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Integrating EffortsMaking a DifferenceHealthy Lifestyles Working GroupDeborah kicks off1What are we trying to accomplish?Increase the numbers at a healthy weightAddress health equity issuesBuild on what we haveIntegrate sectorsTrack what works

Objectives and strategiesObjective 1: Strengthen partnerships

Objective 2: Expand numbers with Healthy Weight Plan (HWP)Provide consistent messages across settingsAssess weight & 5 key behaviors accuratelyTailor healthy weight plan based on assessmentIntegrate across primary care, public health and community sectors

Objective 3: Improve policies & environment6. Make policy/environment changes for healthy eating/active living

NICHQ created a national objective-strategy framework that we were required to address. This framework has set the stage for our current accomplishments with this initiative. Kansas City was one of 10 teams chosen to be in the first round of the national initiative-Collaborate for Healthy Weight.3Kansas City Pilotstart smallJune 2011-July 2012

Targeted lower income zip code areas of Kansas City, MOhigher risk and prevalence of obesity

Children 2-5 years

Approximately 8,900

Want to eventually reach all

5 Strategy 1: Strengthen partnerships

Current partners-Healthy Lifestyles Working GroupAn additional 30+ enlisted

Have had a good core group of partners engaged for the last 12 months6Strategy 2: Consistent messagesShellyA child and their family get lots of advice about healthy habits

Consistent messages provide:Quick way to remember what is importantUnified approach across sectors Clear call to actionReminder that healthy weight is contingent on multiple factorsAlignment with effective evidence-based behaviorsProven community approach that leads to healthier behaviors

9Christine9Process for KC MessageResearched national options and presented top 3 at WI quarterly meeting 12/12/2011Mueller Bressler Brown developed 4 graphic options that were voted on at the following settings:YMCA Head StartKC Health DepartmentCMH Evening PHIT/Zoom Weight Management Programparents and children

3. Focus groups on the top two graphics was conducted at the following sites:Thomas/Roque Head StartRichard C. Green YMCA-RaytownMetro Head Start Facility

Picked their favoriteidentified a few areas to improve graphicShared where they would like to see the material, recommended partners and types of materials that they would use or pick up.

Finalized final graphic and messages as are being seen today

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Strategy 3: Assess Weight and BehaviorsStandardized AssessmentBMI %tileOn a typical day:How many minutes does your child spend in active play/exercise? How many hours is your child in front of a screen?How many times does your child drink milk?How many times does your child drink plain water?How many times does your child usually eat fruits or vegetables?

Kerri or Sarah5 servings or more of fruits and vegetablesQuestion: On a typical day, how many times does your child usually eat fruits or vegetables?Answers:5 or more 4321 or lessnonen/a4 servings of water not sugary drinksQuestion: On a typical day, how many times does your child drink plain water (check one)?Answers:Many times/day (4 cups or more)Three times/day (3 cups)twice/day (2 cups)once/day or less (1 cup or less)nonen/aQuestion for Community Partners (WIC)What other beverages does your child drink in a typical day? Check all that apply Juice (100%)Soda, fruitade or sports drink (such as Kool-aid, Capri Sun, Sunny Delight; Gatorade, PowerAde; sweetened tea) diet pop/soda or unsweetened coffee/tea other: How often does your child drink sodas, fruitades or sports drinks(check one)?Many times/day (4 cups or more)Three times/day (3 cups)twice/day (2 cups)once/day or less (1 cup or less)none3 servings of low or nonfat milk or yogurtQuestion with follow up: On a typical day, how many times does your child drink milk (check one)?Answers: Many times/day (4 cups or more)Three times/day (3 cups)twice/day (2 cups)once/day or less (1 cup or less)nonen/aFollow up question:What type of milk does your child drink? (check all that apply)Fat-free (skim)Low-fat (1%)Reduced fat (2%)wholeGoats milkrice or almond milksoy milkother 2 hours maximum of screen timeQuestion: On a typical day, how many hours is your child in front of a screen (TV, computer, video game, cell phone)?Answer: free text box that allows for decimals and 3 columns n/aNOTE: unsure how this translates for WICPotential answers for WIC:1 hour or less-2 hours3 hours4 hours5 or more hours1 hour or more of physical activityQuestion: On a typical day, how many minutes does your child spend in active play/exercise (breathing harder or sweating)?Answers:less than 15 minutes15 minutes30 minutes45 minutes60 minutes (1 hour) 90 minutes (1 hours) or morenonen/a

17Strategy 4: Increase the number of children that receive healthy weight planTailored healthy weight plan for all children

Consistent across settingsPrimary Care ClinicHead Start WICOther

Alicia/Gail/Christine18 Strategy 5: Integrate across sectors:

Integrating approaches across sectorsAlicia and Shelly highlight respective agencies roleCMHRedesigning clinic procedure for weight assessment and follow-up for pediatric primary care clinicsModified EMR to prompt assessment, guide counseling and follow-up, and track resultsPiloted in one clinic setting and making further improvementsUsing Weighing In as means to share the results and engage others in the effortsKC Health DepartmentPiloted message options with target audience and their mothers.Modified protocol to add Healthy Weight Plan approach in WIC settingsExploring alternatives for incorporating procedure into State electronic record system for WIC services.

YMCA-Head StartPiloted message options with target audienceIncorporating healthy weight assessment and follow-up for Head Start enrolleesIncorporating message tracks and materials into daily routine and family educationAssessing policy and environment to enhance active play and healthy eating for children participating in Head Start

19Strategy 6: Improve Policy and Environmental Actions

In our hospitalIn our child care settingsIn our schoolsIn other community settings and public places

20Campaign/Communication Dissemination PlanWhat We Want:Planned and staged approach Highlight bundle and each message separately over timeLot of bang for not too many bucksCoordinated effort with our partnersGenerate desire for all to participateMeans to track our reachGenerate attention to the targeted behaviorsIncreased awareness improved behaviors increased proportion of people at a healthy weight

Build on collective communication channels and resources each of our partners can bring to tableTier 1 & 2 partners21