1 Live Healthy in Faith GuideA Faith Community Guide to Promoting Nutrition and Physical Activity Developed by Georgia’s Nutrition and Physical Activity Initiative Faith-Based Workgroup Dr. Bethann Witcher Cottrell Diane Roberts Ayers
2 Health Defined As: “A dynamic state of complete physical, mental, spiritual, social well being and not merely the absence of disease and infirmity.” World Health Organization Health Defined As: A dynamic state of complete physical, mental, spiritual, social well being and not merely the absence of disease and infirmity.” World Health Organization
3 Faith Community is Vital to Community HealthThe Faith Community is often overlooked and underutilized in promoting health and prevention. People of faith are promised “everlasting life” yet many are cheated out of “abundant life” because of lifestyle choices or possible barriers to care.
4 Overall Goal To prevent and control obesity and other chronic diseases such as Type-II diabetes, cardiovascular disease, stroke and some forms of cancer. This toolkit was designed to help prevent and control obesity which is the root causes of many chronic disease such as Type 2 Diabetes, heart disease, stroke, and some forms of cancer.
5 About Live Healthy in Faith Guide (p.5)Helps establish a health promotion program Ideas on environmental and policy changes Evidenced-based Programs Step-by-step instructions on monthly activities As outlined on page 5 of the Live Healthy in Faith Guide, we hope it will: help establish health promotion programs in faith communities, provide ideas that will create positive environmental and policy changes, help implement evidence-base programs in our communities, and make it easy to develop monthly activities using the step-by-step instructions found in this guide.
6 Learner Objectives Identify health risks associated with unhealthy lifestyles Understand the actual causes of death and how most can be prevented Identify components of a Health Ministry outreach program What you should learn during this presentation is: Identify health risks associated with unhealthy lifestyles Understand the actual causes of death and how most can be prevented Identify components of a Health Ministry outreach program
7 Learner Objectives Demonstrate ability to assess needs and identify assets in your faith community. Describe how policy and environmental changes have long lasting impact on health Demonstrate ability to plan activities using toolkit provided Demonstrate ability to assess needs and identify assets in your faith community. Describe how policy and environmental changes have long lasting impact on health Demonstrate ability to plan activities using toolkit provided
8 Identify health risks associated with unhealthy lifestyles (p.3)Heart Disease Diabetes Asthma Digestive Problems Arthritis Cancer Depression Sleep Apnea Physical Inactivity, unhealthy eating patterns, tobacco/illegal drug/alcohol use can lead to: Heart Disease, stroke, hypertension, elevated cholesterol Diabetes – Type 2 Diabetes is becoming a national problem/epidemic due to increase in obesity among children and adults Obesity aggravates Asthma. 2nd hand smoke is a major trigger for Asthma GERD and Gallbladder disease are related to unhealthy weights Arthritis is aggravated by carrying extra weight. Maintaining healthy weight and good muscle tone reduces arthritic pain and disability. Some cancers are related to poor diets. Tobacco use is major cause of lung cancers. People with weight problems often have issues with depression – especially young people Obesity is a major cause of airway obstruction in a sleeping person which causes sleep apnea which can cause permanent lung and heart damage. Pictured on this slide is John Candy. He had many of the risky behaviors that contribute to heart disease and at the age of 43 died prematurely from the poor lifestyle choices he made throughout life. These are the types of tragedies we want everyone to help prevent by leading people to healthier lifestyle choices.
9 Most Causes of Death are Preventable99% of Healthcare is spent on treatment 1% of Healthcare is spent on prevention 70% of all deaths from chronic diseases are preventable. Most Causes of Death are Preventable 99% of Healthcare is spent on treatment 1% of Healthcare is spent on prevention 70% of all deaths from chronic diseases are preventable. If more time, money, and resources were spent on preventing disease, we wouldn’t be spending as much on healthcare. Our healthcare systems are set up to treat disease more than it is to prevent disease. “An Ounce of Prevention is worth a Pound of Cure.”
