Health Promotion Program Proposal for Decreasing Cardiovascular Incidence in Oklahoma City, OK Among People of Color

Theoretical Framework

The development of interventions aimed at reducing the incidence of cardiovascular diseases among people of color in Oklahoma City is guided by the PRECEDE-PROCEED model. This model is selected for its comprehensive structure that facilitates the assessment, planning, implementation, and evaluation of public health programs. It emphasizes active community involvement, which is essential for addressing the unique health disparities faced by the target population (McKenzie et al., 2022).

The "PRECEDE" part of the model stands for Predisposing, Reinforcing, and Enabling Constructs in Educational/Ecological Diagnosis and Evaluation (Kim et al., 2022). This phase is diagnostic and participatory, requiring substantial input from the community to identify specific health problems and their determinants. In the context of cardiovascular health, this would involve understanding the predisposing factors (beliefs, attitudes, and knowledge) that influence individuals' behaviors towards their health. It also looks at reinforcing factors (feedback and rewards) and enabling factors (skills, resources, and accessible services) that can support or hinder healthy behaviors. This thorough analysis helps in identifying critical areas where interventions can have the most impact, such as improving knowledge about diet and exercise or enhancing access to preventative healthcare services (Kim et al., 2022).

Following the diagnostic phase, the "PROCEED" part of the model focuses on Policy, Regulatory, and Organizational Constructs in Educational and Environmental Development. This is where the strategic action takes place. The PROCEED phase is about implementing the strategies devised in the PRECEDE phase and evaluating their effectiveness (Ghaffari et al., 2021). For this program, it would involve rolling out community-based educational programs and health screenings, followed by monitoring and evaluating changes in community health metrics to assess the impact. This phase is so that the interventions are deployed, sustainable and integrated into the community's fabric, so as to have a long-term solution to the health issues identified.

An important element of the PRECEDE-PROCEED model is its emphasis on community involvement (Handyside et al., 2021). For the interventions to be successful, they must be developed with an understanding of and respect for the communitys culture, needs, and preferences. Engaging community leaders and members in the planning process helps to ensure that the interventions are relevant and well-received, thus enhancing their effectiveness. In Oklahoma City, involving people of color in the development and implementation of health programs ensures that the strategies are culturally sensitive and tailored to address the specific barriers and facilitators of cardiovascular health within these communities.

Intervention Strategy

The intervention strategy formulated from the PRECEDE-PROCEED model incorporates health education and community mobilization to address socio-ecological factors such as limited healthcare access, low health literacy, and cultural barriers prevalent in the target community.

The health education component will focus on creating and distributing culturally tailored educational materials and conducting workshops to raise awareness about cardiovascular risks and prevention methods. Additionally, community mobilization will be applied through partnerships with local organizations like churches and schools to create healthy living practices and organize health fairs offering free screenings and consultations. This dual approach not only targets individual behavior changes but also influences the broader community and policy environments, so that a comprehensive response to the health needs of the population????.

The integration of both educational and community-based initiatives is a strategy that will help to develop sustainable health behavior changes and improve overall health outcomes for people of color in Oklahoma City. The focus on education can improve understanding and empowers individuals to take proactive steps towards their health, while community mobilization helps to achieve a wide-reaching impact and supports the creation of a health-supportive environment.

Program Activities for Cardiovascular Health Promotion

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The proposed health promotion program has implications for social change, particularly in improving health equity among people of color in Oklahoma City. The program intends to reduce the disparities in health outcomes associated with this population. Improved health literacy and access to preventative care can lead to a significant reduction in the incidence of cardiovascular diseases, transforming the well-being of individuals and, by extension, the community at large.

Moreover, the program is designed to create a ripple effect of health consciousness across generations. As individuals adopt healthier lifestyles, there is potential for these habits to influence friends, family, and neighbors, thereby fostering a community-wide emphasis on health. Over time, these shifts can lead to broader social changes, including reduced healthcare costs, improved productivity, and a greater overall quality of life (Tan et al., 2023).

In addition, through the application of leadership principles that emphasize community engagement and empowerment, the program addresses immediate health needs and builds a base for sustainable health practices. This approach aligns with social determinants of health by improving access to healthcare services and the conditions in which people are born, grow, live, work, and age. Thus, the program contributes to creating a more just and equitable society where health disparities are actively addressed and reduced.

Overall, the health promotion program for reducing cardiovascular disease in Oklahoma Citys communities of color serves as a catalyst for social change, promoting health equity and empowering individuals to improve their health outcomes. Through strong leadership and effective management, the program can achieve its goals of enhancing the health status of the target population, contributing to a healthier, more equitable community. Through these efforts, the program not only improves individual lives but also sets a precedent for community-driven health initiatives in…