UH OptiWeightTM Teen Program Overview All information and tools provided as part of the OptiWeight Teen Program are for educational and informational purposes only and are not intended or implied to be a substitute for medical or professional advice. The information provided should not be used to diagnose or treat any illness, metabolic disorder, disease, or health problem. Always consult your physician or a health care provider before beginning any nutrition or exercise program or with any questions you may have regarding a medical condition. 1 Table of Contents Program Introduction.................................................................................................................. 3 Program Registration & Payment ............................................................................................... 4 Program Content & Supporting Components .............................................................................. 4 Weekly Program Topic Schedule................................................................................................ 6 Program Evaluations .................................................................................................................. 7 Parent Participation in UH OptiWeight Teen .............................................................................. 8 UH OptiWeight Teen Program Enrollment ................................................................................. 9 Program Termination and Withdrawal ...................................................................................... 10 Parent Checklist........................................................................................................................ 11 Teen Checklist ......................................................................................................................... 11 Contact Information.................................................................................................................. 12 2 Program Introduction UH OptiWeight Teen was created to meet the needs of our employees’ children based on the success of our UH OptiWeight program for employees. Over the past 30 years, the country has seen a significant rise in the incidence of childhood and adolescent obesity; obesity in adolescents has tripled. Obese adolescents are at risk for developing health conditions that can travel with them into adulthood. Adolescence is also a great time for teenagers to develop, build upon, and strengthen healthy habits that can be taken with them into adulthood. Changing behaviors while young helps solidify a healthier future. UH OptiWeight Teen is intended to help the teenage children of UH employees achieve a healthy body weight and decrease their risk of developing co-morbidities associated with their excess weight. Education regarding healthier nutrition habits, increased physical activity, and behavioral changes around eating and activity are core concepts of this program. UH OptiWeight Teen is a twelve week virtual healthy lifestyle program, currently available to the 13-17 year old children of University Hospitals’ employees. The goal of the program is to help teens achieve a healthier lifestyle through education and support of healthy nutrition, behavior, and physical activity choices. This virtual program will consist of an online community, via Google+, where content will be delivered through UH OptiWeight Teen videos, informational resources and links, dialogue and feedback through the online community, and one-on-one support via email and web chats. Each participant will set their own goals and a UH dietitian or exercise physiologist will serve as their coach throughout the program to assist them in meeting their goals for improved wellness. Any adolescent who meets the age criteria and is a legal dependent of a UH employee is eligible to enroll in the program. UH OptiWeight Teen provides educational resources and support to teenagers who want to optimize their weight and/or improve their lifestyle through healthy nutrition, healthy behaviors, and increased physical activity. Studies have shown that the following lifestyle changes are particularly pertinent to teenagers: Decreasing fast food intake Decreasing sugar-sweetened beverages Increasing fruit and vegetable consumption Eating breakfast Increasing activity with a goal of 60 minutes of moderate to vigorous exercise daily Decreasing time watching television or playing video games 3 Program Registration & Payment All program participants and their parent or legal guardian must complete the program consent form and registration form prior to beginning the program. In addition, all participants must complete the EAT-26 Assessment. (Please see the Program Evaluations section of this document for an overview of the EAT-26 Assessment.) Registration is not complete until UHACO receives the signed consent form, completed program registration form, EAT-26 Assessment, and program payment fee. These items can be sent to University Hospitals Accountable Care Organization (“UHACO”) at the mailing, email, and/or facsimile addresses listed in the Contact Information Section. Payment Fee: $50 paid