Changing the Environments of Faith Communities The Faithful Families - PowerPoint PPT Presentation

Changing the Environments of Faith Communities The Faithful Families Approach to Addressing Healthy Eating and Physical Activity Dr. Annie Hardison-Moody, Julia Yao NC State University

Program Team Annie Hardison-Moody, PhD Julia Yao, MPH Kim Eshleman Director, Faithful Families Extension Associate Special Projects Manager Assistant Professor Department of Agricultural and Human Department of Agricultural and Human Sciences Sciences Department of Agricultural and Human Sciences North Carolina State University North Carolina State University North Carolina State University

Development Team Cathy Thomas, MAEd Carolyn Dunn, PhD, RDN, LDN Lorelei Jones Manager Professor and Head Coordinator Clinical and Community Connections Department of Agricultural and Human Expanded Food and Nutrition Education for Prevention and Health Branch Sciences Program (EFNEP) North Carolina Division of Public North Carolina State University Department of Agricultural and Human Health Sciences North Carolina State University

Why work in faith-based health promotion? • Tangible and intangible health assets • Emphasis on the whole person • Expand reach of extension and public health programming

Our Mission Inspire faith communities to be health champions for individuals, families, and local communities. FaithfulFamilies.com/Who-We-Are/Our-Mission

Faithful Families: How it all began… Created in 2007, after state-wide • stakeholder meeting Partnership between N.C. State • Extension and the N.C. Division of Public Health

Determining Need

Best Practices Drew on literature in faith-based health promotion research: Multi-level programmatic intervention (the socio- • ecological model) Involves community in program design (community-based • participatory research methods) Peer-education models •

Peer Education and Lay Trained Trained Lay Leadership Facilitator Leaders

Policy, Systems, Environmental Little "p” – creating/changing an organization’s Changes Policy changes written statement on a position, decision, or course of action Creating/changing the rules or processes within Systems changes an organization, which alters how it operates Environmental Creating/changing the physical, economic, or changes social environment

PSE Changes Why are they important for health promotion?

Socio- ecological model • Long-lasting change • Larger impact on community

Our Approach Community Engagement § Connect with community-wide health initiatives PSE changes § At least 1 policy change § At least 1 environmental change Direct education § 9 weeks of Eating Smart and Moving More Lessons § 4 additional Chronic Disease Lessons (optional) FaithfulFamilies.com/What-We-Do/Our-Approach

Health Equity Matt Kinshella, available from: https://mmt.org/sites/default/files/inline-files/MattKinshella.pdf

Examples of Sample Policies PSE Changes • Healthy eating guidelines • Physical activity guidelines Environmental Supports • Community garden • On-site farmer’s market • Eat Smart snack bar • Literature racks or bulletin boards • Bike racks • Walking routes/maps • Fitness rooms/centers • Blood pressure station • Park far, walk more!

Move More Break

Faith communities that sign up for the program: Faithful Families Program • Offer nine weeks of nutrition and PA education classes, using the Faithful Families curriculum • Implement policy and environmental changes in the faith community • Connect with other county and community health resources

Faithful Families Curriculum

Eating Smart and Moving More • Nine lessons Curriculum • Co-taught by lay leaders from faith community and health educators • Addresses key nutrition and physical activity behaviors

Leader Guide

Lay Leader Training Guide

• Program Plan Additional Materials: • Program Checklist Appendices • Announcement Flier • Bulletin/Program Inserts • Move More Activities • Additional Recipes • Sample Policies • Handouts • Evaluation Tools • And more!

Chronic Disease Lessons

Additional Materials

Keeping Momentum

Faith Community Assessment Use the faith community assessment to: Ø Find strengths, resources, assets, needs Ø Identify health issues and concerns Ø Measure changes in healthy eating and physical activity policies

Planning Guide

Additional PSE Tools EAT EAT SMART SMART NORTH CAROLINA: NORTH CAROLINA: Guidelines for Healthy Foods and Beverages at Meetings, Gatherings and Events faithfulfamilies.com/tools-videos/tools/

Website FaithfulFamilies.com

Faithful Families Evaluation Forms Participant Evaluation – measure change pre-and post-lessons Faith Community Assessment – measure changes in environmental supports pre- and post-one year

Faith Community Assessment • Demographics and general information about faith community • Sense of who they are as a community • Key health issues and concerns • Standards, practices, and environmental supports in place

Tracking Changes in the Environment Repeat faith community health assessments at the end of the year. What changes did you notice?

