Pa wisewoman health Coaching plus protocol pa wisewoman health Coaching + Fitness, Health Coaching + Nutrition, Health Coaching + Wellness, & Health Coaching + Community Linkages Approval

While it is ideal that the WW client participates in a Health Coaching + Wellness program to receive the most comprehensive health education, not all community establishments have the necessary infrastructure to provide the combination of physical activity and nutrition education. For this reason, this proposal includes the implementation of Health Coaching + Nutrition programs at facilities which are only able to offer nutritional education.

The following is an example of a Health Coaching + Nutrition program that WW clients would be approved to participate in. In the case that the selected Health Coaching + Nutrition program does not meet all the requirements to be recognized by WW for approval, WW is able to fill in the gaps by supplementing additional health education resources paid for by the program’s funds.

“Cooking Matters” Health Coaching + Nutrition Program Proposal

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  Teach participants how to shop for a healthy diet while constrained to a budget.
  
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  Educate participants on balanced diet guidelines as outlined by “My Plate” materials, encouraging whole food options and denouncing use of any supplements, powders, or diet pills).
  
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  Teach participants meal planning/preparation.
  
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  Provide participants with healthy recipe ideas.
  

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  Provide WW client with one-on-one sessions with a Registered Dietician who will offer an initial diet assessment, develop a personalized weekly meal plan for clients, and offer on-going support/motivation.
  
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  Provide health coaching calls to the WW client to ensure that any questions/concerns are addressed and to gain feedback on participation in “Cooking Matters” program.
  
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  Document client attendance in “Cooking Matters” program.
  

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  Clients must be eligible for Health Coaching (at least one abnormal value) and demonstrate to the Health Coach a willingness to participate in the “Cooking Matters” Health Coaching + Nutrition program.
  
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  Client will be referred to local grocery store which hosts “Cooking Matters” courses and tours and will be paired with a Registered Dietician.
  
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  Registered Dietician will meet with client one-on-one to provide an initial diet assessment and to develop a weekly meal plan. WW will pay for up to 4, 30-45 minute individual sessions with the R.D. throughout the program.
  
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  Client will attend the hands-on cooking course program offered by “Cooking Matters” at their local grocery store.
  
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    Cooking courses are two hours long, offered once a week for six weeks.
    
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    Classes cover meal prep, grocery shopping, food budgeting, and nutrition.
    
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  Client will attend one individual grocery store tour with “Cooking Matters” leader.
  
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    Tours will focus on how to stretch budgets to purchase healthy food options.
    
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    Clients will be challenged to buy a healthy meal for $10 upon completion of tour. Clients are able to keep the food purchased in this challenge and are provided with educational materials to sustain healthy dieting such as recipe books, cooking utensils, and nutritional pamphlets.
    
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  WW health coach will conduct four follow-up calls with client to address barriers/concerns and offer on-going support to client in an effort to sustain participation in program.
  
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    One to be delivered at beginning and end of program, the other two to be spaced evenly throughout program duration.
    

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  Cooking Matters program cost : Free
  
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  One-on-one sessions with Registered Dietician : Up to 4, 30-45 min. sessions at $35 each = $140
  
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  Health Coaching calls : Four for $25 each = $100
  

When supplemented by individual sessions with a Registered Dietician, the “Cooking Matters” program meets all requirements to be considered a Health Coaching + Nutrition approved program.

The Health Coaching + Community Linkages framework offers a different framework which allows clients to utilize the many resources available to them in their surrounding community. In this program structure, the WW client is referred to become a member of her local community organization. These organization sponsor many wellness initiatives which take place at nearby community sites (libraries, recreational centers, parks, etc.). WW will pay for the client to attend any class deemed appropriate for offering physical activity/nutritional education. WW health coaches will administer follow-up calls throughout the duration of the program to offer on-going support and address any questions/concerns the client may have.

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  Educate participants on running techniques, stretching basics, and injury prevention.
  
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  Host weekly group runs/stretching sessions where community members support each other.
  
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  Encourage each participant to progress from walking to jogging/running at a pace suitable for their own fitness level.
  

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  Offer on-going health coaching calls to WW client to answer questions/concerns and gauge participation in program.
  

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  Clients must be eligible for Health Coaching (at least one abnormal value) and demonstrate to the Health Coach a willingness to participate in the Health Coaching + Community Linkages program.
  
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  Client will be referred to her local community organization.
  
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  Community organization will inform client about First Strides Running Workshop. If willing to attend, WW will pay for the program fee.
  
