to view the program - Society for Public Health Education

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2:00PM-6:00PM (Half Day Workshops) WORKSHOP 7B The Power of Systems Thinking: Building Short Term Momentum in Service of Long Term Goals Claire Sherry Immediato, MPP, MBA, President, Heaven & Earth Incorporated Everybody likes to see results sooner rather than later. However we also recognize that the consequence of short-term thinking is that we often undermine the health of our systems to be sustainable over time. This is true for the individual and for society and all levels in between. The purpose of this workshop is to introduce two basic tools of systems thinking: 1) the iceberg as a metaphor for levels of appreciating reality and 2) system archetypes as the classic stories that help us appreciate system complexity and act more intelligently in service of both the short and long-term. We will consider how we can use these resources in our own work and in collaborating with multiple stakeholders with diverse agendas. Tuesday, May 3 These workshops are offered at the same time as concurrent sessions on both days. 8:30AM-5:00PM Workshop 8 (Full Day Workshop) Re-Imagining the Box: Critical Thinking and Problem Solving in Chronic Disease Marti Macchi, MEd, National Association of Chronic Disease Directors; Margaret Casey, RN MPH, National Association of Chronic Disease Directors This workshop is designed to expand and enhance the critical thinking and problem solving skills of chronic disease practitioners, both individually and as team members and leaders. During the course of the workshop, participants will explore what critical thinking is, why it matters in daily practice, and what skills and dispositions are needed to effective demonstrate critical thinking in interactions with others. The final components of the workshop enable the practitioner to take their skills into team situations to enhance the abilities of teams to collaboratively identify and solve problems. Interactive group exercises during the workshop will allow participants to assess their own level of expertise, practice applying the questions for critical inquiry, and demonstrate the use of these enhanced skills in building effective team processes in problem solving. Workshop 9 (Day 1) Using Systems Change to Create Impactful and Sustainable Statewide Chronic Disease Programs Shelli Bischoff, MPA, Nonprofit Impact; Jeanne Alongi, MPH, National Association of Chronic Disease Directors This workshop is a highly interactive, practical session to enhance skills and provide tools to create more efficient, effective, and integrated operations. It introduces a systematic process, based on proven practices and State examples, to develop chronic disease programs to deliver health outcomes, with partners, at a systems level. The workshop serves directors interested in integration; systems change; and/ or change processes. Integration: Policy, environmental and systems change requires a more integrated, cross- disease approach. This workshop provides the fundamentals, in a step-by-step guide, to create and implement a comprehensive and integrated chronic disease program. The material can be applied at the local, multi-jurisdiction, or state level. Specific case studies and examples will be used, and participants will have the tools for immediate application. Concurrent Session A 8:30 AM- 10:00 AM Concurrent Session A1 Ecological Approaches to Wellness: Integrating Community Health Workers into Health Promotion Programs Proyecto HEART: Integrating Community Health Workers into an Ecological Approach to Wellness in El Paso, Texas Hector Balcazar, PhD, MS, University of Texas School of Public Health, El Paso Regional Campus; Sherrie Wise, MPH, University of Texas School of Public Health, El Paso Regional Campus; Rafaela Gonzalez, CHW, University of Texas at El Paso - HEART Project; Aurora Aguirre Polanco, BS, Department of Public Health; Maria Duarte, PhD, MS, Health Promotion, University of Texas at El Paso; Lee Rosenthal, MPH, PhD, University of Texas at El Paso Proyecto HEART: Evaluating an ecological approach for a cardiovascular disease prevention model on the U.S.-Mexico border with community health workers. Balcazar H., Wise, S., Gonzalez, R., Aguirre Polanco, A. , Duarte, M., Rosenthal, E. L. Proyecto HEART (Health Education Awareness Research Team) is a community-based participatory and multi-institutional project that is testing an ecological model of cardiovascular disease health promotion and disease prevention in the El Paso Texas. The project has incorporated five elements being utilized to evaluate a variety of indicators. 18 SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting

