Recommended Protocol for Using the Guides and
Materials
The diagram below illustrates how the BFWHW Guides and
materials may be used in the clinical setting. A more detailed step-by-step
description of the process follows the chart.
Step 1: Front Desk:
- Front desk staff gives patient the age-appropriate Guide.
Young women are also given a wallet card. The staff person asks the patient to
read through the Guide and complete the “Getting Started” and
“Talking With Your Health Care Provider” sections at the beginning of
the Guide before seeing the provider.
Step 2: Waiting Area:
- The patient answers the physical activity and healthy
eating questions and completes the “Talking With Your Health Care
Provider” section.
Step 3: Clinical Area:
- Staff checks and records height, weight, body mass index
(BMI), blood pressure, and other measurements, which are noted in the Guides.
Step 4: Exam Room With Provider:
- If not done previously, the provider calculates the
patient’s BMI and records it in the Guide. (To determine BMI for adult
women, the provider uses the BMI chart in the adult Guide.
- For young women, calculation of BMI-for-Age Percentiles
is a 2-step process – first the provider calculates the BMI and then the
BMI is plotted to figure out the BMI-for-Age Percentiles. A CDC chart is
available at:
http://www.cdc.gov/nchs/data/nhanes/growthcharts/set3/chart%2016.pdf
to assist providers with the calculation. Also, an online BMI calculator is
available at: http://www.shapeup.org/oap/entry.php.
Additional information on BMI for adolescents can be found on the CDC’s
Web site: http://www.cdc.gov/nccdphp/dnpa/bmi/bmi-for-age.htm.).
- The provider talks with the patient about what BMI is and
what her number means.
- The provider asks if the patient has any questions or
concerns.
- The provider uses the Counseling Support Tool to review
the patient’s responses to the questions. Based on the patient’s
answers, the provider identifies areas that need change or improvement.
- The provider and patient work together to develop a plan
for making improvements.
- The provider and patient use the recommendations to set
goals that the patient writes down in her Guide.
- For adult women: The provider recommends
specific “Reaching My Goal” Tip Sheets and notes the
recommendation(s) on page 10 of the Guide.
- For young women: The provider directs
the patient to relevant pages in the back of the Guide and the wallet card
where she can find more information on how to get started on reaching her
goals.
Step 5: Front Desk:
- Adult patient requests and collects the recommended
“Reaching My Goal” Tip Sheet(s).
- Patient takes Guide home for future reference.
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