Public health management requires addressing a range of health issues while focusing on a particular community and understanding patient-specific needs. Therefore, I agree with the sentiment that interventions need to prioritize efficaciousness over effectiveness by seeking to address concrete goals (“Exploring health topics with Dr. Wade,” 2018). By targeting a smaller group, one is likely to be much more successful in introducing measures for mitigating an associated health concern rather than embracing a broad community and developing a framework with rather nebulous goals. For this reason, it seems that considering the Bystander effect and attempting to mitigate it in college students on campus is an extraordinarily complicated task to perform. Due to the significant differences in the target demographic, the proposed intervention is likely to lead to a rather questionable effect (Hortensius & de Gelder, 2018). Apart from linking the lack of success in the intervention in question to social determinants of health, one might want to connect it to the multitude of variables that it seeks to encompass.
The necessity to embrace several factors simultaneously when performing a health intervention represents one of the main impediments to health management. Due to its expanded scale, the integration of the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework suggested in the video in question, an array of public health concerns can be managed (“Exploring health topics with Dr. Wade,” 2018). Therefore, the RE-AIM approach appears to be a perfect solution for handling the scenarios such as the management of nutrition issues in children. In turn, the Dietary Intervention Study in Children (DISC) described in the post appears to be lacking certain components since it avoided integration social determinants of health into the study (Ali et al., 2019). Specifically, the focus on social factors defining children’s nutrition issues would have provided a greater picture of the problems in nutrition management, such as the unavailability of the required food items or the lack of health literacy and awareness in parents.
References
Ali, N. B., Tahsina, T., Hoque, D. M. E., Hasan, M. M., Iqbal, A., Huda, T. M., & El Arifeen, S. (2019). Association of food security and other socio-economic factors with dietary diversity and nutritional statuses of children aged 6-59 months in rural Bangladesh. PloS one, 14(8), 1-18. Web.
Exploring health topics with Dr. Wade. (2018). [Video]. YouTube. Web.
Hortensius, R., & de Gelder, B. (2018). From empathy to apathy: The bystander effect revisited. Current Directions in Psychological Science, 27(4), 249-256. Web.