Behavior Change

Behavior Change

Intro to Behavior Change, Part 1

Every day we hear the results of another study, telling us what is making us unhealthy.  Eat this, don’t eat that.  Move like this, not like that.  There are, of course, good reasons to become educated about making healthier choices.  We are on an unsustainable track both for our own health and for the economic health of our nation.   In all reality, our health care crisis – the skyrocketing cost to treat preventable, chronic disease – is a greater threat to our survival than global climate change.  As with all things, though, we have made the solution far too complicated for the average person to comprehend.

Let’s get down to the fundamentals.  First, we simply have to become more aware of our own habits.  How do I feel when I eat this and don’t eat that?  How do I feel when I walk up a flight of stairs?  How much energy do I have?  If the answers to these questions are not the ones you’d like, then it is probably time to start making some changes.

Change is hard.  Crazy hard.  It’s really inconvenient.  That’s how we got into this mess in the first place.  It is human nature to take the path of least resistance.  It takes time and effort to change the way we live our lives.  For most of us, this is where we end up – in a state of knowing we need to do something but not believing that we can really do anything about it.  To be successful, we need to make the changes to our habits small, easy-to-adopt, and enjoyable.

Behavior Change 101, Part 2

Awareness.  This is where it all starts.  We have to stop and look within ourselves to even begin to understand what is and isn’t working.  This goes for health and nutrition but also for relationships, self-esteem, work performance, you name it.  What is the famous saying?  The first step is admitting you have a problem.

You don’t have to become a Yogi (yoga instructor, not the bear) to become aware.  You don’t have to take special classes (although that might help).  You don’t have to change the kind of person you are (although you probably will in the end).  You just need to be open to the idea of changing.  

We see things more clearly when we take a step back and give them our undivided attention.  Take a few moments each day to breathe.  Just be.  Relax.  In doing so, the busyness of the world, the noise of our self-talk, the daily to do list, they all disappear and we are simply left with ourselves and the truth.  Layers of thought, emotion, and even traumatic events are often responsible for the “dis-ease” that causes disease.  Without going through this process, it may not matter what changes we make to our nutrition or exercise habits.  Our bodies seek balance.  This applies to our emotional state as well.  When we are out of balance, there are a whole host of physiological processes that go off-line as well.

Unfortunately, the typical American lifestyle does not lend itself to mind-body balance.  It can seem overwhelming to understand what is out of balance and what we need to do about it.  This is where awareness is key.  At some point, most of us have tried to determine how many calories, grams of protein, fats or carbohydrates or how many minutes of high or low intensity exercise we should be getting each day.  And, statistics show that this hasn’t worked out so well for most of us . . . at all.  

So, how do we identify and make the changes we need to make?  Pay attention to your own body and mind.  What you think and feel, what you read, and what you hear others say all provide clues if you are tuned in.  Listen to that voice in your head, that gut instinct that kicks in and says, “Hey, that’s what I need to do.  I can do that.”  I call it the When-Harry-Met-Sally-Moment – “I’ll have what she’s having.”  Pay attention to what inspires you and follow that thread.

Tips for Successful Behavior Change, Part 3

Why we want to make changes is almost as important as what we want to change.  The “why” often determines our chances for success.  If we are making a change for our spouse or boss, or as a quick fix (think high school reunion), we might not be as emotionally invested as we need to be successful over the long term.  You need to have good reasons to make any lasting change.  Maybe it is to be around to see your kids or grandkids grow up or maybe it is about improving your quality of life.  Whatever it is, it needs to be meaningful to you.

Setting SMART goals is key to successful behavior change.  SMART is an acronym for research-based characteristics that significantly increase the likelihood of reaching one’s goals.  They should be:

  • Specific
  • Measurable
  • Attainable
  • Relevant
  • Time-Bound

For example, if I want to walk 2 miles a day but am currently completely sedentary, I need to break down my goal into manageable pieces.  I also need to be realistic.  How far can I, and more importantly, will I, walk each day.  Maybe it is just a daily walk to my mailbox for the first week.  Then, I can walk to the end of the block, then 3 blocks, and so on until I have achieved my goal.  It is important to set a time frame for each level of goal attainment.  This can be daily or weekly.  It needs to be short enough to generate immediate success but also long enough to form a new habit as a foundation for the next step and that usually takes about 8-10 weeks.  

