4) strong communication, 5) optimized systems, and 6) enhanced training. The article then provides strategies for implementing team-based care in small practices, noting they have limited resources but are adaptable, and in larger practices with multiple locations. Overall, the document emphasizes that developing the right team is essential before practices can transform to the patient-centered medical home model.
This document summarizes research on worksite wellness programs conducted over several decades. It discusses:
1. Studies implemented in over 100 worksites of various sizes, reaching over 100,000 people and achieving participation rates of 75% or more. These studies reduced cardiovascular disease (CVD) risks by 50% or more.
2. Later research tested different models of worksite wellness programs and found that programs offering personal outreach, counseling, and ongoing follow-up achieved greater improvements in health risks like high blood pressure than programs relying only on health education.
3. Subsequent studies confirmed that worksite programs can effectively address health issues like alcohol use when they incorporate screening, individual outreach, and a
Evaluating a mobile app for healthier snacking behavioursYitong HUANG
Randomised Controlled Trials of full vs. Lite version of the app yielded confusing yet intriguing results. New questions were generated for qualitative research in the next phase of the study.Presented by Yitong Huang (Echo) on 25 June 2014 at Festival for Digital Health, London.
Manuscript GNUR741 Diabetes group visit in a primary careSelma Mujezinovic
This document summarizes a study that evaluated the effectiveness of group visits for diabetes management compared to individual appointments. The study found that patients who participated in 6 monthly 90-minute group visits showed statistically significant improvements in A1C, LDL, and systolic blood pressure over 6 months compared to patients receiving standard individual care, with the exception of diastolic blood pressure. Group visits incorporated education, monitoring, and support from healthcare providers and peers. This low-cost group approach could help address the growing burden of diabetes care if implemented widely.
- Falls are the most common adverse event in inpatient settings in the US, with 424,000 deaths annually and 37.3 million medical attendances resulting from falls.
- At New York Presbyterian Hospital's 5C medical-surgical unit, the fall rate is approximately 3 falls per month, with 3 of those falls resulting in injury over the past year.
- By designating a "falls champion" nurse on each shift to oversee fall prevention protocols and education, the authors hope to reduce fall rates and improve patient safety compared to the unit's current fall prevention practices of bed alarms, bracelets, and signage.
2013 community health workers nej mp1305636Roger Zapata
This document discusses the potential for community health workers (CHWs) to improve health outcomes and reduce costs in the United States. It makes three key points:
1) CHWs have been shown to be effective in improving health in multiple areas like maternal/child health and chronic disease management in other countries. Expanding CHWs in the US could improve health and create new jobs.
2) There are three models for organizing CHWs in the US - as extensions of hospitals, through community non-profits, or through dedicated management organizations. More research is needed but CHW programs have shown potential to reduce costs for Medicaid/Medicare patients.
3) Policy changes like developing the evidence base on CH
The document discusses essential components for transforming healthcare delivery systems. It identifies leadership, collaboration, balancing regulation and creativity, health information systems, and research as key elements. It provides examples of research studying the adoption of evidence-based practices and the impact of interventions on outcomes like costs, falls, and pain management.
The survey found that care coordinators need more support and resources to help patients. Nearly 70% rely on colleagues and 60% use personally collected materials for referrals. 98% want additional support like online referral resources and networking. Over half preferred online referral resources. The survey identified needs for improved training, current information, and abilities to understand learning styles and listen to patients. Care coordinators help with various needs including education, appointments, insurance, and translation. More support is needed for their important role in improving health outcomes.
Ader et al (2015) The Medical Home and Integrated Behavioral Health Advancing...Ben Miller
This document discusses recommendations for advancing the integration of behavioral health and primary care. It recommends:
1. Building demonstration projects to test integrated care approaches and evaluate them using standardized measures.
2. Developing training programs for integrated care teams, which typically include the patient, primary care provider, behavioral health specialist, and care manager.
3. Implementing population-based strategies to improve behavioral health and strengthen relationships between practices and community resources.
New approaches for moving upstream how state and local health departments can...Jim Bloyd, DrPH, MPH
Growing evidence shows that unequal distribution of wealth and power across race, class, and gender produces the differences in living conditions that are “upstream” drivers of health inequalities. Health educators and other public health professionals, however, still develop interventions that focus mainly on “downstream” behavioral risks. Three factors explain the difficulty in translating this knowledge into practice. First, in their allegiance to the status quo, powerful elites often resist upstream policies and programs that redistribute wealth and power. Second, public health practice is often grounded in dominant biomedical and behavioral paradigms, and health departments also face legal and political limits on expanding their scope of activities. Finally, the evidence for the impact of upstream interventions is limited, in part because methodologies for evaluating upstream interventions are less developed. To illustrate strategies to overcome these obstacles, we profile recent campaigns in the United States to enact living wages, prevent mortgage foreclosures, and reduce exposure to air pollution. We then examine how health educators working in state and local health departments can transform their practice to contribute to campaigns that reallocate the wealth and power that shape the living conditions that determine health and health inequalities. We also consider health educators’ role in producing the evidence that can guide transformative expansion of upstream interventions to reduce health inequalities.
How the Affordable Care Act (ACA) and Medicaid Expansion Impacted Access, Cos...Chelsea Dade, MS
This paper presentation summarizes finding from the literature for my final paper in HLTHCOMM 410: The U.S. Healthcare System during Fall 2017. The presentation focuses on how the Affordable Care Act (ACA) and Medicaid expansion impacted access, quality, and cost of care, as well as population health, for the newly eligible group of non-elderly adults.
DSmith_Increasing Prevention Utilization among African Americans_The_6_18_App...Denise Smith
This document provides a literature review and proposes a system-level solution to increase utilization of preventive services among African Americans. It summarizes approaches at the individual, provider, and system levels. At the system level, it advocates for the Centers for Disease Control and Prevention's 6|18 Initiative, which aims to rapidly adopt evidence-based interventions for six high-burden conditions disproportionately impacting African Americans through alignment of public health, clinical care, payers and providers. The initiative has potential to benefit millions of African Americans covered by Medicare and Medicaid.
DSmith_Increasing Prevention Utilization among African Americans_The 6 18 App...Denise Smith
This document provides an overview of approaches to increase the utilization of preventative services among African Americans, including interventions at the individual, provider, and system levels. It discusses challenges with purely individual behavioral change approaches, such as a lack of consideration for social determinants of health. At the provider level, value-based payment models that incentivize high-value preventative care show promise but face issues around a lack of consensus on what constitutes "value" and a need for more research on interventions proven to benefit African Americans specifically. The document argues that a system-level intervention like the CDC's 6|18 Initiative, which identifies high-burden preventable conditions affecting African Americans and coordinates public health prevention resources, shows the most promise
This document discusses chronic disease self-management. It describes common models of self-management support like the Flinders Model and Stanford Model. The Flinders Model uses tools to assess self-management behaviors and create individualized care plans. The Stanford Model provides group-based education over 6 weeks. Effective self-management requires collaboration, personalized care plans, education, treatment adherence and monitoring. Australia is advancing chronic disease self-management through initiatives like the National Chronic Disease Strategy and workforce training to develop skills like motivational interviewing and health coaching.
Recovery from Addictions in Healthcare workers - by Ann Sparks (research synt...Ann Hinnen Sparks
This document provides background information for a proposed qualitative study examining the experiences and perceptions of healthcare practitioners in long-term recovery from addiction. The study aims to understand how perceptions of stigma, social support, and spirituality change throughout the recovery process. 18 participants who entered non-punitive recovery programs at least 5 years prior will be interviewed. Modeling and Role Modeling theory guides the study by taking a holistic, client-centered approach. Key concepts of stigma, social support, and spirituality are defined. The proposed method is a phenomenological analysis of interviews to identify themes in practitioners' recovery journeys and how their views have changed over time.
The document describes the use of the Roy Adaptation Model in caring for a patient diagnosed with breast cancer who underwent breast-conserving surgery. The Roy Adaptation Model evaluates patients across four modes of adaptation: physiologic, self-concept, role function, and interdependence. The case study applies the nursing process based on the Roy Adaptation Model by assessing the patient in the four modes and identifying nursing diagnoses to develop a holistic care plan. The goal is to increase the patient's adaptation through meeting needs across the four modes of the model.
Quantitative/Mixed-Methods
American InterContinental University
March 27, 2018
Running head: QUANTITATIVE/MIXED-METHODS
1
QUANTITATIVE/MIXED-METHODS
2
Quantitative/Mixed-Methods
Abstract
Case studies which are done in the field of medicine work towards improving the health of the population. There are some of the parts contained in case studies which are abstract, results, limitations of results, conclusions, and applications. The common statistical methods used in research are descriptive numerical and qualitative thematic analyses. The results of the studies show that equal participation of individuals in the health sector will help boost public health. Limitations of results are that although some strategies may work towards improving health sector, not all of them are effective.
Public health is an important sector in any country for it directly affects the economy of the nation. There need to be certain ways which should be employed with the aim of supporting and improving public health. In this paper, I am going to examine 4 contemporary peer-reviewed articles which employ quantitative or mixed-methods concerning ways on how to improve the health of the public. The interest of the paper is to aid in achieving the best impact in public health sector via using programs which will improve health outcomes drastically. Enhancement of public health will in return help to improve the well-being of populations across the world. Public health awareness on how to avoid unhealthy lifestyles should be created.
