HL367: PROGRAM PLANNING

AND

EVALUATION

WINTER 2014
By: Michele Kolin & Kayla Stanley

Our Mission

Our Agency

To Promote Healthy Lifestyles in Obese Families Through Education

VARIABLES:
DV- HEALTHY LIFESTYLES TP- OBESE FAMILIES IV- EDUCATION

YMCA of Marquette, Michigan YMCA Mission: "To put Christian principles into practice through programs that help healthy spirit, mind and body for all. (YMCA, 2014) Our Job in Agency: A job position that would allow us to carry out our mission would be Program Director for Youth and Families. A program director is someone who plans, organizes, coordinates, and participates in the development and implementation of recreation programs for patron groups of specialty areas. The program director is responsible for childcare, camp, and youth and family programs.

(Example from YMCA of San Diego, 2010)

GENERAL NEED FOR CHANGE

IS THERE A NEED TO PROMOTE HEALTHY LIFESTYLES IN OBESE FAMILIES THROUGH EDUCATION?

To prevent obesity and diabetes there are grounds for recommending the combination of increasing daily physical activity level to a PAL-value of at least 1.8 and reducing dietary fat content to 20-25 energy% in sedentary subjects, and to 25-35% in more physically active individuals (Astrup, 2001). Integrating all the activities of a multi-component prevention intervention, and delivering and sustaining it in different environments, continues to be a major challenge for health professionals as well as for parents, educators, and children themselves. Still, encouraging progress has been made in several areas, and the increased awareness of the problem of childhood obesity by all concerned will continue to foster our efforts in this area (Caballero, 2004). Reversing these trends requires changes in individual behavior and the elimination of societal barriers to healthy lifestyle choices. Basic treatment of overweight and obese patients requires a comprehensive approach involving diet and nutrition, regular physical activity, and behavioral change, with an emphasis on long-term weight management rather than short-term extreme weight reduction (JM, 2001). Both parents and children indicated that encouragement and small victories to sustain involvement in getting more fit were critical to success. The findings also suggest that children need direct messages to motivate them to change their exercise and eating habits, as well as tips on cooperating with their parents to achieve fitness goals (Borra, 2003).

THEORETICAL DEFINITION
Healthy Lifestyles: Health is a state of complete physical, mental, and social well-being, not simply just the absence of disease. Healthy living is a steps, actions, and strategies one puts in place to achieve optimum health. These steps include: Physical (for the body), Emotional Wellness (for the mind) and Spiritual Wellness. It is about taking responsibility for your decisions and making smart health choices for today and for the future. (Lewis, 2014)

MODEL
Healthy Lifestyles: Healthy living is a steps, actions, and strategies one puts in place to achieve optimum health. These steps include: Physical (for the body), Emotional Wellness (for the mind) and Spiritual Wellness. (Lewis, 2014)

Physical (For The Body)

Emotional Wellness (For The Mind)

Spiritual Wellness (For The Soul)

Steps, Acts, and Strategies: Good Nutrition, Eating right, getting physically fit, adequate sleep

Steps, Acts, and Strategies: Self- supportive attitudes, positive thoughts, positive selfimage

Steps, Acts, and Strategies: Inner calmness, creativity, trust in your inner knowing, Forgiveness, love, compassion, laugh, happiness, joyful relationships

-Harvard Foodplate -60 mins of activity 3-5 times a week -8 hrs of sleep each night

TEST
Based on the Healthy Lifestyles Questionnaire (Lewis, 2014)

Using a scale from 1-5, participants rate themselves based on your physical activity level, nutritional habits, emotional status, and social well-being. Each number reflects each question the most. Also, participants will take place in a 1 mile walk for time during their preassessment. 1= I completely disagree with the statement 2= I disagree with the statement 3= I feel neutral toward the statement 4= I agree with the statement 5= I completely agree with the statement Score Measurements: 215-238= excellent healthy lifestyle 143-214= good healthy lifestyle 94-142= moderate healthy lifestyle 48-93= poor healthy lifestyles

Healthy Lifestyles Questionnaire (Wellness Watchers International, 2002)

TEST VALIDITY & RELIABILITY

Our Healthy Living Questionnaire is valid to measure healthy lifestyles in obese families because it covers all of the components of our theoretical definition of healthy lifestyles. In our Healthy Living Questionnaire, we asked questions based on all of these components of the theoretical definition to determine their status; therefore, we claim content validity. The questionnaire is based on a 1-5 point scale. The higher a person scores, the healthier their lifestyle is. The questionnaire also gives the health professional an idea of what the individuals lifestyles are.

To determine test-reliability, we will administer the Healthy Lifestyles Questionnaire and Assessment to a different set of people at the YMCA in Escanaba. We will use the test in Escanaba on Monday and Wednesday; if they have same scores, this we will establish test-retest reliability before we use it in our program.

