Slide1: Tribal Partnerships with State Health Departments: The Oklahoma REACH 2010 Project Absentee Shawnee Tribe Cherokee Nation Cheyenne-Arapaho Tribes Chickasaw Nation Choctaw Nation Indian Health Care Resource Center Oklahoma State Department of Health Pawnee Nation Seminole Nation Wichita and Affiliated Tribes Updated August 2002


Slide2: a coalition of 8 tribes/nations and 1 urban Indian Health Center and the Oklahoma State Department of Health designed to reduce racial disparities in cardiovascular disease, diabetes and their risk factors through increased availability and promotion of physical activity on a community level other primary and secondary prevention contributions from REACH partners The Oklahoma REACH 2010 Native American Project to Address Diabetes and CVD


Slide3: Cimarron Texas Beaver Harper Woods Alfalfa Grant Kay Osage Washington Nowata Craig Ottawa Delaware Mayes Rogers Tulsa Pawnee Noble Garfield Major Woodward Ellis Roger Mills Beckham Greer Harmon Jackson Tillman Cotton Comanche Kiowa Washita Custer Dewey Blaine Caddo Grady Stephens Jefferson Canadian Kingfisher Logan Oklahoma Cleveland McClain Garvin Murray Carter Love Marshall Bryan Choctaw McCurtain Pushmataha Atoka Johnston Coal Pontotoc Seminole Pottawatomie Lincoln Payne Creek Okfuskee Hughes Pittsburg Latimer Le Flore Sequoyah Haskell Muskogee McIntosh Cherokee Adair Wagoner Okmulgee Cheyenne Arapaho Oklahoma REACH 2010 Project Counties


Slide4: Total Native American Tribal REACH Population Population Enrollment Enrollment Absentee Shawnee Tribe 294,715 13,839 2,900 470 Cherokee Nation 434,139 74,097 207,790 700 Cheyenne-Arapaho Tribes 205,573 8,164 13,411 300 Chickasaw Nation 271,791 20,898 38,000 350 Choctaw Nation 240,512 28,034 116,633 340 Pawnee Nation 123,942 6,316 2,532 371 Seminole Nation 24,770 4,017 12,523 330 Wichita and Affiliated Tribes 155,102 12,978 2,165 650 IHCRC of Tulsa 543,539 26,507 NA 330 Total Project area 2,294,083 194,850 395,800 3,841 Oklahoma REACH 2010 Populations


Slide5: Shared mission and vision Community control Equal responsibility and equal benefits Shared data Government to government relationships (Tribal Sovereignty) Oklahoma REACH 2010 Coalition Tenets


Slide6: Active coalition Increased networking Increased inter- and intra-tribal collaboration Increased state/tribal collaboration Opened new grant opportunities New staff hired and trained in communities Quality, consistent Native American data Quarterly reports on each project New grants attempted and received Training in CAPs, Focus groups, financial management for program staff. 50 presentation (about 15 national presentations) Oklahoma REACH 2010 Coalition Successes


Slide7: Consistent data collection for all participants despite differences in implementation 28 focus groups 113 key informant surveys completed 3,732 Native American BRFS surveys completed 507 surveys of Native Americans without phones completed in all 9 communities 271 surveys of children completed 9 Community Action Plans Oklahoma REACH 2010 Coalition Phase 1 Successes


Slide8: 15 staff hired in communities. Almost 4000 participants enrolled statewide. About 75 activities a week statewide. All programs has either started, expanded or enhances a physical activity program in their area. Applied for and received new funding. Oklahoma REACH 2010 Phase 2 Successes so far...


Slide9: Oklahoma REACH 2010 Community Partnerships Local College Health and Physical Education programs. Tribal officials and leaders. Indian Health Services or Tribal Health Services. Community Health Representative. Health Promotions. Diabetes Programs. Schools, firefighters, police. Local fitness gyms.


Slide10: Oklahoma REACH 2010 Environmental Changes All tribal facilities now have or are working on developing and implementing non-smoking policies in tribal buildings. Tribal policies on employee exercise. Development of Tribal Fitness centers. Schools with PE (Oklahoma does not mandate PE). Walking trails and playgrounds have been facilitated. Staff appointments to boards.


Slide11: Oklahoma REACH 2010 Community Education Newsletters, flyers. Newspaper articles. Webpages. Television and radio interviews. 1 published article (3 in development) About 50 presentations around Oklahoma and the US. Registered Dieticians either on staff or in-kind.


Slide12: Oklahoma REACH 2010 Training 30 Community members trained through The Cooper Institute, Dallas TX. 20 Developing Health Lifestyles certification. 15 trained as Personal Fitness Specialists. 3 trained as Group Exercise Specialists. 2 trained as Fitness Specialist for the Older Adults. 10 trained as fitness leaders in Aerobics, yoga and other fitness classes. In September 70 community member will be trained as Native American Lifestyle Coaches; 35 were trained in May by Cherokee Nation.


Slide13: Oklahoma REACH 2010 Exercise Activities Walking or running programs, many at multiple sites. Races and fun runs Fitness courses, aerobics, kickboxing, yoga, stickball, dance, water aerobics, swimming, Tae Kwon Do, biking, yoga, chair aerobics, weight training, stretching and flexibility. Sports – Basketball, baseball, volleyball, soccer, tennis, bowling Fitness Center Access.


Slide14: Oklahoma REACH 2010 Evaluation Component NABRFS community level evaluations (stratified by region). Participant data (baseline and 6months). Body Mass Index. Waist to hip Ratio. Percent Body Fat. Other fitness tests. Stages of Change. Activity Level (Frequency, duration, intensity). Activity Logs. Coalition evaluation.