In the articles, samples and populations used were appropriate for it showed the real representative of the population at hand. All the samples used in the 4-contemporary peer-reviewed articles fulfilled the rule of thumb hence making them appropriate. The samples used were suitable for they were used to estimate the population parameters for it stood for the entire inhabitants. The samples used were larger but not too large to consume more resources of money and time. The larger sample has helped to produce accurate results making the samples valid and appropriate. The appropriateness of the samples used in these articles, it has been proved via usage of target variance. In using target variance an estimate to be derived from the model eventually attained.
Each article which has been used includes having results, limitations of results, conclusions, and applications. The first contemporary peer-reviewed article is entitled, Refugee women’s involvements of maternity-care facilities in Canada: a methodical review using a description synthesis written by Gina MA Higginbottom, Myfanwy Morgan, Miranda Alexandre, Yvonne Chiu, Joan Forgeron, Deb Kocay and Rubina Barolia. The article was published 11 February 2015. The results show that there needs to have a healthier understanding of the aspects that produce discrepancies in availability, adequacy, and outcomes during parenthood care (Higginbottom, Morgan, Alexandre, Chiu, Forg ...
This document provides a campaign plan book for Cultured Love, a specialty food company based in Grand Rapids, MI that produces various flavored sauerkrauts. It includes research conducted, target audience analysis, messaging, objectives, tactics, budget, timeline and evaluation plans for a promotional campaign.
Key findings from secondary research showed growing consumer awareness of and interest in specialty/functional foods and using food as medicine. Primary research through a focus group and survey of the target audience found that sampling the product, the company story and supporting local businesses would influence purchases, and over 50% said Facebook recommendations affect buying decisions. The campaign will target women ages 25-45 interested in healthy eating via social media like Facebook.
This document provides a table of contents and introduction for a marketing communication plan for Metabical, a new prescription weight loss drug. It summarizes the results of market research, which found that 65% of moderately overweight adults are dissatisfied with their current weight loss options. Women and younger consumers indicated a stronger interest in weight loss for appearance reasons, while older consumers prioritized health. The document outlines a situation analysis, including an identification of the overweight problem in the US, market analysis of survey results, and upcoming SWOT analysis to inform marketing strategy recommendations.
Write a letter to the editor of an academic or professional jo.docxwashingtonrosy
Write a letter to the editor of an academic or professional journal. The length and format of the letter is dictated by your choice of journal.
Note
: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.
Advocating for new policies is an important aspect of the master’s-prepared nurse. For new policies to be compelling they need to be supported by evidence. Supporting data can be used to illustrate why new policies and interventions are needed to help address a specific health issue. Compelling data can help sway the stakeholders and gain support for your policy.
SHOW LESS
Another aspect of advocacy is disseminating new policies and interventions outside of the immediate care environment. This can be done by reaching out to professional organizations as well as academic and professional journals. A letter to the editor is one strategy for disseminating information to a wider audience, and to potentially enlist support throughout the wider professional community.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Design evidence-based advanced nursing care for achieving high-quality population outcomes.
Evaluate the current state of the quality of care and outcomes for a specific issue in a target population.
Justify why a developed policy will be vital in improving the quality of care and outcomes for a specific issue in a target population.
Competency 2: Evaluate the efficiency and effectiveness of interprofessional interventions in achieving desired population health outcomes.
Analyze the ways in which interprofessional aspects of a developed policy will support efficient and effective achievement of desired outcomes for the target population.
Competency 3: Analyze population health outcomes in terms of their implications for health policy advocacy.
Analyze how the current state of the quality of care and outcomes for a specific issue in a target population necessitates health policy development and advocacy.
Advocate for policy development in other care settings with regard to a specific issue in a target population.
Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
Communicate in a professional and persuasive manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.
Competency Map
CHECK YOUR PROGRESS
Use this online tool to track your performance and progress through your course.
Toggle Drawer
ContextNurses have the opportunity to use their skills and develop pro ...
Running Head METHODS PAPER 1METHODS PAPER Dayana Lewa.docxtodd581
Running Head: METHODS PAPER 1
METHODS PAPER
Dayana Lewandowski
Florida International University
HSA 6717
March 3, 2020
METHODS PAPER 2
Background and Introduction
The National Health and Nutrition Examination Survey (NHANES) program studies the
design and nature of the health and nutrition basis as allocated to children and adults in the
United States of America. Data and data sets can be accessed that align to statistics that are vital
in delivery of field of health care attention and are significant measures of the health and
nutrition needs and requirements as needed. Disease prevention and control concentrates on
unleashing the responsibility of the health and nutrition delivered to patients and individuals in
access and distribution of health care. Health and nutrition are delivered to individuals in special
programs that focus on the essential needs of the people and the patients at large. Different
research designs have been examined to discover the impact and importance of good health and
nutrition to individuals in the day to day encounters.
Statement of the problem
The United States of America and other nations face one big problem of health and
nutrition which mainly focuses on altering the normal operations and functioning of the
individuals in their work on daily basis. Bad health services and awful nourishment bring down
the accomplishment of residents in the United States of America which thusly expands the
medical issues and different issues experienced in everyday experiences. Numerous individuals
are confronted with one significant issue of expanded wellbeing and sustenance issues which
caution on expanded impacts, melancholy, stress, monetary ineffectiveness among different
issues.
METHODS PAPER 3
Purpose of the study
The research is meant to discover and evaluate the importance and implications of good
health and nutrition to citizens in effort to solve the social and economic issues that arise from
deteriorated and reduced health and nutrition in the United States of America. The study will
apply different designs that create alarm on the importance of good health and nutrition as
uncovered and as provided by the National Health and Nutrition Examination Survey
(NHANES). Bad health care and bad nutrition lowers the success of citizens in the United States
of America which in turn increases the health problems and other issues experienced in the day
to day encounters. Many people are faced with one major problem of increased health and
nutrition issues which alarm on increased effects, depression, stress, economic unproductivity
among other issues.
Literature review
According to the data and information reviewed from the National Health and Nutrition
Examination Survey (2018), health and nutrition plays an important role in the development of
every individual because total disease and other defects on the nutrition normally affects the way
and .
Running Head METHODS PAPER 1METHODS PAPER Dayana Lewa.docxglendar3
Running Head: METHODS PAPER 1
METHODS PAPER
Dayana Lewandowski
Florida International University
HSA 6717
March 3, 2020
METHODS PAPER 2
Background and Introduction
The National Health and Nutrition Examination Survey (NHANES) program studies the
design and nature of the health and nutrition basis as allocated to children and adults in the
United States of America. Data and data sets can be accessed that align to statistics that are vital
in delivery of field of health care attention and are significant measures of the health and
nutrition needs and requirements as needed. Disease prevention and control concentrates on
unleashing the responsibility of the health and nutrition delivered to patients and individuals in
access and distribution of health care. Health and nutrition are delivered to individuals in special
programs that focus on the essential needs of the people and the patients at large. Different
research designs have been examined to discover the impact and importance of good health and
nutrition to individuals in the day to day encounters.
Statement of the problem
The United States of America and other nations face one big problem of health and
nutrition which mainly focuses on altering the normal operations and functioning of the
individuals in their work on daily basis. Bad health services and awful nourishment bring down
the accomplishment of residents in the United States of America which thusly expands the
medical issues and different issues experienced in everyday experiences. Numerous individuals
are confronted with one significant issue of expanded wellbeing and sustenance issues which
caution on expanded impacts, melancholy, stress, monetary ineffectiveness among different
issues.
METHODS PAPER 3
Purpose of the study
The research is meant to discover and evaluate the importance and implications of good
health and nutrition to citizens in effort to solve the social and economic issues that arise from
deteriorated and reduced health and nutrition in the United States of America. The study will
apply different designs that create alarm on the importance of good health and nutrition as
uncovered and as provided by the National Health and Nutrition Examination Survey
(NHANES). Bad health care and bad nutrition lowers the success of citizens in the United States
of America which in turn increases the health problems and other issues experienced in the day
to day encounters. Many people are faced with one major problem of increased health and
nutrition issues which alarm on increased effects, depression, stress, economic unproductivity
among other issues.
Literature review
According to the data and information reviewed from the National Health and Nutrition
Examination Survey (2018), health and nutrition plays an important role in the development of
every individual because total disease and other defects on the nutrition normally affects the way
and .
Running Head METHODS PAPER 1METHODS PAPER Dayana Lewa.docxjeanettehully
Running Head: METHODS PAPER 1
METHODS PAPER
Dayana Lewandowski
Florida International University
HSA 6717
March 3, 2020
METHODS PAPER 2
Background and Introduction
The National Health and Nutrition Examination Survey (NHANES) program studies the
design and nature of the health and nutrition basis as allocated to children and adults in the
United States of America. Data and data sets can be accessed that align to statistics that are vital
in delivery of field of health care attention and are significant measures of the health and
nutrition needs and requirements as needed. Disease prevention and control concentrates on
unleashing the responsibility of the health and nutrition delivered to patients and individuals in
access and distribution of health care. Health and nutrition are delivered to individuals in special
programs that focus on the essential needs of the people and the patients at large. Different
research designs have been examined to discover the impact and importance of good health and
nutrition to individuals in the day to day encounters.
Statement of the problem
The United States of America and other nations face one big problem of health and
nutrition which mainly focuses on altering the normal operations and functioning of the
individuals in their work on daily basis. Bad health services and awful nourishment bring down
the accomplishment of residents in the United States of America which thusly expands the
medical issues and different issues experienced in everyday experiences. Numerous individuals
are confronted with one significant issue of expanded wellbeing and sustenance issues which
caution on expanded impacts, melancholy, stress, monetary ineffectiveness among different
issues.