10 Why Health and Faith? (p.4) Many Factors Influence HealthThe choices we make everyday (our lifestyles) contributes to 51% of health status. Genetics (Human Biology) contributes to 20% as to how healthy we are. Our environment – air we breathe, water we drink, accessibility to physical activity, etc. – contributes to 19% of how healthy we are. Healthcare – keep in mind all the money spent in this area – only contributes to 10% to our overall health status. McGinnis , M. J. and Foege, W. H Actual Causes of Death in the United States. JAMA, 270, 19:
11 Lifestyle has the greatest impact on healthFaith communities important role in encouraging and supporting healthy lifestyle choices Religious traditions stress attention to health Nurture people spiritually, mentally, emotionally and physically Therefore, faith communities are natural centers for focusing on the health and well-being Our Faith communities play an important role in encouraging and supporting healthy lifestyle choices Religious traditions stress attention to health Nurture people spiritually, mentally, emotionally and physically Therefore, faith communities are natural centers for focusing on the health and well-being In the opening pages of the Live Healthy in Faith Guide, Pastor Ricky Bolden of New Community Church in LaGrange recognized the vast majority of the parayer request cards had a common theme – they were all about failing health!
12 Faith-Based StrategiesIntegrate skill-building breastfeeding, nutrition and physical activity activities into existing faith-based programs Increase the capacity of faith-based programs to develop and implement nutrition and physical activity projects Establish or enhance Health Councils/ Ministries to address health-related issues In 2003, CDC Awarded the state of Georgia funds to develop, coordinate, and implement a comprehensive, evidence-based nutrition and physical activity programs/initiatives at the individual/group, community and societal levels. The Resource Guide provided to you today is designed to help implement the Faith-Based Strategies as outlined on this slide. A Faith-based Workgroup has worked to develop this guide with numerous partners and collaborators from all over the state. The Live Healthy in Faith Review Team are listed on page 92 of your guide.
13 A Coordinated Effort Can…A coordinated strategy can strengthen current initiatives by: Creating a common vision Providing a framework for new partnership development Promote use of best practices Promote resource sharing (efficiency) Increase access to funding opportunities A carefully coordinating our efforts in the faith-community, we can Creating a common vision Providing a framework for new partnership development Promote use of best practices Promote resource sharing (efficiency) Increase access to funding opportunities
14 What do we hope to achieve?Improve positive health behaviors Decrease numbers of unhealthy weights and obesity Increase the number of policies or environmental supports (state and community) Increase the number of health promotion interventions and evaluation of, in a variety of settings Increase the number of communities that develop and implement a action plans that improve health What do we hope to achieve? Improve positive health behaviors Decrease numbers of unhealthy weights and obesity Increase the number of policies or environmental supports (state and community) Increase the number of health promotion interventions and evaluation of, in a variety of settings Increase the number of communities that develop and implement a action plans that improve health
15 Health Ministry Role in Health Promotion (p.7)Health ministry described as anything the faith community is doing to promote the holistic wellbeing of individuals, either within its own membership or local area at large. Ask group how many attend a church with an active Health Ministry Council that plans and organizes programs that address the health of the faith community. How many of these provide health resource programs and information to the community at large? Health ministries can be very structured, with policies established to support activities provided on a regular basis serving its members and surrounding community or the Health Ministry program can be less formal, providing occasional activities. Whatever direction your faith community chooses will be the right one for you.
