Community Needs and Health Screening Initiative
Directions
For this assignment, you will pick one recommended screening from the United States Preventive Task Force A and B Recommendations.
An initiative is a project or event, so something in the community is ideal; workplace location for employees is also fine. Please include the following suggested level one headings, so content is clear and easily identified.
Theory or Conceptual Model
• Identify and describe a health promotion program theory or conceptual model.
• Explain how the model or theory is applicable to the initiative.
Population Screening Purpose
• Identify the screening topic as an A or B preventive screening from the USPSTF.
• Include two components of topic-related community statistics numerically (e.g., mortality, prevalence).
• Describe target population characteristics, including age and sex or risk factor, and match the guidelines.
• Clarify the county and or neighborhood of the population.
• Provide descriptions on the local population to be screened, including three components: number of persons in the county possibly affected based on sex, age, and racial diversity of the county or state.
• Include current rates of screening or factors that would impact the need for screening.
Location/Setting
• Provide details of the community or workplace event, including three components: type of area or building, time, and day (e.g., Monroe County Senior Center at 9 a.m. to 11 a.m. 4/20/21).
• Include reasoning and explanation of appropriateness.
Screening Activity
The screening activity plan meets the preventive guidelines process, is descriptive, and includes:
• Education component description
• Measures tested
• Evidence the tests are aligned with guideline recommendations
• Demonstrates possible positive measure, and normal and abnormal ranges
• Follow up and referral content process
• Three clear and measurable outcome goals
• Explanation of how each outcome is affected by the activity
Cost
Provides a detailed cost analysis to perform screening in table form and includes (but is not limited to) the six following line items:
• Testing instrument costs with source for pricing
• Staff costs as appropriate for screening
• Rental cost estimate
• Simple supply costs
• Any attendee cost
• Total
You may use volunteer staff but not donations of items. Cost analysis for feasibility needs to be demonstrated. Cost analysis total and summary statement should be included.
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Assigment 2
Summary
Provide a summary of your screening, general benefit to the community, and why it is important. A person should be able to read your paper and understand what you are screening, where, when, the costs, and how it is supported in the guideline. Ideally, a person would be able to duplicate your screening initiative based on the clarity you present.
Format expectations:
• Follow all assignment directions.
• Include an introduction and conclusion.
• Information in paragraphs and paper organized to convey the content to the reader.
• Paper length paper should be 3–4 pages of content.
• Follows APA in paper format, reference page, in-text citations, or headings.
• Use four or more credible peer-reviewed sources.
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Theory or Conceptual Model
One health promotion program theory that could be applied to a community screening initiative is the Transtheoretical Model (TTM). The TTM is a stage-based model that identifies the stages of change that individuals go through when making behavioral changes, such as adopting healthy habits or engaging in preventive screenings. The TTM is applicable to the initiative because it can be used to understand the motivations and barriers that may influence the decision of individuals in the target population to participate in the screening.
Population Screening Purpose
The screening topic selected for this initiative is B preventive screening from the USPSTF, specifically, colorectal cancer screening for adults aged 50-75.
Two components of topic-related community statistics that could be considered are the incidence and mortality rates of colorectal cancer in the target population. According to the Centers for Disease Control and Prevention (CDC), the incidence rate of colorectal cancer in the United States is 53.7
Theory or Conceptual Model: The Health Belief Model is a theory that can be applied to health promotion initiatives. It proposes that an individual’s decision to engage in a specific health behavior is influenced by their beliefs about the likelihood of developing a health problem, the severity of the problem, the benefits of taking action to address the problem, and the barriers to taking action.
Population Screening Purpose: The recommended screening is mammography for breast cancer, a USPSTF B recommendation. According to the American Cancer Society, breast cancer is the second leading cause of cancer death in women in the United States. In 2021, an estimated 279,100 new cases of invasive breast cancer are expected to be diagnosed in women in the United States.
The target population for this screening is women aged 50-74. This age range is based on the USPSTF recommendation that women aged 50-74 should undergo mammography every two years.
The local population to be screened is located in a county with a population of 100,000. Of this population, 50% are female and 50% are male. The county is diverse, with 40% of the population being White, 30% Hispanic, 20% Black, and 10% Asian. Based on the prevalence of breast cancer, it is estimated that 5,000 women in the county may be affected by the disease.
Currently, the rate of mammography screening in the county is 60%. There are several factors that may impact the need for mammography screening in the county, including access to healthcare, knowledge about the importance of breast cancer screening, and individual beliefs about the benefits and barriers of screening.

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