Edwg Hope Works


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  • Edwg Hope Works

    1. 1. HOPE Works <ul><li>The University of North Carolina </li></ul><ul><li>at Chapel Hill Center for Health Promotion and Disease Prevention </li></ul><ul><li>Funded by the Centers for </li></ul><ul><li>Disease Control and Prevention </li></ul>
    2. 3. HOPE Works Team (UNC) <ul><li>Marci K. Campbell, PhD, MPH, RD (PI) </li></ul><ul><li>Salli Benedict, MPH, Project Coordinator </li></ul><ul><li>Margaret Bentley, PhD </li></ul><ul><li>Brenda DeVellis, PhD </li></ul><ul><li>Kristine Kelsey, PhD </li></ul><ul><li>Chantelle Fisher-Borne, MPH </li></ul>
    3. 4. Community Advisory Committee and Community Staff (*) <ul><li>Priscilla Allen </li></ul><ul><li>David Barnes </li></ul><ul><li>*Katie Barnes, Chair </li></ul><ul><li>Annie Blue </li></ul><ul><li>*Tabatha Brewer </li></ul><ul><li>Sharon Brown </li></ul><ul><li>Consuela Combs </li></ul><ul><li>Darlene Leysath Dixon </li></ul><ul><li>*Anne Doolen </li></ul><ul><li>Pamela Gonzalez </li></ul><ul><li>Addie Hall </li></ul><ul><li>*Barbara Harris </li></ul><ul><li>Katherine Hernandez </li></ul><ul><li>Judy Johnson-Truitt </li></ul><ul><li>Donna Kelly </li></ul><ul><li>Elizabeth Maynor </li></ul><ul><li>*Pastor Patricia Peterson, Co-Chair </li></ul><ul><li>*Lily Pool </li></ul><ul><li>*Imani Rivera </li></ul><ul><li>Delphine Smith </li></ul>
    4. 7. The evolution of the Health Works projects: from participation to empowerment <ul><li>Health Works for Women (HWW) 1993-1998 </li></ul><ul><li>Work-site health promotion project focusing on individual risk factors such as diet and exercise as well as strengthening of social support networks </li></ul><ul><li>Works sites included nine textile, apparel, and light manufacturing companies in Eastern North Carolina </li></ul><ul><li>Project employed traditional research methods, as well as formative research methods </li></ul>
    5. 10. The evolution of the Health Works projects: from participation to empowerment <ul><li>Health Works for Women/Health Works in the Community (HWW/HWC) 1998-2003 </li></ul><ul><li>Scope of the project expanded to address organizational and community factors that impact health and well-being </li></ul><ul><li>Community Advisory Committee (CAC), consisting of workplace representatives, local agencies, advocacy groups, established to provide guidance and feedback </li></ul><ul><li>Plant closings and lay-offs occurred in the course of project implementation </li></ul>
    6. 11. The evolution of the Health Works projects: from participation to empowerment <ul><li>Health Works After the Flood (HWATF) </li></ul><ul><li>2000-2003 </li></ul><ul><li>In the wake of devastation wrought by Hurricane Floyd in 1999, CAC members and UNC initiated a project with CDC support to address stress and IPV in the months following the flooding </li></ul><ul><li>Composition of the CAC changes to include more community members, domestic violence and mental health agencies, more leadership rather than advice </li></ul>
    7. 12. The evolution of the Health Works: from participation to empowerment <ul><li>Women’s Empowerment Days (2002) </li></ul><ul><li>Events planned and implemented by CAC members in response to community concerns about the economic downturn and the need for grassroots development and empowerment efforts </li></ul><ul><li>First formal linkage between health and economic issues </li></ul><ul><li>Process evaluation: women want education and jobs </li></ul>
    8. 14. HOPE Works 2004-2009 Health: obesity prevention, healthy eating, physical activity, stress management; mental health Opportunities: education, work, economic improvement Partnerships: community resources, community colleges, support from other women Empowerment: to make healthy life choices
    9. 15. “ Poverty is hazardous to women’s health” The link between health and poverty <ul><li>Considerable micro-level research suggests a strong relationship between individual health and income (i.e. poverty leads to lower health status) </li></ul><ul><li>Important findings include: </li></ul><ul><ul><li>Income level is a more important predictor of health status than income change </li></ul></ul><ul><ul><li>Income level has a greater impact on the health status of poor than high-income individuals </li></ul></ul><ul><ul><li>Extended periods of time in poverty have a greater and more negative impact on health than occasional episodes of poverty </li></ul></ul><ul><li>Phipps, S. </li></ul>
    10. 16. Loss of traditional industries in eastern NC <ul><li>The manufacturing industry in the United States has experienced extensive economic restructuring in the past 30 years, primarily affecting rural areas in the Southeast. </li></ul><ul><li>Between 1997 and 2002, North Carolina lost 100,000 jobs in the textile industry and 70,000 jobs in the apparel industry. </li></ul><ul><li>Hossfeld L, Legerton M, Keuster G. </li></ul><ul><li>Kalishman J, Stogner S, Ramey J. </li></ul>
    11. 17. HOPE Works <ul><li>Builds on previous 10 years of experience and community relationships </li></ul><ul><li>CBPR project, active participation of CAC in all phases of planning </li></ul><ul><li>Addresses high prevalence of obesity and community concern about this issue </li></ul><ul><li>…and addresses social determinants of health, including education, employment, and income </li></ul>
    12. 18. HOPE Works <ul><li>Expands to larger community, not just workplaces </li></ul><ul><li>Retain women’s health focus </li></ul><ul><li>Address link between health and hope </li></ul><ul><li>Goal setting and empowerment focus </li></ul><ul><li>Uses principles and models from developing countries: micro-enterprise and loan circles </li></ul>
