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Jessica Batayola
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Developing Healthy Learning Communities: Promoting Positive Body Image and Healthy
Health and wellness habits and behaviors developed during adolescence continue on into
adulthood, both positive and negative. Some specific negative behaviors run the risk of
developing into disorders. Eating disorders have continuous negative effects on the development
of adolescents, and if untreated, run the risk of leading to life threatening heath concerns. In
todays day and age, social media has brought vanity to the forefront of many adolescents lives.
Beauty and physical appearance blogs and vlogs are some of the most widely searched topics
across all social media platforms. A majority of adolescents have an online presence. Constantly
being in the online publics eye can create pressure on youth to obtain unhealthy lifestyle habits
in attempts to reach desired physical appearances. Outreach in the form of programs and events
can provide valuable information about health and wellness that these online communities may
not provide.
Within this paper readers will: read a review of current literature regarding eating
disorders; learn the most common forms of eating disorders affecting todays adolescents; view
historical trends; compare psychological theories behind behaviors; and learn about the effects of
such disorders on the developing mind, body and soul. [For further research and relevant
discover a plan for a community program designed to inform and combat the negative behaviors
discussed throughout by promoting healthy body image, appreciating diversity, and teaching
Literature Review
Perception is defined as the ability to see hear, or become aware of something through the
senses (New Oxford American Dictionary, 2017). Yet as many words can have multiple
something; a mental impression (New Oxford American Dictionary, 2017). Through this second
definition it becomes clear that perception is as individualized as the person perceiving; its
subjective by nature. This subjectivity was the focus of the research paper, The perception of
Life (HRQoL) from Quality of Life (QoL) with a multidimensional perspective; and to measure
QoL perceptions of persons with Anorexia Nervosa (AN). It was observed by the authors, C.D.
Ruysscher; Patty Annicq; Stijn Vandevelde; and Claudia Cleas, that a vast majority of studies
about QoL focusing on AN persons, actually only focus on HRQoL. The authors believed
additional QoL studies that included the perception of the individuals, not merely health physical
The methods used required a specific setting, specific sample group, ethical aspects, as
well as a detailed procedure. The setting occurred within a therapeutic treatment center in Ghent,
Belgium named Empathie in which a treatment program for AN exists. Similar to the lack of
total QoL research, many AN treatment facilities only focus on HRQoL. Empathie was chosen as
the setting as its program is unique in that it considers the total impact of an Eating Disorder
(ED); the multidimensional approach the authors of the study aim to research.
HEALTHY COMMUNITIES 4
divulged through the questions; QoL model by Schalock was introduced to begin to discuss
domains in detail in order to identify specific indicators for each domain; analysis of emerging
themes.
Results indicated that global perceptions of QoL exists amongst a group. Five main
interpersonal relationships when defining QoL; 53% stated personal development is important;
41% stated that being able to relax is important; 29% stated the importance of self-determination;
and 3% add having a healthy lifestyle to the definition of QoL. Participants perceived that
treatment at Empathie advanced growth within the following domains: 35% stated social
The next research article reviewed was titled, Assessment of Nutrition Knowledge of
Adolescents With an Eating Disorder (2012), authored by M. C. Castillo, MD; Ronald Feinstein,
MD; James Tsang; MPH; Martin FisherMD, FSAHM. The purpose of the study was to gauge the
level of knowledgable of healthy nutrition of those with an Eating Disorder (ED), and compare
A sample group was pulled from the Adolescent Medicine Clinic and given a
questionnaire. Based around nutrition, 18 questions with multiple choice answers were provided.
During 2011, 182 questionnaires were gathered, composed of 45 patients with ED, 67 of their
parents, 36 non-ED patients, and 30 of their parents. The average age of all youth was 16 years
old. A majority of ED patients (76%) were white, while non-ED patients were far more evenly
Results indicated that all groups lacked sufficient nutritional knowledge to attain a test
score higher than 50%, on average. Results also indicated that ED patients did not have a deeper
understanding of nutrition that their non-ED peers. For many ED patients, a healthy diet
actually consisted of extreme caloric restriction as opposed to providing nutrients. The study was
concluded with author suggestions to further educate both parents and patients about nutrition.
