Health Promoting Communities: Being Active and Eating Well Briefing Overview

2. Welcome to the Briefing Session for Health Promoting Communities: Being Active and Eating Well

3. Overview of Briefing Session by John Biviano, Mgr of Health Promotion and Chronic Disease Prevention • Colac Be Active Eat Well • Health Promoting Communities: Being Active and Eating Well • Support and Evaluation • PCP involvement • Selection Criteria • Submissions and Timelines • Questions

4. Overview of Health Promoting Communities: Being Active and Eating Well • Second Phase ‘Go for your life’ funding building on the first phase are: • Colac (Be Active Eat Well) • Moreland (Fun ‘n’ Healthy in Moreland) • East Geelong/Bellarine Peninsula (It’s Your Move) • Geelong (Romp ‘n’ Chomp) • Focus on increasing levels of physical activity and healthy eating for children, adults and other target groups in areas of socio-economic disadvantage • Funding: 2006-07: $120,000 • 2007-08: $178,000 • 2008-09: $178,000 • 2009-2010: $198,000

5. Kathy McConell Colac Be Active Eat Well:Community Building Approach

6. Overview of BAEW • To improve the health and well being of individuals and strengthen the community through healthy eating and physical activity promotion • 4 years of DHS funding: $100,000/year to Colac Area Health • Support and evaluation: $30,000/year • Multi-setting, Multi-strategy • “Whole of Community” • Shire was the major partner • Focused on 4-12 year olds

7. Colac: rural township of 11,000 • Why Colac? • Geographically defined community • Relative level of disadvantage • Workable population size • Existing capacity in local community/agencies • History of collaboration and commitment to principles of community development • Committed and willing with in kind support

8. Planning • Development of Action Plan • Consultation • Engagement of stakeholders • Development of Evaluation Plan • Baseline Monitoring • Communication Strategy • Risk Management Plan

9. ANGELO Framework ANGELO (analysis grid for environments linked to obesity) is a conceptual model for understanding the obesogenicity of environments and a practical tool for prioritising environmental elements for research and intervention. Ref: Swinburn B, Egger G, Raza F. Dissecting Obesogenic Environments: The Development and Application of a Framework for Identifying and Prioritising Environmental Interventions for Obesity. Preventive Medicine 1999,29, 563-570

10. Micro-environmentMacro-environment (settings)(sectors) Food PA Food PA Physical What is available? Economic What are the financial factors? Policy What are the rules? Socio-cultural What are the attitudes, beliefs, perceptions and values? Environment size Environment type Obesogenic Environments:ANGELO Framework (Analysis Grid for Environments Linked to Obesity) Swinburn et al Prev Med 1999

11. ANGELO Participants • NON-SCHOOL CARE, EDUCATION, HEALTH & COMMUNITY SERVICES, GPs, PRIMARY CARE, RECREATION, FOOD SERVICE SETTINGS, TRANSPORT and other sectors such as home, neighbourhood, etc. • Stakeholders ask the 4 questions in relation to their setting • Easiest to consider in terms of barriers but there may be facilitators • Prioritise factors for potential action • Consider the evidence • Create a draft plan of action • Relevance x Impact x Changeability

12. Evaluation High awareness Community capacity Decrease TV viewing Increase water consumption Increase fruit consumption Active transport to school Active play after school Healthier hot chips Family education program Action Plan: objectives

13. Multi-strategy/setting

14. Evaluation • Process collected by implementation team • Impact and outcome measures collected by evaluation team • Baseline • Mid-intervention survey • Post implementation • Intervention and control community were measured across 2003 and 2006

15. Evaluation Overview

16. Outcomes:Improving capacity (How well set up is Colac to promote healthy eating and physical activity?) • Skills, expertise, knowledge definitely ↑↑↑ • Australia is now learning from Colac • Organisational structures & relationships • Strong – CAH, COS, schools, Neighbourhood Renewal, sports clubs, Leisure Networks • Own data to guide action • Best in the country! • Ongoing resources to support the work • Project funding finished, CAH & others continue

17. School environments: food • Nutrition policies ↑↑ (0 to 5/6) • Esp water, curriculum, promoting healthy eating • Nutrition ↑↑ as a priority • Ratings of the nutrition value of the school food service increased • However, menu foods didn’t change very much! • ↓Fundraising using fast food, confectionary • Improved support for healthy eating from parents & teachers

18. School environments – physical activity • Better than nutrition at baseline • Almost all schools rated it as a priority • Policies ↑ (3 to 6/6) and effective (6/6) • PE equipment, participation, cycling to school • PE – ?↓ in Colac and other Barwon schools • Links with sports clubs ↑ (6/6 good, v good) • Facilities & equipment good (unchanged)

19. Awareness of messagesColac parents(other Barwon-SW parents) • More water, less sweet drinks 69% (53%) • More fruit, less packaged snacks 67% (55%) • Less ‘screen time’ 33% (25%) • More active play 47% (41%) • Walking school buses 85% (73%) • Overall, about 10% greater awareness

20. Changes in eating behaviours Reported by parents ‘yesterday’: before & after

21. Changes in physical activity & inactivityReported by parents ‘yesterday’: before & after

22. Changes in serves of lunchbox foods and beverages Junk food = Packaged snacks, muesli/fruit bars, chocolates & lollies, biscuits & crackers and cakes & buns.