Makin' chli
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Makin' chli






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Makin' chli Makin' chli Presentation Transcript

  • Making CHLI: Ingredients Ellen Zavisca Use of the Community Healthy Living Index as a Tool for Neighborhood Assessment and Community Engagement Overview
  • Presentation overview
    • What is CHLI
    • Our experience with CHLI
    • Lessons learned
  • What is CHLI
    • Developed by YMCA
    • Recommended to Knox County by RWJF/Healthy Kids, Healthy Communities
    • A qualitative tool for assessing physical activity and food environments
  • What is CHLI
    • 5 environmental assessment tools
      • Afterschool child care site
      • Neighborhood
      • School
      • Work site
      • Community at large
  • CHLI requirements
    • Organized leadership
    • A multi-disciplinary team
    • Community volunteers
  • Some CHLI questions
  • Making CHLI: Taste Test Marsha Spence, Amber Dalton, Kristen Eppig, Mona Habibi, Miranda Huston, Zixin Lou, Alviony Pangloli, Pratsani Srikan The Pilot
  • Pilot Assessment
    • Collaboration with:
    • The University of Tennessee, Knoxville
    • Department of Nutrition
    • Public Health Nutrition (PHN) Program
    • Knox County Health Department
    • Healthy Kids, Healthy Communities
    • Robert Wood Johnson Foundation
    • YMCA, Knoxville
    • Community Healthy Living Index
  • Purpose of Project
    • Pilot the Community Healthy Living Index (CHLI) for feasibility of use for Healthy Kids, Healthy Communities Project
    • Perform a Nutrition & Physical Activity Environmental Audit of The University of Tennessee Neighborhood
  • The Neighborhood Zip code: 37916
  • Participants
    • Participants were recruited by PHN graduate students via:
      • direct contact with peers & community members
      • flyers distributed around campus
      • emails
  • Participant Meetings
    • Purpose:
      • Explained CHLI & it’s purpose
      • Reviewed consent form & confidentiality
      • Assigned sectors & scheduled times to conduct audits
  • CHLI
    • PHN students:
      • completed the General Information section of CHLI using data from US Census & other Internet & Library Sources
      • escorted participants through sectors of the community to complete the Programs, Physical Environment, Promotion, & Policy sections of the CHLI
  • Results
    • Neighborhood Design
  • Results
    • Environment Related to Physical Activity
  • Results
    • Environment Related to Food & Nutrition
  • Results
    • Safety
  • Usability of CHLI
    • Most participants reported CHLI was feasible & could help make positive changes in neighborhoods.
    • It took most participants between 2-3 hours to complete sector audits.
    • Participants need to be familiar with the neighborhood & the CHLI form to increase ease of completion.
  • Recommendations
    • Distribute CHLI forms before scheduled audits
    • Decide neighborhood perimeters beforehand
      • Give several maps & markers to each participant
      • Decide whether or not to access all areas of neighborhoods (every road; every store/restaurant)
    2007. 01
  • Recommendations
    • Meet with participants before & after audits
    • Collect demographic information about participants
    • Address concerns & clarify any areas of confusion prior to completing audits
    • Take photographs of areas that are strengths or barriers in the neighborhood
  • Conclusions
    • CHLI:
      • Successful tool to assess neighborhood nutrition & physical activity environments
      • Capable of identifying barriers & strengths in neighborhoods
      • May be used to plan programs & make changes in the neighborhood
  • Making CHLI: Main Course Ben Epperson Process, Findings, Thoughts How CHLI Worked for Us The Project
    • National program of Robert Wood Johnson Foundation
    • Supporting Community Action to Prevent Childhood Obesity
    • Goal: Implement active living and healthy eating initiatives to reduce childhood obesity
    • Funding must be used to build and sustain systems, policies and environmental changes
  • Our Purpose
    • Address the needs of vulnerable populations and communities
    • Identify and engage:
      • populations at greatest risk for childhood obesity
      • influential community members with experience and commitment to advancing active living and healthy eating
