Behavior Change The Soul of Health Promotion

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Behavior ChangeThe Soul of Health Promotion
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• Behavior is our response to some stimulus

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You would think . . .
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Insidious developing so gradually as to be well
established before becoming apparent
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Federal Government
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Personal responsibility is a very important part
of this because we cant look at someone else to
solve our problems.
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we have to continue to work hard to spread the
gospel of personal responsibility.
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Its about personal responsibility
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Fast Food and Food Marketing
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Fast Foods
Healthy Foods
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Percent of Food Spending Used on Fast Food
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Technology
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16 oz
32 oz
44 oz
52 oz
64 oz
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Our Culture
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Our Health Care System
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Bad Policies
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The Dark Side of Capitalism
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Why is behavior change so hard?

• Fix me up Doc mentality (stents)
• Too much pressure to be unhealthy
• Lack of education
• Lack sufficient motivation
• Dont know how
• Barriers are too great to overcome
• I-dont-care-it is
• Time between the behavior and any consequences is
  very large

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• What was the last major life change you
  implemented? (i.e. job, health, family)
• Why did you do it?
• What did you have to overcome?
• What did you have to learn?
• What motivated you?
• Whos help did you have to enlist?
• When did it become permanent?
• Did you change your environment?

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Weight loss with and without permanent lifestyle
change
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Models of Behavior Change

• Social Marketing
• Social Cognitive Theory
• Transtheoretical Model
• Theory of Reasoned Action
• Theory of Planned Behavior
• Health Belief Model

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• Educate
• Motivate
• Build skills
• Change the environment

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Individual
Individual
Family
Worksite
Community
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Individual
Family
Worksite
Community
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Educate (Why and What)

• Create individual awareness
• Create community and organizational awareness and
  support
• Create buzz
• Tobacco speech to smokers

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• Flyers
• Posters
• Email notifications
• Television/video programs
• Books

• Payroll stuffers
• Internet sites
• Magazines
• Lunch and learns
• Special speakers
• Newsletters

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Motivate

• Leadership participation
• Before/after stories in newsletters
• Make wellness a key performance indicator (KPI)

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• Incentives
• Extrinsic need to move to intrinsic
• BEATem or TREATem?

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Build Skills (How do I do this?)

• How to overcome barriers
• How to strategies, classes
• Healthy substitutions
• How to cook
• How to make healthy foods
• Finding inexpensive healthy foods

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Change the Environment(things that help me be
healthy)

• Physical Environment
• Families, schools, churches, community
• Policy
• Culture

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Checklist to Change
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www.WellSteps.com

• WELLSTEPS HERE

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• Policies
• Medical coverage for preventive services
• No smoking policies
• Flex time
• Time to exercise at work
• Free from overly demanding work

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Best Ideas Ive seen
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• Pray

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• Make leadership champions

California Health and Longevity Institute
(CHLI) Four Seasons in West Lake Village, CA
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• Stop treating HRAs as Wellness programs

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• Make wellness part of new employee orientation

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• Include spouses and significant others

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• Use small, short term incentives with each effort
  and a big incentive to work toward at the end
• benefits redesign
• different (cheaper) insurance plan

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• Highlight and celebrate benefits of healthy living

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www.wellsteps.com