Shirley Fleming, CNM, DrPH¹, Cynthia A. Boyd, MSN, PhD, FAAN², Nancy Tartt, MS³, Michael T. Quinn, PhD⁴, Cedric Herring, PhD⁵, Charles L Baum, MD⁶, Michael D. Lieber, PhD⁷, and Glenda Burnett, RN, MUPP². (1) First Deputy Director, Chicago Department of Public Health, 33S. State, Chicago, IL 60604, 312-747-9887, Fleming_Shirley@cdph.org, (2) UIC Neighborhoods Initiative, University of Illinois at Chicago, 845 S. Damen Suite 506 mc/802, Chicago, IL 60612, (3) Neighborhood Initiative-Divison Of Community Health, University of Illinois at Chicago, 845 South Damen m/c 802, Chicago, IL 60612, (4) Department of Medicine, Diabetes Research and Training Center, University of Chicago, 5841 S. Maryland Avenue, mc/6091, Chicago, IL 60637, (5) Sociology, University of Illinois At Chicago, 1007 West Harrison Room 4112, mc/312, Chicago, IL 60607, (6) Alexian Brothers Hospital Network, 25 E. Schaumburg Rd, Suite 110, Schaumburg, IL 60194, (7) Anthropology, University of Illinois At Chicago, 1007 West Harrison Room 3110A, mc/027, Chicago, IL 60607

The LHPP is a CDC funded REACH 2010 initiative to eliminate health disparities in two contiguous Latino and African American Chicago communities. The project focuses specifically on Type 2 diabetes and cardiovascular disease and includes interventions to evoke change at the individual, organizational, community and system level. The targeted communities experience poor outcomes for both diseases as evidenced by a higher morbidity and mortality rate and prevalence of risk factors such as poor nutrition, sedentary lifestyle, obesity and smoking which exceed those of the City as a whole. A community action plan (CAP) developed in collaboration with key community stakeholders, details specific action steps to design the project, increase public awareness of associated risks, organize a community coalition and sustain community engagement as the project evolves towards independence. Specific efforts include: increasing the number of involved Latino and African American community representatives, engage the religious and business communities in partnerships, motivate the political leadership to become involved and implement interventions to address health disparities. The CAP is the foundation for the evaluation plan which will document the effectiveness of the interventions, the degree of community change and outcome of technical assistance provided to organizations and the coalition as the project moves towards sustainability. A multi-method evaluation plan was developed around six action steps described in the CAP. The evaluation looks at individual behaviors, measures of self-efficacy, and behavioral intentions in the target groups (persons with diabetes, hypertensives, their families, those at risk for diabetes and cardiovascular disease). Provider competency, organizational and environmental changes are measured pre and post intervention using quantitative and qualitative methods.

Learning Objectives:

• Described the Chicago REACH 2010 initiative to reduce health disparities in cardiovascular disease and diabetes.
• Describe the methods to engage community stakeholders in the assessment, design, monitoring and evaluation of the Lawndale Health Promotion Project.
• Describe challenges associated with the development of a partnership network focused on community wide change.

Keywords: Health Promotion, Community Involvement

Presenting author's disclosure statement:
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: employment Chicago Department of Public Health