Move Promotion Powerpoint

7/28/2019 Move Promotion Powerpoint

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SERVICE LEARNING

PROJECT:

Promotion of the

MOVE! Program

April Villanueva

NUR 4636L



Clinical Setting/Agency Palm Harbor Community-Based Outpatient Clinic

Services

Primary care

Mental Health Care

Social Work Service

Health Promotion

Disease Prevention

Diagnosis and Treatment of Acute and Chronic Medical Conditions

Referral to Specialty Care at Bay Pines VA Medical Center

EKG Service

Phlebotomy Service

Audiology Service

Strengths of Agency

Progressive with technology

i.e. Care Coordination Home Telehealth (CCHT)

Support from federal funding

Veterans Health Information Systems and Technology Architecture (VistA)



Client Population (Demographics)

Number of Clients

60-100 veterans per day

Age range

Majority 50+ to 80+

Economic Status (Based off Pinellas County, 2010)

$45, 258

Education (Based off PinellasCounty, 2010)

88.1% > 25 w/ high schooldiploma

27.1% > 25 w/ bachelor ‟sdegree or higher

Race/Ethnicity

Majority Caucasian at clinicalsite

Based on Pinellas County

93.7% White/Caucasian

2.9% Black/African American

3.4% Other

Health Status (Major healthconcerns and issues)

Diabetes

Heart Disease Hypertension

Access to Healthcare



Losing More Than

Just Weight



SERVICE LEARNING PROJECT SLP Plan Format: Educational video providing further information

to health care providers about MOVE! to better promote programduring walk-in visits/appointments

Title: Losing More Than Just Weight With MOVE!

Duration (minutes): 8-10 minutes

Lesson Description: The lesson would start off with a brief 1-5minute introduction about MOVE! which will include why it isessential to be knowledgeable about the program to improve onpromoting it to the veterans. This would be followed by a 4-minute

informational video about MOVE! and what benefits besidesweight loss can be attained while enrolled in the program.

Visual of Project: Link to video: https://www.youtube.com/watch?v=6HnvN4_jdIc

https://www.youtube.com/watch?v=6HnvN4_jdIc

https://www.youtube.com/watch?v=6HnvN4_jdIc



Rationale

After further observation of clinical visits with theveterans, the promotion of the MOVE! Program wasvery minimum and brief without further informationprovided.

With majority of the veterans having a diagnosis of diabetes, hypertension, and/or heart disease,

increasing promotion of MOVE! would be essentialespecially with physical activity decreasing the risks for these negative health factors along with improvinghealth for individuals of all ages.



Healthy People Objective 2020:

Physical Activity Increasing physical activity lowers the risk of:

Early death

Coronary Heart Disease

Stroke

High Blood Presure

Type 2 Diabetes

Breast and Colon Cancer

Falls

Depression



Objectives for 2020 Topic PA-2 Increase the proportion of adults who meet

current Federal physical activity guidelines for aerobicphysical activity and for muscle-strengthening activity

PA-11 Increase the proportion of physician office visitsthat include counseling or education related to physicalactivity

The objectives above coincide with the goals and

services of the MOVE! Program provided at the VA.The service learning project aims for further promotion.



Goals and Objectives of Project

Health care providers will be prepared in providing moreinformation about what the MOVE! program has to offer for the veterans.

Veterans will be able to explain why MOVE! will improvetheir health.

Veterans will be able to state what services they will gain

from joining the program.



Modifications That Were Made

During Planning Stage Originally, the video was going to be 10 minutes long but

was cut down to only 4 minutes after further editing.

Promotional posters were also eliminated becausebrochures are already provided as a visual.



Lesson Procedures/Activities

(3-5 minutes) Brief introduction about MOVE!

(4 minutes) Informative video explaining mainobjectives about the program, importance of promotion to the veterans, and effects of physical activity on health.



Implementation of Service

Learning Project

Gain attention

Present the issue of MOVE! not being promoted enough to veterans during appointments

Point out the potential risk factors that can be reduced with an increase of veterans joining the program

Describe the goal

Improve promotion of MOVE! to veterans

Increase veteran‟s awareness of link between health and physical activity

Stimulate recall of prior knowledge

Discuss with health care providers how increased physical activity reduces numerous health risk factors.

Ask veteran about current knowledge about benefits of increasing exercise.

Present the material to be learned

Present the informative video to the health care providers to increase knowledge about the MOVE!program.

Evaluation of Effectiveness

An increase of enrollment into the program will assess improvement in promotion of MOVE!



