Progress 09/15/00 to 09/30/04
Outputs
Following discussion with outside consultants, minor changes were made in the cross sectional survey tool. The second cross sectional survey was mailed in September 2003. Response rate was 56% with just one mailing. (Response rate in 2001 was 51%.) USDA Under Secretary for Research, Education, and Economics, Dr. Joseph Jen, traveled to Wyoming and Idaho in September 2003 to learn more about our project and see some of our school and other community-based programs "in action." We were pleased to host Dr. Jen, and our project partners in Preston, Idaho, welcomed him as an honored guest and described how the project had helped them and their community make important health-related changes. Preston school children were thrilled to have a visitor from Washington, D.C. Fourth and final student assessments were completed in May 2003. Data was entered and verified in late summer, and analyses are just beginning. A concerted effort is being made to involve graduate students in
some of these analyses. Second adult assessments were completed in January 2003. Total participants dropped from our initial 293 participants to 249. Initial data gathered by the State Coordinators with the "Community Portrait" tool has been collected, and excerpts from the tool, developed by WIN the Rockies team members, have been shared on the WIN the Rockies web site. Efforts across the year by the State Coordinators and their community partners focused on interventions to achieve long-term project goals. Examples include: WIN Kids lessons for 10-13 year olds; "A New You: Health for Every Body" curriculum for adults; mass media campaigns; community walking programs; educational videos; competitive community grant programs; a healthy lifestyle prescription tool for physicians; and a WIN Kids Fun Days summer program. (www.uwyo.edu/wintherockies)
Impacts
Billboards, radio announcements, and newspaper ads promoted healthy lifestyles. Healthy lifestyle classes (titled A New You - Health for Every Body) were offered in all three demonstrator communities. To date, 15 classes (5 to 10 sessions each) have been completed, with 160 participants. Lessons in school and other youth settings (titled WIN Kids and WIN Kids Fun Days) integrate hands-on learning, take-home activities, and community project ideas. The project's website (www.uwyo.edu/wintherockies) allows broad and easy access to all the intervention programs developed by the project. The project educator worked closely with web masters to assure the site would be useful for all those seeking access, including those with slow modem speeds.
Publications
- Liebman, M., Propst, K., Moore, S.A., Pelican, S., Holmes, B., Wardlaw, M.K., Melcher, L.M., Harker, J.C., Dennee, P.M., Dunnagan, T. "Gender differences in selected dietary intakes and eating behaviors in rural communities in Wyoming, Montana, and Idaho." Nutrition Research 2003; 23: 991-1002.
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Progress 01/01/03 to 12/31/03
Outputs
Following discussion with outside consultants, minor changes were made in the cross sectional survey tool. The second cross sectional survey was mailed in September 2003. Response rate was 56% with just one mailing! (Response rate in 2001 was 51%.) - USDA Under Secretary for Research, Education, and Economics, Dr. Joseph Jen, traveled to Wyoming and Idaho in September 2003 to learn more about our project and see some of our school and other community-based programs in action. We were pleased to host Dr. Jen, and our project partners in Preston, Idaho, welcomed him as an honored guest and described how the project had helped them and their community make important health-related changes. Preston school children were thrilled to have a visitor from Washington, D.C. - Fourth and final student assessments were completed in May 2003. Data was entered and verified in late summer, and analyses are just beginning. A concerted effort is being made to involve graduate students
in some of these analyses. - Second adult assessments were completed in January 2003. Total participants dropped from our initial 293 participants to 249. - Initial data gathered by the State Coordinators with the Community Portrait tool has been collected, and excerpts from the tool, developed by WIN the Rockies team members, have been shared on the WIN the Rockies web site. - Efforts across the year by the State Coordinators and their community partners focused on interventions to achieve long-term project goals. Examples include: WIN Kids lessons for 10-13 year olds; A New You: Health for Every Body curriculum for adults; mass media campaigns; community walking programs; educational videos; competitive community grant programs; a healthy lifestyle prescription tool for physicians; and a WIN Kids Fun Days summer program. (www.uwyo.edu/wintherockies)
Impacts
Narratives or life stories relating to physical activity, food and eating, and body image were collected from 103 adults in the three demonstrator communities. One common theme reported is that, for some people, physical activity needs to be productive for them to do it; In their own words, a book of quotations from these life stories, has been completed and a copy has been placed in the community library and extension office in each participating community. - Wyoming graduate student Krystal Damori analyzed data from the Body-size Initial Reaction Tool and found that body-size stereotypes appear to exist when examined by gender and as a whole group. Thin females and medium-build males were viewed most positively; medium-build females, thin males, and large-build images of both genders were viewed most negatively. - Walking programs engaged slightly more than 20% of the adult population in each demonstrator community. - In one of the communities, the healthy lifestyle
campaign led to a community health fair, attended by 400-500 people. - In the summer of 2003, 250 youth were reached with the WIN Kids Fun Days curriculum. - Competitive community grant programs resulted in the awarding of 36 grants totaling $38,700. Community efforts resulting from the grant program included the purchase of a milk vending machine in a local high school and promotion of family orienteering in a nearby national forest.
