SHAPEing a Public-Private Strategy for Childhood Obesity Prevention Date: Tuesday, June 30, 2015 Time: 4:00 p.m. to 5:15 p.m. OBJECTIVES • Learning Objective 1: Recognize and understand the challenges and best practices in organizing a large-scale, statewide childhood obesity prevention initiative. • Learning Objective 2: Understand a framework for organizing partners and evaluating initiatives including collective impact measures used in a long-term, multi-sector, broad-based initiative. • Learning Objective 3: Review and discuss short-, intermediateand long-term goals associated with the obesity prevention strategies with a goal of understanding the impact of policy, program, system and environmental improvements. Welcome & Introductions Kelly Cornett Debra Kibbe Physical Activity Coordinator GA Department of Public Health Senior Research Associate Georgia Health Policy Center Emily Anne Vall Trisha Hardy Childhood Obesity Program Manager Director, Wellness Children’s Healthcare of Atlanta GA Department of Public Health Lighting-Round Intros 1. STAND UP 2. FIND A PARTNER 3. SHARE • Name and organization • A professional accomplishment or fact • Your favorite food or physical activity Why Are You Here? A “Picture” of Georgia Population 9,994,759 1/3 live in Metro Atlanta Race and Age 60% White, 31% Black, 9% Hispanic 25% below age 18 Political Party 67% Republican 33% Democrat Other Notables Top 10 for WIC & SNAP 18% below poverty Favorite Foods Sweet tea Peaches & Peanuts Anything fried! Georgia’s Childhood Obesity 17th in the nation for childhood obesity Source: 2011 National Survey of Children's Health, http://stateofobesity.org/children1017/ ther Health Determinants Healthy Fitness Zone? (HFZ) Body Mass Index Percent of students in healthy fitness zone -37-50 I: 51-53 54-56 -57-53 Cchu?I WT Em. -. Source: Georgia Dapanment of Education 20l2-20I3Annua] FimessAssessment Healthy ?tness Zone? criteria as per FITNESSGRAME Used with permission from Human Kinetics on bel'ia? of The Cooper lnstimm?. GA’s Efforts to Address Childhood Obesity 1990: National Childhood Nutrition & PA Meeting (Atlanta) 2012: Georgia SHAPE is Born! Creating a Framework for Change GEORGIA What is Georgia Shape? A statewide, multiagency, multidimensional initiative Led by the Governor & Shape Council A 10-year strategic initiative to address childhood obesity A collaborative of governmental, philanthropic, academic and business communities Members of the Governor’s Advisory Council on Childhood Obesity John Alpers VP of Sales and Marketing, Royal Food Service John Bare Nathan Deal Rhona Applebaum, PhD Chief Scientific & Regulatory Officer and Vice President of The Coca-Cola Company Evelyn Johnson, MD Vice President, Georgia Chapter, American Academy of Pediatrics Ron Shipman Vice President. Environmental Affairs, Georgia Power Brenda Fitzgerald, MD Council Co-Chair Vice President, Arthur M. Blank Foundation Council Co-Chair Governor, State of Georgia Commissioner, Georgia DPH Jim Clark President and Chief Executive Officer, Boys & Girls Clubs of America Linda Matzigkeit Chief Administrative Officer, Children’s Healthcare of Atlanta David Satcher, MD, PhD Director, Satcher Health Leadership Institute; Director, Center of Excellence on Health Disparities, Morehouse School of Medicine Casey Cagle Lieutenant Governor, State of Georgia Barbara Hampton, CPA Chairman, State Board of Education Teya Ryan President and Executive Director, Georgia Public Broadcasting Phillip Williams, PhD Dean, College of Public Health, University of Georgia Our Goal By 2023, 69% of GA Students will be in the Healthy Fitness Zone for BMI How do we achieve this goal? Socio-ecological Model as a Guide Social Norms and Values Home School Community Work Site Sectors of Influence Behavioral Settings Food and