1. April 28, 2006 Chris Kabel Northwest Health Foundation Alliance for the Promotion of Physical Activity and Nutrition (APPAN) An initiative of the Northwest Health Foundation Healthy, Active Oregon Training Institute Bend, Oregon April 28, 2006 Chris Kabel Northwest Health Foundation

2. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 1985 No Data <10% 10%–14%

3. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 1986 No Data <10% 10%–14%

4. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 1987 No Data <10% 10%–14%

5. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 1988 No Data <10% 10%–14%

6. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 1989 No Data <10% 10%–14%

7. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 1990 No Data <10% 10%–14%

8. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 1991 No Data <10% 10%–14% 15%–19%

9. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 1992 No Data <10% 10%–14% 15%–19%

10. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 1993 No Data <10% 10%–14% 15%–19%

11. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 1994 No Data <10% 10%–14% 15%–19%

12. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 1995 No Data <10% 10%–14% 15%–19%

13. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 1996 No Data <10% 10%–14% 15%–19%

14. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 1997 No Data <10% 10%–14% 15%–19% ≥20

15. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 1998 No Data <10% 10%–14% 15%–19% ≥20

16. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 1999 No Data <10% 10%–14% 15%–19% ≥20

17. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 2000 No Data <10% 10%–14% 15%–19% ≥20

18. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 2001 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

19. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 2002 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

20. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 2003 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

21. April 28, 2006 Chris Kabel Northwest Health Foundation Obesity Trends Among U.S. Adults Source: BRFSS; Obesity = BMI of 30 or greater 2004 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

22. April 28, 2006 Chris Kabel Northwest Health Foundation Alliance for the Promotion of Physical Activity and Nutrition (APPAN) What does NWHF plan to do about these alarming trends? Alliance for the Promotion of Physical Activity and Nutrition: Rationale for our approach; What we hope to see in applicant coalitions; What we hope to achieve; What we hope to learn; “Best Practice Matrix” FAQ: Available funding, deadlines, proposal structure, etc.

23. April 28, 2006 Chris Kabel Northwest Health Foundation Alliance for the Promotion of Physical Activity and Nutrition (APPAN) Why fund community coalitions? Local coalitions are often best positioned to know: –The needs, assets and priorities; –The methods that will be most widely accepted and effective; –The players that need to be at the table; –The challenges that must be overcome; Recognition that factors in the social, physical and policy environments are driving the obesity epidemic Positive results with similar activity (e.g., tobacco) Produces improved community capacity that can be harnessed to address a host of other issues.

24. April 28, 2006 Chris Kabel Northwest Health Foundation Alliance for the Promotion of Physical Activity and Nutrition (APPAN) Advantages of the community coalition approach Provides opportunities for leadership development; Reduces duplication of services and improves coordination; Raises public awareness and community competence; Enables organizations to become involved in a broader scope of issues; More likely to develop widespread public support for issues; Opportunities to involve diverse representation of the community; Maximizes the power of individuals and groups.

25. April 28, 2006 Chris Kabel Northwest Health Foundation Alliance for the Promotion of Physical Activity and Nutrition (APPAN) Disadvantages of Forming Community Coalitions Potential for turf issues, mistrust and miscommunication; Slow decision making; Diverts resources from other activities and issues; Loss of autonomy; Potential for diluted messages in an effort to appease all; Potential for “dead weight” It’s hard work!

26. April 28, 2006 Chris Kabel Northwest Health Foundation Alliance for the Promotion of Physical Activity and Nutrition (APPAN) APPAN: Does it make sense for your organization? Is the prevention and reduction of obesity part of your core mission? Does your organization have an interest and/or experience in addressing social and policy determinants of health? Does your organization want to work with others to address this issue? Will you be committed for the long-term? Don’t do it just to “chase the money!”

27. April 28, 2006 Chris Kabel Northwest Health Foundation Alliance for the Promotion of Physical Activity and Nutrition (APPAN) Qualities of Competitive Coalitions Demonstrate broad-based community involvement in the development of proposed initiatives; Plan to address factors in the social, physical and policy environments that affect health behaviors; Build on existing community assets; Incorporate best practices into their plan, where available; Present a workplan based on an inventory of assets, needs and opportunities, or include such an assessment in their workplan; Incorporate aspects of the Best Practices Matrix developed by Oregon DHS for this program (copies available).

28. April 28, 2006 Chris Kabel Northwest Health Foundation Alliance for the Promotion of Physical Activity and Nutrition (APPAN) Qualities of Competitive Coalitions Coalitions should have established clearly defined roles and responsibilities among all partners; Where appropriate, inter-agency agreements should be in place, or in development. Balance is important; while every coalition needs a lead agency, no one partner should be too dominant; Involvement of both professional and non- professional community representatives often strengthens coalitions.

29. April 28, 2006 Chris Kabel Northwest Health Foundation Alliance for the Promotion of Physical Activity and Nutrition (APPAN) What we hope to achieve with APPAN: Communities that have the social and policy supports necessary to promote physical activity and healthy eating behaviors, ultimately leading to decreased obesity prevalence; Communities that are more engaged, competent and empowered to improve the conditions affecting their health, and other important aspects of their lives.

30. April 28, 2006 Chris Kabel Northwest Health Foundation Alliance for the Promotion of Physical Activity and Nutrition (APPAN) What we hope to learn from APPAN: What makes these sorts of coalitions work? What factors facilitate or inhibit their development and function? How effective are they at influencing local policies (e.g., school boards, planning commissions, state legislature, etc.)? What lessons can be disseminated nationally? Importance of evaluation – participation in Healthy, Active Oregon conferences.

31. April 28, 2006 Chris Kabel Northwest Health Foundation Alliance for the Promotion of Physical Activity and Nutrition (APPAN) Funding Availability and Budgets We will fund projects for up to 4 years; Maximum of $25,000 in Year 1; potential for increased amounts in subsequent years; NWHF views this as “priming the pump” – encourages coalitions to solicit additional support from other local and national funders; Budgets can include staff support, consultants, facilitators, training, travel, printing, office supplies, etc. Ineligible items: capital costs such as building new athletic facilities, swimming pools, etc.

32. April 28, 2006 Chris Kabel Northwest Health Foundation Alliance for the Promotion of Physical Activity and Nutrition (APPAN) Contact info for further questions: Chris Kabel Program Officer Northwest Health Foundation (503) 230-1291 chris@nwhf.org