Publications
- Liebman, M., Pelican, S., Moore, S.A., Holmes, B., Wardlaw, M.K., Melcher, L.M.., Liddil, A.C., Paul, L.C., Dunnagan, T. and Haynes, G.W. Dietary intake, eating behavior, and physical activity-related determinants of high body mass index in rural communities in Wyoming, Montana, and Idaho. International Journal of Obesity 2003; 27: 684-692.
- Liebman, M., Propst, K., Moore, S.A., Pelican, S., Holmes, B., Wardlaw, M.K., Melcher, L.M., Harker, J.C., Dennee, P.M. and Dunnagan, T. Gender differences in selected dietary intakes and eating behaviors in rural communities in Wyoming, Montana, and Idaho. Nutrition Research 2003; 23: 991-1002
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Progress 01/01/02 to 12/31/02
Outputs
The cross-sectional survey was completed with a 50% return; analyses are underway and three papers from this data are under review. Our data suggest that consumption of sweetened beverages, ordering super-sized portions, eating while doing other activities, and watching television all are predictors of high Body Mass Index among adults in these rural areas. Data also suggest that readiness to engage in physical activity correlates with healthy eating behaviors, and there are gender differences in food choice behaviors. Community Portraits and Key-Informant Interviews were completed in all six communities. These provide community-level baseline data and are being used to help guide the community-based interventions in the three demonstrator communities. Student Assessments of the 5th/6th grade students were conducted 9/01, 5/02, and 9/02. Analyses of that data are underway. Assessments in the adult cohort groups were completed in January 2002. Difficulties arose in the
handling and processing of the blood samples from the two communities in Idaho, and that portion of the data cannot be used. We are working with the Idaho State Coordinator, the contracting laboratory, and the hospitals in the two communities to try to make the next collection successful. Following training held in Laramie, WY in January 2002, teams traveled to the three demonstrator communities in March and April 2002 to conduct narrative focus group and in-depth interviews. Analysis of that data should be complete in Spring 2002. Results will help guide interventions and interpretation of quantitative data. An all-team retreat was held in Pocatello, Idaho in May 2002. The three-state team worked together to plan data analyses, publication schedules, and intervention strategies. State Coordinators, other research team members, and leaders from the demonstrator communities participated in a Cooper Clinic Workshop on "Developing Lifestyle Physical Activity Programs" in June 2002.
"Community on the Move" programs are underway in all three demonstrator communities. Numerous and varied interventions have been utilized in the three demonstrator communities. These have included adult and student educational programs; distribution of fruit and vegetable coupons; community "kick-off" events; water bottles and grocery list pads; community grants; and media campaigns, including posters and billboards.
Impacts
Data analyses of the cross-sectional survey led us to use physical activity interventions as lead community activities. Walking campaigns coupled with distribution of pedometers have involved an estimated one-fourth of adult citizens in each intervention community. Student data suggested a need for education on portion sizes and beverage choices. WIN Kids Lessons were developed to address these educational needs. Analyses of blood samples in the adult cohort groups were given to the individuals and their health care providers. WIN the Rockies helped adults in all six communities recognize their risks for heart disease and diabetes. In the intervention communities, A New You: Health for Every Body, an in-depth curriculum for adults, is being offered for those who want to develop healthy lifestyle habits. Mass-media campaigns deliver the projects four educational messages: Health - many sizes, many shapes; Physical Activity - your way, every day; Eating - one of life's
great pleasures; and Fruits and veggies - the original fast foods. Messages are displayed on billboards and posters, and in print media including one Spanish newspaper. Messages also are aired on radio, including a station that broadcasts in Spanish.
Publications
- Eisenmann, J.C., Milburn, N., Jacobsen, L. and Moore, S. 2002. Reliability and convergent validity of the Godin leisure-time exercise questionnaire in rural 5th-grade school-children. Journal of Human Movement Studies, 43: 135-149.
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Progress 01/01/01 to 12/31/01
Outputs
Investigators worked carefully to identify and hire project personnel. These personnel teamed with investigators and: 1) hosted the first meeting of the three-state team and expert consultants; 2) secured agreement among the three-state team on the "Mission and Guiding Principles" for Wellness in the Rockies; 3) identified one demonstration and one comparator community in each state and engaged stakeholders in all these communities; 4) revised the community-based intervention design to incorporate a cross-sectional survey - developed and field-tested the survey, conducted a community marketing campaign with local media in each community, and mailed the survey in September, 2001; 4) identified/developed assessment tools for the fifth-grade cohort; 5) began identifying and developing community-based intervention programs that support WIN the Rockies principles; 6) secured approval from institutional human subjects review boards from all three participating institutions
for the interventions planned with fifth-grade students; 7) recruited fifth-grade classes, obtained informed consent from parents, and began assessments including the 1-mile walk/run, heights and weights, and a written survey; 8) developed data gathering protocols for project staff; 9) contracted with a laboratory for serum analyses (adult cohort). On the advice of our expert consultants, investigators shifted the qualitative/interpretive research portion from "typologies" to "narratives". Procedures for that research still are being developed, and one expert consultant will return to Wyoming in Fall, 2001 to train interviewers for this portion.
Impacts
(N/A)
Publications
- No publications reported this period
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