Office on Women

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• Office on Womens Health,
• U.S. Department of Health and Human Services

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• Purpose
• To provide parents/caregivers with tools
  strategies to improve family eating and activity
  habits
• To support adolescent girls in reaching and
  maintaining a healthy weight
• To prevent obesity among adolescent girls

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• Primary audience
• Parents and caregivers of adolescent girls
• Secondary audiences
• Adolescent girls
• Other family members

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• Main Messages
• Healthy girls become
• strong women

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• Main Messages
• Parents are an important influence
• on their childrens eating and
• activity habits

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• Main Messages
• Change takes time begin by
• taking a few small steps

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• Formative Research
• Literature review
• Steering committee of researchers, providers,
  government officials, including
• Kelly Brownell, Ph.D., Yale University
• Tom Robinson, MD, Stanford University
• Kelly Moore, MD, Indian Health Service
• 16 focus groups with
• Girls ages 11 to 13 (8)
• Middle-school nurses (2)
• Parents of middle school-aged girls (6)
• Telephone interviews with health care providers
  (9)

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• Formative Research Findings
• Major obstacles
• Poor eating habits, sedentary behavior
• Girls need concrete steps, behavioral cues to
  change
• Parents can play a major role
• Girls want parents to spend more time with them
• Girls need role models for healthy eating and
  physical activity
• Parents need tools to help organize and plan
  meals and physical activity
• Parents lack time and resources
• Parents need basic nutrition information

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• Pretesting
• Focus groups w/ parents (3)
• Results
• Modified some kit components
• Added more information on diabetes
• Simplified language
• Revised design to include more photographs

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• Program Components
• BodyBasics (Parents Guide)
• Food and fitness journals
• Weekly planner (refrigerator magnet)
• 4Teens Magazine
• Recipe book
• Shopping list
• DVD on shopping cooking
• Pedometers
• Training Manual (10 sessions)
• Train-the-Trainers Guide

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• Behavior Change Tips
• List specific goals regarding change
• Create a plan with realistic steps
• Start taking small steps that fit your lifestyle
• Monitor your progress (using food and fitness
  journal)
• Give yourself a realistic timeframemonths, not
  days or weeksto maintain change
• Use the tools and group meetings to reinforce
  healthy behaviors

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• BodyBasics
• Format
• Magazine style publication for visual appeal
• Purpose
• Provides health information, strategies for
  healthy eating and regular physical activity
• Explains how to use the toolkit
• Lists resources for families

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• Approach
• 7 Simple Steps to Healthy Living
• Decide to live a healthy lifestyle
• See where you are now
• Understand healthy eating
• Recognize the benefits of physical activity
• Set goals and plan
• Shop, cook, eat together
• Support a healthier lifestyle for your family

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• Content highlights
• Emotional eating
• Unhealthy dieting
• Smoking and weight control

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• Content highlights
• Obesity and type 2 diabetes
• Obesity and asthma
• Obesity and cardiovascular disease
• Obesity and eating disorders

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• Content highlights
• Serving sizes
• Tips for healthy meals and snacks
• Supersized food portions
• Fast food and soda

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• Content highlights
• TV watching
• Physical activity benefits and ideas
• Shopping and cooking tips

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• Content highlights
• Environmental checklist
• Advocacy in schools and communities
• Media influences
• Community and school Gardens

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Food and Fitness Journals

• Family members to record meals, snacks,
  activities, and emotions to identify eating and
  activity habits
• Checklist in BodyBasics helps parents review
  journal entries
• Goal-setting chart in diaries

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• Weekly Planner
• Format
• Refrigerator magnet write-on/wipe-off board with
  pen
• Purpose
• To help parents/ caregivers plan meals, snacks,
  physical activities

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• Shopping List
• Format
• Pad with checklists
• Purpose
• To help parents/ caregivers plan shopping trips
  and choose healthier options

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• Recipe Book
• Purpose
• To provide families with easy, low-cost recipes
  for meals and snacks
• To reinforce nutrition and cooking information
  featured in BodyBasics

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• BodyWorks 4Teens
• Magazine-style publication for girls (9 to 14)
• Publication content
• Self-assessments, quizzes, games, interviews
• Goal-setting tools
• Teen writers/illustrators
• Formative research
• Literature review
• Health behavior change theory
• Focus groups

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• Video/DVD
• Format
• 20-minute video on menu planning, shopping,
  cooking, and eating and exercising together
• Purpose
• Provides practical demonstrations of menu
  planning, shopping for healthy foods, cooking,
  and family meals

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• Pedometers
• Purpose
• To encourage families to walk as an easy form of
  daily physical activity
• To support individual in gradually increasing
  number of steps taken each day
• Two pedometers provided per kit

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• Train-the-Trainers Guide
• 6-hour session
• Appendices
• A. Training Tips
• B. Behavior Change
• C. Resources
• Training Manual
• Lesson Plans for 10 sessions
• Dietary Guidelines, 2005
• Consumer brochure
• PowerPoint Presentation on BodyWorks
• CD with templates for recruiting materials
• Instructions for ordering toolkits

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Community-Based Approach to Distribution

• OWH Regional Offices contacted for
  training-the-trainers session
• OWH (DC) trainers provide training to regional
  community-based organizations (CBOs), Centers of
  Excellence (COEs), Community Clinics of
  Excellence (CCOEs), and State Health Departments
• Trained professionals will
• Order toolkits
• Recruit parents/caregivers
• Disseminate kits at kickoff meeting
• Conduct 9 follow-up weekly meetings with
  parents/caregivers
• Train others to be trainers