The five intervention levels include: 1) the individual participant who is exposed to a 4-month intervention called “MiCMiC” “Mi Corazon, Mi Comunidad” (“My Heart, My Community”) directed towards activities focusing on nutrition and physical activity within a variety of lifestyle education and environmental enhancement programs; 2) interpersonal level represented by the community health workers, family and friends touched by HEART; 3) organizational level represented by HEART partners including the YWCA, Parks and Recreation Department where the 4-month MiCMiC intervention program is being launched; 4) community level represented by an evaluation site not participating in MiCMiC and by individuals and leaders who will continue supporting post intervention activities (i.e. walking groups, aerobic activities, cooking clubs); and 5) policy level with a policy agenda for HEART. In this presentation we highlight few evaluation results from the different elements of HEART. For example, for the individual participant we present results of the first pre-post cohort who enrolled in the 4-month MiCMiC intervention. Data is shown relative to changes in a variety of heart-healthy domains and outcomes such as blood pressure, BMI and a 3-minute step test for heart rate. Evaluation at each ecological level will be showcased. Proyecto HEART: Integrating Community Health Workers into an Ecological Approach to Wellness in El Paso, Texas Sherri Wise, MPH, University of Texas School of Public Health, El Paso Regional Campus, Lee Rosenthal MPH, PhD, University of Texas at El Paso; Rafaela Gonzalez, CHW, University of Texas at El Paso - HEART Project; Aurora Aguirre Polanco, BS, Department of Public Health; Maria Duarte, PhD, MS, Health Promotion, University of Texas at El Paso; Hector Balcazar, PhD, MS, University of Texas School of Public Health, El Paso Regional Campus Proyecto HEART: Development of a CVD risk factor reduction intervention targeting Hispanics in El Paso, Texas Wise, S., Rosenthal, L., Gonzalez, R., Aguirre Polanco, A , Duarte, M., Balcazar, H. BACKGROUND: The HEART Project (Health Education Awareness Team) is a two- stage 8 year NIH-funded CBPR project aimed to reduce cardiovascular disease risk factors highly indicated in Hispanic residents of El Paso, Texas. THEORETICAL BASIS: The second stage of programming comprises a lifestyle change and environmental enhancement intervention, theoretically driven by Social Cognitive Theory and the Social Ecological Model. METHODS: Utilizing an ecological approach, a key conceptual framework was established to guide Phase 2, and a multi-phasic development process was underwent. Core intervention development began with an inventory of programs and facilities at one YWCA branch location, three recreation and senior centers, four city parks, and six elementary schools. Second, the initial set of HEART Phase 2 programs were selected and categorized into two types: lifestyle education and environmental enhancement. Each program type was categorized once again into two foci: 1) nutrition activities, and 2) physical fitness activities. Finally, employing best practice methods, community health worker-led activities were integrated including 1) “charlas” (coffee talks), 2) heart-healthy cooking demonstrations, 3) heart-healthy grocery shopping tours, 4) Latin dance aerobics in the parks, 5) family sports/swimming, and 6) walking groups emphasizing peer support. RESULTS: The Phase 2 curriculum includes a family of CVD risk factor reduction activities entitled “Mi Corazon, Mi Comunidad” (My Heart My Community)(MiCMiC), which is facilitated by CHWs and community partner organizations. Results of the first intervention cohort and baseline measurement of a community phone survey will be showcased. A Strategy to Strengthen the Community’s Capacity to Build and Sustain CHWs and a HEART Healthy El Paso Aurora Aguirre Polanco, BS, Department of Public Health; Maria Rafaela Gonzales, CHW , University of Texas at El Paso - HEART Project; Lee Rosenthal MPH, PhD, University of Texas at El Paso; Hector Balcazar, PhD, MS, University of Texas School of Public Health, El Paso Regional Campus; Sherrie Wise, MP, University of Texas School of Public Health, El Paso Regional Campus; Mahamud Ahmed, MS, University of Texas at El Paso Proyecto HEART: Integrating CHWs into an Ecological Approach to Wellness in El Paso, Texas. A strategy to strengthen the community’s capacity to build and sustain CHWs and a HEART healthy El Paso. Aurora Aguirre Polanco, Lee Rosenthal, Mahamud Ahmed, Maria Rafaela Gonzalez , Sherry Wise, Maria Duarte, Hector Balcazar. Proyecto HEART applies a Community-base Participatory Research (CBPR) approach among Hispanics in the lower valley of El Paso, Texas. The main goal of the National Institutes’ of Health funded study is to reduce Cardio Vascular Disease (CVD) risks by promoting healthier lifestyles through the implementation of Community Health Worker (CHWs)-driven multifaceted intervention. Overall, the Proyecto HEART has identified two distinct policy aims, they are: 1) the sustainability of heart healthy environment in El Paso; and 2) the integration of CHWs into the labor force. In order to address the first policy aim, HEART partners frame their efforts in the ecologic perspective including a focus on the individual, interpersonal, organizational, and community levels. Examples of policy changes for a heart healthy community will involve changes in such areas as the built environment and the availability of physical fitness opportunities. For addressing the second policy aim, a policy agenda geared to building recognition and integration of CHWs in the workforce; an integral aspect of efforts in this area is the emergence of the “Working Group for El Paso Community Health Worker Workforce Development”. The working group has the command of designing a workforce development strategic planning process that is inclusive of the ideals and vision of local and state agencies such as: CHWs networks, El Paso Community College, the Texas Health and Human Services SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting 19

