Creative Life Course & Life Planning Promotion Activities Anne DeCaire BSN, RN Preconception Nurse Educator 4/9/14
Before we get creative Lets review the basics
Statistics of Importance Delaware Infant Mortality Rate- 8.1 per 1,000 vs U.S. 6.0 per 1,000 Inequity Statistics: African Americans have 2.3 times the infant mortality rate as non-hispanic whites 50% Pregnancies Unplanned CDC (Centers for Disease Control) Recommends both women and men have a Reproductive Life Plan (RLP)
Why Focus on Infant Mortality? Widely used as a measure of population health and the quality of health care, infant mortality is defined as the death of an infant before their first birthday. Infant mortality represents a long-standing concern of public health. The The infant mortality rate is not only seen as a measure of the risk of infant death but it is used more broadly as a crude indicator of: Community health status Poverty and socioeconomic status levels in a community Availability and quality of health services and medical technology www.amchp.org
Life Course Life Course looks at health as an integrated continuum and suggests that a complex interplay of biological, behavioral, psychological, social, and environmental factors contribute to health outcomes across the course of a person's life. It builds on recent social science and public health literature that posits that each life stage influences the next and that social, economic, and physical environments interacting across the life course have a profound impact on individual and community health. http://mchb.hrsa.gov/lifecourse/index.html
What is the Life Course Perspective? A complex interplay of biological, behavioral, psychological, and social protective and risk factors contributes to health outcomes across the span of a person s life. www.amchp.org
Risk Factors Protective Factors www.amchp.org Graphic Concept Adapted from Neal Halfon, UCLA
Life Planning Thinking about your goals for having or not having children and how to achieve those goals is called a reproductive life plan. There are many kinds of reproductive life plans. Your plan will depend on your personal goals and dreams. http://www.cdc.gov/preconception/reproductiveplan.html
Life Planning Preconception Health Delaware Reproductive Life Plans s (RLP) Teen My Life My Plan Woman Set Your Mind. Set Your Goals Man Up Plan Up Resources for Clinicians and free CMEs on Preconception Health CDC Resources Show Your Love Campaign and more Before Between & Beyond Pregnancy - UNC
Every Encounter We need to be sure to incorporate our messaging of Life Planning and Life Course Theory into every client encounter we have. Medical Provider Churches Individuals Community Employers
7 Creative Ways to Teach Life Planning and Life Course Language Imagery Fun Fitness Food Connecting Generations Get Social
Language Using language that resonates with the audience Power of words to speak to the client positively
Creative Uses of Language Teen Life Chat Worksheet Draw your body outline and write words you within the body that describe Online DE Woman RLP quiz Goal setting
Creative Uses of Language Affirmations Song writing Poetry
Affirmations terminology refers primarily to the practice of positive thinking and self-empowerment fostering a belief that "a positive mental attitude supported by affirmations will achieve success in anything." More specifically, an affirmation is a carefully formatted statement that should be repeated to one's self and written down frequently. For an affirmation to be effective, it needs to be present tense, positive, personal and specific. wikipedia
Sample Affirmations Perinatal- My baby is loved I am strong and powerful I am centered and grounded I share the wisdom of the mothers who have come before me I welcome change Dancingforbirth.com
Imagery Delaware RLP Images striving to appeal to all ex. RLP Women Qualities strength, power, health, universal Industry Images what images of health are we looking to promote? Drawing, Collages, Web image clips, Pinterest what resonates with the client you are working with?