16 Health Promotion Program Planning and Implementation Flow ChartLeadership Commitment Wellness Committee Needs Assessment Asset mapping Program Planning How To Set Up A Health Ministry Program The appointment of the right person as coordinator of health care ministry or team is critical to keeping members motivated and committed to the program. This person will need to meet with the leadership of the faith-community to solicit their support. Support from the clergy is essential. A health promotion program supported by the clergy will gain credibility among congregational members. Once support is provided, the next step is to assemble your wellness committee. The size of the committee will be determined by the size and resources of your faith community. You will probably need 8-12 people. Seek out individuals who share a genuine commitment to the program and who will generate interest and enthusiasm among members. (p.9-10) Program Implementation Program Evaluation B. Cottrell
17 Assess the needs of your membership Nutrition and Physical Activity Needs Assessments and Asset Mapping (p. 18) Assess the needs of your membership Assess the current environment of your faith community Map the assets of your faith community and your community at large Understand your assessment and asset mapping You must undertake three types of activities before you can effectively set the goals of your health promotion program: Determine the assets and needs of the members of your faith organization Obtain leadership support before doing a needs assessment. Members are more likely to participate if they know the clergy is in support of this effort. Establish a goal of what % of member participation you want to achieve with your needs assessment and how it will be done. Who will distribute the questionnaires? When and where will they be distributed? Who will tally the results? (See p. 19) What questions will be asked? Will you use one of the surveys provided or modify it? The Faith Organization Health Assessment questionnaire is useful in determining the current policies and practices of health related issues within your faith community. Evaluate the assets of your faith organization The Family Skills Inventory questionnaire will help you identify what capabilities members of your faith organization have that could be of assistance in supporting your programs. Determine the assets and needs of your surrounding community at large This will : help you target your activities to the needs of your faith organization and community Prioritize the needs in order of importance Identify resources to help meet these identified needs
18 Needs & Assets Assessment ToolsP. 78: Family Skills Inventory P. 80: Faith Organization Health Assessment P. 86: Local Community Assets Inventory P. 88: Your Community Resources The Live Healthy in Faith guide has several questionnaires beginning on page 75. These include: Page 75: Membership Health Assessment Page 78: Family Skills Inventory Page 80: Faith Organization Health Assessment Page 86: Local Community Assets Inventory Page 88: Your Community Resources – knowing what resources are available is helpful in guiding people to existing health resources in your community
19 Mapping Your Assets and NeedsProblem, Issue or Concern to be Addressed Resources Needed Faith Community Members Who Can Assist Local Community Groups That Can Assist Lack of understanding about healthy eating Educational materials on healthy eating Sally Jones is the high school dietitian Public Health Dept, County Ext. Agent, Hospital Education Dept. After the data is collected, the Wellness Committee/Health Ministry/Health Council should begin the process of stating the problems identified, determining what resources are needed, and recognizing internal and external assets that you will want to approach in helping plan an activity.
20 Policies & Environment Impact HealthPolicies and procedures directly impact how things are done in an organization Environment impacts the physical structure of an organization. Both are critical components of developing lasting health initiatives Faith communities should endorse healthy eating by establishing policies that provide healthy food options clearly marked at congregational meals, Emphasize fruits, vegetables, whole grains, and fat-free or low-fat mild & milk products Include lean meats, poultry, fish, beans, eggs, and nuts Foods low in saturated fats, cholesterol, salt and added sugars Include no-or low-calorie beverages, such as water and unsweetened tea healthy snacks to children in the nursery, A place for breast feeding mothers to feed their infants, Offer regularly scheduled weight reduction / exercise programs
21 The Nutrition And Physical Environment Of Your Faith CommunityNourish the Body Keep the Kitchen Safe Be Faithful to Fitness Tend to the Needs of Breastfeeding Mothers Because meal sharing and congregational meals are such a key part of faith community life, it is absolutely essential that your health promotion program include elements that will encourage and facilitate healthy eating and physical activity within the environment of the faith community itself. Keep in mind even small changes can make a big difference in improving the overall health status of your membership. Keep the Kitchen Safe – Millions of illnesses can be traced to food-borne bacteria. Page outlines USFDA Healthy Kitchen Guidelines Faithful to Fitness – Physical activity greatly reduces risk of coronary heart disease. Suggestions for increasing physical activity in a faith organization are located on p They include: Post signage encouraging use of stairs instead of elevators. Add children’s artwork in your stairwells. Lay out a walking area in your parking lot and let everyone know the distance Research has shown that breast mild provides the best nutrition for infants, protect against infections, diseases and allergies, and enhances physical development. More benefits are noted on p By supporting breastfeeding mothers, your faith communtiy will show its commitment ot good nutrition for all family members.
