Community Teaching Work Plan for Prevention of Childhood Diabetes
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This community teaching work plan focuses on the prevention of childhood diabetes through education and awareness. It addresses the epidemiological rationale, nursing diagnosis, readiness for learning, learning theory, goals, and evaluation objectives. The plan utilizes behaviorism theory and incorporates creativity through role playing. The evaluation goals include increasing fruit and vegetable consumption, physical exercise, and reducing junk food consumption and screen time. Barriers and therapeutic communication strategies are also discussed.
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Running head: COMMUNITY TEACHING WORK PLAN FOR CHILDHOOD DIABETES 1
Community Teaching Work Plan for Prevention of Childhood Diabetes
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Community Teaching Work Plan for Prevention of Childhood Diabetes
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COMMUNITY TEACHING WORK PLAN FOR CHILDHOOD DIABETES 2
Community Teaching Work Plan for Prevention of Childhood Diabetes
Epidemiological Rationale
Childhood obesity in the United States is one of the greatest issues of concern among
stakeholders in the healthcare sector. According to Goss et al. (2018), childhood obesity does not
only impose negative effects on the child’s state of growth and development but also increases
their risks of exposure to detrimental health challenges later in life. Eldredge et al. (2016) reveal
that about 17% of the children in the United States are overweight. The researchers further reveal
that one in three children is either obese or overweight. On the other hand, Visekruna et al.
(2017) explain that the prevalence of obesity in this economy has increased twofold among
adults and threefold among adolescents and children since 1980. The scholars further demystify
that in natural settings, obese teenagers faces a 70% risk of becoming obese in their adulthood.
Christie et al. (2016) reveal that the condition is highly dominant among non-Hispanic black
children (28%) compared to their non-Hispanic counterparts (17%) and non-Hispanic white
peers (15%). Childhood obesity is associated with a number of complex life conditions such as
hyperlipidemia, hypertension, type II diabetes, sleep apnea, early maturation, psychosocial stress
and low self-esteem
Nursing Diagnosis
Hannon et al. (2016) identify lack of adequate physical exercise and excessive food
intake as the primary causes of childhood obesity. According to Macridis et al. (2016), there is a
strong correlation between an individual’s dietary intake patterns and levels of exposure to
obesity. For instance, Kise, Hopkins and Burke(2017) explain that increased intake of
sweetened beverages, junk foods, alcoholic drinks and high fructose corm syrups is directly
related with increments in the levels of obesity. The researchers attribute the increasing number
Community Teaching Work Plan for Prevention of Childhood Diabetes
Epidemiological Rationale
Childhood obesity in the United States is one of the greatest issues of concern among
stakeholders in the healthcare sector. According to Goss et al. (2018), childhood obesity does not
only impose negative effects on the child’s state of growth and development but also increases
their risks of exposure to detrimental health challenges later in life. Eldredge et al. (2016) reveal
that about 17% of the children in the United States are overweight. The researchers further reveal
that one in three children is either obese or overweight. On the other hand, Visekruna et al.
(2017) explain that the prevalence of obesity in this economy has increased twofold among
adults and threefold among adolescents and children since 1980. The scholars further demystify
that in natural settings, obese teenagers faces a 70% risk of becoming obese in their adulthood.
Christie et al. (2016) reveal that the condition is highly dominant among non-Hispanic black
children (28%) compared to their non-Hispanic counterparts (17%) and non-Hispanic white
peers (15%). Childhood obesity is associated with a number of complex life conditions such as
hyperlipidemia, hypertension, type II diabetes, sleep apnea, early maturation, psychosocial stress
and low self-esteem
Nursing Diagnosis
Hannon et al. (2016) identify lack of adequate physical exercise and excessive food
intake as the primary causes of childhood obesity. According to Macridis et al. (2016), there is a
strong correlation between an individual’s dietary intake patterns and levels of exposure to
obesity. For instance, Kise, Hopkins and Burke(2017) explain that increased intake of
sweetened beverages, junk foods, alcoholic drinks and high fructose corm syrups is directly
related with increments in the levels of obesity. The researchers attribute the increasing number
COMMUNITY TEACHING WORK PLAN FOR CHILDHOOD DIABETES 3
of reports on childhood obesity to the fact that the population of toddlers being exposed to
sweetened beverages such as fruit juices and soft drinks has also seen a sharp increase. On the
other hand, over-exposure to sedentary activities such as excessive screen time also acts as a
significant contributor of childhood obesity.
