AAIP PROJECT STAFF GARY LANKFORD – PROJECT DIRECTOR

ECHO DUERKSEN – PROGRAM ASSISTANT

EXPERT CONSULTANT NOELLE KLESZYNKSI , MPH

WEDNESDAY OCTOBER 28 , 2015

Healthy Active Native Communities Funding Opportunity Webinar

Purpose of Webinar

Learn a little about AAIP

Provide overview of the HANC funding opportunity

Review allowable strategies

Go over dates and application requirements

Answer any questions you might have

Association of American Indian Physicians

•Founded in 1971 by 14 AI/AN physicians • National Non-Profit•Dedicated to providing support and services to AI/AN communities•Physician member organization with over 400 members•Organizational Goals

• 1. Recruit AI/AN youth to purse career in medicine and provide resources along the way

• 2. Improve AI/AN health through Public Health programs in

• Diabetes • Capacity Building Program

Overview of Funding Opportunity

In 2012 AAIP was awarded a 5 year CDC OSTLTS Cooperative Agreement – Capacity Building Assistance - to sustain and improve the performance of tribal public health systems

Eleven projects funded Healthy Active Natives Community Project Data Into Action Training Compendium of Success Stories Tribal Grant Writing Workshop Tribal Public Health Accreditation Native public health course for Schools of Medicine Curriculum STD and Colorectal Cancer Screening Programs School Health Index AI/AN Specimens Policy Development Project

http://www.aaip.org/programs/capacity-building-assistance/ For more information contact John Stafford at jstafford@aaip.org

Healthy Active Native Communities

Goal: Improve nutrition and physical activity and reduce obesity rates in AI/AN communities

Objectives: To increase knowledge of evidence-based, CDC-recommended

obesity prevention strategies among AI/AN communities; To facilitate the development and implementation of

sustainable nutrition, physical activity, and obesity prevention efforts that have lasting effects in the reduction of obesity; A great explanation of Policy, Systems, & Environmental Change

http://www.cookcountypublichealth.org/files/cppw/pse%20change.pdf

To promote and disseminate AI/AN obesity prevention efforts and share results, lessons learned, and cultural adaptation strategies with AI/AN communities and stakeholders nationwide.

HANC Activities

HANC On-Line Resource Guide = WebsiteGo live December 2015

HANC Website

HANC Activities

National Dissemination Plan Attend and present at national conferences Share information virtually and handouts at events and

conferencesPromising Practices Brief

Little evidenced-based research & low dissemination of work in Native communities

Purpose: To share HANC communities accomplishments, challenges, lessons learned, cultural significance, impact, and promising practices

HANC reports, semi-structured interviews, and available research to develop content

Disseminate hard copy and PDF version available Spring 2016

HANC Mini-Awards

What is AAIP looking to fund?Innovative, culturally appropriate, effective

approaches to prevent obesity and improve nutrition and physical activity

Tribal Health Departments – 3 at $5,000 eachApplicants that propose CDC Winnable Battles

and/or Community Guide Preventive Services recommended strategies

Culturally adapt strategies for your communityWell thought out applications that are not too

wordy and follow guidelines

CDC Winnable Battles

CDC Winnable Battles Public health priorities with large-scale impact on

health and with known, effective strategies to address them.

Based on the magnitude of the health problems and our ability to make significant progress in improving outcomes.

In addition to Obesity, Nutrition, and Physical Activity Food Safety, HIV, Motor Vehicle Injuries, Teen pregnancy,

health care associated infections, and tobacco Systems, policy, environment, and programmatic

interventions

Factors That Affect Health

Counseling & Education

ClinicalInterventions

Long-lasting Protective Interventions

Socioeconomic Factors

Changing the Contextto make individuals’ default

decisions healthy

Eat healthy, be active

Rx for diabetes, blood pressure, cholesterol

Vaccines, brief intervention, tobacco cessation, colonoscopy

Fluoridation, 0g trans fat, smoke free laws

Poverty, education, housing, inequality

LargestImpact

SmallestImpact

Does the Environment Support Individual Behavior Change

Efforts?

