264567 Successful programming to prevent chronic disease in rural communities: Results of an enhanced evaluation

Monday, October 29, 2012

Pat Conway, PhD, LCSW , Essentia Institute of Rural Health, Essentia Health, Duluth, MN
Sharon Buhr, MPH, RD, LRD , Young People's Healthy Heart Program, Mercy Hospital, Valley City, ND
Deanna Askew, MPA, RD, LRD , Healthy Communities, Department of Health, Bismarck, ND
Susan Mormann , Heart Disease and Stroke, North Dakota Dept of Health, Bismarck, ND
Joyce Sayler , ND Comprehensive Cancer Control Program, ND Department of Health, Bismarck, OH
Dubi Schwanz, MBA, MBM , Community Outreach Coordinator, ND Department of Health, Bismarck, ND
Alice Musumba , Epidemiology, ND Department of Health, Bismarck, ND
The goal of the Barnes County ON THE MOVE (OTM) Chronic Disease Prevention Project is to improve levels of physical activity and nutrition among people living in their rural county, in order to decrease obesity and chronic disease (heart disease, hypertension, diabetes, cancer, and colorectal cancer). The program is particularly important because of rising obesity rates in rural communities and the difficulties with engaging rural residents in prevention programming. A collaboration between local, state, and national entities, OTM is based on the public health approach, with diverse strategies aimed at different levels of the social ecology. It includes community education; policy change; environmental adaptations; workplace programs; and individual behavior change through physical activity and nutrition classes, guided by an active community coalition. Physical activity and nutrition programs have been implemented in the public and private schools, the university, community venues such as the public recreation program and private gymnasiums, and community organizations and factories. The OTM program joined with their state and national partners to conduct an enhanced evaluation. Annual member surveys, focus groups with adults and children, and an OTM Partnership social network analysis survey provided both quantitative and qualitative information regarding level of participation in and satisfaction with physical and nutritional activities factors that influenced participation, coalition contributions and involvement, and recommendations for change. This presentation describes the results of the evaluation, identifying factors contributing to OTM's success, its barriers and challenges, and a model for other rural communities committed to prevention of chronic disease among rural residents.

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Explain the relationship between risk factors such as limited physical activity and increased obesity with chronic disease. Describe factors that contributed to successful prevention programming in a rural community, designed to increase physical activity and improve nutrition.

Keywords: Community Health, Rural Communities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have both the academic preparation and experience in program development and implementation and as the director of Barnes County On The Move to be an abstract author.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.