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Attached are two RUA assignment topics. Both have two different topics. I have attached the guidelines. for health wellness the topic is Diabetes. and for Pathophysiology the topic is Chronic kidney disease
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Health Promotion Strategies for Managing Diabetes
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Health Promotion Strategies for Managing Diabetes
Introduction
This paper discusses the prevalence of Type 2 diabetes in African American youth and
highlights the imperative to develop vigorous health intervention recommendations. As this
condition is observed to affect the younger generation, an early diagnosis becomes very
important to lessen lengthy health impacts. An alarming sign of the increasing trend in this social
menace is that type 2 diabetes in adolescents in the United States has been established to have
more than doubled in the last decade. More to the point, in 2017, the prevalence was reported to
be 67 per 1,000 youth aged 10–19 (Perng et al., 2023). This data thus points to an alarming
public health concern that requires worthwhile and well-executed interventions.
Description of the Topic and Population
Chronic diseases like Type 2 diabetes, once thought to manifest in older adults, have
shifted to affect young people, teenagers, and children. Over the last few decades, these changes
have been attributed to lifestyle changes and genetic factors (Kahkoska & Dabelea, 2021; Perng
et al., 2023). Unlike Type 1 diabetes, which results from autoimmune-mediated destruction of
beta-cells, Type 2 diabetes in youth is becoming more associated with insulin resistance
enhanced by obesity, perceived inadequate nutrient intake, and physical inactivity.
Unhealthy behaviours such as sedentary behaviours, overindulgence in processed foods,
reduced physical activity, and prolonged periods spent in front of screens are highly influential in
youths. They increase the propensity of obesity in adolescents, one-factor influencing type 2
diabetes (Kahkoska & Dabelea, 2021; Perng et al., 2023). Youth have tended to embrace more
sedentary engagements than physically demanding activities and have adopted a diet full of
calories but lacking nutrients in their foods.
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There is substantial evidence for high prevalence rates as well as incidence rates of Type
2 diabetes among youths. Based on data exclusively from the SEARCH for Diabetes in Youth
study, it is worth emphasizing that the incidence of type 2 diabetes in youth aged 10-19 in the
USA in 2017 was 67 per 1,000 people (Perng et al., 2023). This condition is more common in
non-White racial/ethnic populations, with the highest concentration seen in African American
and American Indian young people. Diabetes is more common in Black patients, with a rate of
80 per 1,000, showing that despite progress made in decreasing the disease burden, there is still a
racial disparity in the burden of diabetes (Perng et al., 2023). Additionally, integrating a global
viewpoint, it is also noteworthy that the cases of Type 2 diabetes in children and adolescents also
follow these trends, and similar inequality rates are reported worldwide.
Alignment with Healthy People Objectives
Nutrition, Physical Activity, and Obesity are a top priority in addressing and combating
the issue of diabetes for young people of African American descent. Strategies in these areas
could go along with reducing most of the risk factors associated with developing Type 2
diabetes, inferior nutrition, and stress, leading to obesity and insulin resistance (Healthy People
2020, n.d.). Therefore, early intervention strategies to change the lifestyle should be considered
critical in the processes of enhancing health and reducing the risks of developing diabetes as well
as other related complications. Weight and eating habit campaigns begun in childhood can affect
growth patterns, prevent diabetic syndrome in young people, and cultivate healthy lifestyles and
disease prevention.
Summary of Scholarly Articles
Article 1
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The educational intervention study by Mourão et al. (2023) was conducted in Brazil to
evaluate the effects of teaching diabetes treatment in primary school and students and other staff
aged 7 to 12 years. The intervention, therefore, involved performing theatre plays and games that
would help increase awareness of diabetes. The study established an increase in the
competencies acquired by the participants, especially regarding diabetes diet management and
the handling of hypoglycemic episodes. The findings of this non-randomized, long-term study
underlined the value of bright and comprehensive educational approaches to increasing
awareness about and dealing with diabetes.
