One strategy that has proven effective for improving population health outcomes is screening. Screening programs for breast, cervical, prostate, and colon cancer allow for early detection and treatment, thereby improving health outcomes. Advocates of early screening programs have sought to inform populations at risk of the value of participating in early screening.

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One strategy that has proven effective for improving population health outcomes is screening. Screening programs for breast, cervical, prostate, and colon cancer allow

for early detection and treatment, thereby improving health outcomes. Advocates of early screening programs have sought to inform populations at risk of the value of

participating in early screening.

Consider the following examples: In Florida, mobile mammography units have reached out to uninsured women and provided free mammograms. In Maryland, Wellmobiles go out

into the community to provide primary and preventive health care services to geographically underserved communities and uninsured individuals across the state. Many

such programs are available for individuals to participate in screening, regardless of ability to pay.

In this Assignment, you will evaluate the characteristics of preventive health programs that lead to successful outcomes.

To prepare:
•Review the article “Improving Female Preventive Health Care Delivery Through Practice Change” found in this week’s Learning Resources. Consider why the Every Woman

Matters program was not effective in meeting its goals.
•Using the Walden Library and other credible websites, identify at least two successful advocacy programs for early cancer screening and evaluate the characteristics

that made them effective based on the evidence presented in the article or website.

To complete:

Write a 3 page paper that includes the following:
•Summarize the Every Woman Matters program and how the issue of women’s preventive health care was approached. Analyze possible reasons the program was ineffective.
•Summarize the characteristics at least two prevention programs that advocate for early screening, describing what made them successful.
•If you were the nurse leader in charge of developing a follow-up to the Every Woman Matters program, what strategies would you propose for creating a more effective

prevention program
•Kovner, A. R., & Knickman, J. R. (Eds.). (2011). Health care delivery in the United States (Laureate Education, Inc., custom ed.). New York, NY: Springer Publishing.

?Chapter 7, “Health and Behavior” (pp. 125–129)

This chapter discusses the role of behavior on health and describes behavioral risk factors and potential community-based interventions.

•Backer, E. L., Geske, J. A., McIlvain, H. E., Dodendorf, D. M., & Minier, W. C. (2005). Improving female preventive health care delivery through practice change: An

Every Woman Matters study. Journal of the American Board of Family Practice, 18(5), 401–408.
Retrieved from the Walden Library databases.

This article informs the Assignment as an example of a health program that was not successful. You will conduct additional research on this topic to determine current

advocacy programs that have been more effective.
•Hancock, C., & Cooper, K. (2011). A global initiative to tackle chronic disease by changing lifestyles. Primary Health Care, 21(4), 24–26.
Retrieved from the Walden Library databases.

This article details the efforts of the C3 Collaborating for Health charity. In particular, C3 focuses on minimizing the risk factors of poor dieting, smoking, and low

physical activity.
•Schwartz, S. M., Ireland, C., Strecher, V., Nakao, D., Wang, C., & Juarez, D. (2010). The economic value of a wellness and disease prevention program. Population

Health Management, 13(6), 309–317.
Retrieved from the Walden Library databases.

The authors of this article detail a study that sought to determine the economic consequences of a disease prevention program conducted by the Hawaii Medical Service

Association.
•Tengland, P. (2010). Health promotion and disease prevention: Logically different conceptions? Health Care Analysis, 18(4), 323–341.
Retrieved from the Walden Library databases.

This article investigates the differences and causal connections between health promotion and disease prevention.

“It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural, and physical environment conspire against such

change” (Kovner and Knickman, p. 139).

When seeking to lessen behavioral risk factors in different populations, one of the greatest challenges is addressing the systemic issues within the population that

enable the risky behavior to occur in the first place. Consider the health risks of school-age children not being immunized or drug users sharing needles. As Dr.

Beilenson discussed in the Week 4 media program, these risky behaviors led to increases in individual and population health problems. Thus, when planning health

prevention programs, it is important to consider how to effectively address risky behaviors at both the individual and the population level.

The Discussion this week focuses on the use of the Population-Based Intervention Model outlined in the course text Health Care Delivery in the United States, as well

as how this model can be applied to strengthen advocacy programs.

To prepare:
•Select one of the behavioral risk factors from the Healthy Population 2010 Objectives (listed in Table 7.1 on p. 128 of the course text) that is of interest to you.
•Using the Walden Library and other credible websites, research how this risk factor is affecting your community or state.
•With your selected risk factor in mind, review the information on the Population-Based Intervention Model on pp. 136–140 in the course text, Health Care Delivery in

the United States. In particular, focus on the concept of downstream, midstream, and upstream interventions. Consider at least one intervention that could be put into

place at each stage.

Post by Day 3 a description of the behavioral risk factor you selected and how this factor is impacting your community or state. Using the Population-Based

Intervention Model, suggest at least one intervention that could be put into place at each stage (downstream, midstream, and upstream) to ensure that a health

prevention program addressing the behavioral risk factor would have a greater chance at succeeding. Justify why each intervention you identified would be effective.
•Kovner, A. R., & Knickman, J. R. (Eds.). (2011). Health care delivery in the United States (Laureate Education, Inc., custom ed.). New York, NY: Springer Publishing.

?Chapter 7, “Health and Behavior” (pp. 125–129)

This chapter discusses the role of behavior on health and describes behavioral risk factors and potential community-based interventions.

•Backer, E. L., Geske, J. A., McIlvain, H. E., Dodendorf, D. M., & Minier, W. C. (2005). Improving female preventive health care delivery through practice change: An

Every Woman Matters study. Journal of the American Board of Family Practice, 18(5), 401–408.
Retrieved from the Walden Library databases.

This article informs the Assignment as an example of a health program that was not successful. You will conduct additional research on this topic to determine current

advocacy programs that have been more effective.
•Hancock, C., & Cooper, K. (2011). A global initiative to tackle chronic disease by changing lifestyles. Primary Health Care, 21(4), 24–26.
Retrieved from the Walden Library databases.

This article details the efforts of the C3 Collaborating for Health charity. In particular, C3 focuses on minimizing the risk factors of poor dieting, smoking, and low

physical activity.
•Schwartz, S. M., Ireland, C., Strecher, V., Nakao, D., Wang, C., & Juarez, D. (2010). The economic value of a wellness and disease prevention program. Population

Health Management, 13(6), 309–317.
Retrieved from the Walden Library databases.

The authors of this article detail a study that sought to determine the economic consequences of a disease prevention program conducted by the Hawaii Medical Service

Association.
•Tengland, P. (2010). Health promotion and disease prevention: Logically different conceptions? Health Care Analysis, 18(4), 323–341.
Retrieved from the Walden Library databases.

This article investigates the differences and causal connections between health promotion and disease prevention.

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