Lifestyle Education in Diabetes Care Bonnie L. Hinds
|
|
- Natalie Prudence Fowler
- 5 years ago
- Views:
Transcription
1 Lifestyle Education in Diabetes Care Bonnie L. Hinds RHAT Annual Conference November 2018
2 2 Diabetes Facts -- Diabetes rates have tripled over the last 20 years. -- Diabetes is the seventh leading cause of death in the United States. The highest diabetes rates in the U.S. are in the south. -- Tennessee has the seventh highest rate of diabetes in the nation. *2016 data
3 3 Research Project -- Funded by the Humana Foundation (July 2017-June 2018) --Research team a partnership between UT Extension and UT s Department of Public Health --To understand the self-management challenges and educational needs of individuals with Type 2 diabetes in Appalachian east Tennessee -- To determine preferred content and delivery methods for educational programming.
4 4 Focus Groups Recruited and conducted six focus groups: Three Knox County Three rural East TN counties
5 5
6 6 Focus Group Participants -- Individuals with Type 2 diabetes -- Duration of 12 months or longer -- Not Type I, pre, at risk, or borderline -- Pre-registration required total participants 27 female, 15 male (23 rural/19 Knox County) 3 husband/wife pairs 1 father/daughter pair
7 7 Provider Interviews As a counterbalance to the focus groups, conducted eight personal interviews from among providers working with individuals with diabetes. Questions for both focus groups and provider interviews developed by the research team and vetted and revised by a group of nine consultants working in varying aspects of diabetes.
8 8 Focus Groups: Major Themes -- Prevalence within families and communities: It just seems like there are so many people have diabetes that it s accepted almost.... Those who know about diabetes typically try to make some helpful concessions. Likelihood that earlier generations of families had diabetes and didn t know it. Flip Side: Stigma/Blaming Lack of control with food
9 9 The Social Perspective In the south, we eat a lot just about every time we get together. When we get together, it s always birthday parties. And you ve got to have cupcakes and cake and ice cream. Our church... always has food. But s it always spaghetti and cake and cookies, and [foods] like that.
10 10 Family Influences... may be helpful or may be detrimental. I m lucky because my wife is so good and she monitors me like a warden. If I get out of bounds, which I tend to do, she s all over it. Broken record. Thank you for your concern. I know you love me, but I m in charge of my eating and exercise.... sometimes he ll say, Here, have a bite. It won t hurt you. [The difficulties of] fix[ing] two meals two versions. My youngest, you know, he s a sweet addict like me, and he would just....buys me candy when I can t deny it. She came to the table and said, Half of that s mine, right? That s five bites. And so, we cut the piece of pie in half and she ate half and I ate half.
11 11 Time, Money, and Temptation [We live in] kind of a fast food culture. A lot of times, it s just easier to stop at McDonald s and get something to eat, because you don t have time once you get home to actually cook something healthy. Just walk in the grocery store, and what is the first thing you see? Baked goods and candy. The first thing that you see. They [vegetables] are so expensive, too, in the grocery store.
12 12 Regarding Exercise... My challenge is my wife and I do everything together. And when she hurt her back, she couldn t exercise. So, I didn t exercise. One thing for me, for exercise, I despise busy work. It s like a cycle with me. If I don t eat right and exercise, my blood sugar goes up, and then I don t feel like exercising or doing anything else, for that matter. "He s [My husband] real good about that, because I mean I wouldn t go walk by myself where I go.... And he walks with me.
13 13 They said, You need to pick up your meter up front. It ll explain itself to you. Informational Needs They [diabetes educators) really don t know the answers....they will beat around the bush, but they can t give you the answers you need to know about diabetes. Even my own doctors cannot answer the questions about diabetes. I see a lot of people running diabetes classes that don t understand diabetes. So I went to the dietitian, and she says: I don t make menus, you know. You just have to read and figure out what you can do. A lot of times, your doctor doesn t tell you how it [diabetes] affects your body. They talk about your eyes and your feet. They don t talk about how diabetes will affect your weight, stress levels, or how to deal with, you know, your food management. You trust your doctor to tell you you know, what you re supposed to be doing. And it isn t always reliable.... When I was told I had it, they said, don t eat sugar; don t eat sweet stuff; don t eat starches. But we need a list of what nots and what tos, you know?
14 14 Provider Interviews: Major Patient Challenges Time, Money, and Temptation Fast foods are really easy. They re cheap. And they re convenient. And it going to be hard to break those. I ve had so many patients talk to me about they want to buy healthy things, but it s very expensive and they can t afford it with a fixed income. What I would love to do is to follow somebody around for a day and see what they eat and watch how they live. Their biggest challenges sometimes, I think, can also be time restraints. They re so busy with their lives that they don t want to take the time to go grocery shop, meal plan, and be proactive. They just want to be very reactive and eat out every night.
