Childhood obesity rates have tripled since 1980 and now one third of US children are obese, threatening their health and life expectancy. Two systems - the food system and built environment - significantly impact obesity rates. An environmental intervention study in Somerville, MA achieved success by creating opportunities for physical activity throughout the day and increasing access to healthy foods through changes across multiple settings including homes, schools, after school programs, and the community. Similar comprehensive efforts are now underway in Springfield, MA through a collaborative coalition called Live Well Springfield.
“Healthy Living Made Easy” is a 14-lesson curriculum designed to help older adults explore nutrition concepts through activities and discussions. “Healthy Living Made Easy” is a guide to convening discussions and sharing skills to support healthy habits. These discussion and activity guides center the conversation on older adults’ lived experience and emphasize experiential co-education among peers as well as between volunteers and older adults. This is the full "Healthy Living Made Easy" curriculum, handouts to accompany each lesson plan, individual lesson plans, and pretests to gauge your clients knowledge of the nutrition subject.
“Healthy Living Made Easy” is a 14-lesson curriculum designed to help older adults explore nutrition concepts through activities and discussions. “Healthy Living Made Easy” is a guide to convening discussions and sharing skills to support healthy habits. These discussion and activity guides center the conversation on older adults’ lived experience and emphasize experiential co-education among peers as well as between volunteers and older adults. This is the full "Healthy Living Made Easy" curriculum, handouts to accompany each lesson plan, individual lesson plans, and pretests to gauge your clients knowledge of the nutrition subject.
Glennah Trochet, MD, public health policy expert, spoke on how food policy influences our eating habits and choices and how we can improve our nutrition by changing food policy. Presented on Friday, September 26 at Grace Presbyterian Church's 2014 Farm to EVERY Fork event "Change Food Policy, Change the World!" in Sacramento, CA
Food Insecurity in Sacramento, first Keynote at Farm to EVERY Fork.Anne Anderson
Katie Valenzuela of Ubuntu Green and California Food Literacy delivered the keynote at the first evening of the three-Friday series Farm to EVERY Fork on October 4, 2013. This event was sponsored by Grace Presbyterian Church in Sacramento as part of their 30-year commitment to addressing the problems of food insecurity in Sacramento.
Ms. Valenzuela detailed the nature, scope and impact of inadequate access to healthful food.
Farm to EVERY Fork
Oct 4, 11, 18, 2013
Grace Presbyterian Church
4300 Las Cruces Way
(Arden Christian Church campus)
Sacramento, CA
www.grace-sacramento.org
www.facebook.com/gracepresbyterianchurch.sacramento
Nonprofit Insights: How to Solve Global Problems with Local EngagementVolunteerMatch
Your organization is trying to solve real problems – in your community, in the country, and in the world. Like many organizations, however, chances are you don't feel the support you need to really change things.
Texas Hunger Initiative (THI) has found a way to address this problem: Focus locally for global impact. Through its unique model of encouraging "informed engagement," THI has amplified the impact of volunteering in its community, making real strides in the fight against hunger.
For the May 2013 Nonprofit Insights webinar, join THI founder Jeremy Everett and Carol Rigby-Hiebert, a community volunteer in San Angelo, Texas, to learn about THI's model for tackling hunger by mobilizing communities and volunteers at a micro level – for macro results.
Common Roots Vermont - Healthy Food, Healthy Kids, Healthy FarmsRobert Fish
Common Roots connects farmers, educators, youth, families, and the wider community in building a sustainable future through place-based education and service programs. By collectively growing food for our schools, families, and food shelves, we celebrate the soil and soul of community. Our stewardship provides food security, affirms our local environment, and nurtures our common roots.
With appreciation to Lindie Rheeder, for creating this presentation as part of her UVM Food Systems Internship experience, Winter Session, December 2015–January 2016.
As a third world country, Haiti faces a lot of challenges. Improvements must be made in the areas of education, health care and socio-economic equality.
