creative life course & life planning
TRANSCRIPT
Creative Life Course & Life Planning
Promotion Activities Anne DeCaire BSN, RN
Preconception Nurse Educator 4/9/14
Before we get creative…
Lets review the basics
Statistics of Importance
•Delaware Infant Mortality Rate- 8.1 per 1,000 vs U.S. 6.0 per 1,000
•Inequity Statistics: African Americans have 2.3 times the infant mortality rate as non-Hispanic whites
•50% Pregnancies Unplanned
•CDC (Centers for Disease Control) Recommends both women and men have a Reproductive Life Plan (RLP)
Why Focus on Infant Mortality?
Widely used as a measure of population health and the quality of health care, infant mortality is defined as the
death of an infant before their first birthday. Infant mortality represents a long-standing concern of public health. The
The infant mortality rate is not only seen as a measure of the risk of infant death but it is used more broadly as a
crude indicator of:
•Community health status
•Poverty and socioeconomic status levels in a community
•Availability and quality of health services and medical technology
www.amchp.org
Life Course
• Life Course looks at health as an integrated continuum and suggests that a complex interplay of biological, behavioral, psychological, social, and environmental factors contribute to health outcomes across the course of a person's life. It builds on recent social science and public health literature that posits that each life stage influences the next and that social, economic, and physical environments interacting across the life course have a profound impact on individual and community health.
http://mchb.hrsa.gov/lifecourse/index.html
What is the Life Course Perspective?
A complex interplay of – biological, – behavioral, – psychological, and – social
protective and risk factors contributes to health outcomes across the span of a person’s life.
www.amchp.org
Graphic Concept Adapted from Neal Halfon, UCLA
Risk Factors Protective Factors
www.amchp.org
Life Planning
Thinking about your goals for having or not having children and how to achieve those goals is called a reproductive life plan. There are many kinds of reproductive life plans. Your plan will depend on your personal goals and dreams.
http://www.cdc.gov/preconception/reproductiveplan.html
Life Planning – Preconception Health
Delaware Reproductive Life Plans ’s (RLP) • Teen – My Life My Plan • Woman – Set Your Mind. Set Your Goals • Man Up Plan Up
Resources for Clinicians and free CMEs on Preconception Health •CDC Resources – Show Your Love Campaign and more… • Before Between & Beyond Pregnancy - UNC
Every Encounter
• We need to be sure to incorporate our messaging of Life Planning and Life Course Theory into every client encounter we have. • Medical Provider • Churches • Individuals • Community • Employers
7 Creative Ways to Teach Life Planning and Life Course
• Language
• Imagery
• Fun
• Fitness
• Food
• Connecting Generations
• Get Social
Language
• Using language that resonates with the audience • Power of words to speak to the client positively
Creative Uses of Language
“Teen Life Chat” Worksheet
Draw your body outline and write words that describe you within the body
Online DE Woman RLP quiz
Goal setting
Creative Uses of Language
• Affirmations • Song writing • Poetry
Affirmations
terminology refers primarily to the practice of positive thinking and self-empowerment—fostering a belief that "a positive mental attitude supported by affirmations will achieve success in anything." More specifically, an affirmation is a carefully formatted statement that should be repeated to one's self and written down frequently. For an affirmation to be effective, it needs to be present tense, positive, personal and specific.
wikipedia
Sample Affirmations
Perinatal- •My baby is loved •I am strong and powerful •I am centered and grounded •I share the wisdom of the mothers who have come before me •I welcome change •Dancingforbirth.com
Imagery
• Delaware RLP Images – striving to appeal to all – ex. RLP Women • Qualities – strength, power, health, universal • Industry Images – what images of health are we looking to promote? • Drawing , Collages, Web image clips, Pinterest – what resonates with the
client you are working with?
FUN!
