STEAM is a simple group program that helps fight childhood obesity.

1. *Set Goals * Take Control * Eat Healthy * Accountability * Move
A Seasoned Evidenced Based Childhood Obesity Program..
© 2011Rose Rumball. All Rights Reserved.
Cherry St Health Services is an authorized licensee.

2. A simple basic program that
promotes healthy food choices,
behavior change, and lots of fun
and inexpensive activities.
* What are healthy foods ?
*Where, what, when to & not to eat
* What are the risks of being overweight ?
*What can I do everyday at home to have fun?

3. History
• Launched in 2004 at GR Pediatrics
• Focused on overweight asthmatics
• Children 6 – 18 years of age
* Only criteria- ready to make
changes.
• Twelve Week Program
• Charged for book and program

4. Today’s Program
Criteria
 > 85 % of BMI
 8 – 16 years of age
 Committed Support Partner
 7 weeks to dedicate to their child & the program
 Ready to make changes in their current lifestyle.
 Free / $10 Registration Fee

5. Goals
 Spread the Program by taking referrals or training
 Spread the same consistent evidenced based messages
 Reach as many children as possible with a BMI of > 85%
 Form a united front with sister community health centers
in the fight against childhood obesity.
 Encourage “STEAM” program buy-in from community health
centers
 Obtain health plan reimbursements for STEAM program
attendees
 Plan to continue to make the program stronger in quality and
outcomes with CHC collaboration.

6. Contributors/Community Support
• Cherry St Health Services
• Americorp
• Holt Graphic Design
• Health Plan of MI
• Care Source Foundation
• Spectrum Health Practices
• U of M Research
• John Ruedisuelli, Attorney
• Dick’s Sporting Goods
• Erin Dressander PT, MSPT
• S.T.R.O.N.G.

7. What makes a child overweight?
 Genes contribute to
weight problems, but
family environment has
the greatest impact on
a child’s weight gain.
 On the other hand, the family
environment also has the
greatest impact on the child’s
ability to lose weight, keep it off,
and build a lifetime of healthy

8. Motivators
 Adults are motivated by challenges, titles,
competition, prestige
and $$$$.
 Kids are motivated by fun and
competition.

10. – Prevention Plus
 Family visits with PCP
 Frequency individualized to family needs
and risk factors
- Monthly recommended
 Tailored Plan
 BMI Monitoring
 Use MI and cultural competency
 Focused messaging
No improvement in 3-6 months – Stage 2

11. - Structured Weight Management
 Family visits with PCP or health professional with
training in weight management Visits can be
individual or group.
 Include visits with dietician, exercise specialist,
counselor.
 Include self monitoring, goal setting, rewards
 Frequency: monthly or individualized to family needs
and risk factors.
No improvement in 3-6 months – Stage 3

12. – Comprehensive,
Multidisciplinary
Multidisciplinary team with experience in childhood obesity
 Behavior Change
 Goal Setting
 Self Monitoring
 Systematic measuring
- Anthropometrics
- Dietary logs
- Fitness testing
 Frequency - often weekly group sessions for 12-24 weeks
with follow up ( longer = better outcomes
 Monthly visit with PCP
Severely obese, multiple co-morbidities, adolescence – Stage 4

13. - Tertiary Care Intervention
( For select children only when provided by
experienced programs with established
clinical or research protocols)
 Medications – sibutramine, orlistat
 Very-low-calorie diets
 Weight control surgery- gastric bypass or
banding( not FDA approved for children
but in clinical trials.

14. STEAM Program Structure
Referrals from medical providers in the community
Referrals promoted by brochures, fliers, presentations,
web site, and collaboration efforts
Meet for 2 hours, one day a week x 7 weeks
Weekly weigh-in for child and support partner
HW-making child accountable for goal setting, healthy food
food choices, and exercise achievements
Planned topics for presentations related to Behavior Modification (
Pediatrician/MSW), Nutrition (Registered Dietician), and exercise specialist ( CPT
or higher level)
Guest Presenters
Graduation
Prizes/Bikes
Follow up at 1 month, 6 months, and one year
New ideas from spread programs
Uniqueness of STEAM - team will train and assist in spreading to other
organizations the STEAM message of evidence based proven strategies.

