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Healthier Communities: A Community Partnership to Support Families in Making
Healthy Changes
Kay Grant, M.S.Alegent Creighton Health
Email: [email protected]: 402-343-4691
Objectives:
•Describe how collaboration can enhance community wellness programs.
•Identify key components of healthy communities.
•Identify wellness measures families can adopt to improve health.
• Created in 2006 by Alegent Creighton Health• Partnership with Live Well Omaha with the sole
purpose of fighting childhood obesity • Live Well Omaha represents a collaboration of
over 40 diverse community organizations working to improve the health and wellness of Omaha
History:
• In 2008, the implementation of various community strategies began, and the focus of all action was:
• sustainability of efforts through partnerships• capacity building• evaluation • attracting diverse funding sources
History:
• A yearly comprehensive strategy is created following Robert Wood Johnson Active Living by Design “5P” model —
• Preparation- developing and maintaining a community partnership
• Promotion- communication and evaluation of communication
• Programs• Policy- advocacy, education and relationship building with
policy makers, as well as citizens, professionals and advocates
• Physical Projects- impacting the built environment to remove barriers to implementation and improve safety
History:
• More than 200 community volunteers representing over 90 organizations and formed long-term strategies that aim to reach children in the environments where they learn, play and worship
All Omaha metro area children will achieve measurable improvement in nutrition,
physical activity and healthy living supported by community collaboration and
the environments in which they live
Mission:
Link between Obesity and Cancer5
• Reduce your risk of colon and breast cancer. Being physically active lowers your risk for these cancers.
• Reduce your risk of endometrial and lung cancer. Although the research is not yet final, some findings suggest that your risk of endometrial cancer and lung cancer may be lower if you get regular physical activity compared to people who are not active.
• Improve your quality of life. If you are a cancer survivor, research shows that getting regular physical activity not only helps give you a better quality of life, but also improves your physical fitness.
Link between Obesity and Cancer6
• Eat More Fruits and VeggiesStudies suggest that people who eat more vegetables and fruits, which are rich sources of antioxidants, may have a lower risk of some types of cancer.
• Eat High-Calcium Foods Several studies have suggested that foods high in calcium might help reduce the risk of colorectal cancer.
Community Benefit
Care of the Poor Financial Assistance Un-reimbursed costs
of Medicaid Other Means-Tested
public programs
Broader Community Health Community health Community health
improvement servicesimprovement services Health professions education &
research Subsidized health services Financial and in-kind contributions Community-building and leadership
activities
• Robert Wood Johnson Foundation• Catholic Health Initiatives• National Grants:
• City Transformation Grant (CTG)• Communities Putting Prevention to Work (CPPW)• Leveraging In-Kind Resources• Local Universities and Community Organizations
Funding
Family Dining PledgeCall to Action: Tell us how many times each week you pledge to cook and eat together as a family.Benefits: •Kids are more likely to try new foods and on average consume more nutrient-rich foods like low-fat dairy, whole grains, vegetables, fruits and lean meats. •Reducing stress •Helping increase school performance •Improving family communication•Receive monthly newsletters•Free local food and activity offers •Access to expert tips and recipes that help you make it happen
Current Initiatives & Community Partners
Family Dining PledgeMethod of Delivery to Community:
•LWOK website•Facebook•Twitter•Pinterest•Local Health Fairs
Current Initiatives & Community Partners
5-4-3-2-1 Go!®
Call to Action: 5 servings of fruits and vegetables a day4 servings of water a day3 servings of low-fat dairy a day2 or less hours of screen time a day1 or more hours of physical activity a day!Benefits: •Childhood obesity prevention•Overall improvement in, or maintenance of, children’s health related to nutrition and physical activity
Current Initiatives & Community Partners
5 servings of fruits & vegetables a day4 servings of water a day3 servings of low-fat dairy a day2 or less hours of screen time a
day1 or more hours of physical activity
a day!
This countdown is based on recommendations from the American Academy of Pediatrics and the USDA. 5-4-3-2-1 Go!® was developed by the Consortium to Lower Obesity in Chicago Children –www.clocc.net. Alegent Creighton Health is licensed to use the countdown and personalize it for the Omaha metro area
5-4-3-2-1 Go!®
Method of Delivery to Community:
•5-4-3-2-1 Go Dance!•Weekly Checklists•Health Fairs•Community Presentations
Current Initiatives & Community Partners
5-4-3-2-1 Go!®
Community Partners:Emspace: Webpage supportMarketing
Current Initiatives & Community Partners
Youth Advisory CouncilPurpose: The YACs are youth leaders who mentor other students, become knowledgeable experts regarding the public health issue of childhood obesity and create a project, based on best practices, to help their peers and the community to make healthy changes. They advise the overall strategy of Live Well Omaha Kids social marketing efforts.Benefits: •Health Promotion•Youth leadership•Youth mentorship
Current Initiatives & Community Partners
Youth Advisory Council
Method of Delivery to Community:•Local Health Fairs•School Presentations
Current Initiatives & Community Partners
Youth Advisory Council
Community Partners:
•Omaha Public Schools- Health Occupations Students of America •Saludable Omaha- a Latino health movement in South Omaha to pilot a “Green is Go” healthy lunch promotion at South High School.
