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 For this assignment, you will use the information from your implementation plan to complete the third phase of the public health project: development of an evaluation and stakeholder engagement plan. In a narrative of 1,000 words, include each of the following in your plan:

  1. Description of the type of evaluation you will conduct.
  2. List of evaluation questions to direct your evaluation.
  3. Description of the evaluation framework guiding your evaluation.
  4. Refer to the findings of your evaluation design comparison for selecting your evaluation design. Describe the evaluation design you selected for your program/intervention. Provide a rationale as to why this design is best for the evaluation of your intervention.
  5. Describe evaluation methods. Identify and describe quantitative and qualitative data collection methods you will use to evaluate your program/intervention.
  6. Describe strategies for identifying stakeholders, disseminating findings to stakeholders, and engaging in collaboration and partnership toward sustaining your program for improved outcomes for the health issue.

You are required to cite to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and public health content.

Prepare this assignment according to the guidelines found in the APA Style Guide,

Benchmark – Program Implementation Plan


Describe an evidence-based intervention based on your completed needs assessment. Your intervention should be population-based and informed by your chosen theory and SMART goals and objectives. Population-based interventions can be directed at the entire population within a community, the systems that affect the health of those populations, and/or the individuals and families within those populations known to be at risk. Use the Logic Model to design your proposed intervention.

1. Description of the Intervention

a. Describe the population-based, evidence-based program/intervention.

The population group in focus is that of African-American people. The program focused on developing a program that can be used to combat cardiovascular diseases (CVD) among the target population. The population has lost faith and trust in the healthcare system from the assessment. Furthermore, they believe that surgical procedures lead to death due to clot formation. This makes most of them fear looking for help. Therefore, the need to consider an effective program that is population-based and at the same time evidence-based. The considered approach was a multicomponent behavioral lifestyle change intervention. The approach was considered because it is relevant for the population targeted. The approach focuses on the identification of cultural relevance for African-Americans. Furthermore, the approach also focuses on strategies that can reduce blood pressure among the chosen population and, addresses the various risk factors for cardiovascular diseases. Therefore, the approach can be effective in this case, which can lead to the management and prevention of CVDs among the African-American population. The intervention is built on several theories, including the transtheoretical model, relapse prevention model, behavioral self-management techniques and social cognitive theory.

b. Discuss how the intervention will support improving the health issue for the target population.

The intervention is focused on goal setting for alcohol consumption, monitoring progress, physical activity and diet. The intervention will be used to identify the relationship between cardiovascular diseases and physical activity. Moreover, it will explain what physical activity is and its various levels. The method will help improve the general health and wellbeing of the target population as it is tailored to meet the needs of the target population. Also, the approach focuses on ensuring that clinical events and CVDs mortality cases are reported. The prevention strategy is urgent for the African American communities where the prevalence rate of CVDs is high. The program will focus on establishing lifestyle risks reduction. The intervention will also address barriers associated with the management of CVDs.

2. Goal and Objectives

a. Goal:

The goal of the program implementation is to explicitly look into barriers to CVDs prevention and management. The implementation program will also focus on aspects that can improve cardiovascular health factors and behaviors among the African-American population.

b. Process Objectives (the activities to be completed in a specific period):

Cardiovascular disease is prevalent among the African-American population. A considerable percentage of the population lives in poor neighborhoods, and most receive low incomes (Chen et al., 2018). This means disparities in how healthcare services are disseminated to the target population. Corresponding disparities such as sedentary lifestyles, smoking, hypertension, and obesity exist among the target population. The approach will consider both the community and individual level factors to deal with health disparity patterns. The program will, in this case, focus on educating and supporting people living with chronic diseases (Chen et al., 2018). The intervention will focus on combining CVD management and risk assessment. Moreover, a focus will be put on developing personalized patient care.

c. Outcome Objectives (changes in knowledge, attitudes, behaviors, policy, environment systems, etc.):

Due to the limitation of resources, the need to prevent and manage CVD among African-Americans is widespread. Therefore, when implementing the program, we will utilize the team-based care model, activating the patients via self-management. The approach also aims to lower the out-of-pocket costs for healthcare services and medications. The program aims to improve the diet literacy levels of the target population (Morgan et al., 2018). This will ensure that they understand the importance of diet in managing and preventing CVDs (Flora & Nayak, 2019). The program is also aimed at educating the target population on the importance of regular physical activity to manage, treat, and prevent CVDs. The program will provide the target population with knowledge on how to exercise regularly, develop healthy eating habits, and measure weight, cholesterol, and blood pressure. These exercises will help with overall psychosocial wellbeing, risk factors modification and improved exercise tolerance.