METHODS PAPER 3
Purpose of the study
The research is meant to discover and evaluate the importance and implications of good
health and nutrition to citizens in effort to solve the social and economic issues that arise from
deteriorated and reduced health and nutrition in the United States of America. The study will
apply different designs that create alarm on the importance of good health and nutrition as
uncovered and as provided by the National Health and Nutrition Examination Survey
(NHANES). Bad health care and bad nutrition lowers the success of citizens in the United States
of America which in turn increases the health problems and other issues experienced in the day
to day encounters. Many people are faced with one major problem of increased health and
nutrition issues which alarm on increased effects, depression, stress, economic unproductivity
among other issues.
Literature review
According to the data and information reviewed from the National Health and Nutrition
Examination Survey (2018), health and nutrition plays an important role in the development of
every individual because total disease and other defects on the nutrition normally affects the way
and ...
Gender Perspectives Improve Reproductive Health Outcomes: New Evidence Dr Lendy Spires
In 2004, the Inter-agency Gender Working Group (IGWG) published The “So What?” Report: A Look at Whether Integrating a Gender Focus into Programs Makes a Difference to Outcomes. The 2004 report presented evidence of the value of integrating gender into programs for promoting positive reproductive health (RH) and gender outcomes.
The purpose of this new 2009 review is to assemble the latest data and update the evidence as to what difference it makes when a gender perspective is incorporated into RH programs. The review focuses on five components of reproductive health programs, including interventions related to: n Unintended pregnancy; n Maternal health; n HIV/AIDS and other STIs; n Harmful practices, including early marriage, female genital mutilation/cutting, and gender- based violence; and n Youth.
The authors examined gender-related barriers to each component of reproductive health and the strategies undertaken by programs to address the barriers. Out of nearly 200 interventions reviewed, 40 are included here as examples of programs that integrate gender to improve reproductive health outcomes.
The interventions selected for inclusion were limited to those that have been evaluated— meaning they established criteria for assessment that were related to the goals of the intervention and followed an evaluation design—and that used accommodating or trans-formative approaches. The results of these pro-grams suggest that the field is evolving toward a deeper understanding of what gender equality entails and a stronger commitment to pursue this equality in reproductive health programs. Reducing Unintended Pregnancies Several of the projects to reduce unintended pregnancy countered the traditional practice of aiming family planning (FP) services at women only; they encouraged husbands and other males to take more responsibility in this area.
The strategies included enlistment of men who hold power, such as community or religious leaders, to support FP; influencing husbands to encourage their wives to use FP services; and providing a male-controlled contraceptive method. Other projects encouraged joint decision making, shared responsibility in FP, and the institutionalization of gender into RH services.
1Rough Draft Quantitative Research Critique And Ethical Consider.docxaulasnilda
1
Rough Draft Quantitative Research Critique And Ethical Considerations
Rough Draft Quantitative Research Critique And Ethical Considerations 2
Quantitative Research Critique and Ethical Considerations
Christiana Bona
Grand Canyon University
October 16, 2019
Childhood Obesity
Picot Question: How do the new practical approaches in the diagnosis and management help in the reduction of obesity issues as compared to the lack of reliance on the traditional approaches (diet and exercise)?
Background
Childhood obesity is considered to be a major international growing problem. Even though there is a high rate of obesity cases in the United States and other regions of the world for the past 30 years, there is still a lack of clear treatment approaches to be applied to reduce this incidence. Healthcare providers are lacking ideas on where they should find approaches related to the guidance and the process of managing the healthcare services to about one-third of the population who are affected by the healthcare issues associated with obesity. The Pediatric Obesity Algorithm is now considered to be an evidence-based approach in terms of diagnosing and managing childhood obesity. The authors of this study aimed at providing a summary of the topics from the Pediatric Obesity Algorithm related to the diagnosis of pediatric obesity, assessment, and management. Other tasks include the performance of differential diagnosis, reviewing the systems, diagnosis of the workup, physical examinations, management of age-specific, and the treatment of the associated weight gain. The outcome of this study will, therefore, help in the identification and treatment of children with obesity through using the Pediatric Obesity Algorithm which serves as a guide to healthcare providers with evidence-based approaches to the diagnosis process and managing obesity in children and offering families with the tools they require to ensure that there is healthy future.
How the article is supporting the topic
The article above is talking about some of the present gaps concerning the management and treatment of obesity among children. Through identifying that there is an absence of clear treatment approaches that can be relied on the treat and manage obesity among children, the authors of this article proposed that the Pediatric Obesity Algorithm can be successful in providing evidence-based approaches for diagnosing and amanging childhood obesity. Therefore, Pediatric Obesity Algorithm can be considered as a new approach in managing and diagnosisng obesity among children as compared to the traditional methods that involve watching the diet and exercise which is sometimes not followed by children. Pediatric Obesity Algorithm approach is helping in ensuring that there is a proper physical examination, age-specific management, use of medication and surgery, and performance of differential diagnosis among other procedures that are performed in this approach.
Method of ...
Literature Evaluation TableStudent Name Christiana Bona.Summa.docxcroysierkathey
Literature Evaluation Table
Student Name: Christiana Bona.
Summary of Clinical Issue (200-250 words):
Childhood obesity is one of the problems that affect the United States and other developed economies. Obesity among children and youths is widely recognized as an issue that generates a lot of adverse health impacts. For instance, childhood obesity is a major indicator of future mental and physical health problems. In spite of the highest rates of childhood obesity in the country in the last three decades, obesity has been linked to other more serious health problems such as cardiovascular diseases and diabetes. As nurses and other health professionals continue to grapple with this problem, there are still no clear treatment approaches. Health professionals usually do not have a comprehensive guideline on where to manage the nearly one-third of their populations who present the medical care with obesity that coexists with other medical conditions and problems. Numerous treatment models have been proposed to address this rising public health concern. These approaches often include use of the traditional interventions such as pharmacological interventions. However, overemphasis on one treatment intervention may fail to generate the desired objectives. While the traditional strategies to obesity prevention and management have placed emphasis on medications, wider attention to other dimensions of treatment is necessary. Such treatment interventions may include the multi-tiered or holistic strategies that incorporate both pharmacological and non-pharmacological interventions. For instance, a wider focus should incorporate practices such as assessing the mental health impacts of obesity on the patients. Thus, a public health multi-tiered approach to obesity that emphasizes on promotion, prevention, and individualized interventions are recommended.
PICOT Question: Is the use of multi-tiered approach to the treatment and management of childhood obesity more effective than overreliance on only pharmacological interventions in reducing obesity prevalence rates?
Criteria
Article 1
Article 2
Article 3
APA-Formatted Article Citation with Permalink
Cuda, S. E., & Censani, M. (2018). Pediatric Obesity Algorithm: A Practical Approach to Obesity Diagnosis and Management. Frontiers in pediatrics, 6.
Heerman, W. J., Schludnt, D., Harris, D., Teeters, L., Apple, R., & Barkin, S. L. (2018). Scale-out of a community-based behavioral intervention for childhood obesity: pilot implementation evaluation. BMC public health, 18(1), 498.
Bazyk, S., & Winne, R. (2013). A multi-tiered approach to addressing the mental health issues surrounding obesity in children and youth. Occupational therapy in health care, 27(2), 84-98.
How Does the Article Relate to the PICOT Question?
The article is relevant to the PICOT question because it proposes the use of algorithms and technological systems that have data on all aspects of a child’s obesity prevention and management st ...
- There is a need for a more collaborative business model between EPE and programs to better integrate epidemiology, evaluation and programmatic expertise from the beginning of planning through implementation and evaluation.
- An ideal model would have epidemiologists, evaluators and program staff working more as horizontal partners at each stage of the public health process.
- This could involve co-locating staff when possible, as well as better aligning goals and communication across divisions.
- Developing joint logic models and sharing data more openly were discussed as ways to break down barriers between groups and improve multi-disciplinary work.
a. Introduction and Key Points: Identifying those at risk for malnutrition is an important public health issue. Malnutrition prevalence increases with age and can be identified through nutritional screening tools. This summary examines nutritional screening methods for the elderly.
b. Article Search: A search of the PubMed database was conducted using the terms "malnutrition" and "elderly." This retrieved the article "Beyond malnutrition screening: Appropriate methods to guide nutrition care for aged care residents" published in 2012.
c. Article Findings: This Australian study compared three nutritional screening tools - the Mini Nutritional Assessment (MNA), the Malnutrition Screening Tool (MST), and the Nutritional Risk Screening (NRS 2002
Assessment 2PRINTBiopsychosocial Population Health Policy .docxgalerussel59292
Assessment 2
PRINT
Biopsychosocial Population Health Policy Proposal
Develop a 2–4-page proposal for a policy that should help to improve health care and outcomes for your target population.
Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.
Cost and access to care continue to be main concerns for patients and providers. As technology improves our ability to care for and improve outcomes in patients with chronic and complex illnesses, questions of cost and access become increasingly important. As a master’s-prepared nurse, you must be able to develop policies that will ensure the delivery of care that is effective and can be provided in an ethical and equitable manner.
SHOW LESS
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Design evidence-based advanced nursing care for achieving high-quality population outcomes.
Propose a policy and guidelines that will lead to improved outcomes and quality of care for a specific issue in a target population.
Competency 2: Evaluate the efficiency and effectiveness of interprofessional interventions in achieving desired population health outcomes.
