Patient Navigator Certificate Course November-March, Healthy Weight Competencies

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1 Developed by the Outreach Worker Training Institute (OWTI) of Central Massachusetts Area Health Education Center, Inc. Outreach Worker Training Institute (OWTI) Patient Navigator Certificate Course November-March, Healthy Weight Competencies

2 Basics of Healthy Weight & Energy Balance: Evidence-Based Tools for Behavior Change Class Objectives 1. Identify 3 basic concepts of energy balance and ways it impacts weight 2. Describe 3 major aspects of a role of a PN/CHW in assisting patients with weight loss 3. Create a list of 3 fundamental evidence-based tools for weight loss and present them to a class mate Class Outline 1. Welcome, Introductions, Class Overview, Ice Breaker, and Goals 2. Prevalence of Overweight and Obesity in the U.S.; Disparities in Overweight and Obesity 3. Concept of Energy Balance and the Role of Healthy Diet & Physical Activity 4. The Stigma of Overweight and Obesity 5. Structured Networking and Break 6. Patient Navigators Roles 7. Evidence-based Tools 8. Questions and Answers 9. Evaluation

3 Ice Breaker Name Where you work or go to school Your favorite physical activity and Why you like it

4 Expectations What are you hoping to take away from this training? i

5 Defining Healthy Weight Healthy weight for a given height Likelihood of health problems

6 Obesity and Health Problems Premature death Heart disease Diabetes Some Cancers Breathing problems Depression Arthritis Reproductive Complications

7 Body Mass Index (BMI) Screening tool for overweight and obesity BMI (adults) : overweight BMI (adults) 30 or higher: obese

8 BMI Calculator dult_bmi/english_bmi_calculator/bmi_calculator. html

9 Prevalence* of Overweight and Obesity All Adults Overweight 36% Obese 27% Non-Hispanic Blacks Overweight 33% Obese 39% Hispanics Overweight 37% Obese 29% Non-Hispanic i Whites Overweight 36% Obese 26% BRFSS 2009 * Frequency, levels, commonness

10 Changes in Obesity Rates Over 20 yrs (*BMI 30, or about 30 lbs. overweight for 5 4 person) Source: Behavioral Risk Factor Surveillance Survey, CDC No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

11 Prevalence* of Overweight and Obesity Large Group Activity Why are more and more people becoming overweight and obese? Why are there weight related differences between races and ethnicities? * Frequency, levels, commonness

12 Case Study Latino Culture and Health in Worcester Creation of the (Peso Sano Ahora) PASA Coalition Latino/ Hispanics in Worcester and their connection to culture.

13 Energy Balance What is Energy? Where is it coming from? How is it used? What is Energy Balance? Same energy IN and OUT over time =? More energy IN than OUT over time =? More energy OUT than IN over time =?

14 Stigma of Overweight and Obesity Structured Networking Write down your answers: Why are some people who are overweight and obese stigmatized and stereotyped? Are there differences in how some racial and ethnic groups view overweight and obesity? How can PNs help decrease the stigma? Compare your list with as many other participants as you can in the next five minutes

15 Basics of Healthy Weight & Energy Balance Break 10 Minutes

16 Patient Navigator Roles Group Discussion Decreasing Stigma/Networking Results What was your role? Other Roles?

17 Evidence-Based Tools 1. Decreasing Calories Portion Control, Food Diary, Avoid eating while engaging in other activities net/portion 2. Increasing Activity Pedometer, Decreasing Screen Time 3. Surgery or a combination of these techniques

18 Questions and Answers We welcome your questions! We thank you for your answers!

19 Basics of Healthy Weight & Energy Balance: Evidence-Based Tools for Behavior Change Class Objectives 1. Identify 3 basic concepts of energy balance and ways it impacts weight 2. Describe 3 major aspects of a role of a PN/CHW in assisting patients with weight loss 3. Create a list of 3 fundamental evidence-based tools for weight loss and present them to a class mate Class Outline 1. Welcome, Introductions, Class Overview, Ice Breaker, and Goals 2. Prevalence of Overweight and Obesity in the U.S.; Disparities in Overweight and Obesity 3. Concept of Energy Balance and the Role of Healthy Diet & Physical Activity 4. The Stigma of Overweight and Obesity 5. Structured Networking and Break 6. Patient Navigators Roles 7. Evidence-based Tools 8. Questions and Answers 9. Evaluation

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