Beverage Industry Agriculture Education Media Government Public Health Healthcare Genetics Psychosocial Other Personal Factors Individual and Family Factors Employers Land Use and Transportation Leisure Recreation Note: Adapted from “Preventing Childhood Obesity.” Institute of Medicine, 2005. Prevention of Overweight and Obesity Among Children, Youth, and Adults Multiple Stakeholders, Multiple Settings Healthcare: S4L, AAP, WIC, Baby-friendly hospital, Telehealth School/AfterSchool: Power Up for 30, SHAPE Grants, HMP, S4L, Alliance, YMCA, B&G Club, GA Organics Behavioral Settings Community/ Parks & Rec: 4 HC GA Fdn Counties, Walk GA, Tons of Fun Worksites: Schools, DPH, Healthways Retail: PICH, REACH, Children’s HC Early Care: DECAL QR, SHAPE recognition, Get Fit Toolkit, UGA, YMCA, HMP Food Service: Smart Lunchroom, Feed My School, Farm to School/Preschool Multiple Sectors DPH, Children’s, Professional Assns: GHA, AAP, GAND, GAFP, School Nutrition, GAHPERD, Nurses Ag, GFPC, Georgia Organics Sectors of Influence Foundations & Funders CDC, Title V, Centene, Coca-Cola, AMB/ Falcons, USDA HC GA Fdn Counties (Baldwin, Cobb, Cook, Chatham); Columbus System and Policy Levels in Place • Informs legislators and others about how their decisions related to funding impacts childhood obesity over 10 years • Systems: Education, Transportation, Healthcare • Levers: School PE, Afterschool PAN, Preschool PAN, Competitive Foods, MNT, SRTS, Breastfeeding Georgia Shape Structure Governor’s Office The Governor’s Advisory Council on Childhood Obesity Physical Activity Nutrition Communications Data Healthcare Local and Community Interventions Georgia Shape Logic Model INPUTS: WHAT YOU HAVE • • • • • Governor’s Council Public/Private Investment State Agencies Stakeholders Shared Brand/Vision OUTPUTS: WHAT YOU DO & WHO WILL PARTICIPATE OR BE REACHED • Activities • Diverse Participation OUTCOMES: WHAT HAPPENS OR CHANGES • Short-term (2013-2016) • Intermediate (2017-2022) • Long-term (2023-2024) Our Challenges Communications, marketing and branding Connecting systems and partners Political Landscape Competitive Funding Challenges Georgia vs. California est art Complex Partnership Collaboration is the Key to Success Challenge Solution Multiple organizations with similar initiatives, but unique identities competing for funding SHAPE facilitates collaboration, but allows organizations to retain brand identity Communications critical function for creating awareness and promoting behavior change, but limited resources exist SHAPE leverages existing resources on low cost, high impact tactics; Children’s leverages its marketing resources to collect and share data to all stakeholders Multiple sectors working with kids but limited connectivity SHAPE council represents diverse stakeholders; workgroups meet regularly and inform broader strategy decisions System level decision making can be slow and politically charged Partners work to gain local support and conduct small pilots to demonstrate success in Georgia Successes Statewide FitnessGram Data Over 1.1 Million Power Up for 30 PA Intervention Over 350,000 touched Statewide TA & Recognition Programs Over 79 TA awards, over 250 recognitions annually Consistent Healthcare Provider Messages 100% WIC trained Over 2500 Providers trained Power Up for 30 581 PLEDGED SCHOOLS 465 TRAINED SCHOOLS 70% SURVEY RESPONSE RATE 250K+ STUDENTS IMPACTED An elementary school initiative supported by Georgia DOE and DPH Integrates 30 minutes of physical activity seamlessly into the school day Supports research connecting physical activity and academic performance Statewide Reach of Healthcare Providers 3,000 healthcare providers trained in motivational interviewing, goal setting and obesity protocols  PCPs  WIC nutritionists  School nurses  RDs Questions '2 '2