HEALTHY HOMES PARTNERSHIP - NATIONAL LEADERSHIP

• Sponsoring Institution: National Institute of Food and Agriculture
• Project Status: COMPLETE
• Funding Source: OTHER GRANTS
• Reporting Frequency: Annual
• Accession No.: 1007727
• Grant No.: 2015-48540-24244
• Cumulative Award Amt.: $225,000.00
• Proposal No.: 2015-10193
• Project Start Date: Sep 1, 2015
• Project End Date: Feb 28, 2017
• Grant Year: 2015
• Program Code: [FF-L]- IYFC, Admin. Discretionary & Reim. Extension

Recipient Organization
UNIVERSITY OF MISSOURI EXTENSION
(N/A)
COLUMBIA,MO 65211

Performing Department
HES Extension

Non Technical Summary
The purpose of this project is to utilize the Healthy Homes Toolkit, Help Yourself to a Healthy Home guides, HHP website and social media locations to make a measurable, significant impact in the health of adults and children in eight key locations. As director and coordinator for the Healthy Homes Partnership, Mr. Goldschmidt and the MU team will summarize successful strategies from these partners and report these to the larger Healthy Homes Partnership community, so that strategies, lessons and curriculum can be replicated nationwide.The Healthy Homes curriculum and outreach model are based on the large body of scientific research that has demonstrated that numerous housing-related hazards pose a threat to human health. This research has made clear that unhealthy housing is costly in terms of economics, social capital and personal health. The Healthy Homes approach uses well-documented, evidence-based interventions to address these housing-related health hazards. A "healthy home" is a home designed, constructed, maintained or rehabilitated in a manner that supports the health of residents. The Healthy Homes approach focuses on the "Eight Principles of Healthy Homes": dry, clean, well ventilated, pest-free, contaminant free, safe, comfortable, and maintained.The comprehensive Healthy Homes approach is more efficient and has a greater public health impact than single issue-focused programs because it promotes interrelated strategies. A comprehensive approach to healthy homes includes the Environmental Protection Agency's three-step process of: 1) identifying the problem; 2) mitigating the problem; and 3) increasing the quality of the home environment, including most importantly, indoor air quality. This comprehensive approach looks at the following individual components, as well as their intersection, to see how they affect the health of individuals: Mold and biological pollutants, Carbon monoxide and other combustion products, Toxins (e.g., lead, asbestos, radon, and household chemicals), dander, dust, pests and asthma triggers.Homes that are poorly constructed or maintained can have a significant impact on the health and safety of residents, and more often, these are the homes of individuals with low incomes. Low- income populations suffer disproportionately from housing quality concerns, and are therefore a significant target population for the Healthy Homes Partnership. Risk factors associated with poor housing quality and increased risk of housing-related illness include age of housing, poverty, geographic location, age of residents and race and ethnicity.

Animal Health Component

(N/A)

Research Effort Categories

Basic

(N/A)

Applied

(N/A)

Developmental

(N/A)

Classification

Knowledge Area (KA)	Subject of Investigation (SOI)	Field of Science (FOS)	Percent
804	5320	3020	90%
804	5320	3110	10%

Knowledge Area
804 - Human Environmental Issues Concerning Apparel, Textiles, and Residential and Commercial Structures;

Subject Of Investigation
5320 - Houses (human residences), furniture, household equipment, non-textile furnishings;

Field Of Science
3020 - Education; 3110 - Art and architecture;

Keywords

environmental health

housing

Goals / Objectives
The long-term goal of this project is to reduce housing deficiencies in the United States, make housing healthier and safer, and ultimately to reduce the risks inadequate housing poses to health, especially those associated with childhood diseases and injuries. The overall strategy to pursue this goal is to strengthen and support the Healthy Homes Partnership public outreach education program, building on the success of the 15-year-old program through supporting and coordinating the efforts of eight Healthy Homes subgrant teams toward the following specific objectives:1. Implement Healthy Homes training and outreach education through eight state sub-grants and their advisory boards/coalitions for problem solving to support the goal of educating the public about Healthy Homes through traditional, e-newsletter, and social media.2. Develop and refine technology-based education information related to Healthy Homes through mobile devices, online consumer guides, and educator curricula coordinated with the work of federal agency partners, based on the communication goals of the interagency "Advancing Healthy Housing - A Strategy for Action".3. Evaluate the Healthy Homes program to determine and document the relevant qualitative and quantitative outcomes and impacts on public health through:- Feedback and reporting from the eight sub-grant states and their associated Healthy Homes advisory boards/coalitions- Development of a common online reporting system for the eight sub-grant states and their associated advisory boards/coalitions that documents improvements in health from implementation of the eight principles of Healthy Homes- Communication using e-newsletters, listservs, webinars, and public forums about best practices and success stories from the program and sub-grant states- Refinement and improvement of the Healthy Homes Toolkit, Help Yourself to a Healthy Home guides, and overall program messaging based on feedback from federal agencies and their consultants

