Engaging Unusual Suspects: Use the Community Coalition Action Theory to Broaden Community Impact Lauren Morris, MPH This publication was supported by the Grant or Cooperative Agreement Number, U58DP006118 funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services.

Background Arkansas ranks among the highest obesity rates for both adults and children The U of AR Systems Cooperative Extension has a long history of providing high-quality direct education to residents A local, trained County Agent is established in counties to provide community-driven programs

Positive Community Change Programs Policy, Systems, Environment

Intervention Strategies AR Healthy LIFE Project (Lifestyles Involving Food and Exercise) Outreach and Education Coalition Building/Engagement Increased Access to Healthy Food Increased Opportunities for Physical Activity

Community Coalition Action Theory

Engaging the Whole Community Traditional Partners Health Clinics/Hospitals Schools Health Department Faith-Based Organizations Parks and Recreation Municipalities Non-Traditional Partners Land Grant (Extension) Economic Development Arts Centers Banks Pharmacies Hair Salons Chamber of Commerce Libraries Farmers

Early-Adopter Successes Community coalition established in 2013: Healing Hearts Established a shared vision, evaluation plan, long-term strategic plan, coordinated funding strategy Compared to 75 other Arkansas Counties, Chicot County Health Factor Ranking Improved from 2015 to 2016 2016 2015

Strategic planning community meeting Abandoned building converted to free fitness center Produce availability sign at local Farmer’s Market Outdoor fitness equipment in linear park Diffusion: Monroe County coalition starts planning with a livability assessment