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What are the examples of borrowed theories and mid range health theories currently being applied in the cardiovascular disease prevalence reduction and elimination efforts?

Description of the project
The number of cardiovascular cases is on a steady rise in San Bernardino California. The diseases are the leading cause of death in the region (Mozaffarian et al. 2015). The intervention plans being put out in place employ different approaches to control the situation. However the central theme in all the cardiovascular disease control programs is the focus on individual and community lifestyle and related issues. The incorporation of the lifestyle and social factors into the different strategies is based on certain theories such as the borrowed theories and mid range health theories (Meleis et al. 2000). This study will evaluate the impact of using borrowed theories and mid range health theories on the reduction and elimination of cardiovascular disease prevalence in San Bernardino. The study will utilize a qualitative approach in analyzing the existing data obtained from relevant websites and hospital records to determine the importance of the theories in the control of the cardiovascular diseases. The output of the study is aimed at providing a basis on which decision can be made regarding the appropriate adjustments of the strategies geared towards the reduction and elimination of cardiovascular disease prevalence in San Bernardino and the entire country.
Background of Theory
San Bernardino California is among the leading regions in the US in the number of cases of cardiovascular diseases reported annually. These diseases are mainly attributed to the way people live and eat. The prevention of the diseases therefore can be achieved through lifestyle change among individual. The Borrowed theories associated with sociologic issues and the Mid Range Theories that focus on a specific aspect of change such as education and empowerment can play an important role in disease prevention (Meleis et al. 2000). Different cardiovascular disease prevention plans such as Californias Master Plan for Heart Disease and Stroke Prevention and Treatment 2007-2015 and Community Transformation Plan 2015-2020 for San Bernardino County have adopted various aspects of borrowed theories and mid range health theories. Assessment of the impact of these theories on disease prevalence will form an evidence-based basis for future action.
Objective of the Study
The aim of this study is to determine the importance of the use of borrowed theories and mid range health theories in reducing and eliminating cardiovascular disease prevalence in San Bernardino. The study also aims to discuss how individual aspect of Borrowed theories and Mid Range health theories affect disease prevention based on already existing data. At the end of the study evidence-based recommendations on the use of the theories in the reduction of the prevalence of cardiovascular diseases will be drawn. This study also aims at providing sufficient information base that will guide the decision and policies formulated by healthcare care practitioners and other stakeholders on best strategies towards prevention of cardiovascular diseases in San Bernardino. It is expected that outcome of this research will also inform the cardiovascular prevalence reduction strategies in other counties in the country.
Research Questions
This study will aim at answering the following research questions:How has Cardiovascular disease prevalence in San Bernardino changed in the last 10 years?
What are the examples of borrowed theories and mid range health theories currently being applied in the cardiovascular disease prevalence reduction and elimination efforts?
How are the borrowed theories and mid range health theories adopted in the cardiovascular disease prevalence reduction and elimination strategy?
What is the impact of the examples of borrowed theories currently being applied in the cardiovascular disease prevalence reduction and elimination efforts on the prevalence of the disease?
What is the impact of the examples of mid range health theories currently being applied in the cardiovascular disease prevalence reduction and elimination efforts on the prevalence of the disease?Methodology
The study will be conducted based on a qualitative design approach. The qualitative design that will be used will be based on the case study approach (Rowley 2002). The reason for carrying out the study based on the qualitative is informed by the type of data that will be used in the study which will be obtained from existing data document rather than obtaining it directly from primary respondents. The use of case study approach in the research is informed by the need to evaluate the impact of the existing strategies used in the reduction of the prevalence rate of cardiovascular disease. In this study the different data from various websites will be assessed to determine the impact. The study will consider the different data sources as case studies as such five different websites will be used. The study will also use that data from hospital records.
The research will be carried out in a manner that will enable the comparison of data and determination of the impact of the strategies on the cardiovascular disease prevention. It will be designed to have a single dependent variable and multiple independent variables Throughout the study the data relating to the prevalence of the cardiovascular disease will be treated as the dependent variable while data relating to the different aspects of the Borrowed and Mid Range health theories such as lifestyle indicators exercise diet features of sociology and community education and empowerment will be treated as the independent variable. The study will therefore enable the qualitative analysis of the effect independent variables mentioned above on the prevalence of the cardiovascular disease in San Bernardino.
