Leveraging Action to Support Dissemination of the Pregnancy Weight Gain Guidelines Workshop Summary (2013) / Chapter Skim
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4 Session 2: Panel Discussion: What Are We Doing to Support Behavior Change?
4 Session 2: Panel Discussion: What Are We Doing to Support Behavior Change?
Pages 31-40
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From page 31... ...
. Josephine Cialone, head of the Nutrition Services Branch of the North Carolina Division of Public Health, Women's and Children's Health Section.
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From page 32... ...
is administered in North Carolina through the state's local public health departments. The WIC program serves clients receiving such services as prenatal or family planning at the health department as well as clients working with private-sector providers; many of these clients also participate in Medicaid.
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From page 33... ...
A Typical Day of Patient Care Ogunyemi's practice includes a maternal–fetal medicine practice and a high-risk obstetrical practice. First, the maternal–fetal medicine practice is located in downtown Los Angeles and sees 80 or more patients daily.
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From page 34... ...
The maternal–fetal medicine practice is a private practice run by a physician who is supported by a hospital. The maternal–fetal medicine staff feel strongly that many of the problems of pregnancy are related to weight gain and therefore emphasize pregnancy weight gain in the program.
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From page 35... ...
One barrier that North Carolina has experienced is that private providers have not used the health department's tools and trainings extensively; this may be because private providers look to their national associations rather than to the health department for guidance in their clinical practice. Another barrier is that providers within health departments need enhanced skills in motivating behavior change.
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From page 36... ...
Nurses do considerable home visiting for vulnerable populations. Integrated care models with a maternity care home focus, in which one care provider does the coordination and can follow up with referral sites, show great promise.
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From page 37... ...
The bottom of the poster lists a few key questions designed to encourage patients to talk to their providers about their body mass index. North Carolina also has worked on "conversation starter" tools.
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From page 38... ...
Cialone noted that the North Carolina health department has formed a group to look at how women's and children's health programs can focus on the life course. For example, when an adolescent comes into the clinic for well care, staff can start to have a conversation, not only about the specific purpose of the visit (an adolescent visit, school health visit, or permission to participate in athletics)
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From page 39... ...
SESSION 2 39 to educate and prepare girls and young women about a range of topics, such as the nature of a well-woman visit. Davis thanked the panelists and workshop participants and ended the session on supporting behavior change.
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