22 Sample Programs (p. 30-36) Healthy Weight ClassesCooking Demonstrations Pedometer Walking Challenge Activity Clubs/ Sports Teams Community Gardens Health Fairs Lactation Classes Examples Of Programs to Offer Healthy Weight Classes – p. 30 Cooking Demonstrations – p. 31 Pedometer Walking Challenge – p. 32 Activity Clubs/ Sports Teams – p. 33 Community Gardens – p. 34 Health Fairs – p. 35 Lactation Classes – p. 36
23 Using the Toolkit ProvidedMonth-By-Month Activities (p. 38) Assessment Questionnaires (p. 74) Everyone wants to celebrate a “year of good health”. The Faith Community can make “monthly installments” on this endeavor by planning activities and events that will promote health and wellness throughout the year. The majority of this Resource Guide is dedicated to activities and tools to help you develop a well planned Health Ministry program. The Assessment Questionnaires, as discussed earlier, are vital in developing your plan of action.
24 Monthly Activities Step by step guide Background information ObjectiveActivity Message for newsletter or bulletin Bulletin Board ideas Talking points Each month has a special designation and emphasis. Each activity includes: Description of Month’s Designation with background information Objective Pearl of Wisdom – This provides information that can be used in newsletters/bulletins List of Activities that can be done with directions and resource references Bulletin Board Ideas – every church should have a bulletin board designated for health info. Faith Leader Talking Points- share with pastor to include in sermons during the month Some months even have activity worksheets that can be duplicated and distributed.
25 Monthly Activities January- Healthy Weight MonthFebruary- American Heart Month March-National Nutrition Month April-Turn off TV Week May-National Physical Fitness and Sports Month June- Fresh Fruit and Vegetable Month
26 Monthly Activities July- Vacation EatingAugust - World Breastfeeding Week August 1-7 September-National 5 A Day /Fruits and Veggies: More Matters Month October-Eat Dinner Together Week November-American Diabetes Month December- Holiday Eating
27 Go Forth and Do Good Work!Use collective expertise and support from leadership Use all available resources Start slow and build upon your successes Have fun along the way, and Live Healthy in Faith!
28 Special Thanks and Acknowledgement Live Healthy in Faith Review TeamBethann Witcher Cottrell, Ph.D Jack Lockwood, Health Promotion Joy Maltese, RN – Health Promotion Beverly Tyler, Georgia Health Policy Center Diane Roberts Ayers, MPH, RD, LD, IBCLC Jean Murphy, BSN, RN, MRE
29 Toolkit http://district4health.org/pdf/faithbased%20toolkit.pdfGeorgia’s Nutrition and Physical Activity Initiative - Toolkit What we want to do now, is to begin identifying what your faith community needs to do to begin the process of either establishing a Health Ministry Program or enhancing it. Break up into your respective faith-based organizational groups. Group size should be limited to 6 people. More than one faith-based group can work together and collaborate on activities. Using the grid, do the following: Discuss problems or priorities that you recognize in your faith-organization that needs addressing. Identify what resources you would need to help address the problem. Using the Family Skills Inventory, list people who have the skills necessary to meet the needs identified. Using your Community’s Resource list, identify groups that you could collaborate with to bring in outside presenters or help in developing your program. Establish a budget for your activities. 1st – Name the activity you want to do. Briefly describe the activity, identifying who will be facilitating the program, and other pertinent information. This should provide information that can be placed in church bulletins or newsletters. How many people do you anticipate to serve? What materials will be needed and from where will they be obtained? What is the individual cost of the materials and what is the total cost? Does the health ministry program have a budget to support these activities? If not, who will pay for materials? The last step to this process before announcing to faith members, is to share the plan with the faith-leaders. Getting their support and blessing for the activity will help obtain their involvement in promoting plan. After everyone has come up with some ideas, we’ll share these with the group.