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Office on Women’s Health, U.S. Department of Health and Human Services. Purpose To provide parents/caregivers with tools & strategies to improve family eating and activity habits To support adolescent girls in reaching and maintaining a healthy weight
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Office on Women’s Health, U.S. Department of Health and Human Services
Purpose • To provide parents/caregivers with tools & strategies to improve family eating and activity habits • To support adolescent girls in reaching and maintaining a healthy weight • To prevent obesity among adolescent girls
Primary audience • Parents and caregivers of adolescent girls Secondary audiences • Adolescent girls • Other family members
Main Messages Healthy girls become strong women
Main Messages Parents are an important influence on their children’s eating and activity habits
Main Messages Change takes time — begin by taking a few small steps
Formative Research • Literature review • Steering committee of researchers, providers, government officials, including: • Kelly Brownell, Ph.D., Yale University • Tom Robinson, MD, Stanford University • Kelly Moore, MD, Indian Health Service • 16 focus groups with: • Girls ages 11 to 13 (8) • Middle-school nurses (2) • Parents of middle school-aged girls (6) • Telephone interviews with health care providers (9)
Formative Research Findings Major obstacles: • Poor eating habits, sedentary behavior • Girls need concrete steps, behavioral cues to change • Parents can play a major role • Girls want parents to spend more time with them • Girls need role models for healthy eating and physical activity • Parents need tools to help organize and plan meals and physical activity • Parents lack time and resources • Parents need basic nutrition information
Pretesting • Focus groups w/ parents (3) Results • Modified some kit components • Added more information on diabetes • Simplified language • Revised design to include more photographs
Program Components • BodyBasics (Parent’s Guide) • Food and fitness journals • Weekly planner (refrigerator magnet) • 4Teens Magazine • Recipe book • Shopping list • DVD on shopping & cooking • Pedometers • Training Manual (10 sessions) • Train-the-Trainer’s Guide
Behavior Change Tips: • List specific goals regarding change • Create a plan with realistic steps • Start taking small steps that fit your lifestyle • Monitor your progress (using food and fitness journal) • Give yourself a realistic timeframe—months, not days or weeks—to maintain change • Use the tools and group meetings to reinforce healthy behaviors
BodyBasics Format: • Magazine style publication for visual appeal Purpose: • Provides health information, strategies for healthy eating and regular physical activity • Explains how to use the toolkit • Lists resources for families
Approach: 7 Simple Steps to Healthy Living • Decide to live a healthy lifestyle • See where you are now • Understand healthy eating • Recognize the benefits of physical activity • Set goals and plan • Shop, cook, eat together • Support a healthier lifestyle for your family
Content highlights: • Emotional eating • Unhealthy dieting • Smoking and weight control
Content highlights: • Obesity and type 2 diabetes • Obesity and asthma • Obesity and cardiovascular disease • Obesity and eating disorders
Content highlights: • Serving sizes • Tips for healthy meals and snacks • Supersized food portions • Fast food and soda
Content highlights: • TV watching • Physical activity benefits and ideas • Shopping and cooking tips
Content highlights: • Environmental checklist • Advocacy in schools and communities • Media influences • Community and school Gardens
Food and Fitness Journals • Family members to record meals, snacks, activities, and emotions to identify eating and activity habits • Checklist in BodyBasics helps parents review journal entries • Goal-setting chart in diaries
Weekly Planner • Format: • Refrigerator magnet write-on/wipe-off board with pen • Purpose: • To help parents/ caregivers plan meals, snacks, physical activities
Shopping List • Format: • Pad with checklists • Purpose: • To help parents/ caregivers plan shopping trips and choose healthier options
Recipe Book Purpose: • To provide families with easy, low-cost recipes for meals and snacks • To reinforce nutrition and cooking information featured in BodyBasics
BodyWorks 4Teens • Magazine-style publication for girls (9 to 14) Publication content • Self-assessments, quizzes, games, interviews • Goal-setting tools • Teen writers/illustrators Formative research • Literature review • Health behavior change theory • Focus groups
Video/DVD Format: • 20-minute video on menu planning, shopping, cooking, and eating and exercising together Purpose: • Provides practical demonstrations of menu planning, shopping for healthy foods, cooking, and family meals
Pedometers Purpose: • To encourage families to walk as an easy form of daily physical activity • To support individual in gradually increasing number of steps taken each day • Two pedometers provided per kit
Train-the-Trainers Guide • 6-hour session • Appendices • A. Training Tips • B. Behavior Change • C. Resources Training Manual • Lesson Plans for 10 sessions • Dietary Guidelines, 2005 • Consumer brochure • PowerPoint Presentation on BodyWorks • CD with templates for recruiting materials • Instructions for ordering toolkits
Office of Women’s Health 10 OWH Regional Offices CBOs, COEs, CCOEs and State Health Departments Parents/Caregivers Girls Family Community-Based Approach to Distribution • OWH Regional Offices contacted for training-the-trainers session • OWH (DC) trainers provide training to regional community-based organizations (CBOs), Centers of Excellence (COEs), Community Clinics of Excellence (CCOEs), and State Health Departments • Trained professionals will: • Order toolkits • Recruit parents/caregivers • Disseminate kits at kickoff meeting • Conduct 9 follow-up weekly meetings with parents/caregivers • Train others to be trainers