San Gabriel Valley Healthy Cities Collaborative San Gabriel Valley Region, CA (Los Angeles County)

Our Partner Organizations

San Gabriel Valley Healthy Cities Collaborative Celestine Walker, Executive Director, NATHA Cesar Monsalve, Director of Parks and Recreation, City of Duarte Lisa Dowd, Coordinator Health Services, Duarte Unified School District Sarah Fujimoto, District Nurse, Duarte Unified School District Catalina Gallegos-Navarro, Community Champion City of Hope, CCARE members, Active members in Coalition (left to right): Marisela Huerta, Mayra Serrano (Community Interventionists), Kimlin Ashing (Founding Director/Professor), Noé Chávez (Fellow)

Since the last CHILA, we are excited to share what we are most proud of…. 8 teens trained in Duarte 11 trained teen Community Health Promoters (CHP) from Altadena/Pasadena neighborhoods All teens participated In comprehensive and intensive 2-month training in health promotion Presented at City of Hope Medical Center Pasadena Youth CHP are currently conducting a social-enterprise survey (which they developed closely with college interns) to understand the needs and resources of their community and to build new collaborative partnerships and opportunities

A story about something we learned since CHILA1…. Our efforts ARE making a difference! Some Duarte teens stated: “I exercise more, about 3 times more” “I was able to teach the kids at the health camp about eating healthy” “I now pay more attention to nutritional values in food” “I was able to achieve my goals during this time. Especially drinking more water. I take a water bottle everywhere I go now”

What we learned about engaging community members with lived experience The community members we have engaged are the teens in our program. They have learned more about health from us and we have learned more about the community from them. Along with a great need there is a great potential to be further developed. Teens are central to community- grounded health interventions

What we learned about engaging the BROADER community in developing our aim We are engaging the community of teens to achieve our aim. We are continuously improving how we engage them at different stages and soon will engage parents to better refine our short- term and long-term aim. Our Teen Nutrition Council is an example of how our teens have a decision-making role.

Our aim for SCALE is….. Increase healthy living in a proportion of adolescents living in San Gabriel Valley communities.

Our Driver Diagram Primary Drivers Secondary Drivers Knowledge on healthy eating, resources, chronic diseases, physical activity, etc. Programs to engage adolescents in workshops and training/capacity building (e.g. Eat Move Live Program) Engage adolescents in conducting needs assessment and resource availability in their communities. Aim: Increase healthy living in a proportion of adolescents living in San Gabriel Valley communities Outcome Measures (Pre-and Post measures): 1. Nutrition knowledge 2. Consumption of healthy food 3. Amount and type of physical activity 4. Reduction in weight as assessed by BMI Process Measures: recruitment/retention of peer educators # of students peer educators are reaching # of schools that change environments Health education in school Motivation, desire, self-efficacy related to change Parent/Mentor involvement Peer groups/extracurricular activities Access to healthy options (ie: fresh produce, safe workout space, etc.) Neighborhood characteristics (safety, parks, availability of fresh foods, etc.) Transportation School Environment Other social capital at community or societal level (e.g., policies, community programs)

Metrics we are considering to track our progress Individual level through self-report, BMI, testimonials: Nutrition knowledge Consumption of healthy foods Physical activity BMI Self-efficacy / well-being Community level: Food purchasing practices from grocers Use of park and recreation facilities

What we learned from “Switch” Rider: Follow “Bright Spots” Give direction Black and White critical moves Destination Postcards Elephant: Shrink the change Grow the people MOTIVATE See-feel-change Path: Not defiant, just following easiest path

Top two things we learned from other communities since CHILA1 We are NOT alone! Balancing the work on multiple projects is an ongoing and challenging process!

Our biggest challenge(s) right now are….. Time management and balancing of SCALE projects with other job duties

We hope to learn this at CHILA2… Refining aim Next steps in getting momentum toward achieving our aim Continue to learn techniques to build capacity Engaging the perspective of community members at a more grassroots level Evaluating our efforts

Best way to contact us: Noé Rubén Chávez, Postdoctoral Fellow, City of Hope, Center of Community Alliance for Research and Education (CCARE) – nochavez@coh.org, (626) 256-4673 (ext. 64303)