a culture of health choices.jan 2012
TRANSCRIPT
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A Culture of Healthy Choices
Miriam (Mim) Gaines, MACT, RD, LD
Nutrition and Physical Activity Division
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A Culture of Healthy Choices
Objectives
• Give a definition of wellness
• List venues to reach the public
• Name solutions to barriers in wellness policy, environmental and systems changes.
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Wellness as Compared to Healthy Choices
A choice — A decision you make every day, every hour, every minute to move toward optimal health.A way of life — A lifestyle you design to achieve your highest potential for wellbeing.A process — An awareness that there is no endpoint, but that health and happiness are possible in each moment, here and now.
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Overview of Adult Sickness
• Obesity• Mississippi #1• Alabama #2
• Hypertension• Diabetes• High Cholesterol• Cancer• Etc.
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A Healthy Culture
Wellness Prevention in a
Treatment Medical Country
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Healthy CultureWellness is an active process of ◦Becoming aware◦Making choices toward◦Having a more successful existence
Nutrition and Physical Activity Vision:
Alabamians of all ages to embrace a culture of healthy choices as their normal way
of life.
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Six Dimensional Wellness Model Helps Determine Approaches
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ADPH Uses Wellness Model for Healthy Approaches
Helping the culture change How actions fit into the model
Examples focus on low cost and grant funded methods
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Wellness Model:
Social Dimension Encourages: Contributing to environment and
community welfare over selfish desires Living in harmony with others and our
environment rather than in conflict Addressing environmental health
concerns
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Social Dimension
Recycle plasticsBrewton LowndesboroBureau retreatAfter school sitesEmployee
wellness program: selected areas to improve
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Occupational DimensionEncourages:
Personal satisfaction and enrichment through work
Contributing unique gifts, skills, and talents to work for personal fulfillment
ADPH:
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Intellectual Dimension
Encourages:Stretching and challenging mindsIdentifying potential problems and appropriate solutions instead of waiting, worrying
NPA:
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Emotional Dimension
Encourages:◦Recognizing, being aware of, and accepting
feelings while acting responsibly ◦Being optimistic in life yet realistic ◦Coping effectively with stress
◦ADPH
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Spiritual Dimension
Encourages: Searching for meaning and purpose of life Being tolerant of others beliefs Living each day consistent with personal values
and beliefs
NPA employee programs at work
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Physical Dimension
• Encourages: Consuming foods and beverages that
enhance good health Moving more Discouraging the use of tobacco, drugs, and
excessive alcohol consumption Monitoring your own vital signs and
understand your body's warning signs
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Proven Areas to Address Health
Increase fruit and vegetable consumption
Decrease sedentary activity
Increase physical activity
Breastfeeding
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Physical Dimension Fun
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Staff Gatherings Combine Several Components
Fun staff meetings help when raises are no where in site.
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Combining ComponentsStatewide Promotes lifestyle
change Rewards weight-loss Starts in January 10-week contest Adults Operated at local level
through employers, hospitals, health departments, etc.
.
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SUPPORT TO MAKE CHANGES COMES FROM
The Environment, System, and Policies
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Socio-Ecological ModelLooking Beyond the Individual
What Factors That Influence Your Wellness?
There is an interwoven relationship between the individual and their environment.
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NPA Addresses Policy Opportunities
• State level policies• State employee policies• Public policies- state and local • Local policies• Academia K- PhD • Businesses• Faith community• Medical • Family
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Example of Policy to Change Culture at Work:
Meeting Guidelines
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Serve• Lower calorie and
lower fat foods• Fruits and vegetables
whenever possible• Small portions• Low-fat or fat-free
(skim) milk, 100% fruit or vegetable juice, water or calorie-free beverages
ADPH Meeting Guidelines
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Serve foods • Baked• Broiled• Grilled• Steamed • Poached
• Limit serving size of high fat, high sugar, low fiber items
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ADPH Meeting Guidelines:Physical Activity in Meetings
• Choose walkable
• Stretch breaks during meeting
• Overnight facilities offer areas or passes to local gyms
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Meeting Guidelines Cont.A smoke-free environmentGo paperless when
possibleOpt for pitchers of water
instead of bottlesOpt for re-usable plates,
cups, and flatware rather than paper or plastic.
Choose environmentally friendly facilities
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Leadership Skills Required for Culture Changes
Leadership skills as compared to hosting a party
1. Make sure guest have what they need…Provide tools, equipment, and support as
needed
2. Visit with everyone… Check on employees, network with partners
3. Be sure everyone feels included and welcomed
Team work and recognizing talents
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Leadership Skills Required for Culture Changes
4. Listen carefully to the unspoken
Active listening and negotiating when needed
5. Make them want to come back
Have fun
6. Make them feel safe
Cover their backs
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Lessons Learned and Leadership Skills Used While Trying to Create a Healthy Environment for the Culture Change
Overview: Vending machines will
provide 50% healthy choices in state agency buildings.
Snacks are clearly marked
Vendors to get reimbursed for any loss
Employees tasted foods before implementation.
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Leadership Skills Used in Vending Project
Tools- Reports provided to partnersVisit- Worked with Rehab before
implementation on monthly basis, face to face meetings, minutes with next steps sent
Feeling included- Staff and partners asked direct questions with follow up
Unspoken- Tried to read between the linesFeel Safe- Asked for vendor’s input, NPA
staff reports
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Leadership Lessons LearnedTools- Reports are not read or retainedVisit- Face to face worked well, but hard
to get people to come to the meetings; Rehab finance not at the table
Feeling included- Staff and partners versus the vendors
Unspoken- Vendors felt unrepresentedFeel Safe- NPA felt discourage
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Leadership in Projects May Be Crisis Style Leadership
Vendors not paid timelyPrivate vendor for expansion requires
close follow up Negotiations changes ◦50% versus 30%
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Expanding to Private and to Counties
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Lessons Learned from Expansion Efforts
Baptist Hospital had smoother expansion with in house champions and strong administrative support
Gas topers- Public Health typical PR efforts versus general public
Private vendors are supportive, but follow up may be harder
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Why Continue?
Train up the future generation that healthy eating is normal
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Leadership Encourages Others to be Good Role Models
• Public Health Employees are role models.
• Who is in your world?
• Who influences you and your family – state or local authorities, health providers, church leaders, etc. ?
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Think Wellness
“We are all faced with a series of great opportunities brilliantly disguised as impossible situations.”
Charles R. Swindoll
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