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Shared Decision Guide from Americans in Motion

Family physicians and their practice teams play a vital role in encouraging patients to lead healthy lives through physical activity, healthy eating and emotional well being — that is, through fitness. Your practice has taken a major step toward improving your patients' fitness by participating in AIM-HI.

AIM-HI presents fitness as "the treatment of choice" for prevention and management of many chronic conditions. AIM-HI was developed by family physicians for family physicians and the family medicine office environment. In part, this approach was adapted from "Am I Hungry?," a multidimensional program developed by family physician Michelle May, MD.

Create a fitness focus in your practice through implementation of the following critical steps:

Step 1: Raise awareness among clinicians and office staff regarding their own personal physical activity, nutrition and emotional well-being, and encourage everyone to make changes for better health. This is covered in "Fostering a Healthy Office."

Step 2: Create an office environment that is conducive to integrating AIM-HI concepts in everyday office routines. This is covered in "Integrating Fitness Into Your Practice."

Step 3: Use the AIM-HI philosophy and tools to help your patients improve their fitness. This is covered in "Working With Patients."

Step 4: Improve clinician and staff knowledge of the central role of physical activity, nutrition and emotional well-being in health. This is covered in "Foundations for Fitness."

The AIM-HI approach relies on three critical tools that all family medicine practices are encouraged to adopt:
  1. AIM-HI Fitness Inventory — a brief survey that captures patients' confidence about their personal fitness. It also provides a snapshot of their readiness to change.
  2. Fitness Prescription — a contract between patient and clinician that uses simple, measurable, mutually agreed upon goals that are assessed periodically.
  3. Food & Activity Journal — a week-long journal patients can use to track their physical activity and nutrition.
On the AIM website, you will find supplementary patient education handouts you can use to stimulate dialogue with patients. Feel free to expand on the AIM-HI concepts and materials to suit your practice and patient populations.

Implement AIM-HI sequentially. The goal is to maximize awareness and integration of AIM-HI steps at the practice level before you adopt strategies at the patient level.
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