C30 Healthy Beginnings

Working Better Together AOHC Conference June 5, 2013 C30-B: Healthy Beginnings: A community based cross-sector evidence-based approach to childhood obesity prevention

Changed lives, healthy communities

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Workshop objectives Participants will learn the steps to implement an evidencebased approach and curriculum, which addresses childhood obesity prevention. As the pilot Canadian site, Langs will share lessons learned in adapting the American-based OrganWise Guys curriculum for Ontario schools.

Participants will learn about the cross sector and stakeholder engagement process undertaken to build support and buy-in for adoption of a community-wide childhood obesity prevention strategy.

Participants will engage in visioning and planning for their communities - sharing stories of their work in prevention and lessons learned, to enhance a provincial childhood obesity prevention framework.

Changed lives, healthy communities

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“Healthy Beginnings�

Bill Davidson, Executive Director Kerry-Lynn Wilkie, Director of Programs, Partnerships and Evaluation

Changed lives, healthy communities

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Healthy Beginnings Program

AOHC Conference Presentation 2013 Changed lives, healthy communities

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Mission:

Every person in our neighbourhoods will have a place to call home for health, wellness and community support.

Vision: Changed Lives, Healthy Communities

Credo: Community. Health. Wellness.

Changed lives, healthy communities

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Who We Are a neighbourhood organization that began in 1978 focus on prevention and health promotion we are a multi-funded organization successfully accredited on 4 occasions

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Characteristics of the Langs Catchment Area Higher concentration of socio-economic needs Densely populated Education levels are below city average Growing in diversity

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Characteristics of the North Dumfries Area 16% of the population lives in poverty Over 42.2% of the population is couples with children, many without access to affordable recreation opportunities Youth were identified as a priority population by North Dumfries Township Changed lives, healthy communities

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Philosophy and Approach Social determinants of health Strengths of the community Welcoming, flexible and responsive Community involvement is fundamental

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Langs Areas of Service Community Health Centre (1995) Community Health Centre Satellite in North Dumfries (2004) Youth and Teen Centre Early Years Satellite Centre Resource Centre Diabetes Education Program (formerly RCC) Central Intake/Mentoring Services Self Management Program Volunteer Services Community Partnerships Changed lives, healthy communities

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25+ Health and Social Services Partners On-Site

Changed lives, healthy communities Changed lives, healthy communities

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Why a New CDPM Approach?

Identified as a priority in the organization’s new strategic plan Consistent with the WWLHIN’s objectives Significant growth of the Diabetes Education Program Range of CDPM services across the organization Services are somewhat fragmented and need a consolidated approach Timely to get back to our fundamental work in the area of primary prevention Introduction of new afterschool program funding Long standing/strong relationship with local schools Opportunity to further community partnerships New facilities with optimal physical space for CDPM programming

Changed lives, healthy communities

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New Facility For Langs On June 25, 2010, Langs Farm was granted $4.9 million from the Federal Government and $ 3 million from the City of Cambridge to build a community centre.

The William E. Pautler Seniors Centre co-located with Langs and operates the frail elderly program and wellness programs for seniors.

58,000 sq. ft facility that includes a living wall, a green roof, walking track and gymnasium as well as many meeting spaces.

Ground breaking in October 2010 - Moved in September 2011.

Changed lives, healthy communities

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New Facility For North Dumfries Moved in Fall 2011 7,000 square feet – double their previous space Located in the unique recreation complex includes, walking track, banquet hall, ice surface and program rooms

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Chronic Disease Prevention and Management Programs Central Intake Services for diabetes in Waterloo Wellington Mentoring and Self-management support for Health Care Professionals and peer Leaders Hypertension Clinic Memory/Seniors Clinic Diabetes Education Program Healthy Beginnings/Organ wise Program—prevention program for children that combines physical activity, healthy eating and education Changed lives, healthy communities

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Waterloo Region Community Diabetes Education Program

Help people gain the knowledge and skills needed to manage their diabetes Group classes, individual sessions and outreach services are available Langs is the transfer payment agency for the program in partnership with Cambridge Memorial Hospital, Kitchener Downtown CHC, Woolwich CHC and Grand River Hospital.

Changed lives, healthy communities

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“Healthy Beginnings�

A community coordinated approach to prevention of chronic disease and improved healthy child development

Changed lives, healthy communities

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“Healthy Beginnings�

Healthy child development will be improved through partnerships with schools, businesses, agencies.

