Operation Change Model
Target Population: Underserved females age 45 and older who are experiencing obesity, joint pain, and limited mobility
An 18-week community-based behavioral health program that integrates:   structured physical activity culturally tailored education motivational interviewer-led discussions to identify and address barriers to positive chang

Bowling, Beth

Feltner, Frances J.

Gonzalez, Rose

Hudson, Keisha

English

University of Kentucky

University of Kentucky UKnowledge Center of Excellence in Rural Health Presentations Rural Health 10-2019 Operation Change Comes to Rural Appalachia Keisha Hudson University of Kentucky, keisha.hudson@uky.edu Frances J. Feltner University of Kentucky, frances.feltner@uky.edu Beth Bowling University of Kentucky, beth.bowling@uky.edu Rose Gonzalez University of Kentucky Follow this and additional works at: https://uknowledge.uky.edu/ruralhealth_present  Part of the Medicine and Health Sciences Commons Right click to open a feedback form in a new tab to let us know how this document benefits you. Repository Citation Hudson, Keisha; Feltner, Frances J.; Bowling, Beth; and Gonzalez, Rose, "Operation Change Comes to Rural Appalachia" (2019). Center of Excellence in Rural Health Presentations. 11. https://uknowledge.uky.edu/ruralhealth_present/11 This Presentation is brought to you for free and open access by the Rural Health at UKnowledge. It has been accepted for inclusion in Center of Excellence in Rural Health Presentations by an authorized administrator of UKnowledge. For more information, please contact UKnowledge@lsv.uky.edu. OPERATION CHANGE GRADUATESACTIVITIESOperation Change Comes to Rural AppalachiaKeisha Hudson, AS; Frances Feltner, DNP, MSN, RN, FAAN; Beth Bowling, RN; Rose Gonzalez, PhD, MPS, RNUniversity of  Kentucky Center of  Excellence in Rural Health, Hazard, KYOUTCOME MEASURES• 47 (96%) women completed the program, 46 (94%) completed all three assessments. • 24 (52%) lost a total of 156.2 pounds, 7 pounds on average• 44 (96%) completed the 50 foot walk faster, 133.64 seconds overall, decrease or 2.23 minutes, 3.04 seconds on averageo Pre-intervention to mid-intervention: t(45)=6.27; p=.000o Pre-intervention to post-intervention: t(45)=8.42; p=.000• 22 (48%) decreased in systolic pressure• 24 (52%) decreased in diastolic pressure• 8 (17%) women had changes in all 3 categories: weight, walk time, systolic pressure, and diastolic pressure. PARTICIPANT FEEDBACK“Operation Change has been a life changing experience during the worst time of my life.”“Operation Change has meant a personal commitment to taking care of myself, which is something that I’ve put on the back burnerfor a very long time.”“Operation Change saved my life and changed my way of living.”“Operation Change makes me thankful that I was reminded that I am important and worthy. As women we sometimes forget we need to make ourselves a priority in order to be healthier and happier, so that we may help others in our family and community.”CONCLUSION• Can be successfully adapted to rural communities• Sustainable Model• Networking benefits• The need to have early discussions about sustainable strategiesACKNOWLEDGEMENTSThe UK Center of Excellence in Rural Health gratefully acknowledges the support of: Verona Brewton, Christopher Bacot, Carole Frazier, Margie Coots, Ashley Combs, Betsy Clemons, Sandra Jones, Movement is Life, Community Educators, Perry County Fiscal Court, City of Hazard and United Way of Southeastern Kentucky.INTRODUCTIONWomen in Perry County, KY: • Have lower life expectancies compared to the state and nation• Perry County (74.1 years)• Kentucky (78.8 years)• United States (81.5 years)• Suffer from alarming rates of obesity, heart disease, diabetes, cancer, depression, substance misuse, and musculoskeletal disease.• 50.5% of the population in Hazard, KY are female• 39.9% Obese• 38.5% Physically Inactive• 14.5% DiabetesOPERATION CHANGE MODELTarget Population: Underserved females age 45 and older who are experiencing obesity, joint pain, and limited mobilityAn 18-week community-based behavioral health program that integrates: • structured physical activity• culturally tailored education• motivational interviewer-led discussions to identify andaddress barriers to positivechangeAdairAllenAndersonBallardBarrenBathBellBooneBourbonBoydBoyleBrackenBreathittBreckinridgeBullittButlerCaldwellCallowayCampbellCarlisleCarrollCarterCaseyChristianClarkClayClintonCrittendenCumberlandEdmonsonDaviessElliottEstillFayetteFlemingFloydFranklinFultonGallatinGarrardGrantGravesGraysonGreenGreenupHancockHardinHarlanHarrisonHartHendersonHenryHickmanHopkinsJacksonJeffersonJessamineJohnsonKentonKnottKnoxLarueLaurelLawrenceLeeLeslie LetcherLewisLincolnLivingstonLoganLyonMccrackenMccrearyMcleanMadisonMagoffinMarionMarshallMartinMasonMeade MenifeeMercerMetcalfeMonroeMontgomeryMorganMuhlenbergNelsonNicholasOhioOldhamOwenOwsleyPendletonPerryPikePowellPulaskiRobertsonRockcastleRowanRussellScottShelbySimpsonSpencerTaylorToddTriggTrimbleUnionWarrenWashingtonWayneWebsterWhitleyWolfeWoodfordPerryGRADUATION

Operation Change Comes to Rural Appalachia

https://uknowledge.uky.edu/cgi/viewcontent.cgi?article=1007&context=ruralhealth_present

Operation Change Comes to Rural Appalachia

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