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Community coalitions as a model for communicating health risk

Community coalitions as a model for communicating health risk. Katie Baker, MPH November 16 th A presentation to the China-ETSU Health Education Institute . overview. Adolescent Health Sending messages that “work” What to Do When You Know “What Works”

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Community coalitions as a model for communicating health risk

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  1. Community coalitions as a model for communicating health risk Katie Baker, MPH November 16th A presentation to the China-ETSU Health Education Institute

  2. overview • Adolescent Health • Sending messages that “work” • What to Do When You Know “What Works” • Developing a Classroom-Based Health Program for Adolescents • The Importance of State and Local Coalitions • Disseminating Your Health Program • Other Partnerships to Consider • The Advantages of Multi-Level Partnerships

  3. Adolescent Health • Critical period of development • First time for many high-risk behaviors • Very few evidence-based programs addressing adolescent health • Parents as educators • Comprehensive, classroom-based programs

  4. Lessons in Adolescent health • The “health message” is often ineffective. • We need more salient messaging. • For example, appearance damage • Health programs with multiple sessions, multiple components.

  5. Adolescent health program:multiple sessions • Local Pilot Program of a Classroom-Based Program for High School Students • 4 Sessions Over 4 Weeks • Module 1: Melanoma • Module 2: UV Radiation • Module 3: Sun Safety • Module 4: Appearance-Enhancing Alternatives

  6. Adolescent health programs: Multiple components • Classroom Lectures presented via PowerPoint • Newsletters (small media) • Interactive and home-based activities • Samples (i.e., sunscreen) • DVD of a melanoma survivor’s story

  7. Adolescent health program: dissemination through coalition • Coalitionis defined as ‘an action-oriented partnership with a focus on preventing or ameliorating a community problem.’ • Community coalitions are a specific type of coalition defined as ‘a group of individuals representing diverse organizations, factions or constituencies within the community who agree to work together to achieve a common goal.’ (Butterfoss & Kegler, 2002)

  8. Adolescent health program: Dissemination through Coalition • Tennessee Cancer Coalition • Timeline • First committee formed in 2001 • Planning grant from CDC awarded in 2003 • First Comprehensive Cancer Control Plan published for 2005 – 2008 • Second Plan published with ‘Burden of Cancer in TN’ document released in 2009 • Currently funded by: • CDC grant administered through the Tennessee Department of Health • $250,000/year • Donations

  9. Tennessee Cancer coalition • Mission Statement • To measurably reduce the burden of cancer on the citizens of Tennessee by implementing health plans driven by: • Data • Science • Capacity • Outcomes

  10. Adolescent health programmeets coalition guidelines • Data • Melanoma incidence rates, an “epidemic” • Epidemiological link between indoor tanning and melanoma. • Indoor tanning is most popular among older adolescent females. • Science • Salient Messaging • Capacity • “Don’t reinvent the wheel” • Outcomes • Pre- and post-intervention assessments

  11. Adolescent health program:dissemination through coalition

  12. Adolescent health programdissemination through coalition • Each region of the Tennessee Cancer Coalition is made up of counties. • Northeast TN = 8 counties • Each county has a Health Council. • 8 counties = 8 Health Councils

  13. Adolescent health programdissemination through coalition • Attended 8 County Health Council meetings • Invited Council members to join the Tennessee Cancer Coalition • Offered to give each Health Council a copy of the ‘packaged’ adolescent health program • Members responsible for dissemination to adolescents in their county.

  14. Adolescent health program dissemination through coalition • Potential Impact in our Region: • 28 High Schools; 30,000+ adolescents • Reductions in high-risk behaviors among adolescents • Improvements in overall community health • Policy changes

  15. Adolescent health program dissemination through partnership • Local and State Partners in Adolescent Health Program Dissemination • ETSU Skin Cancer Prevention Lab • 8 County Health Councils • Health Occupations Students of America • 360 Instructors; 12,000 students • Tennessee Cancer Coalition • American Cancer Society

  16. Adolescent health program dissemination through partnership • From National Cancer Institute (NCI) Research to Reality Cyber Seminar, we know that multi-level partnerships have advantages. • Access to program participants • Legitimacy and trust • Problem and solution identification • Program development and dissemination

  17. lessons in coalition work • More efficient use of (limited) resources • Larger community health impact • Networking, continuing education • Engaging and empowering members of the community

  18. Take home messages • For adolescents, focus on salient messages. • When you know what works, widely disseminate the message. • Coalitions, partnerships are key to widespread, low cost dissemination.

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