Rate of counseling for physical ac3vity · “If you want to feel be5er, you just need to lose some...

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Transcript of Rate of counseling for physical ac3vity · “If you want to feel be5er, you just need to lose some...

Page 1: Rate of counseling for physical ac3vity · “If you want to feel be5er, you just need to lose some weight by exercising more and ea
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Rateofcounselingforphysicalac3vity

32%ofpeoplewhosawaphysicianin2010wereadvisedtoexerciseorcon3nuebeingphysicallyac3ve

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Clinician

Staff

Pa3ents

“Wesucceedwhenwethinkandactfromtheinsideout”SimonSinek

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Clinicians’LifestylePredic3ve

Physicianswhoarephysicallyac3veare2-53mesmorelikelytocounseltheirpa3entstobephysicallyac3ve.1,2

PhysicianswhohaveanormalBMIaremorelikelytocounseltheirpa3entsthanoverweight/obesephysicians(30%vs.18%).3

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1.  LobeloF,GarciaI.Theevidenceinsupportofphysiciansandhealthcareprovidersasphysicalac3vityrolemodels.AmJLifestyleMed.Inpress(hTp://newsroom.heart.org/news/physically-ac3ve-healthcare-providers-more-likely-to-give-physical-ac3vity-counseling)

2.  StanfordFCJPrimPrev.2014Jun;35(3):193-2013.  BleichSN.Obesity.2012May;20(5):999-1005

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Clinician

Staff

Pa3ents

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2014HealthHeroes

DonnaBarhorst,MDMarkWardle,DO

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Clinician

Staff

Pa3ents

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EffectofbodyweightandphysicalacCvityonlifeexpectancy

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Moore,PLoSMed2012

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Planfor,andget,adequateexerciseReducesedentaryCme

150minutes(moderatetovigorous)aweek.Getupandmoveevery30-60minutes.

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1.  Onaverage,howmanydaysaweekdoyouperformphysicalac3vityorexercise?

2.  Onaverage,howmanytotalminutesofphysicalac3vityorexercisedoyouperformonthosedays?days/weekXminutes/day=min/week(PAVS)

3.Describetheintensityofyourphysicalac3vityorexercise:light=casualwalkmoderate=briskwalk vigorous=jogging

PhysicalAcCvityVitalSigninHELP2iCentra

150

5

30

Light, moderate, vigorous

Start, increase, maintain

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Sedentarybehavior•  SedentarybehaviorCmeisanindependentpredictorofmortality,evenforthosewhohaverecommendedlevelsofphysicalacKvity.1

•  TakingacCvitybreaksmakesadifference.Astudyofsedentaryworkersshowedthatinterrup3ngsibngwithshortboutsoflight-tomoderate-intensitywalkingreducedpostprandialglucose(P<0.01)andinsulin(P<0.0001).2

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1. vanderPloegH,etal.ArchInternMed.2012;172(6):494-500.

2.  DunstanDW,etal.DiabetesCare.2012;35(5):976-983.

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ChildandAdolescentPAVs1•  PAVs–Daysperweekof60minutesofmoderatetovigorousphysicalac3vity

•  AddedPAAssessment–Mostdaysoftheweek(AmericanCollegeofSportsMedicine)

•  Walkorbiketoschool•  Par3cipateinphysicaleducaConclassatschool

•  Par3cipateinanorganizedphysicalacCvityor30minutesormoreplayingoutside

•  LESSthan2hoursofrecreaConalscreenCme

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1. US Department of Health and Human Services (HHS). 2008 Physical ActivityGuidelines for Americans. Available at http://www.health.gov/paguidelines/guidelines/default.aspx

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Getadequatesleep5

7-9hoursforadults

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SleepRecommendedhoursofsleep:

•  Newborns 14-17hours•  Infants 12-15hours•  Toddlers 11-14hours •  Pre-school 10-13hours•  Schoolage 9-11hours•  Teenagers 8-10hours•  Adults 7-9hours•  Olderadults 7-8hours

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1.  Na3onalSleepFounda3on

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SleepConsequencesofinadequatesleep:

•  Children:Increaseddailycaloricintake(lowerlep3n)andriskofobesity.1,2

•  Adults:Atfewerthan7hoursnightly:theshorterthesleep,thehighertheBMI.3

•  Moresickdays4•  Pa3entswithfewerthan5hoursnightly(comparedwiththosewhoget7to8hours):5

•  Are2.53mesmorelikelytohavediabetes.•  Have15%higherall-causemortalityrisk.