Project Methods
Continuing and proposed activitiesAt the start of the second year grant period, the PD (Goldschmidt) will conduct a program webinar with the eight sub-grant states. At the webinar, the PD will establish the specific continuing objectives and scope of work responsibilities for each state for the year as well as information about the evaluation and reporting system to be used to collect quantitative and qualitative outcomes. Shortly after this webinar, participants from each state (i.e., Extension Specialists, advisory members, and other interested parties) will finalize their statewide action plan, logic models, and other plans with specific time targets and success benchmarks.After the initial kickoff webinar, the Project Director and the MU team will continue the following key project activities, over the course of the one year project period:· Fund outreach programs in the eight states from the Healthy Homes 2014 project to continue implementing the Healthy Homes toolkit curriculum, including promotion of the Help Yourself to a Healthy Home book and content information to the general public. Funding for sub awards will be based on scope of project implementation for Healthy Homes and the deliverable(s) to be completed. The Program Director will facilitate the sub-award process with review and final approval by NIFA.· Evaluate the Healthy Homes project implementation in the eight states. The Program Director will work with these eight states to identify evaluation data to be collected. The metrics will be the same for each state, resulting in key quantitative impacts/outcome data for Healthy Homes from eight states. Qualitative data on the public value of Healthy Homes will also be collected in each state. The Program Director will receive evaluation data for compilation and reporting to the Program Leader at USDA-NIFA, HUD OLHCHH, and other requested federal agency partners.· Conduct webinars to coincide with resource information in the Healthy Homes toolkit and the "Help Yourself to Healthy Homes" educational materials. Utilize webinars to train state project managers and regional/county extension educators within targeted states in using the Healthy Homes materials. (Train-the trainer model).· Utilize information from the Healthy Homes toolkit to develop and refine messaging for general public. Transfer information using technology via social media applications to include, but may not be limited to Facebook, Twitter, YouTube, Pinterest, Tumblr, and Google + presentations.· Coordinate with Healthy Homes Advisory Committees/Coalitions working with state coordinators in the eight targeted states for guidance in project implementation, identification of emerging needs, and reporting metrics.· Expand the network for sharing and exchange of information among the state partners, including a communication network for the Healthy Homes Advisory Committees in the selected states.· Direct sub awardees in utilizing other products related to the Healthy Homes project for education outreach that HUD/OLHCHH may provide during the performance period.Documenting Short, Intermediate and Long Term OutcomesThe National Healthy Homes Partnership is designed to address health and safety risks in the home. It is composed of a national inter-agency leadership of USDA-NIFA, HUDOLHCHH, and the University of Missouri working with eight state university coordinators and their designated colleagues who are specifically trained to understand and educate on the connection between health and housing deficiencies. Through their work, they collaborate with a variety of other professionals in statewide Healthy Homes advisory boards/coalitions. Collectively, the coordinators and advisory boards use the HH curriculum and toolkit for schools, agencies, consumers, and community groups to educate families on home health hazards. Families learn a variety of techniques and tools to decide if their home is healthy and particular changes (structural and behavioral) that might need to be made to protect their family's health. Educators also provide families with specific action steps that can be taken throughout the home to protect their health and safety.This program proposes to collect data and evaluate the short and intermediate outcomes of healthy homes partnership programming, and the associated long-term improved health outcomes from reducing housing deficiencies in eight states.As part of the strategy to begin collecting information from families about their improved health as a result of improved healthy homes practices, our state university coordinators and educators, and members of their advisory boards/coalitions, will be provided with specific evaluation criteria, outlined below, to ensure that they are inquiring about relevant issues to make the connection between their home and their health. These metrics will be the same for each of the eight states and will be collected from both the state PIs and from some of their state advisory board/coalition member organizations/agencies. This will also require collection of follow-up data from community members through the advisory board/coalition agencies to establish whether the implementation of some or all of the principles of healthy homes has led to longerterm improved health and wellness of individuals in their household. The data will be collected on a secure online reporting system, compliant with applicable federal and university regulations.The program benchmarks are to document long-term health improvements to families in 10-15 homes from a comprehensive evaluation and remediation using all eight principles of healthy homes, per state; and 50 homes per state from an application of one or more of the eight principles.The short, intermediate, and long term outcomes for this next year of funding are meant to be easy to document, and a short list to provide a greater likelihood of consumer participation, especially months after a change in structure or behavior is completed. This process is expected to include more metrics in future years as the evaluation process is improved and evaluated on an annual basis.Short Term Outcomes - Low Cost Implementations- Moisture intrusion elimination- Reduction of indoor humidity to <50%- Removal of visible mold- Implementation of integrated pest management practices- Radon test completed- Carbon Monoxide detector installed- Smoke detector installed- Lead testing- Indoor smoking cessation- Use of less-toxic household chemicals- Cabinet locks- Use of a HEPA vacuumIntermediate Term Outcomes - Change in Structure/Behavior- Lead mitigation or lead-safe exposure practices- Radon mitigation system installed (passive or active)- Visibly less or no pests (rodents, insects)- No visible or hidden mold- Lower hot water temperature- More frequent replacement of furnace filters- Combustion appliances routinely inspected- Visibly less dander and dust- Night lights at stairs and trip hazards- Grab bars in bathroom- Routine cleaning program- Installation/use of kitchen/bath exhaust fansLong Term Outcomes - Health Improvements- A reduction in the number doctor visits or frequency of inhaler use for asthmaticindividuals- A reduction in the number of missed school days for children with asthma implementing specific healthy homes practices- A reduction in the number of missed work days for adults with asthma- A reduction in the number of home related accidents (slips, trips, falls, burns, etc.) based on doctor, urgent care, or emergency room visits- A reduction in the number of instances where combustion appliances set off a carbon monoxide alarm or smoke detector