Analyze the potential for an interprofessional approach to implementing a proposed policy to increase the efficiency or effectiveness of the care setting to achieve high quality outcomes.
Competency 3: Analyze population health outcomes in terms of their implications for health policy advocacy.
Advocate the need for a proposed policy in the context of current outcomes and quality of care for a specific issue in a target population.
Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
Communicate proposal in a professional and persuasive manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.
Competency Map
CHECK YOUR PROGRESS
Use this online tool to track your performance and progress through your course.
Toggle Drawer
ContextAs a master's-prepared nurse, you have a valuable viewpoint and voice with which to advocate for policy developments. As a nurse leader and health care practitioner, often on the front lines of helping individuals and populations, you are able to articulate and advocate for the patient more than any other professional group in health care. This is especially true of populations that may be underserved, underrepresented, or are otherwise lacking a voice. By advocating for and developing policies, you are able to help drive improvements in outcomes for .
This document summarizes a systematic literature review on the effectiveness of technological interventions and social media platforms for weight loss. The review found that:
- Intervention programs using social media and technology effectively increased weight loss, reduced BMI, increased physical activity, and educated people on healthy eating habits. However, results plateaued in longer interventions.
- Technological interventions show promise for treating obesity as they are cost-effective, efficient, and accessible to anyone with internet access.
- Further research with longer follow-ups is still needed to make results more consistent and applicable in clinical practice. The review identified 17 studies that met criteria for evaluating the impact of technology-based interventions on weight loss.
Letter to the Population Health Policy Advocacy Assessment.pdfbkbk37
The letter advocates for a policy to raise awareness about opioid risks. It notes high rates of opioid abuse among veterans and that current policies don't address lack of awareness. The proposed policy would require healthcare organizations to educate the public about opioid risks and misconceptions, which could empower individuals and help curb the crisis.
Assignment WK 9Assessing a Healthcare ProgramPolicy Evaluation.docxjesuslightbody
Assignment: WK 9Assessing a Healthcare Program/Policy Evaluation
Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.
Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.
To Prepare:
· Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
· Select an existing healthcare program or policy evaluation or choose one of interest to you.
· Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.
The Assignment: (2–3 pages)
Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:
· Describe the healthcare program or policy outcomes.
· How was the success of the program or policy measured?
· How many people were reached by the program or policy selected?
· How much of an impact was realized with the program or policy selected?
· At what point in program implementation was the program or policy evaluation conducted?
· What data was used to conduct the program or policy evaluation?
· What specific information on unintended consequences was identified?
· What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
· Did the program or policy meet the original intent and objectives? Why or why not?
· Would you recommend implementing this program or policy in your place of work? Why or why not?
· Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.
By Day 7 of Week 10
Submit your completed healthcare program/policy evaluation analysis.
Milstead, J. A., & Short, N. M. (2019).
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.
· Chapter 7, “Health Policy and Social Program Evaluation” (pp. 116–124 only)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5409875/
https://www.sciencedirect.com/science/article/pii/S0029655418300617
i J LUUU^S
.
Perspectives in Public Health-2011-Lloyd-177-83rkhan
This study evaluated a commercial weight loss program commissioned by the NHS in Dorset, UK. The program offered 12 free weekly sessions at Slimming World or Weight Watchers. Of the 2,456 participants referred, almost half (44%) lost over 5% of their initial body weight at 12 weeks. Those who attended more sessions ("completers") lost significantly more weight on average (6.1 kg) than dropouts (2.2 kg). The study found that predictors of successful weight loss (over 5% of initial weight) included being older, male, initially in obese class I, and attending more meetings. The study aimed to identify factors influencing weight loss in commercial programs to inform future commissioning.
Data is an essential commodity and various organizations today unlock data to allow them to make business decisions that are highly informed. Data in open source has become highly available and U.K Government has a wide range of available open data to analyse. The paper of this report lies in information extraction from data sets of health for supporting development for wide range of food products that are healthy. The scope of this paper lies in analysing and extracting information from distinct data sets using a specific tool of data analytics that is either SAS JMP or SAS Enterprise guide or base SAS. After this analysis, results for the data will be analysed for showing the requirement for a wide range of food products that are healthy.
This paper discusses obesity in Florida. Obesity rates are high, with 36% of Florida adults overweight and 26.2% obese. Obesity increases risks for diseases like diabetes and heart disease. As a future nurse practitioner, the author plans to screen patients for obesity, discuss weight management, and work with communities to increase access to healthy foods and physical activity.
1. MRKT20021 Assessment 2 – Academic Journal
Sara Austin (Kate) – S0055474 Page 1 of 11
Who’s in the Market for Weight Loss – the Personality &
Motivation to Succeed
Sara K Austin
Student, Central Queensland University
Abstract
In a society obsessed with body-image, yet plagued with weight-associated diseases, it is understandable that the market for weight loss
services has exploded in recent years. If consumer behaviour is driven by such factors as personality and motivation, what motivates a
consumer to want, or need to undertake a weight loss program or exercise regime? Does personality influence weight loss success, or
commitment to exercise regimes? Which personality types are more likely to fail to achieve, or to maintain their goal weight? How can
marketers of weight loss programs design strategies to better position their product in the marketplace, and how can they benefit from
knowing the answers to these questions? The author has undertaken this study in an effort to find the answers these questions!
In this cross-sectional descriptive study, relationships between personality, motivation and consumer purchasing decisions for weight loss
products and services are examined. A number of hypotheses are proposed regarding personality types and weight loss success, as well as
motivators for weight loss initiation. It is postulated that self image will be a primary motivator for weight loss. It is further proposed that the
use of targeted marketing techniques will positively influence consumers purchasing decisions.
In contrast to much accepted literature results of this study offer little conclusive evidence that a particular personality type will instigate a
weight loss program or, that they will be more, or less successful in their weight loss goals. Respondents however conclusively indicated (>94
%) a tendency to fail to maintain their goal weight once achieved, eventually resulting in repeated weight loss efforts. Results also indicate
respondents prefer to ‘go it alone’ as opposed to the many available commercial programs, with varying success. This presents significant
challenges for marketers. Understanding the contributing factors for consumer purchasing decisions for these products and services will
provide an edge to marketers when presenting their products to the market and will likely result in increased market share and brand loyalty.
A comparison of results from this study was made with findings from a variety of industry and academic literatures and, whilst the limited
sample size prevented any conclusive opinions to be drawn, indicative results supported some views cited in available literature. The results
also revealed themes from which some assumptions could be drawn, providing a foundation for future research in the role personality and
motivation plays in consumer behaviour towards weight loss products and services.
The purpose of this work is to enrich the body of knowledge relating to consumer purchase behaviour for weight management products and
services as well as examining the relationship between psychological factors and purchase decisions.
1. Introduction
We live in a society obsessed with physical attractiveness and
beauty. A ‘thinness culture’ has developed, fuelled by the media
promoting images increasingly ‘favouring slim and fit physiques’
(Chang & Christakis, 2003). It is believed that Western cultural
ideals and media pressures place excessive pressure on women to
be thin, and that women are far more likely than men to be
dissatisfied with their body image and size (Chang & Christakis,
2003 and Crawford & Campbell, 1999).
This highly pursued cultural ideal is paradoxical with the epidemic
levels of obese and overweight individuals in our society. In 2004-
05, Australia had some 7.4 million of the nations adults
categorised as overweight or obese, representing in excess of half
(54%) of the adult population. Of these, 45% were women. This
represents an increase of 2.8 million people, or some 16%, over
the figures previous recorded in 1989-90 (ABS, 2008).
Excess weight and obesity has far-reaching effects. Considered an
‘epidemic’, obesity has been recognised in the medical fraternity as
a disease (Salant & Santry, 2006). Numerous reports have
emerged linking excessive weight to an increased risk to a myriad
of health problems. (ABS, 2008; Chang & Christakis, 2003; Lang &
Froelicher, 2006; Winett et. al, 2005; WHO, 1998).
Given the extent of the obesity crisis and the associated health
issues, there is little wonder that obesity places a substantial
burden on our economy (Kortt, Langley & Cox, 1998). It is
estimated that obesity and related diseases are costing
approximately $830 million annually and placing significant stress
on the Australian Healthcare System (Thorburn, 2005).
The construction of one’s body image is multidimensional
according to Thompson & van den Berg, (2002) with ‘attitudinal,
perceptual and behavioural’ characteristics (Verplanken &
Velsvick,2008 in press). McCabe and Ricciardelli (2006) describe
these behavioural characteristics as ‘actions towards improving
one’s appearance’, such as consuming food replacements or
supplements as a way to lose weight.
Society’s focus on body image and the increasing pressure on
health services have lead to an explosion in weight management
products and services. A lucrative market has emerged, and ready
to cash in are the weight loss, diet-food, fitness, and cosmetic
surgery industries (Hesse-Biber et al., 2006). Seidell (2006)
estimated the weight management/control market to be in the
vicinity of some $30 billion per annum in the USA alone. In 2002
an estimated US$100 billion was spent in the USA on health-care in
the treatment of obesity-related diseases (Ribisl, 2002).
Given the growing obesity epidemic and the extraordinary numbers
turning to weight management, significant opportunity exists for
marketers. To be successful, marketers need to know what makes
women want to lose weight, what they are attracted to in a
program, as well as what they dislike about programs. Given the
difficulty facing many women with weight loss and failures regularly
experienced, marketers need to carefully tailor their strategies to
portray weight loss as attainable and sustainable. An
understanding of characteristics seen as favourable in preferred
programs can provide marketers with the edge to present their
product to the market so that it is positively received.
