toolkit

Slide1: 

U.S. Department of Health and Human Services National Institutes of Health National Heart, Lung, and Blood Institute National Institute of Diabetes and Digestive and Kidney Diseases National Institute of Child Health and Human Development A National Obesity-Prevention Program Developed by the National Institutes of Health Your Logo Here National Cancer Institute

Slide2: 

Flexible! Variety of settings A national education program targeting youth, ages 8–13, and their parents and caregivers in home and community settings to meet the overall goal of preventing overweight and obesity. Turn key! Science-based program for the entire community Fosters collaboration!

A National Collaboration : 

A National Collaboration We Can! is a collaborative effort of four Institutes within the National Institutes of Health (NIH): National Heart, Lung, and Blood Institute (NHLBI) National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) National Institute of Child Health and Human Development (NICHD) National Cancer Institute (NCI)

Why We Can!: 

Why We Can! National trends and statistics show alarming changes in: Overweight and obesity rates Calorie intake Food and beverage consumption Television viewing

Trends in Overweight* for Children (2-19 Yrs): 

Trends in Overweight* for Children (2-19 Yrs) *BMI≥95th percentile of BMI-for-age, 2000 CDC growth charts Source: NHANES 1999-2004 Ogden et al. JAMA 2006. Percent

Trends in Overweight* for Children : 

Trends in Overweight* for Children *BMI≥95th percentile of BMI-for-age, 2000 CDC growth charts Source: NHES II andamp; III; NHANES I, II, andamp; III; NHANES 1999–2002; Ogden et al. JAMA 2002; NHANES 1999-2004 Ogden et al. JAMA 2006. Boys 6-11 y Girls 6-11 y Boys 12-19 y Girls 12-19 y Percent

Why the Increase?: 

Why the Increase? Multiple causes Lifestyle, environment, and genes Bottom line = ENERGY BALANCE (calories and physical activity) More calories consumed Larger food portions and sizes Eating out more often Increases in soda, pizza, and candy consumption Fewer calories being used up Declines in physically activity Increases in sedentary lifestyle and screen time Computers and television time

Food Away From Home: 

Food Away From Home Between 1970 and 1995 Food away from home went from 25% of food spending to 45% Between the late '70s and mid '90s Contribution of calories from food away-from-home went from 18% to 34% Away from home foods shown to be higher in fat and lower in fiber and calcium than home foods SOURCE: USDA data, Lin et al., AG Bull 750, 1999

% Change in Mean Intake from 1977-78Beverages, Children 6-11 Years Old: 

% Change in Mean Intake from 1977-78 Beverages, Children 6-11 Years Old Carbonated soda Milk Fruit juice Fruit drinks SOURCE: L. Cleveland USDA; NFCS 1977-78 and WWEIA, NHANES 2001-02, 1 day 0% % increase % decrease -39% 54% 69% 137%

% Change in Mean Intake from 1977-78Other Foods, Children 6-11 Years Old: 

% Change in Mean Intake from 1977-78 Other Foods, Children 6-11 Years Old Fried potato Savory grain snacks Grain mixed dishes Pizza SOURCE: L. Cleveland USDA; NFCS 1977-78 and WWEIA, NHANES 2001-02, 1 day 0% % increase % decrease Candy Vegetable -43% 320% 144% 425% 18% 180%

TV Viewing, 6-11 Years, per Day: 

TV Viewing, 6-11 Years, per Day SOURCE: NHANES II, NHANES III, NHANES 1999-2000 0 10 20 30 40 50 60 70 80 ≤ 2 hours 3+ hours Percent 1988–94 1999–00 2001–02

Prevalence of Obesity by Hours of TV/Day: 

Prevalence of Obesity by Hours of TV/Day *NHES = National Household Education Surveys **NLSY = National Longitudinal Survey of Youth From http://www.cdc.gov/nccdphp/burden_pres/bcd_30.htm NHES* Youth Aged 12–17 in 1967–1970 NLSY** Youth Aged 10–15 in 1990

Development of We Can!: 

Development of We Can! We Can! was developed based on Recommendations from an NIH strategy development workshop A review of science-based literature An environmental scan to review other work on overweight and obesity Lessons learned from Hearts N’ Parks

Strategy Development Workshop: 

Strategy Development Workshop Convened at NIH in February 2004 with more than 70 leading researchers, public health experts, nutritionists and dietitians, youth marketing experts, and community center representatives from around the country. Online at www.nhlbi.nih.gov/health/prof/heart/obesity/hwcoi/

Review of Science-Based Literature: 

Review of Science-Based Literature Review of latest science, including Peer reviewed journals to select target audience, behavioral objectives, and intervention settings NIH 2004 workshops on obesity prevention 2004 Institute of Medicine Report (IOM) Preventing Childhood Obesity: Health in the Balance Final review by IOM panel members and other leading scientists

