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Welcome HANS KAI

Welcome HANS KAI. NorWest Co-op and Hans Kai. NorWest Co-op has served the Inkster community since 1972, taking a multi-service, holistic, team approach to health care.

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Welcome HANS KAI

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  1. Welcome HANS KAI

  2. NorWest Co-op and Hans Kai • NorWest Co-op has served the Inkster community since 1972, taking a multi-service, holistic, team approach to health care. • NorWest is the only health cooperative in Manitoba. Members of NorWest play an active role in deciding the future of the co-op. • HANS KAI is currently available in French and English. HANS KAI was developed for a Canadian context in partnership with Robert Cliche Health Co-op in Beauceville Quebec. Robert Cliché and NorWest have worked to standardize the HANS KAI program

  3. Vision, Mission and Values • VISION: People taking control over their health. • MISSION: To engage our community in co-operative health and well-being. • Values: RESPECT – Integrity. Non-judgmental. Dignity. INNOVATION – Vital. Responsive. Best-practice. CO-OPERATION – Self-Health. Engagement. Capacity Building.

  4. What is Hans Kai? • Small groups that meet at minimum once monthly to support one another in making healthy lifestyle choices. • Groups participate in 4 key activities – preparing healthy food/snack, engaging in physical activity, checking specific health indicators, and socializing and supporting each other. • Groups attend a health school to learn about Hans Kai, be provided with the education, tools and resources to run their own group. • Groups are leaderless and are self directed (with support from Hans Kai team as needed).

  5. Hans Kai Background – How it all Started • NorWest participated in a co-op tour of HANS KAI in Japan in 2007. • HANS KAI started in Winnipeg in 2009 with inviting key stakeholders such as Winnipeg Regional Health Authority, City of Winnipeg, Get Better Together, Universities etc… to an information day about HANS KAI. These stakeholders formed a steering committee that continues to advise the program. • Health School and HANS KAI standardized curriculum and tools/resources were developed with best practice models and in collaboration with Robert Cliché Health Co-op. • Research is provided by an external company and has received ethics approval. • National Network currently being formed to oversee HANS at a national level.

  6. Hans Kai who is it for? Hans is for anyone wanting to maintain or improve their health

  7. Hans Kai HANS KAI Implementation Plan • Identification and outreach of interested participants. • Recommendations for potentially interested groups from the steering committee members and other partners. • Letters explaining HANS KAI (HANS) and its benefits are sent to local businesses. • Newsletter and poster advertising throughout the community. • Health fairs, community events and neighbourhood gatherings include interactive activities and information designed to introduce HANS KAI (i.e. Bike blenders to make smoothies, blood pressure and glucose checks, physical activity games or chances to try new activities, general information, healthy snacks). • Personalized outreach for golf tournaments etc…

  8. Key Objectives of Hans Kai To create social networks that support personal wellness. To increase awareness of the connection between personal wellness and healthy lifestyle choices, and those factors within and outside of their control. To increase one’s ability to take action to improve health. Todevelop peer support and leadership skills to encourage others to make healthier lifestyle choices across all sites. To reduce social isolation by developing connectedness with others. To maintain or improve measurable health indicators. To increase access to primary care services and linkages to community programs and services . To collaborate and share resources and lessons learned with other organizations interested in creating HANS groups in their communities.

  9. Hans Kai Health Schools Health Schools • Health Schools are for participants interested in joining Hans – it prepares them for their group meetings after completing the health school. • HANS team members schedule facilitators for the Health School. One HANS staff (preferably 2) is assigned to be the main lead and consistent contact at each health school session to develop the relationship, assist with continuity and ensure the participants have their needs met. The staff(s) also liaise with the other presenters and participants to ensure all needs and expectations are communicated. • Health Schools are 8 sessions. (2 hours each, can be adapted for shorter time frames).

  10. Session 1 Welcome to Hans Kai Learning Objectives Participants will… Know who their primary HANS contact person is and this is repeated in session 8 Understand HANS Kai and the core activities 3. Understand the Determinants of Health 4. Have set a goal/develop an action plan 5. Understand what makes us healthy 6. Have all questionnaires completed for research purposes Tools: Questionnaires, participant binders, logbooks, PowerPoint

  11. Session 2 - Health Indicators Learning Objectives Participants will… • Understand metabolic syndrome and risk factors • Identify factors that affect blood pressure, understand normal and high blood pressure values and when to report to their health care provider • Understand the differences between the different types of diabetes and risk factors • Be aware of healthy blood sugar ranges • Be able to check blood pressure, blood sugar and waist circumference and know when to report their numbers to their health care provider • Learn about risks associated with large waist circumference Tools: Toolkit with glucometer and supplies, blood pressure monitor, tape measure, scale, PowerPoint, blood glucose waiver, handouts with instructions for health indicators and values of each

