“Movers and Shakers: Putting Policy to Practice”

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Movers and Shakers: Putting Policy to Practice. Mary Brummagyn, R.N., BSN Albany County Department of Health April 26, 2010. Demographics. The poverty rate in our target area (City of Albany) is twice as high as Albany County (27% vs. 12%) - PowerPoint PPT Presentation

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<ul><li><p>Movers and Shakers: Putting Policy to Practice</p><p>Mary Brummagyn, R.N., BSNAlbany County Department of HealthApril 26, 2010 </p></li><li><p>DemographicsThe poverty rate in our target area (City of Albany) is twice as high as Albany County (27% vs. 12%)Hospitalization rates in our targeted area for diabetes and cardiovascular disease are universally higher than county and state ratesThe obesity rates in New York State among 6-11 year olds is 15%</p></li><li><p>Diabetes Hospitalizations in SAH catchment area</p><p>Chart3</p><p>70</p><p>8</p><p>-5</p><p>-52</p><p>-33</p><p>% higher or lower than NYS</p><p>Sheet1</p><p>Circulatory HospitalizationsHypertensionDiabetesDiabetes</p><p>SAH Area156370NYS283</p><p>African Americans39143148SAH Area482</p><p>Surrounding SAH-13-41-28African Americans in SAH area702</p><p>Suburbs Only-25-58-46</p><p>Circulatory HospitalizationsHypertensionDiabetes</p><p>Circulatory HospitalizationsHypertensionDiabetesAfrican Americans</p><p>SAH Area15637039143148</p><p>City of Albany-105832131105</p><p>Small Urban22-29-56702</p><p>Suburbs-30-62-52</p><p>Rural-38-83-33</p><p>000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000</p><p>SAH Area39143148</p><p>Surrounding SAH</p><p>Suburbs Only</p><p>Sheet1</p><p>000</p><p>000</p><p>000</p><p>SAH Area</p><p>Surrounding SAH</p><p>Suburbs Only</p><p>Percent</p><p>Sheet2</p><p>000</p><p>000</p><p>000</p><p>scavallo:SAH Zips Plus: 12203, 12208, 12209</p><p>scavallo:12009, 12041, 12054, 12067, 12077, 12084, 12110, 12186, 12205, 12211</p><p>scavallo:12143 12158 12046 12469 12007 12059 12023 12147 12083 12120 12193</p><p>Circulatory</p><p>Hypertension</p><p>Diabetes</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>Circulatory</p><p>Hypertension</p><p>Diabetes</p><p>Sheet3</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>scavallo:12047 12189 12183</p><p>Circulatory Hospitalizations</p><p>Hypertension</p><p>Diabetes</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p><p>Diabetes</p><p>Diabetes Hospitalizations - Albany County</p><p>0</p><p>0</p><p>0</p><p>0</p><p>0</p></li><li><p>CHANGE ToolThe CHANGE tool assessment in our schools was informed by many interested parties:AdministratorsSchool Nurse TeachersClassroom TeachersPhysical Education Teachers Food Service PersonnelAfter School programs</p></li><li><p>What we learned:Deficiencies were noted in the amount of physical activity in the Citys elementary schoolsSchools were aware of the lack of time allotted for physical education and had instituted a mandated 6 minutes of a dance routine per day for the elementary schoolsMandate was not tracked/compliance? </p></li><li><p>Champions</p></li><li><p>School Nurse Teacher Concerns:Obesity is a growing problem</p><p>Children have fewer opportunities for physical activity</p><p>Neighborhoods less than ideal areas for physical activity</p></li><li><p>5 Year Goal: We will establish and sustain additional physical activity throughout the school day in 4 elementary schools!5 Year Goal: Establish and sustain additional physical activity throughout the school day .</p></li><li><p>Proposal to increase P.A. during classroom timeSNT recruited volunteer classroom teachersMet volunteer teachers (pre-K through 5th grade), including a 10 minute "workout and a light dinnerPartners from Cornell Cooperative and insurance companies joined usDiscussed evidenced based articles touting the benefits of P.A. (way to transition, more focused kids, happier kids, improved academic performance) It gets the wiggles out!Provide tools and incentives to implement the program (12 weeks)</p></li><li><p>Thoughts about sustainabilityIn-kind donations were received from Cornell and insurance companiesTeachers provided a wish lists of tools that they needed to implement the 6 minutes of activity: DVD players, CD players, timers, water bottles, back packs, stickers, DVDs and CDs.Tracking done through the use of a calendar or homework board.</p></li><li><p>Mid-Way EvaluationAnecdotal comments from classroom teachers and students:</p><p>Thank you so much for all the goodies. We are putting them to great use and we do have happier children. More focused. (4th grade teacher)</p><p>This is wonderful. All is well and we are getting more fit than ever. (Pre-K)</p></li><li><p>Thanks. The kids are loving it!! Some of the things I did, I thought they might think were childishthey love it! And so far it is helping them focus!! YAH! (4th Grade Teacher)</p></li><li><p>We feel better after we exercise! (5th grade student)</p></li><li><p>Formal EvaluationAt the end of 12 weeks, the teachers and SNT will come together for a group evaluation.</p><p>Written evaluation, designed by the University at Albany, School of Public Health students, will be collected.</p><p>Student evaluation will be obtained in the classrooms by the teachers.</p></li><li><p>Next StepsRecruit more elementary teachers</p><p>Import design into Middle School, where possible</p><p>Work with local YMCA afterschool programs to engage kids in activities other than the traditional basketball, soccer, and baseball, where kids of all ages and abilities can join in, have fun and be successful.</p></li><li><p>Questions?</p><p>*</p></li></ul>