1. Mary Jo Pattison- Program Research Specialist Anne M. Martin- Public Health Representative New York State Department of Health 1

2. Junk food out of public spaces Make water ubiquitous Low fat food is the norm Kids should sweat in P.E. Walking and biking Change the social norm as in… 2

3. 3 “One for the Road” Friends don’t let friends drive drunk

4. 4 Traditional role of Public Health It New area of focus for Public Health

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6. 6 InputsActivitiesDeliverablesOutcomes Local Health Departments (LHD) in every county in New York Expert training in policy, systems and environmental (PSE) change Seed money to implement community change strategies LHDs attend regional 1-day Capacity Building Training LHDs recruit 5 to 8 regional partners PSE strategies adopted PSE strategies implemented PSE strategies maintained LHDs and partners attend 2-day Action Institute Training LHDs Develop a written action plan for up to three strategies Capacity Building Initiative

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8. Data SourceRE-AIM Level local health departments and partners attend trainings Attendance listsReach …increase confidence in their ability to implement PSE strategies Pre-post self-efficacy scale administered 3 times Efficacy …initiate PSE strategies Web-based follow up survey administered 6 months after training Adoption …continue PSE strategies Web-based follow up survey administered 6 months after training Implementation …sustain PSE strategies Key informant interviews conducted 18 months after training Maintenance 8

9. Participation in Evaluation of Capacity Building Initiative 0 | | | | | | | | 6m | | | | | | 18m | | | 24m 9 All 62 NYS counties were invited 56 counties participated in trainings 56 counties completed web-based survey 6 months after training 45 counties completed Key informant interviews 18 months after training

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12. Provide additional training to local health departments on: recruiting non-traditional partners the initial steps required for policy and systems change Coordinate evaluation and training activities early in the planning process to: monitor implementation and fidelity increase effectiveness of trainings 12

13. Mary Jo Pattison Program Research Specialist New York State Department of Health mjp15@health.ny.gov Anne M. Martin Public Health Representative New York State Department of health amc07@health.ny.gov 13