The Coach Approach Overview
The Coach Approach program is an ideal intervention strategy for the non-Hispanic black Okaloosa women. The program utilizes the principle of energy balance; it aims to reduce caloric intake through a healthy diet that is less in calories and burn excess body fat through increased physical activity. The program promotes a healthy lifestyle that ensures the right balance between energy intake and energy expenditure to avoid degenerative diseases attributed to obesity.
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Cancer, stroke, cardiovascular diseases, hypertension, and diabetes are all associated with obesity. The coach approach is a “cognitive-behavioral, one-on-one exercise support program that incorporates a group-based nutrition education component for sedentary, obese women to lose weight” (National Cancer Institute, 2015, para 1). Implementing this approach will require two process measures to monitor the progress of the program, and two outcome measures to determine the impact of the program.
The process measures are meant to inform the coalition about the progress of activities defining the implementation process (Agency for Healthcare Research and Quality, 2014). These will include:
Personal Dietary Assessment Tool
This tool will be adopted from a 24-hour recall and will be designed to obtain an idea of the typical food consumption habits of an individual (Resnicow et al., 2005). The subjects will recall all the foods and drinks consumed in the previous 24 hours from the time of recall. This tool will be used to estimate the women’s daily caloric intake for comparison with energy expenditure.
Physical Activity Assessment Tool
This tool will be adopted from the Community Healthy Activities Model Program to determine the level of physical activity and the associated energy expenditure of non-Hispanic black women (Resnicow et al., 2005). Since the program aims to promote an active lifestyle in an already obese population, social and recreational activities will be excluded. These activities include watching a movie or the TV, playing chess, singing, sitting, standing, and reading. Besides, physical activities consuming less than 30 minutes will not be included.
BMI Assessment Tool
This tool is meant to record the weight and height measures that will be used to determine BMI. The average BMI for the target population will be used to determine the obesity prevalence rates for comparison with previous data (Centers for Disease Control and Prevention, 2015). The BMI assessment tool is shown below.
Behavior Change Assessment Tool
This tool determines the feeding habits and activity levels of the non-Hispanic black women in Okaloosa. The program is meant to result in life-changing behaviors because a healthy lifestyle helps to enhance the quality of life. The behavior change assessment tool will be adopted from Queen’s University (2015) as shown below.
- How have your eating habits changed since you began this program?
- Will you manage to indulge in physical activity daily?
- How have you integrated physical activity into your daily routine?
- List the foods that you have avoided since you began this program.
- Other than diet and exercise, what other changes have you made in your life that might influence the attainment of ideal body weight?
Dissemination of Results
The process results are intended to monitor progress and make necessary modifications. Thereby, in the process of implementing the program, the coalition will arrange for meetings and focus group discussions with the women to discuss the results, which will be presented using PowerPoint. The women will brainstorm on feasible ways to modify the program. The social media and community meetings will be used as ways of disseminating both process and outcome results for the entire community (National Association of County & City Health Officials, 2015).
Agency for Healthcare Research and Quality. (2014). Selecting process measures for clinical quality measurement. Web.
Centers for Disease Control and Prevention. (2015). Healthy Weight-it’s not a diet, it’s a lifestyle! Web.
National Association of County & City Health Officials. (2015). The Community Themes and Strengths Assessment At-A-Glance. Web.
National Cancer Institute. (2015). Research-tested Interventions Programs: The Coach Approach. Web.
Resnicow, K., Jackson, A., Blissett, D., Wang, T., McCarty, F., Rahotep, S., & Periasamy, S. (2005). Results of the healthy body healthy spirit trial. Health Psychology, 24 (4), 339-348.
Queen’s University. (2015). Healthy Lifestyle Assessment. Web.