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Developing a Self-Management System for Adolescent Healthy Lifestyles. West Virginia School Health Technical Assistance Center. - PowerPoint PPT Presentation
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Developing a Self-Management System
for Adolescent Healthy Lifestyles
West Virginia School Health Technical Assistance CenterThe place to go for resources, technical
assistance and training related to school-based health centers, school-based behavioral health programs and school-based oral health programs in West Virginia.
Has been assisting school-based health programs since West Virginia’s initiative began in 1994.
History of MU’s Work on Adolescent Self-ManagementLiterature search on chronic disease self
management principles applied to adolescentsSocial marketing tool: Nemours Foundation 5-2-1-0
message5 servings of fruits and vegetables a day, 2
hours or less of screen time, 1 hour of physical activity and none, or almost none, of sugary drinks
Created our own tool to facilitate adoption of healthy behaviors
Paper tool Touch screen
Outcomes ExamplesThe percent of enrolled students who
reduce their BMI from above the 85th percentile to less than 85th percentile.
The percent of enrolled students who increase their daily intake of fruits and vegetables.
The percent of enrolled students who increase their physical activity time.
Obesity Treatment GuidelinesThe AMA, HRSA and CDC convened an
Expert Committee and produced:“Appendix: Expert Committee
Recommendations on the Assessment, Prevention, and Treatment of Child and Adolescent Overweight and Obesity”
Released on June 6, 2007 http://www.ama-assn.org/ama1/pub/upload/mm
/433/ped_obesity_recs.pdf
Treatment RecommendationsStep 1 - Assessment & Prevention through SBHCs Action Step Expert Recommendations Proposed Activity Assess all children yearly for obesity
Accurately measure height and weight Calculate BMI Plot BMI on BMI growth chart Measure blood pressure
Coordinate BMI screening Measure height and weight Calculate BMI Screen for Acanthosis Nigricans Measure blood pressure and diagnose
hypertension- NHLBI recommendations Make a weight category diagnosis using BMI percentile
<5% = Underweight 5-84% = Healthy Weight 85-94% = Overweight 95-98% = Obese
Plot BMI on BMI growth chart Make a weight category diagnosis
category using BMI percentile
Take a focused family history
Obesity Type 2 diabetes Cardiovascular disease (hypertension,
cholesterol) Early deaths from heart disease
Family health history: cholesterol, asthma, smoking, diabetes, overweight, myocardial infarction, bypass, angioplasty, catheterization or death from heart disease
Clinical Management Progression
Weekly Week 1: Screen for obesity Baseline ASM questionnaire Conduct laboratory tests as indicated Week 2: Visit, ASM check in
Week 3: Visit, ASM check in
Week 4: Visit ASM check in
Month 2 Visit, ASM check in
Month 3 Visit, ASM check in
Month 4 Visit, ASM check in
End of year Student wrap up Final ASM questionnaire Conduct laboratory tests as indicated
http://wdn.ipublishcentral.net/www_aap_org/viewinside/6974624460157
Adolescent Self Management Software
Three (3) surveys which include:
Healthy Lifestyles – Based on 5210 clinical guidelines.
CRAFFT – Screening for substance abuse. http://www.ceasar-boston.org/clinicians/crafft.php
Risk Assessment - similar to GAPS, but modified for use in WV SBHCs.
Positive Behavioral Support Techniques
Risk AssessmentBased on the Guidelines for Adolescent
Prevention Services Survey, but modified for use in WV School-Based Health Centers.
Can be modified for use with Middle School-aged students.
Includes questions pertaining to Oral Health Allows students to set goals Safety for improvement. Self-HarmGoal SettingSexual Activity
Tools/Resourceshttp://livewell.marshall.edu/asm/ASM Software User instructions Provider instructions SBHC Obesity Tx Recommendation
Summary 5210 Pediatric Obesity Clinical Decision
Support Chart (suggested purchase)http://
wdn.ipublishcentral.net/www_aap_org/viewinside/6974624460157
Marshall University Contact Information for
Self-Management Tools
Richard Crespo, PhD, Professor
Robert C. Byrd Center for Rural Health
Marshall University School of Medicine
Phone: 304-691-1193 Email: [email protected]
Mary Grandon, PA-CPhone and Fax: 304-206-7362Email: [email protected]
Stephanie MontgomeryPhone: (304) 634-1008Email:
ASM Software Developed by:CodeBusters, LLC