3. Complete the Logic Model. Design your intervention using the template on the following page:


Develop a program timeline and action plan using a Gantt chart, depicting the key tasks, activities and people involved in the first 12 months (1 year) of implementing your program and the projected timeframe for completion of each task. Use the objectives you defined in Part 1.


:

Objective: By the end of the school year, district health educators will have delivered lessons on tobacco refusal skills to 90% of youth participants in the middle school tobacco prevention curriculum.





Timeline for Tasks/Activities

Task/Activity

Personnel Responsible

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Train volunteers on curricula

Program coordinator

X

X

Deliver education classes

Volunteers

X

X

X

A. Complete the table below for your intervention (add rows, as needed):

Objective 1:





Timeline for Tasks/Activities

Task/Activity

Personnel Responsible

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Staff recruitment

Program manager

XXX

Patient recruitment

Program manager

XXX

XXX

Creating awareness of CVDs

staff

XXX

XXX

XXX

XXX

XXX

XXX

XXXX

XXX

XXX

XXX

XXXX

XXX

Assess the knowledge of the participants on heart health

Registered nurses

XXX

XXX

XXX

Identify participants

Program coordinator

XXX

XXX

Active living every day

XXX

XXX

XXX

XXX

XXX

Objective 1:





Timeline for Tasks/Activities

Task/Activity

Personnel Responsible

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Conduct group education sessions

volunteers

XXX

XXX

XXX

XXX

Describe risk health behaviors about CVDs

Registered nurses

XXX

XXX

XXX

Infrastructure development

Technical team

XXX

XXX

Objective 1:





Timeline for Tasks/Activities

Task/Activity

Personnel Responsible

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Create a committee to assess proposals

Program coordinator

XXX

Develop a project plan

Program technician

XXX

Secure funding and grants to help in the implementation of the project

Program treasurer

XXX

XXX

Recruit talented registered nurses to volunteer

Program coordinator

XXXX

Support dedicated time for research

Registered nurse

XXXX

XXX

Objective 1:





Timeline for Tasks/Activities

Task/Activity

Personnel Responsible

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Clinic partners

Registered nurse

XXX

XXX

Implement state plan

XXX

XXX

XXX

Assessment and evaluation of the program progress

XXX

XXX

Conducting a biennial community scan

XXX

XXX

XXX

XXX

Partner for healthy food and physical activity

XXXXX

XXX

XXX

Objective 1:





Timeline for Tasks/Activities

Task/Activity

Personnel Responsible

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Implement systems to facilitate referrals to lifestyle programs and community resources

Program manager

XXX

XXX

XXX

Collaborative program evaluation, implementation and planning

Curriculum instructor

XXX

XXX

XXX

Collaborate with partners to improve access to services and resources that support healthy behaviors

Physical fitness instructor

XXX

XXX


Review the “Program Budget Resource” to complete your budget and justification. Identify a potential source of funding for your project. Add or remove rows from the tables below, as needed, to complete your budget.

Source of Funding:

A. Personnel

Staff Position

Yearly Salary

% of time

Fringe Benefits

(as % or additional cost)

Total Amount

(Do not add fringe benefits twice.)

Curriculum Instructor

$ 42000

60%

$1200

$43200

Program coordinator

$ 53000

72%

$750

$53750

Program manager

$38000

48%

$1560

$39560

Program treasurer

$42000

65%

$2500

$44500

Program technician

$32000

43%

$1200

$33200

Program treasurer

$38000

60%

$1350

$39350

Registered nurse

$42000

72%

$420

$42420

Total

B. Travel

Item

Description of Travel Event Expenses

Amount

Item 1

Training conference

$300



Hotel $150/nightx3 persons X 2 nights

$620



Per Diem meals$50/day x 3 persons x 2 days

$300

Item 2

Outreach workshops 750 miles X 0.25

$187.5







C. Equipment

Equipment Item

Description

Amount

Total

Projector

1

$900

$900

Printer

1

$300

$300

Laptop computer

1

$900

$900

Copies

8000 copies Xo.10/copy

$800

$800

Total

$2900

D. Supplies

Supply Item

Description

Amount

Total

Total

E. Consultant

Consultant/

Organizational Affiliation

Services to Be Rendered and

Relevance to Service Project

Number of Days

Expected Rate of Compensation

Certified trainers

Will train the volunteers on physical activities.