Work with your strengths and interests when approaching changes.  If you like to cook, then it makes sense to find healthy recipes you would enjoy making.  If you hate cooking, it will be important to simplify what nutrition changes you are making so that you can still be successful.  It can be as simple as choosing the prepared veggie tray and a container of hummus from the grocery store.  This principle is especially important when it comes to physical activity.  If you enjoy being outdoors, consider walking or hiking.  If you like people, music or dancing, you could join a group fitness class.  If you want something more mindful, try Tai Chi, Qigong or Yoga.  The key is to look for ways to integrate a positive, healthy change with your personality, interests and strengths.

One of the reasons people struggle with behavior change is because they have been unsuccessful in the past.  Three common reasons for this are 1) Setting unrealistic goals 2) Giving up after the first setback, or 3) Taking on too many changes at once.  

To avoid these, it is important to set a narrow list of ridiculously small goals.  This allows us to celebrate mini victories which perpetuate future successes.  BJ Fogg, a researcher at Stanford University, calls these “Tiny Habits.”  He uses an example for someone who wants to develop the habit of flossing their teeth.  He suggests flossing one tooth each night after brushing your teeth.  Just one tooth.  This is based on the fact that a 3 second action of flossing one tooth is perceived as much more doable than the 30 second action of flossing all of our teeth and, therefore, we are more likely to stick with and succeed at the development of this new habit.  As sad as this example is, he is 100% right (and he has the research to back that up.)  This says a lot about human nature and explains a lot when it comes to why behavior change is so difficult.

To summarize, there are some tricks to successful behavior change:

  • Become aware of what you want to change and why 
  • Set SMART goals
  • Make changes that fit your personality, strengths and values
  • Start small (REALLY small) and build on your successes

Written by Michelle Jenck, M.Ed., Certified Behavior Change Coach

For more local health and wellness information, visit www.tillamookcountywellness.org or follow Tillamook County Wellness on Facebook and Instagram.

 

Entertainment on a Budget

Entertainment on a Budget

Entertainment, as with other expenses, has inflated in price. Over the past six years, Netflix has bumped its prices by $7. Disney+, in just its fourth year, is 40% more expensive than when it launched. Many streaming services have ad-supported plans, but they come with limited simultaneous screens, poorer visual quality, and lock originals behind ad-free tiers. Audiobook services, such as Kindle, face similar price hikes, and the subscription is only an entry fee as titles need to be purchased separately. 

Historically, libraries have offered Americans free and accessible entertainment. Even today, your local branch will have complete seasons of Prime and HBO originals on DVD. Consumers, however, have been gravitating to digital means, with many lacking a DVD player or even a TV. Convenience is the name of the game, and libraries, with late fees, limited rental periods, and process of picking up items, have deterred many away from its offerings. Recently, the Tillamook County Library system has evolved to keep pace in the digital age and remove barriers to expand access.

The big change has been embracing streaming within the Hoopla app. A free download that just requires your library card number, Tillamook County residents can enjoy up to 20 titles per month, all completely free. Hoopla is available on both app stores and Amazon Firesticks. The catch is that a “title” will refer to any audiobook, graphic novel volume, film, a single episode of TV; so not everything is equal value. Like libraries, Hoopla does have a time limit, ranging from two to twenty days depending on the form of media. Still, this is not made up of obscure titles. Many high-profile authors, bestsellers, Marvel/DC comics, and notable films are available here.

If you’re still willing to rent physical media, many hindrances have been removed for accessibility. Late fees aren’t charged; at worst you’ll just get a phone call reminder after a month or so. Titles may be reserved on the library webpage by simply typing the name of the work or author in the search bar. The scope of the library’s collection is not to be understated. There are as many manga titles as a Barnes and Noble store and the latest bestsellers are added almost immediately upon release.

The library is still a vital resource for entertainment and a good way to cut back on non-necessities when dealing with a tight budget. Through it, I’m able to save hundreds of dollars and space in my apartment because I don’t need to buy everything. If you are like a lot of us, trying to cut back on expenses, look no further than your local library branch.

