Targeted strategies for health behavior change
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Targeted Strategies for Health Behavior Change. PBHCIP 2012 Grantee Meeting Catana Brown PhD, OTR Midwestern University, Glendale AZ. Background. Weight loss interventions Recovering Energy through Nutrition and Exercise for Weight Loss (RENEW) National Institute of Mental Health

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Targeted Strategies for Health Behavior Change

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Targeted strategies for health behavior change

Targeted Strategies for Health Behavior Change

PBHCIP 2012 Grantee Meeting

Catana Brown PhD, OTR

Midwestern University, Glendale AZ


Background

Background

  • Weight loss interventions

    • Recovering Energy through Nutrition and Exercise for Weight Loss (RENEW)

      • National Institute of Mental Health

    • Nutrition and Exercise for Weight Loss and Recovery (NEW-R)

      • University of Illinois at Chicago National Research and Training Center on Psychiatric Disability and Co-Occurring Medical Conditions

      • Funding from the U.S. Department of Education, National Institute on Disability and Rehabilitation Research; and the Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, under Cooperative Agreement No. H133B100028.


Accessing new r manuals

Accessing NEW-R Manuals

  • Leader and participant manuals are available for free download @

    • http://www.cmhsrp.uic.edu/health/weight-wellbeing.asp


General philosophy approach

General Philosophy/Approach

  • Not prescriptive

  • Provide many choices and strategies

  • Choose what works best for you


Creating a culture of wellness

Creating a culture of wellness

  • Provider buy in

    • Provider training – even those not directly involved

    • Providers as participants – all in this together

  • Consumer buy in

    • Motivational interviewing strategies

  • Environmental cues/triggers

    • Removing cues that support unhealthy behaviors

    • Adding cues that support health behaviors


Engagement attendance

Engagement/Attendance

  • Balancing commitment and open access

  • Big promotion/kick-off

  • Pragmatic issues (e.g. schedule, transportation)

  • Support systems


Developing curricula for individuals or groups

Developing Curricula for individuals or groups

  • Find out what’s most important/relevant from the people you are serving

  • Talk to others that have done similar programs

  • Look to the evidence


Wellness requires intention

Wellness Requires Intention

  • What is involved in being intentional?

  • What are the behaviors you are targeting?

  • What does the plan need to be about?


New r plan

NEW-R Plan

  • Each day…

    • I will wake up at a reasonable time in the morning

    • I will do something meaningful

    • I will spend more time moving and less time sitting or watching TV

    • I will make a plan about what I am going to eat each day

    • I will eat health foods that I enjoy and avoid unhealthy foods

    • I will talk to someone that supports my weight loss goals

    • And if I have a bad day, it’s not a bid deal. I will remind myself of the plan and try to do better the next day.


Making information accessible

Making Information Accessible

  • Education plus activities based instruction

    • Provide the content knowledge

    • Engage individuals in activity to apply the knowledge

    • Individualize knowledge to own life situation

    • Practice in real world (homework)


Creating hope self efficacy

Creating hope/self efficacy

  • Emphasis on small changes

  • Positive changes

  • Conveying belief that “you can do it”

  • Process of change – there is no failure

  • Success stories

  • Rewards

    • Positive feedback

    • Concrete reinforcement

    • Tangible rewards for accomplishments


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