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WISCONSIN OBESITY
PREVENTION INITIATIVE
FUNDED BY THE WISCONSIN PARTNERSHIP PROGRAM
December 14, 2015
Quick Background
Wisconsin has been active on obesity prevention
issues for the past 10+ years
Statewide and Local coalition efforts (60+ coalitions)
Formative assessment revealed duplicative or
uncoordinated efforts
1-1s revealed the desire for a “united front”
2011, community leaders, academia and
government discuss how to better align efforts
2012, awarded Wisconsin Partnership Program Grant
to develop a statewide effort using collective impact
Aim 1: Support and expand the healthTIDE (formerly Wisconsin Obesity Prevention Network) to align multi-sector partners, build a statewide agenda, and engage community partners to disseminate and implement evidence-based obesity prevention programs
Aim 2: Implement a pilot/feasibility study using local, multi-level, comprehensive community interventions in two WI counties
Aim 3: Develop a statewide childhood obesity surveillance system, that tracks obesity and related community-health indicators in children 0-18, a current gap in Wisconsin
Aim 4: Create outreach and community engagement that includes state and local level public messaging and intervention dissemination of evidence-based solutions to obesity
Wisconsin Obesity Prevention Initiative
Collective Impact
Conditions: Backbone infrastructure, common agenda, mutually reinforcing activities, shared measurement, continuous communication
Community Organizing
Residential skill and leadership building, relationship and power building, shared understanding of community issues, collective actions, critical reflection
• Establish core teams
• Lay foundation for models
Build
•Use models to implement interventions
•Increase capacity
Implement • Assess results
of models and interventions
Evaluate
• Document and incorporate learning
Refine • Plan for scale-
up
• Invite more communities
Scale-up (Phase Two)
1/12/2015; University of Wisconsin-Madison
The Model
Theory of Change
COLLECTIVE
IMPACT
(Coordination across
agencies)
COMMUNITY
ORGANIZING
(Engage community
members)
Increased
coalition
effectiveness,
community
connectedness,
and resident
empowerment
Changes in
policy,
systems, &
environments
Changes
in
behavior
Improved
health
outcomes Incre
ase
Impact
Creating a Backbone
Located at the University of Wisconsin-Madison and
the State YMCA Alliance
7 staff (4.75 FTEs)
Key backbone functions:
Guide vision and strategy
Support aligned activities
Establish shared measurement practices
Advance public policy
Mobilize funding
Build public will
Facilitating a Common Agenda
Overall common agenda set
PSE change
Obesity prevention
Health & Wellness
Priorities set in the following settings:
Early Childhood
Schools
Food Retail
Built Environment
Early Childhood Setting
Multi-sector engagement (government, non-
profits, people with lived experience and
business sector)
Through a collective impact process, the
following priorities were set:
Strengthen and expand the current childcare licensing
rules related to nutrition, physical activity, and
breastfeeding
Strengthen the existing wellness criteria in YoungStar
(quality rating improvement system)—ACCOMPLISHED
Increase family engagement on nutrition, physical activity,
and breastfeeding issues
Scale up Healthy Bites and Active Early interventions
Key Lessons so far
Working through turf and territory
Relationships matter; 1-1s are effective
Continuous communication is key
Need to continue diversifying voices
People with lived experiences
Private sector involvement
Implementing priorities & establishing shared
metrics
Backbone supports the coordination of work
on priorities; not the implementer
Metrics are difficult to establish
Contact Information
Alex Adams, PhD (PI); University of Wisconsin
Brian Christens, PhD (Co-PI); University of Wisconsin
Amy Meinen, MPH, RD, Co-Director, healthTIDE
Amy Korth, MS, RD, Co-Director, healthTIDE