To understand the influences of personality and motivation on
women’s choice of weight loss programs, and in an attempt to
identify associated positive characteristics, the author undertook
rudimentary-level research and a review of related literature.
2. MRKT20021 Assessment 2 – Academic Journal
Sara Austin (Kate) – S0055474 Page 2 of 11
2. Method
2.1 Study Design
This was a descriptive study of a small group of Queensland-based
adult females and their experiences with weight loss programs.
The study was designed to explore the participants’ history with
weight loss and identify motivators for initiating a weight loss
program. Further the study aimed to determine if participants
housed preferences for a particular program and which program
characteristics were favoured or alternatively, labelled deterrents.
This study was further designed to identify participants personality
types – based on the ‘Big Five Inventory’ developed by Oliver John
at UC Berkeley – with an aim of confirming or refuting existing
literature focused on the existence of correlations between
personality type and program preference and/or weight loss
success. Using the results of this small study, the author intended
to draw conclusions regarding personality types and motivators
that marketers might use in the development of marketing
strategies for weight loss programs.
2.2 Sample & Eligibility Criteria
A total of 46 of female adult family, friends and work colleges of
the author from across Queensland were selected for the study.
Individuals were deemed eligible if they were aged over 18 years
and willing to participate by completing the questionnaire and
online personality test. The minimum age range was selected to
ensure an adult sample, however an outer range was not
stipulated to ensure a broad range of respondents for the study.
Exclusion criteria included individuals of male gender, children and
those women known to the author to be underweight and/or not
requiring the services of a weight loss program.
2.3 Recruitment
A search of the author’s contacts list yielded 46 individuals who
met the criteria. An email explaining the study, along with the
Weight Loss Questionnaire and a link to the online ‘Big-5
Personality Test’ was sent to participations. Participants were
asked to assist in the study by completing the questionnaire and
online test and returning their results to the author. The contact
details of the author were included, should participants have
questions regarding the study. Confidentiality was guaranteed and
no information identifying participants was printed on the
questionnaire. Should an individual not respond to the invitation
to participate, no further contact was attempted. Completed
questionnaires and personality tests from 34 participants were
received and analysed to form the basis of the study and the
comparison to results found in existing literature. This represents
a participation rate of 74% of those invited to participate.
2.4 Measures
All measures were emailed to participants and were self-
administered. A Weight Loss Questionnaire was developed by the
author to measure a number of key areas as well as capture
general tendencies and views on the following:
- Goal orientation - Level of achievement of goal weight
when undertaking a weight loss program;
- Level of success in maintaining weight following a
weight loss program;
- Motivators for commencing a weight loss program;
- Identification of preferred weight loss programs and
perceived favourable characteristics;
- Identification of least-preferred weight loss programs
and perceived negative characteristics;
- Identification with celebrities and ‘ordinary’ people in the
endorsement of products/services; and
- Propensity to use media outlets such as television and
magazines for health/dietary advice and/or programs.
Participant’s responses to open-ended questions and their 5 and
10-point Likert scale ratings were tabulated and reviewed by the
author.
The second measure issued was Robins et al.’s ‘Big-5 Personality
Test’ which was based on the ‘Big Five Inventory’ developed by UC
Berkeley’s Oliver John. This test measures what many
psychologists consider to be the five fundamental dimensions of
personality, those being Open-mindedness, Conscientiousness,
Extroversion, Agreeableness, and Neuroticism.
The key areas reviewed through this study and subsequent literature
review were primarily, consumer personality and motivation with some
focus on the importance of self-image as a motivator for considering
weight loss services. In addition, another focal point of the study was
consumer relation to endorsements of products and services through
advertising.
3. Hypotheses
3.1 Personality: An Indicator For Weight Loss/Maintenance
Success
Successful weight loss takes desire, dedication and determination –
desire to want to undertake a program, dedication to complete it and
determination not to stray from the program - even when faced with a
plate of Tim Tams, your favourite pasta or a night on the town with
the girls!
Weight loss is generally considered a difficult undertaking, with high
failure rates (Burke et al., 2008; Byrne, Cooper & Fairburn, 2004).
Some academics and practitioners believe however, that some are
more likely than others to succeed at weight loss (Williams et al.,
1996; Butler & Mellor, 2006; Byrne, 2002). What is it about certain
individuals that may make them successful where others have failed?
It has been posited that an individual’s personality plays an important
role (Courneya & Hellsten, 1998). In order to succeed at weight loss
one needs motivation (Schultheiss et al., 2008 in press), diligence
(Bogg et al., 2008), will-power (Cleanthous et al., 2007) and the
personality to set and achieve goals (Wang & Erdheim, 2007). In fact,
results from previous research indicate extroversion and
conscientiousness as positive indicators of exercise, diet and health-
related behaviours (Bogg & Roberts, 2004; Courneya & Hellsten,
1998). Bogg et al. (2008) posit that extroversion has a positive
correlation to exercise because of the need for arousal, satisfied by
the increased activity found in exercise. Results from Egan &
Stelmack’s (2003) study into the personality profile of athletes – in
particular climbers of Mount Everest – support the notion of exercise
providing an avenue for arousal satisfaction. Climbers in their study
produced ‘elevated scores for extraversion and lower scores on
neuroticism scales than in normative samples’. Ingledew, Markland &
Sheppard (2004) on the other hand cite ‘relatedness satisfaction’ to
this tendency for extroverts and for conscientious individuals,
‘satisfaction of their need for competence, with greater wherewithal
towards behavioural regulation’. Based on previous findings, I
hypothesize:
Hypothesis # 1: There is a positive correlation between high
extroversion taxonomy and achievement of goal weight.
Hypothesis # 2: There is a positive correlation between high
conscientious taxonomy and achievement of goal weight.
3.2 Motivation, Goal Orientation & Personality
Successful weight loss relies upon the setting and achievement of
weight loss goals (Butler & Mellor, 2006). In order to succeed at
weight loss, ‘motivation needs to develop from internal origins’
(Kincey, 1981). Courneya & Hellsten (1998) suggest extraversion and
conscientiousness are the best ‘Big-5’ indicators of exercise and
weight loss. One possible explanation for these findings is the
correlation between these traits and goal setting. Extraverts have a
tendency to ‘set high performance goals and attain them’ (Elliot &
Thrash, 2002). Stotland & Zuroff (1991) posit that self-efficacy - or
one’s ability to act to achieve an outcome – is a key factor in
successful weight management. Essentially, it is an ability to adhere
to a program and persevere with behaviours to achieve weight loss
goals.
This theory was corroborated by Kitsantas (2002) who found
‘maintainers’ of weight loss reported higher self-efficacy rates than
‘regainers’. Success was attributed to goal setting, progress
monitoring and evaluation, time management and
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information/support seeking strategies. Whilst there is support
for these ‘positive influencers’ for weight loss, there is also a
general belief that neuroticism negatively relates to diet and
exercise behaviour (Courneya & Hellsten, 1998). Elliot & Thrash
(2002) describe neurotics as having an ‘approach to avoid’ as a
coping response and that they may feel ‘nervous towards the
task’. Neurotics by nature, are ‘anxious and question their own
ideas and behaviours’ (Digman, 1990).
Davis, Fox, Brewer & Ratunsy (1995) studied the associations of
neuroticism, extraversion, and psychoticism with ‘exercise
motivators (weight control, sexual attractiveness, general
appearance, fitness/health, mood improvement, and
enjoyment)’. Physical appearance is an important aspect of
one’s self-image (Verplanken & Velsvik, 2008). This is strongly
reinforced across multiple aspects of our society. A culture has
developed where the ideal female body image is one where,
‘thinness is a sign of success, health and being in charge of your
life’. (Verplanken & Velsvik, 2008). This ideal is reinforced by
the media whose messages suggest ‘only the beautiful, and the
thin are valued and loved’. (Hesse-Biber, Leavy, Quinn, Zoino,
2006). Hesse-Biber (1996) proposes this cultural ideal of
thinness is also ‘reiterated by the family, peer group, school and
workplace’. Individuals who do not meet the criteria of the
‘appearance culture’ ideal can experience body image
dissatisfaction, which can lead to low self-esteem (Tiggemann,
2005) and potentially a range of eating disorders. Body image
distress has also been reported to lead to increased eating
(Schwartz & Brownell, 2004).
It has been suggested that the pursuit of weight loss and a
healthy lifestyle is undertaken ‘for the sake of beauty, as
opposed to improved health’ (Hesse-Biber, Leavy, Quinn, Zoino,
2006). Evidence of this opinion has been found.
‘Attractiveness, self-confidence, and interpersonal relationships’
are the ‘primary goals’ people typically cite when commencing
weight loss programs according to Cooper and Fairburn (2002).
However this phenomenon seems more prevalent in women.
‘Muscle tone and increased energy’ were stated by men as the
key motivating factors behind participation in exercise, whereas
women described ‘weight control and feeling good’ as their key
drivers. (Kratrzman & Stamford, 2002). Women scrutinise their
bodies, weight and eating habits, focussing on their physical self
image (Hesse-Biber, Leavy, Quinn, Zoino, 2006). It follows that
positive physical appearance is a key motivation for many
women in their pursuit of a healthier lifestyle.
