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to view the program - Society for Public Health Education

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advertisements. Specific health care collateral materials include prescription<br />

pads and blood pressure reading moni<strong>to</strong>ring cards. The look<br />

and feel of <strong>the</strong> campaign is uni<strong>for</strong>m across all media, yet is cus<strong>to</strong>mized<br />

<strong>for</strong> each CCCDP county. Campaign materials are disseminated within<br />

<strong>the</strong> community through multiple strategies. Using <strong>the</strong> Per<strong>for</strong>mance<br />

Partnership Model framework, dissemination strategies are developed<br />

collaboratively among key stakeholders from <strong>the</strong> community, health<br />

care, and worksite sec<strong>to</strong>rs through convening a Chronic Disease<br />

Summit. Campaign materials will be evaluated though established<br />

CCCDP project per<strong>for</strong>mance measures. Key Words: collaboration,<br />

chronic disease, campaign, media, health communications, community<br />

education, stakeholders, social marketing, and innovative.<br />

Cali<strong>for</strong>nia Collaborative <strong>for</strong> Chronic Disease Prevention: Using<br />

Policy, Environmental, and Systems Approaches <strong>to</strong> Reduce <strong>the</strong><br />

Burden of Chronic Disease<br />

Pamela Ford-Keach, MS, Arthritis Program and Heart Disease and<br />

Stroke Prevention Program; Jacqueline Tompkins MPH, CHES,<br />

Cali<strong>for</strong>nia Arthritis Partnership Program; Roberta Campbell, BS, CA<br />

Arthritis Program and Heart Disease and Stroke Prevention Program<br />

The Cali<strong>for</strong>nia Collaborative <strong>for</strong> Chronic Disease Prevention<br />

(CCCDP) is an integrated chronic disease project of <strong>the</strong> Cali<strong>for</strong>nia<br />

Heart Disease and Stroke Prevention Program, Cali<strong>for</strong>nia Arthritis<br />

Partnership Program, Cali<strong>for</strong>nia Diabetes Program, and Cali<strong>for</strong>nia<br />

Smokers’ Helpline <strong>to</strong> reduce <strong>the</strong> burden of cardiovascular disease by<br />

influencing shared risk fac<strong>to</strong>rs. CCCDP uses a multi-sec<strong>to</strong>r approach<br />

<strong>to</strong> implement: 1) interventions <strong>to</strong> streng<strong>the</strong>n individual self-management<br />

and physical activity behaviors; 2) policy, environmental, and systems<br />

(PES) level interventions <strong>to</strong> support individual behavior change;<br />

and 3) community education <strong>to</strong> influence PES intervention outcomes.<br />

CCCDP pilot project is currently being implemented in five counties<br />

both rural and urban and is highly replicable, with potential <strong>for</strong><br />

expansion statewide. Cali<strong>for</strong>nia’s Master Plan <strong>for</strong> Heart Disease and<br />

Stroke Prevention and Treatment recommends strategies <strong>for</strong> communities,<br />

schools, worksites, and health care systems <strong>to</strong> reduce high blood<br />

pressure. A literature re<strong>view</strong> suggests that good control of risk fac<strong>to</strong>rs<br />

<strong>for</strong> CVD (glucose, blood pressure, and lipids) has been associated<br />

with community linkages and delivery system design. The Chronic<br />

Care Model describes how patient care is enhanced through linkages<br />

between health care providers and community resources that improve<br />

self-management skills. Lessons learned from Cali<strong>for</strong>nia’s highly successful<br />

Tobacco Control Program in<strong>for</strong>med <strong>the</strong> CCCDP implementation<br />

design. CCCDP counties will use <strong>the</strong> Per<strong>for</strong>mance Partnership<br />