15 15 Lifestyle Issues I tell people: You did not get this because of genetics. You have this because of your lifestyle. The depression has been our big obstacle. Mentioned six times: --Soda --Sweet Tea --Lemonade Pop is a big deal. And sweet tea at McDonald s is big, big deal. I think it s a family disease. Like I think that the whole family needs to be educated about what s going on and understand, you know, everything about it, instead of just the patient themselves. Mentioned four times: Stress When people are taking care of sick family members, a lot of times they ll not focus on their own health as much. Breads and potatoes are really a problem for people in this area.
16 16 Patients and Exercise I think the mainstay is we ve got to change. We ve got to change concepts. We ve got to get and I don t mean that you have to be an Olympic athlete. But you ve got to get some moving around. You ve got to get up out of the... the chair at home and do something. I don t use that word, exercise [with my patients]. As far as planned exercise, they ve worked all day long, they don t they don t want to exercise. People are just really not motivated to try to get the exercise. They re willing to change their diet or they say that they are, but the exercise component of it is not something that people tend to want to take on as much. I talk to some people who just have no idea how to be more physically active or what to do or where to start.
17 17 Attitudes and Education If they don t have desire and selfmotivation, they re not going to utilize the knowledge. And then, you know, there s the psychosocial aspect of people, you know, feeling like a failure. I feel confident in my ability to manage people medically, but I think that we re not doing everything we could possibly be doing to have people be educated and manage these things on their own. In primary care, there s not enough time. [Regarding exercise] You can tell me yes or no. And I d rather you d tell me if you re not going to. Just be honest, and just tell me.... They want easy fixes. Because when patients come to the office, they present the best of themselves. And so, you know, trying to understand what their daily life is like.
18 18 Community Advisory Board -- Seven members, representing the focus groups (Composition: 4 females, 3 males 4 Knox County, 3 rural residents) -- Objective: Distill community preferences for a onesession educational offering. Evaluate the session for its reflection of their needs. -- Commitment: Three meetings over the course of eight weeks
19 19 Prioritizing Content Rating Seriousness of Topic Community View Personal Importance 9 or 10 Very serious Very strong Very important 7 or 8 Relatively serious Strong Important 5 or 6 Serious Somewhat strong Somewhat important 3 or 4 Moderately serious Moderately strong Moderately important 1 or 2 Relatively not serious Relatively not strong Relatively not important 0 Not serious Not strong Not important Guiding Considerations Does it require immediate attention? Is there public demand? What is the impact on quality of life? Are there programs that currently address the topic? Level of community Interest Level of community acceptance Personal challenge? Lacking personal resources to address?
20 20 Prioritizing Delivery Mode High Personal and Low Community High Personal and High Community Low Personal and High Community Low Personal and Low Community
21 21 Patients Educational Preferences -- Knowledgeable leader -- Practical and direct information -- Latest research -- Interactive approach -- Notebook for organizing handouts -- Tiered content (to accommodate experience of learners) -- Inclusion of support person(s) and pre-diabetics -- Exclusion of individuals with Type 1 diabetes -- Group capped at 7-12 people with diabetes plus support person -- Travel limitation of 30 minutes each way -- Class length of minutes
22 22 Content for Single Session Educational Offering After an initial dead heat, dietary considerations nosed out medication as the pilot topic. The trial session included only Community Advisory Board members.
23 23 Evaluation: How well did we meet participants needs? On a scale of 5: Highest scores: 5 I would recommend this session to others... The session offers useable, practical information. Lowest score: 4 The format and activities are engaging for support members (spouse, friend, etc.).