Guest Author: Andy Jenck, Local movie reviewer

Other wellness questions? Email us at info@tillamookcountywellness.org. For more local health and wellness information, visit www.tillamookcountywellness.org or follow Tillamook County Wellness on Facebook and Instagram.

Why I’m in! Interview with Community Partner, Janeane Krongos

Why I’m in! Interview with Community Partner, Janeane Krongos

Why are you “IN”?

The Tillamook County Wellness “Why I’m In” interview series highlights our community partners and what has inspired and motivated them to work toward the common goal of improving community health.

 “WHY I’M IN …” An interview with Janeane Krongos, Prevention Specialist, Tillamook Family Counseling Center (TFCC). Janeane is the co-chair of the health and promotion committee.

What drew you/your organization to partner with Tillamook County Wellness?

Janeane:  Being part of the Tillamook County Wellness (TCW) Health Promotion committee was a natural choice for me, because TCW and I have a shared goal of improving community health through increasing protective factors. Protective factors are characteristics or attributes that can help to lower the risk of negative health outcomes such as diabetes, substance misuse, underage substance use prevention, problem gambling, and suicide prevention.  Examples of protective factors include access to basic needs (food and housing), social connections, connection to the community, access to resources, access to healthcare, coping skills, and problem-solving skills. 

What, if any, changes have you seen come about as a result of this work? 

Janeane: One change that I have seen since I have been part of this group is an increased focus on prevention topics (substance misuse, problem gambling prevention, and suicide prevention) and mental health in TCW content on the website and social media. I think this is a beneficial change and I hope to see more content on these topics.


What have you learned from being involved in this work?

Janeane: I am relatively new to the Tillamook County, I moved to the community in March 2020. Being part of the committee has allowed me to learn about Tillamook County directly from committee members who know the area well. In the monthly meetings I had opportunities to meet with people who are active in the community. Additionally, I have learned about local places that I can go to exercise (local parks, hiking trails, beaches, & facilities), local organizations, community resources, and community events.

What are your hopes for this work as it relates to you/your organization?

Janeane: The organization that I work for (Tillamook Family Counseling Center) has played an active role in TCW since its inception. I hope that they will continue to play an active part in TCW. As for myself, I hope that I will continue to play an active role in TCW. I am the current co-chair of the Health Promotion committee. I enjoy having this role. I respect the members of the group, enjoy the meetings, and enjoy having opportunities to share prevention messaging and share helpful resources in TCW content. Since I have been part of this committee, I have had opportunities to write blogs on a variety of topics including problem gambling prevention, safe medication practices, suicide prevention, and mental health.

What are your hopes for this work as it relates to changing community health in Tillamook County.

 Janeane: One hope that I have for the future, is for more community members to get involved in TCW. Currently TCW has around 80 partners who volunteer their time and skills and around 50 community partner organizations who allow staff to attend the meetings. A person can get in TCW in whatever way that works best for them. Examples of ways a person can get involved include: joining a TCW committee(Health Promotion, Access to Care, Access to Physical Activity, and Workplace Wellness), participating in TCW campaigns(This Way to Well-Being),  attending TCW programs(walking groups, workshops, or events), sharing your ideas by filling out surveys, following TCW on social media, engaging with TCW social media post (like, share, and comment), subscribing to the TCW newsletter, or making a donation to TCW on the website. 

What are your hopes for this work as it relates to changing community health in Tillamook County? 

I hope that TCW continues to have strong partner support and continues to generate relevant and trusted health inspiration content. 

Other wellness questions? Email us at info@tillamookcountywellness.org. For more local health and wellness information, visit www.tillamookcountywellness.org or follow Tillamook County Wellness on Facebook and Instagram.

The Giving Season – Tillamook County Giving Guide Celebrates, Educates Community’s Organizations; Many Ways to Give

The Giving Season – Tillamook County Giving Guide Celebrates, Educates Community’s Organizations; Many Ways to Give

The seventh annual Tillamook County Giving Guide was delivered to every mailbox in Tillamook County the week of November 20th.   The Guide features profiles of over 45 nonprofits and includes a list of over 120 organizations that are doing amazing charitable work in our communities.  The Giving Guide is distributed to encourage year-end giving, and to provide information about the valuable resources and services available from the diversity of organizations.  There are many ways to give, and so much good work throughout the county. 

