Chris Kabel

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Alliance for the Promotion ofPhysical Activity
and Nutrition (APPAN)An initiative of the
Northwest Health Foundation

• Healthy, Active Oregon Training Institute
• Bend, Oregon
• April 28, 2006
• Chris Kabel
• Northwest Health Foundation

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Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater

• 1985

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Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
1986
4
Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
1987
5
Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
1988
6
Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
1989
7
Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
1990
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Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
1991
9
Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
1992
10
Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
1993
11
Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
1994
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Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
1995
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Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
1996
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Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
1997
15
Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
1998
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Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
1999
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Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
2000
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Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
No Data 1014 1519 2024 25
2001
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Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
No Data 1014 1519 2024 25
2002
20
Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
No Data 1014 1519 2024 25
2003
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Obesity Trends Among U.S. AdultsSource BRFSS
Obesity BMI of 30 or greater
No Data 1014 1519 2024 25
2004
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Alliance for the Promotion ofPhysical Activity
and Nutrition (APPAN)

• What does NWHF plan to do about these alarming
  trends?
• Alliance for the Promotion of Physical Activity
  and Nutrition
• Rationale for our approach
• What we hope to see in applicant coalitions
• What we hope to achieve
• What we hope to learn
• Best Practice Matrix
• FAQ Available funding, deadlines, proposal
  structure, etc.

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Alliance for the Promotion ofPhysical Activity
and Nutrition (APPAN)

• Why fund community coalitions?
• Local coalitions are often best positioned to
  know
• The needs, assets and priorities
• The methods that will be most widely accepted and
  effective
• The players that need to be at the table
• The challenges that must be overcome
• Recognition that factors in the social, physical
  and policy environments are driving the obesity
  epidemic
• Positive results with similar activity (e.g.,
  tobacco)
• Produces improved community capacity that can be
  harnessed to address a host of other issues.

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Alliance for the Promotion ofPhysical Activity
and Nutrition (APPAN)

• Advantages of the community coalition approach
• Provides opportunities for leadership
  development
• Reduces duplication of services and improves
  coordination
• Raises public awareness and community competence
• Enables organizations to become involved in a
  broader scope of issues
• More likely to develop widespread public support
  for issues
• Opportunities to involve diverse representation
  of the community
• Maximizes the power of individuals and groups.

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Alliance for the Promotion ofPhysical Activity
and Nutrition (APPAN)

• Disadvantages of Forming Community Coalitions
• Potential for turf issues, mistrust and
  miscommunication
• Slow decision making
• Diverts resources from other activities and
  issues
• Loss of autonomy
• Potential for diluted messages in an effort to
  appease all
• Potential for dead weight
• Its hard work!

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Alliance for the Promotion ofPhysical Activity
and Nutrition (APPAN)

• APPAN Does it make sense for your organization?
• Is the prevention and reduction of obesity part
  of your core mission?
• Does your organization have an interest and/or
  experience in addressing social and policy
  determinants of health?
• Does your organization want to work with others
  to address this issue? Will you be committed for
  the long-term?
• Dont do it just to chase the money!

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Alliance for the Promotion ofPhysical Activity
and Nutrition (APPAN)

• Qualities of Competitive Coalitions
• Demonstrate broad-based community involvement in
  the development of proposed initiatives
• Plan to address factors in the social, physical
  and policy environments that affect health
  behaviors
• Build on existing community assets
• Incorporate best practices into their plan, where
  available
• Present a workplan based on an inventory of
  assets, needs and opportunities, or include such
  an assessment in their workplan
• Incorporate aspects of the Best Practices Matrix
  developed by Oregon DHS for this program (copies
  available).

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Alliance for the Promotion ofPhysical Activity
and Nutrition (APPAN)

• Qualities of Competitive Coalitions
• Coalitions should have established clearly
  defined roles and responsibilities among all
  partners
• Where appropriate, inter-agency agreements should
  be in place, or in development.
• Balance is important while every coalition needs
  a lead agency, no one partner should be too
  dominant
• Involvement of both professional and
  non-professional community representatives often
  strengthens coalitions.

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Alliance for the Promotion ofPhysical Activity
and Nutrition (APPAN)

• What we hope to achieve with APPAN
• Communities that have the social and policy
  supports necessary to promote physical activity
  and healthy eating behaviors, ultimately leading
  to decreased obesity prevalence
• Communities that are more engaged, competent and
  empowered to improve the conditions affecting
  their health, and other important aspects of
  their lives.

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Alliance for the Promotion ofPhysical Activity
and Nutrition (APPAN)

• What we hope to learn from APPAN
• What makes these sorts of coalitions work?
• What factors facilitate or inhibit their
  development and function?
• How effective are they at influencing local
  policies (e.g., school boards, planning
  commissions, state legislature, etc.)?
• What lessons can be disseminated nationally?
• Importance of evaluation participation in
  Healthy, Active Oregon conferences.

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Alliance for the Promotion ofPhysical Activity
and Nutrition (APPAN)

• Funding Availability and Budgets
• We will fund projects for up to 4 years
• Maximum of 25,000 in Year 1 potential for
  increased amounts in subsequent years
• NWHF views this as priming the pump
  encourages coalitions to solicit additional
  support from other local and national funders
• Budgets can include staff support, consultants,
  facilitators, training, travel, printing, office
  supplies, etc.
• Ineligible items capital costs such as building
  new athletic facilities, swimming pools, etc.

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Alliance for the Promotion ofPhysical Activity
and Nutrition (APPAN)

• Contact info for further questions
• Chris Kabel
• Program Officer
• Northwest Health Foundation
• [phone]
• chris_at_nwhf.org