Most available literature on obesity, weight management and
related health issues assumes there is a desire to lose weight,
focussing on reasons why so many are unsuccessful. However
the ABS (2008) reports an increasing likelihood that the
overweight and obese ‘see themselves as having an acceptable
weight’, reporting a startling 44% representation in the 2004-05
reporting period. What makes overweight and obese individuals
in our society believe that their weight is acceptable (Anderson
et al., 2002), given the numerous reports that excess weight
contributes to a ‘higher propensity to a range of health
problems?’ (ABS, 2008; Chang & Christakis, 2003; Lang &
Froelicher, 2006; Winett et. al, 2005; WHO, 1998). Whilst this
question is not answered in the current study, marketers should
be aware that a portion of the population who, from a health
perspective should undertake weight loss behaviours, are
unlikely or unwillingly to do so. This may or may not be
attributed to high neuroticism tendencies. Another possible
explanation of these individual’s ‘acceptance’ of their obesity
may be cultural influence, (Rguibi & Belahsen, 2006) where a
larger size is associated with health and prosperity. An
alternate explanation may be a psychological response to mask
body image distress (Schwartz & Brownell, 2004) or feeling of
inability to lose weight due to previous failed attempts (Van den
Berg & Neumark-Sztainer, 2007). It is therefore posited that:
Hypothesis # 3: High neuroticism ratings correlate towards
failed weight loss efforts.
Hypothesis # 4: Individuals are likely to undertake multiple
attempts at weight loss due to an inability to achieve or
maintain weight management goals.
Hypothesis # 5: The key motivator behind women’s attempts to
lose weight is self-image.
Hypothesis # 6: Individuals, for whom self-image is important,
will display behaviours that positively reinforce their self-image
(such as weight loss and exercise), giving greater importance to
products/services which help achieve this, thus reinforcing their
self-concept and self-esteem.
3.3 Barriers To Weight Management
Given the high relapse rates in weight management efforts
(Jeffery et al., 2000), one might naturally assume the existence
of a great number of barriers that ‘derail’ endeavours. Some cite
‘difficulties in resisting emotional and social eating cues’ as
inhibitors (Karlsson et al., 1994). Cleanthous et al.’s (2007)
found consistencies with participants listing emotionally related
life events, for which they ‘turn to food to moderate’ (Byrne,
2002).
Negative messages regarding excess weight and body image are
unyielding in our society, reflecting a strong ‘anti-fat’ prejudice
which is evident in everyday discourse through the media,
schools and business. (Schwartz & Brownell, 2004). Perhaps
because of this prejudice, overweight and obese individuals are
thought to be ‘weak-willed, lazy, sloppy, incompetent,
emotionally unstable, and even defective as people’ Puhl et al.
(2004). These perceptions can have differing influences on
individuals’ desire to undertake a weight loss program and their
ultimate behaviour. A positive influence may see the individual
initiate a weight loss program or exercise regime to improve
health and body-image. Alternatively, if viewed negatively, this
perception may result in the belief that weight loss won’t work,
so why try, or, to see their size as satisfactory as previously
discussed. Schwartz & Brownell (2004) argue that body image
distress is likely to ‘form barriers to emotion regulation’ that can
lead to increased eating. An increase in food intake was cited as
a popular response to ‘a variety of negative emotions such as
anxiety, depression and anger’ in obese women (Steptoe et al.,
1998), however overeating as a response to negative emotions
was also reported by women within the healthy weight range.
A weight loss goal, as with any other, must be of ‘central
importance for it to be achieved’ (Brink & Ferguson, 1998). Lack
of motivation has been identified as a barrier to adopting
behavioural changes necessary to succeed in weight loss (DePue
et al., 1995; Deci & Ryan, 1985). So too has lack of will-power
and self-discipline (Cleanthous et al., 2007). This lack of will-
power is often experienced in social environments (Cleanthous et
al., 2007). The presence of others ‘dramatically increases a
person’s vulnerability to increased food intake’ according to Patel
and Schlundt (2001). Long et al (1996) identified the work
environment as a major barrier, their study’s participants citing
‘long workdays, sedentary jobs, high-fat business lunches, and a
lack of worksite exercise facilities’ as contributors. This leads the
author to hypothesize that:
Hypothesis # 7: Lifestyle the greatest barrier to weight
loss/maintenance success.
Hypothesis # 8: There is a positive correlation between
extroversion taxonomy and lifestyle as a barrier to weight loss
success.
4. Discussion of Results
4.1 Personality & Weight Loss
Hypothesis # 1: There is a positive correlation between high
extroversion taxonomy and achievement of goal weight.
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Hypothesis # 2: There is a positive correlation between high
conscientious taxonomy and achievement of goal weight.
Each of the study participants completed an online ‘The Big-5
Personality Test’ to determine ratings against the Big-5
characteristics. Whilst a number of general patterns have
emerged, it is difficult to draw any definitive conclusions based
on this limited study group. The respondent group commonly
presented higher levels of conscientiousness with an average
rating of 71 and only a single respondent rating below 20.
Generally there was a low level of neuroticism amongst the
respondents with again, only a single respondent scoring above
88 and a group average rating of 33. A summary of ‘The Big-5
Personality Test’ results follow in Figure 4.1.
Kirkcaldy & Furnham (1991) found extraversion to be the most
powerful indicator of recreational preference, with participants
categorised as ‘exercisers’ returning high extroversion ratings.
Ingledew, Markland & Sheppard (2004) learned extroverts were
more likely to be ‘regulated by the perceived worth and pleasure
associated with exercise’. Additionally, neurotic individuals were
more likely to be ‘regulated by internalised pressures’
(Ingledew, Markland & Sheppard, 2004) and less likely to be
successful.
In the current study, a general trend appeared with dispersion
data for extroversion and agreeableness. A correlation between
failure to achieve goal weight and failure to maintain was
apparent, although no conclusive evidence can be gleaned
regarding high or low propensity for weight loss success, or
failure, based on the levels of these traits.
The findings from this study did not provide evidence that
extroverted or conscientious individuals were more successful at
weight loss than the norm, nor those who rated higher across
other traits. In contrast to this hypothesis, results indicate
individuals reporting the most success - through lowest failure
rates - showed higher levels of ‘openness’ – a result supported
by Barrick & Mount (1991) and Zweig & Webster (2004) in their
respective studies. Goldberg & Strycker (2002) also found
‘conscientiousness and openness to experience, the most
predictive of healthy eating habits’.
It is difficult to draw a correlation between these result sets and
the current study given that exercise was not specifically
investigated in this study. However higher scoring extroverts, in
comparison to lower extroversion rated respondents, showed a
higher tendency to fail to achieve and maintain goal weight.
These results indicate hypotheses #’s 1 and 2 are generally
disproved.
Hypothesis # 3: High neuroticism ratings correlate towards
failed weight loss efforts.
Statistical results do not support this hypothesis. An exception to
this is Respondent 28, who, rating low extroversion and high
neuroticism, indicated a very high failure level towards
maintaining weight. Whether this tendency is as a result of
introversion and high neuroticism, or some other factor is open to
speculation. Perhaps this respondent is not open to situations
that involve actively pursuing goals. Alternatively, lacking belief
in oneself or an inability to manage stress, leading to binge
eating may be the reason for this tendency – it is difficult to
determine from the available data.
A distribution based on the neuroticism trait shows an increased
association with celebrity endorsement than any other trait;
however results may be skewed by a single very high neuroticism
rating. Findings when related to failure to maintain somewhat
support hypothesis # 3, although caution is advised given the
limited nature of this study.
Figure 4.2 Results of Weight Loss Questionnaire Based
on Big-5 Personality Trait
0
1
2
3
4
5
6
7
8
9
10
Ratings
Goal Weight
Not Attained
Failure to
Maintain
Relates to
Celebrities
Relates to
Ordinary
People
Advice from
TV/Magazines
Categories
Ratings Based on Big-5
Openness Characteristic
1%-20% 21%-40% 41%-60% 61%-80% 81%-100%
0
1
2
3
4
5
6
7
8
9
10
Ratings
Goal Weight
Not Attained
Failure to
Maintain
Relates to
Celebrities
Relates to
Ordinary
People
Advice from
TV/Magazines
Categories
Ratings Based on Big-5
Conscientiousness Characteristic
1%-20% 21%-40% 41%-60% 61%-80% 81%-100%
Figure 4.1 Big 5 Personality Test Results
R1
R2
R3
R4
R5
R6
R7
R8
R9
R10
R11
R12
R13
R14
R15
R16
R17
R18
R19
R20
R21
R22
R23
R24
R25
R26
R27
R28
R29
R30
R31
R32
R33
R34
Big 5 Personality Test Results
Openness Conscientiousness Extraversion Agreeableness Neuroticism
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0
1
2
3
4
5
6
7
8
9
10
Ratings
Goal Weight
Not Attained
Failure to
Maintain
Relates to
Celebrities
Relates to
Ordinary
People
Advice from
TV/Magazines
Categories
Ratings Based on Big-5
Extraversion Characteristic
1%-20% 21%-40% 41%-60% 61%-80% 81%-100%
0
1
2
3
4
5
6
7
8
9
10
Ratings
Goal Weight
Not Attained
Failure to
Maintain
Relates to
Celebrities
Relates to
Ordinary
People
Advice from
TV/Magazines
Categories
Ratings Based on Big-5
Agreeableness Characteristic
1%-20% 21%-40% 41%-60% 61%-80% 81%-100%
0
1
2
3
4
5
6
7
8
9
10
Ratings
Goal Weight
Not Attained
Failure to
Maintain
Relates to
Celebrities
Relates to
Ordinary
People
Advice from
TV/Magazines
Categories
Ratings Based on Big-5
Neuroticism Characteristic
1%-20% 21%-40% 41%-60% 61%-80% 81%-100%
To determine exposure to weight loss programs and
perceived success, the following questions were asked:
1. Have you ever undertaken a diet or weight
loss program?
