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CX 3 Orientation

CX 3 Orientation. FFY 2012. Presented by:. Valerie Quinn & Alyssa Ghirardelli. CX 3. Communities of Excellence in Nutrition, Physical Activity and Obesity Prevention (CX 3 ) C = Communities X = Excellence 3 = 1 (nutrition) + 2 (PA) + 3 (obesity prevention). Agenda.

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CX 3 Orientation

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  1. CX3 Orientation FFY 2012 Presented by: Valerie Quinn & Alyssa Ghirardelli

  2. CX3 Communities of Excellence in Nutrition, Physical Activity and Obesity Prevention (CX3) C = Communities X = Excellence 3 = 1 (nutrition) + 2 (PA) + 3 (obesity prevention)

  3. Agenda • Welcome!!! Fresno, Imperial, Kern, Merced, SLO, Santa Cruz, Sonoma, Stanislaus, San Diego, Tulare • Background & Orientation to CX3 • Overview • History on CX3 indicators and assets • Data analyses, changes & improvements • Strategizing, Lessons Learned • Resources & Timeline

  4. You are what you eat

  5. Neighborhoods Matter

  6. Neighborhoods Matter

  7. You are what you eat where you live Stroke Obesity Poor nutrition Diabetes Cancer

  8. CX3: Project Background Objectives: • Collect real-world data that accurately conveys neighborhood conditions 2. Activate consumers to improve food availability in low-income neighborhoods* Focused initiative with local health depts. • Began 2006 (6 pilot sites) • Collect neighborhood-level data using CX3 standardized tools & methods • Over 100 neighborhoods * >50% 185% FPL

  9. Why local health depts? 10 essential public health services www.cdc.gov/nphpsp/essentialservices.html

  10. Your Role • Change Agents • Data collection by local health department • Involve community members where possible • Disseminate and engage: Community groups, neighborhoods actively involved, community leaders

  11. Neighborhood Nutrition Data • Look at nutrition in the broadest sense: All about understanding how consumers are influenced in their food choices. • Are healthy food choices available and accessible to residents of low-income neighborhoods? • How many fast food outlets are in neighborhood and around schools? What’s the proportion to large grocery stores? • How much and what are the types of nutrition marketing messages around schools? At stores? • Safely walk to store? Is it accessible? • And more!

  12. Data Uses • Expose disparities • Resource allocation • Engage residents in advancing change • Program planning- tailor interventions • Real-world data to create healthier neighborhoods • City/Co Planners, Redevelopment agencies, inform General Plan, health impact, etc. • Program evaluation

  13. Resources Steps, time, & resources

  14. Standardized Indicators Tools & Methods Real world data 4 STEPS Compile localized real world data 2. Set priorities based on data 3. Implement strategic, community-focused action plan 4. Evaluate progress over time CX3– How does it work?

  15. Webinars • Communication templates • Monthly check-in calls • Trainings • Tools and methods binder Link to document on CX3 website: http://www.cdph.ca.gov/programs/cpns/Pages/CX3Overview.aspx

  16. CX3 Data • #1: Mapping (aka Tier 1) • GIS, cutting-edge public health tool; Web searches • Time: 1 day training, up to 3 days for mapping • Selecting neighborhoods takes time to ponder & plan (up to 20 hours) • * SNAP-Ed eligible: Comprised of census tracts where 50% of residents are at or below 185% FPL

  17. Network GIS Updates • Updated buffering with creation of double buffers • Ability to show and download data inside buffers • Measure tool to gauge distances through streets • More frequent retail database updates • Revised demographics with ACS (American Communities Survey) data

  18. Use of other data sources Environmental health data Google/Yahoo Google street view City crime data – variable, but emerging Walkscore/Transit Score walkscore.com Healthy City healthycity.org All CA- does not include data about store for points on map

  19. CX3 Data – Cont. #2: On-the-Ground (aka Tier 2) • In-depth look (quality) at nutrition factors • Involve community members/youth • Training • Time: 1 day training • Train-the-trainer • 2 months for field work • Multiple surveys: • Stores & walkability; Fast Food • Outdoor • Mobile vending • Emergency food outlets, • Alternative healthy foods

  20. CX3 Data– Cont. #3: Community Assets (aka Tier 3) • Internal look at your department • Media coverage – via web search

  21. CX3 Tools & Methods • Innovative • Unique scoring system • GIS,powerful data layers • Standardized • Local focus • Reliability tested* • Updated, relevant - New features, analyses * Store survey tool

  22. Key to success: Community involvement

  23. The beginnings

  24. CreatingCX3 • 2004 – 2005 • Model after Tobacco Control Program • What makes an excellent community?

  25. Indicators & Assets • Indicators- Community Environments: • Neighborhood • Preschool • School • After-school • Worksite • Government - Nutrition and PA • Assets: • Health department infrastructure • Political will • Community infrastructure

  26. Indicators • Community Indicators: Criteria for including… • Environmental or community level measures (e.g., policies) • Possible to change by community • Addresses an intermediate goal • Items are stated neutrally

  27. Creating CX3 – cont.

  28. Indicators& Assets • Community Indicators • Specific, observable characteristics of a community’s environments & norms. • Example • “Supermarkets and grocery stores offering healthy, affordable food choices are located in low-income neighborhoods and readily accessible to residents.”