Model (PPM) <strong>to</strong> guide <strong>the</strong> development and implementation of PES<br />

interventions in multiple community sec<strong>to</strong>rs. The PPM can be used<br />

with traditional and non-traditional partners <strong>to</strong> share resources and<br />

expertise <strong>to</strong> achieve a measurable outcome that is demand driven, has<br />

universal appeal, and tracks progress. CCCDP counties will convene<br />

Chronic Disease Summits with stakeholders from <strong>the</strong> health care,<br />

worksite, and community sec<strong>to</strong>rs <strong>to</strong> identify and develop action plans<br />

<strong>for</strong> PES interventions that include community education, <strong>to</strong> support<br />

individual lifestyle behaviors. CCCDP is anchored by evidencebased<br />

individual interventions: Chronic Disease Self-Management<br />

Program, Walk with Ease Program, and Cali<strong>for</strong>nia Smokers’ Helpline.<br />

CCCDP per<strong>for</strong>mance measures assess continuous process improvement<br />

and impact at multiple levels. The final evaluation of CCCDP<br />

will demonstrate best practices <strong>to</strong>: (1) improve <strong>the</strong> reach and access of<br />

self-management and physical activity interventions available through<br />

community-based organizations; (2) implement systems change strategies<br />

in <strong>the</strong> health care sec<strong>to</strong>r <strong>to</strong> improve linkages with communitybased<br />

organizations; (3) implement policy strategies in <strong>the</strong> worksite<br />

sec<strong>to</strong>r <strong>to</strong> enhance opportunities <strong>for</strong> physical activity or participation<br />

in self-management <strong>program</strong>s; and (4) increase individual knowledge<br />

of <strong>the</strong> importance of self-management, physical activity, and <strong>to</strong>bacco<br />

cessation <strong>to</strong> prevent and control chronic disease.<br />

Concurrent Session C2<br />

Building <strong>Health</strong>y Communities: Policy<br />

Systems and Environmental Approaches<br />

<strong>to</strong> Chronic Disease Prevention<br />

Can <strong>the</strong> Home Environment Be Changed <strong>to</strong> Promote Physical<br />

Activity? Results From a Home-Based Pilot Intervention Study<br />

Iris Alcantara, MPH, Emory Prevention Research Center; Karen<br />

Glanz, PhD, MPH, University of Pennsylvania, Schools of Medicine<br />

and Nursing; Regine Haardoerfer, PhD, Emory Prevention Research<br />

Center; JK Veluswamy, BS, Emory Prevention Research Center,<br />

Southwest Georgia Cancer Coalition; James Hotz, MD, Albany Area<br />

Primary <strong>Health</strong> Care, Inc.; Michelle Kegler, DrPh, MPH, Emory<br />

University, Rollins School of <strong>Public</strong> <strong>Health</strong> Emory Prevention<br />

Research Center<br />

Physical activity (PA) is shaped in part by physical and social contexts.<br />

However, few studies have attempted <strong>to</strong> examine and change <strong>the</strong><br />

home environment <strong>to</strong> promote PA. The Emory Prevention Research<br />

Center, with community partners, pilot tested a home-based, environmental<br />

change intervention <strong>to</strong> promote PA among rural adults. The<br />

6-week intervention, based on goal setting and behavioral contracting,<br />

was delivered by community members trained as health coaches.<br />

Participants received tailored home environment profiles, and selected<br />

from a list of 4 environmental change strategies (rules <strong>for</strong> TV watching;<br />

having exercise equipment; neighborhood recreational facilities;<br />

and family time spent in PA). Data were collected by telephone at<br />

baseline, 2 months, and 4 months. 54 intervention and 36 comparison<br />

group participants completed all 3 inter<strong>view</strong>s. A majority were female;<br />

African American; age 50-59; overweight or obese; and married or<br />

living with a partner. Statistically significant differences were observed<br />

between <strong>the</strong> intervention and comparison group <strong>for</strong> <strong>the</strong> increase in <strong>the</strong><br />

amount of exercise equipment in <strong>the</strong> home, and family support <strong>for</strong> PA.<br />

28<br />

SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting

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