Participant Response to

Service Learning Project Still needs to be evaluated because the video will be

presented later on this week!



What can be done in the

future to achieve the goal?

Provide more handouts for future references about theprogram for both health care providers and veterans.

Potentially having the veterans also watch theinformational video for a better visual of what theMOVE! Program has to offer.

Testimonial stories can also be added into the

informational video to increase motivation to join theprogram.



Impact of Health Policy

As Hunt (2013) states, “policy development placeshealth issues on decision-makers‟ agendas, acquiresa plan of resolution, and determines neededresources.” Furthermore, policy enforcementobligates members of the community to follow thehealth policy due to the formations of mandatory rulesand regulations (Hunt, 2013). With laws to befollowed, the population would be more likely to

comply with the interventions with ideal results.



Impact of Health Policy on

the MOVE! Program

- With the change in the policy of co-payments for MOVE! Visits, itincreased the access to weight management care for theveterans.



Evidence Based Article To

Support Project Title: Comparative Effectiveness of Weight-Loss Interventions in Clinical

Practice

Excerpt: “In this comparative effectiveness trial, in which obese medicalpatients with at least one cardiovascular risk factor were enrolled, two

behavioral interventions — one involving no in-person contact withweight-loss coaches associated with the study or with other participants— achieved clinically relevant weight loss. The extent of weight loss wassimilar to that achieved in many efficacy studies.12-14 In contrast with thefindings in most weight-loss trials,19,20 however, participants sustainedweight loss to the end of the trial. A large percentage of participants lost 5% or more of their initial body weight, an amount of weight loss that has beenassociated with numerous health benefits, including improved control of

diabetes and hypertension, a reduced risk of incident diabetes andhypertension, and lower levels of risk factors for cardiovascular disease.”

Link Reference:http://www.nejm.org/doi/full/10.1056/NEJMoa1108660#t=articleResults

http://www.nejm.org/doi/full/10.1056/NEJMoa1108660%23ref12


http://www.nejm.org/doi/full/10.1056/NEJMoa1108660

http://www.nejm.org/doi/full/10.1056/NEJMoa1108660







CDC Evidence Based Article

Title: Participant Retention in the Veterans Health Administration’sMOVE! Weight Management Program, 2010

Excerpt: Although referral method appeared unrelated to retention rate,provider support for and knowledge about the program differed betweenhigh- and low-retention programs. Coordinators at 4 low-retention programssaid patients attended orientation without knowing why they were there or were often referred by providers who offered little discussion of MOVE!:“[The patients] don‟t know they‟ve been referred . . . they don‟t know anythingabout it . . . I . . . think maybe the doctors just say, „Do you want to loseweight?‟ and the patient says yes. . . . Maybe the doctors just don‟t know whatMOVE! is” (low-retention program). Only 1 coordinator of a high-retentionprogram noted any such problems: “I would like to see a more consistent

understanding among providers of what [MOVE!] is.”

Link Reference: http://www.cdc.gov/pcd/issues/2012/12_0056.htm

http://www.cdc.gov/pcd/issues/2012/12_0056.htm

http://www.cdc.gov/pcd/issues/2012/12_0056.htm



References: Florida Charts. (2013). County health status summary. Pinellas County, Florida. Retrieved June 26,

2013, Retrieved fromhttp://www.floridacharts.com/charts/DisplayHTML.aspx?ReportType=1341&County=49&year=2011&tn=24

Hunt, R. (2009). Introduction to community-based nursing. (Ed. 5), Philadelphia: LippincottWilliams & Wilkins

Locatelli, S. M., Sohn, M., Spring, B., Hadi, S., & Weaver, F. M. (n.d.). Participant retention in theveterans health administration weight management program, 2010. Preventing Chronic Disease:Public Health, Practice, and Policy. Retrieved June 18, 2013,fromhttp://www.cdc.gov/pcd/issues/2012/12_0056.htm

Schneider, D. (n.d.). Nine events of instruction. Retrieved June 18, 2013, fromhttp://edutechwiki.unige.ch/en/Nine_events_of_instruction

U.S. Department of Health and Human Services. (n.d.). Physical activity. 2020 Topics & Objectives.

Retrieved June 18,2013, from http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=33

VHA National Center for Health Promotion & Disease Prevention. (n.d.). MOVE! weight managementprogram. Retrieved June 18, 2013, from http://www.move.va.gov/Default.asp

Move Promotion Powerpoint

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