Facilitator Evaluation - Teen Facilitator Package

Parent/Teen Partnership for Teens & Diets: No Weigh Program Report from Concord Hospital in Concord, NH

Marilyn’s overall comments….. "Thank you for a wonderful program.
It was wonderful to see the change in the girls!
"

Introduction
Thank you to Marilyn for coming up with evaluation forms for Teens & Diets: No Weigh. We are sharing the forms and valuable feedback that Marilyn has received in using these forms.
Comments back to us regarding strengths and weaknesses of the program are helpful in guiding facilitators in the best use of the existing material and additions. As facilitators begin to share more and more as the program continues to grow, we will be able to offer you more insight into making this program even more useful and effective.

Background & Format
Marilyn Donnelly, RD from Concord Hospital in Concord, NH used Teens & Diets: No Weigh with girls only and held it as an orientation plus 8 sessions. The focus was on increasing self-esteem and stopping dieting. Each sessions included a 30 - 60 minute physical activity such as Tai Chi, yoga, step aerobics, walking and dancing. The classes were 2.5 hours (1 ½ hour of class time;
rest experimentation with physical activities).

Promotion
Their Center has a quarterly brochure of classes that is mailed out to 10,000 families. Also sent fliers to school nurses and guidance counselors in their area, as well as to pediatricians to market the program. Also sent to nutrition clients in this age group, as appropriate.

Evaluation
The girls liked the games which were very well received and role playing but did not like the journal activities (note discussion in this update on journaling so that you as a facilitator can appreciate the skill building process and retention of concepts that this process can convey). One suggestion is to have more sessions and do journaling as part of actual class time where participants will call out answers and teens will record in their journals as a permanent record and
to get used to enjoying journaling on a group level. This skill may be useful to them later on in life as they work through problems through various stages of life.
The following is a compilation of the evaluations that were received from the
girls...

Background on participants:
· ages 17, 14, 15 ½, 13, 15 ½, 12 ½, 131/2

Why did you choose to come to this course?
· I would like to lose some weight without dieting.
· Because I am very critical about my weight compared to my friends I feel fat!
· Because it was recommended, Marilyn is my nutritionist, it sounded like fun, I want to lose weight.
· To meet other girls
· Because Erin was going.
· My Mom asked me to come.
· Cause I wanted to lose weight.

What do you hope to get out of the program?
· Healthier habits
· Maybe to learn how to accept my weight (feel better about self)
· I don’t know yet.
· Getting new friends and better fit.
· Buddies
· Lose weight
· I want to lose weight.
What was the most helpful/positive part of the class? Why?
· Talking in a group to share our feelings about dieting and the physical activities
· Knowing that I am not alone.
· I really liked discussions we had. I also liked games we played. Sometimes it would be really
boring, but most of the time it wasn’t.
· The journal review was kind of wasting time when we had already gone over it the week
before during class.
· The activities
· The exercising with the weight. It was fun.
· Talking in a group and at the last class how we got in a circle so we could see the teachers
that was very helpful.
· I think it was the information, the way it was presented, and the way nobody was told that they
were fat.

What was the least helpful part of the class? Why?
· None
· Journal
· I think the least helpful part would be the journals. They were too much of a pain to do, because I already have enough homework as it is. (Note: using the journals as homework is not as effective as using it as part of class time so that it is fun and not a pain. This may mean that you will need more than eight sessions in order to do this and devote a class to journaling for each session. You could also choose to break up the 8 stages into two parts with the first part being 8 weeks; 1st week the session, 2nd week the journaling for the first stage, etc. and the 2nd part consisting of last 4 stages). Refer to details on journaling as part of this update.
· The journal review was kind of wasting time when we had already gone over it the week before during class.
· Possibly the journals since you went over all that stuff exactly. But it was a good way for us to remember it. (Note: format for introducing journals is simply a guideline; if teens catch on quickly, there is no need to spend lots of time in introducing journaling for the week; make it part of class time where teens call out the answers and simply record in their journal can get them into the habit of using this skill effortlessly and in a more fun way).
· Nothing!
· Having people talk out of turn and also sitting down for an hour and a ½ when talking – the stick people always fight about it.
· Well, a lot of it wasn’t aimed at where I am right now, but don’t get me wrong, I loved this class and I sure wish I knew about it when I was 12. (comment on journal…..it was hard to get time to write in it, but it was good for me).

Have you seen any changes in the following areas since the beginning of the program?
Please explain.
Eating in response to “body hunger”
· I eat when I am hungry or want food because I need it, and stop when I am satisfied.
· Yes, I have started to do that.
· Ever since I’ve started the class I mostly eat when I’m hungry, I feel there’s no point on eating when you’re not hungry.
· muy bien Excelenta
· I’ve concentrated on the difference and actually asking myself which one it was.
· Yes, because now I know if I am really hungry or just bored.
· After starting the class, I am a lot better at eating healthy and only when my body tells me to.
· Yes, I think I’ve learned to listen to my body, instead of ignoring it.

