dr. jeffry will, director cci and professor of sociology with irma hall and tim cheney university of...
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The Camellia Project
Dr. Jeffry Will, Director CCI and Professor of Sociology
With Irma Hall and Tim CheneyUniversity of North Florida
Northeast Florida Center for Community Initiatives
Applied Research
$3.2 million in grants since 1994
Different Projects – Magnolia, Azalea, Homeless, East Jacksonville, Pine Forest, EDIP, Let Us Play, Race Relations
Students – 80+ Paid and 900+ Volunteers
What is CCI?
Educate and inform women on healthy behaviors
Examine 8 priority areas Multi-Vitamin with Folic Acid Healthy Diet Exercising Regularly Avoiding Risky Sexual Behaviors Avoiding Tobacco Use Avoiding Exposure to Second-Hand Smoke Using Contraceptives Utilizing Self-Management Strategies
Purpose of Camellia Evaluation
o Forms
o Completed at Initial Assessment and then 1, 4 and 7 months after graduation
o Enrollment, Intent to Change, Self-Efficacy, Health Activities, Depression, and Stress
o Pre- and Post-Tests on Curriculum
o Phone Survey - Graduated and “Enrolled”
o Focus Groups
o Interviews – staff and program director
Methods
N=180
Age 27
Height/Weight 5’4” and 173lbs (29.7 bmi)
African-American 66.1%
Duval County 83.9%
Education – HS or less
52.7%
Not Working 67.2%
Average Income $14,566
Demographics
Prior Pregnancy
Could choose multiple previous birth outcomes
N=180
First Pregnancy - Yes 37.2%
First Pregnancy - No 62.8%
N=113
Normal 49.6%
LBW 23.0%
VLBW 7.1%
Prematurity 29.2%
Infant Death 3.5%
Fetal Loss 32.7%
Pre-test prior to the beginning of each class
Post-test at the end of the class
Each Session has shown a significant increase in score with a 99% confidence
Curriculum
Designed to assess the participant’s adherence to
healthy behaviors Does the participant think they will change and in
what time frame Results: 5 of 8 Priority Areas showed significant
results Physical Activity Diet Second – Hand Smoke Contraceptives Self-Management
Intent to Change
Participant’s perception of their own capability
to perform a particular behavior in a particular situation
Scale is 0 to 100 (“cannot do” to “highly confident”)
Ex. Eating a healthy diet when upset or stressed?
Results: High scores at initial assessment No significant results – though scores did
increase “Less confident” Physical Activity and Dieting
Self Efficacy
Detailed information on weekly frequency and duration
of healthy behaviors Results: significant results in several areas IA to 4
Stretching Exercises - increase Walking - increase Other Aerobic Exercises - increase Whole Grain Breads - increase Low Fat Dairy Items - increase Multi-Vitamin with Folic Acid – increase Contraception Use - increase How often smoke – decrease Self Management (seek answers to problems) - increase
Health Activities
Edinburgh Depression Scale (EDS) and
Perceived Stress Scale (PSS)
Both had significant decreases in scores between IA and 1 month after graduation
Not significant between IA and 4 months after graduation
Depression & Stress
Group 3: Shands During sessions discussing the “ups and downs” of motherhood, “Kayla”, a 16 year-old new mom
said: “One of the hard things about motherhood is my lack of income, I am running low on formula and diapers and don’t have money.” In response, “Crystal” (an 18 year old new mom) offered empathy and stated that her uncle purchases baby items for her in bulk. The next week Crystal, not only brought in formula and diapers to the group, but several other baby items, including nice clothing for Kayla’s baby boy.
In this same group, “Maya” and 19 year old “Sydney” spoke of their need to obtain housing. Some of
the more seasoned mothers, 36 year-old “Angela” and 26 year-old “Tiffany” chimed in sharing information with the young moms about agencies they could call for help and apartment complexes that had vacancies.
Group 5: Shands “Sarah”, a 28 year old new mom, whose husband was overseas with the Navy, had been very tearful
during the coordinator’s enrollment visit with her. Later, during group, she shared how she had been feeling: “I felt so much guilt thinking that my overweight caused my baby’s illness.” While attending the group she met “Stacy”, a thin member of the group, who also had a baby in the NICU with the same illness as Sarah’s baby. After meeting Stacy and hearing her story, Sarah expressed her feelings by saying: “I feel tremendous relief knowing my weight was not likely the primary cause of my son’s illness.” From that moment on the other moms began to open up and express how they also had felt guilty that their babies’ were in the NICU.
Camellia Stories