Interested in animals? Check out Animal Haven by the Sea, Tillamook Animal Shelter or Tillamook K9 Rescue. Organizations that support children – Bay City Arts Center, CASA, Coast Kids, CHILD and many more. Seniors – we have information about Senior Meals Programs in North County, Rockaway Beach and Tillamook. Health, Environment, Recreation, Social Services – there truly is something for everyone. Their missions cover all the sectors of our society: health and wellness, sustainability, environment, conservation, food security, women, children, animals, and arts and cultural. One of the most valuable things you can give is your time.  Volunteering will also provide well-being benefits that “something missing” connection to your community.

All things connect and the 2023 Tillamook County Giving Guide provides many opportunities to connect with your community to support with your dollars and your time, these vitally important organizations.  Your generosity is needed and appreciated! 

The “Tree of Life” paintings featured on the cover, and throughout the Giving Guide, are from Sitka Center’s Youth Program and visually show how we are all connected to each other, our community, and to nature. 

We know the people who people our local nonprofits work hard to provide a wide variety of services, that enhance our lives here in Tillamook County. Besides their various services, our local nonprofits add other value to our community by providing jobs, a trained and inclusive workforce, volunteer opportunities, internships and training, and places and events where we gather socially. And more subtly, but no less importantly, because they work together, they are helping to create a culture of collaboration, partnerships and communication.

How about a donation in the name of your family member or friend to a local nonprofit? Or a membership in one of the organizations that will give your gift recipient all kinds of benefits throughout the next year? The donation will benefit many in our community.

Here is YOUR opportunity to give back. Donate time or money or simply share these valuable resources and services with those that need them. If you don’t see your favorite nonprofit on a page, check the list, and if you don’t see a local nonprofit please contact us to add it to the online list. We thank you in advance for your support of our local nonprofits that enrich our lives and community!

Fulcrum Community Resources’ (fulcrumresources.org) mission is to foster the transition of the Nehalem Bay community to a sustainable future. Our volunteer group initiates and coordinates local programs in north Tillamook County on the north Oregon Coast. We also sponsor others’ projects that fit with our mission and goals. We see Fulcrum, not as a hub, but as an enabling node – one of many groups locally who are organizing and creating projects. Our guiding philosophy is that the most effective and innovative projects are initiated at the grassroots community level.
The Tillamook County Giving Guide is produced in partnership with Fulcrum Community Resources, and Tillamook County Pioneer. The Giving Guide is mailed to every address in Tillamook County around the Thanksgiving holiday. Additional copies are available at Tillamook County Library branches and other locations throughout Tillamook County.  It is available online at the Tillamook County Pioneer (www.tillamookcountypioneer.net) or North Coast BBQ (www.northcoastbbq.com). 

Author: Laura Swanson, Board Member, Fulcrum Community Resources

Other wellness questions? Email us at info@tillamookcountywellness.org. For more local health and wellness information, visit www.tillamookcountywellness.org or follow Tillamook County Wellness on Facebook and Instagram.

Rethink the Drink

Rethink the Drink

For many people, the holiday season is filled with opportunities to gather with family and friends. Some gatherings may have alcoholic beverages as a drink option for adults who are the legal age to consume alcohol. If you are the legal age to consume alcohol and are offered an alcoholic beverage, I encourage you to take a moment to ‘Rethink the Drink’. Rethinking the drink will allow you time to reflect on the role alcohol plays in your life, plays in the lives of those around you, and will allow you time to consider if there are any changes that you would like to make concerning alcohol. 

Drinking alcohol can be harmful to a person’s health.  Alcohol use has both short-term and long-term health risks. Examples of short-term health risk include poisoning, accidents, and unsafe sexual behavior. Examples of long-term health risk include memory problems, increased risk of cancer, weakened immune system, and mental health problems. According to the Oregon Health Authority (OHA), “More than 2,000 people in Oregon die from alcohol-related causes every year”. The OHA adds that the number of people who die from alcohol-related causes is three times higher than the number of people who die from other drug overdoses. To address this concern, the OHA created a campaign called ‘Rethink the Drink’. The target audience for this campaign are adults who are at the legal age to consume alcohol.  One of the main components of this campaign is a website. People who visit the website can learn about excessive alcohol use, health consequences of excessive alcohol use, and learn where to get support for excessive alcohol use. The campaign’s website is www.rethinkthedrink.com. 

