Changing the Environments of Faith Communities The Faithful Families - - PowerPoint PPT Presentation

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Changing the Environments of Faith Communities The Faithful Families - - PowerPoint PPT Presentation

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Changing the Environments of Faith Communities The Faithful Families Approach to Addressing Healthy Eating and Physical Activity Dr. Annie Hardison-Moody, Julia Yao NC State University Program Team Annie Hardison-Moody, PhD Julia Yao, MPH

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Changing the Environments of Faith Communities

The Faithful Families Approach to Addressing Healthy Eating and Physical Activity

  • Dr. Annie Hardison-Moody, Julia Yao

NC State University

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Annie Hardison-Moody, PhD Director, Faithful Families Assistant Professor Department of Agricultural and Human Sciences North Carolina State University Julia Yao, MPH Extension Associate Department of Agricultural and Human Sciences North Carolina State University Kim Eshleman Special Projects Manager Department of Agricultural and Human Sciences North Carolina State University

Program Team

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Carolyn Dunn, PhD, RDN, LDN Professor and Head Department of Agricultural and Human Sciences North Carolina State University Cathy Thomas, MAEd Manager Clinical and Community Connections for Prevention and Health Branch North Carolina Division of Public Health Lorelei Jones Coordinator Expanded Food and Nutrition Education Program (EFNEP) Department of Agricultural and Human Sciences North Carolina State University

Development Team

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  • Tangible and intangible health assets
  • Emphasis on the whole person
  • Expand reach of extension and public

health programming Why work in faith-based health promotion?

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Our Mission

Inspire faith communities to be health champions for individuals, families, and local communities.

FaithfulFamilies.com/Who-We-Are/Our-Mission

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  • Created in 2007, after state-wide

stakeholder meeting

  • Partnership between N.C. State

Extension and the N.C. Division of Public Health Faithful Families: How it all began…

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Determining Need

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Best Practices Drew on literature in faith-based health promotion research:

  • Multi-level programmatic intervention (the socio-

ecological model)

  • Involves community in program design (community-based

participatory research methods)

  • Peer-education models
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Peer Education and Lay Leadership

Trained Facilitator Trained Lay Leaders

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Little "p” – creating/changing an organization’s written statement on a position, decision, or course of action

Policy changes

Creating/changing the rules or processes within an organization, which alters how it operates

Systems changes

Creating/changing the physical, economic, or social environment

Environmental changes Policy, Systems, Environmental Changes

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Why are they important for health promotion?

PSE Changes

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  • Long-lasting change
  • Larger impact on community

Socio- ecological model

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Direct education § 9 weeks of Eating Smart and Moving More Lessons § 4 additional Chronic Disease Lessons (optional) PSE changes § At least 1 policy change § At least 1 environmental change Community Engagement § Connect with community-wide health initiatives

FaithfulFamilies.com/What-We-Do/Our-Approach

Our Approach

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Health Equity

Matt Kinshella, available from: https://mmt.org/sites/default/files/inline-files/MattKinshella.pdf

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Sample Policies

  • Healthy eating guidelines
  • Physical activity guidelines

Environmental Supports

  • Community garden
  • On-site farmer’s market
  • Eat Smart snack bar
  • Literature racks or bulletin boards
  • Bike racks
  • Walking routes/maps
  • Fitness rooms/centers
  • Blood pressure station
  • Park far, walk more!

Examples of PSE Changes

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Move More Break

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Faith communities that sign up for the program:

  • Offer nine weeks of nutrition and PA education classes, using the

Faithful Families curriculum

  • Implement policy and environmental changes in the faith

community

  • Connect with other county and community health resources

Faithful Families Program

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Faithful Families Curriculum

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  • Nine lessons
  • Co-taught by lay leaders from faith

community and health educators

  • Addresses key nutrition and

physical activity behaviors Eating Smart and Moving More Curriculum

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Leader Guide

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Lay Leader Training Guide

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  • Program Plan
  • Program Checklist
  • Announcement Flier
  • Bulletin/Program Inserts
  • Move More Activities
  • Additional Recipes
  • Sample Policies
  • Handouts
  • Evaluation Tools
  • And more!