The community-based collaborative initiative improves physical activity, healthy eating habits and health of children in Preston and North Dumfries.

Changed lives, healthy communities

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Why Langs?

Alignment with our strategic plan Youth are a priority population for Langs and North Dumfries Local schools have lower grade 3 and 6 standardized test scores Maximize the use of our new facilities History and breadth of partnerships Experience with CDPM Investment aligned with Lyle S. Hallman Foundation priorities Changed lives, healthy communities

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Project Components and Stakeholders Outcomes Project Impact

Community Based Nutrition and Physical Activity Programming

Organ Wise Guys Schools

Healthy Smiles Ontario Teen Peer Workers

Decreased Childhood Obesity

Increased Healthy lifestyle & food choices

Improved readiness for learning

Improved health for youth Improved healthy childhood development

Physical Activity Instructors

Organ Wise Guys in more classrooms

Waterloo Region Diabetes

Library

Nutrition for Learning

Community Nutrition Workers

Increased physical activity levels

William E. Pautler Centre

Churches

Awareness of healthy foods

Prevention of chronic disease Collaboration among partners and sectors

Langs Healthy Beginnings

Prevention of Chronic Disease and Childhood Obesity Organ Wise Guys/ School Based Nutrition Education Programming

Community Based Nutrition Education Programming

Community Based Physical Activity Programming

Community Based approach to Food of the Month

Breakfast programs

Gym Generation/ Gym Jam

Program introduced to local schools

Teacher feedback

Instructor led physical activities

Canada’s Food Guide

Diabetes education sessions

Family-based physical activities

Grocery Stores/ Market participation

Healthy Snacks/Eating Program

After school programs

Newsletters and Family follow-up activities

Kids in the Kitchen summer program

Take 5 Physical Activity

Healthy Smiles Ontario & Teeth Changing Experience

In-kind dental treatments

Shared use of Kits/Resources

Education opportunities for families

Distinguishing Features of the Langs Healthy Beginnings Model Community centre/CHC as central to the project development and implementation Schools, community agencies and corporate partners are key to project components Opportunity for year round learning Opportunity for learning in multiple settings Physical activity + nutrition education Changed lives, healthy communities

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Stakeholder involvement

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The Importance of Launching the Program Launch with Mayor, local key stakeholders including schools Special Guests – – – –

Kate Manson Smith, ADM of MOHLTC Bruce Lauckner, WWLHIN CEO Andrea Cohen, CEO , Ontario Trillium Foundation Adrianna Tetley, ED of AOHC

Introduce the program and obtain early buy-in from key stakeholders Strategically position the program for ongoing sustainability Changed lives, healthy communities

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Healthy Beginnings Launch

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Community Leaders: Toyota

Pictures from “Kids in the Kitchen� cooking with TMMC President Brian Krinock

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Local Stakeholder Engagement 700 Children age 3 to 13 years 500 Parents/Guardians 5 to 10 Schools 24 +Teachers Preston Town Market and local Grocery Stores 30 Volunteers 5 Students Advisory Committee Peer Workers Dietitians Community Youth Workers Community Partners

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Stakeholder

Elementary Schools – Preston/ North Dumfries/ broader Cambridge e.g. Ayr Public School St. Michael Catholic School St. Joseph Catholic School

Parents/Guardians

Target #s

Community Nutrition Partner

Food of the Month

500

Preston Food Market

1

Local Grocery stores

3

Cambridge Public Library – Preston Branch

Nutrition for Learning

100 seniors

1

5-10 schools

Region of Waterloo Public Health – Healthy Smiles Program

3

Dentists in the Community

2

Waterloo Region Diabetes program

5

Region of Waterloo Public Health – Peer Program training

Best Buy – Corporate partner

Physical Activity Partner

gym space

5

Danielle Hollar - Childhood Obesity Prevention Program & Evaluation Consultant with Organ Wise Guys

Organ Wise Guys Host Site

5-10 schools; 24+ classrooms

Students – Nursing and Diabetes intern

City of Cambridge – William E. Pautler Centre

Health Education Partner

2 Community Nutrition Workers

Potential

20 staff

Potential

Volunteer

November Stakeholder Planning Session

27 attendees

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Community collaborated response to prevention of chronic disease and increased childhood healthy development Based on our past experience and ability to link with at-risk families, we anticipate that 75% of the participants in the physical activity and healthy eating programs will be youth who would not access other recreational programs and services in the community.

