*Set Goals * Take Control * Eat Healthy * Accountability * Move

A Seasoned Evidenced Based Childhood Obesity Program..

© 2011Rose Rumball. All Rights Reserved.

Cherry St Health Services is an authorized licensee.

A simple basic program that promotes healthy food choices, behavior change, and lots of fun and inexpensive activities. * What are healthy foods ? *Where, what, when to & not to eat * What are the risks of being overweight ? *What can I do everyday at home to have fun?

History

• Launched in 2004 at GR Pediatrics

• Focused on overweight asthmatics

• Children 6 – 18 years of age

* Only criteria- ready to make

changes.

• Twelve Week Program

• Charged for book and program

Today’s Program

Criteria

> 85 % of BMI

8 – 16 years of age

Committed Support Partner

7 weeks to dedicate to their child & the program

Ready to make changes in their current lifestyle.

Free / $10 Registration Fee

Goals

Spread the Program by taking referrals or training

Spread the same consistent evidenced based messages

Reach as many children as possible with a BMI of > 85%

Form a united front with sister community health centers

in the fight against childhood obesity.

Encourage “STEAM” program buy-in from community health

centers

Obtain health plan reimbursements for STEAM program

attendees

Plan to continue to make the program stronger in quality and

outcomes with CHC collaboration.

Contributors/Community Support

• Cherry St Health Services

• Americorp

• Holt Graphic Design

• Health Plan of MI

• Care Source Foundation

• Spectrum Health Practices

• U of M Research

• John Ruedisuelli, Attorney

• Dick’s Sporting Goods

• Erin Dressander PT, MSPT

• S.T.R.O.N.G.

What makes a child overweight?

Genes contribute to

weight problems, but

family environment has

the greatest impact on

a child’s weight gain.

On the other hand, the family

environment also has the

greatest impact on the child’s

ability to lose weight, keep it off,

and build a lifetime of healthy

habits.

Motivators

Adults are motivated by challenges, titles,

competition, prestige

and $$$$.

Kids are motivated by fun and

competition.

– Prevention Plus

Family visits with PCP

Frequency individualized to family needs and risk factors

- Monthly recommended

Tailored Plan

BMI Monitoring

Use MI and cultural competency

Focused messaging

No improvement in 3-6 months – Stage 2

- Structured Weight Management

Family visits with PCP or health professional with

training in weight management Visits can be

individual or group.

Include visits with dietician, exercise specialist,

counselor.

Include self monitoring, goal setting, rewards

Frequency: monthly or individualized to family needs

and risk factors.

No improvement in 3-6 months – Stage 3

– Comprehensive,

Multidisciplinary

Multidisciplinary team with experience in childhood obesity

Behavior Change

Goal Setting

Self Monitoring

Systematic measuring

- Anthropometrics

- Dietary logs

- Fitness testing

Frequency - often weekly group sessions for 12-24 weeks

with follow up ( longer = better outcomes

Monthly visit with PCP

Severely obese, multiple co-morbidities, adolescence – Stage 4

- Tertiary Care Intervention

( For select children only when provided by

experienced programs with established

clinical or research protocols)

Medications – sibutramine, orlistat

Very-low-calorie diets

Weight control surgery- gastric bypass or

banding( not FDA approved for children

but in clinical trials.

STEAM Program Structure

Referrals from medical providers in the community

Referrals promoted by brochures, fliers, presentations,

web site, and collaboration efforts

Meet for 2 hours, one day a week x 7 weeks

Weekly weigh-in for child and support partner

HW-making child accountable for goal setting, healthy food

food choices, and exercise achievements

Planned topics for presentations related to Behavior Modification ( Pediatrician/MSW), Nutrition (Registered Dietician), and exercise specialist ( CPT or higher level)

Guest Presenters

Graduation

Prizes/Bikes

Follow up at 1 month, 6 months, and one year

New ideas from spread programs

Uniqueness of STEAM - team will train and assist in spreading to other organizations the STEAM message of evidence based proven strategies.

Getting Started

Thinking about starting a Childhood Obesity Program ?

Started a Childhood Obesity Program, but

would like to collaborate with your sister Community Health Centers to make your program better.

Why start from scratch when STEAM is seasoned, structured, outcome focused, and experienced in successfully training new start up sites.

Who will you need?

Your STEAM TEAM …

Director/Coordinator

Medical Provider / Mid Level / MSW

Registered Dietician

Exercise Specialist

Technical Support ( Americorp )

Volunteers

Guests

What will you need?

Location

Promotional Material / Plan

List of Potential Participants

Committed Team

Program Plan / Outline

Training if using “ STEAM”

Administrative Assistance

Community Support

List of Available Community Resources

Healthy Habits/Healthy Weight

7 Breakfast every week

6 Home cooked meals per week

5 Servings of fruits & Vegetables each day

4 Ounces of 100% juice per day or less

3 Servings of low fat dairy each day

2 Hours or less of screen time each day

1 Hour or more of physical activity each day

Registration Process

Referrals from PCP

Commitment

Informational Fliers

Registration Form ( in office)

Support & Back up Support Partner

Medical Provider Approval Form

Fax paperwork to Program Coordinator

Program Coordinator gathers info and sends out Welcome Letter.

Coordinator meets with team & shares info

Reminder calls are made to participants

STEAM Program Forms

Registration

Liability/Consent Form

Welcome Letter

Medical Provider Approval Forms

Sample Fliers

Pre/Post Surveys

Provider Summary Forms

Goal Sheets

Food Charts

Aerobic Exercise Forms

Stretch Forms

Training Manual

Certificates of Achievement

Much More …

Winter 2011 Post Program Survey

Since starting the program …

100% eating 3-5 servings of fruits & vegetables daily

Will you continue flex exercises -75% Yes, 25% Not sure

Eating breakfast more frequently 100%

Less junk food in the home 100%

Eating smaller portion sizes 75% Yes , 25% No

Able to Read food labels 75% Yes, 25% Same

More active now 100%

Drinking more water now 75 % Yes, 25% No

Less Screen Time 75% Yes, 25% about the same

Less intake of sweetened beverages 100% Yes

Budget Considerations

Rent Prizes – most points ( depends on how many participants & options for prizes )

Administrative supplies & time ( copies, mailings, handouts, postage)

Projector & Screen for power points for presenters.

Presenter’s Props Examples of healthy snacks

Program tools – balls, hula hoops, jump ropes,

DVD player Scale, standometer Health Plan Reimbursements

Program Requirements

Follow required outline/topics/guidelines

Use standard forms so outcomes can be

measured

Physician Champion

Professional/Qualified Team

Professional Guests

Attend Training

What will STEAM do for you?

Provide your medical providers with a referral source for

your overweight patients.

Provide additional income to make the program self supporting.

Provide your patients with the basic knowledge to make healthier

choices which will give the PCP leverage to build on.

Provide a great team building experience for your participating

staff.

Provide you with an awesome program that allows you to be as creative

as you wish without compromising program requirements.

Provide you with a support group to make your program run smoothly

and effectively.

Thank You

• For your interest in Children struggling with obesity.

• For continuing the successful childhood obesity programs you may have already running in your organizations

• In advance, for your willingness to take the initiative to start a program of your own

• For caring enough to be here today.

STEAM Program Contact

Rose Rumball

Program Director

Cherry St Health Services

330 Barclay Ave NE

Suite GL 2

Grand Rapids, MI 49503

1-616-459-4314

Roser@cherryhealth.com