Conference Abstracts26community partners providing medical, behavioral, nutrition,exercise and community education and support. Childrenand their families were evaluated throughout to documentchanges in awareness, knowledge, attitudes, and skills relatedto healthy behaviors. Results: At the end of the program,66.7% of children had a decreased BMI. Sixty-nine percent ofchildren reported eating at least two fruits and two vegetableseach day. Over three-fourths of children reported that theywere sure they could exercise after school instead of watchingtelevision and 91.6% reported feeling better about theirbody . Conclusion: The dynamic relationship between thecommunity-based partners, including a local hospital, YMCA,public schools, and a state university, may be an innovativesystems model to increase the success of the families towardsthe goal of leading a healthier life and reducing obesity.We THRIVE! One Community at a Time: A Model Process<strong>for</strong> Developing Policy, Systems and EnvironmentalChange Strategies <strong>for</strong> Chronic Disease PreventionJaime Love, MEd, CHES, Hamilton County <strong>Public</strong> <strong>Health</strong>There are over 23 million obese children in the United States.Hamilton County, Ohio has a high rate <strong>for</strong> some chronicdiseases and several communities that are disproportionatelyaffected. In Hamilton County, half of adults are overweightor obese and only 1 in 3 engages in moderate activities <strong>for</strong>at least 10 minutes 3 to 5 times per week. Only 8.7 percent ofadults consume at least 5 fruits and vegetables per day <strong>for</strong> 6or more days per week. One out of every three third gradersis overweight or obese. The adult smoking rate in HamiltonCounty is 30 percent, well above the 20 percent state average.As a result Hamilton County <strong>Public</strong> <strong>Health</strong> (HCPH) targetedthree high-risk/high-need communities to initiate a grassrootsef<strong>for</strong>t - Lincoln Heights, Lockland and Woodlawn (combinedpopulation of 10,600). In these three communities the diabetesand cardiovascular disease rates are seven times higher thanthe state average. In 2008 HCPH received a Strategic Alliance<strong>for</strong> <strong>Health</strong> grant from the Centers <strong>for</strong> Disease Control andPrevention to address obesity and chronic disease in thecounty through the implementation of policy, systems andenvironmental change (PSE) strategies. Using a combinationof the Theory of Reasoned Action and Social Cognitive TheoryHCPH developed the WeTHRIVE! campaign. WeTHRIVE! hasmobilized over 135 residents and 15 schools in the targetcommunities <strong>for</strong> PSE strategies to increase physical activity,healthy eating and decrease tobacco use and exposure.As a result of the WeTHRIVE! project some of the successesinclude:- Comprehensive Tobacco-free policies in schools andpolitical jurisdictions, including indoor and outdoor areas-Competitive food policies passed in school districts with over90% compliance- Infrastructure changes including walkingpaths, par course equipment and pocket parks- Wellnessresolutions in day care centers- Physical activity integrated intothe classroom and be<strong>for</strong>e/after-school activities- Safe routesto school programs- Community and school gardens and ahealthy corner store initiative <strong>for</strong> access to fresh produce-Comprehensive branding and marketing planComprehensivepolicy change is an effective way <strong>for</strong> communities and schoolsto prevent chronic disease and <strong>for</strong> public health/non-profitagencies to maximize the use of grant dollars to impact thelargest amount of people with systematic change. HCPHhad success implementing the WeTHRIVE! initiative in targetcommunities and could provide guidance <strong>for</strong> institutingSOPHE 62nd Annual Meetingpolicy change. HCPH has since received additional funding toimplement WeTHRIVE county-wide (population 800,000+).Initiative <strong>for</strong> Diabetes <strong>Education</strong> and Support (ProjectIDEAS): A Diabetes Self Management ProgramDiana Hassan, MS, CHES, Michigan State University Extension,Western Michigan University; Amy Curtis, MPH, PhD, WesternMichigan University, College of <strong>Health</strong> and Human ServicesDiabetes is an epidemic that has adverse effects on the U.S.population. Michigan’s diabetes prevalence has increased15% in the past 5 years and ranks 15th in the nation. Theneed <strong>for</strong> diabetes self-management programs is high, butun<strong>for</strong>tunately these programs are not always accessibleand/or tailored to those with lower education and income.This study is evaluating a free culturally-sensitive 4-hourprogram tailored to this population. This program involvesa collaboration of health care professionals with membersfrom the community. The educational component of theprogram is based on the American Diabetes Associationrecommendations and is offered at the patient’s medicalhome. A physician and pharmacist from the facility teamteachthe program with a student health educator, usingdata from earlier focus groups and patient medical recordsto tailor the materials and delivery style. Participants arealso encouraged to attend monthly support groups led bycommunity health workers who were carefully selected andtrained by the health educator to deliver culturally-sensitiveworkshops. Methods: Three educational workshops havebeen conducted thus far. A pre-post test is included thatmeasures participant diabetes-related knowledge. In<strong>for</strong>mationfrom medical records is being collected as well as biometricsand goal-setting in<strong>for</strong>mation at support groups. Preliminaryworkshop results (n=18) indicate that participants haveimproved knowledge, particularly related to: LDL cholesterollevels and nutrition knowledge. Next Steps: Diabeteseducation workshops are continuing with monthly supportgroup meeting held at the medical home. A church-basedversion of the program is at its initial stages of implementation.The Contextual Framework and Implicationsof a Culturally Relevant Evidence-Based BreastCancer <strong>Education</strong> Model <strong>for</strong> Young WomenMichele Doughty, DHed, A.T. Still University Post Doctoral StudentThe 2000-2006 Surveillance Epidemiology and EndResults Program (SEER) reported African American womenexperienced a higher incidence of early onset invasive breastcancer and in situ breast cancer in comparison to otherracial/ethnic groups at earlier ages (NCI, 2009). The onset ofaggressive breast cancer subtypes is higher under age <strong>for</strong>tywithin this subgroup. The research hypothesis focused onwhether or not an evidence based breast cancer interventioncould increase conceptualization of breast cancer in thisethnicity ages 20-39 in high risk regions in the Delaware Valleyregion. The <strong>Health</strong> Belief Model (HMB) was used to tailorand target the educational intervention <strong>for</strong> this subgroup.The researcher over a course of 10 months designed,implemented, and evaluated a 4-part evidence based breastcancer prevention educational model. The intervention wasimplement in-class and through an asynchronous learningenvironments to increase conceptualization of breast cancerand to influence the utilization of preventive services inthis subgroup. The intervention was implemented in 2 yr
Conference Abstractsand 4 yr post secondary schools and community basedorganizations to determine changes. The interventiontargeted biological distinctions, risk reduction strategies, earlydiagnostic methods, and preventive services. A quantitativeand qualitative methodology was employed through theadministration of pre-survey intervention, post surveyinterventionand course evaluation design. The quantitativemethodology was structured in five thematic areas:conceptualization of breast cancer, ethnic/age distinctions,access to preventive services, internalization of risk reductionstrategies and perceptual values. The qualitative methodologythrough a participant self-assessment gathered analytical datarelated to intervention efficacy, relevancy and implications<strong>for</strong> future steps. The results showed the intervention wasstatistical significant improving conceptualization of breastcancer in African American women in a classroom environmentp
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