Readiness for Learning
The content and method of educating the targeted populations will be determined by
assessing the extents to which they reveal readiness to learn. Considering the fact that one-to-one
interactions between the educator and students will be adopted in the current community
teaching plan, experiential factors such as the information processing capacities, previous
learning and experiences will be considered. Further, the student’s levels of emotional readiness
to learn will be determined by vetting their affective states. According to Verloo et al. (2016), a
child’s capacity to acquire and process learned information plays an essential role in determining
the efficacy of a health education initiative.
The education plan will be tailored in such a way that it puts a lot of consideration on
incidental learning to enhance the targeted population’s information processing capacities. On
the other hand, Thorstensson et al. (2016) explain that previous exposure to the instructional
content of intent stimulates students to develop curiosity in the learning process. Lastly, the
affective state of the targeted children will be determined by vetting their levels of anxiety, mood
state and stress. Chiang et al. (2018) explain that learners who are exposed to anxieties and
stressful conditions are less likely to comprehend the instructions they are exposed to in
community teaching exercises.
of reports on childhood obesity to the fact that the population of toddlers being exposed to
sweetened beverages such as fruit juices and soft drinks has also seen a sharp increase. On the
other hand, over-exposure to sedentary activities such as excessive screen time also acts as a
significant contributor of childhood obesity.
Readiness for Learning
The content and method of educating the targeted populations will be determined by
assessing the extents to which they reveal readiness to learn. Considering the fact that one-to-one
interactions between the educator and students will be adopted in the current community
teaching plan, experiential factors such as the information processing capacities, previous
learning and experiences will be considered. Further, the student’s levels of emotional readiness
to learn will be determined by vetting their affective states. According to Verloo et al. (2016), a
child’s capacity to acquire and process learned information plays an essential role in determining
the efficacy of a health education initiative.
The education plan will be tailored in such a way that it puts a lot of consideration on
incidental learning to enhance the targeted population’s information processing capacities. On
the other hand, Thorstensson et al. (2016) explain that previous exposure to the instructional
content of intent stimulates students to develop curiosity in the learning process. Lastly, the
affective state of the targeted children will be determined by vetting their levels of anxiety, mood
state and stress. Chiang et al. (2018) explain that learners who are exposed to anxieties and
stressful conditions are less likely to comprehend the instructions they are exposed to in
community teaching exercises.
COMMUNITY TEACHING WORK PLAN FOR CHILDHOOD DIABETES 4
Learning Theory to Be Utilized
Behaviorism theory will be utilized to foster community education on the importance of
preventing childhood obesity. The behaviorism theory seeks to foster learning processes by
initiating change in behavior to the desired direction. Young-Hyman et al. (2016) explain ha such
changes can only be achieved by attributing rewards and encouragements to the successful
attempts of correcting one’s traits; repetition of these behaviors; proper feedback and
reinforcement. However, the researchers explain that such alterations only take place to respond
to the pressures of an external stimulus. On the other hand, Brasel, Garner, and Horn (2016)
explain that the behaviorism theory is applied based on the premise that an individual’s internal
motives cannot be adequately measured. As such, the behaviorism system greatly relies on
continuous “skill and drill” exercises.
Goal
The community teaching work plan will adopt the NWS-10.4 Healthy People 2020
objective as its main instructional objective. NWS-10.4 seeks to minimize the population of
obese American children adolescents aged between 2 and 19.
Relation to Alma Ata’s Health for All Initiative
Alma Ata’s Health for All Initiative seeks to reaffirm health as a state of complete
physical, mental, and social wellbeing of a given populace and a fundamental human right. The
fact that the NWS-10.4 seeks to minimize the population of obese American children adolescents
aged between 2 and 19 reveals its efficacy in fostering the attainment of optimal degrees of
health.