14

$140/per day

Evaluator

Will evaluate the implementation of the program

21

$200 per day

























Total





Total

F. Other

Item

Description

Amount or

Amount/Month

Total

Grant Coordinator

To be chosen

$46,276

$46,276



Clinical Director

Volunteer

$0





$46,276

Total

Total

G. Total Direct Costs

Budget Item

Total Amount

Personnel


$295980

Fringe


$5420

Travel


$ 12500

Equipment


$7500

Supplies


$6700

Contractual


$3500

Consultant


$1120

Other




Total

332,720

H. Budget Proposal and Justification

The implementation of the program will put into consideration several aspects. These aspects will ensure that the implementation process is done in a well synchronized and coordinated approach. The program requires several personnel who are equipped with different skills and knowledge. The curriculum instructor will be needed to help develop a physical activity curriculum. Moreover, the program will require a program coordinator to ensure that all activities are carried out promptly. The coordinator will also coordinate all project activities and services, including information dissemination, communication and training. The project manager will provide guidance and direction to staff members in this project. The treasurer will handle all the finances and be the chief financial officer in the program. The technician will handle all technical aspects of the project, including all the information technology equipment and disseminating information through social media platforms. The registered nurse will ensure that the programs utilize evidence-based practices that align with the treatment and management of cardiovascular diseases. The travel expenses will make it possible for the facilitators to attend a conference on CVDs. This will help in adding the current knowledge on CVDs. The equipment described above will be used to create awareness and ensure that the target population gets word on the street on this program. The consultants will also ensure that the program is implemented according to plan and that all the implementation phases are followed to the later. Further, the consultants will help identify errors that may prevent the program from meeting its set goals and objectives.

References

Chen, H., McGowan, E. M., Ren, N., Lal, S., Nassif, N., Shad-Kaneez, F., … & Lin, Y. (2018). Nattokinase: a promising alternative in prevention and treatment of cardiovascular diseases. Biomarker insights13, 1177271918785130.

Flora, G. D., & Nayak, M. K. (2019). A brief review of cardiovascular diseases, associated risk factors and current treatment regimes. Current pharmaceutical design25(38), 4063-4084.

Lavie, C. J., Arena, R., Alpert, M. A., Milani, R. V., & Ventura, H. O. (2018). Management of cardiovascular diseases in patients with obesity. Nature Reviews Cardiology15(1), 45-56.

Li, C., Naveed, M., Dar, K., Liu, Z., Baig, M. M. F. A., Lv, R., … & Xiaohui, Z. (2021). Therapeutic advances in cardiac targeted drug delivery: from theory to practice. Journal of Drug Targeting29(3), 235-248.

Morgan, A. D., Zakeri, R., & Quint, J. K. (2018). Defining the relationship between COPD and CVD: what are the implications for clinical practice?. Therapeutic advances in respiratory disease12, 1753465817750524.

Inputs

Long-Term Outcomes

Intermediate Outcomes

Short-Term Outcomes

Outputs

Activities

Community members

Posttest/Pretest behavior assessment forms and heart health knowledge

Teaching and manual tools

Fitness trainers

Participants complete education sessions

Participants complete education session

Participants complete education sessions

Mutual accountability between the population and trainers

Information sharing

Increased awareness on heart health behaviors and readiness to adopt heart health behaviors

Development of skills and knowledge.

Improved cholesterol levels

Improved glucose levels

Awareness of CVDs sessions

Assess the knowledge of the participants on heart health

Identify participants

Active living every day

Increased heart health behaviors

Increased heart health knowledge

Increased heart health behaviors

Improved glucose and cholesterol levels

Reduced risks for heart diseases

Reduced risks for heart diseases

Reduced risk for heart disease

Legend

Inputs: What resources do you need to make this happen? (e.g., staff, space, funding)

Activities: What are you going to do? (e.g., educate and establish partnerships)

Outputs: What will happen because of your activities? (e.g., 100 people trained)

Short-Term Outcomes: Immediate changes you expect to occur (e.g., changes in knowledge)

Intermediate Outcomes: (e.g., changes in behavior)

Long-Term Outcomes: How will this program help in the future (e.g., obesity prevention)?

Target Population (as identified by needs assessment):

Health issues affecting target population:

Theory or model used to inform an intervention:

Logic Model