The Communities PreventingChildhood Obesity project Multi-state IN, KS, MI, ND, OH, SD, WI Multi-disciplinary team Start a community development Nutrition intervention to Physical activity prevent childhood Community development obesity. Family and youth development Funded by USDA Agriculture and Food Initiative (AFRI) Grant
Innovative Aspects 7 states collaborating Community capacity development approach Ecological Model of Childhood Overweight Rural communities Low-income families Preschool-aged children
Ecological Model of ChildhoodOverweight Socioeconomic Neighborhood status safety Foods School available Parent’s School lunch in home weight PEprogram Dietary Weight Physical status program Parent’s intake activity s dietary Status intake Monitoring TV hours Nutritional Sedentary Ethnicity Work knowledge behaviors demand Parent’s activity s Encouragemen patterns t of activity Accessibility of recreational facilities, convenience foods, and restaurants
Community Development ApproachGrowing evidence shows that obesity is driven by the environment.(Schwartz & Brownell, 2005) For people to make behavior changes that support healthy lifestyles, they must exist in an environment where the healthy choice is the easy choice. Environmental changes can improve the health of the whole community, not just individuals.
Making an Impact How can a community create an environment where the healthy choice is the easy choice?
Role of a CoalitionCommunity coalitions consist of public- and private-sector organizations that,together with individual citizens, work to achieve a shared goal through thecoordinated use of resources, leadership, and action. (IOM, 2005) Create a sense of Engage Coalitions: community residents The vehicle for in the cause successful change at the community level!
Success of a Coalition Relies on capacity-building ability of the coalition
Barriers to CoalitionSuccess Lack common vision Lack formalizationLack clearly defined roles Failure to reevaluate Failure to act Failure to commit
An effective approach to support community development forsustained community change initiatives
What is Community Coaching? “A Community Coach is a guide who supports communities and organizations in identifying and achieving their goals.” (Emery, Hubbell, & Miles-Polka, 2011) Works as a process coach with a group or coalition Ensures efforts follow community development principles of good practice
Coaching EffectiveCommunity Development A process that aims to support citizens in their efforts to “build solidarity and agency through self- The process of help, felt needs, and helping citizen participation” (Bhattacharyya, 2004, p. 5) groups organize and act to address shared concerns.
Planned Approaches to Community InterventionRobinson &Green (2011)
At the Heart of CoachingProcess to identify: Current situation Direction and desired outcome Alternatives and implications Choice making Action planning and implementation Reflection, modification and new goal setting
Community Coaching for sustainedchange initiativesReadiness Prepare coalition and community Relationships Develop effective working Relationships Results Coach for Action Reach Help the team think community-wide Reflection Guide the coalition to review, revise, and respondResiliency Consider sustainable structure/ownership
All communities: Methods ○ Child Ecological Model Assessment 14 communities ○ Receive menu of evidence- ○ 2 in each state based interventions (1 intervention, 1 control) ○ Implement 1 physical activity Comparable in size and and 1 nutrition intervention demographics ○ Receive $5000/year for 4 ○ Rural community years ○ Exhibit community readiness Intervention communities: ○ Has an existing community ○ Hire a Community Coach coalition ○ Receive Community Coach training
Measuring Impact Child Ecological Model Assessment toolkit: Community Healthy Living Index assessments ○ Community-at-Large ○ Neighborhood ○ Early Childhood Program Active Where? Parent Survey Coalition Self-Assessment
Community Healthy LivingIndexhttp://www.ymca.net/chli-about/ Pre-test / Post-test Assessments: Does not include Community-at-Large anthropometric data Neighborhood Assesses Early Childhood Program “Community and Demographic” ring Identifies community- wide factors where improvements can be made
Active Where? ParentSurveyhttp://www.activelivingresearch.org/node/11951 Pre-test / Post-test Assesses “Community and Demographic” and “Parenting / Family Characteristics” rings Considers home, neighborhood, park, and school environments related to physical activity and eating Low-income parents of preschool-aged children
Coalition Self-Assessmenthttp://asthma.umich.edu/media/eval_autogen/CSAS.pdf Annually Identify strengths and weaknesses Determine if available resources are sufficient Determine stage of readiness related to purpose and goals of coalition
Toolkit Menus of evidence-based curricula and strategies Nutrition menu Physical activity menu Organized by the Ecological Model of Childhood Overweight Updated frequently Online access
Toolkit Leadership For Healthy Communities: Action Strategies Toolkit Leadership strategies and programming tools to create healthy communities for children Nutrition and Physical Activity Environments in Licensed Child Care Policy strategies to promote healthy eating and increase physical activity in child care facilities HAPPE: Toddlers in Physical Play Motivates and engages toddlers in physical play and builds basic motor skills that are the foundation for lifetime activity
Final year Year 4: • Post Year 1: Year 3/4: assessments Community Implement interventions • Continue assessment community development Post assessments completed Intervention communities: Develop sustainability plan to continue project Control communities: Receive training in community coaching
How is Extension helping impact your environment? Socioeconomic Neighborhood status safety Foods School available Parent’s School lunch in home weight PE program Dietary Weight Physical status program Parent’s intake activity s dietary Status intake Monitoring TV hours Nutritional Sedentary Ethnicity Work knowledge behaviors demand Parent’s activity s Encouragemen patterns t of activity Accessibility of recreational facilities, convenience foods, and restaurants
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