Behavioral Objectives
Learning Theory to Be Utilized
Behaviorism theory will be utilized to foster community education on the importance of
preventing childhood obesity. The behaviorism theory seeks to foster learning processes by
initiating change in behavior to the desired direction. Young-Hyman et al. (2016) explain ha such
changes can only be achieved by attributing rewards and encouragements to the successful
attempts of correcting one’s traits; repetition of these behaviors; proper feedback and
reinforcement. However, the researchers explain that such alterations only take place to respond
to the pressures of an external stimulus. On the other hand, Brasel, Garner, and Horn (2016)
explain that the behaviorism theory is applied based on the premise that an individual’s internal
motives cannot be adequately measured. As such, the behaviorism system greatly relies on
continuous “skill and drill” exercises.
Goal
The community teaching work plan will adopt the NWS-10.4 Healthy People 2020
objective as its main instructional objective. NWS-10.4 seeks to minimize the population of
obese American children adolescents aged between 2 and 19.
Relation to Alma Ata’s Health for All Initiative
Alma Ata’s Health for All Initiative seeks to reaffirm health as a state of complete
physical, mental, and social wellbeing of a given populace and a fundamental human right. The
fact that the NWS-10.4 seeks to minimize the population of obese American children adolescents
aged between 2 and 19 reveals its efficacy in fostering the attainment of optimal degrees of
health.
Behavioral Objectives
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COMMUNITY TEACHING WORK PLAN FOR CHILDHOOD DIABETES 5
1. Fourth grade students name one junk food served in the local fast food restaurant by the
end of the lecture.
a. The local fast food restaurant serves fast foods such as fast fries, roasted meat,
and soda.
i. Junks are high fat and high sugar meals
1. An interactive chart containing a variety of junks will be adopted
to reinforce the lecture.
2. Fourth grade students identify two healthy food choices provided in each of the five
categories of a food pyramid.
a. The food pyramid is made up of five food categories which are proteins,
vegetables, carbohydrates, fruits and proteins.
i. Healthy foods provide the body with the right nutritional needs.
1. Students pick and match pictures of foods on their rightful place in
the pyramid.
3. Students identify two sedentary activities
a. Sedentary activities require minimal use of energy.
i. Sedentary activities lead to an increase in body weight.
1. Students write a plan on how to reduce the number of hours spent
on watching movies and television.
4. Students identify to ways of increasing their levels of physical activity.
a. Physical activities require a lot of body energy.
i. Physical activity helps people to maintain the right body weight.
1. Students engage in field exercises for 20 minutes.
1. Fourth grade students name one junk food served in the local fast food restaurant by the
end of the lecture.
a. The local fast food restaurant serves fast foods such as fast fries, roasted meat,
and soda.
i. Junks are high fat and high sugar meals
1. An interactive chart containing a variety of junks will be adopted
to reinforce the lecture.
2. Fourth grade students identify two healthy food choices provided in each of the five
categories of a food pyramid.
a. The food pyramid is made up of five food categories which are proteins,
vegetables, carbohydrates, fruits and proteins.
i. Healthy foods provide the body with the right nutritional needs.
1. Students pick and match pictures of foods on their rightful place in
the pyramid.
3. Students identify two sedentary activities
a. Sedentary activities require minimal use of energy.
i. Sedentary activities lead to an increase in body weight.
1. Students write a plan on how to reduce the number of hours spent
on watching movies and television.
4. Students identify to ways of increasing their levels of physical activity.
a. Physical activities require a lot of body energy.
i. Physical activity helps people to maintain the right body weight.
1. Students engage in field exercises for 20 minutes.
COMMUNITY TEACHING WORK PLAN FOR CHILDHOOD DIABETES 6
Creativity
Role playing will be adopted as a way of fostering creative learning. Lewallen et al.
(2015) consider role playing as one of the most effective ways of fostering community education
on health issues as it gives room for participants to play the role of a person affected by the issue
under consideration. As a consequence, Kakkar, and Puri (2016) explain that the targeted
audience gets the opportunity to see the effects of their activities from the actor’s point of view.
