Thursday, October 26, 3:30
p.m.-5:00 p.m.
Moderator
Alyssa Easton, Ph.D., M.P.H.
Acting Director, Steps to a HealthierUS, National Center for Chronic
Disease Prevention and Health Promotion, Centers for Disease Control and
Prevention
Presentations
HEALTHY RICHLAND
Ava R. Dean, M.P.H.
Palmetto Health/Office of Community Services, Columbia, SC
Healthy Richland is a countywide collaboration among Palmetto Health and community partners
to encourage healthy weight, good nutrition, and physical activity. Healthy Richland provides
several programs to the Richland County residents and surrounding areas. The Healthy Richland
Walking Club is a free incentive-based walking program that provides a pedometer and incentives
for reaching goals. The
"Type 2 – We're On To You" program offers health education classes focusing on
diabetes, good nutrition, and physical activity for fifth-grade students. Healthy Richland is
a We Can! (Ways to Enhance Children's Activity & Nutrition) site that teaches parents how to
help their families live a healthier lifestyle through better nutrition and physical activity.
Healthy Campus is a program that offers health education classes focusing on diabetes, nutrition,
high blood pressure, and physical activity for college freshmen at participating schools. The
Healthy Richland Web site,
www.healthyrichland.org, provides information on good
nutrition and physical activity as well as upcoming events.
Healthy Richland has partnered with the Palmetto Health Children's Hospital and Safe Kids
Midlands Coalition to provide activity cards to parents and their families to promote physical
activity. These activity cards can be downloaded on the Web site. Healthy Richland partnered
with Prime Times, a senior program, to promote physical activity. Partnerships with elementary
schools and college campuses help to provide educational sessions during class time.
Healthy Richland programs have demonstrated excellent results from students and participants.
More than 1,590 people have enrolled in the walking program since June 2005. Type 2 students have
shown, through pre- and post-program behavior assessment, an increase in physical activity and
consumption of fruits and vegetables. Students, through documentation of pre- and post-program
weight and height measurements, have lost anywhere from ½ to 22½ pounds in one semester.
PARTNERS REDUCING EFFECTS OF DIABETES: INITIATIVES THROUGH COLLABORATION
AND TEAMWORK (PREDICT)
Valentine Njike, M.D., M.P.H.
Yale Prevention Research Center, Derby, CT
The purpose of this project was to establish the utility of the Community Health Advisor
(CHA) model for the translation and dissemination of the Diabetes Prevention Program (DPP)
and to demonstrate the efficacy of participatory, collaborative approaches in improving
diabetes prevention behaviors in urban African American communities.
While the DPP definitively established the effectiveness of intensive lifestyle interventions
to prevent or delay diabetes, adoption of the program in community and clinical settings remains
limited. Development of population-based strategies to translate the results of the DPP is an
important priority for public health practitioners.
The Yale Prevention Research Center convened community partnership teams consisting of key
stakeholders in the community. The intervention design, methods, and project activities were
subsequently informed by input from the community partnership teams. Two comparable communities
in New Haven and Bridgeport were randomized to the intervention and control groups. The intervention
consisted of training 21 CHAs using the DPP manual as a template; recruiting 150 participants
in each group; and offering educational and skill-building sessions, based on the DPP curriculum,
to the participants over a 9-month period. The sessions were conducted by the CHAs. The control
group received a delayed intervention. Outcomes of interest include diabetes knowledge, social
support, nutrition and dietary patterns, and body mass index.
In the New Haven intervention site, significant improvement was observed in diabetic knowledge
from baseline (i.e., 2.45 ± 11.22; p = 0.049). Emotional/information support also improved
non-significantly (p > 0.05) from baseline.
The study offers an inexpensive and replicable means of translating and disseminating
the results of the DPP for modifying diabetes-related risk factors in a high-risk population.
The intervention represents a promising methodology to meet the goals of Healthy People 2010
Objective 5-2 to reduce the disease and economic burden of diabetes in individuals who have
diabetes or are at risk for diabetes through prevention.
LOUD AND LOCAL: EFFECTIVE COMMUNICATION STRATEGIES FROM STEPS TO A
HEALTHIERNY IN BROOME COUNTY
Mary McFadden; Diane O'Hora
Broome County Health Department – Steps to a HealthierNY, Binghamton, NY
To demonstrate the steps taken to develop, implement, and evaluate a successful health
communications and messaging plan, the Broome County Steps to a HealthierNY program established
a health communications plan that integrated social marketing principles with evidence-based
program interventions and included a broad range of traditional and non-traditional forms of
media, communication efforts, and partners.
Primary methods of communication activities included the establishment of an Internet Web site,
several media partnerships, and use of a large-scale and modestly funded multi-media campaign with
print, TV, and radio. Secondary methods included use of legislative print materials, a local AA
baseball team, hockey team promotions by the American Hockey League, community outreach
activities/events, earned media, local healthy heroes, recognition events for community partners,
and the use of popular communication vehicles in schools, faith communities, hospital systems,
and worksites.
According to the latest results of the Broome County Steps Behavioral Risk Factor Surveillance
Survey, 60 percent of the Broome County residents surveyed stated that they had heard of the Steps
to a HealthierNY program. The use of secondary communication means offered the ability to broaden
the reach, frequency, and in-kind resources donated for health messaging efforts, which built
capacity to establish sustainable healthy lifestyle communication practices within the framework
of each sector's communication channels. In addition, the largest radio station conglomerate in
Broome County instituted a daily walking weather message as part of its regular morning programming.
Developing an effective health messaging communications plan integrated with evidence-based
health programs can help to shape changes in societal and cultural norms that will engage residents
in healthier lifestyles and eventually reduce the burden of chronic disease.
HEALTHY HAWAII INITIATIVE
Chiyome Leinaala Fukino, M.D.
Hawaii State Department of Health and University of Hawaii, Honolulu, HI
The Healthy Hawaii Initiative (HHI) is a comprehensive and coordinated statewide approach
to address physical activity, nutrition, and tobacco use to reduce the incidence of chronic
disease and to promote health. HHI is located in the Hawaii State Department of Health, Tobacco
Settlement Project, which administers the Tobacco Settlement Special Funds established by state
statute in 1999.
HHI is based on a social-ecological model and is organized by school health, community-based
interventions, public education, and professional education as delivery channels. HHI includes
a strong evaluation component through the University of Hawaii, Department of Public Health.
The Hawaii Health Data Warehouse supports monitoring and, with the Science and Research Group,
assures data standards. HHI funds and coordinates tobacco control with other divisions across
the department.
HHI works on interventions to achieve environmental, policy, and systems changes. For example,
a social marketing campaign to change milk consumption resulted in a significant increase in
low-fat milk consumption from 30.2 percent to 40.8 percent of milk drinkers, and the Department
of Education concurrently changed its milk to low fat and non-fat. Joint land use agreements to
increase access to physical activity, coalition building to mobilize communities, and statewide
teacher trainings are some of the activities supported by HHI. Currently, Hawaii's adult obesity
rate of 19.7 percent is the second lowest in the Nation, and the combined rate for overweight
and obesity is the lowest (2005 Behavioral Risk Factor Surveillance System). The rate of youth
at risk for overweight in 2005 did not change significantly since 1999, while the overweight
rate showed a slight increase at 13.5 percent (Youth Risk Factor Surveillance System).
For questions or more information, please contact
summit@hhs.gov.
