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Applications of the CDC – National Park Service Healthy Foods Evaluation for State and Local Parks. Obesity Prevention and Control Branch. Division of Nutrition, Physical Activity and Obesity. LCDR Alyson B. Goodman, MD, MPH EIS Officer, Division of Nutrition, Physical Activity & Obesity

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Applications of the cdc national park service healthy foods evaluation for state and local parks
Applications of the CDC – National Park Service Healthy Foods Evaluation for State and Local Parks

Obesity Prevention and Control Branch

Division of Nutrition, Physical Activity and Obesity

LCDR Alyson B. Goodman, MD, MPH

EIS Officer, Division of Nutrition, Physical Activity & Obesity

January 12, 2012


Overview

Healthy Parks Healthy People US Initiative Foods Evaluation for State

In April 2011, National Park Service (NPS) Director announced service-wide Healthy Foods Strategy to provide healthy food options for all 280 million national park visitors annually

Collaborate with CDC to conduct a baseline assessment of food environment in national parks

Develop & implement health and sustainability guidelines for concessions contracts

Track effect of health promotion messaging and access to healthy foods over time so NPS can make informed decisions

Serve as a model for state and local parks & other open spaces

OVERVIEW


Cdc nps nutrition environment collaboration
CDC – NPS Nutrition Environment Collaboration Foods Evaluation for State

  • CDC Lead: LCDRAlyson Goodman, MD, MPH

  • CDC Supervisor: CAPT Heidi Blanck, PhD

  • NPS Office of Public Health: CDR David Wong, MD, MPH

  • NPS Chief of Concessions: Kurt Rausch


May pilot epi aid
May Pilot (Epi-Aid) Foods Evaluation for State

  • Pilot of survey tools adapted from NEMS

    • NEMS = Nutrition environment measures surveys

      • Validated instruments for objectively assessing access, pricing & promotion of healthy/unhealthy foods

  • 11 national parks in Southwest US

  • Dissemination:

    • APHA poster presentation

    • White House Summit on Healthy Foods in Parks


May pilot results beverage vending
May Pilot Results: Foods Evaluation for State Beverage Vending

“Healthier” Vending Machine = Proportion of sugar drinks <50%

In this sample, 7 out of 41 (17%)

Derived Variables

Healthy drink: Water, milk, 100% juice

Diet drink: artificially-sweetened soda, tea, water, energy or sports drink

Sugar drink: sugar-sweetened soda, tea, water, energy or sports drink


May pilot results restaurants
May Pilot Results – Restaurants Foods Evaluation for State


May pilot results kids menus
May Pilot Results – Kids Menus Foods Evaluation for State



September field investigation
September Field Investigation pilot national parks, May 2011

  • Nationally-representative sample of parks

  • 50 parks chosen based on:

    • # annual visitors

    • Region

    • Urban/rural

    • Type of concessioners

  • Identified 33 individuals to survey 50 parks in 35 states

    • EISOs (3 headquarters and 14 state-based) - 17

    • DNPAO, NPS, state/local health department staff & partners - 15

    • CDC Experience Fellow – 1

  • Training

    • NEMS website

    • 90 minute webinar


National parks survey in september
National Parks Survey in September pilot national parks, May 2011

National Park (n=395)

Surveyed (n=49)

Alaska: Glacier Bay, Denali


September results beverage vending
September Results: pilot national parks, May 2011 Beverage Vending

“Healthier” Vending Machine = Proportion of sugar drinks <50%

In this sample, 29 out of 83 (35%)

Derived Variables

Healthy drink: Water, milk, 100% juice

Diet drink: artificially-sweetened soda, tea, water, energy or sports drink

Sugar drink: sugar-sweetened soda, tea, water, energy or sports drink

DRAFT: Analysis ongoing


September results kids menus
September Results – Kids Menus pilot national parks, May 2011

DRAFT: Analysis ongoing


Assessment tools
Assessment Tools pilot national parks, May 2011

  • Standardized with protocols

  • 5 modules:

    • Restaurants

    • Snack Shops

    • Vending Machines

      • Beverage

      • Foods

    • Stores

      • Grocery

      • Convenience

    • Water


Assessment tools beverage vending
Assessment Tools – Beverage Vending pilot national parks, May 2011


Assessment tools snack shops
Assessment Tools – Snack Shops pilot national parks, May 2011


Android phone application
Android Phone Application pilot national parks, May 2011


Epi info 7 android data
Epi-Info 7/Android Data pilot national parks, May 2011


Overview1

Healthy Parks Healthy People US Initiative pilot national parks, May 2011

In April 2011, National Park Service (NPS) Director announced service-wide Healthy Foods Strategy to provide healthy food options for all 280 million national park visitors annually

Collaborate with CDC to conduct a baseline assessment of food environment in national parks

Develop & implement health and sustainability guidelines for concessions contracts

Track effect of health promotion messaging and access to healthy foods over time so NPS can make informed decisions

Serve as a model for state and local parks & other open spaces

OVERVIEW


Study applications
Study Applications pilot national parks, May 2011

  • Dissemination of results/lessons learned from the CDC – NPS assessments & experience

  • Adaptation of tools for state/local parks, recreation areas & public open spaces

    • Pilot in 2012

  • Tools planned to be available online

    for partners in summer 2012


Please contact me with: pilot national parks, May 2011

Current health promotion work in state/local parks, recreation areas or public open spaces

Interest in piloting/applying assessment tools

LCDR Alyson B. Goodman, MD, MPH

770-488-5105

[email protected]

Division of Nutrition, Physical Activity and Obesity

Obesity Prevention and Control Branch


Partnering with state parks

Partnering with pilot national parks, May 2011 State Parks

Ruth Coleman

Director

California State Parks

President

National Association of State Park Directors


Continuum of park agencies
Continuum of Park Agencies pilot national parks, May 2011

Federal

State

Regional

County

City

District


Concession language
Concession Language pilot national parks, May 2011

  • Network of farmers

  • Healthy Foods

  • No sugar-added beverages

  • Interpretive materials and demos

    • Food and quality of life

    • Cooking demos


Market driven initiatives
Market Driven Initiatives pilot national parks, May 2011


National efforts
National Efforts pilot national parks, May 2011


California state parks
California State Parks pilot national parks, May 2011


Track trails
Track Trails pilot national parks, May 2011

  • Promote Play in Natural Areas

  • Highlight existing trails

  • Bring in new users

  • Self guided program – brochures and signs


Contact
Contact pilot national parks, May 2011

For More Information contact:

Nina Gordon

Senior Policy Coordinator

California State Parks

[email protected]

(916) 653-9377


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