Healthier Communities: A Community Partnership to Support Families in Making Healthy Changes Kay Grant, M.S. Alegent Creighton Health Email: [email protected].

Healthier Communities: A Community Partnership to Support Families in Making

Healthy Changes

Kay Grant, M.S.Alegent Creighton Health

Email: [email protected]: 402-343-4691

Objectives:

•Describe how collaboration can enhance community wellness programs.

•Identify key components of healthy communities.

•Identify wellness measures families can adopt to improve health.

www.livewellomahakids.org

(LWOK)

• Created in 2006 by Alegent Creighton Health• Partnership with Live Well Omaha with the sole

purpose of fighting childhood obesity • Live Well Omaha represents a collaboration of

over 40 diverse community organizations working to improve the health and wellness of Omaha

History:

• In 2008, the implementation of various community strategies began, and the focus of all action was:

• sustainability of efforts through partnerships• capacity building• evaluation • attracting diverse funding sources

History:

• A yearly comprehensive strategy is created following Robert Wood Johnson Active Living by Design “5P” model —

• Preparation- developing and maintaining a community partnership

• Promotion- communication and evaluation of communication

• Programs• Policy- advocacy, education and relationship building with

policy makers, as well as citizens, professionals and advocates

• Physical Projects- impacting the built environment to remove barriers to implementation and improve safety

History:

• More than 200 community volunteers representing over 90 organizations and formed long-term strategies that aim to reach children in the environments where they learn, play and worship

All Omaha metro area children will achieve measurable improvement in nutrition,

physical activity and healthy living supported by community collaboration and

the environments in which they live

Mission:

LWOK was formed based on an identified health need.

How was it shaped?

Link between Obesity and Cancer5

• Reduce your risk of colon and breast cancer. Being physically active lowers your risk for these cancers.

• Reduce your risk of endometrial and lung cancer. Although the research is not yet final, some findings suggest that your risk of endometrial cancer and lung cancer may be lower if you get regular physical activity compared to people who are not active.

• Improve your quality of life. If you are a cancer survivor, research shows that getting regular physical activity not only helps give you a better quality of life, but also improves your physical fitness.

Link between Obesity and Cancer6

• Eat More Fruits and VeggiesStudies suggest that people who eat more vegetables and fruits, which are rich sources of antioxidants, may have a lower risk of some types of cancer.

• Eat High-Calcium Foods Several studies have suggested that foods high in calcium might help reduce the risk of colorectal cancer.

WHO is LiveWell Omaha Kids?

Funders

http://www.catholichealthinit.org/

Community Benefit

Care of the Poor Financial Assistance Un-reimbursed costs

of Medicaid Other Means-Tested

public programs

Broader Community Health Community health Community health

improvement servicesimprovement services Health professions education &

research Subsidized health services Financial and in-kind contributions Community-building and leadership

activities

Partners:

• Robert Wood Johnson Foundation• Catholic Health Initiatives• National Grants:

• City Transformation Grant (CTG)• Communities Putting Prevention to Work (CPPW)• Leveraging In-Kind Resources• Local Universities and Community Organizations

Funding

How are we affecting change in our community?

Family Dining PledgeCall to Action: Tell us how many times each week you pledge to cook and eat together as a family.Benefits: •Kids are more likely to try new foods and on average consume more nutrient-rich foods like low-fat dairy, whole grains, vegetables, fruits and lean meats. •Reducing stress •Helping increase school performance •Improving family communication•Receive monthly newsletters•Free local food and activity offers •Access to expert tips and recipes that help you make it happen

Current Initiatives & Community Partners

Family Dining PledgeMethod of Delivery to Community:

•LWOK website•Facebook•Twitter•Pinterest•Local Health Fairs



5-4-3-2-1 Go!®

Call to Action: 5 servings of fruits and vegetables a day4 servings of water a day3 servings of low-fat dairy a day2 or less hours of screen time a day1 or more hours of physical activity a day!Benefits: •Childhood obesity prevention•Overall improvement in, or maintenance of, children’s health related to nutrition and physical activity


5 servings of fruits & vegetables a day4 servings of water a day3 servings of low-fat dairy a day2 or less hours of screen time a

day1 or more hours of physical activity

a day!

This countdown is based on recommendations from the American Academy of Pediatrics and the USDA. 5-4-3-2-1 Go!® was developed by the Consortium to Lower Obesity in Chicago Children –www.clocc.net. Alegent Creighton Health is licensed to use the countdown and personalize it for the Omaha metro area

5-4-3-2-1 Go!®

Method of Delivery to Community:

•5-4-3-2-1 Go Dance!•Weekly Checklists•Health Fairs•Community Presentations


5-4-3-2-1 Go!®

Community Partners:Emspace: Webpage supportMarketing


Youth Advisory CouncilPurpose: The YACs are youth leaders who mentor other students, become knowledgeable experts regarding the public health issue of childhood obesity and create a project, based on best practices, to help their peers and the community to make healthy changes. They advise the overall strategy of Live Well Omaha Kids social marketing efforts.Benefits: •Health Promotion•Youth leadership•Youth mentorship


Youth Advisory Council

Method of Delivery to Community:•Local Health Fairs•School Presentations


Youth Advisory Council

Community Partners:

•Omaha Public Schools- Health Occupations Students of America •Saludable Omaha- a Latino health movement in South Omaha to pilot a “Green is Go” healthy lunch promotion at South High School.


