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Running head: HEALTH PROMOTION ASSIGNMENT INCREASING STRESS AND HYPERTENSION AMONG YOUNG ADULTS IN SYNDEY Name of the Student Name of the University Author note
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1HEALTH PROMOTION ASSIGNMENT Introduction As per the World Health Organization (2018), health promotional program is a process through which people are enabled to have complete control over their health improvement, using a range of social and medical interventions (Ross et al., 2014). Stress and depression are the second most affecting disorder which is affecting the mankind and causing them to suffer from severe physical and mental trauma. This assignment discusses and proposes a health promotional program in Sydney Australia among young adults (18 to 35 years) who are severely affected with stress and depression (Barry et al., 2013). In the course, starting from need assessment to evaluation of interventions, all the steps health promotion in a community will be followed. Finally, in the appendix section, a pamphlet of a teaching plan will be attached. Identification of needs Need assessment of a community is a vital step as a community consists of different people with different ethnicity, religion, background and age group and hence their needs also differ from one another (Eldredge et al., 2016). Need is known as the presence of certain situations presence of which helps people to achieve their mental peace, physical health and prosperity in life and absence hinders their growth (Lewis, 2015). These needs are important for the community for their overall growth, development and quality health. While conducting a need assessment, it is important for the assessor to understand the type of needs the community has as the interventions and its success will depend on the proper evaluation of the process (Neiger et al., 2012).The type of needs can be divided in four categories such as the comparative need, normative need, expressed need, and felt need (Ross et al., 2014). The comparative needs that is obtained from complete examination of the health service available to the community and comparing it to another service provided to a similar geographical area (Barry et a., 2013). The
2HEALTH PROMOTION ASSIGNMENT felt is need is conveyed by the people of the community whereas the expressed need is inferred by detailed observation of the community. The fourth need or normative need is established by statistical data, opinions or facts (Issel & Wells, 2017). These needs are the basis of need assessment and in this proposal, one of these will be used to assess the need of the target population in Sydney (Tamrat & Kachnowski, 2012). Target population and key issues The chosen population for this health promotion proposal are the young adults from 18 to 35 years of Sydney. As per the data collected from Australian health departments and the Australian Bureau of Statistics (2018), 45% people are currently suffering from mental health, stress depression in the city of Sydney or has a chance to face this in their lifetime (O’neil et al., 2014).In a latest survey by Mission Australia Youth survey, every 1 in 4 young adults is suffering from stress and mental issue, which starts at teen years and the great number of indigenous and younger women are suffering from the chance of being affected with it (Schmied et al., 2013). Increased work pressure, health and environmental stressors, imbalanced personal and professional life, and others are the primary reason behind such mental health which is not being conveyed to the correct people on correct time and hence creates issues for people in such areas (Francis et al., 2012). There is a wide range of personal, educational, or professional issues due to which this generation can feel depressed about and hence, their needs are mostly being neglected or not met by the health promotional events in Australia (Schmied et al., 2013). There are several symptoms using which identification of such depression stress or any mental disturbance in younger generation could be identified such as grumpiness, feeling guilty or worthless, having suicidal ideations and all (Francis et al., 2012). Due to these, people started withdrawing themselves from
3HEALTH PROMOTION ASSIGNMENT society, family, suffer from behavioral shift, inability to focus on work or drug and alcohol. Besides these above mentioned facts, such people are unable to reach to proper medication due to several social barriers, mental stress and trauma and hence, it is one of the major factors for the need assessment process in the proposed health promotion (O’neil et al., 2014). For this conduction of the need assessment both normative and felt needs of the people of the city Sydney will be analyzed and at the end of the assessment results will be merged to obtain a singular and steady result so that the aims goals and objectives could be developed to determine one specific changes to bring in the depressed and stressed life of the people of Australia (O’neil et al., 2014). Hence, for the conduction of the assessment surveys with people of age 18 to 35 will be done and their mental physical and professional stress will be identified by identifying the involved stressors (Francis et al., 2012). A health promotional assessment team including a physician, mental health physician, psychiatrist, counsellor and a nursing professional will be asked to conduct this survey at different places of the city, around schools’ colleges, offices, market place so that more and more interaction with these age group could be done, and issues are identified (Tamrat & Kachnowski, 2012). After completing the need assessment, it was seen that hesitation and lack of awareness about mental health and depression ss on of the major issues due to which people are not being able to reach medical treatment or help hence government should focus in this area other than changing laws and policies for medical treatment (Schmied et al., 2013). Therefore, the clear issue which is identified from this assessment is lack of awareness and social or mental barrier or hesitation. This issue will only be addressed of the health promotional program aims to provide complete awareness about mental health, depression and stress among people successfully. This