  12. Session 3 - Eating for Health Learning Objectives: Participants will…. • Understand how to use Canada’s food guide (in life and for planning HANS snacks) • Understand key messages in Canada’s food guide (4 food groups, serving sizes) • Know guidelines for food safety • Learn about fibre, fats, sodium and other nutrients • Able to read a food label and determine if there is a ‘little’ or a ‘lot’ of a nutrient in the food product i.e. fat • Recognize the importance of nutrition for health Tools: PowerPoint or jeopardy game, Canada’s food guide, snack list, food models and labels, portion plate, arteries with plaque

  13. Session 4 - Lets Get Active Learning Objectives: Participants will... 1. Understand the benefits of being physically active 2. Understand the barriers to activity and how to overcome them 3. Demonstrate correct exercise techniques 4. Understand current health status before beginning an exercise program and how to reduce risk of injury 5. Understand the 5 determinants of activity: cardio, body, composition balance, flexibility, and strength Tools: Dynabands, pedometres, exercise handouts, PowerPoint, photos demonstrating exercises

  14. Session 5 Achieving Balance Learning Objectives Participants will... • Identify signs and symptoms of stress • Gain strategies on how to handle stress and make a stress management goal • Understand the 3 stages of sleep • Understand both healthy and unhealthy coping mechanisms • Recognize importance of sleep and its affect on health • Learn strategies on getting better sleep Tools : Coping mechanisms game with cut-outs, sleep design game, sleep handout

  15. Session 6 – Primary Care Through the Years Learning Objectives Participants will… • Know about local over the phone health service supports (Health Links) • Understand when to get periodic medical exams through the lifecycle • Understand how to prepare for common lab tests • Know the meaning of different lab tests, when and why you may go for those tests • Understand when and why medications may be needed for certain health conditions • Understand health risks of smoking or exposure to second hand smoke Tools: PowerPoint

  16. Session 7 Working Together Learning Objectives Participants will… • Brainstorm activities they may like to do in their Hans group • Understand cooperative values and how they relate to Hans • Identify optional sessions (guest speakers) available to support their group • Be able to use the consensus model to make decisions as a group • Be aware of their own boundaries, group boundaries and how to handle any conflict if it were to arise in the group • Gain skills to have effective time management at their group Tools: PowerPoint, mental mapping activity, head hands heart activity, consensus role play

  17. Session 8 Launch into HANS Learning Objectives Participants will… • Be able to begin meeting on their own • Understand the core components of their HANS KAI group • Create their own HANS KAI group

  18. Hans Kai How it Works • Groups meet at least once every month for 2 hours. • Groups are self directed with participants having an active role in how their group runs. • After the 8 session health school, HANS groups receive their tool kit of resources.

  19. Hans Kai • HANS KAI GROUPS • Groups are now meeting on their own at a mutually agreed upon time and location. • The groups are functioning independently and are community led (Leaderless as the groups make decisions by consensus) • Groups meet a minimum of once a month for 2 hours. At each meeting members participate in physical activity, eat a healthy snack, have time to socialize, and check their health indicators (weight, blood pressure, blood sugar) • Group members responsibilities include: picking a snack, shopping for the snack, reminder phone calls, bringing the tool kit and contact HANS team for supports when needed. • HANS group members often mentor other groups in the start-up stage.

  20. Hans Kai • Ongoing Support • HANS staff are available to support the groups as needed with requests for speakers on particular topics, activity requests, health school session refreshers, and more. Each HANS group is assigned a main contact with a back up for support. • HANS staff also support the groups with ensuring the tool kit is stocked, support with health snacks if needed and ensuring the groups are aware of any changes to health information. • HANS staff also assist the group if any group difficulties arises. • HANS staff provide mandatory motivation and personality sessions at the 3 month mark. • HANS staff follow up with the groups every 3 to 6 months to see how they are doing if we have not heard from them.

  21. Hans Kai • Results and demographics • As of September 2013 there are 14 HANS groups in Manitoba • 11 Community and 3 Workplace groups • 2 Health Schools are currently in session • Number of participants in HANS: 89 (33 in Workplaces and 56 in Community) • Average age is: 51.6 (42.6 in workplaces and 54.4 for community) • 84 women and 5 men • 46% have a chronic condition (workplaces 10% and community has 63% have a chronic condition)

  22. Hans Kai • Results and demographics

  23. Hans Kai When I is replaced by we even illness becomes wellness

  24. Questions? Thanks for joining us!

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