In 2010, the earthquake devastated much of the country’s healthcare infrastructure. St. Luke Foundation for Haiti and the Andrea Bocelli Foundation (ABF) have made it their mission to confront Haiti’s challenges and to save lives through education, healthcare, and service to others. While Haiti has seen marked reduction in child malnutrition in recent years, there is still much progress to be made. Childhood malnutrition and food insecurity negatively affect physical growth, immune system development, and cognitive function, leading to long term impacts on overall health. St. Luke Foundation and ABF work to address problems of malnutrition through meal programs in their schools and sustainable agricultural support for local farmers. Dr. Beaubrun will present on the foundations’ mission and his experience in the field of nutrition action: projects based on nutrition and health action, agriculture action, HIV treatment and prevention, and distribution of food kits for HIV patients.
Glennah Trochet, MD, public health policy expert, spoke on how food policy influences our eating habits and choices and how we can improve our nutrition by changing food policy. Presented on Friday, September 26 at Grace Presbyterian Church's 2014 Farm to EVERY Fork event "Change Food Policy, Change the World!" in Sacramento, CA
Food Insecurity in Sacramento, first Keynote at Farm to EVERY Fork.Anne Anderson
Katie Valenzuela of Ubuntu Green and California Food Literacy delivered the keynote at the first evening of the three-Friday series Farm to EVERY Fork on October 4, 2013. This event was sponsored by Grace Presbyterian Church in Sacramento as part of their 30-year commitment to addressing the problems of food insecurity in Sacramento.
Ms. Valenzuela detailed the nature, scope and impact of inadequate access to healthful food.
Farm to EVERY Fork
Oct 4, 11, 18, 2013
Grace Presbyterian Church
4300 Las Cruces Way
(Arden Christian Church campus)
Sacramento, CA
www.grace-sacramento.org
www.facebook.com/gracepresbyterianchurch.sacramento
Nonprofit Insights: How to Solve Global Problems with Local EngagementVolunteerMatch
Your organization is trying to solve real problems – in your community, in the country, and in the world. Like many organizations, however, chances are you don't feel the support you need to really change things.
Texas Hunger Initiative (THI) has found a way to address this problem: Focus locally for global impact. Through its unique model of encouraging "informed engagement," THI has amplified the impact of volunteering in its community, making real strides in the fight against hunger.
For the May 2013 Nonprofit Insights webinar, join THI founder Jeremy Everett and Carol Rigby-Hiebert, a community volunteer in San Angelo, Texas, to learn about THI's model for tackling hunger by mobilizing communities and volunteers at a micro level – for macro results.
Common Roots Vermont - Healthy Food, Healthy Kids, Healthy FarmsRobert Fish
Common Roots connects farmers, educators, youth, families, and the wider community in building a sustainable future through place-based education and service programs. By collectively growing food for our schools, families, and food shelves, we celebrate the soil and soul of community. Our stewardship provides food security, affirms our local environment, and nurtures our common roots.
With appreciation to Lindie Rheeder, for creating this presentation as part of her UVM Food Systems Internship experience, Winter Session, December 2015–January 2016.
As a third world country, Haiti faces a lot of challenges. Improvements must be made in the areas of education, health care and socio-economic equality.
In 2010, the earthquake devastated much of the country’s healthcare infrastructure. St. Luke Foundation for Haiti and the Andrea Bocelli Foundation (ABF) have made it their mission to confront Haiti’s challenges and to save lives through education, healthcare, and service to others. While Haiti has seen marked reduction in child malnutrition in recent years, there is still much progress to be made. Childhood malnutrition and food insecurity negatively affect physical growth, immune system development, and cognitive function, leading to long term impacts on overall health. St. Luke Foundation and ABF work to address problems of malnutrition through meal programs in their schools and sustainable agricultural support for local farmers. Dr. Beaubrun will present on the foundations’ mission and his experience in the field of nutrition action: projects based on nutrition and health action, agriculture action, HIV treatment and prevention, and distribution of food kits for HIV patients.
Este fenómeno puede el ser el peor de la historia ya que afecta principalmente el norte del Perú , la regiones de La Libertad , Lambayeque ,Piura ,para esto debemos estar preparados ya que este fenómeno no se puede detener.
Цены котлы и оборудование Viessmann в Гомеле на РБУ основаvitlenko
Vitodens 100-W тип WB1C – это новый газовый конденсационный котел в настенном исполнении с оптимальным соотношением цена / качество, высоким комфортом отопления и приготовления горячей воды, компактными размерами и классическим дизайном.
Vitodens 100-W подойдет к дизайну Вашего дома, поддерживая необходимый комфорт и тепло, при этом не загрязняя окружающую среду.