ASSESS SPECIFIC NEEDS

Pre-Test Results on Healthy Lifestyles Questionnaire: By the end of the program the program group will go from 40/104 to a 90/104 on the test. Program Group: 40/104

Control Group: 45/104

IDENTIFY MEASURABLE OBJECTIVES

Participants will go from 40/104 on the pre-test will score to a score of 90/104 by the end of the 6 week program Participants will go from 20/44 on the Nutrition section of the pre-test to 40/44 by the end of the 6 week program. Participants will go from 10/25 on the Emotional section of the pre-test to 20/25 by the end of the 6 week program Participants will go from 20/35 on the Spiritual section of the pre-test to 30/35 by the end of the 6 week program Participants will drop time on their pre-assessment (1 mile walk for time) by the end of the 6 week program

EVIDENCE-BASED PROGRAM

We will use the CorePlus Performance Training

Model.

Our program is based off of the Parent-Child Fitness

Program of CorePlus Performance Training.

Author: Kelly Oberle Year: 2010 Link: http://www.corepluspt.com/index.php

When implementing our program based off the of CorePlus Performance Training Model, we will focus on the factors in our theoretical definition that make up a healthy lifestyle. These components include Physical, Emotional, Social Wellbeing, and Spiritual.

MODEL PROGRAM FITNESS FOR FAMILIES

6 week/ 12 lesson (60 minutes per session, two session per week) focusing on nutrition and physical activity for families (kids ages 5-12 years old). This program will be organized by the YMCA in Marquette, Michigan. At the end of the program, the families will participate in annual Walk/Run 5k on April 12th, 2014. This event is to raise money for the Strong Kids Campaign. NMU students and YMCA staff worked to develop this program

FITNESS FOR FAMILIES

Our Evidence Based Program:

IMPLEMENT THE PROGRAM

Parent-Child Fitness Program of CorePlus Performance Training Model to implement our program. (CorePlus, 2014) The program will last 6 weeks to ensure each participant has met their goals and objectives, therefore, met our mission. This program is free to members at the YMCA There will be two different sessions going on at once, one will be held on Monday/Wednesdays, and the other on Tuesday/Thursdays. Participants will be able to choose which session works best with their schedule. It also allows us to compare and contrast our results with more data.

HOW CAN THE BEHAVIOR CHANGE MODEL

IDENTIFY BARRIERS AND FACILITATORS TO OUR PROGRAM?

Our tp knows what to do?

We will ask our tp if they know what to do to participate in our program. We will explain our program and make sure there aware that they will develop a healthy lifestyle by the last session.

Our tp knows how to do it?

We will explain the structure of our program, meeting for 6 weeks, twice a week, for an hour each. It will take place at the YMCA in Marquette, MI.

Our tp wants to do it (is motivated)?

We will give them incentive to want to be physically active and have an increased awareness. We can apply the information to their family and friends so they can help and give them support.

Our tp believes it can do it (is self-efficacious)?

We will empower them to want to learn and increase their awareness. We will use positive reinforcement to motivate them.

Our tp has a supportive environment?

Fitness for Families staff, family, & friends will help develop a healthy lifestyle for the individual

EVALUATION DESIGN
(One-group pre-test & post-test design)

Pretest: Healthy Lifestyles Questionnaire & Assessment (1 mile walk test)

(Wellness Watchers International, 2002)

Intervention: Fitness for Families program

(Based on CorePlus, 2013)

Posttest: Healthy Lifestyle Survey & Assessment (1 mile walk test)

(Wellness Watchers International, 2002)

EVALUATION DESIGN

Threats to internal Validity:

We like to believe that our program caused the change in the obese families, and not something else. However, because we do not have a control group it opens up the opportunity for threats such as history, maturation and mortality.

MISSION FIT QUESTION

Mission Fit Question: Did we promote healthy lifestyles in obese families?

Our program will know that our program was successful at promoting healthy lifestyles in obese families through education, if the participants show an improvement on their Healthy Lifestyles Questionnaire and Survey, and also their 1 mile walk test assessment. By looking at the questionnaire, survey, and assessment, we will be able to see participants improvement and measure their progress to determine if they met their goal. If participants increase post-test scores and the program actually measures healthy lifestyles, then we will promote healthy lifestyles in obese families.

MARKETING AND COMMUNICATION

We created a website partnered with the YMCA to promote our mission and program. We created a fun website for families to visit. Our website includes examples of activities we do throughout the program as well as a detailed weekly agenda throughout the program. Our website will help with marketing our program throughout the Marquette community. The website can be viewed by clicking http://hl367fitforfamilies.weebly.com By creating a website, we are able to communicate with our families, community and staff about our program and expectations that are implied to participate in the program. On our site, you will find the "What's Going On" tab, which serves as our communication tool. The Whats Going On tab takes the website viewers to an interactive blog that details what is going on in the program each week.