FUN! Teens and Adults learn when the messaging is incorporated into activity Active participation has IMPACT
PPE Game Private Questions Preconception Peer Educators utilized this game in a service trip to the Bahamas 2013 General idea of the game is to allow participants to anonymously ask questions and have a group discussion moderated by the PPE or facilitator. This gets good conversations going on topics people are normally afraid to talk about Ex. 1: Sexual Health Questions with any age/gender group Ex. 2: Gender Game with Young Men & Women asking questions of each other PPE Bahama Example with teenage boys/girls asking relationship type questions Ex. 3: Mothers / Daughters or Fathers / Sons to allow conversations on sexual health, relationships, drinking & other risky behaviors
The Life Course Game 2012 DHMIC Summit featured the Life Course Board Game. - Life Course board game (6) loanable through State of DE Department of Public Health In the Life Course Game, participants are led through an interactive experience, designed to illustrate key concepts of the life course framework. Specifically, participants receive birth certificates at the start of the game that identify socially- and biologically-based historical factors that help determine their course in life. As they work their way through the game board, each person's roll of the dice identifies risk factors and protective factors that either push down or lift up their overall health trajectory and life course. The game concludes with each player rolling the dice a final time to determine their end-of-life outcomes (retirement projections, years-of-life remaining, etc.) The Life Course Game was created and developed by CityMatCH
Life Sized Teen Life Course Game Life Sized Life Course Game is a combination of the 2 resources below Every Woman Southeast South Dakota 2012 Life Sized Life Course Teen Life Course Board credited to California DPH
Department of Public Health of California Teen Life Course Game Modified by Delaware to create a Life Sized Version
The Delaware Life Sized Teen Life Course Game Game created using the California DPH game and modified to fit this life-sized board. Recommended tool for Preconception Peer Educators to use in the community
Fitness Make them move while sending across the message Zumba at the PPE Statewide Training Prenatal/Postnatal Mom Baby throughout the state Dance your heart out event CCHS example Every encounter...every fitness class could include one health tip Encouraging healthy eating, healthy behaviors, healthy relationships, goal setting, folic acid, stress management, plans to prevent unwanted pregnancies etc.
Food! Eating and celebrating with food sets a tone for building community and a positive experience We All Like Food! Social tone and attracts participants Examples: Christiana Care Chat & Chew (Venus Jones Health Ambassador) Featuring the Fact Myth RLP game/cards NICU Family Support Program (March of Dimes, Kelly Cover)
Connecting Generations Two examples: Genetics - Family Tree Turn any topic or page in the State of DE RLP s into an activity to make the information personal to the client Educating Generations Together Teen Life Chat Project Alpha
Diabetes Healthy Birth Defect PGF-Lung Disease Eclampsia Depression Miscarriages Premature PGM-Obesity MGF-Stroke MGM-Stillborn baby Diabetes Health problems can come from parents or other relatives. If you know the health backgrounds of your family, you re a step ahead in understanding problems that could affect you, your future and any children you may have. Dad - Heart Attack Mom - Diabetes YOU Page 10 of DE Woman RLP
Connecting Generations Teen Life Chat DHMIC developed with/for Girls Incorporated of DE Teens with Mothers/Guardians Role Modeling If Mom has a life plan, daughter will also Perspective Putting the struggles of Mom into the equation thus making Life Course theory come into view for the young women/daughter March of Dimes/Project Alpha - Man Up (Casper & Noyes Fall 2013) Story telling and hitting all generations in the room ex. Men without father figure - teacher, professor, minister mentored them
Get Social & Get Into Social Media Group Instruction and Events build community and energy around the topic Social Media allows us to engage without barriers of geography or time Facebook Groups Statewide Preconception Peer Educator Training Twitter DE Thrives Pinterest Create a board related to your topic or interests of your group Health Blogs DE Thrives YouTube Wisconsin/American Public Health Association Healthiest Generation in One Nation
Statewide PPE Training Getting Social
Tweet something you have learned today
Facebook Group NEW State of DE PPE s Private Facebook Group Page!
Pinterest Preconception Pinterest Board Sample
DHMIC Blog
Don t Reinvent - Incorporate To incorporate Delaware Life Planning and Life Course Theory into existing curriculum Question to presentation attendees: What programming are you involved in that could incorporate the messages of DHMIC Life Course and Life Planning?
What is the assignment? 1. Sign up for the PCHHC Newsletter email: pchhcnews@gmail.com with subscribe as your subject line 2. Join DE THRIVES on Facebook and Twitter Like the DE THRIVES Facebook page & follow and retweet messages from the DE THRIVES Twitter feed to engage our community the work of the DHMIC
Anne DeCaire BSN, RN Preconception Nurse Educator DHMIC / March of Dimes adecaire@marchofdimes.com Send me your creative ideas!