Eat Smart Move More Colleton Marilyn Peters, Clemson Extension
A Call to Action: S.C. Childhood Obesity Summit, 2003 SC ranks 46 th as one of the unhealthiest states in the U.S. Physical inactivity costs SC $4,653,914/ year > $1 billion is spent on obesity-related medical costs in SC 34% of SC children are obese or overweight SC has the 5 th highest obesity rate in the US
Children & Weight: What Communities Can Do Kit includes: • Best practices approaches for prevention • Guidelines for mapping community resources, and devising an action plan • Tips for facilitating effective meetings • Step-by-step guides for your initial task force meetings including agendas, overheads, and handouts
President’s Council on Youth Fitness 1956 Presidents Eisenhower, Kennedy, and Johnson John F. Kennedy Presidential Library & Museum-Media Viewer (3).url
COACH Coalition Organized to Address Children’s Health Vision Community environments that promote and support healthy lifestyles. Mission To improve the health of children and their families through the prevention of weight problems and related chronic diseases.
COACH Projects, 2004-2009 • Capacity-Building • Community Awareness • SCCOPE • School Wellness Policies • Universal Breakfasting & BIC • TV Turnoff Week • School Health Index • Take 10! • Farmers Market
Eat Smart Move More SC, 2007 Mission To coordinate collaborative and sustainable efforts that • support healthy eating and active living where South Carolinians live, learn, work and play.
ESMMSC Healthy Community Project, 2009 Objectives: 1. To create a community model for change by testing the effectiveness of the ESMMSC strategic framework for action, toolkits and resources in one community. 2. To assist local stakeholders in conducting a community assessment and developing a 3-4 year action plan for reducing obesity. 3. To disseminate this model so other communities can lower obesity rates by promoting policy and environmental solutions for healthy eating and active living.
Community Application Process • COACH’s application to be chosen as subject of proposal • Interview process
Assessment Phase Community Survey Key Informant Interviews GIS Mapping Of Community Assets & Barriers For Promoting Healthy Eating And Active Living The Rural Active Living Assessment SWOT Analysis
Results: Community Assessment Barriers to Physical Activity Barriers to Healthy Eating • Cost Cost 44% 65% Lack of time Lack of facilities 42% 38% Limited access Lack of time 39% 19% Lack of skills & Going alone 38% Weather 36% knowledge 13% Policy Recommendation Sources of Health Information • Use public funds for PA-built Billboards, newspaper articles, • environment 85% radio & TV 50-60 % • Work 71 % Priorities Church 48% • Indoor pool 56% • Walking trail 51% •
Results: Key Informant Interviews Needs Identified Built environment Access and affordability of healthy foods Barriers identified Lack of Resources Poverty Attitudes Lack of Skills & Knowledge
Results: Rural Active Living Assessment 21 zones evaluated Eleven zones → walkable • Nine zones → posi � ve aesthe � cs Zones with highest ra � ngs → randomly distributed
Results: GIS Mapping of Community > 100 locations Food outlets Opportunities for physical activity Schools
Retreat Day-long session, > 40 stakeholders • Reviewed assessment results • Conducted “Mini” SWOT Analysis • Reviewed Options for Actions • Brainstorming by settings • Identified priorities
SWOT Analysis Strengths 1. Farmers Market development 2. District-wide universal breakfasting and fresh fruit and veggie program 3. Walking trails 4. CoCoRec Department
SWOT Analysis Weaknesses 1. Resistance to change 2. Lack of education/awareness on HE/AL (culture, beliefs, behavior) 3. Need more PE in schools K-12, structured recess, PA during the school day
SWOT Analysis Opportunities 1. Educational Infrastructure 2. Physical infrastructure 3. Financial Support 4. Organizational Infrastructure
SWOT Analysis Threats 1. Funding 2. Crime rate 3. Unemployment
Assessment Phase Completion Stakeholders and ESMMSC staff successfully completed the community assessment that would support the action plan. Similar barriers and opportunities were identified across the four assessment components.
Developing the Plan Community Status + (Stakeholders) Research = (Academic Community) Action Plan (ESMMSC)
Goal # 1 Increase opportunities for choosing healthy foods and being physically active in multiple settings
Goal # 2 Develop and implement a strategic community media and marketing plan to connect all initiatives into one comprehensive plan.
Goal # 3 Conduct a comprehensive evaluation to determine the reach and impact of the initiative.
Comprehensive Community Action Plan Four Settings 1. Schools/Childcare 2. Churches 3. Worksites 4. Community-at-Large
Schools & Child Care ESMMSC Grow Healthy Toolkit NAP SACC Color Me Healthy
Schools and Child Care Take 10! Re-Think Your Drink Joint Use School Gardens School Wellness Programs Healthy Food Options Safe Routes to School Before/After School Walking/Running Clubs School Wellness Conference CATCH or Zest Quest Middle School Programming
Worksites • Encourage Healthy Food Environment • Create Breastfeeding-Friendly Workplaces • Develop Wal-Mart Model
Faith-Based Faithful Families Eating Smart & Moving More Year 1: Five $2,000 grants to churches Year 2: Six $2,000 grants to churches Year 3: Six $2,000 grants to churches
The Community-at-Large • Pathways to Health • Walterboro Farmers Market • Complete Streets
Grant Proposal Eat Smart, Move More Colleton Reversing the Epidemic of Childhood Obesity through Demonstration of a Community-Based Obesity Prevention Model that Works Target Population: Residents of Walterboro, S.C. & Colleton County Underinsured and uninsured individuals and children. Budget: $825,000
Woo Hoo! November 2009 Blue Cross Blue Shield of SC Foundation awarded grant to Eat Smart Move More SC to implement the 3-year action plan.
Next Steps Evaluation plan Hire Project Coordinator as Clemson Extension Healthy Lifestyles Agent COACH → Eat Smart Move More Colleton Work the Plan Evaluate Effectiveness Develop plan for sustainability Replicate in other S.C. communities
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