Data Collection
The data on the effect of a different aspect of borrowed theories and mid range health theories on the prevalence of the cardiovascular disease will be collected based on qualitative approach. The sources from which the data will be obtained include the government databases that contain elaborate data on the prevalence of cardiovascular diseases and the strategies used. The study will also obtain data records and documents detailing the number of cardiovascular patients and their history from the hospital in San Bernardino California. The data will also be obtained from the government departments such the public health department of California. The data will be collected purposively from sources identified. The following websites will be used as a source of information for the study:The Center for Disease Control and Prevention website have summary of data on the annual prevalence and trend of disease occurrence (http://www.cdc.gov/heartdisease/facts.htm)
American Heart Association website that contains review information on the healthy living education healthcare research and statistics will provide information on examples of the theories used in cardiovascular disease prevention (https://www.heart.org/HEARTORG/General/Heart-and-Stroke-Association-Statistics_UCM_319064_SubHomePage.jsp) and
California department of public health website that contains information of on the state master plan against cardiovascular diseases. The website has data and statistics on the cardiovascular disease (https://www.cdph.ca.gov/programs/CVD/Pages/default.aspx).
Healthy San Bernardino County Website that contains data on cardiovascular disease in the area at different time periods it also contains the strategies used in controlling the disease (http://www.healthysanbernardinocounty.org/modules.php?op=modload&name=NS-Indicator&file=index&topic=112)
World health organization website that contains data and strategic priorities against cardiovascular diseases (http://www.who.int/topics/cardiovascular_diseases/en/)Data Analysis
After data collection the data will be processed by sorting and assigning a specific code to the different types of data collected. The coded data with similar codes will then be group together. Grouping of the data will be done in a manner to reflect the different research questions that the study is based on. The analysis of data will be done with an aim of answering these questions.
The data on the prevalence of cardiovascular disease across different will be analyzed using frequencies. The difference between the prevalence rates between the different years will be evaluated at P<0.05. The data on the different example of the theories used will also be described using frequencies and percentages. The interaction between the aspects of the Borrowed and Mid Range Health theories with the dependent variable will be analyzed by using Two-way ANOVA tests. The test will be carried out first by checking the conformity of the data to the assumptions of the test. This will be done by performing the univariate test in SPSS ver. 22.0. If the data fits the requirement for the test then the test will be performed using SPSS at the set levels of significance of 0.05. The interaction between the different aspects of dependent variables will also be analyzed. Analysis of this interaction will be carried out using multiple regression approaches. The multiple regression outputs will be interpreted at P<0.05. Informed Consent The study will involve the use of secondary data documents and records that already have a one-off consent and therefore do not require a repeated request to be sent to the participants (Otlowski 2012). The fact that the study will be based on one-off consent eliminates the challenging task of seeking for the participants of the initial studies considering that there is a chance some may have passed on. The study will however commit to using the data and document provided in an ethical manner with attention to protecting the identity of the participants where possible. The study will also ensure that it handles other sensitivity component of the data in an appropriate and transparent manner. Risks and Benefits Through its evidence-based approach this study will provide a basis on which decision can be made regarding the appropriate adjustments to or strengthening of the strategies geared towards the reduction and elimination of cardiovascular disease prevalence. The study also will give insights on better ways of engaging the community in cardiovascular disease control based on the assessment of how borrowed theories and mid range health theories are adopted by the community. The fact that the output of study is geared towards the control of cardiovascular disease means that the study is beneficial in reducing the suffering and financial strain associated with the disease. The study will also benefit the state and country by contributing to a healthy population necessary for nation building. There are no risks associated with this study since the research will involve the use of available data. References Meleis A. I. Sawyer L. M. Im E. O. Messias D. K. H. & Schumacher K. (2000). Experiencing transitions: an emerging middle-range theory. Advances in nursing science 23(1) 12-28. Mozaffarian D. Benjamin E. J. Go A. S. Arnett D. K. Blaha M. J. Cushman M. & Howard V. J. (2015). Heart Disease and Stroke Statistics2016 Update A Report From the American Heart Association. Circulation CIR-0000000000000350. Otlowski M. F. (2012). Tackling legal challenges posed by population biobanks: reconceptualising consent requirements. Medical law review 20(2) 191-226. Rowley J. (2002). Using case studies in research. Management research news 25(1) 16-27.

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