It has an explanation for each numbered item in the Outline, a Template for the Outline & a Submission Link. Your Outline is a further extention of how you plan to investigate he Problem you presented with your PICO Question.

You will be based off the previous PICO Question see below ..

PICO Question 

Topic:   Tobacco use - cigarette smoking

Formulation of the PICO Question 

P: Among pregnant women who smoke cigarettes regularly.

I: Participation in a prenatal smoking cessation program.

C: Compare the smoking cessation rates and birth outcomes between women who participate in the program and those who do not.

O: The desired or expected outcome is a higher rate of smoking cessation and improved birth outcomes among pregnant women.

Written PICO Question:

(Does participation in a prenatal smoking cessation program lead to a higher rate of smoking cessation and improved birth outcomes among pregnant women who smoke cigarettes regularly?)

 Below you can find an example of what the professor used for an example

Please find the template provided in attachment.

Health Promotions Project Proposal Outline

Title: A Program to Decrease Obesity in Children with Education on Nutrition and Physical Activity

Problem: 

·      Hispanic children remained at least 5 to 3 percent higher in obesity rates when entering kindergarten (Anderson, Butcher, & Schanzenbach, 2019).

·      Children who are obese, they are at risk to become obese adults and are also at a higher risk for the onset of illnesses such as high blood pressure, high cholesterol, and Type 2 diabetes (Beckman, Hawley, & Bishop, 2006).

·      Children are the prime target groups for Type 2 Diabetes, “it is emerging convincingly that the genesis of Type 2 Diabetes and Coronary Heart Disease begins in childhood, with childhood obesity serving as an important factor” (Bhadoria, Sahoo, B. Sahoo, Choudhury, Sofi, & Kumar, 2015).

Target Population: 

·      The target population for this project is elementary school aged kids, between the ages of 5 and 10.

·      The demographic group that will represent the target population are students in kindergarten to 4th grade, between the ages of 5 to 10 attending Huntsville Elementary School in Huntsville, TX. 

Intervention: 

·      Introduce the meaning of BMI and obesity.

·      Group learning for children and their guardians regarding the short- and long-term health risks of obesity.

·      Introduce physical education ideas that can be done at home.

·      Introduce each food group

·      Provide alternative cost-effective food options.

·      Family will make fitness and nutrition goals together.

·      Group learning activities to increase self-efficacy.

·      Small groups for support.

Rationale:  

·      Parental or guardian involvement is an important component of childhood obesity treatments (Beckman et al., 2006).

·       Outcomes are more efficient when both a parent and child are targeted and reinforced for weight loss, as compared to when children are targeted alone (Beckman et al., 2006).

·      In the area of health behavior change, interventions are being developed to assist individuals in their weight loss attempts by enhancing their sense of self-efficacy (Beckman et al., 2006).

Objectives:  

·      A significant number of children and their families will possess knowledge of the risks of childhood obesity and how to lessen their odds of developing obesity though exercise and nutrition. 

·      A significant number of participants will decrease their BMI.  

Models / Theories:

·      “The most recent literature in the area of obesity prevention and management has demonstrated the success of implementing theory-based interventions that apply psychological principles of behavior change to improve health outcomes.” (Beckman, Hawley, & Bishop, 2006). 

·      Goal-setting approaches help people set goals that are measurable, realistic, behavioral, and desirable. (Bhadoria et al., 2015, p. 187).

Technical Approach:  

·      Selection of participants by advertising through school and in community

·      Asks school to use gym area for weekly meetings.

·      Have the school nurse calculate the BMI of each participant 

·      Ask local HEB to partner with us and donate healthy after school snacks and waters for meetings.

·      Request SHSU COHS students to volunteer to help with providing nutrition and physical education and (attempt to recruit bilingual individuals)

·      Participants sequestered into small 4 or 5 member groups.

·      Weekly afternoon school group discussions on nutrition and exercise. 

·      Creation of worksheets in both English and Spanish for both children and guardians.

·      Use of games that are goal orientated to improve self-efficacy.

·      Incentive for participation (to be worked with school officials)

·      Post-participation survey of knowledge of exercise 

Timeline: 

·      Selection of participants                                             1 week

·      Inaugural meeting of all participants                          1 week

·      Weekly group discussions                                          6 weeks

·      Accounting of before and after survey                       1 week

·      Total                                                                            9 weeks

Measures:  

·      A survey tool (to be designed) asking students of:

o   Student’s current and previous BMI

o   Their knowledge food groups

o   Their knowledge of physical activity 

o   Their awareness obesity and BMI

Resources: 

·      Endorsement by the school principal and, if necessary, the school district

o   To include permission for an incentive for student participation. (Such as snacks provided and early release from school on days of group meeting).

·      School nurse to assist with BMI calculations 

·      Space (i.e., empty gym and classrooms) to conduct weekly group learning sessions

·      Faculty members willing to give time to help in the management of groups

·      SHSU COHS students as volunteers to provide physical education activities and education on nutrition.

·      Afterschool snacks from local market (HEB)

Marketing:

·      Present proposal to school principal and/or school district 

·      Prepare announcement to enlist student participants 

·      Post flyers around town in local Hispanic community places in both English and Spanish 

Evaluation:

·      The survey questionnaire administered at the beginning and end of the program for the guardians and children.

References:

Anderson, P. M., Butcher, K. F., & Schanzenbach, D. W. (2019). Understanding recent trends in childhood obesity in the United States. Economics & Human Biology, 34, 16–25. https://doi.org/10.1016/j.ehb.2019.02.002 

Beckman, H., Hawley, S., & Bishop, T. (2006). Application of theory-based health behavior change techniques to the prevention of obesity in children. Journal of Pediatric Nursing, 21(4), 266–275. https://doi.org/10.1016/j.pedn.2006.02.012 

Bhadoria, A. S., Sahoo, K., Sahoo, B., Choudhury, A. K., Sofi, N. Y., & Kumar, R. (2015). Childhood obesity: Causes and consequences. Journal of Family Medicine and Primary Care, 4(2), 187. https://doi.org/10.4103/2249-4863.154628