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Developing a Self-Management System for Adolescent Healthy Lifestyles

Developing a Self-Management System for Adolescent Healthy Lifestyles. West Virginia School Health Technical Assistance Center.

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Developing a Self-Management System for Adolescent Healthy Lifestyles

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  1. Developing a Self-Management System for Adolescent Healthy Lifestyles

  2. West Virginia School Health Technical Assistance Center The place to go for resources, technical assistance and training related to school-based health centers, school-based behavioral health programs and school-based oral health programs in West Virginia. Has been assisting school-based health programs since West Virginia’s initiative began in 1994.

  3. History of MU’s Work on Adolescent Self-Management • Literature search on chronic disease self management principles applied to adolescents • Social marketing tool: Nemours Foundation 5-2-1-0 message • 5 servings of fruits and vegetables a day, 2 hours or less of screen time, 1 hour of physical activity and none, or almost none, of sugary drinks • Created our own tool to facilitate adoption of healthy behaviors • Paper tool  • Touch screen

  4. Outcomes Examples • The percent of enrolled students who reduce their BMI from above the 85th percentile to less than 85th percentile. • The percent of enrolled students who increase their daily intake of fruits and vegetables. • The percent of enrolled students who increase their physical activity time.

  5. Obesity Treatment Guidelines • The AMA, HRSA and CDC convened an Expert Committee and produced: • “Appendix: Expert Committee Recommendations on the Assessment, Prevention, and Treatment of Child and Adolescent Overweight and Obesity” • Released on June 6, 2007 • http://www.ama-assn.org/ama1/pub/upload/mm/433/ped_obesity_recs.pdf

  6. Treatment Recommendations

  7. Clinical Management Progression

  8. http://wdn.ipublishcentral.net/www_aap_org/viewinside/6974624460157http://wdn.ipublishcentral.net/www_aap_org/viewinside/6974624460157

  9. Adolescent Self Management Software Three (3) surveys which include: • Healthy Lifestyles – Based on 5210 clinical guidelines. • CRAFFT – Screening for substance abuse. http://www.ceasar-boston.org/clinicians/crafft.php • Risk Assessment - similar to GAPS, but modified for use in WV SBHCs.

  10. Positive Behavioral Support Techniques

  11. Risk Assessment • Based on the Guidelines for Adolescent Prevention Services Survey, but modified for use in WV School-Based Health Centers. • Can be modified for use with Middle School-aged students. • Includes questions pertaining to • Oral Health Allows students to set goals • Safety for improvement. • Self-Harm • Goal Setting • Sexual Activity

  12. Tools/Resources http://livewell.marshall.edu/asm/ • ASM Software • User instructions • Provider instructions • SBHC Obesity Tx Recommendation Summary • 5210 Pediatric Obesity Clinical Decision Support Chart (suggested purchase) http://wdn.ipublishcentral.net/www_aap_org/viewinside/6974624460157

  13. Marshall University Contact Information for Self-Management Tools Richard Crespo, PhD, Professor Robert C. Byrd Center for Rural Health Marshall University School of Medicine Phone: 304-691-1193 Email: crespo@marshall.edu Mary Grandon, PA-C Phone and Fax: 304-206-7362 Email: grandon@marshall.edu Stephanie Montgomery Phone: (304) 634-1008 Email: smontgom@marshall.edu ASM Software Developed by: CodeBusters, LLC

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