My top takeaways from this campaign are:

  • Excessive drinking includes underage drinking, drinking while pregnant, binge drinking, and heavy drinking. According to the OHA, 1 in 5 people in Oregon drink excessively.  Excessive drinking increases a person’s risk of an alcohol use disorder, certain cancers (colorectal, prostate, breast, cancers of the mouth, etc.), heart disease, and liver disease. 
  • Excessive drinking includes both binge and heavy drinking. Binge drinking for a male is five or more drinks on one occasion. Binge drinking for females is four or more drinks on one occasion. Heavy drinking for a male is fifteen or more drinks per week. Heavy drinking for a female is, eight or more a drinks per week. 
  • Not all drinks have equal alcohol content. Alcohol calculators can help a person understand how many standard drinks are in each drink.  For more information about standard drinks, review the National Institute on Alcohol Abuse and Alcoholism at www.niaaa.nih.gov. 
  • A person can become more aware of their behaviors involving alcohol by utilizing the track, count, and shift method. Step 1, track the number of drinks, step 2, calculate the total alcohol in each drink, and step 3, get advice and/or shift to healthier options. 
  • Alcohol treatment services are available to help individuals explore how drinking impacts their life. The campaign’s website has an alcohol treatment navigator link. This link will take you to the NIH’s National Institute on Alcohol Abuse and Alcoholism website. On the website community members identify resources in their area. The resources featured on the website include alcohol treatment programs, counselors, therapists, and doctors. One local provider located on the navigator is the Tillamook Family Counseling Center, to learn more call (503) 842-8201. 

I encourage adults to spend time this holiday season having conversations with youth about the dangers of excessive drinking. These conversations can make a big impact in the prevention of underage alcohol use. 

Tips for having conversations with youth about alcohol: 

  • Learn about the harms of underage drinking. To learn about this topic, I recommend the National Institute of Health’s (NIH) website to review ‘Get the Facts About Underage Drinking’. The website can be accessed at www.niaaa.nih.gov. 
  • Visit the Substance Abuse and Mental Health Services Administration’s (SAMHSA) website and review the ‘Talk. They Hear You’ campaign. This campaign can be found at www.samhsa.gov. 
  • Have conversations with youth early and continue the conversations into early adulthood.
  • Integrate topics about alcohol into everyday conversations.
  • Educate youth on the harms of underage alcohol consumption.
  • Help youth feel confident declining alcohol by roleplaying scenarios that they may be offered alcohol. 
  • Let youth know that they can come to you if they have questions about alcohol.

Author: Janeane Krongos, Tillamook Family Counseling Center

Other wellness questions? Email us at info@tillamookcountywellness.org. For more local health and wellness information, visit www.tillamookcountywellness.org or follow Tillamook County Wellness on Facebook and Instagram.

Thrifty Nutritious Praiseworthy Holiday Celebrations

Thrifty Nutritious Praiseworthy Holiday Celebrations

Nearly every one of us will celebrate one or more of the upcoming fall and winter holidays, observances, and celebrations just around the corner. This year why not aim for praiseworthy recipes and meals that are also thrifty and nutritious as well as delicious? You need look no further. Following is a menu for a pretty easy breezy meal all the guests will enjoy. Uncle Morrie won’t need to sit in the corner with salad and applesauce while Cousins Burt and Sheila sift through each dish to avoid anything with meat, your granddaughter can’t have most grains, hubby has an Epi-pen handy in case he accidentally swallows nuts, your sister is diabetic and your old friends, the Carters, are vegan. Yikes! The scenario leaves a lot of guests in a post dinner hunger mode that might well ruin the celebration for them and for you.

Turkey, ham, and brisket are not necessarily meal requirements for every holiday meal, and no one needs marshmallows on yams, cheese and butter in every dish or layer cake for dessert. Exotic fruits and vegetables from other areas of the world might be fun for a holiday meal, but if they’re unseasonal where you live, they’ll be not only more expensive but less nutritional due to their long journey to your table.