2. How often have you started a diet/program
and not completed it?
3. How often after reaching your goal weight
have you put weight back on?
Of the 34 respondents, 29 - representing 85% of
participants - had undertaken a diet or weight loss
program. The 5 respondents who indicated they had
not undertaken a formal weight loss program,
indicated that they either made no attempt to manage
their weight, or followed their own program, ‘eating
healthy foods and exercising’ to maintain their weight.
Of those who had undertaken a formal weight loss
program, there were varying results indicating
achievement of a designated goal weight. A common
theme was the failure to maintain the weight loss, with
an average failure rate of 70%. These results are
outlined below in table 4.3.
These results are consistent with results available in
much academic literature. Chatzky (2002) estimated
fifty million Americans were on some sort of diet,
following the results of an American Calorie Control
Council National Consumer Survey in 1998 which
stated around 54 million Americans were dieting.
Results of a recent study (Burke et al.) published in
2008 found that, of the 110 participants trying to lose
weight, a staggering 96.3% had made multiple
attempts at weight loss, with a median of 10 attempts
each. Another study by Byrne, Cooper & Fairburn
(2004) cited approximately 85% of obesity post-
treatment patients ‘returned to, or even exceeded,
their pre-treatment weight’.
The results of this study and the several examples of
related literature would suggest that Hypothesis # 3 is
confirmed as positive - individuals are indeed more
likely to undertake multiple attempts at weight loss due
to an inability to achieve or maintain goal weight.
4.3 Weight Loss Motivators & Barriers
Hypothesis # 5: The key motivator behind women’s
attempts to lose weight is self-image.
Self-Image (29%) and special occasions (24%) were
rated the primary reasons for initiating a weight loss
program among respondents – see Figure 4.4. There
is a strong correlation between these two categories
and the ‘pre-baby weight’ and ‘clothes don’t fit’
categories, in their relation to physical appearance.
Collectively, these categories represent a 65%
preference for image/physical appearance as being the
key motivator for instigating a weight loss program,
favouring hypothesis # 5 as proven – self-image is a
motivator towards women’s attempts to lose weight.
4.2 Weight Loss Success
Hypothesis # 4: Individuals are likely to undertake multiple attempts at
weight loss due to an inability to achieve or maintain weight
management goals.
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Figure 4.3 Weight Loss Efforts - Respondents Self-Assessment Results
Weight Loss Efforts Self Assessment
0
1
2
3
4
5
6
7
8
9
10
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
Respondents
FailureRates
Failure to Reach Initial Goal Weight Failure to Maintain Weight
Figure 4.4 Top 10 Reasons Driving The Initiation of a
Weight Loss Program
Hypothesis # 8: There is a positive correlation between
extroversion taxonomy and lifestyle as a barrier to weight loss
success.
A recent study (Krystallis, Maglaras & Mamalis, 2007) found
psychological consequences such as eating enjoyment and feeling
good were the significant motivators of consumers in the
purchase of functional foods. Respondents in this study clearly
indicated a lack of will-power and lifestyle as the key barriers to
weight loss/maintenance success. Figure 4.6 presents the top-10
barriers to weight loss success identified by respondents. Relapse
and weight regain has been attributed to the individual’s failure to
‘adhere to the weight-control behaviours’ they had adopted in
order to lose the weight (Byrne, 2002). Results of this study
clearly provide support for this position.
24%
29%
9%
8%
5%
16% 6% 0%0%
3%
Special Occasion
Self Image
Sports Perform
Pre-Baby Weight
Medical Condition
Keep Up With Kids
Fitness
Clothes Don’t Fit
General Health
Other
Hypothesis # 6: Individuals, for whom self-image is important,
will display behaviours that positively reinforce their self-image
(such as weight loss and exercise), giving greater importance to
products/services which help achieve this, thus reinforcing their
self-concept and self-esteem.
Colvin & Olson (1983), identified 3 characteristics common
among women who successfully maintained weight loss, those
being ‘high satisfaction with present weight; increased concern
with, and attention towards weight, shape and appearance; and
finally, felling more confident, self-assured and more capable of
taking control of their lives’.
Although results on a purely base-statistical level do not support
hypothesis # 6, results for Respondent # 2 – a very high
extrovert – supports this hypothesis. Displaying a lower failure
rate for goal weight attainment, image was identified as a key
motivator. Comments from this respondent suggest an active
lifestyle is pursued in order to look and feel good…
Response to motivator question: Self Image – ‘I
LOVE being tiny’
Weight loss ‘Secrets’ – ‘Keep moving, take the stairs,
park further from the shops, walk/run/ride to work
etc.
The current study did not specifically investigate exercise
behaviours, however an assumption could be made that those
who identify general health (16%), sports performance (8%)
and fitness (6%) as motivators, are likely to participate in
activities that contribute to the success of these. Assuming this
to be true, there is evidence supporting hypothesis # 6, with
most respondents for whom appearance is important – self-
image & special occasions identified as motivators – also rating
the exercise and health related motivators, as can be seen in
Figure 4.5.
Hypothesis # 7: Lifestyle the greatest barrier to weight
loss/maintenance success.
Figure 4.6 Top 10 Barriers to Weight Loss Success
22%
4%
4%
6%
2%11%
1%
13% 5%
32%
No Willpower
Too Many Rules
Lifestyle
Cost
No Time
Not Flexible
Health Problems
Hate Exercise
Family Impact
Other
Although these results fail to support hypothesis # 6 statistically,
they support hypotheses #’s 7 and 8. Respondent comments
drew a correlation between lack of will-power and lifestyle,
reporting lack of will-power in highly social lifestyles as an
inhibiter. These results offer little to contradict previous findings
(Patel & Schlundt, 2001; Schlundt et al., 1988) that, ‘in the
presence of others, food consumption increases’, particularly in
social context. A number of the respondent’s indicated parties
and socialising affecting their weight loss efforts. Another
respondent highlighted her working environment as a barrier,
stating…
‘Also, work is a killer! Long days (12+ hours),
excessive travel, working lunches, birthday cakes
almost every week, sitting on my bum all day and
the social network you develop means you go out
more! Perhaps I should give up work?’
Given the statistical data and supporting comments, hypotheses
#’s 7 and 8 are proven.
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Figure 4.5 Correlation Between Appearance & Health/Exercise Motivators
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33
Respondents
Special Occasion Self Image Sports Performance Fitness General Health
4.4 Challenges for Marketers
Marketers who understand the drivers for consumers’ purchasing
behaviour can capitalise - positioning, promoting and packaging
their products to maximum advantage. Research into consumer
behaviour and weight management draws numerous parallels to
participation, consumers’ purchasing behaviour and personality
(Zhang & Zhang, 2007; Kirkcaldy & Furnham, 2002; Egan &
Stelmack, 2003; Ingledew, Markland & Sheppard, 2004; Bogg,
Voss, Wood & Roberts, 2008; & Wang & Erdheim, 2007).
Although literature abounds, the information is not always
consistent or conclusive (Vollrath & Torgersen, 2002). This
presents challenges for marketers relying on this information to
predict consumer purchasing behaviour to develop marketing
strategies. The challenge for practitioners is determining ‘how to
use psychographic data to model consumer purchase decision-
making’ (Zhang & Zhang, 2007). Weaver’s (1991) study found
correlations between dominant personality characteristics and
their media content preferences, reinforcing the usefulness of this
information if correctly interpreted and developed into marketing
strategies.
Individual preferences towards products and subsequent
purchase decisions are influenced by a myriad of factors. Internal
factors such as personality, motivation and previous experience,
as well as external factors such as influence of reference groups
can effect the decision to buy, or not. It is believed that ‘people
are motivated to create a favourable and consistent self-identity’
and that people use products and brands to create these Escalas
& Bettman (2003).
Given the difficulty facing many women in their weight loss
efforts and previous failed experiences, marketers need to
carefully tailor their promotions to portray weight loss as
attainable and sustainable. An understanding of program
preference and the favourable characteristics associated with
these programs can provide marketers with the edge to present a
product to the market that is favourably received.
Information gathered through studies such as this, can be used
as a basis for strategy development. Respondents in this study
nominated their most and least preferred weight loss programs
as well as the characteristics that they favoured or disliked
relative to the programs. Figures 4.7 and 4.8 provide the results
of the preferred and least-preferred programs. Following their
‘own program’ and the Tony Ferguson programs were the highest
raters for preferred programs, whereas, Weight Watchers and
Jenny Craig, the least preferred. Strangely, the programs
identified as ‘least preferred’ provide a high level of support and,
when followed, get results. These are two of the characteristics
that respondents indicated present in their ‘preferred’ programs –
see Figure 4.9 and 4.10. This seems somewhat a contradiction.
These results mirror those of Burke, Steenkiste & Styn (2008)
who found people tried to lose weight on their own even
though many identified support and supervision as ‘satisfying
features of weight loss programs’. This contradictory behaviour
often results in failed weight loss efforts, leading to further
weight loss attempts – often unsupported.
There is a general tendency for dieters to be disciplined early,
later straying from the program or ceasing efforts altogether,
and leading to ‘weight-cycling’ (Cleanthous et al., 2007).