Progress 09/01/15 to 02/28/17

Outputs
Target Audience:For the grant period of September 1, 2015 - February 28, 2017,eight states participated directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, a smartphone app, anda newsletter. During the year, the HHP programs in theeight states and nationally reached over 260,000 consumers directly through personal consultations, exhibits and displays, trainings and workshops, and visits to websites and social media. This is in addition to many news articles, radio spots, and other traditional media used by the states for a total of 2,793,020 indirect and direct contacts. Throughout the year, the HHP was able to train and educate17,418 stakeholders about healthy homes issues. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These eight states created a total of364 partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. Changes/Problems:The HHP state partners reach large numbers of people; however, their effectiveness could be improved by increasing assessments of intermediate- and long-term impacts. An evaluation at the end of a program provides insights into knowledge gained and the intent to make behaviour changes, but it is only through follow-up surveys that more impactful outcomes can be measured. Assessing intermediate- and long-term impacts requires time and funding to follow-up with participants in programs and trainings usually after the grant period has expired.Another major challenge is that the Extension educators must coordinate reporting of behavioural changes and hazard mitigation leading to improved health with various state coalition members in order to be compliant with the federal Health Insurance Portability and Accountability Act (HIPAA) privacy requirements (Extension personnel are often not allowed to collect medical information under the act that is coordinated with an individual's identity). The challenges for the future are to develop new ways to assess outcomes from programs and trainings, and to measure the effectiveness of social media as a means of disseminating information. Extension is an effective means of disseminating a consistent healthy housing message. The organization is nationwide, provides unbiased research-based information, and offers free or low-cost access to information. Face-to-face programs will remain an important delivery method, but the program expects to continue to see decreases in program attendance and increased use of online tools and networks in both rural and urban communities. Partnerships and the healthy housing adivsory boards are becoming increasingly important. The HHP state partners need to continue experimenting with new ways to reach audiences and sharing resources to expand knowledge about healthy housing. What opportunities for training and professional development has the project provided?States were tasked with individual key deliverables to support the mission of the Healthy Homes Partnership in addition to their other day-to-day state healthy homes programs and initiatives. Alaska - Webinars Project Objective: Deliver healthy homes educational programs to Extension services in sparsely populated, northern clime states. These programs utilized the Healthy Home Solutions (toolkit) delivered via webinars. Outcome: Three 2-hour Healthy Home Solutions Webinars were created using Zoom online video communications. Presentations were uploaded and the chat option was utilized for participant input. A recording of webinars was made with the help of eXtension. Webinar #1:Drinking Water and Waste Mediation (presented in May, June, and August of 2016) Webinar #2: Integrated Pest Management and Lead Poisoning (presented in June and August of 2016) Webinar #3: Energy efficiency (presented in July and September of 2016) Connecticut/Georgia - Healthy Homes Social Media Project Objective: Develop, launch, and maintain social media with integrated content from the Healthy Home Solutions Toolkit and HUD/USDA-NIFA based Healthy Home materials. Social media includes Facebook (@HealthyHomesPartnership), Twitter (HealthyHomes4), and Pinterest (HealthyHomes4). Outcome: Online Outreach for Healthy Homes Partnership The University of Connecticut Extension and the University of Georgia Extension work together to maintain the social media sites for the National Healthy Homes Partnership. These social media posts reflect research and topics related to health and housing. As of December 31, 2016, there were 274 Facebook fans, 512 tweets and 62 followers on Twitter, and 22 Pinterest boards with 660 pins and 46 followers. The University of Georgia Athens healthy homes website links to these sites as well. (www.georgiahealthyhousing.org). In addition to these social media sites, the University of Georgia continues to post healthy housing information on the UGA GreenWay (www.ugagreenway.org) social media sites. During this reporting period, a new video entitled Creating a healthy home was added to the 17 videos on the UGA GreenWay YouTube channel that had 5,489 views on December 31, 2016. There were 609 Facebook fans; 3,931 tweets and 747 followers on Twitter; 29 Pinterest boards with 714 pins and 891 followers; and 161 Wordpress