Proposed Solution, Implementation, and Evaluation

Proposed Solution, Implementation, and Evaluation

This evaluation plan aims to assess the effectiveness of a patient-centered approach that

integrates pharmacological management and physical activity in order to improve the

management regimen of adolescents and young adults that have been diagnosed with diabetes

mellitus type II. The implementation would primarily consist of lifestyle changes that enhance
the quality of life for diabetic patients. The goal of this approach is to improve glycemic control,

increase physical activity levels, and better overall health outcomes for adolescents and young

adults that have diabetes. The rationale behind this implementation is the increasing prevalence

of diabetes among younger healthcare patients, as well as addressing the detrimental impacts that

diabetes is having on the healthcare system.

Implementation Plan: Strategies for Approval

Obtaining approval and support from the organization's leadership and staff is crucial to

implementing the proposed solution. The following are some of the approaches that will be used

to receive permissions and assistance. First, healthcare professionals and organizational leaders

would be informed on the details of the intervention and its implementation, as well as the

resources that would be necessary. Following this briefing, the organization’s leaders and staff

would be encouraged to share their opinions and provide suggestions for improving the

implementation. Secondly, the organization would be provided with the research demonstrating

the potential effectiveness of the intervention as well as the benefits associated with its

implementation in the long term, such as reduced healthcare costs, which would further improve

the likelihood of receiving support (Nikitara et al., 2019). Finally, once organizational support

has been obtained, the proposal would be sent to regulatory agencies to ensure that it is

complying with regulations and meeting all healthcare standards.

Implementation Plan: Description of Plan

The implementation of the patient-centered approach will involve assessment, education,

monitoring, follow-up, and adjustment. To properly assess the incorporation of pharmacological

management and physical activity, the healthcare organization's personnel will evaluate the

patient's medical history, degree of physical activity, and dietary habits. After this, patients will
get education on the expected outcomes of the implementation and recommendations for

adhering to the plan (Fernandez-Lazaro et al., 2019). Regular monitoring will then take place to

observe the patient's progress and make appropriate adjustments based on their needs. As the

implementation carries on, healthcare staff will check in with the patients to see if they are

following the recommended management regimen, resolve any issues or obstacles to adherence,

and offer continued encouragement (Fernandez-Lazaro et al., 2019). Finally, based on the

observed changes and input from the patients, healthcare professionals will work to improve the

implementation strategy for future participants.

Implementation Plan: Resources Required

The implementation plan will require various resources from multiple different sources.

The first is an effective overseeing body that would manage the different components of the plan.

This group would be responsible for consulting with patients and employees to determine who is

eligible to participate and directly carry out the implementation process, such as healthcare

professionals, educators, and community members. The members of this group would be

gathered from leadership in the involved healthcare organization and from other institutions such

as regulatory agencies, universities, and external healthcare organizations. Another resource that

would be necessary is a quantitative and qualitative data collection method. The quantitative data

could be collected and inputted into the existing electronic health record system. As for the

qualitative data, surveys could be used to assess the views and experiences of the patients and

healthcare staff involved. Technology would also be necessary to effectively implement this

plan, such as equipment to measure blood sugar, heart function, blood pressure, and so on.

Additionally, technology would also be necessary to educate patients and healthcare staff on the

details of the implementation. Lastly, funding would have to be acquired prior to beginning the
plan. This includes funding for hiring new employees if necessary, producing instructional

materials, and analyzing collected data before, during, and after implementation.

Evaluation Plan: Methods for Evaluation

The effectiveness of the program will be evaluated using a combination of quantitative

and qualitative methods. Comparing the participants' blood glucose levels before and after the

intervention is one of the quantitative techniques that will be used to determine its effectiveness.

Another quantitative technique that will be used is blood pressure. Participants’ blood pressure

will be measured throughout the duration of the program to better understand the benefits

associated with its implementation. For the qualitative approach, pretests and posttests will be

used to gauge participants' views and gather suggestions prior to and after the intervention. In

addition to this focus groups will be held to gather patient input on the efficacy of the

management regimen and the obstacles to adherence. Surveys and interviews can also gauge how

satisfied participants are with the program. These qualitative assessments will also be distributed

among the healthcare professionals that are involved in implementing the intervention in order to

obtain suggestions from various perspectives.

Evaluation Plan: Projected Outcomes and Variables for Assessment

The projected outcomes for this evidence-based intervention are the reduction of HbA1c

levels and improvement in physical activity. HbA1c levels are a measure of blood glucose levels

over a span of three months and are frequently used to track a patient’s management of diabetes.

HbA1c readings of less than 7% are desired for diabetic teenagers and young adults (Khadilkar

& Oza, 2022). Improvements in physical activity levels, which are crucial for managing diabetes

and avoiding heart-related complications, and increased satisfaction with the diabetes education

program, are the other variables that will be monitored for assessment of the intervention.
 In conclusion, this plan offers a thorough, evidence-based strategy to deal with the issue

of type II diabetes mellitus in adolescents and young adults. In addition to offering an

implementation plan with strategies for approval and support, a description of the

implementation process, and a detailed evaluation plan, the proposed patient-centered approach

also functions to unite two of the most effective treatment strategies with regards to diabetes,

those being pharmacology and physical activity. This proposal clearly details the intended

outcomes and how they will be monitored and evaluated. Widespread implementation of this

evidence-based strategy is expected to lead to better glycemic management, higher levels of

physical activity, and better overall health outcomes for adolescents and young adults with

diabetes.

As a whole, this proposed solution addresses the issue of increasing prevalence rates of

diabetes mellitus type II in adolescents and young adults. The proposal provides a detailed

literature review to support the problem statement and identify the key factors contributing to the

disease development in this population. The proposed solution is presented clearly and

straightforwardly in an attempt to provide a patient-centered approach that utilizes both

pharmacological management and physical activity to improve diabetic management regimens.

If successful, this proposed solution could be applied beyond adolescents and young adults, as

diabetic symptoms are relatively stable across the lifetime and require similar treatment

approaches regardless of age. However, more research should be carried out to better understand

the implications of combining a pharmacological approach with intense physical activity, as well

as the impacts it may have on diabetic patients across various age groups.
 References

Fernandez-Lazaro, C. I., García-González, J. M., Adams, D. P., Fernandez-Lazaro, D., Mielgo-

Ayuso, J., Caballero-Garcia, A., Moreno Racionero, F., Córdova, A., & Miron-Canelo, J.

A. (2019). A cross-sectional study of adherence to treatment and related factors among

 patients with chronic conditions in primary care. BMC Family Practice, 20(1).

https://doi.org/10.1186/s12875-019-1019-3

Freeman, A. M., & Pennings, N. (2022, September 20). Insulin Resistance. Nih.gov; StatPearls

Publishing. https://www.ncbi.nlm.nih.gov/books/NBK507839/

Khadilkar, A., & Oza, C. (2022). Glycaemic Control in Youth and Young Adults: Challenges

and Solutions. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Volume

15, 121–129. https://doi.org/10.2147/dmso.s304347

Nikitara, M., Constantinou, C. S., Andreou, E., & Diomidous, M. (2019). The Role of Nurses

and the Facilitators and Barriers in Diabetes Care: A Mixed Methods Systematic Literature

Review. Behavioral Sciences, 9(6), 61. https://doi.org/10.3390/bs9060061