Удобная конструкция котла обеспечит легкость в сервисном и техническом обслуживании, что избавит Вас от дополнительных хлопот и расходов в процессе его эксплуатации. Потребляя незначительное количество энергии, котел имеет высокую эффективность, которая
достигается за счет использования процесса конденсации. Это обеспечит Вам сбережения на отоплении без экономии на комфорте.
Система бесплатного сервисного гарантийного обслуживания котлов Viessmann действует по всей Беларуси, состоящей из высококвалифицированных и сертифицированных партнеров компании.
Газовый конденсационный одно-и двухконтурный котел мощностью от 6,5 до 35 кВт Vitodens 100-W тип WB1 Вы можете заказать в Гомеле в ООО «РБУ основа». Наш сайт: http://rbu-osnova.by
Dal convegno "Alimentazione, stili di vita e salute dei bambini" - 4 maggio 2010, Roma. Childhood obesity in the United States: key administration initiatives - Suzanne Heinen
This powerpoint discusses different aspects of a community food assessment. It also discusses the role of CED and food security. It compares food programming and CED in Manitoba with that in Saskatchewan
This powerpoint discusses different aspects of a community food assessment. It also discusses the role of CED and food security. It compares food programming and CED in Manitoba with that in Saskatchewan
Health Equity Considerations for Virginia's African American Children: The Importance of Social Determinants of Health
Prepared by Cheza Garvin, PhD, MPH, MSW, Assistant Professor and Academic Director, Consortium for Infant and Child Health (CINCH). Presented by Keisha Cutler, MPH, Assistant Director, CINCH, Department of Pediatrics, Division of Community Health & Research, Eastern Virginia Medical School
Presentation about the Community and Regional Food Systems project given at the 2013 Wisconsin Local Food summit.
Included is an overview of the project, discussion of the food system framework we're creating, examples from our community engagement projects (carrots to schools, lead contamination, food policy council evaluation, healthy corner stores), and a review of our project's values and outcomes (just, healthy, place-based, prosperous, and sustainable).
Explore the measures and metrics that aided the Snohomish County Health Leadership Coalition, in their search of a Strategic Focus and how the LiveHealthy2020 initiative came to be. Consider the ways that Snohomish County can work together and measure their success of a Countywide scale.
A Powerpoint presentation to Asheville's City Council regarding food security, the Asheville Buncombe Food Policy Council, and possible policies to make Asheville a food secure community.
Mission Statement: Our mission is to discover the ins and outs of obesity in Mississippi and to use our nutritional expertise to promote preventative health care services in the community. We aim to empower children and adults to sustain a healthy lifestyle while solidifying our cultural competence.
The COVID-19 pandemic has created several challenges for our country’s health care infrastructure, and the community health center workforce is no exception. Join us as we describe strategies to get patients back into dental care. Along with these strategies, participants will learn how to recognize challenges in dental practices, as well as how to engage the interdisciplinary care team through role redesign and integration to increase access to comprehensive care.
NTTAP Webinar Series - June 7, 2023: Integrating HIV Care into Training and E...CHC Connecticut
In order for health centers to provide compassionate and respectful HIV prevention, care, and treatment in comprehensive primary care settings, the clinical workforce must be knowledgeable, confident, and competent in their ability to do so.
We’ll explore the need to integrate HIV care into training and education for the clinical care team, as well as educational models to train the next generation. Using Community Health Center Inc.’s Center for Key Populations Fellowship for Nurse Practitioners (NPs) as a framework for best practices, experts will discuss how to implement specialty care for key populations in your training programs. Additionally, participants will gain awareness of the importance of training the clinical workforce on key population competencies in HIV programs (e.g. HCV, MOUD, LGBTQI+ health, homelessness, and harm reduction).
Utilizing the Readiness to Train Assessment Tool (RTAT™) To Assess Your Capac...CHC Connecticut
Improve educational training experiences at your health center by assessing your capacity and infrastructure to host health professions students.
Join the upcoming hands-on interactive activity session to learn how to utilize the Readiness to Train Assessment Tool (RTAT™). This tool was developed by HRSA-funded National Training and Technical Assistance Partners (NTTAP) at Community Health Center, Inc. (CHC) to understand organizational readiness to host health professions student training programs.