24 24 Many thanks to the Humana Foundation, the University of Tennessee research team, and the focus group and interview participants. Dr. Soghra Jarvandi, P.I. Dr. Laurie L. Meschke Aubrey Ray (DrPH student) C.J. Whitfield (MPH Candidate)
Letter to the teachers
Letter to the teachers Hello my name is Sasha Jacombs I m 12 years old and I have had Type 1 Diabetes since I was four years old. Some of the people reading this may not know what that is, so I had better
More informationORIENTATION SAN FRANCISCO STOP SMOKING PROGRAM
ORIENTATION SAN FRANCISCO STOP SMOKING PROGRAM PURPOSE To introduce the program, tell the participants what to expect, and set an overall positive tone for the series. AGENDA Item Time 0.1 Acknowledgement
More information18 INSTRUCTOR GUIDELINES
STAGE: Ready to Quit You are a community pharmacist and have been approached by a 16-year-old girl, Nicole Green, who would like your advice on how she can quit smoking. She says, I never thought it would
More informationHENDERSON, KY. - Keith Scott knew he didn t feel well just over a year ago when a
HENDERSON, KY. - Keith Scott knew he didn t feel well just over a year ago when a couple of routine blood-pressure checks with elevated numbers sent him to a clinic for more investigation. But what he
More informationLiving well today...32 Hope for tomorrow...32
managing diabetes managing managing managing managing managing managing diabetes Scientific research continually increases our knowledge of diabetes and the tools to treat it. This chapter describes what
More informationSelf-Improvement Paper Becky Sanchez PSYC 10, M, W 8:10-9:35 a.m. The Strategy(ies) for Academic Success I plan to Work Towards and Why I first saw
1 Self-Improvement Paper Becky Sanchez PSYC 10, M, W 8:10-9:35 a.m. The Strategy(ies) for Academic Success I plan to Work Towards and Why I first saw the strategies for academic success handout in a workshop
More informationInterviews with Volunteers from Immigrant Communities Regarding Volunteering for a City. Process. Insights Learned from Volunteers
Interviews with Volunteers from Immigrant Communities Regarding Volunteering for a City Cities across Minnesota are taking a new look at involving volunteers to assist the city. One of the opportunities
More information9 INSTRUCTOR GUIDELINES
STAGE: Ready to Quit You are a clinician in a family practice group and are seeing 16-yearold Nicole Green, one of your existing patients. She has asthma and has come to the office today for her yearly
More informationWhy we get hungry: Module 1, Part 1: Full report
Why we get hungry: Module 1, Part 1: Full report Print PDF Does Anyone Understand Hunger? Hunger is not simply a signal that your stomach is out of food. It s not simply a time when your body can switch
More informationAutism, my sibling, and me
ORGANIZATION FOR AUTISM RESEARCH Autism, my sibling, and me Brothers and sisters come in all shapes and sizes. They have a lot in common, and they can be really different from each other. Some kids even
More informationSession 14: Overview. Quick Fact. Session 14: Make Social Cues Work for You. The Power of Social Cues. Dealing with Social Cues
Session 14: Overview The Power of Social Cues Social cues are occasions that trigger us to behave in a certain way when we re around other people. For example, watching a football game with friends is
More informationChoosing Life: Empowerment, Action, Results! CLEAR Menu Sessions. Substance Use Risk 2: What Are My External Drug and Alcohol Triggers?
Choosing Life: Empowerment, Action, Results! CLEAR Menu Sessions Substance Use Risk 2: What Are My External Drug and Alcohol Triggers? This page intentionally left blank. What Are My External Drug and
More informationHere are a few ideas to help you cope and get through this learning period:
Coping with Diabetes When you have diabetes you may feel unwell and have to deal with the fact that you have a life long disease. You also have to learn about taking care of yourself. You play an active
More informationLiving Well with Diabetes. Meeting 12. Welcome!
12-1 Welcome! Welcome back and congratulations! Today is a time to celebrate all of your accomplishments. For the past few months we have learned a great deal about managing diabetes. Today, we will talk
More informationonnie was a good boy. He was obedient and helpful. And he was kind and polite to everyone. He used to say, yes sir, and Yes Ma'am.
1 R onnie was a good boy. He was obedient and helpful. And he was kind and polite to everyone. He used to say, yes sir, and Yes Ma'am. and Please and Thank you, and he loved to run errands to the store
More informationDiscussing a health concern
ESOL TOPIC 3 THEME 4 LEARNING OUTCOMES To listen and extract key information about a health concern To listen and respond to a health professional who is giving advice To understand and follow advice from
More informationMom! You re drinking a lot lately. Are you all right? I think so. But, you re right. I seem to be thirsty all the time. And, I m tired a lot too.
Mom! You re drinking a lot lately. Are you all right? I think so. But, you re right. I seem to be thirsty all the time. And, I m tired a lot too. Maybe you should see the doctor? n c Alicia went to the
More informationFunction Well Personalised Health & Fitness Training Systems. All Rights Reserved
Mindset Steps To Success By Darren Bain Function Well Personalised Health & Fitness Training Systems. All Rights Reserved Page 1 How to Achieve Results! In my 10 years in the industry I've rarely seen
More informationGrowing With Qgiv: Volunteers in Service to the Elderly
Growing With Qgiv: Volunteers in Service to the Elderly MISSION VISTE exists to enable the frail elderly to remain safely and independently in their own homes. About VISTE VISTE, which stands for Volunteers
More informationYou probably don t spend a lot of time here, but if you do, you are reacting to the most basic needs a human has survival and protection.