to University Hospitals Accountable Care Organization by check or money order prior to the program start. Program Content & Supporting Components Community: A community within Google+ will be used for UH OptiWeight Teen, a program of the UHACO, to encourage communication, support, and motivation amongst participants as they embark on a healthier lifestyle. The Google+ community will be used to host weekly videos, facilitate one-on-one interactions with coaches, engage in message board discussions initiated by UH OptiWeight Teen coaches, and distribute helpful resources. ALL INFORMATION POSTED ON GOOGLE+ MAY BE MADE PUBLIC AND/OR RE-PUBLISHED WITHOUT PERMISSION. GOOGLE+ IS NOT PRIVATE OR SECURE. You are more than welcome to communicate amongst your peers in the Google+ community. In fact, we encourage it! You can learn a lot from interactions with your peers. Always remember to treat each other with respect. Any violations of the enclosed Community Guidelines and Website Terms and Conditions may result in termination from the UH OptiWeight Teen program without warning and at the discretion of UHACO. Weekly Videos: UH OptiWeight Teen has produced 3-5 minute videos that will address the theme of each week of the program. Each week one exercise and one nutrition video will be shared via the Google+ community. Every other week a behavioral modification video will be shared. Each participant is asked to post a comment on the designated message board after watching the video in response to a question posed at the end of the video by the program coaches. These answers will facilitate our Weekly Discussion Topics in these areas: Be Fit: physical activity video 4 Be Healthy: nutrition video Be You: behavioral video (every other week) Hangout: Every other week a one-on-one video chat (a “Hangout”) in Google+ between coach and participant will be scheduled for the coach and participant to discuss progress. Self-evaluations (described later in these materials) will be discussed in the Hangout. The Hangout sessions will occur every other week. At the initial meeting with the coach, participant will provide 3 days and times that he or she is available for Hangouts throughout the 12 week class. Together, the coach and participant will determine the date and time for the Hangout sessions. Participants are expected to participate in 6 Hangouts throughout the UH OptiWeight Teen program. Web-based Links, Tools, Articles, and Recipes: Web sites, online tools, smart phone applications, recipes, and motivating resources will be posted to the Google+ community all week long to reinforce that week’s healthy topics. UH OptiWeight Blog for further education and support from the UHACO dietitians. Fitbit Zip: An accelerometer will be given to each participant at the start of the program to encourage and track movement throughout the 12 weeks. After receiving the Fitbit Zip, please follow these steps: Step One: Set-up the Fitbit Zip with home computer using the instructions at http://www.fitbit.com/start. The Fitbit can also be synced with some mobile devices. Please see http://www.fitbit.com/iphone (iPhone) or http://www.fitbit.com/android (Android) for additional support on syncing these devices. Step Two: Wear Fitbit daily. Refer to the FitBit instructions as to the most accurate place to wear the Fitbit for best results: https://help.fitbit.com/customer/portal/articles/742613wearing-your-fitbit-zip-tracker. Step Three: Once all participants have joined Google+, instructions for adding the coaches as friends on Fitbit will be provided. This will allow us to post a ‘Leaderboard’ each week of the highest activity participants. 5 Weekly Program Topic Schedule Week 1 2 3 4 Weekly Topics Be Fit. Increasing daily activity Be Healthy. Making healthy food choices Target heart rate Rate of perceived exertion (RPE) Moderate vs. Vigorous exercise Barriers to exercise Portion Distortion Healthy Snacking Essential components to a workout Meal patterns 6 Principles of exercise Eating out & fast food choices 7 Exercise myths Nutrition myths 8 Recommendations for strength & cardio exercises Fitness related card and board games Reading nutrition labels 10 Resistance band workouts Healthy at home cooking 11 What to do when you go to the gym How to workout at home Getting enough calcium 12 Hangout Session Motivation and Rewards Better beverage choices 5 9 Be You. Goal setting Increasing fruit and vegetable intake Grocery store tour Hangout Session Schedule Hangout Session Sleep Hangout Session Emotional eating Hangout Session Teasing and bullying Hangout Session Focus on fit: body image Hangout Session 6 Program Evaluations A series of evaluation tools will be used throughout the UH OptiWeight Teen program to determine the appropriateness of participation and to monitor progress throughout the program. EAT-26 Assessment: After deciding to participate in the UH OptiWeight Teen program and the consent is signed and returned, the participant will need to complete the EAT-26 assessment. This screening is used to determine appropriate entry into the program. Please send the completed EAT-26 form to UHACO at the mailing, facsimile, or email address listed in the Contact Information Section. After evaluation of the EAT-26 assessment, the participant may be enrolled into UH OptiWeight Teen. If the EAT-26 assessment indicates that there are clinical issues that need to be addressed, the participant will be referred to Dr. Naveen Uli, director of Healthy Kids, Healthy Weight program rather than enrolling in UH OptiWeight Teen. More information about Rainbow’s Healthy Kids, Healthy Weight program is available at (216) 844-1966. Pre-program Evaluations: Initial Evaluation: This self-evaluation includes general information such as height, weight, waist circumference, hobbies, activities, goals, and push-up and partial curl-up tests. 