NTTAP Webinar Series - May 18, 2023: The Changing Landscape of Behavioral Hea...CHC Connecticut
The COVID-19 pandemic has resulted in significant shifts in the mode of care from face-to-face to virtual interactions. Join us as we discuss the challenges currently facing behavioral health care and at least one strategy for each. Along with these strategies, panelists will go over what integrated behavioral health care was and is before and following COVID-19, as well as what actions should be taken going forward to increase access to comprehensive care.
Panelists:
• Dr. Tim Kearney, PhD, Chief Behavioral Health Officer, Community Health Center, Inc.
• Melinda Gladden, LCSW, PMHC, Behavioral Health Clinician, Community Health Center, Inc.
• Jodi Anderson, LMFT, Virtual Telehealth Group Coordinator, Community Health Center, Inc.
NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...CHC Connecticut
Join us for a webinar on quality improvement in team-based care!
Building a quality improvement (QI) infrastructure within team-based care is an organizational strategy that will establish a culture of continuous improvement across departments and improve quality in all domains of performance.
Participants will learn about:
• QI infrastructure
• Facilitating QI committees
• Coach training within health centers
Faculty will also provide an example of how trained coaches use QI tools to test and implement changes within an organization.
Implementation of Timely and Effective Transitional Care Management ProcessesCHC Connecticut
Join us to discuss best practices for integrating daily follow-ups for patients recently hospitalized for health emergencies. Effectively following up with patients is a critical responsibility for integrated care teams.
Experts will share how their teams respond to patients to identify care gaps and support the transition of care. Workflow descriptions will provide participants with the tools to support their work to adapt specific steps into their model of team-based care.
Panelists:
• Mary Blankson, DNP, APRN, FNP-C, FAAN, Chief Nursing Officer, Community Health Center, Inc.
• Veena Channamsetty, MD, FAAFP, Chief Medical Officer, Community Health Center, Inc.
• Bibian Ladino-Davis, Behavioral Health Coordinator, Weitzman Institute
Implement Behavioral Health Training Programs to Address a Crucial National S...CHC Connecticut
Health centers are uniquely positioned to address the unprecedented need for behavioral health services but are challenged by the workforce shortage. Participants will gain the knowledge needed to begin conceptualization of a training pathway.
Join us to discuss the considerations of sponsoring an in-house training program across all educational levels, including the benefits, program structure, design, curriculum, supervisors' role, and required resources.
Experts will provide participants with examples from practicum and postdoctoral level training programs to help them gain confidence in developing a behavioral health training pathway.
HIV Prevention: Combating PrEP Implementation ChallengesCHC Connecticut
Expert faculty present case-based scenarios illustrating common challenges to integrating HIV PrEP in primary care. As part of improving clinical workforce development, this session will delve into a variety of specific PrEP implementation challenges. Participants will leave with strategies to overcome these obstacles to establish or strengthen their PrEP program.
Panelists:
• Marwan Haddad, MD, MPH, AAHIVS, Medical Director, Center for Key Populations, Community Health Center, Inc.,
• Jeannie McIntosh, APRN, FNP-C, AAHIVS, Family Nurse Practitioner, Center for Key Populations, Community Health Center, Inc.
NTTAP Webinar Series - December 7, 2022: Advancing Team-Based Care: Enhancing...CHC Connecticut
Join us as expert faculty outline the differences between case management, care coordination and complex care management to frame up a discussion on strategies to leverage effective models for both in-person and remote services.
Expert faculty will discuss the role of the medical assistant and the nurse in care management, as well as how standing orders and delegated orders support this work. This session will discuss how telehealth and remote patient monitoring enhancements can support complex care management for patients with chronic conditions.
Participants will leave this session with the knowledge and tools to begin or enhance implementation of chronic care management by enhancing the role of the medical assistant, nurse and the technology that supports the clinical care.
Panelists:
• Mary Blankson, DNP, APRN, FNP-C, Chief Nursing Officer, Community Health Center, Inc.
• Tierney Giannotti, MPA, Senior Program Manager, Population Health, Community Health Center Inc.