blogs with 14,263 views. Louisiana - Healthy Homes Highlights Newsletter Project Objective: Establish a communication network within the sub?grantee states/regions through a monthly e?newsletter, and maintain a state/regional and national Healthy Homes listserv addressing comprehensive Healthy Homes information. Outcome: Six Healthy Homes Highlights Newsletters were created during 2016. The Healthy Homes Highlights Newsletter is a mobile-friendly electronic resource and technical update for Healthy Homes Partnership educators and collaborators nationwide. The newsletter reached 230 Extension educators and collaborators. Each issue highlighted one or two HHP state stories to share program strategies and insights, and focused on a specific Healthy Homes topic to expand knowledge and update educators on new information. Each newsletter also included the Director's update, USDA NIFA happenings, "social snacks" (social media post ideas on the focus topic), news, resources for reaching and teaching, and upcoming events. The newsletter has received many complementary comments by users. Montana - Healthy Homes Website Project Objectives: Montana State University (MSU) Extension worked closely with other Healthy Homes Partnership grantees in updating and restructuring the National Healthy Homes Partnership website. The project website (www.extensionhealthyhomes.org) was segregated into two major sections: the Educator section and the Consumer section. MSU Extension worked closely with the University of Missouri Extension in the content and layout of the Consumer section. Gina Peek (Oklahoma State University) reviewed, updated, and provided the edited PowerPoint Presentation lessons to MSU Extension for publication on the project website. Outcome: Through the collaboration with the University of Missouri Extension, the project website now provides easy access to updated and current consumer-friendly healthy homes materials and resources. Additionally, the project website also provides reviewed and updated Healthy Homes training lessons for Extension professionals to expand and enhance their healthy homes education efforts. Continuous updates and postings to the website include: quarterly newsletters, new webinars, updated lessons and resources, updated state contacts, and partners. Oklahoma - Healthy Homes Smartphone App Project Objectives: To develop an app to serve as a tool to reduce housing deficiencies and risks associated with childhood diseases and injuries (Healthy Homes Smartphone App). Outcome: The "A Safe and Healthy Home" app created by Oklahoma State University is in the final stages of completion. The team has developed the structure and added the bulk of the content. The developers are in the process of finalizing details, including product testing. The app is being optimized for iphone/ipad use. The team released the app code in December 2016 and will release the PDF screenshots in February 2017 to USDA/NIFA. Tennessee - Healthy Homes Webinars Project Objectives: Develop a minimum of two, 2?hour webinars for state/regional advisory boards and other interested parties addressing comprehensive approaches to Healthy Homes using the Healthy Home Solutions Toolkit. Outcome: Healthy Homes Webinars Home Energy - In-service training designed for Extension educators The Science of Cleaning is a webinar planned as a basic understanding of cleaning principles along with strategies for keeping a home clean. In addition, short videos are being produced showing basic cleaning techniques. The Knoxville Community Development Corporation (a Tennessee Healthy Homes Partner) has requested working with public housing residents (10 to 12 percent of all these residents are on probation for housekeeping issues) to address many cleaning issues. This has delayed the webinar, but should occur late winter 2017. Healthy Homes for Remodelers is another webinar planned for February 23, 2017 and will be targeted to ReFrame, an association devoted to empowering and bringing a collective voice to home repair organizations. It began as an Appalachian service project and has now expanded to a nationwide focus. All webinars are available on YouTube Mold and Moisture Control Webinar - https://youtu.be/fbbxQxF8ZnM Pests and Pesticides Webinar - https://youtu.be/j0zyhazYyLI Lead Poisoning Prevention Webinar - https://youtu.be/KHxqJqlaPNw Home Energy - Energy Efficiency Improvements - https://youtu.be/BPLOxbyXSPE The national Healthy Homes Partnership has established the following online and social media locations: Healthy Homes Partnership Website: www.extensionhealthyhomes.org and healthyhomespartnership.net (includes links to the HH Toolkit and Newsletter) Healthy Homes Partnership Facebook Page: https://www.facebook.com/Healthy-Homes-Partnership-238568859513814/ Healthy Homes Partnership Pinterest Page: https://www.pinterest.com/healthyhomes4/ Healthy Homes Partnership Twitter Page: https://twitter.com/HealthyHomes4 How have the results been disseminated to communities of interest?Summary of the Healthy Homes Partnership program, including best practices, toolkit, and success stories,was presented at the following national and international conferences: Extension Sustainability Summit. Portland, OR. April 2016 European Network for Housing Research. Belfast, Ireland. June 2016. HUD/NEHA National Healthy Homes Conference. San Antonio., TX. July 2016. International Conference on Energy and Environment of Residential Buildings - Healthy Housing. Brisbane, Australia. November 2016. HUD Leadand Healthy Housing Conference. Indianapolis, IN. March 2017. National Health Outreach Conference. Annapolis, MD. May 2017. In addition to the above activities, the Healthy Homes Partnership will be presenting five webinars in June 2017 as part of national Healthy Homes Month. These webinars will highlight the activities of the program for the last two years, including best practices and success stories: June 5th, 2017 Delivering the Healthy Homes Partnership: Best Practices and Success Stories The National Healthy Homes Partnership translates housing research into a stakeholder and consumer outreach program dedicated to reducing housing deficiencies and mitigating risks associated with family diseases and injuries due to poor housing conditions. This webinar explores curriculum and outreach activities from 10 states in the program. June 12th, 2017Increasing Reach with the Healthy Homes Toolkit The Healthy Home Partnership Toolkit includes a stakeholder curriculum, consumer and stakeholder guides, packaged information for conventional media (radio, tv, newspaper) and social media (Facebook, Twitter, Pinterest), a stakeholder newsletter, stakeholder webinars, and a website (portal) for both consumers and stakeholders. June 19th, 2017Creating Healthier Indoor Environments for Child Care Facilities This webinar presents outreach resources and strategies to educate child care providers and agencies in identifying and reducing children's exposure to pollutants that may be present in homes and facilities. June 26th, 2017Meeting the Challenges with Youth and Healthy Homes This webinar explores a national 4-H Curriculum that teaches youth in 4-H/afterschool programs (grades 4-6) about healthy homes and food safety. The curriculum includes a children's storybook, "Susie and Jerome Learn about a Healthy Home," and related animated Video/Teacher's Guide/Activity Book June 29th, 2017Restoring for Health Homes after a Natural Disaster- Model Home at LSU LaHouse is a showcase of multiple solutions, exhibiting four different high-performance building systems for hot-humid climate and conditions and many types of products and solutions. It integrates Healthy Homes (including universal design) with resource efficiency and hazard resilience. Through this project, the states were able to support a national HHP website, various social media sites, webinars, a smartphone app, anda newsletter to provideongoing information on the partnership's activities. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? Eight states participated directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally.During the year, the HHP programs in theeight states and nationally reached over 260,000 consumers directly through personal consultations, exhibits and displays, trainings and workshops, and visits to websites and social media. This is in addition to many news articles, radio spots, and other traditional media used by the states for a total of 2,793,020 indirect and direct contacts. Throughout the year, the HHP was able to train and educate17,418 stakeholders about healthy homes issues. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These eight states created a total of364 partnerships in these coalitions. Goal 1: Implement Healthy Homes training and outreach education through eight state sub-grants and their advisory boards/coalitions - Highlights of State Training and Outreach Education Tennessee University of Tennessee and Virginia Tech each built, through their construction programs, a playhouse raffled for the UT/VT football game played at Bristol Motor Speedway in September, 2016. The playhouses were on display throughout east Tennessee andVirginia. Over 6,000 people visited the exhibit set up in 26 locations across east Tennessee andVirginia. An exhibit accompanied the playhouses with a featured Healthy Homes video. Signs were developed and distributed to childcare centers as a part of the Eco-Healthy Childcare project. Parents were also taught about healthy homes principles. Georgia With funding from the grant and other funding sources, UGA Extension: Distributed 1,063 short-term radon test kits. Conducted 20 programs for youth and adults, reaching 450 people. The Georgia Radon program also participated in the Free to Breathe 5K in Atlanta to increase awareness about radon and its linkage to lung cancer. Participants in the event received complimentary radon kits and information about testing. Over 250 people were reached at the event. The Rural Georgia Healthy Housing Advisory Board partnered with the Georgia Health Homes Coalition to coordinate a healthy homes booth for the 11 days of the Georgia National Fair in Perry, GA. The purpose of the event was to increase knowledge about how to create healthy and safe housing environments. Each day at the fair a different healthy homes principle was