3 Day Nutrition & Activity Log: Each participant will be asked to keep a three day nutrition and activity log on a provided template. Please record one weekend day and two week days. This will be analyzed to assess current nutrition and activity status to better assist coaches in guiding teens to their goals. Weekly Self-Evaluation: Each participant should complete a weekly self-evaluation on their progress and email to their coach every Monday by 8pm. Weekly Weigh-in on Mondays. Participants should take a picture of the scale and their weight with their camera or smart phone and email this with their self-evaluation. If a participant’s BMI falls below the 85th percentile, weight will not be tracked throughout the program and their goals for the program will not include weight loss goals. This will be discussed on an individual basis between coach and participant before the first self-evaluation occurs. Final Evaluation: Each participant will complete these evaluations during the final week of the program: Final Evaluation: This evaluation will measure change in height, weight, waist circumference, hobbies, activities, goals, and push-up and partial curl-up tests from the Initial Evaluation. 3 Day Nutrition & Activity Log: Each participant will be asked to keep a three day nutrition and activity log on a provided template. Please record one weekend day and two week days. This will be analyzed to assess and compare pre-program and post-program nutrition and activity behaviors. 7 Post-Survey: An online survey link will be sent to each participant via email for completion with the goal of gathering more subjective data on the program. Parent Participation in UH OptiWeight Teen We encourage parents to participate in the program as well. This includes: Pre-Program Assessment: Prior to beginning the program, you will need to ensure that your teenager completes the EAT-26 Assessment and returns it to the UHACO at the mailing, facsimile, or email address listed in the Contact Information Section. Meet a UH OptiWeight Teen Coach: Meet with the coach to receive your teenager’s accelerometer, provide payment, and discuss expectations for the program. Parents of UH OptiWeight Teen Community: Through the Google+ Parents’ community we have provided resources to support your teenager in healthy lifestyle changes. This includes information about purchasing healthier foods, involving your teenager in cooking/shopping/food decisions, encouraging physical activity, monitoring behavior, and overall supporting a healthier lifestyle. After enrollment, please create a Google+ account. Directions are available at: https://accounts.google.com/SignUp To access the community ‘Parents of UH OptiWeight Teen’ send an email to [email protected] including the email address associated with your Google+ account (this email will end in “@gmail.com”). An invitation to join ‘Parent of UH OptiWeight Teen’ will be sent to you via email and via your Google+ newsfeed. Accept this invitation and you are a member. Please review A Parent’s Guide to Google+ http://www.connectsafely.org/pdfs/plusparents.pdf Weekly Weigh In: Please assist your teenager with their weekly weigh-in and verify the validity of the weight they provide. Your teenager will be required to provide a picture of his or her feet on the scale validating the weight reported. If neither you nor your teenager has a smart phone or digital camera, contact the coach and separate arrangements will be made. 8 Please communicate openly any issues, concerns, or problems that may arise during the program with your teenager’s coach. You can contact your teenager’s coach or the UHACO via phone or email (listed in the Contact Information Section). Your teenager’s coach will call you during the program to discuss your teenager’s progress in meeting their goals. UH OptiWeight Teen Program Enrollment In order to participate in UH OptiWeight Teen, please complete the following steps: Join the ‘UH OptiWeight Teen’ Community: Sign up for the Google+ and join the community After enrollment, please create a Google+ account. Directions are available at: https://accounts.google.com/SignUp When creating a Google+ account, we recommend participants use an initial for their first or last name (e.g. “Jane Smith” would be “J. Smith” or “Jane S.”) To access the community ‘UH OptiWeight Teen’ send an email to [email protected] including the email address associated with your Google+ account (this email will end in “@gmail.com”). An invitation to join ‘UH OptiWeight