FPCC EXTENSION SPECIAL EMPHASIS HEALTH AND DIET/NUTRITION PROJECT

• Sponsoring Institution: National Institute of Food and Agriculture
• Project Status: COMPLETE
• Funding Source: SERD GRANT
• Reporting Frequency: Annual
• Accession No.: 0214778
• Grant No.: 2008-47002-04396
• Proposal No.: 2008-02730
• Project Start Date: Sep 1, 2008
• Project End Date: Aug 31, 2009
• Grant Year: 2008
• Program Code: [NK]- Extension Tribal College Program

Recipient Organization
FORT PECK COMMUNITY COLLEGE
P. O. BOX 398
POPLAR,MT 59255

Performing Department
(N/A)

Non Technical Summary
The 2000 Census illustrates a 50% increase in the American Indian population of the Fort Peck Indian Reservation over the past two decades, 1980 through 2000. This population growth, coupled with the 1978 designation as a Health Professional Shortage Area, a condition that continues unabated to date, has played heavily on the reduced level of health education, professional counseling, and medical services resources available to the target audiences. Many of the individuals in the target audiences simply accept the fact that they are in bad health, and are convinced that there is little or nothing that can be done by either themselves or others to control, ameliorate, or eliminate their problem. As determined by the National Center for Chronic Disease Prevention and Health Promotion, the growing obesity epidemic is threatening the health of millions of Americans in the United States. According to this study, the obesity epidemic spread rapidly during the 1990s across all states, regions, and demographic groups in the United States. They also found that obesity has increased by over 50% among adults, and 100% among children and adolescents in just 15 years. The study shows that this epidemic portends greater disease, disability, early death, and related rises in health care costs. These findings by the National Center for Chronic Disease Prevention and Health Promotion illustrates with great clarity the health and related problems associated with obesity, problems that have been endemic in the American Indian population for the past forty-five to fifty years. Studies have shown that a child who is obese between the ages of 10 and 13 has an 80 percent chance of becoming an obese adult (American Academy of Child & Adolescent Psychiatry, 2004). Diabetes Information: According to the DHHS National Center for Chronic Disease Prevention and Health Promotion, diabetes is a serious and common chronic disease affecting nearly 16 million Americans representing every racial and ethnic group. Locally, this disease affects nearly 16% of the American Indian population (997 registered diabetics) on the Fort Peck Indian Reservation. It is the leading cause of Indian Health Service outpatient visits annually, accounting for 5,789 or nearly 6% of all visits. Indian Health Service data shows that:  Nationally 47% of diabetic patients have controlled blood sugar in 2001, an increase of 4% over the 1995 figure. The Billings Area, which includes Wyoming and Montana, averages 37%, and the national IHS average is 47%.  The Fort Peck IHS data shows that acceptable blood sugar control levels have increased from 35% to 42% from 1995 through 2001.  The latest immunization reports for diabetics were compiled in 1996, and showed 71% for pneumovax and 42% for influenza. These rates are the same as those shown for the entire Billings Area.  Tobacco use among diabetics has improved slightly, showing a decrease from 43% in 1995 down to 39% in 2002, with former users increasing from 33% to 37% during this period. 

Animal Health Component

100%

Research Effort Categories

Basic

(N/A)

Applied

100%

Developmental

(N/A)

Classification

Knowledge Area (KA)	Subject of Investigation (SOI)	Field of Science (FOS)	Percent
903	6099	3020	100%

Knowledge Area
903 - Communication, Education, and Information Delivery;

Subject Of Investigation
6099 - People and communities, general/other;

Field Of Science
3020 - Education;

Keywords

diabetes

obese

adolescents

native american

nutrition

weight loss

healthy

physical activity

heart

Goals / Objectives
The proposed project is a focused initiative for effectively addressing those unmet health and wellness needs regarding high risk areas and chronic diseases prevalent among the Fort Peck American Indian population. Obesity, diabetes, and coronary diseases constitute the primary focus of this initiative. The goals of this project will be achieved through the application of program and institutional resources, and individual participant effort to: 1. raise the level of awareness regarding health and wellness, and their relationship to life-style, nutrition, and fitness; 2. provide substantive individual and group health related services, activities and programs that are accessible, essential, measurable and that speak to the specific needs of the target population; and 3. establish administrative networking relationships with the Fort Peck Tribal Health Department and the Indian Health Service that ensure timely, as well as appropriate application of services and associated activities for the target populations. Objective 1: During the project period of October 1, 2008 and September 30, 2009, project staff will recruit a combined cohort of 50 men and 50 women at each of the Wolf Point and Poplar Wellness Centers, for a total of 200 adults in a weight loss program resulting in a 10 percent long term weight reduction of the total participant weights, as measured by pre and post measurements.Objective 2: During the project period of October 1, 2008 and September 30, 2009, project staff will develop health education dissemination centers at the Poplar and Wolf Point Wellness Centers by providing health related information to a minimum of 300 Fort Peck residents on national health related topics and themes through lectures, group discussions, video presentations, brochures, group and one on one activities as measured by project records. Objective 3: During the project period of October 1, 2008 and September 30, 2009, project staff will establish a health enhancement program, through exercise and nutrition education, targeting 200 diabetics, using both Wolf Point and Poplars Wellness Centers. At least 75 percent of the 200 diabetics will participate in organized exercises and activities a minimum of three times per week, as evidenced by project records.Objective 4: During the project period of October 1, 2008 and September 30, 2009 a cohort of 100 adolescents will be recruited for an obesity program. Weight loss will be controlled through programmed physical activities and nutrition education. It will promote self-esteem through motivational exercises, attaining a goal of 10 long term weight loss and greater self esteem, as evidenced by daily activity records and psychological evaluative instruments for measuring self esteem.