    13. 19. HOPE Works Intervention <ul><li>HOPE Circles : </li></ul><ul><li>Low income, overweight women, multi-ethnic: African American, Latina, American Indian (Coharie) and Anglo </li></ul><ul><li>Circles led by trained facilitators from the community </li></ul><ul><li>Provide social support, information, strategies for health behavior change </li></ul><ul><li>Goal-setting in health and hope domains (e.g. getting education, jobs, housing, etc) </li></ul>
    14. 20. HOPE Works Intervention <ul><li>Tailored newsletters (6) that address both health and hope-related issues and goals </li></ul><ul><li>Planning and participating in community-wide events (kickoffs, health fairs, advocacy) </li></ul>
    15. 22. Evaluation <ul><li>--Randomized trial of 250 women in HOPE circles vs. 250 comparison women </li></ul><ul><ul><li>Individual change in weight, diet, PA, hope, self-efficacy, social support, community involvement, social capital, psychological and economic well-being </li></ul></ul><ul><li>--Comparison of HOPE Works counties with neighboring counties via RDD surveys </li></ul><ul><ul><li>Health behaviors, awareness, community involvement, social capital, hope </li></ul></ul><ul><li>--Cortisol sub-study on stress and weight </li></ul>
    16. 23. Seeds of HOPE <ul><li>Spin-off of HOPE Works </li></ul><ul><li>Specifically addresses economic development/empowerment </li></ul><ul><li>CDC provided funds for developing a strategic plan </li></ul><ul><li>2-day Seeds of HOPE Conference in Sampson and Duplin Counties July 2005 </li></ul>
    17. 24. Seeds of HOPE Goal: to create a sustainable model <ul><li>Born of growing interest in the importance of economic empowerment to women’s health and community development </li></ul><ul><li>Opportunities, training, education, resources for enhancing economic empowerment and community wealth </li></ul><ul><li>Community-led partnership w/UNC, CDC, business and entrepreneurial organizations: one-year participatory strategic planning process </li></ul>
    18. 25. Seeds of HOPE Partners <ul><li>UNC (Jim Johnson, Anita Brown Graham, Jesse White) </li></ul><ul><li>Community (community colleges, economic development agencies) </li></ul><ul><li>Good Work </li></ul><ul><li>NC Rural Center </li></ul>
    19. 26. Seeds of HOPE Strategic Plan Goals <ul><li>Start a business that will serve as an example of an exemplary worker-owned business </li></ul><ul><li>Increase financial education across all HOPE Works activities </li></ul><ul><li>Increase networking with organizations that support entrepreneurial activities </li></ul>
    20. 27. Threads of HOPE: Creation of a Woman-owned Business <ul><li>The Seeds of HOPE strategic plan: to create Threads of HOPE </li></ul><ul><li>Build on skills of unemployed textile/apparel workers </li></ul><ul><li>Unique design or product to reflect HOPE Works values, place and culture </li></ul><ul><li>Collaboration with NCSU College of Design and Penelope Bags </li></ul>
    21. 28. Threads of HOPE Goals <ul><li>Training for low income women in every aspect of running a business </li></ul><ul><li>Worker owned </li></ul><ul><li>Living wage </li></ul><ul><li>Health benefits </li></ul><ul><li>Health promoting business/HOPE Circles </li></ul><ul><li>Leadership development </li></ul><ul><li>Opportunity to pursue educational goals </li></ul>
    22. 29.                                                                                                                      The quest for the perfect laptop bag ends here. Whether you want a laptop messenger bag , a computer backpack or classic laptop bag – Penelope delivers! Hundreds of women have provided their ideas & wish lists to make Penelope’s laptop bags favorites for women of all ages.   Rated #1 Women’s Laptop Bag by About.com • mobileoffice.about.com/od/packingyourmobilegear/tp/womensbags.htm                                                                                              The search for a stylish laptop bag leads to the creation of Penelope                                                                                                           • More than 2 million miles of airline travel as a physician, pharmaceutical executive, and genetic scientist. • More hours than I care to think about in airports around the world. • Turning 50 (ouch!) • Muscle spasms after each business trip from carrying my laptop in a beautiful briefcase that looked great but killed my shoulder and back. • Giving up my pride to carry a backpack. After spending two years searching unsuccessfully for a backpack/briefcase that would allow me to carry my laptop comfortably without looking like a turtle, I decided to invent one. Penelope was born. Penelope is committed to delivering great products that fuse fashion and function. Penelope is also committed to enabling women of all ages to realize their potential, regardless of their education or their need to balance career and family life.
    23. 30. Threads of HOPE Activities <ul><li>Consultant: Lori Eichel </li></ul><ul><li>Site visits to NCSU School of Textile and College of Design </li></ul><ul><li>Student fashion show </li></ul><ul><li>“ Secret Shopper” marketing trip </li></ul><ul><li>Meeting with Duplin County sewing business owner </li></ul>
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    25. 32. Next steps <ul><li>Develop a business plan (Good Work) </li></ul><ul><li>School of Design student competition </li></ul><ul><li>Community meetings with design student </li></ul>
    26. 33. Mohamed Yunus, Grameen Bank Founcer 2006 Nobel Peace Prize Lecture “ A human being is born into this world fully equipped not only to take care of him or herself, but also to contribute to enlarging the well being of the world as a whole. Some get the chance to explore their potential to some degree, but many others never get any opportunity, during their lifetime, to unwrap the wonderful gift they were born with.” Threads of HOPE may provide that opportunity.