The next research article reviewed was titled, Body composition, eating disorder
Grave. The purpose of the study was to determine the long-term psychological affects after body
weight restoration of those with ED. Body weight restoration refers to the rebuilding of fat mass
The authors measured body composition and fat mass of ED patients before and after
weight restoration. Attitudes and psychological factors were measured using the Eating Disorder
Examination Review, as well as the Global Severity Index of the Brief Symptom Inventory.
Results indicated that normalization could occur, and that overall psychopathy was not further
influenced by overall body mass increases, after normalization occurred. During normalization
however, it was observed that patients with AN had preference to where on the body gained
The last research article reviewed was titled, Eating disorder beliefs and behaviours
across eating disorder diagnoses (2014), authored by S. Allen and K. Gross. The purpose of the
research was to evaluate different beliefs and behaviors about ED and explore if there are clinical
implications related to such beliefs and behaviors. The authors administered the Stiriling Eating
HEALTHY COMMUNITIES 6
Disorder Scale to 136 women. The Stirling Eating Disorder Scale was developed to measure
eating disorder beliefs and behaviors and other problems commonly associated with eating
disorders, to allow comparison between eating disorder groups and controls and to monitor
treatment progress (Allen & Gross, 2014). Both AN and Bulimia patients were studied, and
compared.
The results indicated that those with AN had a greater understanding of Anorexic Dietary
Cognitions. Overall, significant differences were found between dietary cognitions and dietary
behaviors when comparing the two groups. Within a clinical setting, a majority of AN patients
were not performing their usual dietary behaviors, such as hiding food or calorie counting, yet
were maintaining unhealthy body weight levels. Findings such as this implicate the need for
clinicians to broaden their search when exploring weight control activities, such as watching for
excessive exercise.
To further research, an additional article was reviewed, titled, Potential risks of pro-
eating disorder websites (2011), authored by C. Rouleau, & Von Ranson. Pro-eating disorder
websites have been previously discussed in the media, yet little integration of research findings
on this topic exist. This lack of integration was the basis of the research paper, Potential risks of
The purpose of the study was to discover possible risks, to then identify themes while
reviewing other peer reviewed articles. The researchers believe that evaluation of these themes
and risks can aid in awareness, as well as guide future, further research. Three themes occurred:
operation under the guise as support; reinforcement of disordered eating; and prevention of
The results indicated that social support is the driving force behind pro-Eating Disorder
(pro-ED) websites. This research indicates that strengthening healthier social bonds may replace
the need for the online community. An additional risk of pro-ED websites is their encouragement
of ED. Thirdly, treatment seeking may be discouraged through the use of pro-ED websites as
Overall the research articles reviewed covered a variety of domain topics and informed
the reviewer of new paths to explore while researching the effects of eating disorders on the
development of adolescents.
Synthesis of Information
Overall, the studies had findings that indicate that persons with Eating Disorders (ED)
inaccurately understand their own current overall health within all domains. Almost all
concluded that perceptions of risk factors were underestimated by study subjects. Additionally,
half of the studies indicated that assumptions of knowledge of health metrics and nutritional
information were inflated when compared to actual tested knowledge, in both persons with ED
as well as those closely related to the individuals, i.e. parents and caretakers. Lastly, all studies
report that ED patients have a general poor Quality of Life (QoL), and that even after completing
treatment, QoL remains poor. A few of the studies go on to assert that this is due to the vast
correlation of ED with other diagnosed mental and emotional vulnerabilities such as depression
and/or anxiety.
One differing theme that occurred was the distinction of one study that purely focused on
perception on Quality of Life (QoL), while the other studies focused on Health-Related Quality
of Life metrics (HRQoL). This distinction separates the studies seeking how satisfaction with life
HEALTHY COMMUNITIES 8
perceptions, behaviors and circumstances [QoL]. Additionally, only one study concluded with
implications that further education is a necessary to improve health knowledge of persons with
ED.
The data synthesized from these studies is valuable in supporting programs and events
that offer knowledge about ED, as well as attempts to inform of and prevent ED risk behaviors.