NTTAP Webinar: Postgraduate NP/PA Residency: Discussing your Key Program Staf...CHC Connecticut
Expert faculty will discuss the drivers, benefits, and processes of implementing a postgraduate residency training program at your health center. This session will dive deeper into a discussion on the responsibilities of key program staff, preceptors, mentors, and faculty for successful implementation. This webinar will equip participants with a road map to go from planning to implementation and offer an opportunity for coaching support.
Panelists:
• Program Director of the Nurse Practitioner Residency Program, Charise Corsino, MA
• Clinical Program Director of the Nurse Practitioner Residency Program, Nicole Seagriff, DNP, APRN, FNP-BC
Training the Next Generation within Primary CareCHC Connecticut
This webinar discussed the various avenues of workforce development including:
• training non-clinical roles
• the value of an administrative fellowship
• the key questions to ask before establishing a fellowship at your agency
The discussion referenced CHC Chief Operating Officer Meredith Johnson and CHC Project Manager Megan Coffinbargar’s publication “Establishing an Administrative Fellowship Program: A Practical Toolkit to Support and Develop Future Community Health Center Leaders” for the National Association of Community Health Centers (NACHC).
Panelists:
• April Joy Damian, PhD, MSc, CHPM, PMP, Vice President and Director of the Weitzman Institute, Community Health Center, Inc.
• Megan Coffinbargar, MHA, Project Manager, Optimizing Virtual Care Initiative, Community Health Center, Inc.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
2. Why are you here today?
One third of our nation’s children have threatened
healthy futures due to obesity.
The rates of childhood obesity have tripled since 1980.
We spend $150 billion every year to treat obesity-
related conditions, and that number is growing.
This is the first generation of American children whose
life expectancy may be shorter than their parents.
Text adapted from Let’s Move!
3. Support the movement to
transform two systems.
Systems that will enhance the lives of
future generations!
5. The Built Environment -Transportation
System
What activity happens
where
How we move
Access to opportunities
and choices (activity, food,
and healthcare)
Community character
6. There is NO Magic Pill
•Each community has different strengths and
resources
•Social change is slow and very dependent on
health/strength of relationships
•Focus on interventions that have:
–Designated leadership
–Build on existing platforms
–Flexibility and Strategic Alignment
–Sustainability potential
8. We Changed the Environments
We Enhanced the Systems
We Nurtured Local Leadership
We decreased BMI-z score in high risk,
vulnerable children ages 6-9 years old in
nine months.
9. Somerville, MA
• ~ 78,000 pop
• 4.1 square miles
• 3% open space
• 83% traffic cut- thru
• Heart disease / lung cancer
leading cause of death
Social Fabric
•Gentrification & increasing
immigrant population
•Community coalition rich
• Few $ resources
•65% of students eligible for
free/reduced meals
•50+ reported languages
spoken at home
10. WHAT: An environmental intervention to prevent childhood obesity
WHO: 1st – 3rd grade children in Somerville, MA and two controls
WHERE: Homes, before, during, and after school programs, and the
community
GOALS:
1) Create opportunities for children to expend an additional 125 kcal/day
over baseline to achieve energy balance
2) Create sustainable infrastructure that encourages physical activity and
healthy eating
11. Early Morning
Environment
During School
Environment
Afternoon
Environment
At Home
Safe Routes to School Maps
↑ Walking to School (-30 kcals)
Healthier Home Breakfast
↑ Fiber, ↓ Sugar, ↓ Fat
Appropriate Portion Sizes
Before School Program
Healthier School Breakfast
↑ Fiber, ↓ Sugar, ↓ Fat
Appropriate Portion Sizes
Increased Fresh Fruits
Breakfast Coordinator
Reinforcing
Environments
Home Environment (~15 kcal)
Parent Newsletter w/ coupons
Growth Reports
↓ Screen Time
Promotional Gifts
Community Environment
Community “Champions”
Restaurant Participation
Pediatrician Training & Support
Community TV Appearances
Ethnic Group Outreach
Community PA Resource Guide
Community Events
At home
Safe Routes to School Maps
↑ Walking Home (-30 kcals)
Healthy Home Snack
↑ Fiber, ↓ Sugar, ↓ Fat
After School Program
Curriculum:
Cooking Lessons
Physical Activity (-30 kcals)
Nutrition Education
Professional Development
Classroom Micro Units
Physical Activity (- 25 kcals) 5 days/wk (10 min)
Nutrition & Physical Activity Education 1 day/wk
(30 min)
Healthier Fundraising Alternatives
Professional Development
Teachers
Administrators
Food Service Staff
PE Teachers
Physical Activity Equipment for Recess