highlighted. There were several interactive activities for children, including a Wheel of Knowledge, a selfie frame and live pests. A brief health education survey was completed by the volunteers who worked at the booth and it revealed that over 3,600 people were directly engaged by booth volunteers and volunteers reported 2,455 minutes of direct contact time talking with individuals about healthy homes. Goal 2: Develop and refine technology-based education information related to Healthy Homes through mobile devices, online consumer guides, and educator curricula - Highlights of Developed Education Materials and Consumer Guides Louisiana Low-literacy, illustrated flipchart lessons, "Be Aware of Your Indoor Air and Protect Kids from Lead Poisoning" were created, reproduced and distributed to Extension agents in Louisiana and Mississippi who had previously participated in Healthy Home Solutions training. The flipcharts offer an easily portable, fully-scripted teaching visual for educators and volunteers to use with small audiences and when showing a slide presentation is not feasible. The Healthy Homes Solutions curriculum lesson evaluations were compiled and modified to create a comprehensive follow-up impact survey questionnaire. Survey questions were refined to provide a consistent format, readability, and to address additional key practices. The survey was sent to Louisiana audiences to date who had provided email addresses. Overall: 70% adopted practices as a result of what they learned (i.e. they assessed their home or workplace for health risks, took action or made changes to address those risks, and utilized the educational tools and resources provided by the Healthy Homes Partnership program.) 88% shared what they learned with an average of 33 others. There was a high frequency level of adoption of recommended practices (average score >3.5 on a 5-point Likert scale, ranging from a score of 1 [never] to 5 [always]) forHealthy Home Solutions lesson topics. Connecticut Three popular healthy homes videos were posted by the University of Connecticut: "Don't Spread Lead 2016"; "Susie and Jerome Learn About a Healthy Home"; and "Henry and Fred Learn About Lead". A University of Connecticut Healthy Homes Partnership member authored the children's book, "Casey's Clean Air Week," which was distributed throughout the state. Approximately 11,070 books and approximately 4,100 guides were sent to Connecticut public and private elementary schools, day care providers, libraries, and pediatric offices. Goal 3: Evaluate the Healthy Homes program to determine and document the relevant qualitative and quantitative outcomes and impacts on public health - Highlights of Documented Changes in Knowledge, Action, and Condition Georgia In home safety workshops, 24 older adults and volunteers learned how to improve the safety of their homes and prevent falls with specific tips for the bathroom, bedroom, kitchen, and stairways. As a result, two participants reported that they removed some clutter in their home to help keep themselves from falling. Approximately 250 radon test kits were distributed (sold or given away) and 174 people used the kits to test their home for a 70% usage rate. Of those testing, thirty-nine tested above 4 pCi/L and were referred for professional mitigation. At least five people with radon levels over 4 pCi/L reported having their home mitigated by a licensed professional. Louisiana A healthy homes impact electronic survey was developed and sent to Louisiana and Mississippi audiences (who provided an email address) who attended educational activities or received materials that focused on one or more of the Healthy Homes Solutions (HHS) curricula topics. The survey questionnaire was based upon a modified version of the HHS curriculum evaluations. The HHS curriculum lesson evaluations were compiled and modified to create a comprehensive follow-up impact survey questionnaire. Out of 50 total survey respondents, the majority had participated in learning experiences on topics pertaining to lead (84%), followed by indoor air quality (66%), mold and moisture control (64%), asthma and allergies (60%), and home safety (56%). Results revealed excellent adoption rates among respondents, providing valuable indicators for accountability and formative evaluation. 70% adopted practices as a result of what they learned (i.e. they assessed their home or workplace for health risks, took action or made changes to address those risks, and utilized the educational tools and resources provided by the HHP program.) 88% shared what they learned with an average of 33 other people. There was a high frequency level of adoption of recommended practices (average score >3.5 on a 5-point Likert scale, ranging from a score of 1 [never] to 5 [always]) for all HHS lesson topics Missouri Radon education programs distributed 105 free radon test kits to increase the awareness of the risks of radon exposure in the home, encourage home testing, and to gather radon data. Results of the 74 viable radon tests indicated that: 55% of homes tested had radon levels > 2.0 pCi/L, indicating a health risk. 18% were > 4.0 pCi/L, requiring action to reduce radon levels.

