Community Readiness Model
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1 Using the Community Readiness Model to Improve Healthy Eating and Physical Activity Jamie Cousins, MPA Mary Bea Kolbe, MPH, RD, LDN Marjorie Lanier, MPH Rachel Pohlman, MPH, RD, LDN
2 Acknowledgements & Thanks Content for this presentation was adapted from the Community Readiness Manual developed by Drs. Barbara Plested, Pamela Jumper-Thurman, and Ruth W. Edwards as well as a presentations from the National Obesity Prevention Course in 2011 and Dr. Barbara Plested provided periodic phone consultation and participated in a webinar for this project. Funding for this effort is provided by the Kate B. Reynolds Charitable Trust and the North Carolina Division of Public Health.
3 Today we will Explainthe Community Readiness Model (CRM) and how we re using it Sharelessons learned ExploreCRM to engage communities in various public health issues
4 What you ll gain A tool to complement your existing assessments, such as Community Health Assessment A new way to engage communities
5 Why Readiness?
6 Why Readiness? Helps maximize use of resources Increases community buy-in and involvement Determines the steps needed to get to the ultimate outcome Increases authenticity of the project
7 CRM: A tool to tell you Where to start What s already going on PERCEPTIONS of community members
8 Steps of the CRM Identify the issue Define the community Identify potential respondents Conduct interviews Score the interviews Share the results Decide how to move forward Take action
9 What do you ask? Community efforts: Community knowledge of efforts: Leadership: Community climate: Knowledge about the issue: Resources for efforts: What s happening? Do people know about what s happening? How aware, involved, supportive are leaders? What do people think about the issue and related efforts? How much do people know about the issue? What s available to help out: volunteers, meeting space, etc.?
10 What do you ask? Community efforts: What s happening? Community knowledge of efforts: Do people know about what s happening? Leadership: How aware, involved, supportive are leaders? Community climate: What do people think about the issue and related efforts? Knowledge about the issue: How much do people know about the issue? Resources for efforts: What s available to help out: volunteers, meeting space, etc.?
11 What do you Learn? 9. High Level of Ownership 8. Confirmation/Expansion 7. Stabilization 6. Initiation 5. Preparation 4. Preplanning 3. Vague Awareness 2. Denial 1. No Awareness
12 Community Readiness
13 Durham Alamance Alexander Alleghany Anson Ashe Avery Beaufort Bertie Bladen Brunswick Buncombe Burke Cabarrus Caldwell Carteret Caswell Catawba Chatham Cherokee Clay Cleveland Columbus Craven Cumberland Dare Davidson Davie Duplin Edgecombe Forsyth Franklin Gaston Gates Graham Granville Greene Guilford Halifax Harnett Haywood Henderson Hertford Hoke Hyde Iredell Jackson Johnston Jones Lee Lenoir Lincoln McDowell Macon Madison Martin Mecklenburg Mitchell Montgomery Moore Nash New Hanover Northampton Onslow Orange Pamlico Pender Person Pitt Polk Randolph Richmond Robeson Rockingham Rowan Rutherford Sampson Scotland Stanly Stokes Surry Swain Transylvania Tyrrell Union Vance Wake Warren Washington Watauga Wayne Wilkes Wilson Yadkin Yancey 10 ESMM NC communities 8 Catalyst communities
14 How We Did It Local Coordinators Identified and recruited community participants CCCPH Branch Managed the project (adapted survey tool, scored interviews, coordinated process) NC State-CUACS Conducted interviews Community Participants Completed interviews, invited to community meetings
15 Our Goals for Participating Communities Engage stakeholders Begin work in a new community Learn more about a specific community Raise awareness about the issue Help communities choose strategies
16
17
18 Example of Scores Existing Community Efforts Community Knowledge of Efforts Leadership (appointed & influential people) Community Climate Community Knowledge About the Issue Resources Related to the Issue (people, money, time, space, etc.) Average
19 Select Strategies Stage 3 Present at community events Begin your own events to present about access to healthy foods Publish newspaper editorials and articles Stage 4 Visit and invest community leaders Conduct local focus groups to discuss and develop strategies Place public service announcements on TV and radio Stage 5 Sponsor a community picnic to kick off the effort Conduct public forums Engage key leaders to speak to groups, TV, and radio
20 Next steps
21 Stretch!
22 To what extent did CRA help you Great Extent or Somewhat n=11 1. Engage a variety of stakeholders 73 % 2. Begin work with people in a geographic area you ve not previously focused on 36 % 3. Learn more about a geographic area that you ve worked with in the past 4. Raise awareness about the issue (either access to healthy food or safe places to play and be active) 5. Help your community choose actions/strategies to work on 73 % 82 % 50 %
23 How were results shared? FOUR held a community meeting / workshop THREE met face-to-face with individuals THREE called people and shared the results over the phone THREE did not share the results
24 Community Coordinators Comments helped us make sure that we were utilizing these monies to benefit the community in some of the best ways a good tool that can help inform the actions a community takes started conversations
25 Timing was a hot topic! seemed a little early in the process introduced too late in our work process was rushed
26 82%said they d use CRA again and would recommend it to others!
27 What it Takes
28 Lessons Learned
29 Discussion How could this be useful to you? How could you use this for other public health issues? Questions?
30 Contact Info:
31 More Info To download the Community Readiness Handbook, go to: triethniccenter.colostate.edu/crhandbookcopy.htm
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