2:00PM-6:00PM (Half Day Workshops)<br />

WORKSHOP 7B<br />

The Power of Systems Thinking: Building Short Term Momentum<br />

in Service of Long Term Goals<br />

Claire Sherry Immedia<strong>to</strong>, MPP, MBA, President, Heaven & Earth<br />

Incorporated<br />

Everybody likes <strong>to</strong> see results sooner ra<strong>the</strong>r than later. However we<br />

also recognize that <strong>the</strong> consequence of short-term thinking is that<br />

we often undermine <strong>the</strong> health of our systems <strong>to</strong> be sustainable over<br />

time. This is true <strong>for</strong> <strong>the</strong> individual and <strong>for</strong> society and all levels in<br />

between. The purpose of this workshop is <strong>to</strong> introduce two basic<br />

<strong>to</strong>ols of systems thinking: 1) <strong>the</strong> iceberg as a metaphor <strong>for</strong> levels of<br />

appreciating reality and 2) system archetypes as <strong>the</strong> classic s<strong>to</strong>ries<br />

that help us appreciate system complexity and act more intelligently<br />

in service of both <strong>the</strong> short and long-term. We will consider how we<br />

can use <strong>the</strong>se resources in our own work and in collaborating with<br />

multiple stakeholders with diverse agendas.<br />

Tuesday, May 3<br />

These workshops are offered at <strong>the</strong> same time as concurrent sessions<br />

on both days.<br />

8:30AM-5:00PM<br />

Workshop 8 (Full Day Workshop)<br />

Re-Imagining <strong>the</strong> Box: Critical Thinking and Problem Solving in<br />

Chronic Disease<br />

Marti Macchi, MEd, National Association of Chronic Disease<br />

Direc<strong>to</strong>rs; Margaret Casey, RN MPH, National Association of<br />

Chronic Disease Direc<strong>to</strong>rs<br />

This workshop is designed <strong>to</strong> expand and enhance <strong>the</strong> critical thinking<br />

and problem solving skills of chronic disease practitioners, both<br />

individually and as team members and leaders. During <strong>the</strong> course of<br />

<strong>the</strong> workshop, participants will explore what critical thinking is, why<br />

it matters in daily practice, and what skills and dispositions are needed<br />

<strong>to</strong> effective demonstrate critical thinking in interactions with o<strong>the</strong>rs.<br />

The final components of <strong>the</strong> workshop enable <strong>the</strong> practitioner <strong>to</strong> take<br />