CDC Strategies To Improve Nutrition

Strategy 1. Promote food policy councils as a way to improve the food environment at state and local levels Strategy 2. Improve access to retail stores that sell high-quality fruits and vegetables or increase the availability of high-quality fruits and vegetables at retail stores in underserved communitiesStrategy 3. Start or expand farm-to-institution programs in schools, hospitals, workplaces, and other institutionsStrategy 4. Start or expand farmers’ markets in all settingsStrategy 5. Start or expand community supported agriculture programs in all settingsStrategy 6. Ensure access to fruits and vegetables in workplace cafeterias and other food service venues Strategy 7. Ensure access to fruits and vegetables at workplace meetings and events.Strategy 8. Support and promote community and home gardensStrategy 9. Establish policies to incorporate fruit and vegetable activities into schools as a way to increase consumptionStrategy 10. Include fruits and vegetables in emergency food programs

CDC Strategies to Increase F and V

CDC Strategies to Increase Fruit and Vegetable Consupmtion http://www.cdc.gov/obesity/downloads/fandv_2011_web_t

ag508.pdf Definition, rationale, evidence of effectiveness, key

considerations, program examples, action steps, and resources

Start or expand farm-to-institution programs Kindergarten Initiative in Pennsylvania

This program uses education, snacks from local farms, parent involvement, and community support to promote healthy eating. Nutrition concepts are integrated into the regular kindergarten classroom curriculum, and healthy fruit and vegetable snacks grown by local farmers are provided to the students.

Examples

Ensure access to healthy fruits and vegetables in workplaces Healthy Picks

The Healthy Picks program at the Santa Rosa Medical Center in California is one of several programs implemented by the Kaiser Permanente Comprehensive Food Policy. The program provides healthier food options in the medical center’s vending machines and cafeteria. Healthy foods are labeled with Healthy Picks stickers. Hospital officials used detailed nutritional standards to choose the Healthy Picks food options, which include more vegetables. A team of nutrition and dining service professionals working at Kaiser Permanente implemented the program.

NIHB WORKSITE WELLNESS PROGRAM

Examples

Establish policies to incorporate fruit and vegetable activities into schools as a way to increase consumption Cooking with Kids

This program engages elementary school children in hands-on learning that uses fresh, affordable foods from diverse cultures. Students are encouraged to use all of their senses to explore many varieties of foods, to have fun, and to exercise choice. The curriculum is aligned with the New Mexico Department of Education’s academic standards in math, science, social studies, language arts, and wellness, as well as with the National Health Education Standards. An evaluation of the program showed that the majority of children have shown a greater interest in eating healthy foods, including fruits and vegetables, at home.

CDC Strategies to Increase Physical Activity

CDC Guide to Increase Physical Activity

http://www.cdc.gov/obesity/downloads/pa_2011_web.pdfPoint of decision prompts to encourage use of stairs

CDC’s StairWELL to Better Health Program Motivational signs were placed where people have the choice

between stair and elevator use. Intervention messages were tested in focus groups to ensure that they were motivating to the audience. In addition to using point-of-decision prompts, CDC also enhanced the stairwell by adding carpet and rubber treading to each step to maximize safety. The walls were painted bright colors (each floor is a different color), and framed artwork that features nutritious foods, picturesque scenery, and people being active was added to each floor. The intervention also included a contest to choose employee artwork to be hung in the stairwell. In addition, music is provided through a digital satellite system that rotates a variety of musical genres, including classical, country, jazz, Latin, oldies, popular contemporary, and urban

Examples

Enhanced school based physical educationCATCH (Coordinated Approach to Child Health)

CATCH is a popular, evidence-based school health program. It includes activities that can be done in and out of the classroom, as well as home and after-school activities and a family component. CATCH is designed to promote physical activity and healthy food choices in children.