Emotional Eating Food Diary An emotional eating food diary will take some work on your part. You can dismiss it because you don t feel like doing it or you don t think it will help. However, if you choose
More informationNorth Devon Integrated Diabetes Service Patient Engagement Report
The North Devon Integrated Diabetes project team is engaging with patients throughout the development of the new service. Patients have been engaged in four ways, being involved in: 1. Project Team meetings
More informationEXAMEN DE INGRESO 2017 TEST DE COMPROBACIÓN DE INGLÉS
FUERZA AEREA ARGENTINA ESCUELA DE AVIACIÓN MILITAR EXAMEN DE INGRESO 2017 TEST DE COMPROBACIÓN DE INGLÉS *NO ESCRIBA NI MARQUE ESTAS HOJAS PARA INDICAR LAS SOLUCIONES CORRECTAS. UTILICE LA HOJA DE RESPUESTA
More informationI just want to go back to your early days and how you got started in the fitness
Josh Anderson and Nate Miyaki Interview: 12/17/2013 Josh Anderson: industry. I just want to go back to your early days and how you got started in the fitness Nate Miyaki: Well basically I was kind of an
More informationWelcome to Progress in Community Health Partnerships latest episode our Beyond the Manuscript podcast. In each
Beyond the Manuscript 91 Podcast Interview Transcript Erin Kobetz, Joan Bloom, Irma Robbins, Kim Engelman Welcome to Progress in Community Health Partnerships latest episode our Beyond the Manuscript podcast.
More informationParticipant Information Sheet
Appendix A Participant Information Sheet for Young People Participant Information Sheet Exploring experiences of disclosure and non-disclosure amongst young adolescents who hear voices Hi. My name is Rachel
More informationOral Health and Dental Services report
Oral Health and Dental Services report The Hive and Healthwatch have been working in partnership to gain an insight from the learning disabled community about Oral Health and Dental Services. Their views
More information( The Basic Diet ( The Special Needs Diet ( The Live Long and Healthy Diet. Eat Well to Feel Well: Your Plan for Good Health.
Eat Well to Feel Well: Your Plan for Good Health November, 2005 This fact sheet has ideas about healthy diet and good nutrition. These ideas can help you be healthy and feel well. Inside is your Personal
More informationAPPENDIX C: MATERIALS FOR STEP 5 DATA ANALYSIS EXERCISES
Appendix C: Materials for Step 5 Data Analysis Exercises C-73 APPENDIX C: MATERIALS FOR STEP 5 DATA ANALYSIS EXERCISES C-74 Appendix C: Materials for Step 5 Data Analysis Exercises APPENDIX C: MATERIALS
More informationTeresa Anderson-Harper
Teresa Anderson-Harper Teresa was nominated as a Reunification Month Hero by a parent attorney who has seen her grow from a parent in a series of dependency cases to the first-ever Family Recovery Support
More informationFlex case study. Pádraig MacGinty Owner, North West Hearing Clinic Donegal, Ireland
Flex case study Pádraig MacGinty Owner, North West Hearing Clinic Donegal, Ireland Pádraig MacGinty has been in business for 15 years, owning two clinics in North West Ireland. His experience with Flex:trial
More informationWelcome to the Offseason Hockey Training System!
Welcome to the Offseason Hockey Training System! Congratulations on your big step forward in becoming the best hockey player that you can possibly be. Inside you re going to find the most complete Offseason
More informationFamily Weekender. What to expect when you volunteer
Family Weekender What to expect when you volunteer Type 1 Events are a unique volunteering opportunity and we want to make your experience as rewarding as possible. Volunteering at one of our events isn
More informationMEDICAL RESIDENCY TRAINING IN VACCINE SAFETY COMMUNICATION: GAPS AND RECOMMENDED STRATEGIES FOR IMPROVEMENT
MEDICAL RESIDENCY TRAINING IN VACCINE SAFETY COMMUNICATION: GAPS AND RECOMMENDED STRATEGIES FOR IMPROVEMENT KRIS CALVIN, CHIEF EXECUTIVE OFFICER CHILDREN S HEALTH SYSTEMS FOUNDATION & AMERICAN ACADEMY
More informationHow NOT to Gain Weight in the United States. A Vocabulary Lesson
How NOT to Gain Weight in the United States A Vocabulary Lesson Our Method Step 1 Listen to a real Conversation Step 2 Focus on New Vocabulary Words Step 3 Listen to a dialogue Step 6 Practice with a native
More informationI don t want to be here anymore. I m really worried about Clare. She s been acting different and something s not right
I just can t take what s happening at home anymore Clare 23 mins Instagram When your friend is thinking about suicide I don t want to be here anymore... I m really worried about Clare. She s been acting
More informationNew Food Label Pages Diabetes Self-Management Program Leader s Manual
New Food Label Pages The FDA has released a new food label, so we have adjusted Session 4 and provided a handout of the new label. Participants use the handout instead of looking at the label in the book
More informationStep Five. Admitted to ourselves and another human being the exact nature of our wrongs.
