Evaluation Plan
Name
Institution
Table of Contents
Table of Contents 2
Executive Summary 3
Stakeholders 4
Description 5
Logic Model 6
Evaluation Design 7
Gathering Evidence and Justifications 8
Use of Findings 8
References 9
Camhi, S. M., Evans, E. W., Hayman, L. L., Lichtenstein, A. H., & Must, A. (2015). Healthy eating index and metabolically healthy obesity in US adolescents and adults. Preventive medicine, 77, 23-27. 9
CDC. (2013). Community Profile: Nashville/Davidson County, Tennessee. Retrieved from http://www.cdc.gov/nccdphp/dch/programs/communitiesputtingpreventiontowork/comm unities/profiles/obesity-tn_nashville-davidson-county.htm 9
Executive Summary
Obesity is a serious problem in Nashville Tennessee with over
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Finally, the findings will be combined into a report that will be forwarded to the different stakeholders. This evaluation plan begins by identifying the stakeholder involved in the program. They involve CDC, local government, and the population. The second segment contains a detailed description of the program and the methods used to implement it. The third segment outlines the logic model used to implement the CPPW program. The fourth segment is the evaluation design followed by evidence gathering. The last segment outlines how the findings will be communicated and used.
Stakeholders
The Center for Disease Control and Prevention (CDC) is the primary stakeholder in the Communities Putting Prevention to Work (CPPW) program at Nashville, Tennessee. CDC provided funds in 2010 directed towards communities in Davidson County aimed at helping the society fight obesity and tobacco use since they are the leading causes of preventable deaths and disability. The other stakeholders is the Board of Health Metropolitan Government that was responsible for overseeing the implementation process and selected a School Nutrition Advisory Committee to facilitate the increment of healthy foods in schools. The local government also started a street evaluation plan to make them for all users. This would encourage the people to engage in physical exercises such as running. On the other hand, a leadership team comprising high-level leaders from various sectors was
An estimated 97 million adults in the United States are overweight or obese (Klein 2000). “"Affecting one in five Americans – or more than 22 percent of the U.S. population – obesity is one of the most pervasive health problems in our nation right now," said George L. Blackburn, M.D., Ph.D., associate professor of surgery and associate director of the Division of Nutrition at Harvard Medical School/Beth Israel Deaconess Hospital, Boston, Massachusetts. "We need to implement steps to slow the progression of this national epidemic” (NAASO 1999). But the problem of obesity does not only affect the United States. "We now know that the growing prevalence of obesity is creating major health problems worldwide," said Dr. James O. Hill, president of the North American Association for the Study of Obesity (NAASO) and Professor of Pediatrics and Medicine at the University of Colorado Health Sciences Center. Obesity was once regarded as unique to Americans, but it is now seen as a global health risk affecting developing and underdeveloped countries (AOA 2000). Obesity is increasing at an epidemic rate in the United States - 1.3% a year for women over 20. Rates of obesity among minority populations, including African-Americans and Hispanic Americans are especially high (AOA 2000). There is also a marked increase in obesity among children.
It is no doubt that obesity exists worldwide, but it is a very prevalent issue in the US. This pandemic has certainly risen in focus in the past decade, with a rate of obese children that has quadrupled since the 1970s. Though this issue seems quite new, obesity exists in every generation, and the adults in the current generation are living with thirty-four percent of their fellow adults obese. This amount may seem high, and
During the past 20 years, there has been a substantial increase in obesity in the United States and rates remain high. More than one-third of U.S.
As per Healthy People 2020 most Americans do not consume healthy diets and are not physically active at levels needed to maintain proper health. As a result of these behaviors the nation has experienced a dramatic increase in obesity in the U.S with 1 in 3 adults (34.0%) and 1 and 6 children and adolescents (16.2%) are obese. In addition to grave health consequences of being overweight and obese. It significantly raises medical cost and causes a great burden on the U.S medical care delivery system ("Healthy People 2020," 2014, p. 1).
