# Presentation: 662268

##       Community-Based Strategies for Family Wellness

**Nancy O’Banion, MS, Director of Health Education & Wellness                                                                                                        Alison Arrington, MS, RD/LD                                                                                                                                                                  Kay Meek, MA, RD/LD**

-       Community-Based Strategies for Family Wellness

**Utilizing community resources in an urban setting results in expanded opportunities for youth and families to participate in health and wellness activities.**

- The IHS HPDP grant was designed to engage families in                   obesity and diabetes prevention through involvement                              in various community-based programs.

**PROJECT OBJECTIVES AND YEAR ONE PROGRESS**

**Objective 1: At least 250 American Indian family members who are at risk for obesity and diabetes will become active family HP/DP program participants by end of Year 1.**
- 372 American Indian family members (287 Adults/85 Children and Adolescents) have been referred (or self referred) to the HPDP Dietitian for initial assessments and nutrition counseling. Topics covered during education include: diabetes and prevention, weight management, exercise, stress management, goals, lifestyle, etc.
**Objective 2: At least 80% of program participants will set annual goals for realistic and measurable lifestyle changes after meeting with the HPDP Dietitian.**
- Every participant assessed by the Dietitian sets at least one measurable and realistic goal.  All goals are self-made by the participants. Goals include weight loss, specific lifestyle changes, increasing physical activity, etc.
**Objective 3: At least 50% of AI children and youth participants will increase their utilization of IHCRC well child, preventive services, and medically indicated treatment services to help manage and reduce the risk of diabetes and obesity.**
- 85 (100%) AI children and youth participants have had laboratory tests which include:  C-Peptide, fasting blood glucose, HDL/LDL and total cholesterol, and triglycerides.
- Participants are referred to the appropriate health care provider when due for well child exams, dental, optometry, or behavioral health as needed.
- Each of these children has completed a pre-diabetes and obesity risk assessment    questionnaire to identify current and future risk factors for obesity and diabetes.

**Objective 4: At least 100 adult AI family members will attend at least two educational  ****	****demonstration cooking class sessions or other nutritional health education program            ****	****per year.**
-  Community Family Club meetings typically includes 15 to 20 adults 1 – 2 times per month
-  Healthy Snacks Class – 5 families average attendance ( 5 adults)
-  Simply Healthy – staff wellness class – 10 – 12 participants per class
**Objective 5: At least 50% of AI children and youth participants will participate in the IHCRC Indian Youth Program physical activity and/or nutritional health education programs each year.**
-  Wellness Adventures Diabetes Prevention Camp & Choices Weight Management Camp –        	177 youth participants in grades 1 – 8.  Held at Tulsa Public Schools Challenge Course.
-  Healthy Trails Camp, Sports & Recreation Camp, & Basketball Camp – 175 participants in 	grades 1 – 6.  Held at Addams Elementary School (our TPS Partner in Education) & West 	Mabee Boys & Girls Club.
-  After School Programs (Allen Bowden Elementary and Jane Addams Elementary) - 40 	participants at each site, utilize CATCH Curriculum (Coordinated Approach to Child 	Health).
-  Other opportunities:  YMCA, Tulsa City Park & Rec programs, gymnastics, karate, youth 	sports teams, group exercise classes
**Objective 6:  An after school/evening Native American Camp Fire Community Club will be established at a TPS elementary school with high American Indian population.**
-  Through our partnership with Camp Fire USA, we have established a Community Family 	Club with 15 families (20 adults/20 children) in attendance regularly.

**Key Community Partners:                                                  **Tulsa Public Schools; TPS Challenge Course;                                                                Green Country Camp Fire USA; YMCA;                                                                                 Tulsa Parks & Recreation; Boys & Girls Clubs