Katie Baker, MPH
November 16 t h
A presentation to the China-ETSU Health Education Institute
COMMUNITY COALITIONS AS A
MODEL FOR COMMUNICATING
HEALTH RISK
Adolescent Health Sending messages that “work”
What to Do When You Know “What Works” Developing a Classroom-Based Health Program for
AdolescentsThe Importance of State and Local Coalitions
Disseminating Your Health ProgramOther Partnerships to Consider
The Advantages of Multi-Level Partnerships
OVERVIEW
Critical period of development
First time for many high-risk behaviors
Very few evidence-based programs addressing adolescent healthParents as educatorsComprehensive, classroom-based programs
ADOLESCENT HEALTH
The “health message” is often ineffective.
We need more salient messaging.For example, appearance damage
Health programs with multiple sessions, multiple components.
LESSONS IN ADOLESCENT HEALTH
Local Pilot Program of a Classroom-Based Program for High School Students
4 Sessions Over 4 Weeks Module 1: Melanoma Module 2: UV Radiation Module 3: Sun Safety Module 4: Appearance-
Enhancing Alternatives
ADOLESCENT HEALTH PROGRAM:MULTIPLE SESSIONS
Classroom Lectures presented via PowerPoint
Newsletters (small media)
Interactive and home-based activities
Samples (i.e., sunscreen)
DVD of a melanoma survivor’s story
ADOLESCENT HEALTH PROGRAMS: MULTIPLE COMPONENTS
Coalition is defined as ‘an action-oriented partnership with a focus on preventing or ameliorating a community problem.’
Community coalitions are a specific type of coalition defined as ‘a group of individuals representing diverse organizations, factions or constituencies within the community who agree to work together to achieve a common goal.’
ADOLESCENT HEALTH PROGRAM: DISSEMINATION THROUGH
COALITION
(Butterfoss & Kegler, 2002)
Tennessee Cancer Coalition Timeline
First committee formed in 2001 Planning grant from CDC awarded in 2003 First Comprehensive Cancer Control Plan published
for 2005 – 2008 Second Plan published with ‘Burden of Cancer in TN’
document released in 2009 Currently funded by:
CDC grant administered through the Tennessee Department of Health $250,000/year
Donations
ADOLESCENT HEALTH PROGRAM: DISSEMINATION THROUGH
COALITION
Mission StatementTo measurably reduce the burden of cancer on the citizens of Tennessee by implementing health plans driven by: Data Science Capacity Outcomes
TENNESSEE CANCER COALITION
Data Melanoma incidence rates,
an “epidemic” Epidemiological link
between indoor tanning and melanoma.
Indoor tanning is most popular among older adolescent females.
Science Salient Messaging
Capacity “Don’t reinvent the wheel”
Outcomes Pre- and post-intervention
assessments
ADOLESCENT HEALTH PROGRAMMEETS COALITION GUIDELINES
Each region of the Tennessee Cancer Coalition is made up of counties.Northeast TN = 8 counties
Each county has a Health Council.8 counties = 8 Health Councils
ADOLESCENT HEALTH PROGRAMDISSEMINATION THROUGH
COALITION
Attended 8 County Health Council meetings
Invited Council members to join the Tennessee Cancer Coalition
Offered to give each Health Council a copy of the ‘packaged’ adolescent health program Members responsible for
dissemination to adolescents in their county.
ADOLESCENT HEALTH PROGRAMDISSEMINATION THROUGH
COALITION
Potential Impact in our Region:28 High Schools; 30,000+ adolescents
Reductions in high-risk behaviors among adolescents
Improvements in overall community health
Policy changes
ADOLESCENT HEALTH PROGRAM DISSEMINATION THROUGH
COALITION
Local and State Partners in Adolescent Health Program Dissemination ETSU Skin Cancer
Prevention Lab 8 County Health Councils Health Occupations
Students of America 360 Instructors; 12,000
students
Tennessee Cancer Coalition
American Cancer Society
ADOLESCENT HEALTH PROGRAM DISSEMINATION THROUGH
PARTNERSHIP
From National Cancer Institute (NCI) Research to Reality Cyber Seminar, we know that multi-level partnerships have advantages. Access to program
participants Legitimacy and trust Problem and solution
identification Program development
and dissemination
ADOLESCENT HEALTH PROGRAM DISSEMINATION THROUGH
PARTNERSHIP
More effi cient use of (limited) resources
Larger community health impact
Networking, continuing education
Engaging and empowering members of the community
LESSONS IN COALITION WORK
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