A culture of health choices.jan 2012Presentation Transcript
A Culture of Healthy ChoicesMiriam (Mim) Gaines, MACT, RD, LDNutrition and Physical Activity Division
A Culture of Healthy ChoicesObjectives• Give a definition of wellness• List venues to reach the public• Name solutions to barriers in wellness policy, environmental and systems changes.
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.
Overview of Adult Sickness• Obesity • Mississippi #1 • Alabama #2• Hypertension• Diabetes• High Cholesterol• Cancer• Etc.
A Healthy CultureWellness Prevention in a Treatment Medical Country
Healthy Culture Wellness 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.
Six Dimensional Wellness Model Helps Determine Approaches
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
Wellness Model:Social DimensionEncourages: 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
Social Dimension Recycle plastics Brewton Lowndesboro Bureau retreat After school sites Employee wellness program: selected areas to improve
OccupationalDimension Encourages: Personal satisfaction and enrichment through work Contributing unique gifts, skills, and talents to work for personal fulfillment ADPH:
Intellectual DimensionEncourages: Stretching and challenging minds Identifying potential problems and appropriate solutions instead of waiting, worrying NPA:
Emotional Dimension Encourages: ◦ Recognizing, being aware of, and accepting feelings while acting responsibly ◦ Being optimistic in life yet realistic ◦ Coping effectively with stress ◦ ADPH
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
PhysicalDimension• 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 bodys warning signs
Proven Areas to Address Health Increase fruit and vegetable consumption Decrease sedentary activity Increase physical activity Breastfeeding
Physical Dimension Fun
Staff Gatherings Combine Several Components Fun staff meetings help when raises are no where in site.
Combining Components . Statewide Promotes lifestyle change Rewards weight-loss Starts in January 10-week contest Adults Operated at local level through employers, hospitals, health departments, etc.
SUPPORT TO MAKECHANGES COMES FROM The Environment, System, and Policies
Socio-Ecological Model Looking Beyond the IndividualWhat Factors That Influence Your Wellness?There is an interwoven relationship between the individual and their environment.
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
Example of Policy toChange Culture at Work: Meeting Guidelines
ADPH Meeting GuidelinesServe• 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
Serve foods • Baked • Broiled • Grilled • Steamed • Poached• Limit serving size of high fat, high sugar, low fiber items
ADPH Meeting Guidelines:Physical Activity in Meetings• Choose walkable• Stretch breaks during meeting• Overnight facilities offer areas or passes to local gyms
Meeting Guidelines Cont. A smoke-free environment Go paperless when possible Opt for pitchers of water instead of bottles Opt for re-usable plates, cups, and flatware rather than paper or plastic. Choose environmentally friendly facilities
Leadership Skills Required for Culture ChangesLeadership skills as compared to hosting a party1. Make sure guest have what they need… Provide tools, equipment, and support as needed2. Visit with everyone… Check on employees, network with partners3. Be sure everyone feels included and welcomed Team work and recognizing talents
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
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.
Leadership Skills Used in Vending Project Tools- Reports provided to partners Visit- 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 lines Feel Safe- Asked for vendor’s input, NPA staff reports
Leadership Lessons Learned Tools- Reports are not read or retained Visit- 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 unrepresented Feel Safe- NPA felt discourage
Leadership in Projects May Be Crisis Style Leadership Vendors not paid timely Private vendor for expansion requires close follow up Negotiations changes ◦ 50% versus 30%
Expanding to Private and to Counties
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
Why Continue? Train up the future generation that healthy eating is normal
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. ?
Think Wellness“We are all faced with a series of great opportunities brilliantly disguised as impossible situations.” Charles R. Swindoll