Our Road to Good Health: An Innovative Healthy Weight Management Community Outreach Program

1. Our Road to Good Health:An Innovative Healthy Weight Management Community Outreach Program Produced by La Clínica del Cariño, Hood River, OR Presented by Lorena Sprager, Clear Language Group and Nuestra Comunidad Sana

2. Objectives of workshop: 1. Understand this weight management pilot program, outcomes and program guide. 2. Understand how to facilitate the weight management classes and community outreach. 3. Know what the classes are like from personal experience.

3. Agenda • Introductions 3 min. • Go over the agenda 3 min. • Obesity in the U.S. 5 min. • Program overview 5 min. • Program concept 3 min. • Program goal 5 min. • The 7 key points 5 min. • Program results 5 min. • Program manual 10 min. • Shortened class 25 min. • Health information and recipe book 5 min. • How you could use this in your agency 10 min. • Wrap up 5 min.

4. Obesity in the U.S. • Results from the 2005-2006 National Health and Nutrition Examination Survey (NHANES) indicate that an estimated: • 32.7 percent of U.S. adults 20 years and older are overweight, • 34.3 percent are obese • 5.9 percent are extremely obese • That totals 73% of adults being overweight or obese • Latinos, farmworkers in particular, are at even higher risk than other adults to be obese and have the complications that accompany obesity

5. Vida Entera y Sana(Whole and Healthy Life) A three year demonstration grant funded by the federal Office of Minority Health to address obesity among Hispanic farmworkers in rural Oregon

6. Focus on: • Increasing physical activity • Making healthy food choices • Handling stress and emotions in a healthy way

7. Program overview • Recruited 14 obese Hispanic women who were interested in managing weight and becoming a Promotora • Worked with them for 6 months on their own weight management • Trained those who were successful to become Promotoras • The Promotoras conducted weight management outreach to their friends, families, coworkers

11. Outreach results First year of outreach completed by 7 Promotoras: • 109 intensive contacts (at least 3 visits each, with a goal set) • 284 “casual” contacts (single visit encounters) • More than 200 additional contacts through group activities (Fiestas de Salud and other group events) • Of the intensive contacts • 89% set an exercise goal • 78% set a nutrition goal • 47% set a stress management goal 84% of people had kept at least one of their goals 4 weeks later

12. Outreach results Pre- and post-intervention changes in the outreach contacts • 186% increase in average hours per week of exercise (from 1.1 hours per week to 3.2 hours per week) • 129% increase in cups of vegetables eaten per day (from 0.7 cups per day to 1.5 cups per day) • 65% increase in number of pieces of fruit eaten per day (from 1.3 fruits per day to 2.2 fruits per day) • 22% increase in the number of people who knew healthy coping strategies for stress (from 60% who knew healthy strategies to 73%)

14. Get your materials! • Our Road to Good Health http://www.lcdcfh.org/curriculum.cfm • The Beautiful Women have it figured out! Information and recipe book for our road to good health http://www.lcdcfh.org/health-information.cfm

15. Class 4

17. Contact Community Co-Director Lorena Sprager Lorena Sprager and Associates, LLC lsprager@gorge.net 541-386-4113