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Families Step Up with Leah Holzwarth
1. Families Step Up
Building Healthier, Stronger Families
Leah Holzwarth, MS, ACSM, CWPM
Baptist Health South Florida
Wellness Advantage
2. Baptist Health South Florida
Healthcare system in South Florida
Six hospitals
30 Urgent Care and Diagnostic Centers
Florida Keys to Broward County
15,000 employees
Close to 75,000 admissions in 2011
Operating revenue of 2.3 billion
223.1 million in community benefit
3. Wellness Advantage
Founded in 2000
Focus strictly on employee health and wellness
Nationally recognized
National Business Group on Health
American College of Occupational Medicine
American Heart Association
Wellness Councils of America
Average 140,000 touches/year
Cost Avoidance of 17 million
4. Families Step Up Background
Spring 2006 – develop a class for BHSF
employees with overweight children
Fall 2006 – Families Step Up is born
4 sessions on Saturday mornings
2 hour class
Registered Dietitian, Registered Nurse, Exercise
Physiologist
Focus was on healthy eating, exercise and
biometrics
Physician clearance for all participants
5. Updates
Spring 2008
Class moves to six weeks
Class is on week day evenings
One session set aside for a Family Therapist
Fall 2009
Family Therapist replaces Registered Nurse
Class is extended to eight weeks
Dinner is provided at every class
Focus is on play, healthy eating,
communication, play, and family time
6. Current Class information
Average class size is 7 families
Average family size is 4.5
Half have mom and dad participating
Quickreview of data show most successful families
have an engaged dad or father figure
Over 60 families have participated
7. Where we are today
Families Step Up is offered twice a year
Eight sessions – 2 hours in length
Dinner is served at every class
Biometrics taken at first class and at 6 month
follow ups
Emphasis on decreasing screen time,
increasing play and healthy eating,
communication and stress management,
being together as a family unit
Include all family members
8. What is in a session
Dinner
Introductions
Parents
introduce
Same every time
Educational - Talk about a new skill
Model behavior – demonstrate how it is done
Homework reinforces new skills
9. Goals for the family
Dinner together at least 4 nights with TV off
Decreased screen time to no more than 60
minutes (not including homework)
Family play
Family meal preparation
Ultimate goal - to have child grow into
their weight
10. Outcomes
Close to 90% perfect attendance
At least one health metric improvement in all
family members at end of program
Average is 3 improvements
Parents show improvements first
Stories
Alec, Chris, Richard, Deborah, dinner, salmon
11. Challenges
Getting all the medical releases in
Full parental engagement
Knowing how much information to give
Consistent follow-up