269001
Improving Mental and Physical Health through an Integrative Health and Health Literacy Program: The Canyon Ranch Institute Life Enhancement Program
Monday, October 29, 2012
: 9:10 AM - 9:30 AM
Chuck Palm, MPH
,
Canyon Ranch Institute Life Enhancement Program, Canyon Ranch Institute, Tucson, AZ
Andrew Pleasant, PhD
,
Health Literacy and Research Director, Canyon Ranch Institute, Tucson, AZ
Jennifer Cabe, MA
,
Executive Director, Canyon Ranch Institute, Tucson, AZ
Rainy Dawn Warf, MPH, CHES
,
Evaluation Coordinator, Canyon Ranch Institute, Tucson, AZ
Paloma Hernandez, MS MPH
,
Urban Health Plan, Inc., Bronx, NY
Debbie Lester, LMSW
,
Institute for the Advancement of Community Health, Urban Health Plan, Inc., Bronx, NY
Samuel DeLeon, MD
,
Medical Affairs, Urban Health Plan, Inc., Bronx, NY
Amy Michael
,
Chief Operations Officer, Sullivan County Memorial Hospital, Milan, MO
Martha Gragg, RN MSN
,
Chief Executive Officer, Sullivan County Memorial Hospital, Milan, MO
Colleen Cross, MA
,
Department of Public Health and Research, Cleveland Clinic, Cleveland, OH
Nancy Johnson, RN PhD
,
Chief Operations Officer, El Rio Community Health Center, Tucson, AZ
Richard Carmona, MD MPH FACS
,
President, Board of Directors, Canyon Ranch Institute, Tucson, AZ
Adults who struggle with depression, stress, and other mental health issues also struggle with adoption and adherence to healthy behaviors that improve or prevent chronic diseases, such as diabetes and heart disease. Results from the Canyon Ranch Institute Life Enhancement Program (CRI LEP), a program aimed at low-income communities in the South Bronx, NY; Cleveland, OH; Sullivan County, MO; and Tucson, AZ; demonstrate that an integrative health approach based on best practices of health literacy can improve mental health and physical health, with statistically and clinically significant changes. The CRI LEP includes participatory group sessions, social support, fitness instruction, cooking demonstrations, a nutritionist-guided grocery store trip, and extensive evaluation. Unique components of the CRI LEP are a focus on a person's sense of purpose or spirituality, and at least four individual one-hour one-on-one planning consultations medical, nutrition, behavioral, and fitness professionals. Data collection occurs at pre, post, three-months post, one-year post, and process evaluation stages to evaluate nutrition, physical fitness, knowledge, attitudes, behavior, stress, and a blood serum analysis. Evaluation results of completed groups to date show significant improvements in mental health metrics, including 56% reduction in PHQ-9 depression scores, 44% reduction in stress, 23% increase in self-efficacy scores for taking part in exercise and maintaining healthy nutrition, and a 67% increase in the number of mentally and physically healthy days in the previous month. Evaluation and programming is ongoing; the most up-to-date data available from all locations will be included in the presentation.
Learning Areas:
Administer health education strategies, interventions and programs
Advocacy for health and health education
Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Learning Objectives: 1. Discuss a model of integrative health and health literacy that improves mental health and physical health. 2. Discuss connections between mental health and physical health changes. 3. Explain how health literacy and an integrative approach to prevention can improve physical and mental health outcomes within the health care system in the United States.
Keywords: Health Literacy, Mental Health
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I am the manager of the Canyon Ranch Life Enhancement Program, have 20 years' experience in public health at local, state, and international levels, and have an advanced degree in public health.
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.
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