All domains: social, intellectual, emotional, nutritional, and spiritual, are affected within those
afflicted by an ED. The sourced data can help to inform the implementation of ED risk behavior
prevention programs as well as programs designed to promote healthy body image through
Practical Implications
The following plan to outline and detail the Positively Gorgeous public workshop has
Administration, Funding, Marketing, and Scheduling. The goal of promoting positive body
image is to allow adolescents to understand that healthy bodies come in different shapes and
sizes and that body size and weight alone do not predict overall health, happiness, or future
successes. This overarching theme will be the backdrop of the public workshop, detailed below.
Basing the design the workshop around freedom of choice, allowing for relative privacy
while promoting socialization, and providing educational, the public workshop will be set up
similar to a street fair, with different booths to attend, all encircled within a central social area.
Little structure will be required as to time management of booth attendance per attendee, rotation
HEALTHY COMMUNITIES 9
through booths; this public workshop is open to the public and allows for participation in as little
or as much as desired. Booths will offer a variety of educational information, as well as offer
opportunities to connect socially, both with peers, specialists, and relevant public figures.
Offering this freedom of exploration allows for different levels of privacy preferences to
be met amongst individuals, as well as speaks to the individuality of the topic at hand. The
Cooking and Nutrition Zone, offering a live cooking demonstration with information from
One-day sign up for a 3-month free trial gym membership provided by local gym, including a
one-time personalized personal trainer session that will help to set individualized fitness goals;
CodeStars booth, promoting the newest technology careers and encouraging adolescents to
seek careers within the industry (promoting intelligence as the deepest form of beauty)
Carnival Mirror booth, for fun! All to often adolescents struggling with negative body image
form unhealthy relationships with the image reflected in the mirror. This small area allows for
an environment where unrealistic reflections can bring laughter and new perspective.
BMI measurement booth, with privacy screen, offering personalized data and information.
Ancestry booth, allowing adolescents to provide a quick, non-intrusive family history and
receive back a general ancestral report with images of typical people from the time/place/
throughout time have varied in look, size, ethnicity, culture, fashion, etc. and encourages
Activities booth, promoting fun, low-impact physical exercises including Rhythm Pass, yoga,
and pilates. This area will be set up for full participation including all safety and sport
PhotoShop booth, led by local volunteer college students. This booth allows visitors to get a
quick tutorial on the use of PhotoShop, as well watch demonstrations of how images are
manipulated to enhance and/or change the original. The booth will be lined wall-to-wall with
visual examples of before-and-after images for visitors to compare and understand how
distorted an image printed within the media can be compared to the original image captured.
Inspiration Room, a visual installation. This room will contain wall-to-wall images of and
quotes from celebrities known for promoting positive body image. Celebritys are idolized by
many adolescents, therefor celebrity driven promotions are some of the most widely viewed
and related to messages for this age group (Williams, 2016). An outline of this display is
attached in Appendix B.
Educational Components. Promoting positive body image is done largely through education
and information sharing. Body image is how a person sees and feels about their body; educating
adolescents about realistic expectations of health and providing honest definitions of health will
allow them to take an appropriate perspective when viewing them-self, both physically and
intellectually/emotionally.
By design, many of the event booths will focus on providing education related to the
different pillars of health and wellness, including: social health (carnival mirror booth, activities
room, inspiration room); emotional health (inspiration room, PhotoShop booth); physical health
HEALTHY COMMUNITIES 11
(gym membership booth, cooking and nutrition zone, BMI booth); spiritual health (ancestry
booth); intellectual health (CodeStars booth); and nutritional health (cooking and nutrition zone).
Engagement. Participation within every booth is encouraged through the easy to approach and
relevant information offered. Rhythm Pass within the Physical Activities booth will be the most
physically engaging area of the workshop. This easy to learn activity requires teamwork, basic
Engaging the community to support this event will require volunteers from the local
college to aid in the CodeStars and PhotoShop booths. These volunteers were offered the same 3-
month gym membership by our local gym sponsor, received 8-hours of community service
completion hours applicable to some of their courses, and received commendation from their
College Dean, in the form of reference letters commanding their participation and engagement
Administration. Currently, all administration of the event will be led by the event coordinator,
Jessica Batayola. Pre-Event activities will be completed 30 days before the event and include,
developing and distributing marketing, and delegating event tasks. Additional administration is
currently being sourced in efforts to share the work load and accomplish all tasks in a timely
manner.