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  WW client participates in the 10-week running program where she participates in group runs and receives education on physical activity.
  
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  WW health coach contacts the client through health coaching phone sessions. One session must occur at the beginning and end of the program to collect feedback. Monthly phone calls are to be delivered throughout the duration of the program to gauge client’s participation and offer on-going support.
  

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  Community Organization Membership Fee: Variable
  

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  First Strides Running Workshop Program Fee: $50
  
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  Health Coaching Sessions : 4 at $25 each = $100
  

Due to the high level of variability among all the potential community wellness initiatives a client may participate in, each program requires additional approval to be considered a Health Coaching + Community Linkages program. A short summary of the program details and how the program would improve the WW clients’ health knowledge/participation in physical activity and/or healthier dieting is to be submitted for approval. Programs which are approved will be implemented as soon as possible.

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  Sewickley Valley YMCA (approx. 9 miles from Adagio Health Aliquippa)
  
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    Aqua Pulse: “This high energy, shallow water class uses a combination of aerobic and toning exercises set to music with easy choreography movements. Aqua Pulse will use water resistance to get your heart pumping and muscles toned”.
    
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      Large Pool: 1 Hour. Tuesdays/Thursdays 9am.
      
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      Single Class : $10 for member
      
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      One class per week : $5 for member
      
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    Corinna’s Choice: “Each week will be a different workout that will utilize both shallow and deep water. Gain muscle strength and cardiovascular endurance from challenging aerobic choreography, using the resistance of water. Corinna’s Choice is ideal for all fitness levels”
    
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      Large Pool: 1 hr. Thursday 10am.
      
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        $6 for members per class
        
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    Nutrition Counseling
    
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      One hour sessions $45 for members
      
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    Enhance Fitness: proven senior fitness and arthritis management program; recognized by CDC.
    
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      Certified instructor leads exercises focusing on cardiovascular endurance, strength, flexibility and balance
      
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      Offered April 24-August 12 Monday, Wednesday, and Friday at 1:30
      
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      $35 (per class or for entire program?)
      
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    Pilates and Yoga Punch Card (8 classes for $55)
    
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      Pilates single class $50 for 1-hr, $25 for 30 min.
      
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      Yoga single class $50 for 1 hr.
      
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  Beaver County YMCA (approx. 10 miles from Adagio Health Aliquippa)
  
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    No wellness programs currently offered.
    

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  Butler County YMCA (approx. 3 miles from Adagio Health Butler)
  
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  Clarion County Branch YMCA (approx. 3 miles from Adagio Health Clarion)
  
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    No one on staff for nutrition counseling.
    
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    Group exercise classes (Zumba, Circuit Blast (HIIT class), Indoor Rowing, Core and More (weight resistance & strength training class), yoga, p-90X LIVE, Insanity LIVE
    
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      Unlimited participation in group fitness classes for $15 a month.
      

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  No local YMCA
  

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  YMCA of Greater Erie - Downtown (approx.. 0.3 miles from Adagio Health Erie)
  
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    Weight Watchers
    
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    Swimming Lessons
    
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    Group fitness classes free for members
    
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      Les Mills BODYPUMP, CXWORX, BODYCOMBAT, BODYSTEP, Y-Cycle, Tai-Chi, Boxing Bootcamp, Total Bosy, PIYO, Arthritis Foundation Aquatic Program
      
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  YMCA of Greater Erie – Eastside (approx. 6 miles from Adagio Health Erie)
  
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    Water Fitness Classes
    
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    Group Fitness Classes
    
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    Ballroom Dancing
    
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      $30 per person
      
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    Women and Weights (7-week weight lifting class offered for one hour on either Mondays or Tuesdays)
    
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      $20 for members
      
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      Personal Training
      
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        1, 1-hr session = $25
        
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        6, 1-hr sessions = $142.50
        
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  LECOME Medical Fitness and Wellness (approx.4 miles from Adagio Health Erie)
  
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    Offers Next-Step 8-week Medical Fitness Programs for Cancer, Cardiac, Diabetes, Weight Management, etc. Includes assessments, individualized exercise plan, program summary for physician, two 60-minute group sessions weekly, unlimited access to facility. Require referral from medical provider.
    