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1.  HartCN,etal.Pediatrics.2013Dec,132(6):e1473-80.2.  ShakiraFS,etal.JournalofPediatrics.2014;165(4):750-754.3.  NedelchevaAV,etal.AnnInternMed.2010;153(7):435-441.4.  LallukkaT,etal.Sleep2014;37(9):1413-1425.5.  ColtonHR,etal.Ins3tuteofMedicine;2006

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PracCceHealthyEaCng

Eliminateaddedsugars–Sweeteneddrinks(vehicle)Overea3ngcalories(highlypalatablefoods)–subs3tutewithvegandfruit

Healthydiet–Mediterranean,DASH

3

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ToolstoevaluatepaCentandstartthediscussion•  PAVs•  LifestyleandHealth

RiskQuesKonnaire(adultandchild)

AddiConalpediatricevaluaContoolsinclude•  BMIpercen3lechart•  ParentalScreenand

FamilyRa3ngScale•  SEEK

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iCentra

•  EvaluaCngpaCent:•  Enterdatathroughapre-structuredPowerForm

•  LWMQuesConnaire:PhysicalAc3vity/Nutri3on/Sleep,MentalHealth,SocialSupport/Weight

•  STOP-BANGsleepapneascreen•  Enterdataintoclinicalnote

•  Useapre-structuredTemplate

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ResourcesforPA,NutriCon,Sleep,StressandSocialSupport,WeightManagement:

•  Toolsforcoachingincrementalbehaviorchange

•  Mo3va3onalInterviewing•  RxtoLiVe•  Intermountain’sBehaviorChangeFramework

•  ToolsforpaCenteducaCon•  ToolsfortrackingandreporCng•  Programsforreferral

•  Die33ancounseling•  WeightoHealthclasses

•  CodingGuide

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Howarewedeliveringourmessage?

“Ifyouwanttofeelbe5er,youjustneedtolosesomeweightbyexercisingmoreandea<ngbe5er.Itwouldalsobegoodforyoutogetmoresleepandmanageyourstress.Let’sseeyoubackinacoupleofmonthsandyoucantellmehowyou’redoingwiththese

changes.”

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ResourcesforPA,NutriCon,Sleep,StressandSocialSupport,WeightManagement:

•  Toolsforcoachingincrementalbehaviorchange

•  Mo3va3onalInterviewing•  Intermountain’sBehaviorChangeFramework

•  ChildRxtoLiVe/MakingaChange•  ToolsforpaCenteducaCon•  ToolsfortrackingandreporCng•  Programsforreferral

•  Die33ancounseling•  WeightoHealthclasses

•  CodingGuide

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ResourcesforPA,NutriCon,Sleep,StressandSocialSupport,WeightManagement:WhereDoWeFindTheseResources?

•  Website:•  intermountain.net/lifestyle•  Withinfirewall,justtype“lifestyle”

•  Orderingfromwww.i-printstore.com:•  Browseorsignin•  ChoosePa3entandProviderEduca3onmaterials

•  Menu—PrimaryCareandPreven3on–Lifestyle

•  Orjustsearchfor“lifestyle”

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LearningModule:GetMoreCredit

•  CompleteonlineCPU(CareProcessUpdate)

•  ViewLWMCPMEduca3onalVideo

•  ReadCareProcessModelandReviewTools

•  Get2hoursCMEcredit

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GegngCredit–WheretoGoforeCME

•  Gotointermountainphysician.org,clickCMEattoplep•  ChooseIntermountainCMEfromdropdown•  ChooseOnlineLearning(eCME)fromlepsidemenu

hTps://intermountainphysician.org/intermountaincme/Pages/ecme.aspx

•  Themodule3tleis“LifestyleandWeightManagementCPM”inthePrimaryCareSec3on

•  2HoursCMEcredit

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Overview•  Setgoals/planforincrementalchangesinhealthbehaviors–smallsuccesses

•  You(andyourfamily)•  Yourstaff(andtheirfamilies)•  Yourpa3ents(andtheirfamilies)

