The childhood overweight/obesity epidemic has a disproportionate impact on Holyoke's low-income Latino children, who have rates of overweight/obesity and obesity-related disease much higher than national and state averages. Goals and Objectives Goal 1: Improve weight status in low-income, high-risk, children and families through a multi-sector, bilingual intervention model integrated with primary care, healthy behavior change and in the community. Objective 1: 90% of pediatric and adult patients seen for well child/adult care at enrolled primary care sites receive the Let's Move Holyoke 5-2-1-0 message and complete a Healthy Living Plan. Objective 2: 70% of members of enrolled organizations receive the Let's Move Holyoke 5-2-1-0 message and complete a Healthy Living Plan within 2 years of program implementation at that site. Objective 3: Establish Let's Move Holyoke 5-2-1-0 social media platforms to further engage families in understanding the message, healthy weight behaviors, and resources in the community for family-focused healthy living opportunities within 2 years. Goal 2: Improve weight status in low-income, high-risk, children and families through a multi-sector, bilingual intervention model integrated with primary care, healthy behavior change and in the community. Objective 1: Add new sites and additional programming that responds to identified need. Objective 2: Establish formal collaborations among promising healthy weight programming within the city, state, and nationally. Objective 3: Low-income children and families served by this initiative demonstrate an increase in healthy behaviors and a decrease in Body Mass Index.
Holyoke's Phase II C4HW year began in March 2012 as a Virtual Learning Community. This is guided by NICHQ using the Model for Improvement and IHI's Breakthrough Series collaborative learning model. Through this process, the Holyoke Collaborate for Healthy Weight (Holyoke C4HW) was created despite very limited funding. Our Holyoke C4HW team represents multiple sectors of the city: primary care, early childhood education, public education, community-based and faith-based organizations, public health, local government, and community members. This committed team has developed an evidence-based message (Let's Move Holyoke 5-2-1-0), Healthy Weight Plan (Healthy Living Plan), and piloted the approach with families living in most impoverished census tracts in the city. We have established functional mechanisms for delivery across the broad-reaching sectors represented on our team. This team will now function as the program's Advisory Board.
Holyoke's C4HW team is committed to active community representation and engagement that ensures Holyoke community strengths and needs are at the core of all elements of our work. Collaborating partners include; Holyoke YMCA, Holyoke Public Schools, Holyoke Food and Fitness Policy Council, Head Start, WIC, City of Holyoke.
We will conduct ongoing process and outcome evaluation twice a year of the grant period based on our goals and objectives. Surveys and BMIs will be completed at the beginning and end of sessions by participants. Focus groups and dot surveys will also be conducted to guide ongoing development, replication, and subsequent spread of the program. The evaluation consultant will assist with the evaluation plan, tools, and analysis.
Our program continues to grow through acquiring new partners, working in the community and by consistent training of our providers and staff. Please see the details listed below.-Program is establish and Advisory Board meets monthly -UMASS Extension is now a partner and board member -4 class training on LMH 5210 is being piloted. Training includes culturally relevant recipes and food substitution, label reading, food demonstrations, health value of fruits and vegetables, value of movement and risk of sedentary activities, calorie content of sugar sweetened beverages, and household change -Holyoke school nurse practitioners are being trained in LMH 5210 and pediatric weight management -LMH 5210 is to be incorporated in to public school curriculum -Site survey and data analysis completed. Community Reach Survey is in process --Pre and post- HLPs are being entered in to an online data-base -More than 11,000 documented contacts with community members promoting healthy lifestyles in all of the partner agencies as well as our own as outreach and event participation continues -Increase following on social media outlets -All HHC providers trained in healthy weight management including the use of the Healthy Living Plan, toolkits, and the veggie prescription program -Healthy Tomorrow's Champion, Vinny Biggs, gave a poster presentation at the American Academy of Pediatrics National Conference and Exhibition in October 2015 and has submitted a new presentation for October of 2016.