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  No local YMCA
  

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  Uniontown Area YMCA (approx. 1 mile from Adagio Health Uniontown)
  
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    Group Exercise Classes and water fitness classes free for members
    
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    Personal Training
    
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      1, 1-hr session = $28
      
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      5 session package = $120
      
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      Personal Training sessions may also be focused on 5K training
      
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    Free HIIT Training class for adults
    
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  Ladies First Fitness Health Club (approx. 1 mile from Adagio Health Uniontown)
  

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  Indiana County YMCA (approx. 4 miles from Adagio Health Indiana)
  
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    Weigh to go Summer Weight Loss Program: 7 week program with weigh-ins and body fat measurements taken every two weeks to assess progress.
    
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      Average loss of 7lbs
      
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      Encouraged to attend at least 3 times a week. (10 sessions offered weekly)
      
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      $84 for members
      
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    Organized Dance: Program meets twice weekly for five weeks to teach a dance routine.
    
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      $20 for members
      

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  New Castle Community YMCA (approx. 3 miles from Adagio Health New Castle)
  
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    Free group fitness classes (BODYCOMBAT, BODYPUMP, INSANITY, Power Yoga, TRX Suspension Training, Boot Camp, Spinning, Cardio Jam, Cross Train Challenge, Cycle-Sculpt, Line Dancing, Step Aerobics)
    
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    Personal Training
    
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      3 sessions = $100
      
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      6 sessions = $190
      

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  Franklin/Grove City YMCA (approx. 8 miles from Adagio Health Venango)
  
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    Fitness Assessment (Two, 1-hr appointments and post-assessment)
    
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      $10
      
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    Personal Training
    
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      1, 1-hr session = $35
      
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      4 hr package = $120
      
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    Multi-level yoga
    
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      $28 per session
      
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    Tae Kwon Do
    
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      $32 for 6 week session; Thursdays 6:30-8:15`
      

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  South Hills Branch YMCA (approx. 15 miles from Adagio Health Washington)
  
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    Currently under construction.
    

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  Greensburg YMCA (approx.. 7 miles from Latrobe Hospital Family Planning)
  
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    Personal Training : fees are being revised currently
    
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    Group exercise and aqautic classes included in membership
    
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    Registered Dietician on staff
    
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  Ligonier Valley YMCA (approx.. 9 miles from Latrobe Hospital Family Planning)
  
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    Personal Trainer on staff – creates personalized workouts for clients
    
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      $40 per hour session; 4 sessions for $150, 6 for $240
      
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    Registered Dietician on staff
    
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    Weight Loss Challenge (Participant meets with R.D.)
    
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      Program runs for three months
      
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      Offered three times throughout the year
      
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      Cost: $50 for members, $100 for non-members
      

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  Williamsport Branch (River Valley Regional) YMCA (approx. 1 mile from Reproductive Health Center; Lycoming)
  
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    Nutrition Made Easy Program :
    
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      5, 1hr educational sessions to teach “clean eating” through macro and micronutrient tracking. Includes education on reverse dieting and metabolic rate.
      
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      Sessions made one-on-one with Personal Trainer for flexible schedule
      
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      $170 for members, $190 for non-members
      
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    Shape Up Summer 2016
    
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      Groups of 6-8 led in workouts with personal trainer; 2 sessions per week
      
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      2 summer sessions offered; both lasting 5 weeks
      
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      $65 for members
      
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    One-on-one Personal Training
    
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      30 min session $30, 45 min session $35, 1 hr session $40
      
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      7 sessions : 30 min $180, 45 min $210, 1 hr $240
      
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      12 sessions: 30 min $300, 45 min $ 350, 1 hr $400
      
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      $20 dollars consultation fee for initial appointment (does not count as one of the sessions listed above
      

1. 
   Determine if the Health Coaching PLUS pilot program is administratively feasible
   
2. 
   Determine WW client health outcomes after participating in the Health Coaching PLUS pilot program.
   
3. 
   Utilize feedback in order to identify necessary areas of improvement in the Health Coaching PLUS pilot program for both provider and client.
   

1. 
   Ease of implementation
   
   1. 
      List of barriers found during implementation
      
      1. 
         Survey program providers and screening contractor to identify issues.
         
         1. 
            How easy was implementation?
            
         2. 
            What problems (if any) arose?
            
         3. 
            Was there additional administrative burden placed on other program areas as a result of implementation?
            
         4. 
            What changes could be made to simplify the implementation process?
            
2. 
   WW clients’ health outcomes after participating in the Health Coaching PLUS Pilot program:
   
   1. 
      Data collection
      
      1. 
         For HC+ Fitness and HC+ Wellness programs, MDE data from screening and post-assessment will be used. If the program offers an assessment of client outcomes/participation, the program should provide the assessment data to WW client. The client should then relay the assessment data to WW health coach for program evaluation.
         
