Reference no: EM132315677

Introduction

A. Brief overview of health problem

B. Overview of other health interventions designed to address the program. Note: You must describe at least 2 empirical articles that reported results from an evaluation

C. Brief description of your 445 program as you designed it.

1. Describe program goal, impacts objectives and a long-term outcome 2. Who is your target population? 3. Brief description of the pilot test

Overview of Health Problem

Insomnia is one of the many sleep disorders and causes one to have trouble falling asleep or staying asleep. Individuals suffering from sleep insomnia usually have trouble falling and/or staying asleep, along with waking up throughout the night and having trouble falling back asleep. Insomnia is prevalent in the United States, with roughly 30 percent of adults reporting symptoms associated with it (Insomnia, American Academy of Sleep Medicine) and about 10 percent suffer from insomnia that is acute to where it affects their daily actions. In the Prevalence of Sleep Disorders in the Los Angeles Metropolitan Area article, the authors conducted a survey of 1,000 individuals living within the Los Angeles metropolitan area. Through the survey, they found a 52.1 percent prevalence rate of current sleep disorders. Of all the sleep disorders, insomnia had the highest prevalence at 42.5 percent (Bixler, E. O., Kales, A., Soldatos C. R., Kales, J. D., Healey S., 2007). Studies were conducted to test the societal impacts insomnia has. In the article, The Societal Costs of Insomnia, insomnia comes with societal consequences including an impaired QOL and an increase in the utilization of health care (Wade, A. G., 2010). In addition, it comes with substantial indirect and direct costs to society.

Overview of Health Interventions

In the empirical article, Behavioral Interventions for Insomnia: Theory and Practice, they used health education as their health promotion strategy. Some of the behavioral interventions they used for insomnia consisted of stimulus control therapy, sleep hygiene, relaxation training, sleep restriction, cognitive restructuring, or paradoxical intention therapy. Of these stimulus control therapy, to strengthen the compatibility of sleep in the bedroom and remove the incompatible, was found to be the most effective and was therefore recommended to be the standard treatment for chronic insomnia (Sharma, M. P., Andrade, C., 2012). The target population was rather broad as they were focusing on all adults aged 18-64. The authors came to the conclusion that the short-term outcomes for insomnia are better when behavioral interventions are involved in place of pharmacological interventions, and more effective long-term (Sharma, M. P., Andrade, C., 2012).
Behavioral Interventions to Promote Adequate Sleep Among Women: Protocol for a Systematic Review and Meta-Analysis, is another article that used health education as a means of promotion. They used behavioral interventions that were "non-pharmacological" and aimed at sleep difficulties and sleep hygiene. The main component used was having a systematic review that will assess whether the behavioral interventions are effective. This may include a change in sleep patterns like the duration or quality of sleep. The target population was adult women within the United States. Their long-term outcome is changing the sleep pattern of women to improve their QOL. This may enhance their maternal, fetal, and/or infant health (Vézina-Im, L., Moreno, J. P., Nicklas, T. A., Baranowski, T., 2017).

REM Program

The goal of this program is to improve sleeping hours for CSUN students aged 18-24 who have high prevalence rates of insomnia. The impact objectives for the program include:

Learning Objective:

• By the end of the session 50% of participants will be able to name 3 resources that can help them deal with their sleeping habits.

• At the end of the program, the number of participants who will identify at least 5 immediate negative factors concerning lack of sleep will increase by 10%.
Environmental Objective:

• By 2020, at least 10% of Cal States will offer sleep management sessions Monday-Friday, free of cost, for students.
Behavior Objective:

• Six months after the end of the intervention, the number of students who report getting more than 6 hours of sleep will increase by 5%.
Outcome Objective:

• After five months of completion of the program, CSUN students will improve 15% in sleep knowledge and sleep daily parameters changes.
The pilot test covered the programs mission and goals, defined sleep insomnia, complications and causes of insomnia, top three barriers that get in the way of academic success, common sleep disruptions, recommendations, and resources available on campus. There was also an ice breaker, pre/post test, discussions and activities incorporated within the pilot test. The goal of the pilot test was to inform the participants on the severity of sleep insomnia among college students in a way that was easy to comprehend and ensure they utilize the resources on campus, all while keeping a fun and educational environment.

The target population will be CSUN college students aged 18-24. This population was chosen because it was rather evident that insomnia can be caused by high levels of stress, lack of exercise, anxiety and/or depression. In spring of 2016, the American College Health Association's National College Health Assessment II conducted an executive summary and research survey here on CSUNs campus. The top three factors that affected the students' academic performance were stress (30.5%), anxiety (19.9%), and sleep difficulties (18.5%) (CSUN Executive Summary, 2016). This shows that sleep difficulties, like insomnia, can affect college students' daily life.

Methods

A. Design the program design and how you will collect data (pretest/posttest)

B. What are the measures you will use for measuring objectives?

C. How will you recruit your participants?

D. Include your recruitment flyer.

E. What is the timeline of your program?

The highlight section is my part, write 3 pages answering the highlight questions and create recruitment flyer.

Evaluation

A. Describe your summative and process evaluation design. Use the information from the in-class evaluation guidelines worksheet.

Discussion

A. Discuss any changes you have incorporated based on your peer's feedback of your pilot study.

B. What are some of your programs' limitations

C. What are some recommendations you provide for improving the program for future health promotion interventions?