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    WEIGHTWATCHERPROGRAM

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    Contents

    Healthy Issue

    Background

    Objectives

    Models overview

    Strategies

    Stakeholders Programs/areas of future development

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    Health IssueMaintaining healthy weight in order to

    prevent overweight and obese in 12-17years old adolescents in The

    Somewhereville Senior High School

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    Background

    High level of overweight and obesityamong Somewhereville Senior HighSchool students

    The school is in industrial area(medium/high SES)

    School Canteen is the only single sourceof food (Assumption) :

    Sells junk food

    Limited options for healthy food choices An increase in bullying

    Sedentary life

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    Background ( cont)

    The curriculum has been through manychanges to incorporate physical activity

    in the school The school already have participated in a

    national program called one size fits all

    No significant changes

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    Target Group : 12-17 years old adolescents in Somewhereville Senior High School

    Program Goal : to reduce by 5 % the proportion of overweight and obese 12-17 years old

    students of Somewhereville Senior High School by the end of April 2013

    Behavioural/Environmental Risk Factors

    Behavioural Risk Factor 1:Consumption of energy

    dense food

    Objective :To reduce by 25% the proportion

    of 12-17 years old students of

    Somewhereville Senior HighSchool who report to consume

    energy dense food by the end ofthe program

    Contributing Factors : Predisposing : Lack ofknowledge about

    healthy food choices

    Sub objective 1

    Enabling : Fast foods/junk

    foods (candies, burgers)are the cheaper option

    to students

    Sub objective 2

    Reinforcing : Peer

    influence in the selectionof food as well as family

    influence

    Sub objective 3

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    Target Group : 12-17 years old adolescents in Somewhereville Senior High School

    Program Goal : to reduce by 5 % the proportion of overweight and obese 12-17 years old

    students of Somewhereville Senior High School by the end of April 2013

    Behavioural/Environmental Risk Factors

    Behavioural Risk Factor 2:Physical inactivity

    Objective :To increase by 30% the

    proportion of 12-17 years old

    students of Somewhereville SeniorHigh School who report to be

    compliant to the NationalPhysical Activity Guidelines for 12-

    18 years old by the end of theprogram

    Contributing Factors : Predisposing : Lack of

    knowledge about

    physical activity amongstudents

    Sub objective 1

    Enabling : Poor

    infrastructure e.g gym

    facilities

    Sub objective 2

    Reinforcing : Easy accessto transportation systems

    Family and peer

    influence

    Sub objective 3

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    Target Group : 12-17 years old adolescents in Somewhereville Senior High School

    Program Goal : to reduce by 5 % the proportion of overweight and obese 12-17 years old students ofSomewhereville Senior High School by the end of April 2013

    Behavioural/Environmental Risk Factors

    Environmental Risk Factor 1 :Lack of availability of healthyfood in the school canteen

    Objective :To increase by 20% the healthy

    food options available in

    Somewhereville Senior HighSchool canteen by the end of the

    program

    Contributing Factors : Predisposing : inadequateknowledge of cooks

    regarding recipes andcorrect proportions ofnutritious food

    Sub objective 1

    Enabling : Higher cost ofhealthy food (fruits andvegetables) which limitsavailability

    Sub objective 2

    Reinforcing : Lack of strong

    school policy regardingaccess to healthy foodLack of influence fromparents, principal, schoolhealth nurse, educationdepartment to students inregards to healthy foodchoices

    Sub objective 3

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    Selected Risk

    Factors/Objectives :Risk Factor 1 : Consumption of energy dense food

    Behavioural :To reduce by 25% the proportion of12-17 years old students of Somewhereville Senior

    High School who report to consume energy densefood by the end of the program

    Risk Factor 2 : Lack of availability of healthy food inthe school canteen

    Environmental :To increase by 20% the healthyfood options available in Somewhereville SeniorHigh School canteen by the end of the program

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    Model used : TranstheoreticalStages

    of ChangeStage Key issues Strategy/Intervention

    Pre-contemplation Lack of knowledgeabout healthyfood and health

    risks associatedwith overweightand obesity

    Education strategy

    Contemplation We assume thestudents are unsureabout whethershould changetheir eatingpattern, peersopinions, and thebenefits of healthy

    eating

    Education strategy Technology

    strategy Small media

    strategy/merchandise

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    Stage Key issues Strategy/Intervention

    Ready for action

    Unavailability ofhealthy foods in

    school canteen

    Advocacy andPolicy Strategy

    Education strategy

    Action Misled by

    unhealthy

    promotion of foods

    in media

    Advocacy and

    Policy Strategy

    Education strategy

    Maintenance Students are not

    sure about the

    benefits/low self-

    efficacy

    Education strategy

    Technology

    strategy

    Small media

    strategy/merchand

    ise

    Relapse Lack of support

    from family,

    principal, school

    health nurse, and

    teachers

    Community

    partnerships

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    StrategiesObjectives Strategy ideas Evaluation

    To reduce by 25% theproportion of 12-17years old students ofSomewhereville SeniorHigh School who

    report to consumeenergy dense food bythe end of theprogram

    Merchandise/smallmedia Flyers, posters,

    badges to bedistributed

    amongst studentsEducational strategy :

    Training, workshopfor students,parents, andschool staff

    Technology strategy :

    Iphone app tocalculate BMI, andquizzes abouthealthy food (fruitsand vegetables)

    FormativeProcessImpactOutcome ?

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    StrategiesObjectives Strategy ideas Evaluation

    To increase by 20% the

    healthy food options

    available in

    Somewhereville Senior

    High School canteen

    by the end of the

    program

    Advocacy strategy :

    Petitions amongst

    parents, Scholl staff

    and students to

    advocate for school

    policy that supports

    availability ofhealthy food

    choices

    Education strategy :

    Educate canteen

    workers about

    healthy recipespreparation

    Food bundling

    awareness among

    canteen workers

    Technology strategy :

    Vending machines

    for healthy snacks

    Formative

    Process

    Impact

    Outcome ?

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    Stakeholders Students

    School staff

    School Board

    Nutritionist & dieticians

    Parents Canteen owner

    School nurse/doctors/physchologist

    School principal

    Department of Health

    Department of Education Public Health Promotion organization

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    Pre-existing Program/ Areas

    for future developmentPre-existing program

    The school already have participated in a

    national program called one size fits all

    No significant changes

    Area of future development :

    Review the existing program and make

    changes where necessary to come up with

    the program that will be suitable for the targetgroup.

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    END

    QUESTIONS?