Pa wisewoman health Coaching plus protocol pa wisewoman health Coaching + Fitness, Health Coaching + Nutrition, Health Coaching + Wellness, & Health Coaching + Community Linkages Approval
Cost projections and reimbursement methodology
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- Proposed methods to evaluate impact of health coaching
- Proposed plan for follow-up when health coaching is complete
- Pennsylvania WISEWOMAN Health Coaching + Wellness Examples of Established Programs
- Nutrition Made Easy Health Coaching + Wellness Program Proposal Statement of Purpose
- Goals of Nutrition Made Easy Program
- Goals of WISEWOMAN Supplements
- Nutrition Made Easy HC+ Program Description
- Program Requirement Provided by Nutrition Made Easy Provided by WW Supplement
- Weigh to Go! Health Coaching + Wellness Program Proposal Statement of Purpose
- Goals of Weigh to Go! Program
- Weigh to Go! HC+ Program Description
- Program Requirement Provided by Weigh to Go! Provided by WW Supplement
- Choose 2 Lose Health Coaching + Wellness Program Proposal Statement of Purpose
- Goals of Choose 2 Lose Weight Loss Challenge
- Choose 2 Lose HC+ Program Description
Cost projections and reimbursement methodology – number of woman projected, proposed CPT codes (if relevant) and reimbursement plan
Estimated Costs
Health Coaching Costs
Pre and post-fitness assessments will be conducted for each WISEWOMAN client. Suggested measurements include body weight, body composition (BMI), cardio fitness, strength fitness, blood pressure, waist to hip circumference, etc. The data provided by these assessments will document the effectiveness of the program in increasing the health outcomes of WW clients. This data can then be compared across differing programs to identify which frameworks prove to be the most successful. This information will add to the evidence base and will be of benefit for future implementation of additional lifestyle programs. The evaluation staff will develop a process to collect a personal narrative from WW clients as well as any recommendations for changes or future options. The evaluation will also include utilizing clinical data to identify changes or improvements at the post assessment. This information will be critical for determining the effectiveness of the proposal herein and can be used to tailor future proposals to more accurately meet the needs/preferences of WW clients. Data collected through the fitness assessments as part of the Health Coaching PLUS programs will provide qualitative measurements to determine the success of the proposal in achieving health outcomes.
Upon completion of the Health Coaching PLUS program the WW client will complete a post-assessment at the screening clinic. This is to be conducted immediately after Health Coaching PLUS program is completed. The program will reach out to clients who participate to complete an evaluation. Pennsylvania WISEWOMAN Health Coaching + Wellness Examples of Established Programs Enclosed are examples of current YMCA programs that have shown to improve the health of participants. The programs vary by their means of delivering education on physical activity and nutrition and have costs ranging from $50.00-$170.00. All programs have been supplemented with additional health resources funded by WISEWOMAN, making all five approved as Health Coaching + Wellness programs. The purpose of this proposal is to grant community establishments the freedom to develop their own wellness programs that adhere to the guidelines outlined by WISEWOMAN. This increased flexibility in program structure will allow for the creation of more wellness programs which can be utilized by WISEWOMAN clients. The enclosed programs serve as examples of frameworks that have been successful for past participants. Community establishments may consider mirroring various components of these examples in the creation and implementation of their own program. Note that not all programs listed meet the required guidelines of WISEWOMAN. Additional supplements have been funded by WISEWOMAN to fulfill requirements. Each program is detailed by an outline as well as an evaluation table indicating where WISEWOMAN supplements are necessary. The following YMCA example Health Coaching + Wellness programs are described:
Nutrition Made Easy Health Coaching + Wellness Program Proposal Statement of Purpose: The purpose is to pilot a new initiative for current WW participants to become an active member at the YMCA and participate in the Nutrition Made Easy program. Benefits of Partnership: Nutrition Made Easy is a flexible program created by the YMCA consisting of 5 educational sessions which teach participants how to maintain a healthy diet through education on macro and micronutrients and an emphasis on “clean dieting”. WW clients will receive education on how to include and track the proper amount of fats, carbohydrates, protein, and fiber in their diet. The principles of reverse dieting will also be addressed, therefore, clients will learn how to control their own metabolic rate. Taught by a Certified Personal Trainer, these lessons will encourage WW participants to adopt healthier lifestyle choices to decrease their risk for cardiovascular disease. In addition to the Nutrition Made Easy program benefits, WW will provide a four-month YMCA membership so clients have access to exercise equipment, thereby promoting regular physical activity. Goals of Nutrition Made Easy Program