Participant Evaluation

Additional Evaluation Tools

Sharing Success

2017 – 2018 Implementation

Table 1. Characteristics of Faithful Families Participants (N = 321) from Participant Entry and Exit Forms, North Carolina, 2016-2017 NC Participants Frequency a Variable Percentage Age (Mean = 57 ) Gender Female 261 81.3 Male 55 17.1 Not specified 5 1.6 Race American Indian or Alaskan 1 0.3 Native, Black or African American American Indian or Alaska 2 0.6 Native Black or African American 256 79.8 Black or African American, 2 0.6 White White 55 17.1 Not Provided 5 1.6 Highest Grade Grade 6 or less 1 0.3 Grade 7 4 1.2 Grade 8 5 1.6 Grade 10 2 0.6 Grade 11 6 1.9 Grade 12 85 26.5 GED 6 1.9 Some College 69 21.5 Graduated 2-year College 43 13.4 Post Graduate 34 10.6 Not Specified 10 3.1

Table 2. Summary of Paired Samples T-Test Results in Self-Reported NC Participants Behaviors Between Participant Entry and Exit Forms (N = 251), North Carolina, 2016-2017 Survey Pair Mean SD Std. Error 95% confidence interval t statistic (df) p -value a Correlation Lower Upper Pair 1 – plan meals ahead of time -24.247 152.433 9.621 -43.196 -5.298 -2.520 (250) 0.012 0.886 Pair 2 – compare prices before buy food -16.418 198.385 12.522 -41.080 8.244 -1.311 (250) 0.191 0.813 Pair 3 – run out of food before end of the month -3.809 189.050 11.933 -27.310 19.693 -0.319 (250) 0.750 0.832 Pair 4 – shop with a grocery list -20.291 139.303 8.793 -37.608 -2.974 -2.308 (250) 0.022 0.903 Pair 5 – let meat and dairy food sit out for more -31.375 197.053 12.438 -55.871 -6.878 -2.523 (250) 0.012 0.820 than two hours Pair 6 – thaw frozen foods at room temperature -15.235 153.551 9.692 -34.324 3.853 -1.572 (250) 0.117 0.882 Pair 7 – think about healthy food choices -24.231 216.642 13.674 -51.163 2.700 -1.772 (250) 0.078 0.785 Pair 8 – prepare foods without adding salt -20.323 139.299 8.792 -37.639 -3.006 -2.311 (250) 0.022 0.903 Pair 9 – use the “Nutrition Facts” on food label to -40.347 194.958 12.306 -64.583 -16.111 -3.279 (250) 0.001 0.827 make food choices Pair 10 – your children eat something in the 15.550 407.837 25.742 -35.150 66.250 0.604 (250) 0.546 0.551 morning within 2 hours of waking up Pair 11 – eat meals or snacks or snacks with one -12.032 259.356 16.370 -44.273 20.210 -0.735 (250) 0.463 0.755 or more family members Pair 12 – average servings of vegetables -12.179 208.493 13.160 -38.098 13.739 -0.925 (250) 0.356 0.829 consumed per day Pair 13 – average servings of fruit consumed per -12.259 188.518 11.899 -35.694 11.176 -1.030 (250) 0.304 0.857 day Pair 14 – number of times sugar-sweetened 8.231 218.207 13.773 -18.895 35.357 0.598 (250) 0.551 0.818 beverages consumed per day Pair 15 – use MyPlate to make food choices -12.725 302.114 19.069 -50.282 24.832 -0.667 (250) 0.505 0.687 Pair 16 – days per week with least 30 minutes of -4.514 188.909 11.924 -27.998 18.970 -0.379 (250) 0.705 0.856 moderate exercise

National Partners

Evidence FaithfulFamilies.com/who-we-are/evidence/

Lessons Learned • Perception of faith-based health promotion program • Time commitment and engagement • Faith community leadership and support • Important role of Lay Leaders • Building partnerships.

Building Faith Partnerships

National Implementing Partnership FaithfulFamilies.com/where-we-are/implementing-partners/

FaithfulFamilies.com