Title Page
Unit 4 Assignment
Date
Introduction
Conceptual Model
● A health promotion program theory or conceptual model is identified and described
● Explanation of how model or theory is applicable to the initiative included
Populating Assessment and Screening
● Screening topic is identified as an A or B preventive screening from the USPSTF.
● Identifies the location with population characteristics numerically: 1) multi-cultural diversity, 2) age and 3) sex.
● Includes rates of risk factors, and aligned with the population in the guidelines
● Includes 2 components of topic- related community statistics, numerically
● Provides an advocacy appraisal that addresses 1) 1) screening 2) related risk factors and 3) multicultural considerations and 4) policy
Screening Venue
● Includes venue, date, time
● Evidence based explanation of appropriateness included
Screening Activity
● Screening activity plan aligns with guidelines
● Aim or objective included
● Measures are aligned with guideline
● Normal and abnormal measures included
● Education description included with three sample motivational questions
● Follow up and referral section included
Cost Table/Statement
● Cost statement overview present.
● Table includes:
○ Estimated number of attendees
○ Testing instrument costs with source for pricing
○ Staff costs
○ Rental cost estimate
○ Simple supply costs
○ Any attendee cost
○ Total
Item
Cost Per Item
Number Needed
Total Cost
Supplies
$
$
Staff
$
$
Rentals
$
$
Testing Instruments
$
$
Attendance Fees
$
$
Summary
• Summary includes evidence based content from assessment re: multiculturalism and diversity toward change agent
Conclusion
Reference
Appendix
• Education flyer present with evidence based, patient centered content
References