Step Five Admitted to ourselves and another human being the exact nature of our wrongs. Our Basic Text tells us that Step Five is not simply a reading of Step Four. Yet we know that reading our Fourth
More informationA Healthy Mouth for Your Baby
A Healthy Mouth for Your Baby U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute of Dental and Craniofacial Research Before your baby is born What you eat when
More information1 3/04/15. University of California Global Food Initiative - Got Food? Survey. 1) Where do you currently live? Agree a lot.
1) Where do you currently live? o Campus residence hall o Fraternity or sorority house college/university housing o Parent/guardian s home off-campus housing o With a friend until I find other housing
More informationIF YOU RE SICK OF: YOU RE READY TO QUIT! Hint: Quitting chewing tobacco and snuff is a lot like
IF YOU RE SICK OF: Coughing all the time Spending your money on cigarettes Smelling like an ashtray People hassling you about smoking Hurting your health Cigarettes screwing up your life... YOU RE READY
More informationHow to Motivate Clients to Push Through Self-Imposed Boundaries
How to Help Clients Overcome Their Most Limiting Fears, Part 2 McGonigal, PhD - Transcript - pg. 1 How to Help Clients Overcome Their Most Limiting Fears, Part 2: Kelly McGonigal, PhD How to Motivate Clients
More informationA Guide to Help You Reduce and Stop Using Tobacco
Let s Talk Tobacco A Guide to Help You Reduce and Stop Using Tobacco Congratulations for taking this first step towards a healthier you! 1-866-710-QUIT (7848) albertaquits.ca It can be hard to stop using
More informationTeaching Family and Friends in Your Community
2 CHAPTER Teaching Family and Friends in Your Community 9 Old people can remember when there were fewer problems with teeth and gums. Children s teeth were stronger and adults kept their teeth longer.
More informationHow to support families and friends with a loved one using methamphetamine A/Prof Frances Kay-Lambkin
www.cracksintheice.org.au How to support families and friends with a loved one using methamphetamine A/Prof Frances Kay-Lambkin Financial conflicts My work is the subject of publishing contracts with multiple
More informationSelf Esteem and Purchasing Behavior Part Two.
Self Esteem and Purchasing Behavior Part Two www.howtodoubleyourbusiness.com G: Hi Sharon, honey. S: Hi, honey. G: Well, I want everybody to know that Sharon and I just did a terrific recording and went
More informationYEARS. WORKING TOGETHER to ensure that EVERYONE. HAS ACCESS to HEALTHY, AFFORDABLE FOOD FALL 2012
20 YEARS of WORKING TOGETHER to ensure that EVERYONE HAS ACCESS to HEALTHY, AFFORDABLE FOOD FALL 2012 The Food Trust was founded 20 years ago with a simple idea: healthy change. There were neighborhoods
More informationHOW DO YOU REALLY KEEP YOUR KIDS SAFE FROM ADDICTION?
HOW DO YOU REALLY KEEP YOUR KIDS SAFE FROM ADDICTION? 10 THINGS PARENTS CAN DO From the moment our children are born, keeping them safe is second nature: we hold them close as they get their first shots,
More informationThe Truth About Fitness, Weight Loss and Improving Athletic Performance by Kevin Quinlan
The Truth About Fitness, Weight Loss and Improving Athletic Performance by Kevin Quinlan First of all, let me set your mind at ease I m NOT trying to sell you anything here! The purpose of this report
More informationFruits and Vegetables Aren t Nutritious Until Somebody Eats Them
Fruits and Vegetables Aren t Nutritious Until Somebody Eats Them Susan Nitzke, R.D., Ph.D., Professor Suzanne Shoff, Ph.D., Assistant Scientist Department of Nutritional Sciences www.nutrisci.wisc.edu
More informationIncreasing plasma donation frequency: Insights from current donors
Increasing plasma donation frequency: Insights from current donors Dr Rachel Thorpe Research and Development, Australian Red Cross Blood Service Background Retained plasmapheresis donors are critical to
More informationmotivation workbook why do you want to change?