Publications

• Type: Websites Status: Published Year Published: 2015 Citation: Healthy Homes Partnership Website: www.extensionhealthyhomes.org and healthyhomespartnership.net (includes links to the HH Toolkit and Newsletter) Healthy Homes Partnership Facebook Page: https://www.facebook.com/Healthy-Homes-Partnership-238568859513814/ Healthy Homes Partnership Pinterest Page: https://www.pinterest.com/healthyhomes4/ Healthy Homes Partnership Twitter Page: https://twitter.com/HealthyHomes4
• Type: Conference Papers and Presentations Status: Published Year Published: 2016 Citation: Turner, P., and Goldschmidt, M. Expanding health and housing awareness to rural communities through local and national partnerships. European Network for Housing Research Conference. Belfast, Ireland. June 28 - July 1, 2016
• Type: Conference Papers and Presentations Status: Published Year Published: 2016 Citation: Goldschmidt, M., and Turner, P. Effectiveness and Impact of a National Healthy Housing Partnership on Occupant Health. 7th International Energy and Environment of Residential Buildings Conference. Queensland University of Technology Brisbane, Australia. November 20  24, 2016.
• Type: Conference Papers and Presentations Status: Published Year Published: 2017 Citation: Goldschmidt, M. and Fisher-McLean, K. Impacts of a National Healthy Homes Partnership. 2017 National Health Outreach Conference. Annapolis, MD. May 1 - 4, 2017
• Type: Conference Papers and Presentations Status: Submitted Year Published: 2017 Citation: Healthy Homes: Using Smartphone Apps. Housing Education and Research Association Annual Conference. Lowell, MA. October 8 - 11, 2017.
• Type: Conference Papers and Presentations Status: Published Year Published: 2017 Citation: Goldschmidt, M. and Turner, P. The Healthy Homes Partnership Toolkit. 2017 National Health Outreach Conference. Annapolis, MD. May 1 - 4, 2017
• Type: Conference Papers and Presentations Status: Published Year Published: 2017 Citation: Goldschmidt, M. Linking National and Local Lead and Healthy Homes Campaigns. HUD Lead and Healthy Housing Conference. Indianapolis, IN. March 28 - 30, 2017
• Type: Conference Papers and Presentations Status: Published Year Published: 2017 Citation: Goldschmidt, M. Healthy Homes CurriculumWork in Progress through USDA-NIFA Partners. HUD Lead and Healthy Housing Conference. Indianapolis, IN. March 28 - 30, 2017