STUDENT ASSIGNMENT COVER SHEET

Academic Year __________

Semester ________________

Program: _____________________________________________

Student Name: _____________________________________________

Student ID Number: _____________________________________________

Program Year/Level: _____________________________________________

Course/Code: _____________________________________________

Instructor Name: _____________________________________________

Assignment Title: _____________________________________________

Due Date: ______________________________________________

Date of Actual Submission: ___________________________________________

Student Agreement:

I understand if my assignment is late, that 10% of the total assignment grade will be deducted if
submitted anytime within the five academic days following the due date. Later than this, I understand
that I will receive a zero on the assignment.

Student Signature: _____________________________________________

Instructor Signature: ____________________________________________

1. This cover sheet must be attached to the assignment.

2. Written assignments are to be submitted in soft copies (electronic) in Word.
 Unit Assessment
SMART Objective
Rubric

4 3 2 1
Clearly focused Partially focused Desired objective is Objective is
Specific on the desired on the desired unclear. unrelated to the
objective. objective. assignment.

Will be measurable Will be only partly Evidence of Not at all

because the measurable progress will be measurable.
evidence to be because the provided, but will
Measurable provided will clearly evidence to be not indicate
indicate progress. provided will not progress.
clearly indicate
progress.

The objective is The objective is The objective is The objective is

Achievable/Ambitious within reason of the mostly reasonable only partially not at all within
unit's abilities and given the unit's reasonable reason and
can be achieved. abilities and can given the unit's cannot be
probably be abilities and will achieved.
achieved. likely not be
achieved.

The objective has a The objective has The objective has The objective has
strong connection some connection only a slight no connection to
to the unit's history, to the unit’s connection to the the unit’s life
current interests history, current unit’s history, because the unit
Relevant and/or interests and/or current interests has no history or
demonstrated demonstrated and/or interest in or
abilities. abilities. demonstrated demonstrated
abilities. ability to the
objective.

Has a definite date Has an indefinite Has an indefinite Has no dates

of what will be date of what will date of what will and/or is over a
accomplished by this be accomplished be accomplished period of time far
Timely date. Is within the by this date yet is by this date AND beyond this time
required time frame. within the time has an unclear frame.
frame. time frame by
which the
objective should
be accomplished.
Lesson Title Empowering Mothers: Mastering
Insulin Injections for Type 2
Diabetic Children

Teacher’s Name Maab Ahmed, Maram Yahya, Fatima

Alharbi, Nada Omer, Maha Alam.
Lesson Length (Total Time) 3 hours

Content Area Health Education/ Diabetes Self-

Management

Analyze Learners

1. Number of Students: 6 mothers

2. No. of Males/Females: All female
3. Age Range: 28–45 years
4. Mental, Social, Physical, Notes:
- Strengths: Motivated caregivers
- Weaknesses: Low health literacy, language barriers
5. Current Knowledge, Prerequisites, and Notes about Learner Attitudes:
- Basic understanding of diabetes, limited experience with insulin injection
6. Learning Styles:
- Visual (40%)
- Auditory (30%)
- Kinesthetic (30%)

State Objectives

ABCDs of strong objectives are included:

A – Action
B – Behavior
C – Condition
D – Degree

Specific: Mothers of children diagnosed with Type 2 Diabetes will learn and demonstrate the steps
of safe insulin injection.
Measurable: Each mother will accurately perform all 5 key steps (preparation, dose check, site
selection, injection technique, disposal) as evaluated through a skills checklist, with at least 90%
accuracy.
Achievable: Given that participants are motivated caregivers and the instruction includes
demonstrations, hands-on practice, and visual aids, the objective is realistic and achievable within
the session.
Relevant: This objective is directly relevant to the mothers’ caregiving role.
Timely: By the end of the 2-session program (within 1 week), mothers will demonstrate their skills
during a supervised return demonstration session.

Select Methods, Media, , and Materials

1. What are the methods (more than 2)?

- Demonstration, discussion, hands-on practice
2. What are the media?
- PowerPoint, instructional video, charts
3. What are the materials?
- Demo insulin pens, injection pads, illustrated handouts
Utilize Media, Materials, and Methods

1. Preview the materials: Review video, test demo tools

2. Prepare the materials: Handouts, kits, projector
3. Prepare the environment: Well-lit room, U-shaped seating
4. Prepare the learners: Icebreaker discussion
5. Provide the learning experiences: Demonstration and supervised practice

Require Learner Participation

Includes detailed methods for actively engaging all students:

- Warm-up (5 min): Discuss fears/concerns

- Lesson (15 min): Video + explanation
- Activity (20 min): Practice injections
- Wrap-up (5 min): Quick oral quiz

Evaluate & Revise

Evaluation methods for each of the following are included:

1. Student Performance: Rubric-based checklist (90% accuracy target)

2. Media Effectiveness: Observe engagement and clarity
3. Instructor Performance: Self and peer feedback
 SMART Objective (Psychomotor Domain)

Specific Mothers of children diagnosed with Type 2

Diabetes will demonstrate the correct
technique for
preparing and administering an insulin
injection using a practice model

Measurable Each mother will perform all five steps of

insulin administration (preparation, dose
verification, site
selection, injection, and disposal)
accurately as assessed with a skills
checklist by an instructor,
scoring at least 90%

Achievable Given hands-on practice sessions,

demonstrations, and instructor feedback,
the objective is
achievable during the session.

Relevant The ability to properly administer insulin is

a critical skill for caregivers to manage their
child's
condition eJectively and safely

Timely By the end of the fifth educational session,

mothers will demonstrate insulin injection
skills on a
practice model to the instructor.

Full SMART Objective Statement:

By the end of the fifth educational session, each mother of a child with Type 2 Diabetes will
accurately demonstrate the five key steps of insulin administration (preparation, dose
verification, site selection, injection, disposal) on a practice model with at least 90%
proficiency as evaluated using a skills checklist.