Pathways To Change is a 12-month targeted healthy life-style program for individuals with high blood pressure, high cholesterol, a Body Mass Index >30, or pre-diabetic conditions. The PTC program leader works with the participant at their level of readiness to change in order to lower relevant risk factors.
Our leaders are specially trained to help you make behavior changes. We know how hard it is to let go of old familiar habits even when it's clear that they are unhealthy. When changing a behavior, most people try and fail more than once-- relapse is the rule rather than the exception. We can show you how to learn from and use these past experiences.
Any Duke employee who is eligible for full health benefits and who has one or more of the following risk factors:
- Has high blood pressure (Top 140 or above, and/or Bottom 90 or above)
- Has high blood cholesterol (240 or above)
- Has high blood sugar (160 or above non-fasting) OR doctor diagnosis.
- Overweight/Obese (A Body Mass Index 30 or above)
How to Join
Schedule and attend a healthcheck. If you meet the criteria for the program when you are seen at healthcheck, you can enroll in the Pathways to Change program. To schedule a healthcheck, call LIVE FOR LIFE at 684-3136 option 1.
Frequently Asked Questions
How much time is required of me to participate in the PTC program?
The great majority of your effort in the PTC program will be dedicated to reaching your health goals. For example, you may begin a regular exercise routine or spend more time planning healthy meals. At the beginning and the end of the program, you will attend a 30 minute healthcheck. You will have 4 in-person appointments with your leader, which will each last 30-45 minutes. You will have eight 10 minute phone sessions with your leader, in the months between your in-person appointments. In addition, you will be scheduled for two consultations with one of our fitness specialists and also have the option to have two nutrition consultations throughout the year (30-45 minutes each). All of these activities add up to about a 6 hour commitment throughout a 12 month period.
What is the background of my PTC leader?
All PTC leaders are licensed dietitians or registered nurses. They are experts in your risk factor(s) and have additional training in health coaching, motivational interviewing, and behavior change strategies.
How flexible can my leader be with our appointment time and location?
Your PTC leader generally can meet with you during regular business hours. Leaders are able to meet with you at our offices in Duke Clinic, Duke Regional Hospital, and Duke Raleigh Hospital. In addition, leaders are often able to meet with employees at their off-site work location. These are items that you can discuss with your leader during your first contact.
What topics are covered during the program?
In addition to monthly phone calls, your leader will be giving you various reading materials that will inform you about your risk factors and some ways that you can modify them. Leaders choose educational materials that they feel will help you be successful with the program. Some examples are a worksheet to help you prepare for weight loss, tips on increasing your fiber intake, and how to "stick with it" after you have made some changes.
What will happen if I don't get in touch with my leader during one month?
Your leader will call or email you each month to schedule your 10 minute phone call or in-person appointment. If you don't respond the first time your leader will send you a note with some reading materials. However, if your leader doesn't hear from you over two months, they will discontinue you from the program. All leaders can receive phone messages or email communications from you.