Students will be allowed to inculcate skits to reveal the negative effects of childhood obesity, the
importance of exercising and the efficacy of alienating unhealthy foods while increasing their
levels of consuming fruits and vegetables.
Planned Evaluation Objectives
1. Consumption of fruits and vegetables
a. To increase the levels of fruit and vegetable consumption among students
2. Physical exercise
a. To increase the number of hours spent by each student on physical exercise by 30
minutes.
3. Consumption of junks
a. To reduce the levels of consumption of fast fries among students.
4. Watching time
a. To reduce the number of hours spent on movies and television by 1 hour.
Planned Evaluation Goal
Creativity
Role playing will be adopted as a way of fostering creative learning. Lewallen et al.
(2015) consider role playing as one of the most effective ways of fostering community education
on health issues as it gives room for participants to play the role of a person affected by the issue
under consideration. As a consequence, Kakkar, and Puri (2016) explain that the targeted
audience gets the opportunity to see the effects of their activities from the actor’s point of view.
Students will be allowed to inculcate skits to reveal the negative effects of childhood obesity, the
importance of exercising and the efficacy of alienating unhealthy foods while increasing their
levels of consuming fruits and vegetables.
Planned Evaluation Objectives
1. Consumption of fruits and vegetables
a. To increase the levels of fruit and vegetable consumption among students
2. Physical exercise
a. To increase the number of hours spent by each student on physical exercise by 30
minutes.
3. Consumption of junks
a. To reduce the levels of consumption of fast fries among students.
4. Watching time
a. To reduce the number of hours spent on movies and television by 1 hour.
Planned Evaluation Goal
COMMUNITY TEACHING WORK PLAN FOR CHILDHOOD DIABETES 7
The effectiveness of the teaching plan will be assessed after two weeks of the lecture. Students
will be availed with report sheets to record the meals consumed on a daily basis. Further,
students will record the number of hours spent on television. Particular interest will be placed on
the consumption of fruits and vegetables.
Process Evaluation
The audience will be presented with score cards to rate the lesson and the teaching
process. Students will be required to judge whether the lecture was effective in meeting their
needs. Further, the scholars will be allowed to recommend the most effective ways of rectifying
the unmet needs.
Barriers
Fear of change and previous bad experience will act as key barriers to effective learning.
There are tendencies that members of the audience may develop fears of changing their current
feeding and exercise plans. Such a notion may hinder effective adoption of the planned content.
Considering the fact that childhood obesity is an issue of concern across the globe, there are
tendencies that the targeted students could have been exposed to psychological traumas in
previous lectures.
Therapeutic Communication
I will begin the lecture by presenting critical statistics on pertinent issues such as the
number of people suffering from obesity and the effects of this condition on one’s quality of life.
This will be followed with a 4 minute video clip to capture the audience’s attention. Question-
answer techniques will be adopted to foster active listening. A recap of the presentation will be
inculcated as a way of concluding.
The effectiveness of the teaching plan will be assessed after two weeks of the lecture. Students
will be availed with report sheets to record the meals consumed on a daily basis. Further,
students will record the number of hours spent on television. Particular interest will be placed on
the consumption of fruits and vegetables.
Process Evaluation
The audience will be presented with score cards to rate the lesson and the teaching
process. Students will be required to judge whether the lecture was effective in meeting their
needs. Further, the scholars will be allowed to recommend the most effective ways of rectifying
the unmet needs.
Barriers
Fear of change and previous bad experience will act as key barriers to effective learning.
There are tendencies that members of the audience may develop fears of changing their current
feeding and exercise plans. Such a notion may hinder effective adoption of the planned content.
Considering the fact that childhood obesity is an issue of concern across the globe, there are
tendencies that the targeted students could have been exposed to psychological traumas in
previous lectures.
Therapeutic Communication
I will begin the lecture by presenting critical statistics on pertinent issues such as the
number of people suffering from obesity and the effects of this condition on one’s quality of life.
