2016 Spring Grantee Convening IKF Evaluation Update Center for Community Health and Evaluation April 11, 2016 Foundation for a Healthy Kentucky

Update agenda 2 Planning phase results Implementation progress Reactions & questions

Investing in Kentucky’s Future: Planning Phase Results

IKF Initiative Aim 4 Aim: To reduce the risk that today’s school- aged children will develop chronic diseases as they grow into adults.

Planning Grantees 5

IKF Planning Phase 6 Initiative design Locally driven Multi-sector coalitions Technical assistance & support to build capacity Funded planning & assessment Grantee requirements Community assessment Prioritization of one health issue Identification of sustainable, implementation strategies Development of a business plan $ Cash match

IKF data collection Annual grantee web survey Document review (e.g., progress/final reports & business plans) Annual grantee site visits Technical assistance calls Event participation surveys Coalition member interviews Coalition member survey School surveys

Key findings Grantee’s successfully engaging partners to collaboratively complete a robust planning and assessment process IKF approach (locally-driven health improvement with funded planning phase) was appreciated, empowered communities, and increased ownership IKF requirements regarding cash match & business plan were challenging and more time consuming than anticipated Technical assistance was valued & beneficial, but it was not enough to “level the playing field” between higher and lower resourced communities

Investing in Kentucky’s Future: Implementation Progress

Implementation Grantees 10

IKF timeline Quarter Louisville Grant Clinton Breathitt McCracken McLean Perry Key Funded planning Unfunded period Implementation Business plan submissions Evaluation ends (anticipated)

IKF outcomes: what success looks like Health behavior change Strength & durability of community partnerships Policy & systems change

IKF outcomes: what success looks like Health behavior change Strength & durability of community partnerships Policy & systems change

Strengthened partnerships & improved collaboration Expanded coalition membership/engagement Strengthened partnerships with schools Youth input & involvement Increased coalition capacity (i.e., focus, momentum, structure)

IKF outcomes: what success looks like Health behavior change Strength & durability of community partnerships Policy & systems change

IKF grantee progress 16 Policy changes Clinton: Shared use agreements & extended park hours School-based wellness policy assessments FFLAG: Complete streets Clinton & Breathitt: Parks & Rec policies for healthy options at concession stands

IKF grantee progress 17 Built environment changes School/community gardens New playgrounds/park equipment Walking trails Active workstations in the schools

IKF grantee progress 18 Other systems changes Bounce: trauma-informed model implemented at pilot school School-based curricula on physical activity & nutrition Breathitt: Youth Council

Policy & systems changes: trauma-informed model implemented at pilot school Training of teachers & staff on ACEs, trauma-informed care, & managing behaviors Integration of curriculum & training into professional development processes Review of pilot school’s policy manual

IKF outcomes: what success looks like Health behavior change Strength & durability of community partnerships Policy & systems change

Survey overview 21 Survey administration: schools targeted by IKF interventions Survey administration: rolling timeline Survey development: adapted from Kaiser Permanente Community Health Initiative survey

Health behavior change: obesity School environment & role models Nutrition – Attitudes & Behaviors Physical activity – Attitudes & Behaviors Screen time behaviors General health & grades in school Student survey

Who we’ve heard from—survey response 23

Most kids getting some physical activity, but not meeting the target. 24 # of days of physical activity Amount of physical activity yesterday (any type) 21% TARGET

Physical Activity at School: There is a lot of room for improvement around frequency of PE and physical activity in the classroom 25 Days of PE last week 59% # of minutes of physical activity in the classroom per day

Physical Activity in the Community: Kids are the most active in their yard/neighborhoods 26 Days physically active last week

Less than 1/3 of students reported eating the recommended 5 servings of fruits & vegetables yesterday. 27 Servings of fruits & vegetables per day TARGET Grantee 1 Grantee 2 Grantee 3 IKF

Over 80% of students reported drinking sugar sweetened beverages yesterday. 28 Target: 0 sugar sweetened beverages Sugar sweetened beverages drank yesterday

Health behavior change: obesity School environment & role models Individual health & behaviors Interaction/activities with students re: nutrition & physical activity School policies Beliefs about academic performance & healthy behaviors Teacher/staff survey

Teacher Survey: Baseline Highlights 30 Participation from 327 teachers & staff across three counties Majority think it’s feasible to strengthen school nutrition & physical activity policies. Teachers talk with their students more about the importance of physical activity than nutrition. Teachers/staff think students need more opportunities to be physically active in the classroom and during lunch/recess.

Health behavior change: ACEs Behavior referrals # of referrals intensity of referrals # of suspensions Story of impact

Next steps for IKF evaluation 32 Site visits (April, Sept, Oct) Document review of progress reports (ongoing) Annual grantee web survey (April) Coalition member surveys/interviews (Fall) School surveys (ongoing)

33 Thank you! Center for Community Health and Evaluation Part of Group Health Research Institute