motivation workbook why do you want to change? Start by figuring out your personal reasons for wanting to change. Here are some interesting truths about reasons for change: The clearer you are in your
More informationTitle of Lesson: Using Self-Control Domain: Personal Social Grade Level: Second or Third Required: 30 minutes
Classroom Guidance Title of Lesson: Using Self-Control Domain: Personal Social Grade Level: Second or Third Required: 30 minutes ASCA National Standard(s): PERSONAL/SOCIAL DOMAIN PERSONAL/SOCIAL DOMAIN
More informationBuilding A World-Class WELLNESS PROGRAM
A P U B L I C A T I O N O F T H E W E L L N E S S C O U N C I L O F A M E R I C A 's Building A World-Class WELLNESS PROGRAM A WELCOA Expert Interview with Peter Vigue For more interviews, visit www.welcoa.org
More informationLiving My Best Life. Today, after more than 30 years of struggling just to survive, Lynn is in a very different space.
Living My Best Life Lynn Allen-Johnson s world turned upside down when she was 16. That s when her father and best friend died of Hodgkin s disease leaving behind her mom and six kids. Lynn s family was
More informationWHAT DOES DIABETES LOOK LIKE IN OUR REGION?
WHAT DOES DIABETES LOOK LIKE IN OUR REGION? A Summary of the Regional Diabetes Needs Assessment Study 2017 The Diabetes Institute at Ohio University is a collaborative group of research scientists, clinicians,
More informationSeason 1. No Smoking. Study Guide
Season 1 No Smoking Study Guide STUDY GUIDE CONTENTS No Smoking The Story Pages 1-10 Exercises Pages 11-25 Sasha loves to swim in the ocean in winter! He also likes to smoke. Helpful Information Pages
More informationSeason 1. No Smoking. Study Guide
Season 1 No Smoking Study Guide STUDY GUIDE CONTENTS The Story Pages 1-10 Exercises Pages 11-25 Helpful Information Pages 26-28 Dictionary Pages 29-30 Dear Sasha Page 31 Answers Page 32 Watch Read Learn
More informationTalking to someone who might be suicidal
Talking to someone who might be suicidal To some it s a tea bag. To others it s a lifeline... Support the Zero Suicide Alliance campaign. Help us tackle the stigma that stops so many from asking for help.
More informationUWE Bristol. Patient / carer feedback for Adult Branch Nursing Students in practice
UWE Bristol Patient / carer feedback for Adult Branch Nursing Students in practice Context NMC and Department of Health drivers to involve service users/carers in student assessment process Formalising
More informationLesson 8 Setting Healthy Eating & Physical Activity Goals
Lesson 8 Setting Healthy Eating & Physical Activity Goals Overview In this lesson, students learn about goal setting. They review the activity sheets they filled out earlier to log their eating and activity
More informationCO-SURVIVOR. How to help those you care about cope with breast cancer
CO-SURVIVOR How to help those you care about cope with breast cancer It may be hard to know what to say or do when someone has breast cancer. But you know you want to help. At Susan G. Komen we call you
More informationThe science of the mind: investigating mental health Treating addiction
The science of the mind: investigating mental health Treating addiction : is a Consultant Addiction Psychiatrist. She works in a drug and alcohol clinic which treats clients from an area of London with
More informationliving in pain For decades I ve been in agony, yet no one believed me. Now I m finally getting the help I need and so is my daughter
For decades I ve been in agony, yet no one believed me. Now I m finally getting the help I need and so is my daughter by Carolyn Bishop, as told to Barbara Brody living in pain ii m standing in my doctor
More informationKETO40 PROGRAM GUIDE TABLE OF CONTENTS
KETO40 PROGRAM GUIDE THIS GUIDE IS DESIGNED TO EXPLAIN WHAT YOU SHOULD BE DOING FOR THE NEXT 40 DAYS ON THE KETO40 PROGRAM AS WELL AS HOW WE WILL BE SUPPORTING YOUR JOURNEY. TABLE OF CONTENTS 1 - We re
More informationPatient Participation Group (PPG) Toolkit 2017
Patient Participation Group (PPG) Toolkit 2017 Our PPG doesn t solely rely on meetings to function as an effective PPG or improve practice-patient relationship. We put on events throughout the year to
More informationWhat are you allowed to grieve about?
Healthynewage Vol 2-Jun 2016 The alternative health magazine, since 1998 NUTRITION FITNESS PSYCHOLOGY WELLNESS ALTERNATIVE HEALTH Eat Your Way To a Healthy Blood Pressure CrossFit: Is it right for you?
More informationNUTRITION. Step 1: Self-Assessment Introduction and Directions
Step 1: Self-Assessment Introduction and Directions Nutrition is the study of nutrients in the food you eat and how your body processes those nutrients. Proper nutrition is critical to developing and maintaining
More informationThis Handbook starts by helping you understand some new ideas, which may help reduce some of the fears and anxiety you may have about recovery.
