Health-Smart Behavior Program at Health Department

The Health-Smart Behavior ProgramTM (Health-Smart) at the Alachua County Health Department addresses the fact that overweight and obesity among adults in the United States have reached epidemic levels, are linked to several chronic diseases, and disproportionately impact racial/ethnic minorities, people with low incomes, and people living in rural communities. Health-Smart at the Alachua County Health Department is a health promotion intervention designed to increase engagement in “Health­Smart” behaviors (i.e., healthy eating, physical activity, and behaviors that improve sleep quality and reduce stress, anxiety, and depression) among overweight or obese adult patients in Alachua County. The 2012 Alachua County Health Profile reports that approximately 60% of Alachua County adults are overweight or obese. Thus, there is a need for overweight and obesity interventions targeting Alachua County adults. Participants will be randomly assigned to one of three intervention groups:

  • Group 1 participants will experience an individualized goal setting session, support from a family member or friend, telephone support from a research assistant, and two, 3­hour workshops that focus on increasing Health­Smart behaviors.
  • Group 2 participants will experience all Group 1 interventions except the workshops.
  • Group 3 participants will experience all Group 2 interventions, but will be sent a reminder text or email messages, instead of receiving telephone support from a research assistant. Data collected from participants include height, weight, blood pressure, and their responses to questionnaires that assess healthy eating, physical activity, and health­related quality of life.

The goal of the project is to focus on increasing engagement in Health-­Smart behaviors among overweight and obese Alachua County Health department patients, thus positively impacting their health outcomes.