Eating in response to “mind hunger”
· I’ve changed a little with mind hunger, avoided eating for mind hunger by putting off eating until I am physically hungry.
· I did less of that.
· Eating for mind hunger is stupid. I learned that in the class.
· Good
· I’ve concentrated on the difference and actually asking myself which one it was. · Yes, I am hungry when I know I am hungry.
· I think that at the beginning of the class I always ate by mind not body. Now I feel a lot better after listening to my body.
· Less now, I usually pick the food and the balance, and then I let go and let body hunger take over.

General understanding of nutrition
· It is healthier to eat a bit healthier with less fat, oil etc in addition to the processed foods we learned about in one of our sessions.
· I learned a lot about nutrition in the course.
· You should do more about nutrition so people can get a really good understanding.
· Sort of, kind of, but not really changed.
· Yes, I am eating a lot healthier now that I have taken this class.
· Yes, I walked in here knowing nothing about nutrition now I know a lot more about it.
· It’s improved a lot.

Attitude toward physical activity
· I like it a little more. There are times when I don’t have the time, but try to do it ore the recent rain has kept me less active but when the weather clears I’ll be out walking again because I love it!
· I feel better about physical activity.
· I want to do more physical activity and I think the course is the reason.
· Awesome. Muy excelente
· It is a lot better. I can look at it as a lot more fun than ever before.
· I think next year I should join some physical activities so I can become healthier when I am older like 30.
· I have always loved activities now the door is open to new and different ones.
· I think I like exercise a lot more now.

We will be offering the class again in September. Would you recommend this class to a friend? Why or why not?
· Yeah. If I found a friend in need of it, however don’t think I know anybody.
· Yes. I would because a lot of my friends don’t eat because they think they are fat!
· Yes, I would because it has taught me a lot and I would want my friends to have the same experience.
· Yes, because it’s a good way of understanding how to live a healthier life.
· Yes, because it was fun and we still learned something , but I also gained some friends, whether they know it nor not.
· Yes, because it is a great class. They should have as good of a time as I had for the past 8 weeks.
· Yes, It was fun and very educational but we had fun while learning.
· Yes, because this class had an awesome atmosphere, good information, and everyone was themselves and you didn’t need to feel self-conscious.
This class could really save someone someday.

Responses from parents using the new forms that Marilyn designed...

What type of changes have you observed in your daughter’s behavior and/or attitude since the inception of this program?

· Not afraid to join a group and talk.
· Has started a more regular exercise program (walking and roller blading); very excited about each class
· She has always been “self-directed”, and she chose to attend this class to address self-perceived problems as well as on-going health issues. I don’t see a “change”, but she feels she got a lot out of the program.
· More serious about food/meal choices especially away from parents at friends’ houses/awareness of benefits of increased activity and exercise.
· Erin cares more about what kinds of food she will eat. She also realizes the value of exercise.
· An exchange of ideas between both daughters and sharing of ideas with me.
· I have noticed a better awareness of her food intake with awareness of food groups; also a part of it is exercise.

In your opinion, what is the most positive aspect of the program?
· That there is not an easy answer, regular exercise and healthy diet is the only way.
· Much higher esteem & self confidence
· Marie liked it and thought it was helpful
· Self awareness and acceptance
· Recognizing body hunger
· That they do have options and can be in control.
· Combination of the activities and education. I’ve also noted much positive interaction among the girls. I also like the positive influence of Diane and Marilyn.
Would you recommend this program to other parents of teenage girls? Why or why not?
· Yes, educational about health and diets.
· A very positive class; learned a lot.
· Yes
· Yes. I liked the influence of a peer group in a positive atmosphere – learned to “share” and open up in a group not associated with school/neighborhood friends.
· Yes. This is an excellent way to learn through peer support and direction of the curriculum proper ways to eat and to grow.
· Yes. It gives the girls a broader view for decision making on their own behalf.
· Yes. Good program – good information, diversified activity.


Linda's Comments
Other insights into use of support materials and including physical activity as part of program
Note the impact that including a variety of physical activities had on getting the girls active and enjoying it!
Also note the difficulty in getting girls to do their journaling. This process of learning this skill is valuable though and should not be omitted. This “keeper” information, as one teen pointed out, was good for her; working it in was the difficult part. You might choose to use the journal as part of class time so that it is fun and not a pain. We have prepared The Hows and Whys of journaling to help you with this.
Incorporating journaling into class time with more sessions will accommodate this new feedback.


Introduction

Package Contents

Flyer

Location Network

Background

Program Model

Published Article

Facilitator Evaluation

Making a Proposal

Support For Non-Diet

License Agreement and Price List

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