      2. 
         For HC+ Nutrition programs, if the program offers an assessment of client outcomes/participation, the program should provide the assessment data to WW client. The client should then relay the assessment data to WW health coach for program evaluation. Pre- and post-health assessments delivered by screening contractor staff will measure client anthropometrics and behaviors.
         

1. 
   Data of client participation
   
   1. 
      For all programs, tracking client participation will be the responsibility of the program leader. The program leader may document attendance however he/she deems most fit; however, monthly attendance logs should be submitted to WW if possible. Only in the case that the program leader is unable to track attendance, the WW client assumes responsibility for self-reporting her own attendance and providing a monthly log to WW.
      
      1. 
         Participation tracking must include the following
         
         1. 
            Client ID Number
            
         2. 
            Client name
            
         3. 
            Program attended
            
         4. 
            Location
            
         5. 
            Date attended
            
         6. 
            Zip Code
            
1. 
   Client and provider survey potential questions:
   
   1. 
      Potential client survey questions:
      
      1. 
         What areas of the program made it hard for you to participate? Is there anything that could have made it easier to participate in the program? Do you feel more confident in your ability to make healthy lifestyle choices?
         
      2. 
         Was the time of the program meetings convenient with your schedule?
         
      3. 
         Was the location(s) where the program was held at a convenient location for you?
         
      4. 
         Would you prefer that there be more program sessions, less, or the same amount?
         
      5. 
         PHYSICAL ACTIVITY
         
         1. 
            How motivated are you to continue a regular exercise regimen?
            
         2. 
            Did you find working with a personal trainer benefited your overall health?
            
         3. 
            Did you feel more motivated to exercise as a result of having a personal trainer?
            
         4. 
            Did the program introduce you to an exercise regimen you enjoy?
            
         5. 
            Do you meet the recommended daily physical activity levels?
            
      6. 
         NUTRITION
         
         1. 
            Did you find that working with a Registered Dietician improved your nutritional knowledge?
            
         2. 
            Did you feel more motivated to eat healthier as a result of working with the dietician?
            
         3. 
            Do you consume less fast food as a result of completing the program?
            
         4. 
            Did the program teach you how to shop for healthy food while sticking to your budget?
            
         5. 
            Do you consume the recommended servings of fruit each day? Vegetables? Whole-grains? Fish? Lean meat? Low-fat dairy?
            
         6. 
            Have you cut down on drinking beverages with added sugars after completing the program?
            
         7. 
            Are you monitoring your sodium intake regularly?
            
   2. 
      Potential provider survey questions (WISEWOMAN Screening contractor staff and Health Coach)
      
      1. 
         Did you find that most clients were willing to participate in a HC+ program?
         
      2. 
         Did clients seemed to be satisfied by the referral options available in the HC+ program?
         
      3. 
         Are there any other health initiatives you are aware of in your area that WW clients could benefit from attending?
         
      4. 
         What barriers to participation did clients report?
         
      5. 
         Was there one program which clients were more interested in?
         

1. 
   Process
   
2. 
   Outcome
   
3. 
   Outcome
   

1. 
   PA Department of Health WW Program
   
2. 
   Personal Trainers, program leaders and registered dieticians (WW clients if program leaders are unable to document participation), screening contractor staff.
   
3. 
   WISEWOMAN screening contractor staff and Health Coach
   

1. 
   WISEWOMAN screening contractor staff and Health Coach
   

1. 
   Survey and/or phone interview
   
2. 
   Pre- and post-program biometric measurements, screening, and post-assessment data collection (client participation tracker sheet, meal tracker sheet)
   
3. 
   Survey and/or phone interview
   

1. 
   Six months into program implementation with continuation throughout program and upon completion of program.
   
2. 
   Following the end date of a client’s participation in a chosen program. Knowledge quizzes delivered pre- and post-program as available.
   
3. 
   After pilot program end date
   

1. 
   Identification of administrative burden on the WISEWOMAN program.
   
2. 
   Identification of the effectiveness of HC PLUS pilot program.
   
   1. 
      Did clients’ post-program behaviors relating to their behavioral risk factors improve compared to their pre-program behaviors?
      
   2. 
      Did clients’ pre- and post-program anthropometrics indicate health improvements?
      
3. 
   Identification of barriers and facilitators to client participation from both client and provider perspectives.