from mounds of data to effectively communicating results presented by: valerie quinn, m.ed.,...
TRANSCRIPT
From Mounds of
Data to
Effectively Communicating Results
Presented by:
Valerie Quinn, M.Ed., California Department of Public
Health, Network for a Healthy California
Changing the Neighborhood Food Environment
Additional contributors: Alyssa Ghirardelli, MPH,RD, Ellen Feighery, RN, MS
APHA- Philadelphia, PANovember 10, 2009
Presenter Disclosures
(1) The following personal financial relationships with commercial interests relevant to this presentation existed
during the past 12 months:
Valerie Quinn, M.Ed.
No relationships to disclose
Focus: Neighborhoods
CX3: Project Background • Communities of Excellence in Nutrition, Physical
Activity and Obesity Prevention = CX3
• Objective: Activate consumers to improve food availability in low-income neighborhoods*
• Focused initiative with 23 funded local health depts.
– Began 2006 (6 pilot sites)
• Collect neighborhood-level data using CX3 standardized tools & methods
– 3 – 7 neighborhoods in jurisdiction
* >50% 185% FPL
Local Role
• Change Agents– Data collection by local health department
• Involve community members where possible
• Disseminate and engage: Community groups, neighborhoods actively involved, community leaders
Data Uses
• Expose disparities
• Resource allocation
• Engage residents in advancing change
• Design/tailor interventions
• Real-world data to create healthier neighborhoods– City/Co Planners, Redevelopment
agencies, inform General Plan, health impact, etc.
Neighborhood Marketplace • Are healthy food choices available and accessible to
residents of low-income neighborhoods? What’s the food store mix?
• What is the density of fast food outlets in neighborhood and around schools?
• How much and what are the types of healthy/unhealthy marketing messages on billboards around schools?
• Is it safe to walk to store? Is it accessible?
• What kinds of food are available from emergency food outlets? Nutrition education?
• And more!
CX3 Data Collection: Mapping
http://www.cnngis.org Network for a Healthy California Map Viewer
Data layers: retail, farmers’ markets, schools, parks; census level Built environment:-Street connectivity-Lack of green space/parks-Out-of-balance store mix; saturation of FF and C-stores-Food deserts
• Grocery stores and small markets– Different types of stores (large to small, c-stores, etc)
– Availability and quality of fruits and vegetables, new WIC pkg
– Fruit and vegetable prices
– Marketing of healthy/unhealthy foods
CX3 Data Collection: Field Surveys
• Fast food– Availability of healthy options
– Menu labeling
– Marketing
• Outdoor marketing• Food Banks• Alternative Healthy Food Sources
• Walkability & Safety
Mountain of data! Need: Compelling ways to characterize conditions
CX3 Data Analyses
Neighborhood level Store level
Neighborhood level: Retail Food Environment
High Fat/Sugar Food Sources
(89%)
Healthy Food Sources (11%)
* Percent of neighborhood stores offering predominately healthy food vs.
those offering predominately high fat/sugar food. Healthy food sources
include supermarkets or large grocery stores, small markets meeting quality standards,
farmers markets & fruit/vegetable markets. High fat/sugar food sources include
fast food outlets, convenience stores, & small markets not meeting quality standards.
HEALTHY vs. UNHEALTHY FOOD SOURCES*
Store level• Scores automatically calculated
• Formulas
CX3 Communications Pieces• Neighborhood Brief • Fact sheets• PowerPoint• Store score card• Fast food score
card• Neighborhood
markets card• Spanish (all)• Templates
CX3 Evaluation Survey
• CX3 local health departments– 22 of 23 responded
• Administered via Survey Monkey
• Qualitative & quantitative
• May 2009
• First survey capturing results from CX3 field work
Most Useful Data Analyses
94%87%
82% 82%77% 76%
67%61%
57%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1
Fre
qu
ency
(%
)
Store Scores
% of Stores Meeting Standards
Index of Unhealthy to Healthy
Ratio of FF to Population
FF Oulet Scores
% of FF Meeting Standards
% w/in 1/2 mi. of Supermarket
Convenient Public Transit
Food Bank Scores
“Specific store scores have so far been the most useful … Fast food ratio numbers have caused me to get a lot of media, but also caused some ripples in the community.”
Most Effective Communications Tools
89%84%
76% 75% 74%69%
65%61%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1
Fre
qu
ency
(%
)
Photographs of Neighborhood
PowerPoint
Neighborhood Brief
StoreScore Card
Datasheets w/Snapshot and Scoring
FF Score Card
GIS Maps
Fact Sheets
“Fact sheets provided “call to action” which policy makers and key community leaders have found to be most helpful.”
“Visuals of neighborhoods – powerful picture says a thousand words.”
Skill Improvement
Skill Improvement
68%
64%
41%
33%
36%
18%
10%
32%
27%
46%
52%
46%
43%
36%
50%
29%
38%
32%
0% 20% 40% 60% 80% 100% 120%
Using GIS to identifyneighborhood conditions
Using GIS to create maps
Coordinating datacollection
Training others to collectdata
Nutrition ed tailored toneighborhoods issues
Reading/Interpreting data
Working with communitymembers
Presenting data
Working with youth
Frequency (%)
Series1Series2
Consumer-targeted interventions
• Network Retail Program started (73%)
• “Where to shop” lists for healthy food (68%)
• Skill building to foster parent or youth “Champions for Change” (68%)
• Food demos (68%)
• Corner store activities (64%)
Sites responded as actively implementing or planning to implement
Community Actions
Discussion & Next Steps
• Relevant data
• Local innovation in applying data
• Analyses & Tools assisting efforts– Addt’l needs: media outreach, school
scoring/analysis, more languages– Improve: supermarket analysis
• Varying skill level, experience– Focused TA in certain areas
Thank you!
Valerie Quinn, M.Ed.Network for a Healthy CaliforniaCA Dept. of Public [email protected]
This material was produced by the California Department of Public Health, Network for a Healthy California, with funding from the USDA Supplemental Nutrition Assistance Program.