Double S Instructional Systems

Promoting Healthy Lifestyle Choices for People with Developmental Disabilities

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Developing Healthy Habits -- Introduction

At Double S Instructional systems ( we continue to be busy developing programs to help people with autism and/or intellectual disabilities and their support persons live healthier lifestyles. In our last blog I talked about the components of a healthy lifestyle. As I said in my last blog, a healthy lifestyle consists of both making healthy choices and avoiding unhealthy ones. Healthy choices include:

  1. Choosing healthy foods
  2. Exercising
  3. Getting enough sleep
  4. Reducing stress
  5. Keeping your mind active
  6. Maintaining a strong social network

Some of the unhealthy habits to avoid include:

  1. Overeating and eating junk food
  2. Sitting too much
  3. Watching too much TV
  4. Smoking
  5. Drinking too much alcohol
  6. Taking dangerous drugs -- both legal and illegal

How then does one go about developing healthy behaviors and eliminating unhealthy ones? The key lies in developing healthy habits. It is estimated that 40% to 50% of our everyday actions are habits. So what exactly is a habit?

A habit is an automatic response to everyday contexts learned through repeated performance. Habits develop neural pathways in the brain that are automatic, that happen without thinking about it. We have thousands of habits – behaviors like brushing our teeth, riding a bike, driving a car, tying our shoes. Habits are learned through constant repetition. A habit is like a well-worn path in the woods. Imagine you are hiking in the woods and on a heavily traveled trail. It doesn’t take much work to stay on the trail. The way forward is really clear. Habits are like familiar trails. Habits are generally helpful because they free up the brain to focus on more difficult tasks.  Healthy habits help us stick with healthy behaviors, like exercising, choosing healthy meals, and getting enough sleep.

However, we can also form habits that are unhealthy, too, like eating junk food, watching too much TV, smoking, or drinking too much alcohol.

For example, imagine that you have a favorite place you like to visit along a creek in the woods. At first it is difficult to get because there is not a path. You go to visit the creek every day and soon you create a new path that makes it easier to reach the creek. That’s how new habits both good and bad are formed: for example, you may stop at a bar with friends to have one drink after work – with repetition a new habit trail is developing. Like the feeling? If so, the reward (in this case a drink) tells the brain that this new path is worth traveling down in the future. Feel a sense of warmth and belonging when you are drinking with your friends? And maybe all the stresses of the day just seem to melt away. If so, the reward (a drink) tells the brain that this path is worth traveling down in the future. Maybe one drink turns into two and then three or more. An unhealthy drinking habit is being developed. On the other hand, you might develop the habit of stopping at the gym on the way home because you value being healthy and want to live a healthy lifestyle. (in this case the reward (feeling a sense of accomplishment or perhaps feeling energized) tells the brain that this path is one that is worth repeating. And a healthy habit starts to be formed.

I will have a lot more to say about habits in future blogs – things like the role of the brain in habit formation, the power of mini habits, how the habit loop is created, how to develop healthy habits that actually stick, how to control unhealthy habits, how to identify keystone habits, and more. Stay tuned!

"We are what we repeatedly do. Excellence, then, is not an act, but a habit.Aristotle

“We are a mere bundle of habits.” William James


Update on our activities

We are still recruiting subjects for our Abuse Risk Reduction Study (both adults with developmental disabilities and their support person). If you know of any individuals with DD and their support staff person who might be interested in participating in the study have them drop me a line at: I will then send them more information on the study.

We have submitted two grant applications that are in the area of living a healthy lifestyle for people with developmental disabilities and their support persons. We are hopeful that our “Healthy Eating and Lifestyle” program will be funded this year. This is a year of budget uncertainty given the current funding status of our major funding institute (NIH) is still unknown. Hopefully we will know something about funding levels in early May.

Our grant application on Mindfulness and Direct Support Staff was reviewed and while it received a better score this time, it was not at the fundable level. We will need to submit a new application in the fall with some major revisions in order to be responsive to reviewers’’ concerns. I will provide more information as we reshape our grant idea.

We are also planning on submitting our Phase II (much larger grant) application for Abuse Risk Reduction this fall.

 Finally, our Dangerous Drug Prevention Program for People with Developmental Disabilities is online at our Healthy Lifestyle Learning Academy --

We look forward to your comment and thoughts

And also please join our Facebook group --




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