Problem Definition: The
incidence of anorexia nervosa and bulimia nervosa has increased over the past
15 years in female American adolescents between ages 12 and 19.
Out of the three interventions I came up
with to address the issue of eating disorders in young females, the one with
the highest chance of success would be a program designed to prepare coaches of
high-risk teams to tackle the issue in their female athletes. Considering that the prevalence rates of eating disorders are
33% in cheerleaders, 50% in gymnasts, 45% of modern dancers and 45% of
cross-country athletes (Black 1), targeting this specific group, female
athletes in high-risk sport teams, would address a good portion of the
adolescents that suffer from eating disorders. The intervention would consist
of an online program on a disk being created for coaches of these teams to
watch. They would be educated on how to recognize eating disorders, prevent
them, and on how to help their athletes if they are on a path or already have
anorexia or bulimia. Coaches want their athletes to be healthy and in their
best physical and mental state, so the safety and athletic performance of their
athletes would be their incentive to watch and implement this program.
To implement this intervention, a council of experts on eating disorders
and its prevention would be gathered to formulate the information that will be
provided on the online disk. These would include pediatricians, therapists,
researchers, nutritionists, and others who are knowledgeable on eating
disorders. Together, this group will provide the nutritional information, how
to recognize onset and signs of eating disorders, ways to help athletes avoid
negativity towards their bodies, and methods of promoting a positive self and
body image, that will be programmed on this educational disk. An IT team would
be called in to put all of this information into an online program on an easily
accessible computer disk. This team will design the program to be easy to read,
use, and understand by coaches who may not have any background in the issue. Once
the program is made, it will be promoted and distributed by an advertising team
to schools, sport centers, and coaches where it can be purchased and put to
use. A barrier to implementation would be the cost, as schools and the coaches,
themselves, might not want to pay for a program if they don’t see it as useful.
However, this disk would not be very expensive, could be purchased through a
phone call or online, and the advertising team would bring to light how
important this issue is and how it could benefit the coaches by improving their
athletes’ athletic performance.
The way the program would be communicated is through a team of
advertisers, salespeople, and distributers who will work together to contact
schools across the nation and get them to purchase this program. Additionally,
a website could be made where the program could be purchased and which contains
all the necessary information about the importance of this issue and how the
program can help. This way, parents or athletes that come across it could also
suggest it to their coaches. Either the school could purchase it and charge the
coaches or the coaches could purchase the program themselves. The coaches want
their athletes to be healthy and if this program were to prevent eating habits
that will cause poor athletic performance, such as a loss in stamina, energy,
and muscle mass, then I believe that coaches would want to purchase the disk.
Once the intervention is in place,
there a few ways to evaluate its success. One process measure would be to look
at purchase records and see how many schools and individual coaches were
convinced enough to buy the program. Another process measure could be to survey
the coaches to see how many used the program and how many found it useful and
applicable to their athletes. An outcome measure could be to survey the
athletes and question them as to whether they feel they have benefited mentally
or physically. This includes asking them whether they have healthier thoughts
and eating habits, whether their coaches have helped them improve their self
esteem, and whether they think less negatively about their bodies. This would
tell us if the intervention was able to prevent or at least decrease the
negative thoughts that may lead to an eating disorder. Another outcome measure
could be to assess pediatrician and hospital records to determine if rates of
eating disorders have decreased in areas where the disk is being used. If
schools are actually buying the program, if coaches are actually utilizing it
and implementing its information, if athletes are feeling helped by their
coaches, and if rates of eating disorders are decreasing than the intervention
would be successful.
Works Cited
Black,
D.R., L.J. Larkin, D.C. Coster, L.J. Leverenz, and D.A. Abood. Physiologic
Screening
Test for Eating Disorders/disordered Eating among Female
Collegiate Athletes.
Journal of Athletic Training. N.p., 2003. Web. 17 Apr. 2013.
The intervention you chose for your problem definition sounds like it would be very effective because it targets high-risk school groups instead of just all girls. You did a great job going through the steps of implementation and it seems wise that the intervention is so closely tied with new technology. I might even suggest getting rid of the disk all together and just having the video online for easier access. This would also be cheaper for both parties. One cost you might consider including would be the cost of making the video, not just the cost of buying it.
ReplyDeleteHi Alyssa,
ReplyDeleteNice job this week. You have provided your reader with an overview of how you'd like to implement your interventions, discussed the barriers, communication strategies, and how to evaluate both process and outcome measures as they relate to the intervention.
The only thing I would suggest is to let your reader know how you'll get beyond the cost issue. For instance, maybe it would cost a lot to produce the video? So, you could apply for grants, ask for donations from professional sports teams, etc. Even if the video was not expensive to the coaches, the advertising, and making of the video could be. However, you could give your reader some ideas about how you could subsidize your work (grants, etc.)
Let me know if you have questions as your finish your paper!
Erin