This will be followed with a 4 minute video clip to capture the audience’s attention. Question-
answer techniques will be adopted to foster active listening. A recap of the presentation will be
inculcated as a way of concluding.
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COMMUNITY TEACHING WORK PLAN FOR CHILDHOOD DIABETES 8
References
Brasel, J., Garner, B., & Horn, I. S. (2016). Scaffolding Into Ambitious Teaching:
Representations of Practice in Teacher Workgroups. Singapore: International Society of
the Learning Sciences.
Chiang, J. L., Maahs, D. M., Garvey, K. C., Hood, K. K., Laffel, L. M., Weinzimer, S. A., ... &
Schatz, D. (2018). Type 1 diabetes in children and adolescents: a position statement by
the American Diabetes Association. Diabetes Care, 41(9), 2026-2044.
Christie, D., Thompson, R., Sawtell, M., Allen, E., Cairns, J., Smith, F., ... & Wiggins, M.
(2016). Effectiveness of a structured educational intervention using psychological
delivery methods in children and adolescents with poorly controlled type 1 diabetes: a
cluster-randomized controlled trial of the CASCADE intervention. BMJ Open Diabetes
Research and Care, 4(1), e000165.
Eldredge, L. K. B., Markham, C. M., Ruiter, R. A., Kok, G., Fernandez, M. E., & Parcel, G. S.
(2016). Planning health promotion programs: an intervention mapping approach. John
Wiley & Sons.
Goss, P. W., Middlehurst, A., Acerini, C. L., Anderson, B. J., Bratina, N., Brink, S., ... &
Milosevic, R. (2018). ISPAD Position Statement on Type 1 Diabetes in Schools.
Pediatric diabetes, 19(7), 1338-1341.
Hannon, T. S., Moore, C. M., Cheng, E. R., Lynch, D. O., Yazel-Smith, L. G., Claxton, G. E., ...
& Wiehe, S. E. (2018). Codesigned Shared Decision-Making Diabetes Management Plan
References
Brasel, J., Garner, B., & Horn, I. S. (2016). Scaffolding Into Ambitious Teaching:
Representations of Practice in Teacher Workgroups. Singapore: International Society of
the Learning Sciences.
Chiang, J. L., Maahs, D. M., Garvey, K. C., Hood, K. K., Laffel, L. M., Weinzimer, S. A., ... &
Schatz, D. (2018). Type 1 diabetes in children and adolescents: a position statement by
the American Diabetes Association. Diabetes Care, 41(9), 2026-2044.
Christie, D., Thompson, R., Sawtell, M., Allen, E., Cairns, J., Smith, F., ... & Wiggins, M.
(2016). Effectiveness of a structured educational intervention using psychological
delivery methods in children and adolescents with poorly controlled type 1 diabetes: a
cluster-randomized controlled trial of the CASCADE intervention. BMJ Open Diabetes
Research and Care, 4(1), e000165.
Eldredge, L. K. B., Markham, C. M., Ruiter, R. A., Kok, G., Fernandez, M. E., & Parcel, G. S.
(2016). Planning health promotion programs: an intervention mapping approach. John
Wiley & Sons.
Goss, P. W., Middlehurst, A., Acerini, C. L., Anderson, B. J., Bratina, N., Brink, S., ... &
Milosevic, R. (2018). ISPAD Position Statement on Type 1 Diabetes in Schools.
Pediatric diabetes, 19(7), 1338-1341.
Hannon, T. S., Moore, C. M., Cheng, E. R., Lynch, D. O., Yazel-Smith, L. G., Claxton, G. E., ...
& Wiehe, S. E. (2018). Codesigned Shared Decision-Making Diabetes Management Plan
COMMUNITY TEACHING WORK PLAN FOR CHILDHOOD DIABETES 9
Tool for Adolescents With Type 1 Diabetes Mellitus and Their Parents: Prototype
Development and Pilot Test. Journal of Participatory Medicine, 10(2), e8.
Kakkar, J., & Puri, S. (2016). Psychosocial implications of type 1 diabetes mellitus among
children in India: an emerging challenge for social work profession. Open Journal of
Psychiatry & Allied Sciences, 7(2), 103-110.