Physical Activity (- 25 kcals)
Healthier School Lunch
Fiber, Sugar, Fat
Increased Fresh Fruits & Vegetables
Appropriate Portion Sizes
Improved Presentation and Atmosphere
Social Marketing in Cafeteria
Alternative “Healthier” A La Carte Items
New Food Service Equipment
12. Food Service
- Menu and a la carte changes
- Professional skills development
- Taste tests
- Social Marketing
13. HEAT Club: In School Curriculum
-All 90 1-3rd
grade teachers were trained
-Created opportuniteis for physical activity
-Changed PreK-12 Curricula Standards for the District
14. HEAT Club: After School Curriculum
- Piloted with 6 programs; 14 after school programs by the end
- Professional Development
- School Gardens
- Cooking and Nutrition Education
- Physical Activity for life
15. Wellness Policy: a team effort
Parental acceptance/understanding
Economic health of school
Leadership of principals
17. Family Outreach
Child’s Health Report Card sent home (4 languages)
Newsletters every other month (basic reading)
TV Turnoff Week (sensitivity to working parents)
School Events (making everyone feel welcome)
18. Community Leaders are key!
2004 - 2010
Partner with targeted
CBOs
Ethnic Celebrations
FBOs
Tailor around their issues
20. Family Responses to SUS –
Spring ‘04
• “I really appreciate the emphasis on nutrition
and healthy lifestyles it brings to my, kids, the
schools, and the city. It makes it easier as a
parent when these values are shared and made
public.”
• “I’ve stopped watching TV and limited my home
computer use and ate better foods to set a
good example. I took my kids walking more
and walked with them to school everyday.”
21. Community Results
Engaged 90 teachers in 100% of 1-3 grade classrooms (N=81)
Participated/conducted 100 community events
Held 4 parent forums for non-English speakers
Trained 50 medical professionals
Increased walking to school by 5%
Recruited 21 restaurants
Reached 811 families through 9 parent newsletters,
Reached 353 partners through 6 community newsletters
Reached over 20,000 through a monthly media piece (11 mos)
Recruited all 14 after-school programs
Developed community-wide policies to promote and sustain change
(Wellness Policy, Pedestrian Safety)
Helped bring in an additional $1.5 million
23. Vision: A comprehensive, collaborative,
functioning coalition . . . to create a
healthy sustainable Springfield with regard
to physical activity and healthy eating.
•Transform the local food system
•Prioritize Bike and Pedestrian access
•Champion Health Equity Policies
24. Live Well Springfield Eat Smart. Stay Fit.
Stakeholders:
TFB; The Food Bank of Western MA
CCMS: Concerned Citizens of Mason Square
DTA: Department of Transitional Assistance
PHC: Partners for a Healthier Community
City: Parks and Recreation; Planning
CoC: Chamber of Commerce
LB: Local Businesses
NC: Neighborhood Councils
MLKJr.: Martin Luther King Community Center
EEC: Early Education and Care Orgs
YMCA
NNCC: New North Citizen’s Council
HS: Head Start
SQ: Square One
ECC: Early Childhood Center
SECEP: Springfield Early Childhood
Education Partnership
DEEC: MA Dept of Early Education and Care
SPCA: Springfield Partners for Community
Action
GG: Giggle Gardens
NOFA: North East Organic Farm Association
MHC: Mount Holyoke College
NCCJ: National Council Community & Justice
UROC: Undoing Racism Organizing Committ
MSHTF: Mason Square Health Taskforce
NECC: North End Campus Committee
NEON: North End Outreach Network
MIT: MA Institute of Technology
FB: Faith Based Institutes
BHS: Baystate Health Systems
DHHS: Dpt of Health and Human Services
R2TC: Rails to Trails Conservancy
PVPC: Pioneer Valley Planning Commission
CM: Community Member
CC: Catholic Charities
Target: Hunger initiative in
Mason Square – food
stamps; farmers market;
intergenerational meals;
advocacy
TFB; CCMS; DTA; PHC;
City; LB; CoC; NC; MLKCC
Farm to Preschool and
Families: cooperative
buying local produce
TFB; YMCA, NNCC; HS;
ECC; SO; SECEP; DEEC;
PHC;
Springfield Food Access
initiative providing mini-
grant funding and “learning
circle” for community based
work to enhance food
access at neighborhood
level
TFB; # of mini-grantees
Gardening the
Community youth based
initiative cultivating
community gardens
NOFA; MHC; GTC
SNAP initiative increasing
access to food stamp
program
TFB; DTA; PHC; City; CC
Mason Square Food
Justice Project building
capacity at neighborhood
level to “undoing racism”
with specific focus on
access to food
TFB; SPCA; UROC;
PHC; MSHTF; Dunbar;
NCCJ; NC; MLKCC;
Holy Trinity Church
North End Food Access:
Mapping identifying food
sources and gaps;
community garden
NNCC; MIT; NECC; NEON
LWS is the convening umbrella for all community initiatives specifically working on access to healthy eating and/or
physical activity through community based, cross sector collaborations, convened by PHC.