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4HEALTH PROMOTION ASSIGNMENT is the reason due to which this need assessment was important for the health care promotional program for the young adults of city of Sydney Australia (Francis et al., 2012). Aim/goal the primary aim of this health promotion proposal is to aim to the key health issues which is affecting the young adults of Sydney ranging from 18 to 35-year-old. Mental health is a major health concern for the entire world and in Australia more than 45 % are already suffering from mild to severe mental conditions which is increasing the alarming condition for the healthcare facilities. Risk factors of this condition could be physical and mental but majorly it affects the nation, its progress and economy as majority of the younger generation becomes affected to this disorder and due to social stigma, fear ad confusion are unable to reach to a health professional or counsellor who can help them to overcome the situation. Hence, as per the target population, the primary aim of the health promotional program will be understanding the stress and depression condition which affect the mental balance of the young adults (18 to 35 year old) and the condition can be educational, professional or personal. Further, after identifying the issues, providing the people with interventions so that they can easily overcome those condition and recover from their mental ailment. Objectives The objective for this health promotion will be dependent on tow aspects, long-term and short-term objectives. The short-term objectives for this promotional program will be providing the communitywith awareness regarding depression and mental health so that they can overcome their social stigma and could contact healthcare physicians around them for their further mental ailments. On the other hand, the long-term goal will be providing them with
5HEALTH PROMOTION ASSIGNMENT interventions and activities so that they can overcome their depression, stress and can avoid the suicidal ideation which comes along. Their stress and depression. If the objectives are arranged in SMART framework it would be: Specific: introduce the effect of mental health, depression and stressto the young aged people of city of Sydney and then help them or support them with healthcare intervention. Measurable: the change obtained will be compared with the people who do not receive suchhealthcareinterventiontomeasuretheeffectivenessoftheinterventionsofhealth promotion program. Achievable: this will be achieved by arranging educational sessions, awareness programs and others to spread the awareness about mental health and illness. Realistic: these activities will be conducted so that people can understand these in their real and practical life and can take effective steps to control the stressors in their life. Time limited: to achieve these objectives and goals, the process will be continued for 5 months in different places of the city so that majority of the people from the target group could be enlightened and then from them others can be aware about the stress and depression health issues. Risks and obstacles The risk and obstacles which will be faced while conducting these health promotional programs around the city will be economic, employee related, place related and technologies and other secondary material related (Kushi et al., 2012). These are the primary issues which will be faced by the healthcare facilities while conducting the health promotional program in the city.
6HEALTH PROMOTION ASSIGNMENT The secondary issue which will be faced, will be the lack of health education, dealing with social stigma, and thinking that mental condition are not an issue which could be shared or discussed with others (Ross et al., 2014). These obstacles affects the affected people as they are not able to overcome the social stigma and do not share their mental issues with others or any healthcare professionals. Hence, it is considered as a social stigma for the healthcare facilities of health promotional program developer (Barry et al., 2013). Strategies to overcome and implementation of plan Thefirststrategywhichwillbeusedtoovercometheeconomicbarrierwillbe advertisementsforsponsorshipandstakeholdersforthehealthcarepromotionalprogram. Besides this, the government, healthcare department and the local government will also be asked for their financial as well as official help so that the health promotional program could be successfully conducted and completed. As perFranciset al. (2012) governmental help in health promotional program helps both the people and healthcare professionals to achieve their goals and targets within the time. Further, for the employment related issues prior to organize the program all the organizers will be advertizing for the employment and volunteers from different governmentalandnon-governmentalorganizationssothatalltheseawarenessprograms, educational sessions and others could be conducted easily (Tamrat & Kachnowski, 2012). On the other hand, the healthcare professionals who will be included in the process will depend on their experience of dealing with such process so that they can deal with any issues of target population in the city of Sydney. Both the national and local level of strategies related to completion of the health promotional program will be joined so that it could be successfully implemented for the benefit of target population in Sydney (Neiger et al., 2012).
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7HEALTH PROMOTION ASSIGNMENT Evaluation of these interventions Evaluation is an important process which helps to provide an idea that the interventions applied to the target population, the goals, aims and objectives are met or not. This is an efficiency measuring tool which helps to understand that it could be appropriately applied or not. All the principles, processes and principles of health promotional program are properly applied or not is assessed by the evaluation processes. As perRickwoodet al. (2014), it is a very important process for the health promotional program and its successful implementation. There are three type of evaluation which will be applied and these are process evaluation, impact evaluation and the outcome evaluation. As per the process evaluation, it measures that the main theme or idea of the healthcare promotional program could be delivered to the target population and the community meets their needs using the process (Issel & Wells, 2017). In this health promotion it is a relevant evaluation process as it also deals with spreading awareness and the need of healthcare interventions for mental issues and hence process evaluation will be an important process. Impact evaluation is another process using which, it could be easier to achieve the short-term goals and hence it is an important evaluation goal. In this process also, healthcare promotion program requires several short term goals and hence, this evaluation program is an important to achieve for this promotional campaign (World Health Organization, 2014). Conclusion Health promotional program is an important step using which awareness, healthcare interventions and other techniques could be shared to people of a community in which several health issues are becoming major concern and people are not aware about it. In this assignment, a health promotional plan was organized for the people of Sydney of 18 to 35 year age and suffering from stress depression and other mental issues. Further a need assessment was carried
8HEALTH PROMOTION ASSIGNMENT out and eventually the health promotional action plan with interventions and strategies were implemented and evaluated both qualitatively and quantitatively.