Article 2
Goodyear et al. (2021) conducted a systematic review to assess the efficacy of social
media interventions in promoting healthy behaviours among youths. The authors’ meta-analysis
of the 18 research studies noted that adopting the lifestyle of using social media platforms like
Facebook, Instagram, and Twitter can enhance physical fitness and eating habits. The research
also demonstrated interactive aspects, informative aspects, where or how it shared information,
and game aspects in the overall school setting. The review further recommends social media as a
necessity for developing campaigns for the attachment of healthier lifestyles due to its influence.
Article 3
Shiyanbola et al. (2022) conducted a culturally enhanced diabetes self-management trial
for African Americans, emphasizing medication compliance and culturally endorsed perceptions
of diabetes. The intervention consisted of group education and race-matched peer telephoning. It
was an intervention study where groups of “ambassadors” who took medication adherence
activities were matched to “buddies” who were less active. The outcome measures were
evaluated using a pre/post design and face-to-face semi-structured interviews. In summary, the
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results showed a clinically relevant improvement in A1C, which was demonstrated within six
months. HCPs also confirmed that communication with providers was improved, goal-setting
skills were developed, and self-management motivation was higher among participants, making
the program more feasible than the cultural adaptation.
Integration of Findings
Collectively, the approaches of research from these studies inform the proposed health
promotion strategies for combating diabetes in African American youth. Mourão et al. (2022)
also present evidence supporting interactive school education environments in their study. They
propose that mechanics such as theatre and games might be used in context-relevant ways to
raise diabetes consciousness and self-management among African American youngsters.
Similarly, Goodyear et al. (2021) present a comprehensive synthesis of how today’s social media
platforms may influence health behaviours, and they expressed that the kinds of communityrelated campaigns associated with such devices may promote healthy physical activity. Goodyear
et al. (2021) conducted a successful comprehensive review of the impact of current social media
on health behaviour change, and they argued that the sorts of affiliated community-specific
campaigns of
Finally, in the Shiyanbola et al. (2022) study, they pointed out that it is recommended to
employ culturally tailored interventions and where race-matched peer companionship likely
enhances adherence to medication and diabetic self-management among African American
children and adolescents. Therefore, synthesizing the Ghanaian approach with the combined
approach provides a solid theoretical framework for conceptualizing and implementing culturally
appropriate and holistic programs and interventions in health promotion, training, social
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networks, and community support to counteract the multifaceted issues of diabetes in this
susceptible population.
Health Promotion Discussion
Consequently, it can be suggested that culturally relevant approaches, such as schoolbased and participatory drama and game activities, could enhance the knowledge of African
American youths about diabetes and encourage effective management of this disease. In support
of this reasoning, Goodyear et al. (2021) noted that social media messaging employing textual
and visual interactive elements, motivational talks, and game-related stimuli may encourage
users to embrace health promotion strategies. As highlighted in the study by Shiyanbola et al.
(2022), incorporating race-congruent peer support can help deliver encouragement and realistic
support for medication compliance and DM self-management. These strategies enhance the
knowledge and involvement of the target group in the battle against diseases impacting the
community; they encourage the development of a community-focused intervention that applies
long-term and sustained behavioural modification strategies for chronic diseases.
Conclusion
This paper emphasizes the necessity to prevent Type 2 diabetes in African American
youths, as this disorder is growing to be a concern and dangerous to their future health. It
emphasizes the importance of culturally competent treatment, engaging knowledge sharing and
product navigational tools, and the significant inclusion of social media to improve diabetes
vigilance and management. The approaches used to implement these strategies involve targeting
risk factors like obesity and poor diet, which are significant causes of diabetes, and early life
interventions that can help slow the progress of the disease.
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Considering the need to reverse the incidence of diabetes in the youth, one must
encourage relevant stakeholders such as teachers, doctors, parents, and community influencers to
create an appropriate positive environment to encourage youth to make the right choices.
Measures should include providing culturally competent health education in schools, using social
media for reminders of healthy lifestyles, and collaborating with existing community structures
for additional support. These strategies can be compounded to improve the livelihood of African
American youth, consequently reducing the prevalence of type 2 diabetes.