Grow Fit/LAUNCH
preschool initiative
training in classroom
curriculum; food
service; physical
activity
SO; SPCA; GG; ECC
FIT+ neighborhood
level diabetes
prevention project in
North End, South End,
Mason Square for
communities of color
PHC; BHS; NC; FB;
Faith Based Health
Alliance project organizing
congregation based health
education programs through
training lay health educators
SPCA; AHA; FB; PHC
River Walk Way
grassroots body
advocating for
upgrades and
maintenance on the 3
mile riverfront
walk/bike trail
CM; City; BHF; PVPC;
McKnight
Neighborhood Trail
Neighborhood council
doing feasibility study
of potential ½ mile trail
through McKnight
neighborhood
NC; City (PD)
Complete Streets
planning group for
citywide zoning policy
to promote mixed
transit
CM: City (PD; P&R);
R2TC; PHC; PVPC
South End
Revitalization
Project
infrastructure
upgrades and
economic
development
City; NC; CM; LB
Springfield Food
Policy Council –
special body at
the Mayoral level
guiding decisions
on food policy for
the city
Access to food
Access to p.a.
Both
MA in Motion:
Wellness
Leadership Council
assessment of City
leadership/environm
ent/policy in healthy
eating/physical
activity/tobacco/chr
onic disease
ACHIEVE
YMCA
25. Farm To Preschool & Families
Existing network of early
education and care
organizations
Policy umbrella of MA DEEC
Network of providers already
convened
Leadership of Food Service
Directors
Catalyst for other institutions to
support the system
Farm of the Pioneer Valley, Chester, MA
26. Pilot Results
•$12,000 generated for farmer
•32% cost savings for produce for EEOCs
•Increased student nutrient consumption (fiber and vitamin A)
•Number of EEOCs involved doubled -10
•Over 80 EEOC staff trained in 3 professional development
trainings
27. Just like they do for seatbelts, smoking
and recycling… This Next Generation
Will Ask….
Which farmer provided the fresh fruits and vegetables
offered to me at preschool or school?
Why was this street built with out a sidewalk?
Why can’t I have gym everyday at school it helps me
learn?
Why isn’t there a bike rack at my school?
Example of the potato: The food system is all about how we grow, process, transport, market and purchase food; Farm to Table. The food system also includes what happens after our food get to our table…how do we manage waste? In the conventional food system, this is a liner model that values economic efficiency.
The Built Environment is important because it determines what activities can happen where, how we move from place to place, (to a large extent) the opportunities and choices people have in their lives and the fundamental character of communities.
US Potato Board, Blue Cross Blue Shield of Massachusetts, Dole, Stonyfield Farm, United Way
Process evaluation allowed us to document the extent of implementation of all activities. For example, the in-school curriculum was implemented by 90 teachers in 100% of 1-3 grade classrooms (N=81), reaching 1600 children. Within the community, SUS participated in or conducted 100 events and 4 parent forums. We trained 50 medical professionals on childhood obesity guidelines and current screening practices, and we recruited 21 restaurants to become SUS approved. Our two newsletters reached 811 families through 9 parent newsletters, and 353 community partners reached through 6 community newsletters. A monthly media piece (11 months) reached over 20,000 subscribers each month. A total of 14 after-school programs implemented the after-school curriculum. Various community-wide policies were developed to promote and sustain change.