The YMCA of Greater Rochester integrated the philosophy of the CATCH program into the YMCA’s after-school child care program. Child care staff received training from a certified CATCH program director at the beginning of the school year, as well as booster training throughout the year.

Community Guide to Preventive Services

The Guide to Community Preventive Services is a free resource to help you choose programs and policies to improve health and prevent disease in your community

Based on a scientific systematic review process and answers questions critical to almost everyone interested in community health and well-being such as: What interventions have and have not worked? In which populations and settings has the intervention worked or

not worked? What might the intervention cost? What should I expect for my

investment? Does the intervention lead to any other benefits or harms? What interventions need more research before we know if they

work or not?

Community Guide Preventive Services

Recommended Strategies

Community Guide to Preventive Services

Examples

Link to recommended obesity prevention strategieshttp://www.thecommunityguide.org/obesity/communitysett

ings.htmlBehavioral interventions that aim to reduce recreational

(i.e., neither school-related nor work-related) sedentary screen time teach behavioral self-management skills to initiate or maintain behavior change.

Worksite wellness - Policy and environmental approaches aim to make healthy choices easier and target the entire workforce by changing physical or organizational structures. Examples of this include: Improving access to healthy foods (e.g. changing cafeteria options, vending machine content)Providing more opportunities to be physically active (e.g. providing on-site facilities for exercise)

Why Should We Adapt these Strategies?

The recommended strategies have been tried and tested to be effective in addressing obesity, physical inactivity, and poor nutrition. They draw on peer-reviewed literature and practice-based

programs utilizing these strategies will increase the likelihood of your

program’s success. There are lots of strategies to choose from, so you

have the opportunity to determine which strategy will best work in your community. Since the majority of these strategies are not designed to be

culturally specific for American Indian communities, you will be able to tailor the strategy to meet your community’s needs.

Important Dates

All mini-grants applications must be received by November 20, 2015 5:00 p.m. CDT.

Grant recipients will be notified by November 30, 2015. Mandatory Awardee Webinar Thursday, December 3, 2015

at 1:00 PM CDT Funds will be distributed by December 4, 2015 Project period is December 1, 2015 to June 30, 2016 Mid-Project Check-in (Survey Monkey) is due March 15,

2016 Required group conference calls to share lessons learned,

suggestions, and discuss any challenges End of Project Success Story and Photos due June 30, 2016. If funds allow, travel for one to present at AAIP Annual

Meeting and Health Conference (July 2016)

Application Requirements

TitleContacts for two people at THD include mailing

addressBrief description of THD Target PopulationWinnable Battle or Community Guide strategyAdapting Strategy to be Culturally Appropriate Description of Project & WorkplanPartners Outcomes/Evaluation Budget

Objectives, Outputs, & Outcomes

For example, I would like to see increased participation in our Kids fun and Fit center.  I would like to do this by offering regularly scheduled group fitness classes.  I expect to offer kids yoga, kids in motion and jump roping.  I expect to have higher participation numbers. I plan to do this through purchases for additional equipment, marketing.   Which is which?  Objective, output and outcome?

Answer

The objective would be something like "to provide X number of regularly scheduled fitness classes per month for X number of children ages (5-12?) at the Kids Fun and Fit Center”

The output would be the classes offered - i.e. 5 jump rope classes, 3 yoga classes, etc. which you could show with sign in sheets or any ‘physical, tangible thing’ i.e. parent satisfaction surveys, reports, etc.

The outcome would be "increase in physical activity of pediatric patients of the clinic"

Scoring Criteria – Total Eligible Points=40

Eligibility Requirements and Formatting Guidelines (5 points)

Project Feasibility (5 points)Impact (10 points) Policy, System, and/or Environmental Change

(10 points)Project Development (10 points)

Time for Q and A

Submit application to Echo Duerksen at eduerksen@aaip.org

Questions? contact Noelle at noelle.kleszynski@gmail.com or AAIP Staff Gary Lankford at glankford@aaip.org

THANK YOU!!