246490 Healthy Start Moves Toward a Healthier Maternal Weight

Wednesday, November 2, 2011

Cheryl Austin, MPH, RD, LDN , Abt Associates Inc, Cambridge, MA
Lisa J. LeRoy, PhD, MBA , Public Health and Epidemiology, Abt Associates, Cambridge, MA
Kay Johnson, MPH, EdM , Johnson Group Consulting, Hinesburg, VT
Vonna Drayton, DrPH , Public Health and Epidemiology, Abt Associates, Bethesda, MD
Kimberly Deavers, MPH , Division of Healthy Start & Perinatal Services, Maternal & Child Health Bureau, Health Resources & Services Administration, U.S. Dept of Health & Human Services, Rockville, MD
Introduction: Federally funded Healthy Start infant mortality reduction projects now operate in 104 communities. Each is required to have an interconception care component focused on higher-risk women for the 24 months following an index pregnancy. Healthy Start participants are more likely than the general population to be low-income women, women of color, and within higher body mass index (BMI) categories. Healthy Start projects offer case management and services to support participants' weight management efforts. We will describe community-based strategies aimed at achieving and maintaining healthy weight during the interconception period

Methods: The Interconception Care Learning Community (ICC LC) adapted the Institute of Healthcare Improvement (IHI) model for quality improvement to Healthy Start community-based efforts. Geographically disparate teams from the 104 projects are organized into 15 learning collaboratives to achieve common goals. Change concepts include Development of Community Linkages and Partnerships, Implementation of Evidence-Based Tools and Protocols, and Staff Training and Skill Development. Three collaboratives selected healthy weight for the second of three action periods.

Results: Each team implemented a Plan-Do-Study-Act (PDSA) cycle and collected data to measure its change. Changes in community linkages, BMI assessment tools, staff protocols, and education for Healthy Start project staff and clients have been reported.

Discussion: This session will highlight evidence-based practices and outcomes of the three healthy weight collaboratives. Barriers, facilitators, and opportunities for change will inform innovative approaches to promoting a healthy weight among at-risk women, and offer lessons learned for replication in similar communities faced with limited resources.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public

Learning Objectives:
1) Identify health risks associated with excess weight during the interconception period; 2) Describe the Healthy Start Interconception Care Learning Community (ICC LC) project and its approach to quality improvement within the community setting; and 3) Discuss community-based quality improvement strategies aimed at achieving and maintaining a healthy weight for interconception clients developed and adopted by Healthy Start teams in the ICC LC.

Keywords: Quality Improvement, Obesity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. LeRoy is qualified to present because of her experience in maternal and child health and epidemiology; she is also the Project Director for the Interconception Care Learning Community.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.