  29. Indicators & Assets Assets A community’s “readiness” for addressing environmental change. Example “Extent of local media coverage that is supportive of role of communities and government in addressing obesity prevention, not just a matter of “individual choice.”

  30. CX3 Focus: Neighborhood But, other CX3 environments soon?

  31. CX3 Sites • 25 Network funded Local Health Departments and more with other funding • All types: Urban dense, suburban, rural, remote CX3 LOCAL HEALTH DEPARTMENTS Alameda (2006) ▲ San Diego (2007) Berkeley (2006) ▲ San Francisco (2012) Contra Costa (2007) San Joaquin (2009) Humboldt (2011) San Mateo (2009) Kern (2006) ▲ Santa Barbara (2008) Long Beach (2009) Santa Clara (2006) ▲ Marin (2007) Shasta (2008) Monterey (2008) Solano (2007 Orange (2008) Sonoma (2008) Pasadena (2008) Stanislaus (2008) Riverside (2006/2011) ▲ Tulare (2009) Sacramento (2007) Ventura (2007) San Bernardino (2006) ▲ Yolo (2011) ▲ Pilot sites

  32. Mountain of data!

  33. CX3 : Localized Data Analysis

  34. Neighborhood level Store level CX3 Data Analyses

  35. Neighborhood level: Retail Food Environment HEALTHY vs. UNHEALTHY FOOD SOURCES* * Percent of neighborhood stores offering predominately healthy food vs. those offering predominately high fat/sugar food. Healthy food sources include supermarkets or large grocery stores, small markets meeting quality standards, farmers markets & fruit/vegetable markets. High fat/sugar food sources include fast food outlets, convenience stores, & small markets not meeting quality standards.

  36. Store level • Scores automatically • Formulas

  37. CX3 Communications pieces

  38. After Data Collection • Share data with department leadership, community groups, neighborhood residents, etc. Get input! • Prioritize actions • Network interventions vs. other groups pursue • Implement strategic SoW activities based on data findings • If applicable, compare with previous data collected • Were there changes? • CX3 Team working on way to make data comparison easy

  39. CX3Success Stories • Solano: Findings presented to several community groups & local action, used for several grants. • Santa Clara: Data helped mobilize the community, guide focused activities and interventions. Experience from CX3 resulted in CHiN-uP! (Coalition for Health, Nutrition & Physical Activity) creating a one-year work plan. • Shasta: Findings indicated none of the restaurants surveyed met the CX3 criteria for a healthy restaurant. Led to adoption of the Healthy Kids Choice (HKC) restaurant partnership program to increase and promote healthy kids menu options.

  40. CX3Success Stories (cont.) • San Mateo: YO! Mateo youth interviewed about the Healthy Neighborhood Stores campaign and the Friday Night Live Network on "Beyond the Headlines" with Cheryl Jennings on ABC7 news http://abclocal.go.com/kgo/video?id=8270974 (The segment can be found exactly at the 18:22 mark of the video if you would like to fast forward to the interview.)

  41. http://www.cdph.ca.gov/programs/cpns/Pages/CX3_Main_Navgation.aspxhttp://www.cdph.ca.gov/programs/cpns/Pages/CX3_Main_Navgation.aspx

  42. Finalizing new GIS layer and method to include coffee shops, ice cream, donuts and other types of restaurants within ½ mile of schools • A “retail exposure scale” will be provided to help compare and identify schools • Also a neighborhood “school score” will be available to look at stores, fast food, outdoor marketing and mobile vending around schools

  43. How did they do it? From the Field… # of Census tracts How Neighborhoods selected Tier 1 – Who mapped? Ease of use? Tier 2 – Who organized? Foot work? Key advise? Suggested resources Top benefit? Key local health department staff

  44. Timeline… accelerated • Tier 1/Mapping Training: • Oct 12, Nov 7, Dec 12, Jan 6 • Tier 2 Training: TBD • Late Jan/early Feb 2012 • Field Work: Mar – Jun • Send data to State to be entered, analyzed and returned to you • Share data, community forums, etc.: Jul – Sept • Monthly conference calls – for strategizing, reviewing tools, etc. Webinars used also.

  45. Timeline & Next Steps (Cont.) • Thinking ahead: • Which neighborhoods? • Field work-people power? • How can the Network help?

  46. Questions? Strategizing…

  47. “Health Happens Here” • Powerful 60 sec. video about importance of neighborhoods, produced by TCE • Use in your presentations • http://www.youtube.com/watch?v=ZE4x1fftPJI&feature=youtu.be

  48. CX3 Benefits • Advances local change – Proven! • Puts local groups at forefront for obesity prevention • Standardized indicators, methods, tools • Appealing to funders

  49. JNEBPublication • Recent July/Aug Publication in Journal of Nutrition Education and Behavior, covering reliability results and store scores • Supplement covering findings from Network for a Healthy California

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