Sanders 1 APPROACH Sanders 2 CHANGE PLAN Sanders 1 Running: CHANGE PLAN

Sanders 1
APPROACH
Sanders 2
CHANGE PLAN
Sanders 1
Running: CHANGE PLAN
Developing a Change Plan- Forming a Guiding Coalition
Blanche Sanders
Walden University
MMSL- 6125: Initiating and Managing Change
Dr. Timothy Gandee
May 22, 2022
The positive change sought is to discourage and decrease tobacco smoking and alcohol consumption among adolescents and young adults—the place of interest in my immediate community Rosalia, Butler County, Kansas. Whites and blacks dominate the community. A better part of the population entails young people. There has been a considerable increase in tobacco smoking and alcohol consumption among adolescents and young adults in the community in recent times. This behavior is dangerous and risks the health of the users and the community, hence the need to influence positive changes as soon as possible. Therefore, this change plan aims to adequately discourage and limit alcohol consumption and tobacco smoking among adolescents and young adults in the Rosalia community. 
According to Dowdell et al. (2011), risky behaviors with long-term health implications usually begin during adulthood and adolescence. The two most common behaviors include alcohol consumption and tobacco smoking. The long-term adverse health impacts of smoking and alcohol consumption are well documented in the prevailing literature. The research studies cite that these risky behaviors are becoming dominant among adolescents and young adults, subjecting them to severe health conditions, including asthma (Dowdell et al., 2011). Tobacco smoking is particularly implicated in asthma as it directly causes or exacerbates the situation, contradicting asthma education’s primary tenets and general health promotion interventions. 
Notably, in the United States of America, about 6,000 teenagers between 12- and 18-years old attempt to use tobacco for the first time daily. Three thousand of these young people end up becoming daily tobacco smokers. Most adolescents develop tobacco smoking and alcohol consumption habits because they do not adequately understand the associated long- and short-term health implications of the behaviors. Tobacco smoking among adolescents and young people causes critical health issues immediately and during early adulthood. Young people using tobacco readily become addicted to nicotine and develop early heart and lung problems. 
On the other hand, alcohol consumption is equally dangerous since it leads to alcohol use disorder, causes euphoria, lateral vision reduction, and motor difficulties. Hence, there is a dire need to change the alcohol consumption and tobacco smoking among the adolescents and young adults in the Rosalia community for the benefit of the entire population. Strizek et al. (2021) affirm that young adults and adolescents are crucial groups to target to effectively prevent health problems associated with substance use. 
Sense of Urgency
There has been an increasing trend of alcohol consumption and tobacco smoking among adolescents and youths in the Rosalia community. Various factors can be attributed to this worrying trend. One of such issues is the increased depiction of tobacco smoking and alcohol consumption in the media and society. For instance, graphic novels, which young people frequently read, significantly depict intense tobacco smoking and alcohol consumption. Houghton and Houghton (2020) indicate that the increased depiction of alcohol consumption and tobacco smoking in media channels, including graphic novels, has significantly contributed to rising behaviors among adolescents and young adults. In addition, advertisement companies can also be blamed for exposing tobacco smoking and alcohol consumption content to young people. 
In Rosalia, the general population encourages tobacco smoking and alcohol consumption, encouraging young people to view the behaviors as usual and readily adopt them. Unfortunately, community health groups have also been inadequate in informing young people about the dangers of alcohol consumption and tobacco smoking in Rosalia. To ensure a positive change in Rosalia, a significant organizational change capability entails the presence of best practices for combating alcohol consumption and tobacco smoking among young people. Various community health groups and the health ministry have collaboratively worked to identify the best practices and values necessary to discourage and decrease alcohol consumption and tobacco smoking behaviors. This capability will be crucial to facilitating a positive change to save the health of Rosalia’s population. 
The main weakness visible in the facilitation of the planned change is the lack of a common approach to dealing with alcohol consumption and tobacco smoking behaviors among young people in Rosalia. The various players, including change agents, community health groups, and healthcare facilities, have not developed a common approach to dealing with the issues, making the mounting efforts unfruitful. Hence, to ensure that this change plan succeeds in discouraging and decreasing alcohol consumption and tobacco smoking among young people in Rosalia, change agents, healthcare facilities, and community health groups will be engaged considerably to develop a common approach to cause positive changes. 
To successfully create a sense of urgency in the Rosalia community, investigations will underpin the rate of tobacco smoking and alcohol consumption among adolescents and young adults. This will be followed by thorough research to document the negative health impacts of tobacco smoking and alcohol consumption among adolescents and young adults with the behaviors in Rosalia. Lastly, the community and players in the change plan will be encouraged to work closely and collaboratively to revert the situation regarding tobacco smoking and alcohol consumption among adolescents and young adults.   
Guiding Coalition 
The players that will be important in this change plan in Rosalia entail the following:
Change agents (including individuals and organizations).
Community health groups and workers.
Healthcare facilities.
Rehabilitation and correctional centers.
Change agents, including individuals and governmental and non-governmental organizations, are essential in facilitating and sustaining community health. These individuals and organizations are vital in disseminating important health information and mobilizing resources to improve the health of individuals in a community. Change agents will play a crucial role in researching the prevailing reality about tobacco smoking and alcohol consumption among adolescents and young adults to present accurate figures and data necessary for causing the suggested change. Therefore, change agents are preferred in this plan since they are committed to improving community health and are relevant. Besides, community health workers and groups will be adequately involved in the change plan. These are workers who are paid to monitor and guide communities on matters related to health. 
The group is essential because it has accurate information and will help disseminate facts to the people of Rosalia regarding the state and effects of alcohol consumption and tobacco smoking among young people. In addition, as opposed to any other group, community health workers adequately interact directly with community members, which is essential to the change process. The other player entails the healthcare facilities. Hospitals are necessary for treating patients and will be crucial in this change plan as several young people affected by alcohol consumption and tobacco smoking might need medical attention. On the same note, rehabilitation centers will play a significant role in helping adolescents and young adults with alcohol and tobacco smoking problems to change their behaviors to improve health.  
References:
Dowdell, E., Posner, M., & Hutchinson, M. (2011). Cigarette Smoking and Alcohol Use among Adolescents and Young Adults with Asthma. Nursing Research and Practice, 2011, 1-7. https://doi.org/10.1155/2011/503201
Houghton, D., & Houghton, F. (2020). An examination of portrayals of smoking in graphic novels/comic books: A picture is worth a thousand words. Tobacco Prevention &Amp; Cessation, 6(July). https://doi.org/10.18332/tpc/122867
Strizek, J., Uhl, A., Schaub, M., & Malischnig, D. (2021). Alcohol and Cigarette Use among Adolescents and Young Adults in Austria from 2004–2020: Patterns of Change and Associations with Socioeconomic Variables. International Journal of Environmental Research And Public Health, 18(24), 13080. https://doi.org/10.3390/ijerph182413080