Funding. Local business engagement will be the main source of funding, through sponsorship
and volunteerism. Land usage availability provided by the local gym was also donated, offering
up a segmented, roped off area their parking lot for the event. Tent booths are provided by the
City of Federal Way, upon request. Simply asking a question can sometimes go a long way.
HEALTHY COMMUNITIES 12
Through the aid of a business plan, the City offered to support the cause by allowing use of tent
booths currently stored for future functions, with a tentative damage clause not to exceed $400.
If required, this income will be funded through the Marketing fund, detailed below.
Marketing. Funding for marketing will occur through a grant issued by the City of Federal Way,
valued at $900, from the Community and Human Services Devision. Marketing materials are
attached in Appendix A. Marketing will occur within all local schools, malls, local community
Scheduling. This event will occur on a Saturday afternoon, from 12-3 PM. This time is
conducive to volunteers, as well as peak traffic time for the gym location. Booth hosts will arrive
at 9 AM to set up the their individual equipment, with the aid of event volunteers (local college
students). The event will conclude at 3 PM, and take-down and clean up will occur from 3-5 PM.
Conclusion
studies on a multitude of health topics related to eating disorders; synthesis of the information
provided within; and learning of an event aimed at applying the theories at work toward
promoting health and wellness amongst adolescent youth, the author hopes to have both
informed and encouraged the reader to further explore the current health and wellness needs of
Eating disorders have continuous negative effects on the development of adolescents, and
if untreated, run the risk of leading to life threatening heath concerns. Clinical research findings
only go so far if the data and information gained is not shared with the affected audience. To
HEALTHY COMMUNITIES 13
further promote to this same community of youth targeted by the event detailed within this paper,
Currently, a 6-month plan is being designed that further delves into six domains of health
and wellness: social, emotional, physical, spiritual, nutritional, and intellectual. This series will
bring together adolescents between the ages of 13-18, and is designed to promote healthy eating
behaviors, as well as inform participants of new, valuable information related to how eating
disorders effect these different domains. Outreach and community engagement in knowledge
sharing can both decrease the risk of developing eating disorders, and increase the overall health
Reference List
Allan, S., & Goss, K. (2014). Eating disorder beliefs and behaviours across eating disorder
Castillo, M., Feinstein, R., Tsang, J., & Fisher, M. (2012). ASSESSMENT OF NUTRITION
De Ruysscher, C., Annicq, P., Vandevelde, S., & Claes, C. (2016). The perception of persons
El Ghoch, M., Milanese, C., Calugi, S., Pellegrini, M., Battistini, N., & Dalle Grave, R. (2014).
99(4), 771-8.
Rouleau, & Von Ranson. (2011). Potential risks of pro-eating disorder websites. Clinical
Williams, B. (2016). 10 Successful Ways of Using Celebrities in Marketing. The Brand Agent.
celebrities-in-marketing/
HEALTHY COMMUNITIES 15
PESXBFdH_M9c0HY9crXDmhgafRhElcjCoit8k/edit
Exemplary
(97 100%)
Highly Proficient
(93 96%)
Proficient
(83 92%)
Approaching Proficient
(73 82%)
Unsatisfactory
(72%
and below)
Outline
9-10 Points
HEALTHY COMMUNITIES 16
7-8 Points
5-6 Points
3-4 Points
1-2 Points
Logical, detailed outline with at least 5 original peer reviewed references written in APA format
Brief outline with at least 5 original peer reviewed references written in APA format is submitted.
Brief outline with some references but not 5 original peer reviewed references written in APA
Introduction
9-10 Points
7-8 Points
5-6 Points
3-4 Points
1-2 Points
Introduction to the topic and overview (In your purpose statement also introduce all subtopics)
HEALTHY COMMUNITIES 17
NAEYC 6b
Introduction is fully developed, well organized, introduces all topics, created a plan for the paper
Introduction is addressed well, somewhat organized and created a plan for the paper
Introduction is omitted or was disorganized and did not create a plan for the paper.
