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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?