      • Broad-based political support
    • Create something that can be replicated
  • Our HKHC Partnership
    • East TN Children’s Hospital
    • – Childhood Obesity Coalition
    • Knoxville Regional Transportation Planning Organization
    • Knox County Schools Coordinated School Health Program
    • Fountain City Connections
    • Key faculty from UT-Knoxville:
      • Center for Public Health
      • Obesity Research Center
      • Department of Nutrition
  • “Target” Neighborhoods
    • Three neighborhoods in year one, selected based on:
      • Prevalence rates of childhood obesity
      • Socioeconomic, policy, and environmental factors
      • Assets and opportunities for success
      • A mixture of urban, rural and suburban communities
    • Lonsdale, Inskip, Mascot
  • Our Assessments
    • Key informant interviews
    • Focus groups
    • YMCA Activate America
    • Community Healthy Living Index:
      • Neighborhood assessment
  • CHLI
    • Purpose
      • Engage community members in a process of identifying environmental barriers and assets related to active living and healthy eating
      • Identify priority issues at the neighborhood level
      • Collect data that can ultimately be used to inform policy decisions at the systems level
    • Identify and convene community
    • members and stakeholders
    • Assign 5 assessment routes within each neighborhood
    • Assist students/community members in scheduling assessment
    • Be present at assessments
    • Facilitate discussion, planning and implementation
    HKHC Staff
  • Community Members
    • Answer the assessment questions based on instructions, direct observation and perception
    • Participate in discussion, planning and implementation
    • Understand the CHLI Neighborhood Assessment tool
    • Facilitate use of the tool by neighborhood/community stakeholders
    • Accompany stakeholders on the assessment; assure consistent assessment process used; provide clarification, if needed; record responses
    • Enter data
    • Provide report
    MPH Student Role
  • MPH Methodology
    • Data Collection
      • Student designated walking route
      • 1-2 CHLI tools per audit
      • Student, HKHC staff, community member
      • Additional participant comments noted
      • Pics/Video taken by HKHC staff
  • MPH Report Example
    • Neighborhood Design
      • 1 well-maintained park and 1 Rec center
      • but
      • Poor walkability
      • Few sidewalks, trails, greenways
      • Narrowness, uneven surfaces, uncovered small utility holes
  • MPH Report Example
    • Safety (concern among community)
      • Large crime rate, prostitution, and suspicions of gang activity
      • Poor lighting throughout neighborhood
      • High-traffic areas with high-speed drivers
      • “ City does not pay attention” to area
      • Substantial efforts to reduce loitering
      • Neighborhood Watch Association
  • MPH Report Example
    • Physical Activity Environment
      • Abundant green space…but much unused
      • Swimming pool (“very popular”), baseball and soccer fields, tennis courts, and playground
      • No basketball court, golf course, facilities open for walkers during off-hours, water or winter sport areas
      • No street safety measures to support walking and biking
  • MPH Report Example
    • Community Engagement
      • Social Capitol split between two views
        • Familiarity among long term residents
        • but
        • Public housing residents and new immigrants viewed as outsiders
    • No known community organizations
    • Boy’s and Girls Club (fee)
    • After school program (fee)
  • CHLI Next Steps
    • Assessment results as a “Stage of Development”
    • From Seeds to an Orchard:
      • Planting the Seeds
      • Nurturing for Growth
      • Nourishing the Roots
      • Cultivating Healthy Fruit
      • Harvesting the Rewards
  • HKHC Next Steps
    • Sociometrics
    • Key Informants
    • Group Visioning
    • Prioritization
    • MPC audit
    • Community Action Teams
    • Trainings
  • Thoughts
    • Strengths:
      • “ Ground Truthing” tool
      • Engages community
      • Neighborhood crash course
      • Full assessment strengthens communication
    • Weaknesses:
      • Lacks specificity
      • No community development model