142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Assessing feasibility and community readiness to implement evidence-based obesity prevention policies in Native American reservations

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 12:30 PM - 12:45 PM

Valarie Blue Bird Jernigan, DrPH, MPH , College of Public Health, University of Oklahoma Health Sciences Center, Tulsa, OK
Leslie Carroll, MPH , College of Public Health, University of Oklahoma Health Sciences Center, Tulsa
Carolyn Noonan, MS , Centers for Clinical and Epidemiological Research, University of Washington, Seattle, WA
Gail Boe, MS , Osage Nation Communities of Excellence, Osage Nation, Pawhuska, OK
Julie Russ , Round Valley Reservation, Covelo, CA
James Russ , Round Valley Indian Health, Round Valley Indian Health, Covelo, CA
Dedra Buchwald, MD , Department of Epidemiology, University of Washington, Seattle, WA
Introduction: Environmental approaches are increasingly recommended to address obesity, yet little is known about the implementation of such approaches in Native American reservations. We assessed the feasibility of and readiness to implement obesity prevention and control policies recommended as part of the CDC’s Common Community Strategies and Measures for Addressing Obesity within tribal reservations in Oklahoma and California.

Methods: Diverse key stakeholders (n=138) in two Native American communities, selected for their differences in geographic setting, size, and potential opportunities to implement health policies, were asked to rate the likely success of several obesity prevention strategies in light of reservation culture, infrastructure, extent of leadership support, and funding.  Average feasibility scores were calculated and mean values ranked from highest (most feasible) to lowest (least feasible).  Tribal readiness to implement obesity prevention strategies was assessed using questions adapted from the Community Readiness Handbook. Means and standard deviations were evaluated for continuous variables and frequencies with percentages for categorical variables.  Readiness scores varied from 1 (no awareness) to 9 (high level of ownership and knowledge). 

Results: Both communities scored in the “Preplanning” stage of readiness. Both identified increasing availability of healthy foods in tribally-operated venues as the most feasible strategy.

Conclusions:  Formally assessing the feasibility of and community readiness to implement obesity prevention and control policies may provide a useful policy engagement framework for tribes to identify and prioritize promising strategies and take appropriate action steps toward policy implementation and/or maintenance. 

Learning Areas:

Planning of health education strategies, interventions, and programs
Public health or related public policy

Learning Objectives:
List evidence-based obesity prevention policies Assess the feasibility of implementing these policies in rural, under-served communities Utilize the community readiness model to develop appropriate strategies for moving communities closer to a policy implementation stage

Keyword(s): Community-Based Research (CBPR), Policy/Policy Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal or co-principal of multiple federally funded grants focusing on obesity prevention policy planning and implementation with Native American tribal communities.
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.