Environmental Scan : 

Environmental Scan A review of more than 50 Federal and non-Federal programs addressing overweight and obesity at the national level Captures project descriptions, objectives, partners, target audiences, topics, locations, and components per program Also tracks Federal planning initiatives (e.g., NIH Obesity Research Task Force) and non-Federal initiatives (e.g., IOM Committee on Prevention of Obesity in Children and Youth) Confirms need for emphasis on parents Provides valuable list of potential We Can! partnerships for collaboration to reach youth, physicians, and other key audiences

Lessons Learned From: 

Lessons Learned From 50 Magnet Centers in 11 States Annual increases in the number of programs implemented Annual increases in the number of youth and adults reached Changes in participant knowledge, attitudes, and behavioral intent Magnet Center feedback Positive experience Need for increased focus on parents and families Need to provide better linkages between physicians and community resources Evaluation component highly valued Demonstrates existing community-based capacity to address overweight and obesity Shows need to target parents/primary caregivers Provides helpful feedback for materials development, channels and possible messages

We Can! Program Description: 

We Can! Program Description Target Audiences: Parents and Youth Behavioral Objectives Intervention Settings

Parents/Primary Caregivers: 

Parents/Primary Caregivers Studies show parents as effective change agents concerning obesity. The home is a primary source of nutrition for children. Parents can act as effective role models for youth. Parents are asking for resources. Relatively few programs are targeting families and the home environment.

Youth Ages 8-13: 

Youth Ages 8-13 National survey data show 17% of children and youth as overweight. A high likelihood of obesity transfer from adolescence into adulthood. Health consequences associated with obesity. Heart disease Asthma High blood pressure Type 2 diabetes Many more! Public health environment looks amenable to change concerning youth audiences.

Behavioral Objectives: 

Behavioral Objectives Youth Ages 8–13 Choose a sufficient amount of a variety of fruits and vegetables per day. Limit intake of high-fat foods and energy-dense foods that are low in nutrients. Control portion sizes of foods consumed. Substitute water, fat-free milk, or low-fat milk for sweetened beverages. Engage in at least 60 minutes of moderate physical activity on most, preferably all, days of the week. Reduce sedentary activity by limiting screen time to no more than 2 hours per day. Parents/Primary Caregivers Increase the availability and accessibility of healthy foods in the home. Limit the availability and accessibility of sweetened beverages and high-fat, high-density/low-nutrient-value foods in the home. Control portion sizes of foods consumed. Support and enable family physical activity. Support and enable reduced screen time.

Intervention Settings: 

Intervention Settings Home 'A child’s health and well-being is fostered by a home environment with engaged and skillful parenting that models, values, and encourages sensible eating habits and a physically active lifestyle.' – IOM 2004 Community 'Local governments, public health agencies, schools, and community organizations should collaboratively develop and promote programs that encourage healthful eating behaviors and regular physical activity, particularly for populations at high risk of childhood obesity.' – IOM 2004 – IOM 2004

We Can! Program Elements: 

We Can! Program Elements Community Outreach Media and Consumer Outreach Program Resources and Channels Partnership Outreach

Community Outreach: 

Community Outreach

Community Outreach: 

Community Outreach More than 305 communities are implementing We Can! programming around the country. In coordination with these efforts, we are implementing Programs with youth ages 8 to 13 Programs with parents of youth ages 8 to 13 Community events

Look who We Can is reaching out to!: 

Look who We Can is reaching out to! Clinicians Educators Parks and recreation department staff County extension agents Dieticians Coaches Occupational health professionals Public health professionals

Community Site Update: 

Community Site Update We Can! is currently running in 306 Community Sites in 41 states, Washington, DC, Canada, Nigeria, the Northern Mariana Islands, the Philippines, and Puerto Rico. This represents 803% growth in participating community organizations since program launch in June 2005. Demonstrating program flexibility, adaptability and value, Sites represent a diversity of implementation settings, from schools and park and recreation departments to hospitals, health systems and public health departments (11 different settings in total).

25 Intensive Community Sites: 

25 Intensive Community Sites **A Founding We Can! Intensive Community Site

25 Intensive Community Sites (cont.): 

25 Intensive Community Sites (cont.) **A Founding We Can! Intensive Community Site

3 We Can! Cities: 

3 We Can! Cities **A Founding We Can! Intensive Community Site

278 General Community Sites: 

278 General Community Sites

278 General Community Sites (cont.): 

278 General Community Sites (cont.) l

278 General Community Sites (cont.): 

278 General Community Sites (cont.)

Program Resources and Channels : 

Program Resources and Channels

We Can! Resources : 

We Can! Resources 1-866-35-WECAN http://wecan.nhlbi.nih.gov

We Can! Materials: 

We Can! Materials We Can! Energize Our Community: Toolkit for Action Parent curriculum Community events

Youth Curricula: 

Youth Curricula Kids Club – After-school, summer day care setting for children (K-5) contains three elements– curriculum, and PA and snack components. SMART- Student Media Awareness to Reduce Television –3 or 4th grade classroom curriculum designed to reduce TV and video game usage. Eat, Think and Be Active – 10 lessons helping children (11-13) understand the connections between media and health.