• Teens and Adults learn when the messaging is incorporated into activity • Active participation has IMPACT
PPE Game – “Private Questions”
•
• Preconception Peer Educators utilized this game in a service trip to the Bahamas 2013’
• General idea of the game is to allow participants to anonymously ask questions and have a group discussion moderated by the PPE or facilitator. This gets good conversations going on topics people are normally afraid to talk about
• Ex. 1: Sexual Health Questions with any age/gender group
• Ex. 2: Gender Game with Young Men & Women asking questions of each other –
• PPE Bahama Example with teenage boys/girls asking relationship type questions
• Ex. 3: Mothers / Daughters or Fathers / Sons to allow conversations on sexual health , relationships, drinking & other risky behaviors
The Life Course Game
• 2012 DHMIC Summit featured the Life Course Board Game. - Life Course board game (6) loanable through State of DE Department of Public Health
•In the Life Course Game, participants are led through an interactive experience, designed to illustrate key concepts of the life course framework. Specifically, participants receive birth certificates at the start of the game that identify socially- and biologically-based historical factors that help determine their course in life. As they work their way through the game board, each person's roll of the dice identifies risk factors and protective factors that either push down or lift up their overall health trajectory and life course. The game concludes with each player rolling the dice a final time to determine their end-of-life outcomes (retirement projections, years-of-life remaining, etc.)
•The Life Course Game was created and developed by CityMatCH
Life Sized – Teen Life Course Game
• Life Sized Life Course Game is a combination of the 2 resources below
• Every Woman Southeast – South Dakota 2012 Life Sized Life Course
• Teen Life Course Board credited to California DPH
Department of Public Health of California Teen Life Course Game Modified by Delaware to create a “Life Sized Version”
The Delaware Life Sized Teen Life Course Game Game created using the California DPH game and modified to fit this life-sized board. Recommended tool for Preconception Peer Educators to use in the community
Fitness
• Make them move while sending across the message • Zumba at the PPE Statewide Training
• Prenatal/Postnatal Mom Baby throughout the state
• Dance your heart out’ event – CCHS example
• Every encounter...every fitness class could include one health tip
• Encouraging healthy eating, healthy behaviors, healthy relationships, goal setting, folic acid, stress management, plans to prevent unwanted pregnancies etc.
Food!
• Eating and celebrating with food sets a tone for building community and a positive experience
• We All Like Food! – Social tone and attracts participants Examples: • Christiana Care Chat & Chew – (Venus Jones Health Ambassador) • Featuring the Fact Myth RLP game/cards
• NICU Family Support Program (March of Dimes, Kelly Cover)
Connecting Generations
Two examples: • Genetics - Family Tree Turn any topic or page in the State of DE RLP’s into an activity to make
the information personal to the client • Educating Generations Together • Teen Life Chat • Project Alpha
Health problems can come from parents or other relatives. If you know the health backgrounds of your family, you’re a step ahead in understanding problems that could affect you, your future and any children you may have. Page 10 of DE Woman RLP
Mom - Diabetes Dad - Heart Attack
YOU
MGM-Stillborn baby MGF-Stroke PGM-Obesity PGF-Lung Disease
Diabetes Healthy Birth Defect Eclampsia Depression Miscarriages Premature
Diabetes
Connecting Generations
• “Teen Life Chat” DHMIC developed with/for Girls Incorporated of DE • Teens with Mothers/Guardians
• Role Modeling – If Mom has a life plan, daughter will also
• Perspective – Putting the struggles of Mom into the equation thus making Life Course theory come into view for the young women/daughter
•March of Dimes/Project Alpha - Man Up (Casper & Noyes Fall 2013)
• Story telling and hitting all generations in the room • ex. Men without father figure - teacher, professor, minister mentored them
Get Social & Get Into Social Media • Group Instruction and Events build community and energy around the topic
• Social Media allows us to engage without barriers of geography or time • Facebook Groups – Statewide Preconception Peer Educator Training
• Twitter – DE Thrives
• Pinterest – Create a board related to your topic or interests of your group
• Health Blogs – DE Thrives
• YouTube – Wisconsin/American Public Health Association – Healthiest Generation in One Nation
Statewide PPE Training Getting Social
Tweet something you have learned today
Facebook Group
NEW State of DE PPE’s Private Facebook Group Page!
Preconception Pinterest Board Sample
Don’t Reinvent - Incorporate
•To incorporate Delaware Life Planning and Life Course Theory into existing curriculum
Question to presentation attendees:
What programming are you involved in that could incorporate the messages of DHMIC Life Course and Life Planning?
What is the assignment?
1. Sign up for the PCHHC Newsletter
email: [email protected] with “subscribe” as your subject line
2. Join DE THRIVES on Facebook and Twitter
“Like” the DE THRIVES Facebook page & follow and retweet messages from the DE THRIVES Twitter feed to engage our community the work of the DHMIC
Anne DeCaire BSN, RN Preconception Nurse Educator DHMIC / March of Dimes [email protected] Send me your creative ideas!