Getting Started Where do I start? When you decide to change your life, especially after years of unhealthy behaviors, it can seem intimidating and overwhelming. We know most of us involved in writing this
More informationWhat a Family Needs to Know. About Eating Well. And Being Clever with Food
What a Family Needs to Know About Eating Well And Being Clever with Food This book was written by Sarah Scotland, Freelance Nutritionist and Founder of Wise about Food. Copyright 2015 by Sarah Scotland
More informationSection 4 - Dealing with Anxious Thinking
Section 4 - Dealing with Anxious Thinking How do we challenge our unhelpful thoughts? Anxiety may decrease if we closely examine how realistic and true our unhelpful/negative thoughts are. We may find
More informationAdvancing stated-preference methods for measuring the preferences of patients with type 2 diabetes
Advancing stated-preference methods for measuring the preferences of patients with type 2 diabetes Second DAB Meeting November 20, 2014 Baltimore, MD Development of the Prioritization Task Thomas James
More informationA Healthy Mouth for Your Baby
A Healthy Mouth for Your Baby U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health A Healthy Mouth for Your Baby Healthy teeth are important even baby teeth. Children need healthy
More informationFrom Individual to Community: Changing the Culture of Practice in Children s Mental Health
From Individual to Community: Changing the Culture of Practice in Children s Mental Health An interview with Ron Manderscheid, a national leader on mental health and substance abuse and member of FrameWorks
More informationWeight Loss Coach Academy: Session 1
Weight Loss Coach Academy: Session 1 This is Christian Mickelsen. Welcome to Weight Loss Coach Academy. Yeah. This is actually pretty exciting. I ve had a vision of doing these topic focused training for
More informationSandi Mitchell. PhD Candidate The University of Sydney
Sandi Mitchell PhD Candidate The University of Sydney An estimated 242,500 (of 35.8 million) Canadians are infected with hepatitis C ~ 21% are undiagnosed (Public Health Agency of Canada, 2011) The majority
More informationOur research findings: The additional recovery challenges facing forensic service users. Debbie Alred, Chris Moxon, Richard Love.
Our research findings: The additional recovery challenges facing forensic service users Debbie Alred, Chris Moxon, Richard Love QN 22.02.18 Pictures by Andrew Voyce All Plan Introduction to study What
More informationSection 4 Decision-making
Decision-making : Decision-making Summary Conversations about treatments Participants were asked to describe the conversation that they had with the clinician about treatment at diagnosis. The most common
More informationA Healthy Mouth for Your Baby
A Healthy Mouth for Your Baby U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health A Healthy Mouth for Your Baby Healthy teeth are important even baby teeth. Children need healthy
More informationTHE TESTIMONY OF DOCTOR.ONYIA FROM BVM HOSPITAL, OLODI-APAPA
THE TESTIMONY OF DOCTOR.ONYIA FROM BVM HOSPITAL, OLODI-APAPA QUESTION: Have you worked in any other hospital before this place? I was with Lagoon Hospital, I was with Tin Can Hospital before this place
More informationA Healthy Mouth for Your Baby
A Healthy Mouth for Your Baby U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Healthy teeth are important even baby teeth. Children need healthy teeth to help them chew and to
More informationGroup Session 3. Physical Fitness instructor or video
Group Session 3 at a Glance Key Behavioral Strategies Participant Behavioral Strategies Process Objectives & Session Content Handouts Other Materials Suggested Partnerships Topics/Agenda (2 hours) Calorie
More informationPatients experiences and perceptions on support to self-manage their long-term condition
Patients experiences and perceptions on support to self-manage their long-term condition Executive summary This report presents the findings from one focus group discussion involving people with various
More informationMORE FUN. BETTER RESULTS. 40% OFF YOUR 28-DAY TEST DRIVE
MORE FUN. BETTER RESULTS. 40% OFF YOUR 28-DAY TEST DRIVE CONGRATULATIONS! YOU HAVE 14-DAYS TO SAVE 40% ON OUR 28-DAY TEST DRIVE MEMBERSHIP Reference the email you just received as proof of access for your
More informationElementary 2 Unit Go to online version of the activity. Go back to this menu.
Elementary 2 Unit 4 1 2 3 4 5 6 7 8 Go to online version of the activity. Go back to this menu. Do You Know..? Activity 1 1. Where was Einstein when he discovered the theory of relativity? 2. Where were
More informationSubliminal Messages: How Do They Work?
