1. YUSUF ABDULLAH CHRISELLE BAUTISTA SHANNON CRAGIN FAUZIA DABRE KAREN ESTRELLA Sentara Community Health and Prevention REBECCA HALL ARIANA JUMPER CORINNE MAYER ERICA NICOLETTI JOCELYN WEIDNER

2. Aggregate Miles Memorial United Methodist Church (MMUMC) in Norfolk, VA Gained access through previous partnership with ODU Nursing students

3. Aggregate Numerous outreach programs for the surrounding community  Breakfast for the homeless  Bag lunch program  Alcoholics Anonymous  Girl/Boy Scouts To get to know our aggregate we offered:  Blood pressure screenings  Free flu shot clinic  Helped with existing programs

4. ODU Nursing Students in Action

5. Assessment Created a short survey  Demographic info  Current health problems  Health care topics interest in learning about  Types of exercise interested in  Availability to participate Distributed the surveys  Church sermons  Blood pressure screenings  Flu shot clinics We collected a total of 90 surveys

6. Assessment Survey revealed:  Majority of respondents aged 26-89  91% Caucasian  61% female  Similar religious beliefs  Income between $20,000 and $40,000  Many had health insurance and access to health care

7. Assessment Top problems  Hypertension  Obesity  Heart disease Possible activities  Walking  Chair exercises  Yoga  Wii exercises  Tai Chi, Karate  Ballroom dancing

8. Nursing Diagnosis Ineffective Health Maintenance  as evidenced by Reported lack of exercise Expressed interest in improving health behaviors Report of lack of support system

9. Expected Outcomes Following a 12 week exercise program, participants will:  Have decreases in BP and weight  Meet goals of increased health care maintenance  Be able to identify problems associated with hypertension and obesity

10. Plan Main focus was to introduce interventions that would reduce the identified health problems and promote healthier lifestyles To make it different than previous year, we gave more exercise options and offered it more days  Exercise program three times a week Walking, yoga, chair exercises  Education Healthy eating, stress management and reduction, immunizations, exercise, medications  Health Fair

11. Interventions Education was performed during the Fall semester during screenings and other programs Blood pressure screenings (secondary prevention) Flu vaccines (primary prevention) Exercise program (tertiary prevention)  Walking (2 mi) and chair exercises (45 min) twice a week Participants were given the opportunity to choose which activity they would like to participate in Minimal interest in walking No one showed up on Fridays

12. Evaluation To evaluate the effectiveness of our intervention we recorded participants’ blood pressures and weights before the implementation of the intervention and at the conclusion of the program Participation was low  Approximately 4-6 participants Many barriers  Church was locked  Other activities caused decreased participation or only allowed for walking  Lack of our contact to understand his role Participants had an increase in BP and gained weight

13. Evaluation

16. Recommendations Ensure adequate means of communication Properly describe the role of the contact Aggregate as a whole no longer needs interventions  Good overall health  Access to healthcare  Health insurance  Middle to high SES  Existing outreach programs ODU SON services can be better utilized with a more needy aggregate If MMUMC is used in the future…  Redefine the aggregate and become involved in their existing outreach programs

17. Thank you Questions