Literature Review
13-15 Points
10-12 Points
6-9 Points
5-7 Points
1-4 Points
Adequacy of Knowledge
NAEYC 6b
HEALTHY COMMUNITIES 18
1. Literature review may address major issues, but issues may not be supported with expert
knowledge.
2. Good use of references, but additional references may have strengthened the paper.
3. Includes 4 references.
HEALTHY COMMUNITIES 19
1. Literature review does not address the major issues in the area; the level of support for the
2. Includes 3 references.
1. Literature review does not have the depth of knowledge appropriate to this upper level course.
Synthesis of Information
13-15 Points
10-12 Points
6-9 Points
5-7 Points
1-4 Points
Synthesis of Information (what did the articles collectively say about the topic? Which authors
NAEYC 6b
HEALTHY COMMUNITIES 20
3. Demonstrate thoroughly how your research and the data collected supports your stance on
why your healthy and active school plan is not only important for hope and engagement at your
school and in your community, but ties to academic success in your classroom as well.
level work.
2. Described similar or differing themes throughout the articles which were not detailed
3. Somewhat demonstrated how your research and the data collected supports your stance on
why your healthy and active school plan is not only important for hope and engagement at your
school and in your community, but ties to academic success in your classroom as well.
The literature review does not demonstrate a particular focus and lacks ideas based on the subject
chosen.
2. Described similar or differing themes throughout the articles, however they were not detailed
3. Did not demonstrate how your research and the data collected supports your stance on why
your healthy and active school plan is not only important for hope and engagement at your
school and in your community, but ties to academic success in your classroom as well.
27-30 Points
23-26 Points
19-22 Points
15-18 Points
1-14 Points
Practical Implications (Discuss how the findings can or will later be applied to your teaching
setting)
NAEYC 6b
1. Practical implications of your event details including your teaching level and in a particular
2. Contains thorough discussion on how each of the 6 program/components that are in place are
organized, conducted, and overseen or a detailed plan about how each component can be added.
disabilities.
1. Practical implications are discussed but not related to a particular teaching setting or topic or
1. Practical implications are discussed but not at a particularly level or in a particular setting and
2. Contained at least 4-5 components of a comprehensive school program; however, some of the
disabilities.
HEALTHY COMMUNITIES 23
4. Technology infusion was used but it did not enhance the proposal
1. Practical implications are not thoroughly discussed and only a few details of the event are
present
1. Practical implications are not discussed and no details of the event are present.
disabilities.
Conclusion
9-10 Points
7-8 Points
5-6 Points
3-4 Points
1-2 Points
HEALTHY COMMUNITIES 24
Conclusion
NAEYC 6b
9-10 Points
7-8 Points
5-6 Points
3-4 Points
1-2 Points
First Draft of all sections submitted with changes made integrating instructor comments from the
outline
HEALTHY COMMUNITIES 25
Detailed draft of all sections of the paper with appropriate content, headers, writing style, a
choice of technology to embed the assignment and references in APA 6.0 style.
Detailed draft of ALL sections with some errors in content covered, headings, writing style and/
Detailed draft of MOST sections with some errors in content covered, headings, writing style
Missing sections or paper has regular errors across content covered, headings, writing style and/
All comments from instructor integrated into final version. All were highlighted in yellow
Most comments from instructor integrated into final version. All were highlighted in yellow
Some comments from instructor integrated into final version. Most were highlighted in yellow
Very few comments from instructor integrated into final version. Most were highlighted in
yellow
HEALTHY COMMUNITIES 26
No comments from instructor integrated into final version. The changes were not highlighted
1. Cover page included, proper spelling and grammar, all references in APA 6.0 style. Paper was
3. This rubric was added to the last page of the document submitted
5. Proposals and events are appropriate length with standard margins, font, and size of text
1. Cover page included, few grammatical errors and misspellings, all references in APA 6.0 style.
1. Cover page included, some grammatical errors and misspellings, some errors in referencing
4. This rubric was added but not at the end of the document submitted
6. Proposals and events are mostly appropriate length with standard margins, font, and size of
text
1. Cover page not included, many grammatical errors and misspellings, some errors in
1. Cover page not included, major grammatical errors and misspellings, many errors in