Healthier Together September 18 th , 2014
Healthier Together Agenda • Welcome & Introductions • Afterschool Programs: Findings from Parent Survey • Task Force Updates • County Health Rankings & Roadmap Workshop Overview • HT Community Health Needs Assessment (CHNA) Update • Next Large Group Meeting: OCTOBER 13 @ River Falls Area Hospital
Healthier Together Afterschool Programs: Findings from Parent Surveys
Process & Program Evaluation Two types of evaluation of the program: • Process evaluation previously reported • Outcome evaluation of the change from pre to post of the home environment for health, food intake, and physical activity • Outcome evaluation of children’s and parent’s daily steps
Weekly Walking Log
Participation in Afterschool Programs
Parent Survey Purposes of parent survey: • Measure behavior change outcomes that occurred from the beginning to the end of the program • Inform future programming • Support grant applications
Survey Samples • Sample I: matched pairs of parents who completed both pre and post surveys • Sample II: all parents who completed the pre survey and all parents who completed the post survey
Demographic Characteristics of Survey Respondents
Number of Survey Respondents by School District
Scores: Clustering Individual Questions Around Themes • Overall Score • Home Environment Score • Food Intake Score • Physical Activity Score
Overall Score (Matched Pairs) Change is significant Average increase by 0.8 points
Home Environment Score Matched Pairs All Surveys (change not significant) (change in right direction)
Home Environment Score by School District
Food Intake Score Matched Pairs All Surveys (change significant) (change in right direction)
Food Intake Score by School District
Specific Food Questions Vegetables Fruit
Specific Food Questions Sugar Sweetened Low-Fat Milk Beverages
Physical Activity Score Matched Pairs All surveys (change significant) (change in right direction)
Physical Activity Score by School District
Specific Physical Activity Questions Exercise time during week Exercise time on weekend
Specific Physical Activity Question Hours per day of screen time
Step Counts Analysis • The average increase in steps per week is 3500 steps • The largest increases happen between weeks one and two • Weeks two to three normally showed a decrease in step number but not all the way down to week one levels • Hudson was the only site to have more than three weeks of data but there you see increases in weeks 4-6
Lessons Learned & Discussion
Healthy Foods Update Goal: To improve nutrition of St. Croix County residents by increasing access to healthy foods, [decreasing access to sugar sweetened beverages and other less nutritious foods], and supporting, sustained breastfeeding.
Oral Health Update Goal: To improve the oral health of the children participating in the St. Croix County school back pack program.
Physical Activity Update Goal: To improve the physical activity of St. Croix County residents by providing awareness of and opportunities for physical activity.
Support Update Goal: To collaborate with Healthier Together Pierce and St. Croix Counties (HTPSCC) task forces to identify financial, educational, communication, and evaluation support and connect with necessary resources to assure sustainability, improve health equity, and build capacity of coalition.
County Health Rankings & Roadmap Workshop http://www.countyhealthrankings.org/
County Health Rankings & Roadmap Workshop • Essential Question: How can we build a culture of health in our communities? • Rankings help get our attention…use as a call to action • Variations in Types of Coalitions: Networking— Coordination—Cooperating—Collaborating (least trust to more trust) • What Works for Health tool http://www.countyhealthrankings.org
Going Forward • Community Health Needs Assessment • Upcoming Meetings o Oral Health Meeting: September 18, 12:30-1:30pm @ Hudson Bagel o Physical Activity Meeting: September 19, 9-10:30am @ Westfields Hospital o Healthy Foods Meeting: September 22, 9-10:30am @ Hudson Hospital o Large Group HT Meeting: October 13, 9-10:30am @ River Falls Area Hospital
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