"Community wide efforts to increase awareness and promote environments that encourage physical activity and healthy nutrition are needed."

(Obesity Prevention in Children: Physical Activity and Nutrition).

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Meet the OrganWise Guys

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Organ Wise Guys program Ready-to-use curriculum kit for school-based nutrition education Evidence-based nutrition education program 24 classrooms over 2 years 5 to 10 schools across Preston, North Dumfries, broader Cambridge (year 2 outreach site) Changed lives, healthy communities

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Organ Wise Guys Research information Dr. Danielle Hollar Phd, MHA, MS Intervention children achieved statistically significantly higher average Florida Comprehensive Assessment Test (FCAT) math scores as compared to children in control schools.

Intervention children achieved higher FCAT reading scores as well, and although the difference did not reach statistical significance, the data are trending in this direction.

Changed lives, healthy communities

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Implementing Organ Wise Guys in Partnership – Schools, Langs, and Community Partners Healthy Beginnings project increases capacity for staff and schools to implement the Organ Wise Guys curriculum School staff education session Teachers and Community Youth Workers cofacilitate the OWG at initial start up (2-3 months) Funding for the Organ Wise Guys kits Changed lives, healthy communities

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Implementing Organ Wise Guys in Partnership – Schools, Langs, and Community Partners Curriculum “fit” - review and align with Ontario Curriculum standards 3-5 meeting with principals and teachers to build readiness and introduce program in the schools

Changed lives, healthy communities

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Community Based Nutrition Program Healthy Snacks/Eating program 3 to 12 year olds Year round and summer programming in Preston and North Dumfries communities Extends education beyond classroom Peer Worker led with support of Community Youth Workers and volunteers (community and corporate) 100 children participate in afterschool, summer and prekindergarten programming, over two years Changed lives, healthy communities

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Community Based Physical Activity Programming Hosted Waterloo Region Walks event “Take 5� in community programs New sports and Hip Hop programs for youth

Changed lives, healthy communities

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Evaluation and Impact Measurement Knowledge and behaviour change with Langs and North Dumfries physical activity programs School classrooms implement the Organ Wise Guys program. Teacher and principal self-reports on implementing the program and classroom/school impact Feedback from parents, program volunteers, peer workers regarding knowledge and behaviour change of participants Community level feedback from local grocery stores and the Preston Market, regarding customer awareness and change in purchasing patterns Changed lives, healthy communities

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Organ Wise Guys sample assessment

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Healthy Beginnings The First 100 Days

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What does Healthy Beginnings look like?

Day 100 and counting…….Foods of the Month we’ve eaten……….

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What does Healthy Beginnings look like?

Cooking….food safety…..cleanup… … 1000 glasses of water in April blitz week…

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Community Based Nutrition Education Implemented directly in afterschool programs funded by Ministry of Tourism, Culture and Sport Food of the Month implemented in 25 programs across the organization OrganWise Guys visit local library programs Summer cooking programs have almost filled Youth “vote� on a 3rd Food of the Month Changed lives, healthy communities

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Implementation in Schools OWG curriculum reviews with teachers

3 schools across Preston & North Dumfries piloting program

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Implementation in Schools Well received by teachers Current nutrition education lessons not standardized 5 pilot classrooms implementing Hardy Heart unit

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Community Based Physical Activity

New partnership with local church to offer weekly physical activity program New programs introduced for youth i.e. Hip Hop dance Family sports activities introduced

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Communications School and Langs newsletters feature Food of the Month articles Show videos on televisions in centre Use of social media ie Twitter Potential of television ads

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Evaluation Implemented to-date Evaluation Plan for Afterschool Programs – Process evaluation/implementation checklist to enable consistent implementation across afterschool programs – Pre test implemented with mix of OrganWise Guys standardized questions and outcome questions from our current youth service area evaluations; evaluations coded to be identified by individual for longer term tracking – Tracking sheet for Food of the Month at individual level – Last week of the month – track water consumption – Physical activity duration tracked in program plans

Curriculum pilot in Classrooms – Use of OrganWise Guys standardized tool

Research interest from local university Changed lives, healthy communities

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Evaluation Observations to-date Youth are trying new foods and liking them! (as are parents) Youth are participating in more than one physical activity program New physical activity programs are reaching maximum registration Increased awareness of youth of drinking water and healthy snacks Lived experience of participants

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Thank You!

QUESTIONS? Changed lives, healthy communities

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