GOING BOLD LD! Ex Expanding Str trateg egies es to o Com Combat t Ch Childhood ood Obesi sity ty Western MCH Nutrition Leadership Network April 5, 2018 Navigators – Angie Tagtow & Lorrene Ritchie
Ob Objectives • Determine your personal and organization’s readiness to change to expand childhood obesity prevention strategies to include individual, and policy, system, and environmental change approaches. • Adapt system theory models (Spectrum of Prevention) to childhood obesity prevention interventions. • Apply expanded approaches to childhood obesity within your organization to include individual and policy, system, and environmental strategies.
Readiness to Change to I+PSE Re Individual Organizational • Majority currently apply • Priority for my organization • Attracts partners PSE approaches to • Strong evidence to support • Local officials to be better childhood obesity (action PSE informed – maintenance) • Colleagues, leadership, • Recognize the opportunities funders, and partners for implementation understand and support PSE • Need more examples and approaches best practices • Will improve services, • Need more guidance on Western MCH Nutrition Leadership Network efficacy, and impact (ROI) Pre-Meeting Survey, March 2018 evaluation
To Top To Tools Needed to Expand to I+PSE Funding Support of leadership Engagement of partners Planning tool Monitoring and evaluation tools Western MCH Nutrition Leadership Network Pre-Meeting Survey, March 2018
“1 “100% strongly y agreed or agreed that ex expanding obesity prevention efforts to include individual AND ND policy, system, and en environmen ental str trateg egies es is th the e futu ture e of public public he healt alth prac h practic ice.” Western MCH Nutrition Leadership Network Pre-Meeting Survey, March 2018
The Journey to Going Bold! Impact Act Best Plan* Food Practices Systems I + PSE Theoretical Obesity Models Prevention
The Spectrum of Prevention: Developing a Comprehensive Approach to Injury Prevention. The Prevention Institute. Available at http://www.preventioninstitute.org/component/jlibrary/article/id-105/127.html
I + PS I PSE Fr Fram amework Strengthen Individual Knowledge & Skills Promote Community Education Educate Providers Foster Coalitions & Networks Change Organizational Practices Modify Physical Spaces Inform Policy & Legislation
Ex Expanding panding Childho hildhood d Obe besit ity Prev eventio ion n Us Using ing I+PSE SE Appr pproac ache hes • Enhance personal, individual, or household's capability of healthy Strengthen Individual Knowledge & Skills eating and active living • Reach groups of people with information and resources to promote Promote Community Education healthy eating and active living • Inform providers or intermediaries who will transmit skills and Educate Providers knowledge of healthy eating and active living to others • Convene groups and individuals around healthy eating and active Foster Coalitions & Networks living to meet broader goals and greater public health impacts • Adapt regulations and procedures by shaping norms that support Change Organizational Practices healthy eating and active living • Change physical spaces or setting within organizations or larger Modify Physical Spaces public environments that support healthy eating and active living • Develop strategies to change laws, regulations, and policies that Inform Policy & Legislation support healthy eating and active living
Enhance personal, individual, or household’s Strengthen Individual Knowledge & Skills capability of healthy eating and active living • Personal/Professional • Individual/Household • Assess knowledge and skills • Use MyPlate resources for nutrition EXAMPLES education • Establish a CPE plan • Provide incentives for healthy eating • Complete CPEs • Assess household access to healthy food • Network • Offer healthy cooking classes • Apply new knowledge and skills • Refer clients to food and nutrition assistance programs • Offer grocery shopping tours
Reach groups of people with information and Promote Community Education resources to promote healthy eating and active living • Conduct needs assessment to identify gaps in community in nutrition education and physical activity opportunities EXAMPLES • Engage the nutrition community to promote consistent messages around healthy eating and physical activity (i.e., boys and girls’ clubs, YMCA/YWCA, summer camps, fitness centers) • Partner with community groups, civic organizations, food retail on social marketing campaigns • Collaborate with planners and engineers to assess walkability of neighborhoods • Leverage local media to promote healthy eating and active living messages
Inform providers or intermediaries who will Educate Providers transmit skills and knowledge of healthy eating and active living to others • Conduct nutrition trainings for teachers, HeadStart, and child care providers on the importance of early childhood nutrition and on engaging kids in nutrition activities EXAMPLES • Equip (pediatric) health systems with nutrition education and physical activity information • Offer CMEs/CPEs for health care professionals • Inform community leaders of health, social, and economic benefits of healthy eating and active living • Identify opportunities for intermediaries to educate others (4-H, FFA, coaches) • Share experiences and outcomes with peers • Write articles and publish findings in peer-reviewed publications
Convene groups and individuals around healthy Foster Coalitions & Networks eating and active living to meet broader goals and greater public health impacts • Strengthen existing partnerships and identify new partnerships • Examples: WIC, R&Rs/CACFP, SNAP-Ed, HeadStart, food policy councils • Assess relationship (e.g., communication, cooperation, coordination, collaboration) EXAMPLES • Identify and engage with community leaders (champions) with interest in nutrition and physical activity • Engage private and public sectors to build support • Establish a coalition, council, or commission focused on obesity prevention • Initiate a Community of Practice (peer- to-peer network) • Join or establish a division, section and/or practice group within professional organizations (AND, APHA, ASPHN, ASNNA, SNEB)
Adapt regulations and procedures by shaping norms Change Organizational Practices that support healthy eating and active living • Explore the integration of services (WIC, SNAP, Medicaid, etc.) • Assess current organizational practices and procedures (e.g., procurement, contracts, EXAMPLES employee handbook) • Serve on a school wellness committee that may address universal breakfast, after school snacks, open vs closed campuses (closed campus means more school meals consumed which are generally healthier than outside meals), concession options, and mobile vending around school campuses • Supply faith-based organizations with messaging, materials, and suggestions for improving the healthfulness of food during functions • Employ nutrition guidelines on food served at conferences, meetings, events • Be an active professional organization member and provide input • Serve on boards or committees • Develop and/or update resolutions, curricula, protocol, policy statements
Change physical spaces or setting within Modify Physical Spaces organizations or larger public environments that support healthy eating and active living • Increase water access in schools • Establish joint use agreements between schools and communities for gym/recreational EXAMPLES space • Redesign/refresh school playgrounds and incorporate gardens or edible landscapes • Provide vending or concessions with healthy options • Identify neighborhoods with low-walkability options • Work with municipalities to place curb cuts in sidewalks • Assess public transportation options in low-income neighborhoods • Establish a farmers’ market in the health clinic or hospital parking lot
Develop strategies to change laws, regulations, and Inform Policy & Legislation policies that support healthy eating and active living “little p” “BIG P” Organizational & Community Policy Public Policy - Changes to or creation of – Changes to procedures or laws, ordinances, resolutions, organizational practices mandates, regulations, or rules Clinics, schools, childcare, worksites, Local, regional, state, federal, restaurants, faith-based international organizations, professional organizations, long-term care, hospitals
Develop strategies to change laws, regulations, and Inform Policy & Legislation policies that support healthy eating and active living Local Federal State • School board • Federal agencies • State government offices • City council • Congress • Judicial • County supervisors • White House • State legislature • Soil and water • Federal Advisory • Governor’s office commissioners Committees • Appointees
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