changing health care obesity prevention messages and environments: lessons from heac
DESCRIPTION
2008 National Recognition Award for Health Care Programs Addressing Childhood obesity. Changing Health Care Obesity Prevention Messages and Environments: Lessons from HEAC. NICHQ National Childhood Obesity Congress Miami, FL March 19, 2008. - PowerPoint PPT PresentationTRANSCRIPT
Changing Health Care Obesity Changing Health Care Obesity Prevention Messages and Prevention Messages and
Environments: Environments: Lessons from HEACLessons from HEAC
NICHQ National Childhood Obesity CongressNICHQ National Childhood Obesity CongressMiami, FLMiami, FL
March 19, 2008March 19, 2008
2008 National Recognition Award for Health Care Programs Addressing Childhood obesity
2
.
6 community demonstration sites
CBO, PH Dept & school partners
Logic model base
Policy and systems change goals
Targets in 5 sectors: schools, after school, neighborhood, healthcare, marketing / media
Comprehensive technical support
Shared messages / communications
Supporting research
Statewide policy advocacy
Rigorous participatory evaluation
South Shasta
Oakland
South Los Angeles
Baldwin Park
Santa Ana
Chula Vista
$26 M
4 Yrs
Reduce Disparities in Obesity Reduce Disparities in Obesity by Improving Food and by Improving Food and Physical Activity Environments Physical Activity Environments for School-age Childrenfor School-age Children
3 April 21, 2023
Healthy nutrition options in and around schools
No marketing of unhealthy products to kids
Menu labels, no trans fat, tasty healthy options
Access to affordable fresh produce
Recreation centers, parks & bikeways
Safe streets, rapid transit
Smart growth, clean air
Health impacts considered
What Does Success Look What Does Success Look Like?Like?
Obesity Prevention During Pediatric VisitsObesity Prevention During Pediatric Visits
65%
65%
57%
49%
65%
42%
0% 10% 20% 30% 40% 50% 60% 70%
Discuss the importance of breastfeedingwhen age appropriate
Discuss eliminating or reducing sodaconsumption
Discuss need for child to eat at least 5servings of fruit or vegetables per day
Discuss reducing TV/ screen timeand/ or keeping the TV out of child's
bedroom
Discuss the importance of daily physicalactivity
Take BMI measurements and trackBMI
Provider Policy Advocacy ActivitiesProvider Policy Advocacy Activities
43%
24%
20%
17%
15%
8%
4%
0% 10% 20% 30% 40% 50%
Advocating for healthier eating andphysical activity environs in my work
Working with communityneighborhoods for policy change
Working with prof practice group forpolicy change
Writing letters in support of policy orlegislation
Advocating for insurance coverage forobesity prevention
Testifying at local school board meeting
Testifying at local city council meetings
Barriers to Policy Advocacy Work for Barriers to Policy Advocacy Work for ProvidersProviders
61%
48%
46%
44%
42%
41%
21%
0% 10% 20% 30% 40% 50% 60% 70%
Too little time
Unfamiliar with local policy makers
Unfamilar with local orgs engaged inpolicy and advocacy work
Unfamiliar with local policy issues
Lack of training in policy advocacy
Little financial compensation for policyadvocacy
Insufficient data to support particularpolicy and advocacy work
LessonsLessons Health care providers understand the Health care providers understand the
importance of obesity prevention; about importance of obesity prevention; about half do clinical prevention, but few are half do clinical prevention, but few are involved in policy advocacyinvolved in policy advocacy
Strategies:Strategies: Involve in local issuesInvolve in local issues Academic detailingAcademic detailing Training and toolsTraining and tools Personal stakePersonal stake Advocate for reimbursementAdvocate for reimbursement
Physician Champions: Working Physician Champions: Working Smarter Through Community Smarter Through Community
PartnershipsPartnerships
Chris Searles, M.D.Chris Searles, M.D.H.S. Assistant Clinical H.S. Assistant Clinical
ProfessorProfessorUniversity of California, San University of California, San
DiegoDiegoDepartment of Family & Department of Family &
Preventive MedicinePreventive Medicine
www.RecreationRx.org
http://http://www.healthyeatingactivecommunities.orgwww.healthyeatingactivecommunities.org
http://http://www.calendow.orgwww.calendow.org
http://kphealtheducation.org/index.htmlhttp://kphealtheducation.org/index.html
http://www.calmedfoundation.org/projects/http://www.calmedfoundation.org/projects/obesityProject.aspxobesityProject.aspx