Breastfeeding

Method of Delivery to Community:

•Provide Certified Lactation Counselors Training•Fund and Support WIC Peer Counselors•Convene area hospitals via Hospital Policy Roundtable•Host Employer Lunch and Learns•Facilitate Medical Provider Education


Wellness Measures for Families

Healthy Families

Call to Action: Healthy Families is a free, 8-week family-based program for children and teens that have received a diagnosis of being overweight or obese from their health care provider and are ready to make a healthy behavior change together as a family.

Tangible Benefits: •Free 8 week membership to the YMCA•$50 food card

GoalsFamilies learn about:

• Nutrition and physical activity from qualified health professionals, and how to incorporate healthy habits into their lives

• Goal-setting, budgeting, meal planning and meal preparation

• Benefits of improved nutrition and physical activity

• Strategies to overcome barriers to incorporating healthy behaviors into daily life

Goals• Families maintain or achieve a healthier

weight• Lowers risk for Chronic Disease associated

with overweight or obesity• Increases quality of life

• Longtime Community Partnership

• Facilitated by Qualified Health Professionals

– Registered Dietitian, Behavioral Health Therapist, Physical Activity Specialist

• Evidence-Based Curriculum

• Meaningful Incentives for whole family

• Follow Up with Families and Providers

• Referral Process/ Medical Provider Relationship

Benefits for Families

Healthy FamiliesCommunity Partners:

YMCA of Greater Omaha8 week membershipMeeting and Workout SpaceExpert Staff- Physical Activity

Charles Drew Health CenterMeeting and Workout SpaceExpert Staff- Dietician

OneWorld Community Health CenterMeeting and Workout SpaceExpert Staff- Site Lead, Behavioral Health Specialist

Hy-Vee, Inc.Meeting and Workout SpaceExpert Staff- Dietician

Alegent Creighton HealthFundingExpert Staff- Program Coordinator

Healthy FamiliesCommunity Partners:

UNL ExtensionCurriculum and Evaluation Consultation Dietetics, Behavioral HealthRecruitment

University of Nebraska at OmahaCurriculum and Evaluation Consultation

We Strive for a Healthy Community…

You can TOO!!

Key Components of a Healthy Community

Access to affordable healthy foods•Farmers markets•Community gardens- land use policies and strategies to encourage use•Grocery stores and vendors participating in the WIC and SNAP programs•Healthy Neighborhood Stores7


Opportunities for Physical Activity (PA)•Safe Green Spaces and Parks•Connecting Schools and Residential Areas with Bike Trails and Pedestrian Paths•PA Policies in Schools and Childcare Centers


Community Support and Investment•School and worksite policies•Medical Providers, particularly in the federally qualified health centers•Educating policy decision makers (public and private)


Collaboration of diverse, multi-sector Community Partners•YMCA•Local Health Departments•Hospital Systems•School Systems•Businesses/Worksites•Not for Profit Organizations•Other? _____________________

• Mission and Vision• This is important because

individuals come and go, but Mission and Vision will remain

Community Partner Considerations

• Reliability and Credibility/ Community Standing

• Expertise• Time and Space



Understand•“Program” vs.

• Coalition• Consultant• Implementation

• Instill confidence in the partnership by describing

• Your Mission, Vision• Detailed Objectives and Roles• How you will support proposal

AND, how these fit in with partner

Partnership Strategies

•Describe benefits to partner•Return on Investment (ROI)•Benefits to their customers/clients•Fulfillment of community commitments


• Focus on Respect and Mutually Established Goals

• Collaborate and utilize strengths, areas of expertise, and resources of each partner

• Recognize contributions• Recognize successes


In Summary…

Objectives:

•Describe how collaboration can enhance community wellness programs.

– Community Partnerships can provide evidence-based direction, creativity, and sustainability in programming.

Objectives:

•Identify key components of healthy communities.

• Healthy Communities are led and supported by the shared Mission and Vision of partners.

Objectives:

•Identify wellness measures families can adopt to improve health.

– Changes to health status can be affected by families through small and gradual changes that lead to larger lifestyle changes.

REFERENCES1. http://www.cdc.gov/obesity/data/childhood.html2. http://www.webmd.com/diet/news/20120813/state-

obesity-rankings-no-winners3. LiveWell Omaha Kids Annual Report 20104. Carroll, J.K., Fiscella, K., Epstein, R.M., Sanders, M.R.,

Williams, G.C. (2012). A 5A’s communication intervention to promote physical activity in underserved populations. BMC Health Services Research, 12:374.

5. http://www.cdc.gov/physicalactivity/everyone/health/index.html#ReduceCancer

6. http://onlinelibrary.wiley.com/doi/10.3322/caac.20140/full#sec1-67. http://livewellomaha.org/food/healthy-neighborhood-stores/

Healthier Communities: A Community Partnership to Support Families in Making Healthy Changes Kay Grant, M.S. Alegent Creighton Health Email: [email protected].

Documents

lwok slide

community collaboration

risk of endometrial

community volunteers

lung cancer

community wellness programs

risk of colorectal cancer

breast cancer