•  UsePAVsandtheLifestyleandWeightManagementQues3onnairetostartyourdiscussion

•  Offerresourcestosupportpa3ent’sefforts•  Tools•  Referrals

•  Learnmore–CMECPUmodule

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uml.edu€¦ · telling kids, "You really should lose weight" and handing out a list of do's and don'ts, ... exercising more; ... For many in the Healthy Weight program, exercise

uml.edu€¦ · telling kids, "You really should lose weight" and handing out a list of do's and don'ts, ... exercising more; ... For many in the Healthy Weight program, exercise

Stop Exercising And Effortlessly Lose Weight By Having Fun

Stop Exercising And Effortlessly Lose Weight By Having Fun

The Ripple Effect What’s Your Part?. When you hold out, you lose out. When you go all in you win, Even when you lose.

The Ripple Effect What’s Your Part?. When you hold out, you lose out. When you go all in you win, Even when you lose.

Can You Lose Your Salvation

Can You Lose Your Salvation

IMPLEMENTASINILAI KEJUJURAN DI SEKOLAH DASAR … · (Theodore Roosevelt) If you lose your wealth, you lose nothing, if you lose your health, you lose ... Pengertian Karakter. 15 2.

IMPLEMENTASINILAI KEJUJURAN DI SEKOLAH DASAR … · (Theodore Roosevelt) If you lose your wealth, you lose nothing, if you lose your health, you lose ... Pengertian Karakter. 15 2.

NICARAGUA Tips For Exercising When You Have Pain - Feelfit...FOR APPOINTMENTS CALL (07) 3357 1803 Physiotherapy Tips For Exercising When You Have Pain Brain Teasers SEPTEMBER 2019

NICARAGUA Tips For Exercising When You Have Pain - Feelfit...FOR APPOINTMENTS CALL (07) 3357 1803 Physiotherapy Tips For Exercising When You Have Pain Brain Teasers SEPTEMBER 2019

Lose weight while you sleep™

Lose weight while you sleep™

Eating Disorders - Iowa Department of Human Services · people with anorexia lose weight by dieting and exercising exces-sively; others lose weight by self-induced vomiting, or misusing

Eating Disorders - Iowa Department of Human Services · people with anorexia lose weight by dieting and exercising exces-sively; others lose weight by self-induced vomiting, or misusing

You Cannot Lose Your Salvation

You Cannot Lose Your Salvation

Can You Lose Your Salvation?

Can You Lose Your Salvation?

TRALI You May Lose, If You Transfuse.

TRALI You May Lose, If You Transfuse.

Exercising Leadership From - Virginia · Exercising Leadership From Where You Are. Governor’s Conference on Children’s Services Transformation. Richmond, Virginia. December 16

Exercising Leadership From - Virginia · Exercising Leadership From Where You Are. Governor’s Conference on Children’s Services Transformation. Richmond, Virginia. December 16

Before you lose it…

Before you lose it…

GI Newsglycemicindex.com/blog/january2007/jan.2007.pdf · To lose weight and keep it off, the bottom line is that you need to remain focused on eating well and exercising regularly.

GI Newsglycemicindex.com/blog/january2007/jan.2007.pdf · To lose weight and keep it off, the bottom line is that you need to remain focused on eating well and exercising regularly.

Why Do You Lose Deals?

Why Do You Lose Deals?

Where do you want to go? Healthy Eating or Exercising.

Where do you want to go? Healthy Eating or Exercising.

Lose weight while you sleep

Lose weight while you sleep

The secure and easy way to manage ... - Amazon Web Services · • Use interactive health and lifestyle tools to help you lose weight, start exercising or quit smoking. • Get e-mail

The secure and easy way to manage ... - Amazon Web Services · • Use interactive health and lifestyle tools to help you lose weight, start exercising or quit smoking. • Get e-mail

You Never Know What You Have Until You Lose It

You Never Know What You Have Until You Lose It

FIT NEWS Newsletter-Dec09.pdfFICTION: If you don’t lose weight, there’s no point in exercising. FACT: It’s not uncommon for people who don’t see immediate weight loss to consider

FIT NEWS Newsletter-Dec09.pdfFICTION: If you don’t lose weight, there’s no point in exercising. FACT: It’s not uncommon for people who don’t see immediate weight loss to consider