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AN INTEGRATED 360° CAMPAIGN APPROACH

AN INTEGRATED 360° CAMPAIGN APPROACH. Caroline Kurtz, Ph.D Chief, Nutrition Education & Obesity Prevention Branch. ASNNA Conference 2019. Funded in part by USDA SNAP-Ed, an equal opportunity provider and employer. Thank you!. Jake Hanson, MPH Project Manager, CDPH.

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AN INTEGRATED 360° CAMPAIGN APPROACH

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  1. AN INTEGRATED 360° CAMPAIGN APPROACH Caroline Kurtz, Ph.D Chief, Nutrition Education & Obesity Prevention Branch ASNNA Conference 2019 Funded in part by USDA SNAP-Ed, an equal opportunity provider and employer

  2. Thank you! • Jake Hanson, MPH Project Manager, CDPH • Alana Pfeffinger, MPH, CHES Project Coordinator, UCSF

  3. Call to Action Impact of Different Risk Factors on Risk of Premature Death Source: Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity, KFF, 2018

  4. California SNAP-Ed Theory of Change Model* Ultimate Outcomes: health & well being Foodresourcemanagement Dietaryintake PhysicalActivity Access to healthy food Access to physical activity Skills, attitudes, knowledge PSEs Education Massmedia, communications Shop Live Work Play Learn Eat Quality Scalability Reach Sustainability Partnerships Training Communityengagement Local Champions Funding

  5. Fellowship Model Overview • 2-year fellowship • Skills training • Facilitated partnerships with LHDs • Practicing CA physicians & dentists • Partnership between CDPH & UCSF • 100% SNAP-Ed funded (USDA)

  6. CPF Application LHD Application Fellowship Model Overview • *Fellows & LHDs attend May 2017 – May 2019

  7. Voluntary Roles • Connector • Advocate • Amplifier • Team Expert • Leader

  8. CPF Key Focus Areas

  9. Characteristics (n=36) 2014 2017 • 69% Female • 78% MD/DO • 39% Pediatricians • 39% Family Medicine • 44% >10 yrs. in practice • 81% bilingual • 58% work 5+ clinical half-days per week

  10. Evaluation Methodology Data Collection Analysis Categorization of activities Role of provider Type of activity CPF project focus areas Changes in skills Strength of partnership • Baseline & 12 month questionnaire • Quarterly Activity Report • Type and frequency of activity • Activity narrative • Telephone and email outreach, webinar participation

  11. Activity Type

  12. Types of PSE Projects (N=31)* • Food Security (n=12): • > 50% food insecurity screening + linkage to local resources • Healthy Food and Beverage Standards (n=10): • SSB, Healthy by Default Kids’ Meal Drinks, healthy retail and food marketing • Safe Routes to School (n=1) • Sidewalk audit *31 of 36 fellow reported PSE-level obesity work. CPF can work on more than one project focus area

  13. Types of PSE projects (N=31)* • School Wellness (n=8) • Nutrition guidelines • School lunches • Structured Physical Activity (n=10) • 90% ParkRx initiatives • Other (n=16) • Breastfeeding • Undefined/non-specific media *31 of 36 fellow reported PSE-level obesity work. CPF can work on more than one project focus area

  14. Changes in Skills (N = 27)

  15. CPF - LHD Partnerships (N = 27) • Shared Goals • 78% equal to or greater than common understanding of the issues and discussion of ultimate goals • Clear Roles • 67% equal to or greater than half the time • Effective Communication • 70% equal to or greater than half the time

  16. Imperial County (School Wellness) • Successes: • Formation of Calexico Unified School District (CUSD) Wellness Committee • Updated CUSD School Wellness Policy • Strategies: • Presentation to school board • Partnered with SNAP-Ed to conduct Smarter Lunchroom assessments • CDPH reviewed WellSAT scores and clinician provided recommendations

  17. San Mateo County (Healthy Food and Beverage Standards, ParkRx) • Successes: • Letter of Support for passage of Daly City “Healthy-by Default” Kids’ Ordinance & SB 1192 • Development of Fact Sheet • Expansion of SHINE certification program • Expansion of ParkRx • Strategies: • Leveraging relationships • Flexible priorities in order to be more opportunistic

  18. Kings County (Food Security) • Successes: • Modification of busses to allow collapsible shopping carts • Micro-transit program with on-call van services to food banks and grocery stores • New central transportation hub located near farmers’ market or food banks • Strategies: • Innovative partnerships and systems-thinking • Using the power of the white coat

  19. Conclusions • Healthcare providers need skills development to gain confidence to engage in PSE work • Facilitated partnerships can support healthcare provider engagement in the development of public health efforts • LHDs can benefit from engaging the healthcare sector in PSE-level initiatives to prevent obesity

  20. UCSF Dr. Vanessa Thompson Dr. Liz Goldman Dr. Alicia Fernandez Dr. WagahtaSemere Dr. Dean Schillinger Jessica Davidson CDPH Jake Hanson Dr. Caroline Kurtz BMC Mike Miller Paula Hamilton

  21. Questions? championprovider.ucsf.edu

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