Current Initiatives & Community Partners
Breastfeeding
Method of Delivery to Community:
•Provide Certified Lactation Counselors Training•Fund and Support WIC Peer Counselors•Convene area hospitals via Hospital Policy Roundtable•Host Employer Lunch and Learns•Facilitate Medical Provider Education
Current Initiatives & Community Partners
Healthy Families
Call to Action: Healthy Families is a free, 8-week family-based program for children and teens that have received a diagnosis of being overweight or obese from their health care provider and are ready to make a healthy behavior change together as a family.
Tangible Benefits: •Free 8 week membership to the YMCA•$50 food card
GoalsFamilies learn about:
• Nutrition and physical activity from qualified health professionals, and how to incorporate healthy habits into their lives
• Goal-setting, budgeting, meal planning and meal preparation
• Benefits of improved nutrition and physical activity
• Strategies to overcome barriers to incorporating healthy behaviors into daily life
Goals• Families maintain or achieve a healthier
weight• Lowers risk for Chronic Disease associated
with overweight or obesity• Increases quality of life
• Longtime Community Partnership
• Facilitated by Qualified Health Professionals
– Registered Dietitian, Behavioral Health Therapist, Physical Activity Specialist
• Evidence-Based Curriculum
• Meaningful Incentives for whole family
• Follow Up with Families and Providers
• Referral Process/ Medical Provider Relationship
Benefits for Families
Healthy FamiliesCommunity Partners:
YMCA of Greater Omaha8 week membershipMeeting and Workout SpaceExpert Staff- Physical Activity
Charles Drew Health CenterMeeting and Workout SpaceExpert Staff- Dietician
OneWorld Community Health CenterMeeting and Workout SpaceExpert Staff- Site Lead, Behavioral Health Specialist
Hy-Vee, Inc.Meeting and Workout SpaceExpert Staff- Dietician
Alegent Creighton HealthFundingExpert Staff- Program Coordinator
Healthy FamiliesCommunity Partners:
UNL ExtensionCurriculum and Evaluation Consultation Dietetics, Behavioral HealthRecruitment
University of Nebraska at OmahaCurriculum and Evaluation Consultation
Key Components of a Healthy Community
Access to affordable healthy foods•Farmers markets•Community gardens- land use policies and strategies to encourage use•Grocery stores and vendors participating in the WIC and SNAP programs•Healthy Neighborhood Stores7
Key Components of a Healthy Community
Opportunities for Physical Activity (PA)•Safe Green Spaces and Parks•Connecting Schools and Residential Areas with Bike Trails and Pedestrian Paths•PA Policies in Schools and Childcare Centers
Key Components of a Healthy Community
Community Support and Investment•School and worksite policies•Medical Providers, particularly in the federally qualified health centers•Educating policy decision makers (public and private)
Key Components of a Healthy Community
Collaboration of diverse, multi-sector Community Partners•YMCA•Local Health Departments•Hospital Systems•School Systems•Businesses/Worksites•Not for Profit Organizations•Other? _____________________
• Mission and Vision• This is important because
individuals come and go, but Mission and Vision will remain
Community Partner Considerations
• Reliability and Credibility/ Community Standing
• Expertise• Time and Space
Community Partner Considerations
• Instill confidence in the partnership by describing
• Your Mission, Vision• Detailed Objectives and Roles• How you will support proposal
AND, how these fit in with partner
Partnership Strategies
•Describe benefits to partner•Return on Investment (ROI)•Benefits to their customers/clients•Fulfillment of community commitments
Partnership Strategies
• Focus on Respect and Mutually Established Goals
• Collaborate and utilize strengths, areas of expertise, and resources of each partner
• Recognize contributions• Recognize successes
Partnership Strategies
Objectives:
•Describe how collaboration can enhance community wellness programs.
– Community Partnerships can provide evidence-based direction, creativity, and sustainability in programming.
Objectives:
•Identify key components of healthy communities.
• Healthy Communities are led and supported by the shared Mission and Vision of partners.
Objectives:
•Identify wellness measures families can adopt to improve health.
– Changes to health status can be affected by families through small and gradual changes that lead to larger lifestyle changes.
REFERENCES1. http://www.cdc.gov/obesity/data/childhood.html2. http://www.webmd.com/diet/news/20120813/state-
obesity-rankings-no-winners3. LiveWell Omaha Kids Annual Report 20104. Carroll, J.K., Fiscella, K., Epstein, R.M., Sanders, M.R.,
Williams, G.C. (2012). A 5A’s communication intervention to promote physical activity in underserved populations. BMC Health Services Research, 12:374.
5. http://www.cdc.gov/physicalactivity/everyone/health/index.html#ReduceCancer
6. http://onlinelibrary.wiley.com/doi/10.3322/caac.20140/full#sec1-67. http://livewellomaha.org/food/healthy-neighborhood-stores/