APPS FOR PROMOTING HEALTHY LIFESTYLES

GRANT

Agency: The St. Joseph Community Health Foundation Mission: We invest in and collaborate with other community agencies to improve the physical, mental, and spiritual health of the poor and underserved. Amount: $19,445 Compatible with our mission: The St. Joseph Community Health Foundation mission is beneficial to our dyad mission because it will allow the Obesity Wellness Network and YMCAs Diabetes Prevention program to reach out and help at-risk individuals in our community adopt healthier lifestyles. http://sjchf.org/index.php?option=com_content&view=art icle&id=58&Itemid=65

WEBLIOGRAPHY

Arne Astrup. (2001). Healthy lifestyles in Europe: prevention of obesity and type II diabetes by diet and physical activity. Retrieved from: http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=1357356 B Caballero. (2004). Obesity Prevention in Children: Opportunities and Challenges. International Journal of Obesity, S90-S95. Retrieved from: http://www.nature.com/ijo/journal/v28/n3s/full/0802797a.html C. Luley, A. Blaik, S. Aronica, J. Dierkes, S. Kropf, and S. Westphal. (2010). Evaluatin of Three New Strategies to Fight Obesity in Families. Journal of Nutrition and Metabolism, Volume 2010, 10 pages. Retrieved from: http://www.hindawi.com/journals/jnme/2010/751905/abs/ Elsevier. (2002). Childhood obesity: public-health crisis, common sense cure. The Lancet, 473-482. Retrieved from, http://www.sciencedirect.com/science/article/pii/S0140673602096782 Epstein. (November 21, 1990). Ten-Year Follow-up of Behavioral, Family-Based Treatment for Obese Children. The Journal of the American Medical Association, Vol. 264, No. 19. Retrieved from: http://jama.jamanetwork.com/article.aspx?articleid=383979 Fooducate. (n.d.). Lose weight with fooducate! lose weight, track your progress, and eat real food. Retrieved from http://www.fooducate.com/ Harvard school of public health. (n.d.). Food pyramids and plates: What should you really eat?. Retrieved from http://www.hsph.harvard.edu/nutritionsource/pyramid-full-story/

WEBLIOGRAPHY CONT

Kolata. (January, 29th 2014). Obesity Is Found to Gain Its Hold in Earliest Years. The New York Times. http://www.nytimes.com/2014/01/30/science/obesity-takes-hold-early-in-life-studyfinds.html?ref=health&_r=1 Lewis, L. (2014). What is a healthy lifestyle?. Retrieved from http://www.healthylifestylesliving.com/health/healthy-lifestyle/what-is-a-healthy-lifestyle/ Lyznicki JM. (2001). Obesity: assessment and management in primary care. American Family Physician. Retrieved from, http://europepmc.org/abstract/MED/11417771/reload=0;jsessionid=ABgEKoUsk9HduYVrU50y.0 Melinda Southern. (2004). Obesity Prevention in Children: Physical Activity and Nutrition. Science Direct, Volume 20, issue 7-8. Retrieved from: http://www.sciencedirect.com/science/article/pii/S089990070400098X Oberle, K. (2013). Coreplus performance training. Retrieved from http://www.corepluspt.com/index.php?page=about-us St Joseph Community Health Foundation. (n.d.). Retrieved from http://sjchf.org/ Steven L. Gortmaker. (1996). Television Viewing as a Cause of Increasing Obesity Among Children in the United States, 1986-1990. Jama Pediatrics, Vol 150, No.4. Retrieved by: http://archpedi.jamanetwork.com/article.aspx?articleid=517896

WEBLIOGRAPHY CONT

Susan T Borra. (2003). Developing health messages: Qualitative studies with children, parents, and teachers help identify communications opportunities for healthful lifestyles and the prevention of obesity. Journal of the American Dietetic Association, pp 721-728. Retrieved from,

http://www.sciencedirect.com/science/article/pii/S000282230300292X Tamara S. Hannon, Goutham Rao, Silva A. Arslanian. (2004). Childhood Obesity and Type 2 Diabetes Mellitus. Northern Michigan University. Retrieved from, http://pediatrics.aappublications.org/content/116/2/473.short Tom Baranowski, James Mendlein, Ken Resnicow, Erica Frank, Karen Weber Cullen, aJanice Baranowski. (2000). Physical Activity and Nutrition in Children and Youth: an Overview of Obesity Prevention. Science Direct, Volume 31, Issue 2. Retrieve from: http://www.sciencedirect.com/science/article/pii/S0091743500906868 Wardle & Steptoe. (2002). Socioeconomic differences in attitudes and beliefs about healthy lifestyles. BMJ, Retrieved from: http://jech.bmj.com/content/57/6/440.short
Wellness Watchers Internation. (2002). Healthy living quiestionnaire. Retrieved from http://www.boonsborowellness.com/Documents/healthy_lifestyle.pdf Williams & Wilkins. (2002). Peer Relations of Youth with Pediatric Conditions and Health Risks: Promoting Social Support and Healthy Lifestyles. Journal of Developmental & Behavioral Pediatrics, pp 271-280. Retrieved from,

http://journals.lww.com/jrnldbp/Abstract/2002/08000/Peer_Relations_of_Youth_with_Pediatric_Conditions.13.aspx YMCA. (n.d.). Ymca mission. Retrieved from http://www.wcfymca.org/index.php?option=com_content&view=article&id=57&Itemid=83 YMCA of San Diego County. (n.d.). Careers. Retrieved from http://ch.tbe.taleo.net/CH15/ats/careers/searchResults.jsp?org=YMCASANDIEGO&cws=1 https://caloriecount.about.com/apps https://itunes.apple.com/us/app/nutrition-quiz-600+-facts/id668562312?mt=8