1. 2016 Spring Grantee Convening IKF Evaluation Update Center for Community Health and Evaluation April 11, 2016 Foundation for a Healthy Kentucky

2. Update agenda 2 Planning phase results Implementation progress Reactions & questions

3. Investing in Kentucky’s Future: Planning Phase Results

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

5. Planning Grantees 5

6. 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

7. 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

8. 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

9. Investing in Kentucky’s Future: Implementation Progress

10. Implementation Grantees 10

11. IKF timeline 11 201320142015201620172018 Quarter 23412341234123412341234 Louisville Grant Clinton Breathitt McCracken McLean Perry Key Funded planning Unfunded period Implementation Business plan submissions Evaluation ends (anticipated)

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

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

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

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

16. 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

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

18. 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

19. 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

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

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

22. 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

23. Who we’ve heard from—survey response 23

24. 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

25. 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

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

27. 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

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

29. 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

30. 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.

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

32. 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. 33 Thank you! Center for Community Health and Evaluation Part of Group Health Research Institute www.cche.org