Goals of WISEWOMAN Supplements
Nutrition Made Easy HC+ Program Description
Costs (preliminary)
Evaluation of HC + Wellness Program Criteria
Conclusion: The Nutrition Made Easy program offered by the YMCA provides a clear example of how the nutrition component of the WW wellness program may be structured, however, this program lacks all physical activity/exercise education components. Several supplements must be added to the program in order to warrant it worthy of being recognized as a WW Health Coaching + Wellness program. First, the WW client must be provided with a 4-month membership to the YMCA at minimum. To fulfill the personal training requirement clients must also be offered up to 4, 30-45 minute sessions. The personal trainer must also complete both a pre- and a post-fitness assessment in order for health improvements to be measured. If these supplements are added to the Nutrition Made Easy framework, then this program will meet all requirements to be recognized as a WW Health Coaching + Wellness program. Weigh to Go! Health Coaching + Wellness Program Proposal Statement of Purpose: The purpose is to promote an initiative for current WISEWOMAN participants to become an active member at the YMCA and participate in the Weigh to Go! weight loss program. Benefits of Partnership: Weigh to Go! is a national program created by the YMCA that aims to help obese adults (BMI of 30 or higher required) to lose weight by adopting healthy lifestyle changes. This eight-week program connects WW clients to a certified wellness trainer that offers on-going nutritional and fitness support for practical behavior change. The program is delivered through one hour-long classes that occur once a week on weekday evenings. Success in the program is monitored through weekly weigh-ins, bi-weekly measurements, and results from two comprehensive fitness assessments delivered pre- and post-program. In addition to the Weigh to Go! program, WW will supplement a YMCA membership to provide clients with access to exercise equipment, thereby increasing adherence to the program regimen and promoting regular physical activity. Proven Effectiveness: The YMCA of Indiana County, PA sponsors the Weigh to Go! program as a summer weight-loss initiative. Each year, the program has continued to prove itself effective as participants see substantial weight loss. For the previous season, the average weight loss for participants was 7 lbs. in 7 weeks.4 Goals of Weigh to Go! Program
Goals of WISEWOMAN Supplements
Weigh to Go! HC+ Program Description
Costs
Evaluation of HC + Wellness Program Criteria
Conclusion: While the Weigh to Go! program offered by the YMCA has led to health improvements for participants, this program framework must be supplemented in order to meet the required guidelines to be recognized as a WW Health Coaching + Wellness program. As described in this protocol, the Weigh To Go! program has previously been delivered in a 8-week framework. In order to meet the criteria of WISEWOMAN, a client must be provided with a 4-month membership to the YMCA at minimum. When this addition is added into the Weigh to Go! framework, then this program will be recognized as a WW Health Coaching + Wellness program. Choose 2 Lose Health Coaching + Wellness Program Proposal Statement of Purpose: The purpose is to promote an initiative for current WISEWOMAN participants to become an active member at the YMCA and participate in the Choose 2 Lose weight loss challenge. Benefits of Partnership: Choose 2 Lose is a 16-week challenge created by the YMCA that motivates overweight adults to “lose weight, tone up, and make healthier choices”. Participants are organized into six trainer-led teams and receive a pre and post-fitness assessment, attend weekly trainer-led team meetings with health and fitness education classes, and receive on-going support and motivation throughout the program. Designed to help participants develop and commit to a new exercise routine, this program focuses on goal-setting to achieve long-term health success and provides incentives in the form of memberships and cash prizes for first, second, and third place (based on combined total % of body weight lost per team). In addition to the Choose to Lose challenge benefits, WW will supplement a YMCA membership to provide clients with access to exercise equipment, thereby increasing adherence to the program regimen and promoting regular physical activity. Proven Effectiveness: The Choose 2 Lose challenge has been implemented at numerous YMCA facilities throughout the country with great success. Over the past 7 years, Choose 2 Lose challenges have helped communities lose over a total of ten tons.5 The Waynesboro Area YMCA in Pennsylvania sponsored this program back in 2013 experienced saw great success; the 50 participants lost over 500 lbs. combined and the winning team lost 12.7% of its total body weight.6 Detailed below are recommended guidelines for the Choose 2 Lose challenge tailored specifically for WW clients. Goals of Choose 2 Lose Weight Loss Challenge
Goals of WISEWOMAN Supplements
Choose 2 Lose HC+ Program Description
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