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 • 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 • Leader and participant manuals are available for free download @ • http://www.cmhsrp.uic.edu/health/weight-wellbeing.asp
General Philosophy/Approach • Not prescriptive • Provide many choices and strategies • Choose what works best for you
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 • Balancing commitment and open access • Big promotion/kick-off • Pragmatic issues (e.g. schedule, transportation) • Support systems
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 • What is involved in being intentional? • What are the behaviors you are targeting? • What does the plan need to be about?
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 • 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 • 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