Decreasing the Number of Times I Eat Fast Food on Week Nights BH, MSN, RN George Mason University Class Member HSCI Fall Semester 2004 Story Board
Problem Statement • Monday through Friday I eat fast food 100 % of the time and do not eat fast food 0% of the time. Story Board
Routines Pre-Intervention List of routines Time Activity Impact on habit 5: 30 AM Get up and shower None 6: 00 AM Get dressed and ready for work None 6: 30 AM Care and feed dog None 6: 45 AM Leave for work None 7: 00 AM Arrive at work None 5: 00 -6: 00 PM Leave work for home Sometimes I'm not home until 7: 00 PM 5: 30 -7: 00 PM Decide what to have for dinner Often leads to fast food purchase 7: 30 PM Dinner cleared away and dishes done 8: 00 -10: 00 PM Study 10: 00 PM Watch TV None 11: 00 PM Bed None Story Board
Routines Story Board
Post-Intervention List of Routines Time Activity Impact on habit Other benefits 5: 30 AM Get up and shower None 6: 00 AM Get dressed and ready for work None 6: 30 AM Care and feed dog None 6: 45 AM Leave for work Make sure the evening meal for this day is ready to put in oven or crock-pot with directions for the process owner who is responsible. Involves others in process of responsibility for dinner 7: 00 AM Arrive at work None 5: 00 -6: 00 PM Leave work for home Try to get home around 5: 30 PM to get meal on table and last minute preparations. Helps me leave work in timely fashion. Required hours are 8: 00 AM-4: 30 PM 5: 30 -7: 00 PM Have dinner that was prepared at home - no dining out Success Healthier eating. Less money spent on fast food. Family eats together. 7: 30 PM Dinner cleared away and dishes done Leaves time to prepare for following day Meets criteria for collecting data 8: 00 PM Make preparations for next day meal Success in keeping to plan Sense of accomplishment for next day. 8: 30 PM-10: 00 PM Study None 10: 00 PM Relax, watch TV None 11: 00 PM Bed None Story Board
PDCA - PLAN Sept. 5 I had a meeting of the process owners for decreasing dining out. The process owners are my husband our 2 sons, ages 23 and 18. They agreed they would like to have meals prepared at home and to help. My husband older son are often home and could assist in preparation. One of the problems was they did not want to be responsible for planning a meal but would help prepare it. Another problem was knowing who would be home for dinner on what night and what time we would be home. Story Board
PDCA - PLAN The planned interventions are: 1. Plan a weekly menu on Sunday 2. Shop according to the menu on Sunday 3. Buy a magnetic calendar for the refrigerator-list meals and when we would not be home 4. Prepare some meals ahead of time 5. Use the crock-pot for meal preparation when there was no one to prepare a meal that day 6. I would come home between 5 -5: 30 PM more consistently 7. The process owners would assist as needed 8. Do storyboard Story Board
PDCA - DO DO Sept. 6 1. Bought a magnetic calendar - listed menu and each process owners daily activities 2. Completed a daily routine and work routine list - there was a relationship between the number of hours I work and how tired I am. 3. Sept. 13, Added another process owner from work to actively help me leave work at 5 PM. 4. Started the above plan on Sept. 7 Story Board
PDCA - CHECK This personal improvement is a school project for 12 weeks. I will collect data daily and report to Dr. Alemi as requested. Week 1 & 2 trend above the UCL because I dined out every evening. Day 11 the interventions were introduced and immediate improvement was realized. Days 19, 30 and 33 were days when I ate dinner out but were only one day in duration therefore did not represent a significant variance in process. However on the chart where I recalculated the UCL for the post-intervention timeframe those 3 data points were at the UCL. Weeks 3 -12 were consistent with process change. Story Board
Time Between Chart-Constant UCL Story Board
Time Between Chart – Pre and Post Intervention UCL Story Board
ACT • The interventions were effective in producing process change • Maintain the gain with the changes • Spread the concept of change to other behaviors and utilize “time between charts” to verify process improvement Story Board
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