We Can! Materials: 

We Can! Materials We Can! Families Finding the Balance: A Parent Handbook English Spanish

Media and Consumer Outreach: 

Media and Consumer Outreach

Media and Consumer Outreach: 

Media and Consumer Outreach National and Local Media Public service announcements (print and radio) Media kits (press releases, media advisories) Launch announcements Matte articles Press releases for program milestones National Consumer Outreach Consumer Web site Media Partners

We Can! on the Web: 

We Can! on the Web Become a friend of We Can! on MySpace (http://www.myspace.com/nihwecan) View 'We Can! and You Can Too' and animations on YouTube Connect on LinkedIn (http://www.linkedin.com/in/nihwecan)

Partnership Outreach: 

Partnership Outreach

Over 20 National Partners!: 

Over 20 National Partners! Over 20 National Partners andamp; Supporting Organizations have joined We Can! Continually in ongoing discussion with additional partners

We Can! Partnerships: 

We Can! Partnerships The We Can! partnership goal is to work collaboratively with others to build synergy on preventive strategies and an array of outreach efforts. Through partnerships, we can most effectively leverage resources and channels to disseminate We Can! messages and materials to parents, caregivers, and youth ages 8–13.

Levels of Partner Commitment: 

Levels of Partner Commitment Organizations invited to participate as Partners or Supporting Organizations Partners Participate on a variety of fronts with a significant commitment of resources and activity Supporting Organizations Groups that are interested but unable to make as significant commitment

We Can! National Partners: 

We Can! National Partners National partners coming on board to support We Can! and participate on a variety of fronts Provide resources: Support of program activities and materials development (printing, distribution, event sponsorship, etc.) Contacts and support to We Can! sites Disseminate We Can! messages via organizational communication channels (Web sites/Web links, newsletters, listservs, direct mailings to constituents)

We Can! National Partners (cont.): 

We Can! National Partners (cont.) Offer exhibit space to We Can! at national/regional conferences and events Offer opportunities to present at meetings Offer to help recruit We Can! Community Sites Offer other support/activities specific to the partner’s own interests and capacity

Benefits of Participation: 

Benefits of Participation Opportunity to be part of trans-NIH national program Opportunity for extended outreach channels and additional synergy through We Can! communication channels Be recognized in We Can! materials Receive We Can! Partnership Toolkit

We Can! Resources for Partners: 

We Can! Resources for Partners Comprehensive Partner Toolkit Offers overview, tools, and template materials News releases, template article, message points, print PSAs (English/Spanish), radio PSA scripts (English/Spanish), sample materials, template PowerPoint presentation, sources of statistics, logos, and more in printed and electronic (CD-ROM) versions

Partnerships: 

Partnerships The role of each We Can! partner will vary because every collaboration will be designed/crafted to channel the partner’s natural strengths, networks, and influence at the community level. Involvement by individual groups will depend on any existing programs the partner might already have in place, the resources the partner can contribute, and the partner’s own infrastructure and reach — We Can! wants relationships to be win-win situations!

Examples of How We Hope You’ll Help : 

Examples of How We Hope You’ll Help Participate in planning and provide resources/support activities Disseminate messages and materials to constituencies through existing communication channels (direct mailings, newsletters, flyers, online, etc.) Support/participate in and help drum up interest in/awareness of any local events

Local Partners Include…: 

Local Partners Include… Business: grocers, printers, sporting-goods stores, T-shirt vendors, transportation providers Civic/Community: chambers of commerce; local health, youth-related, and other coalitions Health Care: health care providers, including hospitals and clinics; insurers Government: local, county, State Media: cable, newspapers, radio, television Multicultural and Faith-Based Organizations Professional Organizations: dietitians, nurses, physicians

A Few Potential Benefits: Local Partners: 

A Few Potential Benefits: Local Partners Opportunity to be part of the NIH national We Can! program and programming at the local level Opportunity to bring relevant resources and core health and related messages together under the We Can! umbrella Opportunity for partners to extend their own outreach channels and create additional synergy for themselves Opportunity for recognition as part of this exciting effort; opportunity for promotion of your existing activities/programming

With Your Help…: 

With Your Help… Succeed!

Potential Partnership Ideas and Collaborations: 

Potential Partnership Ideas and Collaborations Open Discussion

Thank You!: 

Thank You!