2024 Class project

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PROJECT COMPONENTSThe project should address the following Aspects of Cultural Assessment:1. Ethnic/racial identity: How does the group identify itself in terms of ethnicity and racial background? What is the range of interaction outside of the cultural group? Are recreational, educational, and other social activities within the ethnic reference group, the wider community, or both?2. History and Value Orientation: How are values derived? What is the historical experience of the group that may have impacted values?3. Language-communication process: What is the primary spoken language? What languages are spoken in the home? And by whom? What language is preferred when speaking to outsiders? Do second and third generations in speak the language of their grandparents?4. Health Beliefs and Practices: What are the traditional health beliefs? How common are these beliefs and practices within this group? To what extent are folk healing practices and practitioners used?5. Religious Belief and Spirituality: Discuss religious articles & practices. How is spirituality is defined in the culture? Remember that Religious Beliefs and Spirituality are different concepts.6. Lifecycle events: Which life cycle events are important to the culture? What are the customs associated with births, coming of age, marriage, and death?7. Nutritional Behavior/Diet: Are there restrictions? Are there common practices?8. Medical health care access and experience: Is access to care and equality of care an issue for this group? For example, are group members less likely to receive needed care due to system issues such as financial access or provider biases than another group?Based on the Cultural Assessment Data, the group will design a Cultural Health Promotion Plan:9. Cultural Health Promotion Plan: Identify a health risk or health problem the project will address. Describe why this is an issue for your chosen target group and how culture plays a role in the health risk or problem.10. Health Promotion Strategies/Methods: Based on the health risk/problem identified, describe the strategies/methods that you will implement. Focus on primary and secondary prevention strategies. Refer to Healthy People 2020 Topics and Objectives. You may access the website at: https://www.healthypeople.gov.11. Project Evaluation Methods: State the outcomes you expect to achieve. State how you will measure/assess the effectiveness of the project.CHECK ATTACHED DOC

2024 Randomized Trials in Epidemiology

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Imagine that researchers are conducting a randomized controlled trial of a high-fiber supplement as a preventive measure in persons at increased risk of type 2 diabetes. People enrolled in the study are disease free at the time they agree to participate in the trial, but they all have a family history of type 2 diabetes and are considered at high risk (80%) to develop the disease during their lifetime. The 10,000 participants who start the trial are healthy individuals who are randomly allocated to receive either high-fiber supplements or placebo for several years. As you can imagine, this study will be quite expensive and will require a large infrastructure of personnel and materials to carry it out successfully.Because type 2 diabetes has reached epidemic proportions in the United States, the potential benefits of this research are important at a population level. Unfortunately, high-fiber supplements have also been shown in a few studies to be associated with gastrointestinal blockage (which can be life-threatening) and reduced nutrient absorption, which may lead to anemia, osteoporosis, and other debilitating chronic diseases. The supplements may also reduce absorption of certain medications and cause gastrointestinal distress. The potential side effects of continuous high-fiber supplementation are only partially understood, and long-term effects are unknown.For this Discussion, you are asked to identify an example of an experimental study design in the literature and consider the ethical implications of the randomized controlled trial design.To prepare:Search databases in the Walden Library and locate a peer-reviewed article from the last 5 years that uses a randomized controlled trial study design. The subject of the study may be any topic professionally relevant or interesting to your practice. You may not select an article already posted by one of your colleagues for this Discussion. (Tip: When searching, you may use “randomized trial” as one of your search phrases.)Critically analyze the following aspects of the research study:PurposeStudy populationLength of the trialData collection methodsOutcome measuresResults and conclusionsEthical issues associated with the studyAsk yourself: How did this research study benefit from its experimental design? What was achieved by randomization that might not otherwise have been achieved?By Day 3 of Week 4Post a cohesive scholarly response that addresses the following:Summarize the research study addressing the aspects bulleted above.Identify and discuss the ethical issues associated with this study.Be sure to include a link to the article in your post.