assessment of community perception of policy and environmental barriers as a stimulus for change...
TRANSCRIPT
Assessment of Community Perception of Policy and Environmental Barriers
as a Stimulus for Change
Presented by: Sue D’Isabel, MPH
Formerly with the Missouri Department of Health and Senior Services, Cardiovascular Health Program
CVH Program Manager: Diana Hawkins, MEd, CHES
Tools
• The MO CVH program created a package of materials for local public health agencies that included:– p/e inventory– prioritization process– strategies to address barriers– guidance to develop and evaluate a small p/e
change
Overview of Process
• Phase I: RFA to all LPHAs to pilot assessment/planning materials and make a small p/e change. Mini-grants ($1000) awarded to 16 counties.
• Phase II: Counties successfully completing Phase I invited to reapply for additional funding ($4000) to continue with Phase I projects or address a new barrier. 6 counties completed Phase II.
• Phase III (final): 6 initial phase II counties complete last year of implementation.
Overview of Process:Revision of P/E Inventory Package• Evaluation of pgm materials after Phase I:
– counties were surveyed regarding their satisfaction with the materials
– feedback on materials and the program process provided in small group settings
– review of county completion of program components
– assessment of types of technical assistance needed
Community Policy and Environmental InventoryCommunity Policy and Environmental Inventory
Not applicable/
Yes No Not sureThinking about traffic, is it safe to walk, run or bike in your community?
Thinking about criminal activity, is it safe to walk, run or bike in your community?
Are fresh fruits and vegetables readily available in the community year-round?
Are fruits and vegetables affordable?
Sample Questions
Out of all the questions to which you answered “no,” circle the number of the one you would most like to see addressed in
the community. Please circle only one.
Inventory Summary
No PriorityQuestions
Safe to exercise--traffic
Walking/biking trails
Public outdoor facilities
F&V available year-round
13 2
101
98
55
94
26
17
Sample Data Grid
Sample Objectives/Evaluation
Objectives Partners Evaluation
I ntermediate OutcomeObjective:By 06/ 00, 25% ofcommunity X residents(>18yrs) will haveinitiated use of thewalking trail due tobeautification eff orts.
Conduct a mailsurvey of communityX residents by05/ 31/ 00 to assessself -reported trailuse resulting f romtrail beautification.
Process Objective 1:By 04/ 00, plant treesin 3 areas currentlybarren along walkingpath.
Boy Scout troophas agreed toassist in plantingtrees.
Submit pictures ofnewly planted trees.
Additional Process Objectives As Necessary
Phase I Results
Community P/E Change # CountiesWalking Paths (mile & trail markers, improvements, etc.)
School Policy Changes
Indoor Facility for PA
Nutrition-related Interventions
5
2
1
4
Phase II ResultsCommunity P/E Change # Counties
Establishment of a Walking Trail
Improvements to Existing Trails
School Policy Changes
Community Garden
2
2
1
1
Community P/E Change # CountiesWalking Trails (Establishment, extension, maintenance, etc.)
School Policy Changes
Park (soccer & baseball fields)
4
1
1
Phase III Results
Sidewalk improvement along a newly
designated city walking trail
Bulldozed walking trail
around site of future city
park
Community garden
involving senior citizens
and high school
students
Results from “New” Phase I
Community P/E Change # Counties*
Walking Trails (establishment, safety/lighting, beautification, etc.)
School Policy Change
Community Garden
6
1
1
Restaurant Menu Choices
Church Exercise Facility
1
1
*7 counties have completed the assessment process with the revised materials, however some have chosen to work on multiple projects.
MISSOURI MISSOURI CARDIOVASCULAR CARDIOVASCULAR HEALTH PROGRAMHEALTH PROGRAM
Diana Hawkins, Program Mgr
1-800-316-0935
573-522-2896