Subliminal Messages: How Do They Work? You ve probably heard of subliminal messages. There are lots of urban myths about how companies and advertisers use these kinds of messages to persuade customers
More informationNOT ALONE. Coping With a Diagnosis of Facioscapulohumeral Muscular Dystrophy (FSHD)
NOT ALONE Coping With a Diagnosis of Facioscapulohumeral Muscular Dystrophy (FSHD) FOR THE NEWLY DIAGNOSED AND THEIR LOVED ONES, FROM THOSE WHO HAVE TRAVELED THIS ROAD BEFORE YOU We re not alone. We re
More informationA Wake-up Call. Prediabetes: How to Accept Help. A Healthier Holiday Meal. November 2017 THIS EDITION FEATURES: Breaking the Spell of Addiction
November 2017 THIS EDITION FEATURES: Prediabetes: A Wake-up Call How to Accept Help Breaking the Spell of Addiction A Healthier Holiday Meal Break Up Bad Food Relationships OF : E IP H REC MONT Y THE ERR
More informationLesson 1. A Good Balance. Behavioral Objectives. Students will: Outline: Lesson Story and Discussion Story Game 4 3.
Lesson 1 A Good Balance Behavioral Objectives Students will: 1. Be introduced to the Celebrate Health program. 2. Identify healthy eating and physical activity as important health behaviors and as factors
More informationNot many topics are off-limits anymore. Overweight. I Can Do This... The way to weight loss begins with honesty and support
I Can Do This... The way to weight loss begins with honesty and support Not many topics are off-limits anymore. Overweight and obesity may be among the last. If you or a loved one is overweight, it s time
More information(WG Whitfield Growden, MD; DR Diane Redington, CRNP)
2795 Estates Drive Park City, UT 84060 TRANSCRIPT FOR VIDEO #6: HOW TO FIND A CLINICAL TRIAL WITH DR. WHITFIELD GROWDEN Interview, Massachusetts General Hospital January 5, 2017 Produced by (WG Whitfield
More informationCOUNSELING INTERVIEW GUIDELINES
Dr. Moshe ben Asher SOC 356, Introduction to Social Welfare CSUN, Sociology Department COUNSELING INTERVIEW GUIDELINES WHAT DISTINGUISHES A PROFESSIONAL FROM OTHER KINDS OF WORKERS? Education and training
More informationHappy Healthy Teeth - A Story About Leo The Lion. Grades: preschool to 1
Happy Healthy Teeth - A Story About Leo The Lion Grades: preschool to 1 Why do we need our teeth? Eating: To chew our food. That s an easy one! Can you imagine trying to eat an apple, carrot or a hamburger
More informationMy Father Has a Mood. Disorder
My Father Has a Mood Disorder 1996 Bipolar Support Canterbury Inc. Reprinted 2004 Illustrations by Judy Lee Bipolar Support Canterbury would like to acknowledge the assistance of J R McKenzie Trust and
More informationTip sheet. A quick guide to the dos and don ts of mental health care and inclusion. 1. Ask questions. Practical tips
A quick guide to the dos and don ts of mental health care and inclusion Much of the rejection felt by those in church with mental health problems comes from accidental actions and words, delivered with
More informationIt still is, but in a different way since dementia joined our family.
You can picture the cheerleader and the football player who became high school sweethearts. She had the pom poms and he had the shoulder pads and the tough guy scowl. Well that was us, but it was so totally
More informationScouter Support Training Participant Workbook
Scouter Support Training Participant Workbook Version 2.1 June 15, 2011 Minor changes November 5, 2012 For use with the Scouter Support Playbook Scouter Support Training: Trainer s Manual 2 Participant
More informationReShape B-Roll Script
ReShape B-Roll Script Title Slide SOUNDBITES ReShape Medical Receives FDA Approval for Non-Surgical Weight Loss Device Video Provided by: ReShape Medical Contact: MSLGROUP reshapemedical@mslgroup.com 781-684-0770
More informationWhy Is Mommy Like She Is?
Why Is Mommy Like She Is? A Book For Kids About PTSD Deployment Edition Patience H. C. Mason Patience Press High Springs, Florida PP Patience Press 2010 by Patience Mason All rights reserved. No part of
More informationMen s Sheds Health and Well-being Survey
Men s Sheds Health and Well-being Survey When I feel like I need refreshed and lifted up, I know that twice a week my shed will be there waiting. The growth of interest in men s sheds and the establishment
More informationGroup Session 14. Breaking Bad Habits My Five Rules My Action Plan for the Week Food and Fitness Diary (FFD) New Leaf Module Handout Success Stories
Group Session 14 at a Glance Key Behavioral Strategies Relapse prevention Problem solving Participant Behavioral Strategies Process Objectives & Session Content Handouts Resources Topics/Agenda (2 hours)
More information