1. Office on Womens Health, U.S. Department of Health and Human Services

2. Purpose To provide parents/caregivers with tools & strategies to improve family eating and activity habits To support adolescent girls in reaching and maintaining a healthy weight To prevent obesity among adolescent girls

3. Primary audience Parents and caregivers of adolescent girls Secondary audiences Adolescent girls Other family members

4. Main Messages Healthy girls become strong women

5. Main Messages Parents are an important influence on their childrens eating and activity habits

6. Main Messages Change takes time begin by taking a few small steps

7. Formative Research Literature review Steering committee of researchers, providers, government officials, including: -Kelly Brownell, Ph.D., Yale University -Tom Robinson, MD, Stanford University -Kelly Moore, MD, Indian Health Service 16 focus groups with: -Girls ages 11 to 13 (8) -Middle-school nurses (2) -Parents of middle school-aged girls (6) Telephone interviews with health care providers (9)

8. Formative Research Findings Major obstacles: Poor eating habits, sedentary behavior Girls need concrete steps, behavioral cues to change Parents can play a major role -Girls want parents to spend more time with them -Girls need role models for healthy eating and physical activity -Parents need tools to help organize and plan meals and physical activity -Parents lack time and resources -Parents need basic nutrition information

9. Pretesting Focus groups w/ parents (3) Results Modified some kit components Added more information on diabetes Simplified language Revised design to include more photographs

10. Program Components 1.BodyBasics (Parents Guide) 2.Food and fitness journals 3.Weekly planner (refrigerator magnet) 4.4Teens Magazine 5.Recipe book 6.Shopping list 7.DVD on shopping & cooking 8.Pedometers 9.Training Manual (10 sessions) 10.Train-the-Trainers Guide

11. Behavior Change Tips: List specific goals regarding change Create a plan with realistic steps Start taking small steps that fit your lifestyle Monitor your progress (using food and fitness journal) Give yourself a realistic timeframemonths, not days or weeksto maintain change Use the tools and group meetings to reinforce healthy behaviors

12. BodyBasics Format: Magazine style publication for visual appeal Purpose: Provides health information, strategies for healthy eating and regular physical activity Explains how to use the toolkit Lists resources for families

13. Approach: 7 Simple Steps to Healthy Living 1.Decide to live a healthy lifestyle 2.See where you are now 3.Understand healthy eating 4.Recognize the benefits of physical activity 5.Set goals and plan 6.Shop, cook, eat together 7.Support a healthier lifestyle for your family

14. Content highlights: Emotional eating Unhealthy dieting Smoking and weight control

15. Content highlights: Obesity and type 2 diabetes Obesity and asthma Obesity and cardiovascular disease Obesity and eating disorders

16. Content highlights: Serving sizes Tips for healthy meals and snacks Supersized food portions Fast food and soda

17. Content highlights: TV watching Physical activity benefits and ideas Shopping and cooking tips

18. Content highlights: Environmental checklist Advocacy in schools and communities Media influences Community and school Gardens

19. Food and Fitness Journals Family members to record meals, snacks, activities, and emotions to identify eating and activity habits Checklist in BodyBasics helps parents review journal entries Goal-setting chart in diaries

20. Weekly Planner Format: Refrigerator magnet write-on/wipe-off board with pen Purpose: To help parents/ caregivers plan meals, snacks, physical activities

21. Shopping List Format: Pad with checklists Purpose: To help parents/ caregivers plan shopping trips and choose healthier options

22. Recipe Book Purpose: To provide families with easy, low-cost recipes for meals and snacks To reinforce nutrition and cooking information featured in BodyBasics

23. BodyWorks 4Teens Magazine-style publication for girls (9 to 14) Publication content Self-assessments, quizzes, games, interviews Goal-setting tools Teen writers/illustrators Formative research Literature review Health behavior change theory Focus groups

24. Video/DVD Format: 20-minute video on menu planning, shopping, cooking, and eating and exercising together Purpose: Provides practical demonstrations of menu planning, shopping for healthy foods, cooking, and family meals

25. Pedometers Purpose: To encourage families to walk as an easy form of daily physical activity To support individual in gradually increasing number of steps taken each day Two pedometers provided per kit

26. Train-the-Trainers Guide 6-hour session Appendices -A. Training Tips -B. Behavior Change -C. Resources Training Manual Lesson Plans for 10 sessions Dietary Guidelines, 2005 Consumer brochure PowerPoint Presentation on BodyWorks CD with templates for recruiting materials Instructions for ordering toolkits

27. OWH Regional Offices contacted for training-the-trainers session OWH (DC) trainers provide training to regional community-based organizations (CBOs), Centers of Excellence (COEs), Community Clinics of Excellence (CCOEs), and State Health Departments Trained professionals will: -Order toolkits -Recruit parents/caregivers -Disseminate kits at kickoff meeting -Conduct 9 follow-up weekly meetings with parents/caregivers -Train others to be trainers Community-Based Approach to Distribution Office of Womens Health 10 OWH Regional Offices CBOs, COEs, CCOEs and State Health Departments Parents/Caregivers GirlsFamily