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Strive, Thrive, Survive! Implementing an effective team-based, weight maintenance/loss program for employees Presentation to: APHA Conference 2017 Presented by: Carmen N. Daniel, MPH November 6, 2017 Date: Presenter Disclosures No


  1. Strive, Thrive, Survive! Implementing an effective team-based, weight maintenance/loss program for employees Presentation to: APHA Conference 2017 Presented by: Carmen N. Daniel, MPH November 6, 2017 Date:

  2. Presenter Disclosures No relationships to disclose. 2

  3. Previously Presented Padilla, H.M., Wilson, M.G., Bien, M., Daniel, C. & Greene, C. (2017). A holiday weight management program helps employees lose weight. Oral presentation at the 38 th Annual Meeting of the Society of Behavioral Medicine, San Diego, CA. 3

  4. Learning Objectives 1. Describe the effectiveness of a team-based, weight maintenance/loss program among state employees. 2. Design a team-based, weight maintenance/loss program. 3. Describe the benefits of a holiday weight maintenance/loss program. 4

  5. Holiday Survivor – Program Description Purpose Intervention – Prevent weight gain and – 10-week program encourage weight – Teams of 4 employees maintenance during the provided support to one holidays another – Jump-start physical activity – Tracked and shared food and mindful eating and physical activity behaviors during the records holiday season 5

  6. Program Guide and Rules • 4 players per team – Team Names encouraged • Bi-weekly weigh-ins – Umbilical measurement at pre and post weigh- ins • No extreme weight loss programs 6

  7. Program Recruitment and Communications Recruitment Communications • Mass Email • Flyers (bathroom stalls, wellness boards, desk drops) • Word of mouth • Evaluation = Credibility 7

  8. Program Incentives Pay to Play ($10 - $20) • – Cash prize Team Shirts • Weekly winners • Prize Packages • – Fitbits, Jaxx Packs, Food scales, Weight Watchers/FitBit scales, Nutrition books, etc. Competition • Certificates and Recognition • 8

  9. Bi-Weekly Weigh-Ins and Calculations Percent Change = Difference (lbs.) / Previous or Original Weight • Umbilical Change = Pre circumference (in.) / Post circumference • (in.) Weight and umbilical measurement is recorded into excel document • and written for participant 9

  10. Team Spirit Points Points allocated to individuals for accomplishing specific tasks, • that cumulate over the course of the program for the entire team (Team spirit events occur bi-weekly, opposite of weigh-ins) – Signing up for a web-based food log program – Lunch and Learns – Program Potluck – Local walk or run – Submitting food log – Participate in team walk – Submit team video 1 point per person. 5 points if entire team submits. 10

  11. Evaluation 13

  12. Holiday Survivor - Measures • Bi-weekly weigh-ins • Waist circumference at baseline and end-of-program • Survey at baseline and end-of-program – Physical activity – Eating behaviors – Social support – Absenteeism – Supervisor participation – Participation in DPH programs

  13. Holiday Survivor - Participants End-of- Baseline Final analysis program 139 139 139 Weight Enrolled 139 72 64 39 Survey

  14. Holiday Survivor – Success 82% of participants lost weight Weight change # of % of at end of program participants participants 5.1 – 10% loss 20 14% 2.6 – 5% loss 31 22% 0.01 – 2.5% loss 47 34% Maintained 6 4% Gained 35 25%

  15. Holiday Survivor - Success Average 3.7 pound loss and 1.3 inch reduction in waist circumference Weight Change 197 196 195 Pounds 194 193 192 191 Baselin Weight Weight Weight Weight Final e 1 2 3 4 Weight Change 196.49 194.31 193.83 193.33 193.31 192.83

  16. Holiday Survivor - Success Increased moderate and strenuous physical activity 45 40 Leisure activity score 35 30 score ≥24 = 25 20 15 10 5 0 Baseline End of program

  17. Contact Information Carmen N. Daniel, MPH, CWWPM Worksite Wellness Program Manager Georgia Department of Public Health Workforce Management – Worksite Wellness Carmen.Daniel@dph.ga.gov 19

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