A resiliency based intervention for diet management
By: Megan Govindan MPH candidate
Outline
The obesity epidemic Weight management
Dietary habits Resiliency
Resiliency intervention Outside-in and inside-out prevention Health realization model Target population Intervention outline
Obesity
Obesity stems from a combination of factors including genetics, environment, physical inactivity and dietary intake.
Obesity develops when a chronic, quantitative imbalance exists between energy intake and energy expenditure.
Obesity trends
Children from obese parents are 5x more likely to be obese in adulthood
Currently 1/3 of America’s youth are either obese or at risk of becoming obese.
In the past 30 years the obesity rate has: 5% to 14% for children 2-5y 4% to 19% for children 6-11y 5% to 17% for children 12-19y
Prevalence of overweight high school students Source: CDC Division of Adolescent & School Health
20032005
Percentage of high school students who were overweight* — selected U.S. states, Youth Risk Behavior Survey, 2003 & 2005* Students who were ≥ 95th percentile for body mass index, by age and sex, on the basis of reference data.
Benefits of increased resiliency in dietary management Many people understand the relationship
between physical activity, diet and lifestyle choices but do not make a conscious effort to change their behavior.
Why do we continue to make poor decisions when we know the outcome?? Our thoughts
Benefits of increased resiliency in dietary management If we understand these principles we can
understand that we are naturally resilient
Understanding the principles will help access our own internal health
We are the only ones who can access our natural resiliency
Target population
High school & college students Beliefs can be changed at any age Challenge students to identify barriers to
health and ways to sustain healthy behaviors.
Intervention
1. Outside-in & inside-out prevention model
2. Health realization model
3. 3 principles & understanding how thought works
4. Innate resiliency
Internal health
& Strength
Model
Health realization model Living the feeling/living the understanding Creating the feeling/creating the climate Deep listening Conveying or drawing out
understanding/teaching
Living the feeling & understanding
Instructor Must have understanding and meaning of the
3 Principles
Generally living their life in well-being
Respond to adversity, and to others without getting reactive or “brought down”
Creating the feeling/creating the best climate
Sessions 1-3 Seeing people’s health and how it gets
obscured
Having fun with people
Building rapport
Building hope
Conveying/drawing out the understanding
Sessions 4-7 will start out with a question to help introduce resiliency principles
Listening to our bodies It takes an average of 15 minutes for our
brain to receive the signal from our stomach’s that our bodies are full.
Eating for hunger vs. eating for solace
Intervention
Session 1: Introduction and overview. Build rapport by having meet & greet session. Have participants play people bingo where they go around the room and meet people that match the descriptions on the card. Examples of these categories could be “has a dog”, “is an athlete”, “is from another state/county”, “has blue eyes” etc.
Session 2: Discuss what resiliency is and its relationship to diet management.
Session 3: Discuss outside-in and inside-out prevention model. Talk about similarities and differences between the two.
Intervention
Session 4: Have people work in groups and define what the 3 principles mean to them and how it applies to diet and other lifestyle choices.
Sessions 5-6: Discuss health belief model and role of 3 principles.
Session 7: Have participants talk about what they like to eat, and why they eat these types of foods.
Session 8: Discuss health problems associated with being overweight. Discuss how diet plays a role in health.
Intervention
Session 9: Discus barriers to eating healthy such as cost, meal preparation, time constraints etc. Discuss how it is possible to overcome these barriers.
Session 10: Discuss mindful eating and managing our thoughts instead of letting them dictate our eating behaviors and what foods we eat.
Session 11: Reiterate main concepts.
The End
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