Project Methods
The project anticipates serving 500 unduplicated encounters during the project period. This project focuses on four identifiable target populations or groups within the American Indian population on Fort Peck Indian Reservation. Major strategies to be undertaken during the course of this program will include a systematic approach to participant recruitment of the target audiences, and development of individualized program delivery methods. These methods will be inclusive of the four target populations, all of which will be medically evaluated and professionally assessed for individual health and fitness levels. Individualized exercise programs and nutrition plans will be developed prior to initiating activities, and monthly health assessment and progress evaluations will be conducted and recorded for all participants, throughout the project period. Utilizing the Poplar and Wolf Point Wellness Center facilities as Health Education Distribution Centers, project staff will provide critically needed outreach programs for dissemination of health and wellness oriented information on exercise and nutrition. They will also provide health education and exercise programs to outlying American Indian communities, such as Brockton and Frazer. Program staff will work closely with the networking partners, which include the Tribal Health Department and the Indian Health Service for patient referrals, medical assessments, and other critical client support mechanisms, including maintaining medical records and dissemination of program information. The feasibility of reaching program objectives and the relevance of methods used to reach those objectives includes utilizing existing health delivery methods and existing health resources as the support base. From that position, the program will develop a comprehensive program that includes education, motivation, support, and facilitation designed to encourage individuals to make positive behavioral changes. The program will emphasize development of a healthy lifestyle, including components directed toward fitness, conditioning, nutrition, preventative health care, early detection and treatment of illness and injury, and avoidance of harmful practices. No such all inclusive and comprehensive program exists on the Fort Peck Indian Reservation, particularly one that offers services reservation wide. Fort Peck Community College will utilize a model, similar to the Logic Model and the Northwest Accreditation Assessment Model to evaluate the project. This model has been part of the planning and evaluation procedures within Fort Peck Community College Community Services Division for 10 years and ensures the success for each individual grant programs. This model will insure an organized approach to planning, recording and the distribution of project results. This project will ulitize the logic model as illustrated in grant narrative.

