1. COLLEGE OF FOOD, AGRICULTURAL, AND ENVIRONMENTAL SCIENCES FAMILY AND CONSUMER SCIENCES OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY Addressing Food Deserts using HEAL MAPPS (Healthy Eating Active Living- Mapping Attributes using Photo Participatory Surveys) Dan Remley, MSPH, PhD Assistant Professor, Field Specialist, Food, Nutrition, and Wellness OSU Extension

2. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Outline  Discuss research and theory supporting HEAL MAPPS  Discuss HEAL MAPPS activities  Discuss OSU Research Hub and potential Campus- Community partnerships

3. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION

4. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Zip Codes may be more predictive of health than genetic code  https://www.youtube.com/watch?v=g7IiSM9La5M

5. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Decisions Win the Rockies- University of Wyoming Extension

6. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Decisions

7. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Decisions

8. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Decisions

9. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION What is a Food Desert? http://www.ers.usda.gov/data-products/food- access-research-atlas/go-to-the-atlas.aspx Economic Research Service (ERS), U.S. Department of Agriculture (USDA). Food Access Research Atlas, http://www.ers.usda.gov/data-products/food-access-research-atlas.aspx.

10. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Geographical Access: Within 10 minute drive to grocery store

11. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Health: Access to Large Grocery

12. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Economic: Grocery store competition

13. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION

14. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Food Desert Interventions: If We Build It they Will Come…?

15. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION “New Neighborhood Grocery Store Increased Awareness Of Food Access But Did Not Alter Dietary Habits Or Obesity” “Diet And Perceptions Change With Supermarket Introduction In A Food Desert, But Not Because Of Supermarket Use” Dubowitz, T., Steiner, E. D., Hunter, G. P., Sloan, J. C., Ghosh-Dastidar, M., Cohen, D. A., Beckman, R.,... Cummins, S. (January 01, 2015). Diet and perceptions change with supermarket introduction in a food desert, but not because of supermarket use. Health Affairs, 34, 11, 1858-1868. Boone-Heinonen J, Gordon-Larsen, P, Kiefe CI, Shikany JM, Lewis CE, Popkin BM. Fast food restaurants and food stores: longitudinal associations with diet in young to middle-aged adults: the CARDIA study. Arch Intern Med. 2011;171(13):1162–70 Steven Cummins, Ellen Flint and Stephen A. Matthews (2014). New Neighborhood Grocery Store Increased Awareness Of Food Access But Did Not Alter Dietary Habits Or Obesity. Health Affairs, 33, no.2 (2014):283-291

16. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION

17. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION HEAL MAPPS: Community Engaged Action Research

18. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Before HEAL MAPPS Community Events Entering the

19. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Identify potential Community Stakeholders Define your HEAL MAPPS team In the weeks before HEAL MAPPS… The OSU HEAL MAPPS Research Hub Extension Research Coordinator Extension Educator Field Specialist Community Champion Community Stakeholders MAPPers Community Participants Identify and recruit a Community Champion

20. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Meet with Community Stakeholders ll Make a HEAL MAPPS Outreach plan. Determine the best approaches to accessing diverse individuals and groups through relationships In the weeks before HEAL MAPPS…

21. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION During HEAL MAPPS Community Events Approximate Timeline = 6 Weeks In the

22. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION HEAL MAPPS action research mobilizes local residents to… Assess structural and contextual features Address people’s different perceptions Identify environmental factors Present findings and plan actions

23. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Mapping Attributes using Camera Enabled GPS Units Community members are provided MAPPS equipment and trained to use tools to map features of their community On their own or with a partner, they photograph (and map) their direct experiences with the food and physical activity environment in the community They record their experiences of the community features along their route on their route journal.

24. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION

25. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Focusing the Group’s Decisions … Focus group participants view and discuss all photos from all mapper routes to select the 30-40 photos that best represent the community’s food and physical activity attributes

26. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Community Conversation – where personal experience informs public interests Community resources How does this feature make it easy or hard to be physically active (get food) most every day? Photographs are discussed as supports and/or barriers to health behaviors Community readiness “How knowledgeable are the people in your community about the link between the community environment and residents’ health?” Audience is polled, results are displayed and discussed

27. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION

28. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION How engaged do you feel that your community leaders are in efforts to promote weight healthy kids and families? 1. Not at all 2. Mildly engaged 3. Moderately engaged 4. Very engaged [Insert photo here]

29. COLLEGE OF FOOD, AGRICULTURAL, AND ENVIRONMENTAL SCIENCES FAMILY AND CONSUMER SCIENCES OHIO STATE UNIVERSITY EXTENSION COLLEGE OF EDUCATION AND HUMAN ECOLOGY After HEAL MAPPS Community Events… Exiting the

30. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Readiness for Action Qualitative data analyzed at local level are provided to participating communities as HEAL MAPPS™ Community Report Community data can be aggregated at the state-level and analyzed to inform a state model of rural obesity prevention HEAL MAPPS ™ Data and Reports Drive

31. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Learning to manage and HEAL MAPPS data using Arc GIS and NVivo Learning to analyze and integrate HEAL MAPPS data using mixed methods design Learning to facilitate HEAL MAPPS to collect “great” data Learning to use data to inform community decisions and drive community change Community-Campus Health Partnership Roles and Learning Outcomes Campus and researchersCommunity and researchers Questions?

32. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Centers for Disease Control. (

33. FAMILY AND CONSUMER SCIENCES Healthy People Healthy Relationships Healthy Finances OHIO STATE UNIVERSITY EXTENSION Resource: Deborah John, Oregon State University School of Public Health