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Effective Communication with Families: Childhood Obesity

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Practitioners address childhood obesity. Communication is key. Communication Techniques ... Addressing childhood obesity... Key for prevention/treatment ... – PowerPoint PPT presentation

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Title: Effective Communication with Families: Childhood Obesity


1
Effective Communication with Families Childhood
Obesity
2
Changes in Child Health
  • Strides in child health
  • Immunizations
  • Poverty, nutrition
  • Injury prevention, seatbelts
  • Oral health
  • Tobacco prevention

3
At least, up til now
  • ? in youth overweight
  • Threatens health of a generation
  • Because of this epidemic
  • Youth may be 1st generation
  • To not live as long as
    their parents generation!

4
Obesity in the U.S.
  • Rise in Obesity Rates
  • 75 in 10 years
  • nearly 100 in 20 years!
  • In children
  • Overweight has doubled
  • In teens
  • Overweight has tripled
  • In adults
  • two-thirds are overweight or obese

5
Obesity in Michigan
  • Adults
  • 61 overweight or obese
  • High School Students
  • 24 overweight or at risk
  • Low Income Children
  • 2-5 years old
  • 29 overweight or at risk

6
Solutions
  • Educate, Motivate, Act!
  • Take responsibility
  • Practitioners address childhood obesity
  • Communication is key

7
Communication Techniques
  • Lifestyle Advice
  • Well Child or Urgent Visit
  • lt 1 minute
  • Children currently not at risk for overweight

8
Lifestyle Advice
  • To stay healthy and energized
  • 5 servings of fruits/vegetables
  • Limit TV time
  • lt2 hours/day
  • 1 hour of physical activity
  • Avoid sugary beverages

9
Communication Techniques
  • Brief Focused Advice
  • Well Child Visit
  • lt 3 minutes
  • Children who are overweight/at risk

10
Brief Focused Advice
  • Engage the patient/parent
  • Share information
  • Make a key advise statement
  • Arrange for follow up

11
Communication Techniques
  • Brief Negotiation Cognitive
    Behavior Skills
  • Follow Up Visit or Weight Management Intervention
  • 10 minutes
  • Single or multiple sessions
  • Children who are overweight/at risk

12
Negotiation and Cognitive Skills
  • Open the Encounter
  • Negotiate the Agenda
  • Assess Readiness
  • Explore Ambivalence
  • Tailor the Intervention
  • Close the Encounter

13
ABCs of Counseling and Motivating
  • Ask Open-Ended Questions
  • How, What, Describe, etc
  • Assess what the patient knows
  • How concerned are you?
  • What practices to change?

14
ABCs of Counseling and Motivating
  • Body Language
  • Put patient at ease
  • Use eye contact without barriers
  • Convey respect
  • Counsel in a private setting

15
ABCs of Counseling and Motivating
  • Care and Empathy
  • Do not criticize
  • Acknowledge patients feelings
  • Answer questions without judgment
  • Use nonjudgmental language

16
Overweight Sensitivity Do no Harm
  • INSTEAD OF.
  • Obesity
  • Ideal Weight
  • Personal Improvement
  • Focus on Weight
  • Diets or Bad Foods
  • Exercise
  • USE
  • Overweight
  • Healthier Weight
  • Family Improvement
  • Focus on Lifestyle
  • Healthier Food Choices
  • Physical Activity

17
Who Do You Communicate With?
  • 2-5 Years Old
  • Communicate with parent
  • Child in room

18
Who Do You Communicate With?
  • 6-12 Years Old
  • Communicate with parent or both
  • The 1st encounter
  • Take parent to office to discuss in private

19
Who Do You Communicate With?
  • Over 12 Years Old
  • Communicate with teen or both
  • The 1st encounter
  • Have parent leave exam room first

20
Brief Negotiation Skills
  • Effective for
  • Contemplative/ambivalent patients
  • Ask open ended questions
  • Listen
  • Summarize
  • Empathetic, accepting, collaborative

21
Cognitive Behavior Skills
  • Effective for
  • Patients ready/willing to change
  • Develop awareness of
  • Eating habits
  • Activity
  • Parenting behavior
  • Identify problem behaviors

22
Cognitive Behavior Skills
  • Problem solve
  • Modify problem behaviors
  • Set weekly goals
  • Use positive rewards
  • Keep records
  • Weight checks

23
Stages of Behavior Change
24
Precontemplation
  • Get off my back
  • Others may confront your need for change
  • Feel angry and helpless
  • Constructive ways to encourage change

25
Contemplation
  • I want to stop feeling so stuck
  • You want to change
  • Not ready yet
  • Counter anxiety with excitement and knowledge

26
Preparation
  • Ill start tomorrow
  • Know change is best
  • Not sure how to begin
  • Develop a plan of action

27
Action
  • Here I go
  • Life is exhilarating, sometimes terrifying
  • So is change
  • Learn methods and get support

28
Maintenance
  • Keep moving forward
  • Reaping benefits of change
  • Know relapse is common
  • Create plan for dealing with slips and achieving
    long-term success

29
Termination
  • Home free
  • Maintaining change is effortless
  • No temptations, total confidence
  • May not totally eliminate temptation
  • Many people dont
  • Still achieve lasting change

30
Take Home Messages
  • Addressing childhood obesity...
  • Key for prevention/treatment
  • Communicate appropriately with families
  • Utilize important counseling techniques
  • Lifestyle advice
  • Brief focused advice
  • Brief negotiation and cognitive behavior skills
  • Understand stages of change...
  • Determines intervention strategies
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