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Habit #1: Be Proactive

Habit 2: Seek First to Understand, Then to be Understood

Habit 7: Sharpen the Saw

States Mandating BMI Screening

= States requiring BMI screening

= States using Fitnessgram for BMI screening

= States recommending BMI screening

Our current system is broken

Habit 3: Think Win-Win

Habit 6: Put First Things First

Disseminating Findings

Habit 5: Synergize

MotivateMe Protocol

Month 2

Month 4

Month 6

Baseline

- BMI Measurement

- BMI Measurement

- Behavior Survey

- Motivational Interview

- Targeted Education

Results: BMI Remained Stable

MotivateMe Participants

However, Mixed Individual Results

31.7

32.1

31.9

32

*Compared to Baseline Interview BMI

CDC BMI Chart

Immediate Outcomes

Intermediate Outcomes

  • All students cited positive outcomes from the study
  • 95% were able to list at least one concrete thing they learned
  • Average “interest in making changes to get to a healthier weight” consistently improved throughout the course of the study, from 8.43 to 9.00 to 9.18.
  • By the end of the study, all students had attempted some concrete specific behavior change
  • Walking to school, bringing lunch from home
  • 95% are planning to keep up with at least one of the lifestyle changes they made while participating in the study

Not Motivated

Highly Motivated

Beyond BMI

Participant Demographics

  • On things learned: “How to set yourself a goal and achieve it. It can take time, but once you do it it’s an achievement.”
  • On what student liked about the study: “Motivation. Made me realize how important it is to reach a healthier weight.”
  • On success with goal: “I just got used to it, and now I don’t really notice it anymore. It took about one week.”
  • 81% remembered receiving Fitnessgram
  • 31% reported acting upon the data
  • 90% had a doctor
  • 57% had discussed their weight with him/her
  • 77% identified family members as overweight

Show MI the Money

Habit 4: Begin with the End in Mind

Summing up the Seven Habits

Habit 1: Be Proactive

Habit 2: Seek First to Understand, then to be Understood

Habit 3: Think Win-Win

Habit 4: Begin with the End in Mind

Habit 5: Synergize

Habit 6: Put First Things First

Habit 7: Sharpen the Saw

Acknowledgements

Many Thanks to…

  • George Washington High School Administration and Wellness Center Staff (Ericka Lovrin, Susan Schneider, Lynda Boyer-Chu, Quarry Pak, Steve Youn)
  • FIT (Fitnessgram Improvement Team) RAs!
  • Project Advisors – Anisha Patel, Kris Madsen
  • PLUS Advisors – Anda Kuo, Katie McPeak, Clem Donahue
  • PLUS co-residents
  • UCSF Community Partnerships Office
  • AAP CATCH Grant Program
  • Curtis Chan and SF Child Obesity Task Force
  • Michael Cabana and Division of Gen Peds

MotivateMe: Working with Schools to Address Obesity in Adolescents

Joanna Mimi Choi, MD PGY-3

PLUS Grand Rounds

June 2012

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