Teen’ will be sent to you via email and via your Google+ newsfeed. Accept this invitation and you are a member. UH OptiWeight Teen Program Overview In order to get the most benefit from UH OptiWeight Teen, each participant should: Log into Google+ Daily: Review resources provided via the UH OptiWeight Teen community to help motivate, educate, and support your lifestyle changes. Watch Videos: Watch the UH OptiWeight Teen video (3-5 minutes) posted in the community. Each week there will be: Be Fit (physical activity) video on Mondays Be Healthy (nutrition) video on Wednesday Be You (behavioral change) video every other Friday After watching each video, please comment on the video. You will be prompted with a topic or question during or after the video. Complete Self Evaluations: Complete a self-evaluation and weigh-in every Monday. Weigh yourself the same time of the day, same amount of clothes, same scale. Take a picture of your weight on the scale and email this to your coach with your weekly self-evaluation each Monday by 8pm. 9 Hangout: Participate in a Hangout, which is a one-on-one video chat in the Google+ community, with your UH OptiWeight Teen coach every other week to discuss your self evaluations, progress, and help in any areas needed. The Hangout takes place in Google+ through their video chat function. Plan on using your smart phone camera, tablet with a camera, or a web camera on your computer. If you do not have access to a video function for use in the Hangout, please contact UHACO and we will make alternative arrangements for one-on-one sessions. This time will be set up between you and your coach at the beginning of the program. Talk to your Coach: Your coach is available for communication through email, Google chat, and phone. Your coach will provide their contact information after you have enrolled in the program. Have fun! Program Termination and Withdrawal Voluntary Participants should notify their coach should they choose to withdraw from the program. The coach will email the participant and parent to confirm withdrawal from the program and remove the participant from the Google+ Community. Involuntary Should a participant be removed from UH OptiWeight Teen for violation of the Community Guidelines or any other reason, the coach will email the participant and their parent/guardian and remove the participant from the Google+ Community. Program Refund The fee is nonrefundable. Exceptions may be made if there is voluntary withdrawal and the FitBit Zip is returned in new condition. 10 Parent Checklist Item Action Needed Due Date Monday June 3rd Initial Screening EAT26 Review & Sign: Email to [email protected] or Fax to 216-2016001 Email to: [email protected] or Fax to 216-2016001 Meet with Coach A coach will set up a time to meet with you. Bring your payment. Week of June 10th Register Fitbit Teen with Parental Assistance: see Fitbit instructions in packaging to register on the computer. Friday June 14th Google+ (Parent) Monday June 24th Weekly Content (online in Google + videos & links) Visit: https://accounts.google.com/SignUp Send the email you registered for Google+ with to [email protected]. You will also be sent an invite to ‘Parent of UH OptiWeight Teen’ community. Be Fit: Monday Be Healthy: Wednesday Be You: every other Friday Self-Evaluation (and weekly weigh-in) To be completed by teen weekly on Monday (assistance with validity & picture) emailed to your program coach. Every Monday Halfway Check-In Via phone with your teen’s coach on progress. (to be scheduled) Final Check-In Via phone with your teen’s coach on results of program. (to be scheduled) Week of July 29th Week of September 9th Completion of Consent Form Monday June 3rd Weekly Teen Checklist Item Completion of Consent Form Initial Screening EAT26 3 Day Nutrition & Activity Log Initial Evaluation Google+ (Teen) Weekly Content (online in Google+ videos & links) Self-Evaluation (and weekly weigh-in) Final Evaluation, 3 Day Nutrition & Activity Log Action Needed Email to [email protected] or Fax to 216-2016001 Email to [email protected] or Fax to 216-2016001 Teen to fill out: Email to [email protected] or Fax to 216-201-6001 Teen to fill out: Email to [email protected] or Fax to 216-201-6001 Teen to Visit and Register: https://accounts.google.com/SignUp if not a current Google+ user. Coach will send invite to the private ‘UH OptiWeight Teen’ community Be Fit: Monday Be Healthy: Wednesday Be You: every other Friday To be completed by teen weekly on Monday with a picture and emailed to: [email protected] Email to [email protected] or Fax to 216-2016001 Due Date Monday June 3rd Monday June 3rd Wednesday June 19th Wednesday June 19th Wednesday June 19th Weekly Every Monday Friday September 6th 11 Contact Information Please use the below information in the event you have any questions about this document, UH OptiWeight Teen, or wish to submit any materials via postal mail, facsimile, or email. Email: [email protected] Phone: 216-844-3323 Fax: 216-201-6001 Mailing address: University Hospitals Accountable Care Organization 3605 Warrensville Center Road MSC 9214 Shaker Heights, OH 44122 12
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