Progress 09/01/08 to 08/31/09

Outputs
The goal of the Fort Peck Community College's Health, Diet, and Nutrition program is to raise the level of awareness regarding health and wellness, and a healthy relationship to lifestyle, nutrition, and fitness. The Wolf Point and Poplar Wellness Centers recruited 128 women and 156 men working on reaching their 10% weight reduction goal. Numerous activites were developed and offerered to assist in Weight loss reduction and are explained in the dissemination of activities. The FPCC Wellness Center staff, Montana Campus Compact, Community volunteers, and Community entities informed Fort Peck residents on national health themes, distributed and posted calendars/brochures throughout the wellness center, local businesses, Fort Peck Community College Dumont building/classrooms, Wolf Point Schools, and the Indian Health Center. Flyers, word of mouth, e-mail and radio also promoted our message in the communities in a strong outreach campaign. The Fort Peck Community College Wellness Centers worked with 250 diabetics who utilize the facility 3 times per week, resulting in 5,056 diabetic visits for FY 09. Wellness Center staff require: a doctor's release prior to exercise, a complete wellness profile, body measurements/weight recorded, and a signed liability waiver. At the beginning exercise schedule, the clients are asked to record daily activities, and blood sugar/blood pressure. The wellness center partnership includes the Fort Peck Tribal Health Diabetes Program that provided blood sugar and blood pressure checks. The FPCC Wellness Center also began a youth weight loss program. The center recruited 59 youth males, and 47 youth females joined in a weight loss program and lost 10% of their weight. PRODUCTS: The FPCC Wellness Center's Health, Diet, and Nutrition project served the community as a rewarding success. The project increased awareness of proper nutrition, motivated numerous community members to achieve weight loss goals and promoted the importance of healthy lifestyles. The FPCC Wellness Center's Health, Diet, and Nutrition project served the community as a rewarding success. The project increased awareness of proper nutrition, motivated numerous community members to achieve weight loss goals and promoted the importance of healthy lifestyles OUTCOMES: These are the results for the Fort Peck Community College/Wolf Point Wellness Center. The center recruited 60 women and 106 men working on reaching their 10% weight reduction goal. Of the 60 women, fifty have decreased their body weight and measurements totaling 927.10 pounds. Of the 106 men, fifty have decreased their body weight and measurements totaling 1,097.4 pounds. The FPCC Poplar Wellness Center work with 68 females and 50 males during the project year, currently they are all still working out. Five Males lost a total of 75 pounds each. One Male lost 100 pounds. One female lost 93 pounds and The entire FPCC Poplar Wellness Center cohort weighed in at the beginning at 20,904 pounds and lost a total of 2369 pounds. 250 diabetics diabetics who utilize the facility 3 times per week, resulting in 5,056 diabetic visits in the last 12 months. The Wellness Center provided: the opportunity to work out 6 days a week, organized activities, and Diabetes awareness. Participants reduced their blood sugar, maintained normal blood lipids, and overall felt better after their workout regimen. The release of endorphins assisted with a better attitude, and daily stresses. The FPCC/Wolf Point Wellness Center also began a youth weight loss program. The center recruited 59 youth males, and 47 youth females joined in a weight loss program and lost 10% of their weight. Out of the 59 youth males 25 have lost weight and continue to live a better lifestyle, Out of the 47 youth females, 25 have lost weight, became more active, monitored their caloric intake, and replaced water with soda.With the assistance of Montana Campus Compact, the FPCC/Poplar Wellnes Center performed concerts in each community on the reservation and encouraged healthy lifestyles and emphasized the importance of education reaching 630 youth We also were able to teach Hip Hop Dance and Football Camps. Outreach with youth was conducted during a Kids Day, 1 Mile Walk for Backpacks, targeting 1,075 area youth during two events. FPCC Poplar Wellness Centers found it it is hard to work with youth and adults in the Wellness Center at the same time because it leads to conflicts. We need to reach out to the youth during the summer time to achieve success with them. But because the FPCC Wolf Point Wellness Center youth obesity program was also a huge success. With a target goal of100 youth participants was met, our actual participant turn-out was 106. Overall the Fort Peck Community College served 8,623 youth through various activities. DISSEMINATION ACTIVITIES: Numerous programs were implemented to assist in reaching their goal which include: Biggest Loser contest, Reservation wide loser contest, FPCC Wellness Centers weight loss contest, Step aerobics, Boot camp, Interval training-treadmill/elliptical, Circuit training, Cardio plus (Northside basketball open gym), PACE, Body sculpting, Basic weightlifting, Walking and Running clubs, Senior fitness, Special populations, Yoga, Chair aerobics, Reservation fun run/walks, Relay races -swim, bike, run, Human Stampede run/walk, Roosevelt County run/walk, Bosu class, Resist-a-band exercise, Strength training, Core exercise, Stretching-total body, Sauna, Water aerobics, and Personal training. Participants were shown how to incorporate: physical activity in moderate to high levels, nutrition-healthy cooking, shopping to eat right, portion control, foot care-proper shoe selection, healthy cooking, strategic shopping for a balanced diet, weight loss strategies without drugs, a budget in their meal planning, and knowledge of the digestive process to plan diets that include all food groups. To accomplish this planning, wellness center personnel drew meal strategies from My Pyramid, culturally based food strategies, and the Basics of Nutrition and Their Function-How a well balanced diet increases your energy level, performance, and fitness level." Project activities include: basketball, horseshoes, scooter races, arts and crafts, guitar lessons, Spanish lessons, football, proper weightlifting techniques, volleyball, kickboxing, PACE, jump roping, basketball tournaments, fun run/walks, cross country, youth running camp, nutrition presentations, reservation health fairs, youth fitness, hip hop dance, fishing camp for kids, medicinal presentation, personal training. FUTURE INITIATIVES: The For t Peck Community College Wolf Point Wellness Center staff and volunteers will continue to provide and instill healthy lifestyles to the members of the Fort Peck Indian Reservation and surrounding communities.

Impacts
The project anticipated serving 500 unduplicated encounters during the project period but the actuality of it the FPCC Wellness Centers served 640 unduplicated encounters during the project and educated 2000+ individuals on national health themes, distributed and posted calendars/brochures throughout the wellness centers, local businesses, Fort Peck Community College Dumont building/classrooms, Wolf Point Schools, and the Indian Health Center. Flyers, word of mouth, e-mail and radio also promoted our message in the communities in a strong outreach campaign. Oveall the FPCC Wolf Point Wellness Center had 21,724 visits and the FPCC Poplar Wellness Center had 22,667 visits in FY09, totaling 44,391 actual visits on the Fort Peck Indian Reservation. This number is phenomanel.

Publications

• No publications reported this period