Guide Promoting Family Change

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The plan should address how and when you will evaluate the patient's progress or renegotiate goals. In some cases, a face-to-face visit will be required. In other cases, follow-up can occur by phone or e-mail with a nurse, dietitian or health educator. Follow-up should occur within three weeks in most cases. The plan should also list resources in your community that can assist your patient, such as physical activity centers, walking groups, psychologists and health educators. In the same way, small, incremental changes are the best approach for your practice as it transitions into a fitness culture.

Select any one of the strategies and tools described in this article to begin experiencing the benefits of healthy lifestyles for you, your patients and ultimately your community.

The four strategies

This series is designed to help family physicians put research results to use in their practices. Already a member or subscriber? Log in. Author disclosure: nothing to disclose. Send comments to fpmedit aafp.

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Effects of comprehensive lifestyle modification on diet, weight, physical fitness, and blood pressure control: month results of a randomized trial. Ann Intern Med. Aiming higher: because fitness is always good medicine making fitness thetreatment of choice for the prevention and treatment of chronic disease.

Accessed Feb 22, Does physician weight affect perception of health advice? Prev Med. Physical activity habits of doctors and medical students influence their counseling practices.

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Br J Sports Med. Impact of a primary care intervention on physician practice and patient and family behavior: Keep ME Healthy — the Maine Youth Overweight Collaborative. New York: Guilford Press; Examining physician counseling to promote the adoption of physical activity. Can J Public Health. Meta-analysis: the effect of dietary counseling for weight loss.

Promoting Family Change : The Optimism Factor

Dietary applications of the stages of change model. J Am Diet Assoc. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact fpmserv aafp. Want to use this article elsewhere? Get Permissions. Read the Issue. Sign Up Now. Previous article. Using a Simple Spreads Mar-Apr Issue.

When practices promote fitness as the treatment of choice for all patients, good things happen. Read the full article. Get immediate access, anytime, anywhere. These approaches assume that the starting point for change is the strengths and capacities of family members. The book is illustrated with detailed case studies drawn from actual practice, and it includes examples of innovative programs. It also looks at ways in which workers can incorporate these approaches into their practice to become more effective in their interventions with vulnerable families.

Promoting Family Change is a good introduction to family practice for students and a valuable reference for welfare and community workers who wish to review and improve their practice skills. More books by this author. Since the first contact a parent has with his or her child's school is often negative, some districts are making sure the first contact with parents is a positive one.

Reaching families whose first language is not English requires schools to make special accommodations. Translating materials into their first language can be useful for these parents, but written communications alone are not enough. Ideally, a resource person, perhaps another parent, would be available who could communicate with parents in their first language either face-to-face or by telephone.

Interactive telephone voice-mail systems that have bilingual recordings for families also are useful. Schools can also bridge the distance between families and schools by surveying parents to find out their concerns and opinions about school. Surveys can be especially helpful to assess further changes needed after a school has implemented a program promoting parental involvement. Many schools hold evening and weekend meetings and conferences before school to accommodate families' work schedules.

By remaining open in the afternoons and evenings and on weekends, schools can promote various recreational and learning activities for parents, including adult education and parenthood training, and can create a safe haven against neighborhood crime. As much as Americans are eager to get on the Information Highway, getting an old fashioned telephone into every classroom might be one of the most effective ways to improve communication between families and teachers U.

Department of Education b. Schools are also using a number of new technologies to communicate with families and students after school hours. One widespread arrangement is a districtwide homework hotline to help guide students with assignments. In addition, voice mail systems have been installed in several hundred schools across the country. Parents and students can call for taped messages from teachers describing classroom activities and daily homework assignments. Audiotapes and videotapes also are being used as alternatives to written communication for parents.

These are especially helpful in reaching families who do not read. Computers can help improve children's academic achievement and bring families and schools together. Many parent centers include computer classes for parents to improve their education and job skills. The number of families who use the Internet is also rapidly growing, and several aspects of Internet services are becoming dedicated to families. Free transportation and child care can especially encourage families in low-income and unsafe neighborhoods to attend school functions.

Native speakers of languages other than English, interpreters, and materials translated in their own language can help non-English-speaking parents participate in the schools more fully. A parent liaison or home-school coordinator can develop parental involvement programs without adding to the workload of teachers. Many of the most effective parent-school partnership programs combine multiple strategies. Traditional homework assignments can be converted into more interactive ones involving family members. For example, students might interview family members on historical events or their daily work.

The parental involvement goal explicitly states, "Parents and families will help to ensure that schools are adequately supported and will hold schools and teachers to high standards of accountability. But this kind of participation is an important component of efforts to increase parental involvement. Schools can give families the opportunity to support the improvement efforts of schools and teachers.

In recent years, a number of school systems have established new governance arrangements. Thus many schools are creating new arrangements for working with parents, finding ways to make communication with families more personal and compatible with their needs, drawing on new technologies, and using parents in new ways in the schools.

State Public Health | ASTHO

But these new family-school partnerships need continuing support from other members of the society, including community organizations, businesses, and government at all levels. Anderson, R. Barton, P. Bastian, L. Bauch, J. Baumrind, D. Rearing competent children. Damon Ed. San Francisco: Jossey-Bass. Becher, R. Bempechat, J. The role of parent involvement in children's academic achievement. Berla, N. Berrueta-Clement, J. Bronfenbrenner, U. Office of Child Development. ED Caplan, N. Indochinese refugee families and academic achievement.

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Carnegie Council on Adolescent Development. Chapin Hall Center for Children. Chicago: Author. Children's Aid Society. New York: Author. Children's Defense Fund. Washington, DC: Author. Chimerine, C.