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References
Goodyear, V. A., Wood, G., Skinner, B., & Thompson, J. L. (2021). The effect of social media
interventions on physical activity and dietary behaviours in young people and adults: a
systematic review. International Journal of Behavioral Nutrition and Physical Activity,
18(1), 1–18. https://doi.org/10.1186/s12966-021-01138-3
Healthy People 2020. (n.d.). Prediabetes and type 2 diabetes in children and adolescents:
Screening - healthy people 2030 | health.gov. Health.gov.
https://health.gov/healthypeople/tools-action/browse-evidence-basedresources/prediabetes-and-type-2-diabetes-children-and-adolescents-screening
Kahkoska, A. R., & Dabelea, D. (2021). Diabetes in youth. Endocrinol Metab Clin North Am,
50(3), 1–26. https://doi.org/10.1016/j.ecl.2021.05.007
Mourão, D. M., Sedlmaier, B. M. G., Pires, V. L. R., & Borges, G. F. (2022). Effectiveness of a
diabetes educational intervention at primary school. International Journal of Diabetes in
Developing Countries, 43, 83–90. https://doi.org/10.1007/s13410-021-01033-4
Perng, W., Conway, R., Mayer-Davis, E., & Dabelea, D. (2023). Youth-Onset type 2 diabetes:
The epidemiology of an awakening epidemic. Diabetes Care, 46(3), 490–499.
https://doi.org/10.2337/dci22-0046
Shiyanbola, O. O., Maurer, M., Schwerer, L., Sarkarati, N., Wen, M.-J., Salihu, E. Y., Nordin, J.,
Xiong, P., Egbujor, U. M., & Williams, S. D. (2022). A culturally tailored diabetes selfmanagement intervention incorporating race-congruent peer support to address beliefs,
medication adherence, and diabetes control in African Americans: A pilot feasibility
study. Patient Preference and Adherence, Volume 16, 2893–2912.
https://doi.org/10.2147/ppa.s384974
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Health Promotion Strategies for Managing Diabetes-Outline
I.
Introduction
A. This paper discusses the prevalence of Type 2 diabetes in African American youth
and highlights the imperative to develop vigorous health intervention
recommendations.
II.
Description of the Topic and Population
A. Chronic diseases like Type 2 diabetes, once thought to manifest in older adults,
have shifted to affect young people, teenagers, and children.
B. Unhealthy behaviours such as sedentary behaviours, overindulgence in
processed foods, reduced physical activity, and prolonged periods spent in front
of screens are highly influential in youths.
C. There is substantial evidence for high prevalence rates as well as incidence rates
of Type 2 diabetes among youths.
III.
Alignment with Healthy People Objectives
A. Nutrition, Physical Activity, and Obesity are a top priority in addressing and
combating the issue of diabetes for young people of African American descent.
IV.
Summary of Scholarly Articles
A. Article 1
a. The educational intervention study by Mourão et al. (2023) was conducted
in Brazil to evaluate the effects of teaching diabetes treatment in primary
school and students and other staff aged 7 to 12 years.
B. Article 2
2
a. Goodyear et al. (2021) conducted a systematic review to assess the
efficacy of social media interventions in promoting healthy behaviours
among youths.
C. Article 3
a. Shiyanbola et al. (2022) conducted a culturally enhanced diabetes selfmanagement trial for African Americans, emphasizing medication
compliance and culturally endorsed perceptions of diabetes.
V.
Integration of Findings
A. Collectively, the approaches of research from these studies inform the proposed
health promotion strategies for combating diabetes in African American youth.
B. Finally, in the Shiyanbola et al. (2022) study, they pointed out that it is
recommended to employ culturally tailored interventions and where racematched peer companionship.
VI.
Health Promotion Discussion
A. Consequently, it can be suggested that culturally relevant approaches, such as
school-based and participatory drama and game activities, could enhance the
knowledge of African American youths about diabetes and encourage effective
management of this disease.
VII.
Conclusion
A. This paper emphasizes the necessity to prevent Type 2 diabetes in African
American youths, as this disorder is growing to be a concern and dangerous to
their future health.
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B. Considering the need t...