Kise, S. S., Hopkins, A., & Burke, S. (2017). Improving school experiences for adolescents with
type 1 diabetes. Journal of School Health, 87(5), 363-375.
Lewallen, T. C., Hunt, H., Potts‐Datema, W., Zaza, S., & Giles, W. (2015). The Whole School,
Whole Community, Whole Child model: a new approach for improving educational
attainment and healthy development for students. Journal of School Health, 85(11), 729-
739.
Macridis, S., Bengoechea, E. G., McComber, A. M., Jacobs, J., & Macaulay, A. C. (2016).
Active transportation to support diabetes prevention: Expanding school health promotion
programming in an Indigenous community. Evaluation and program planning, 56, 99-
108.
Verloo, H., Meenakumari, M., Abraham, E. J., & Malarvizhi, G. (2016). A qualitative study of
perceptions of determinants of disease burden among young patients with type 1 diabetes
and their parents in South India. Diabetes, metabolic syndrome and obesity: targets and
therapy, 9, 169.
Thorstensson, S., Fröden, M., Vikström, V., & Andersson, S. (2016). Swedish school nurses’
experiences in supporting students with type 1 diabetes in their school environment.
Nordic journal of nursing research, 36(3), 142-147.
Tool for Adolescents With Type 1 Diabetes Mellitus and Their Parents: Prototype
Development and Pilot Test. Journal of Participatory Medicine, 10(2), e8.
Kakkar, J., & Puri, S. (2016). Psychosocial implications of type 1 diabetes mellitus among
children in India: an emerging challenge for social work profession. Open Journal of
Psychiatry & Allied Sciences, 7(2), 103-110.
Kise, S. S., Hopkins, A., & Burke, S. (2017). Improving school experiences for adolescents with
type 1 diabetes. Journal of School Health, 87(5), 363-375.
Lewallen, T. C., Hunt, H., Potts‐Datema, W., Zaza, S., & Giles, W. (2015). The Whole School,
Whole Community, Whole Child model: a new approach for improving educational
attainment and healthy development for students. Journal of School Health, 85(11), 729-
739.
Macridis, S., Bengoechea, E. G., McComber, A. M., Jacobs, J., & Macaulay, A. C. (2016).
Active transportation to support diabetes prevention: Expanding school health promotion
programming in an Indigenous community. Evaluation and program planning, 56, 99-
108.
Verloo, H., Meenakumari, M., Abraham, E. J., & Malarvizhi, G. (2016). A qualitative study of
perceptions of determinants of disease burden among young patients with type 1 diabetes
and their parents in South India. Diabetes, metabolic syndrome and obesity: targets and
therapy, 9, 169.
Thorstensson, S., Fröden, M., Vikström, V., & Andersson, S. (2016). Swedish school nurses’
experiences in supporting students with type 1 diabetes in their school environment.
Nordic journal of nursing research, 36(3), 142-147.
COMMUNITY TEACHING WORK PLAN FOR CHILDHOOD DIABETES
10
Visekruna, S., Hall, L. M., Parry, M., & Spalding, K. (2017). Intersecting health policy and the
social determinants of health in pediatric type 1 diabetes management and care. Journal
of pediatric nursing, 37, 62-69.
Young-Hyman, D., De Groot, M., Hill-Briggs, F., Gonzalez, J. S., Hood, K., & Peyrot, M.
(2016). Psychosocial care for people with diabetes: a position statement of the American
Diabetes Association. Diabetes care, 39(12), 2126-2140.
10
Visekruna, S., Hall, L. M., Parry, M., & Spalding, K. (2017). Intersecting health policy and the
social determinants of health in pediatric type 1 diabetes management and care. Journal
of pediatric nursing, 37, 62-69.
Young-Hyman, D., De Groot, M., Hill-Briggs, F., Gonzalez, J. S., Hood, K., & Peyrot, M.
(2016). Psychosocial care for people with diabetes: a position statement of the American
Diabetes Association. Diabetes care, 39(12), 2126-2140.
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