Additional Materials: Appendices

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Chronic Disease Lessons

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Additional Materials

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Keeping Momentum

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Use the faith community assessment to:

Ø Find strengths, resources, assets, needs Ø Identify health issues and concerns Ø Measure changes in healthy eating and physical activity policies

Faith Community Assessment

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Planning Guide

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Guidelines for Healthy Foods and Beverages at Meetings, Gatherings and Events

EAT SMART NORTH CAROLINA: EAT SMART NORTH CAROLINA:

faithfulfamilies.com/tools-videos/tools/

Additional PSE Tools

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Website

FaithfulFamilies.com

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Participant Evaluation – measure change pre-and post-lessons Faith Community Assessment – measure changes in environmental supports pre- and post-one year Faithful Families Evaluation Forms

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  • Demographics and general information

about faith community

  • Sense of who they are as a community
  • Key health issues and concerns
  • Standards, practices, and environmental

supports in place Faith Community Assessment

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Repeat faith community health assessments at the end of the year. What changes did you notice? Tracking Changes in the Environment

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Participant Evaluation

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Additional Evaluation Tools

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Sharing Success

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2017 – 2018 Implementation

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Variable Frequencya Percentage Age (Mean = 57 ) Gender Female 261 81.3 Male 55 17.1 Not specified 5 1.6 Race American Indian or Alaskan Native, Black or African American 1 0.3 American Indian or Alaska Native 2 0.6 Black or African American 256 79.8 Black or African American, White 2 0.6 White 55 17.1 Not Provided 5 1.6 Highest Grade Grade 6 or less 1 0.3 Grade 7 4 1.2 Grade 8 5 1.6 Grade 10 2 0.6 Grade 11 6 1.9 Grade 12 85 26.5 GED 6 1.9 Some College 69 21.5 Graduated 2-year College 43 13.4 Post Graduate 34 10.6 Not Specified 10 3.1

NC Participants Table 1. Characteristics of Faithful Families Participants (N = 321) from Participant Entry and Exit Forms, North Carolina, 2016-2017

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NC Participants Table 2. Summary of Paired Samples T-Test Results in Self-Reported Behaviors Between Participant Entry and Exit Forms (N = 251), North Carolina, 2016-2017

Survey Pair Mean SD
  • Std. Error
95% confidence interval t statistic (df) p -valuea Correlation Lower Upper Pair 1 – plan meals ahead of time
  • 24.247
152.433 9.621
  • 43.196
  • 5.298
  • 2.520 (250)
0.012 0.886 Pair 2 – compare prices before buy food
  • 16.418
198.385 12.522
  • 41.080
8.244
  • 1.311 (250)
0.191 0.813 Pair 3 – run out of food before end of the month
  • 3.809
189.050 11.933
  • 27.310
19.693
  • 0.319 (250)
0.750 0.832 Pair 4 – shop with a grocery list
  • 20.291
139.303 8.793
  • 37.608
  • 2.974
  • 2.308 (250)
0.022 0.903 Pair 5 – let meat and dairy food sit out for more than two hours
  • 31.375
197.053 12.438
  • 55.871
  • 6.878
  • 2.523 (250)
0.012 0.820 Pair 6 – thaw frozen foods at room temperature
  • 15.235
153.551 9.692
  • 34.324
3.853
  • 1.572 (250)
0.117 0.882 Pair 7 – think about healthy food choices
  • 24.231
216.642 13.674
  • 51.163
2.700
  • 1.772 (250)
0.078 0.785 Pair 8 – prepare foods without adding salt
  • 20.323
139.299 8.792
  • 37.639
  • 3.006
  • 2.311 (250)
0.022 0.903 Pair 9 – use the “Nutrition Facts” on food label to make food choices
  • 40.347
194.958 12.306
  • 64.583
  • 16.111
  • 3.279 (250)
0.001 0.827 Pair 10 – your children eat something in the morning within 2 hours of waking up 15.550 407.837 25.742
  • 35.150
66.250 0.604 (250) 0.546 0.551 Pair 11 – eat meals or snacks or snacks with one
  • r more family members
  • 12.032
259.356 16.370
  • 44.273
20.210
  • 0.735 (250)
0.463 0.755 Pair 12 – average servings of vegetables consumed per day
  • 12.179
208.493 13.160
  • 38.098
13.739
  • 0.925 (250)
0.356 0.829 Pair 13 – average servings of fruit consumed per day
  • 12.259
188.518 11.899
  • 35.694
11.176
  • 1.030 (250)
0.304 0.857 Pair 14 – number of times sugar-sweetened beverages consumed per day 8.231 218.207 13.773
  • 18.895
35.357 0.598 (250) 0.551 0.818 Pair 15 – use MyPlate to make food choices
  • 12.725
302.114 19.069
  • 50.282
24.832
  • 0.667 (250)
0.505 0.687 Pair 16 – days per week with least 30 minutes of moderate exercise
  • 4.514
188.909 11.924
  • 27.998
18.970
  • 0.379 (250)
0.705 0.856
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National Partners

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Evidence

FaithfulFamilies.com/who-we-are/evidence/

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Lessons Learned

  • Perception of faith-based health promotion program
  • Time commitment and engagement
  • Faith community leadership and support
  • Important role of Lay Leaders
  • Building partnerships.
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Building Faith Partnerships

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National Implementing Partnership

FaithfulFamilies.com/where-we-are/implementing-partners/

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FaithfulFamilies.com

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