“Obesity is a disease that affects more than one-third of the U.S adult population (approximately 78.6 million Americans). The number of Americans with obesity had steadily increase since 1960, a trend that has slowed down in recent years but show no sign of reversing”.
Obesity in the United States continues growing alarmingly. Approximately 66 % of adults and 33 % of children and teenagers in the US are overweight. Obesity is the result of fat accumulated over time due to the lack of a balanced diet and exercise. An adult with a BMI (body mass index) higher than thirty percent is considered obese (Whitney & Rolfes, 2011, pg. 271).
Obesity has been on the rise in America and is reaching all time heights. Obesity in America is at 27.7 percent and 1 in 5 children in America are obese currently and many will have to deal with it throughout their lifetime. With almost a third of our population struggling with this problem, the increasing obesity rates are becoming a major concern. Even though there isn’t a single answer to why obesity has become so prevalent, there are many contributing factors such as socio-economic status, the rise in technology, fast food, car culture, politics, socio-economic status, stress, and biology.
More than one third of adults in the US are obese, and 8.4% of children age 2-5, almost 18% of children aged 6-11 and 20.5% of kids aged 12-19 are considered obese (Ogden, Carroll, Kit & Flegal, 2014). In 2008, obesity was estimated to cost the United States $147 billion dollars (Finkelstein, Trogdon, Cohen & Dietz, 2009). The rates of obesity among Americans of all ages points to a lack of nutrition education and a lack of cultural and institutional support for healthy eating habits.
Obesity has dramatically increased in the United States over the past two decades. Along with obesity come many serious, preventable health conditions. Currently, more than one-third of adults in the United States are obese (Centers for Disease Control and Prevention (CDC), 2015). If current trends continue, experts predict that half of all Americans will be obese by the year 2030 (CDC, 2015). Body mass index (BMI) is said to provide the most useful population-level measure of overweight and obesity (National Committee for Quality Assurance (NCQA), 2015). Using tools such as the adult BMI assessment, health care providers can identify problems and work with patients on a solution to decrease the incidence of obesity and maintain
Obesity has become increasingly more prominent in American society. The Unites States has even been termed an overweight nation. Some twenty to thirty percent of American adults are now considered obese (Hwang 1999 and Hirsch et al 1997). With this in mind, Americans constantly look around themselves determining their weight status as well as that of those around them. While some Americans do fit the healthy category, others enter the underweight, overweight, and even obese categories, all of which can be unhealthy.
Source: CDC, National Center for Health Statistics, National Health and Nutrition Examination Survey. Health, United States, 2002. Flegal et. al. JAMA. 2002;288:1723-7. NIH, National Heart, Lung, and Blood Institute, Clinical Guidelines on the Identification, Evaluation and Treatment of Overweight and Obesity in Adults, 1998.
Ogden, C. L., Carroll, M. D., Kit, B.K., & Flegal, K. M. (2012). Prevalence of obesity and trends in body mass index among U.S. children and adolescents, 1999-2010. Journal of the American Medical Association, 307(5), 483-490.
2. Ginter E, Simko V. Adult obesity at the beginning of the 21st century: epidemiology, pathophysiology and health risk. Bratisl Lek Listy. 2008;109:224–30.
The Center of Disease Controlling (CDC) is working to make the healthy choice the easy choice. Initiatives are helping to change states and communities into places that strongly encourage healthy eating and active living. CDC currently funds states and communities to help saves lives and protect people from the problems of obesity and other chronic diseases through efforts that support changes in the places where Americans live, learn, work and play.
Over the past two-decades obesity has risenn at an alarming rate globally and now is reaching epidemic proportions in the western and industrialized countries… USA. Obesity prevalence in the United states is among the highest globaly as its obesity rate is projected to climb from today’s 30-40% today to a shocking 70% in 20301 . In particular, childhood obesity exhibited the highest growth rate today, tripling the percentage of children over the past three decades CDC. Obese individuals have a higher risk of developing type two diabetes mellitus (T2DM), hypertension, dyslipidemia, cardiovascular disease (CVD), liver dysfunction, sub-fertility, psychological comorbidity3. The