Results of this study offer little to contradict previous findings
relating to weight-cycling. This presents nightmares for
marketers as individuals who fall victim to weight-cycling often
try a different program from the previous weight-loss program
(Burke, Steenkiste & Styn, 2008), even if the reason for weight
regain is not related to the program itself, but more likely
behavioural factors.
Results produced 8 dominant favourable characteristics
associated with preferred weight loss programs – these are
outlined in Figure 4.9. Similarly, respondents identified 8
dominant characteristics in their least-preferred programs –
which are outlined in Figure 4.10.
Marketers can use this information to present the program in a
way that reinforces perceived positive characteristics of the
weight loss program. Equally, characteristics such as lengthy or
complicated food preparation should be avoided in advertising,
and ultimately, any further program and product development
should aim to remove this altogether.
Figure 4.9 Favoured Characteristics of Preferred Weight
Loss Programs
9%
20%
15%
12%
9%
9%
12%
14%
Support/Motivation Ease/Convenient - Lifestyle
Flexible Results
From Home/Online Cost
Variety/Taste of Food Education
In the identification of preferred program characteristics,
psychological motivators were identified by respondents who
identified tasteless and lack of variety in food choices and
programs with ‘too many rules’ as characteristics in their least
preferred programs - See Figure 4.10. These results provide
support for the theory that these types of psychological factors,
influence consumer purchase decisions. Given this, programs
and their associated product offerings need to be developed
with these factors in mind.
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Figure 4.7 Preferred Weight Loss Programs Figure 4.10 Characteristics Associated with Least Preferred
Weight Loss Programs
13%
6%
3%
3%
6% 3% 3% 3%
28%
32%
Weight Watchers Jenny Craig Tony Ferguson
Betty Baxter's Gyms/Fitness Centres Sure Slim
Fit for Life The Natural Way Gloria Marshall
Own Program
10%
10%
10%
24%
13%
13%
10%
10%
Public Weigh-ins High Cost
Little Variety/Tasteless Food Time to Prepare/Weigh Food
Program Too Strict Not Sustainable
Not Long Term Solution Lack of Education
Successful product development, positioning and promotion can
increase the ‘take-up-rate’ and continuation of the program.
Programs tailored to individual’s needs and lifestyles will likely
increase weight loss success. An individual’s successful weight
loss not only increases their self-esteem, body-esteem and
improves health, but further provides the weight loss program
with a nil-cost endorsement and positive psychological benefit
associations towards the product for potential consumers within
the individual’s reference groups.
Figure 4.8 Least Preferred Weight Loss Programs
31%17%
7%
4% 4% 4% 4%
11%
7%
11%
Weight Watchers Jenny Craig
Tony Ferguson Gyms/Fitness Centres
Lite 'n Easy Herbal Life
Sure Slim Cabbage Soup Diet
Low Carb/Meal Replacement Own Program
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Understanding personality and motivation driving consumer
behaviour will help marketers in their decisions surrounding
techniques for improving brand recognition and entering or
expanding across target markets. An example from the weight
loss industry is Tony Ferguson’s sponsorship of a long-standing
NRL team. In 2008, Tony Ferguson embarked on a sponsorship
deal with the Western-Sydney based Penrith Panthers Rugby
League Club. This move could be seen as positive for a number
of reasons.
Sponsorship can provide significant benefits if managed in the
right manner. Sponsorship can strengthen the relationships
between brand and consumers by ‘leveraging the social
identification’ that is built through the ‘spectatorship experience’
(Underwood, Bond & Baer, 2001). Berry (2000) supports this
view, positing ‘brand experience is becoming paramount’. Cliffe
& Motion (2005) suggest sponsorship provides opportunity by
‘linking the event experience to the brand’ through attendance of
sponsorship events.
Marketing of weight loss programs has traditionally targeted
females through the positioning and promotion of product.
However, with over 60% of Australian men classified as
overweight or obese (ABS, 2008), there is little wonder that Tony
Ferguson has chosen to promote their brand where massive
opportunity exists for exposure to a largely male dominated
target audience – an audience that has exceeded 1.1 million
spectators attending live NRL games since March 2008
(Australian Stadiums, 2008) and millions more watching each
week on television.
In addition to sponsorship providing brand exposure through
associated events, celebrity endorsements can reap benefits.
‘Celebrities’ give commodities personalities’ (Moeran, 2003), and
can enhance positive advertising ratings and product evaluations
(Silvera & Austad, 2004). However Van der Waldt, Schleritzko &
van Zyl (2007) warn marketers to be careful in their selection of
celebrities for brand or product endorsement. A view supported
by Till (1998) who recommends that marketers test the celebrity
and brand/product combinations to ‘ensure the impression and
image of the celebrity is positive for the target audience.’ Kirsty
Alley’s most public failure to maintain weight loss when holding
the position of ambassador for Jenny Craig, is by many, seen as a
failure or mismatch by Jenny Craig in their marketing strategy.
The importance for marketers to understand preferences towards
product and endorsee ‘fit’ is further evident from the results of
this study, with respondents relating more, or equally to’
‘ordinary people’ over celebrities in 100% of the cases. Figure
4.11 shows respondents’ results for relating to celebrities and
ordinary people, as well as tendency to source health and dietary
advice from magazines and television.
Understanding personality characteristics and their influence on
purchase decisions and other consumer behaviours can assist
marketers’ to develop marketing strategies that align to consumer
ideals.
They can create marketing strategies and plans that aim to
position and promote their programs so that they positively
reflect the target markets self-image. Areas such as
advertisement development, the decision to use celebrity
endorsements, to go after sponsorship deals or to consider co-
branding will likely produce more successful outcomes if how a
consumer’s personality and motivation influences their
purchasing behaviour is understood.
5. Study Strengths and Limitations
A significant limitation of this study is the limited size of the
group surveyed. Whilst results from this group provided
indicative trends, little conclusive evidence ensued. It is
recommended that a broader study be undertaken across a
larger sample size, thus combating and the lack of depth in
findings. Another limitation of this study may be the omission
of demographic information such as age, income, education
level, ethnicity, where people live and other socioeconomic
factors. A further limitation is that results are based solely on
self-assessments. Self reports are generally considered open to
compromise due to ‘introspective limitations and socially
desirable responding (Greenwald et al., 2002; Schwarz, 1999).
A strength of this study was the use of ‘The Big-5 Personality
Test’ for the assessment of personality tendencies. This test is
an industry-recognised indicator test that provides consistency
and structure to the study. Further, it provides the opportunity
for comparison of results with existing literature and future
studies. Another positive aspect of this study was the provision
of ‘comment’ boxes on the questionnaire. This allowed
respondents to put additional information related to the
questions asked. This information often provided a clearer
understanding of weight loss motivators and barriers.
However, this format did not allow for consistency in response
among respondents, which whilst providing additional
information, limited its use in the analysis due to the lack of
corresponding responses from other respondents.
6. Conclusion
In 2004-05, Australia had in excess of half of the adult
population categorised as overweight or obese. Excess weight
and obesity has far-reaching effects. Considered an ‘epidemic’,
obesity has been recognised in the medical fraternity as a
disease (Salant & Santry, 2006). Costing approximately $830
million annually and placing significant stress on the Australian
Healthcare System (Thorburn, 2005). We live in a ‘thinness
culture’ with much focus on body image. This contradiction
between the ‘thinness culture’ and the increasing pressure on
health services has lead to an explosion in weight management
products and services. A lucrative market has emerged with
the weight management/control market estimated to be in the
vicinity of some $30 billion per annum in the USA alone.
Figure 4.11 Respondent Results to Endorsement & Media Connection
0
1
2
3
4
5
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
Celebrities Ordinary People Magazines & TV Diets
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A lack of will-power and commitment to weight loss are the most
common reasons for failure. There is further evidence that
failure to achieve or maintain goal weight will result in the
participant looking for a different program for their next attempt.
Individuals often state, ‘that program didn’t work for me’ as
opposed to acknowledging a lack of motivation or commitment
that is often encountered. Weight loss program providers and
their marketers need to understand the propensity for this
behaviour and develop strategies, both within the development
of the program and their marketing efforts, to reduce this
predilection.
Whilst some trends did emerge from the current study, the
interpretations cannot be more than speculative, offering little to
contradict or reinforce previous findings. However the results do
warrant further consideration. Several themes were revealed
from which assumptions could be drawn, providing a foundation
for future research in the role personality and motivation plays in
consumer purchasing behaviour for weight loss products and
services. Whist some results in this study were inconclusive - in
particular some related to personality – it is perhaps best
summarised by the comments of one respondent:
‘I keep telling myself that my body has served me well,
ie: giving birth to 3 children, having a happy and
successful home life, giving comfort and friendship to
colleagues and friends and traipsing across the world.
Surely then this body of mine deserves nurturing as far
as healthy nourishment and exercise are concerned.
When I am in this mind frame I feel a lot better about
myself and do not feel the need to binge and eat junk
food. The problem with this is that I am sometimes
faced with situations where my self confidence is
challenged and my feelings of self worth are
diminished.”
This is the challenge that is faced by millions of individuals trying
to lose weight across the nation and around the world. This is
also the challenge that faces the developers of weight loss
programs and their marketing teams.
Acknowledgements
Thanks to family, friends and work colleges who completed the
questionnaires and personality tests to make the analysis
possible.
Thanks too, to Michael and the team from Mad Canoe Marketing
for background information on the decision by Tony Ferguson to
sponsor the Penrith Panthers Rugby League Team.
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