<strong>the</strong>ir skills in<strong>to</strong> team situations <strong>to</strong> enhance <strong>the</strong> abilities of teams <strong>to</strong><br />

collaboratively identify and solve problems. Interactive group exercises<br />

during <strong>the</strong> workshop will allow participants <strong>to</strong> assess <strong>the</strong>ir own level<br />

of expertise, practice applying <strong>the</strong> questions <strong>for</strong> critical inquiry, and<br />

demonstrate <strong>the</strong> use of <strong>the</strong>se enhanced skills in building effective team<br />

processes in problem solving.<br />

Workshop 9 (Day 1)<br />

Using Systems Change <strong>to</strong> Create Impactful and Sustainable<br />

Statewide Chronic Disease Programs<br />

Shelli Bischoff, MPA, Nonprofit Impact; Jeanne Alongi, MPH,<br />

National Association of Chronic Disease Direc<strong>to</strong>rs<br />

This workshop is a highly interactive, practical session <strong>to</strong> enhance<br />

skills and provide <strong>to</strong>ols <strong>to</strong> create more efficient, effective, and integrated<br />

operations. It introduces a systematic process, based on proven<br />

practices and State examples, <strong>to</strong> develop chronic disease <strong>program</strong>s <strong>to</strong><br />

deliver health outcomes, with partners, at a systems level. The workshop<br />

serves direc<strong>to</strong>rs interested in integration; systems change; and/<br />

or change processes. Integration: Policy, environmental and systems<br />

change requires a more integrated, cross- disease approach. This workshop<br />

provides <strong>the</strong> fundamentals, in a step-by-step guide, <strong>to</strong> create and<br />

implement a comprehensive and integrated chronic disease <strong>program</strong>.<br />

The material can be applied at <strong>the</strong> local, multi-jurisdiction, or state<br />

level. Specific case studies and examples will be used, and participants<br />

will have <strong>the</strong> <strong>to</strong>ols <strong>for</strong> immediate application.<br />

Concurrent Session A<br />

8:30 AM- 10:00 AM<br />

Concurrent Session A1<br />

Ecological Approaches <strong>to</strong> Wellness:<br />

Integrating Community <strong>Health</strong> Workers<br />

in<strong>to</strong> <strong>Health</strong> Promotion Programs<br />

Proyec<strong>to</strong> HEART: Integrating Community <strong>Health</strong> Workers in<strong>to</strong> an<br />

Ecological Approach <strong>to</strong> Wellness in El Paso, Texas<br />

Hec<strong>to</strong>r Balcazar, PhD, MS, University of Texas School of <strong>Public</strong><br />

<strong>Health</strong>, El Paso Regional Campus; Sherrie Wise, MPH, University<br />

of Texas School of <strong>Public</strong> <strong>Health</strong>, El Paso Regional Campus; Rafaela<br />

Gonzalez, CHW, University of Texas at El Paso - HEART Project;<br />

Aurora Aguirre Polanco, BS, Department of <strong>Public</strong> <strong>Health</strong>; Maria<br />

Duarte, PhD, MS, <strong>Health</strong> Promotion, University of Texas at El Paso;<br />

Lee Rosenthal, MPH, PhD, University of Texas at El Paso<br />

Proyec<strong>to</strong> HEART: Evaluating an ecological approach <strong>for</strong> a cardiovascular<br />

disease prevention model on <strong>the</strong> U.S.-Mexico border with<br />

community health workers.<br />

Balcazar H., Wise, S., Gonzalez, R., Aguirre Polanco, A. , Duarte, M.,<br />

Rosenthal, E. L.<br />

Proyec<strong>to</strong> HEART (<strong>Health</strong> <strong>Education</strong> Awareness Research Team) is a<br />

community-based participa<strong>to</strong>ry and multi-institutional project that is<br />

testing an ecological model of cardiovascular disease health promotion<br />

and disease prevention in <strong>the</strong> El Paso Texas. The project has incorporated<br />

five elements being utilized <strong>to</strong> evaluate a variety of indica<strong>to</strong>rs.<br />

18<br />

SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting

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