  • Prepare or at least partially prep recipes up to three days ahead, and even longer for items you can freeze.
  • Look for what’s available and least expensive at the grocery store, including cuts of meat and eggs.
  • Be aware of what’s plentiful and seasonal where you reside. It will be fresher and less expensive.
  • When there are sales at the store on dry goods, stock up. We can always have use for canned beans, tomatoes, tuna, fruit, broth, dry milk, nut butters, corn meal, butter, vegetable oil, dry and canned milk and of course flour and baking supplies.
  • If friends or neighbors have a large supply of certain ingredients or prepared foods and you have something they might use, trade. It won’t cost either of you a penny.
  • Ask guests to bring a holiday dish, to share, that they enjoy and possibly prefer.
  • Know your limitations. Base your menu on availability of your time, your expertise and whether you’ll have a kitchen helper or be the chief cook and bottle washer.
  • Don’t overextend yourself or your budget.
  • Or be even more creative and make personal pizzas with easy no-yeast yogurt crusts and toppings you have on hand.
  • Or host a taco party and ask guests to bring components, they adore, for the taco fiesta. Have gluten free and vegan tortillas available if possible or ask guests to bring their preference.

Whether for Thanksgiving or any other winter meal celebration, the menu options are endless when the chef steps out of the conventional meal box and goes creative. Here are two thrifty menus that provide dietary options for all your guests. One is a quick and easy menu. The second is a menu plan for the ardent chef, on a budget, who wants to present showstoppers. Both menus are delicious and nutritious and varied to feed all the tastes and dietary needs of your guests while fitting into your budget. Mix and match or prepare just two or three of the dishes listed. It’s all about variation and deliciousness based on what works for you and your holiday crowd.

EASY MENU:

Stove Top Popcorn (gf/vegan)

White Bean Hummus with Rice Crackers (vegan, gf)

*Potato & Green Chile Stew

Zesty Barbecue Glazed Roast Turkey Drumsticks

Steamed Fresh or Frozen Broccoli with* Tamari aioli (veg, gf)

OR

Steamed Peas with mint and lemon butter (veg, gf)

Cornbread (gf) with butter/margarine

Homemade Jam

Chocolate Wacky Cake (vegan)

& Fruit Compote Sundaes (gf)

OR

*Chocolate Love Pudding (gf, veg/vegan)

& *Carrot Spice Cookies (vegan)

ARDENT MENU:

Humble Pumpkin Soup (veg/vegan)

*White Bean & Spinach Antipasto (gf, vegan)

*Gardeners’ Seasonal Company Galette (vegan / veg) &

Gardeners’ Seasonal Casserole (vegan / veg, gf)*Scalloped Spiced Yams & Apples with walnuts & cranberries (vegan/ veg, gf)

*Turkey Meatballs Stroganoff

Herbed Rice Pilaf (vegan, gf)

*Damper Bread with butter/margarine

*Oregon Apple Tart a la Jacques (veg/vegan)

& Maple Pumpkin Pie

OR

*Light Lemon Cheesecake Cups (gf)

& Zucchini Tahini Brownies (vegan)

By: By Kitchen Maven, Judi Berman-Yamada, https://www.facebook.com/Creativepenandpantry/

Many Recipes in my posts are found in my cookbook, “Thrifty Comfort Cooking for Challenging Times”. The book is available through Amazon.com and Barnes & Noble.com. All (100%) of author royalties from retail sales of my cookbook go directly to the Oregon Food Bank, Tillamook Services, to assist families and individuals experiencing food insecurity. Purchasing the cookbook will benefit not only the recipient of the cookbook, but people in need, as well. Living near Tillamook County or even in Portland, you can purchase the book through Food Roots Farm to Table Marketplace for a sale price and all proceeds will go directly to that non-profit organization.

Amazon.com: Thrifty Comfort Cooking for Challenging Times: 9780578310763: Berman-Yamada, Judith, Berman-Yamada, Judith: Books

Thrifty Comfort Cooking for Challenging Times by Judith Berman-Yamada, Paperback | Barnes & Noble® (barnesandnoble.com)