Navigating the Road to Community Change:

Evidence-Based Public Health Interventions

KHI Mini-Grant WorkshopMarch 21, 2011

Our Vision – Healthier Kansans living in safe and sustainable environments.

Our Vision – Healthier Kansans living in safe and sustainable environments.

Change Survival Tips

Tip #1 : You must know your current location to guide future direction

Tip #2 : Create a roadmap that most effectively helps you arrive at your destination

Tip #3 : Once you’ve arrived at your destination point, take time to reflect on how you got there

Tip #4 : Plan future destination points

Our Vision – Healthier Kansans living in safe and sustainable environments.

Tip #1 : You must know your current location to guide future direction

Our Vision – Healthier Kansans living in safe and sustainable environments.

Assessing where you are:Community Health Assessment

Community Health Assessments:• Important to assess community needs to

build a framework for where you are • Help develop a community action plan for

improving and supporting healthy lifestyles• Map out a course for using specifically

targeted action to make positive and sustainable changes in their communities.

Our Vision – Healthier Kansans living in safe and sustainable environments.

Now that you know what your community needs…Have you found yourself

askingWhich program and policy interventions have been proven effective?

Are there effective interventions that are right for my community?

What might effective interventions cost; what is the likely return on investment?

Our Vision – Healthier Kansans living in safe and sustainable environments.

Tip #2 : Create a roadmap that most effectively helps you arrive at your destination

Our Vision – Healthier Kansans living in safe and sustainable environments.

Public Health Impact: Policies, Systems, and Environment Changes

Our Vision – Healthier Kansans living in safe and sustainable environments.

Create Direction:The Community Preventive Services Guide • Health and Human Services/CDC Resource

providing on-going recommendations on evidence-based interventions to improve public health

• Developed by a team of community guide staff – federal and non-federal experts in research, practice, and policy

• Based on systematic reviews of all available research

Our Vision – Healthier Kansans living in safe and sustainable environments.

The Community Preventive Services Guide The Community Guide provides answers to commonly asked

questions about public health interventions:

What interventions have and have not worked?

In which populations and settings has the intervention worked or not worked?

What might the intervention cost? What should I expect for my investment?

Does the intervention lead to any other benefits or harms?

Our Vision – Healthier Kansans living in safe and sustainable environments.

Community Guide Continued

● The Community Guide has assessed the effectiveness of more than 210 public health interventions in 18 topic areas and settings designed to:

-Promote healthy behaviors/reduce unhealthy behaviors

-Reduce specific diseases, injuries, or impairments

-Promote healthy behaviors in community settings (e.g., schools, worksites)

Our Vision – Healthier Kansans living in safe and sustainable environments.

So, based on what we know about Policies, Systems, and Environment Changes & the Community Guide….

Our Vision – Healthier Kansans living in safe and sustainable environments.

Taking the Community Guide/PSE to the next level: MAPPS Strategies• Evidenced-based interventions

• Drawn from peer-reviewed literature

• Synthesized directly from the Community Guide

• Improve health outcomes at a Policies, Systems, and Environment Level

Media

Access

Point of Decision

Price

Social Support/Services

Our Vision – Healthier Kansans living in safe and sustainable environments

MAPPS Strategies

• Nutrition– Media and

advertising restrictions consistent with federal law

– Promote healthy food/drink choices

– Counter-advertising for unhealthy choices

• Physical Activity– Promote increased

physical activity

– Promote use of public transit

– Promote active transportation (bicycling and walking for commuting and leisure activities)

– Counter-advertising for screen time

Our Vision – Healthier Kansans living in safe and sustainable environments

Media

• Nutrition– Healthy food/drink availability – Limit unhealthy food/drink availability – Reduce density of fast food

establishments– Eliminate transfat through purchasing

actions, labeling initiatives, restaurant standards

– Reduce sodium through purchasing actions, labeling initiatives, restaurant standards

– Procurement policies and practices– Farm to institution, including schools,

worksites, hospitals, and other community institutions

• Physical Activity– Safe, attractive accessible

places for activity– City planning, zoning and

transportation – Require daily quality PE in

schools – Require daily physical

activity in afterschool/childcare settings

– Restrict screen time (afterschool, daycare)

Our Vision – Healthier Kansans living in safe and sustainable environments

Access

• Nutrition– Signage for healthy vs. less

healthy items

– Product placement & attractiveness

– Menu labeling

• Physical Activity– Signage for neighborhood

destinations in walkable/mixed-use areas (library, park, shops, etc)

– Signage for public transportation, bike lanes/boulevards

Our Vision – Healthier Kansans living in safe and sustainable environments

Point of Decision Information

• Nutrition– Changing relative prices

of healthy vs. unhealthy items (i.e., through bulk purchase/procurement/competitive pricing)

• Physical Activity– Reduced price for

park/facility use

– Incentives for active transit

– Subsidized memberships to recreational facilities

Our Vision – Healthier Kansans living in safe and sustainable environments

Price

• Nutrition– Support breastfeeding

through policy change and maternity care practices

• Physical Activity– Safe routes to school

– Workplace, faith, park, neighborhood activity groups (e.g., walking hiking, biking)

Our Vision – Healthier Kansans living in safe and sustainable environments

Social Support/Services

Important note: Worksite strategies are most effective as part of a comprehensive worksite wellness program that addresses a variety of health issues

• Changing cafeteria and vending machine options to provide healthy alternatives

• Providing on-site facilities for exercise • Worksite walking groups• Stair prompts• Providing employees health insurance

benefits around preventative care

Our Vision – Healthier Kansans living in safe and sustainable environments.

MAPPS Strategies in Action in the Worksite

Setting

Tip #3 : Once you’ve arrive at your destination point, take time to reflect on how you got there

Our Vision – Healthier Kansans living in safe and sustainable environments.

Northeast Kansas Examples

• Heartland Healthy Neighborhoods/Topeka City Council: Passage of “Complete Streets” Ordinance in November 2009

• Heartland Healthy Neighborhood Shunga Trail Connection

• Douglas County Farmer’s Market: Electronic Benefits Transfer to increase access

Our Vision – Healthier Kansans living in safe and sustainable environments.

Our Vision – Healthier Kansans living in safe and sustainable environments.

Tip #4: Plan Future Destination Points

• ACHIEVE• Chronic Disease Risk Reduction• Kansas Coordinated School Health• Kansas Health Foundation

Our Vision – Healthier Kansans living in safe and sustainable environments.

Future Funding Opportunities

Our Vision – Healthier Kansans living in safe and sustainable environments.

Questions?

Our Vision – Healthier Kansans living in safe and sustainable environments.

Contact Information:Dr. Candace AyarsDirectorChronic Disease Risk Reductioncayars@kdheks.gov

Liesl HaysNortheast Outreach CoordinatorChronic Disease Risk Reductionlhays@kdheks.gov

Our Vision – Healthier Kansans living in safe and sustainable environments.

www.kdheks.gov