9HEALTH PROMOTION ASSIGNMENT References Barry, M. M., Clarke, A. M., Jenkins, R., & Patel, V. (2013). A systematic review of the effectiveness of mental health promotion interventions for young people in low and middle income countries.BMC public health,13(1), 835. 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. Francis, J., Wood, L. J., Knuiman, M., & Giles-Corti, B. (2012). Quality or quantity? Exploring the relationship between Public Open Space attributes and mental health in Perth, Western Australia.Social science & medicine,74(10), 1570-1577. Issel, L. M., & Wells, R. (2017).Health program planning and evaluation. Jones & Bartlett Learning. Kushi, L. H., Doyle, C., McCullough, M., Rock, C. L., Demark‐Wahnefried, W., Bandera, E. V., ... & American Cancer Society 2010 Nutrition and Physical Activity Guidelines Advisory Committee. (2012). American Cancer Society Guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity.CA: a cancer journal for clinicians,62(1), 30-67.
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10HEALTH PROMOTION ASSIGNMENT Lewis,S.(2015).Qualitativeinquiryandresearchdesign:Choosingamongfive approaches.Health promotion practice,16(4), 473-475. Neiger, B. L., Thackeray, R., Van Wagenen, S. A., Hanson, C. L., West, J. H., Barnes, M. D., & Fagen,M.C.(2012).Useofsocialmediainhealthpromotion:purposes,key performance indicators, and evaluation metrics.Health promotion practice,13(2), 159- 164. O’neil, A., Quirk, S. E., Housden, S., Brennan, S. L., Williams, L. J., Pasco, J. A., ... & Jacka, F. N. (2014). Relationship between diet and mental health in children and adolescents: a systematic review.American journal of public health,104(10), e31-e42. Rickwood, D. J., Telford, N. R., Parker, A. G., Tanti, C. J., & McGorry, P. D. (2014). Headspace —Australia’s innovation in youth mental health: who are the clients and why are they presenting.Med J Aust,200(2), 108-11. Ross, A. C., Caballero, B., Cousins, R. J., Tucker, K. L., & Ziegler, T. R. (2014).Modern nutrition in health and disease(No. Ed. 11). Lippincott Williams & Wilkins. Schmied, V., Johnson, M., Naidoo, N., Austin, M. P., Matthey, S., Kemp, L., ... & Yeo, A. (2013). Maternal mental health in Australia and New Zealand: a review of longitudinal studies.Women and Birth,26(3), 167-178. Tamrat, T., & Kachnowski, S. (2012). Special delivery: an analysis of mHealth in maternal and newborn health programs and their outcomes around the world.Maternal and child health journal,16(5), 1092-1101.
12HEALTH PROMOTION ASSIGNMENT Appendix: teaching plan pamphlet (linear framework) Teaching objectives: The teaching objectives for teaching plan related to healthcare promotional plan will include: To provide all the healthcare professionals educational and presentation related education so that they can help the target population. To provide healthcare professionals an idea so that they can understand the type of issues they will be facing (Edelman, Mandle & Kudzma, 2017) Summary of the tasks/actions: The actions which will be taking are Providing the healthcare professionals with educational presentations so that while conducting health interventions they can use latest and critically used interventions in the benefit of patients. They can spread awareness and make people use the interventions for their benefit (Eldredge et al., 2016). Material/equipment Paper, pen, educational center, presentation material, and experienced educator so that volunteers, healthcare professionals can properly understand the need of it. References: Edelman, C. L., Mandle, C. L., & Kudzma, E. C. (2017).Health Promotion Throughout the Life Span-E-Book. Elsevier Health Sciences.
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13HEALTH PROMOTION ASSIGNMENT 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. Malik, S. H., Blake, H., & Suggs, L. S. (2014). A systematic review of workplace health promotioninterventionsforincreasingphysicalactivity.Britishjournalofhealth psychology,19(1), 149-180. Take home tasks: They will be asked to write five strategies and processes using which everyday 20 target population will be added in the promotional program (Malik, Blake & Suggs, 2014).