15. Getting Started
Thinking about starting a Childhood
Obesity Program ?
Started a Childhood Obesity Program, but
would like to collaborate with your sister
Community Health Centers to make your
program better.
Why start from scratch when STEAM is
seasoned, structured, outcome focused,
and experienced in successfully training
new start up sites.

16. Who will you need?
Your STEAM TEAM …
Director/Coordinator
Medical Provider / Mid Level / MSW
Registered Dietician
Exercise Specialist
Technical Support ( Americorp )
Volunteers
Guests

17. What will you need?
Location
Promotional Material / Plan
List of Potential Participants
Committed Team
Program Plan / Outline
Training if using “ STEAM”
Administrative Assistance
Community Support
List of Available Community Resources

18. Healthy Habits/Healthy Weight
7 Breakfast every week
6 Home cooked meals per week
5 Servings of fruits & Vegetables each day
4 Ounces of 100% juice per day or less
3 Servings of low fat dairy each day
2 Hours or less of screen time each day
1 Hour or more of physical activity each day

19. Registration Process
 Referrals from PCP
 Commitment
 Informational Fliers
 Registration Form ( in office)
 Support & Back up Support Partner
 Medical Provider Approval Form
 Fax paperwork to Program Coordinator
 Program Coordinator gathers info and sends out
Welcome Letter.
 Coordinator meets with team & shares info
 Reminder calls are made to participants

20. STEAM Program Forms
 Registration
 Liability/Consent Form
 Welcome Letter
 Medical Provider Approval Forms
 Sample Fliers
 Pre/Post Surveys
 Provider Summary Forms
 Goal Sheets
 Food Charts
 Aerobic Exercise Forms
 Stretch Forms
 Training Manual
 Certificates of Achievement
 Much More …

22. Winter 2011 Post Program Survey
Since starting the program …
 100% eating 3-5 servings of fruits & vegetables daily
 Will you continue flex exercises -75% Yes, 25% Not sure
 Eating breakfast more frequently 100%
 Less junk food in the home 100%
 Eating smaller portion sizes 75% Yes , 25% No
 Able to Read food labels 75% Yes, 25% Same
 More active now 100%
 Drinking more water now 75 % Yes, 25% No
 Less Screen Time 75% Yes, 25% about the same
 Less intake of sweetened beverages 100% Yes

23. Budget Considerations
 Rent
 Prizes – most points ( depends on how many participants & options for prizes )
 Administrative supplies & time ( copies, mailings, handouts, postage)
 Projector & Screen for power points for
presenters.
 Presenter’s Props Examples of healthy snacks
 Program tools – balls, hula hoops, jump ropes,
 DVD player
 Scale, standometer
 Health Plan Reimbursements

24. Program Requirements
Follow required outline/topics/guidelines
Use standard forms so outcomes can be
measured
Physician Champion
Professional/Qualified Team
Professional Guests
Attend Training

25. What will STEAM do for you?
 Provide your medical providers with a referral source for
your overweight patients.
 Provide additional income to make the program self supporting.
 Provide your patients with the basic knowledge to make healthier
choices which will give the PCP leverage to build on.
 Provide a great team building experience for your participating
staff.
 Provide you with an awesome program that allows you to be as creative
as you wish without compromising program requirements.
 Provide you with a support group to make your program run smoothly
and effectively.

26. Thank You
• For your interest in Children struggling with
obesity.
• For continuing the successful childhood obesity
programs you may have already running in
your organizations
• In advance, for your willingness to take the
initiative to start a program of your own
• For caring enough to be here today.

27. STEAM Program Contact
Rose Rumball
Program Director
Cherry St Health Services
330 Barclay Ave NE
Suite GL 2
Grand Rapids, MI 49503
1-616-459-4314
Roser@cherryhealth.com