著名物理学家.pptVIP

TRIM Lifestyle Future Option of Mini-program-3 visits Family can choose what works best for them Improve training for each new resident class More focus on Motivational Interview Methods Community Outreach Any questions? * * * 13/19 Residents= 68% 7 Faculty * Netherlands-dropout rates in lifestyle interventions- more likely in ethnic minority, older children certain family characteristics Lynchburg-amount of time invested, school, too many visits * * TRIM LIFESTYLE PROGRAM Lynchburg Family Medicine Residency Dr Stacey Hinderliter, Dr Jennifer Cunningham, Dr Shital Patel TRIM-Training Residents in Modifying- Lifestyle Childhood obesity project at LFM residency to identify and treat overweight or obese children Children above the 85th percentile for BMI are offered enrollment Partly funded by AAFP AIM HI Objectives Identify overweight and obese children: Measure height and calculate BMI at all office visits not just preventive visits Educate families about 5-3-2-1-0 Healthy Lifestyle Visit Powerpoint and Healthy Lifestyle notebook Educate residents about obesity prevention and treatment Resident involvement in program development Resident training and evaluation 6 monthly office visits with the patient’s primary care physician Primary care physician provides intensive individual family education and counseling Each visit was created by resident/faculty teams Residents trained and tested as each visit was developed Each visit incorporates one step of the 5-3-2-1-0 Healthy Lifestyle Families were encouraged to keep track of the changes they made in Healthy Lifestyle notebook Incentives were provided at each office visit to encourage patients to complete the program 5-3-2-1-0 Healthy Lifestyle ? 5 servings of fruits and vegetables daily ? 3 healthy meals a day: home-cooking ? 2 hours or less of screen time: TV, computer, video games ? 1 hour physical activity: sweat ? 0 or almost 0 drinks containing sugar : 5-3-2-1-almost none healthy lifestyle Visit 1