strategies to engage faith based communities for health...

Strategies to Engage Faith Based Communities for Health

Promotion Monday, October 29, 2018

3:00 PM – 4:00 PM

Leadership Summit for Healthy Communities Spartanburg SCEat Smart Move More SC

Vernon Kennedy Sr., MA, CSPS, ICPS, Executive Director

Objective

Participants will identify several key strategies to

engage the faith community in health promotion.

Relationship & Partnership

Key Relationships

• Organizational

• Community

• Leadership

Organizational

• Frequent interaction with the faith based community (established relationship)

• Health Education Focus- (Teen Summits, Health Fairs, Church Incentives, Drug prevention and treatment presentations, annual 5K Run/Walk, etc.)

Leadership

• Face of the organization

• Lead Person – (personality, approachable, compassion, patience, enthusiasm)

Community

• Respected for the work you do and how you keep the community informed

• Valued among other organizations –(partnerships, do and how you work with other organizations, participation in coalitions and groups)

From Relationships to Partnerships

• Formal

• Shared Effort (noncompromising activities and objectives)

• Shared Benefit (Win! Win!)

• Recognition & Consistent Communication

Faith Based Organization Spotlight

• Newspaper Articles• Email• Community Meetings• Faith Based Quarterly Health Ministry

Meetings • FAN Church Spotlights: http://prevention.sph.sc.edu/projects/fanumc.htm

All Aboard For a Healthy Fairfield

Faith Based Tobacco Prevention ● Healthy Eating & Active Living

In partnership with Fairfield Community Health PartnersFunded by the Healthy South Carolina Initiative

Reducing death and disability due to HSCI Goals

Tobacco Use Heart Disease and Stroke

Poor Nutrition Lack of Physical Activity

HSCI Collective SuccessDuring the grant period of May 2012 – September 2014

• 88 Faith Based Organizations (FBO) have participated in tobacco education training from 12 Countywide trainings;

• 64 Adopted a Model Tobacco-Free Policy;

• 58 FBOs hosted separate tobacco free education activities at their church;

• 862 Families adopted tobacco free policies for their home/vehicle;

• 57 Completed ALL Tobacco Education objectives earning $175;\

• 55 FBOs adopted a Healthy Living Policy;

• 1504 Faithful Families Interest Surveys were completed by FBO members representing 44FBOs;

• 44 FBOs completed ALL Health Ministry objectives earning $325; and 3390 members impacted from FBOs

What’s Next? •Continue Faith Based Quarterly meetings

•Current implementation the Duke Endowment

•Continue opportunities faith based organization for health promotion on Opioids Education and Overdose Prevention, Marijuana Education, SUB Recovery, etc.

www.fairfieldbhs.org

Sara Wilcox, PhDDepartment of Exercise Science & Prevention Research CenterArnold School of Public Health University of South Carolina

1

Brief Overview of FAN

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“Beloved, I pray that you may prosper in all things and be in health, just as your

soul prospers.”III John 1:2

Promote Healthy Church EnvironmentFour Targets of FAN Increase opportunities

& programs Create healthy church

guidelines (policies) Engage, support pastor Get the message out

3Components of the Structural Model of Health Behavior, Cohen et al., 2000, Prev Med

What FAN Entails for Churches

1. Church creates FANcommittee

2. Committee attendsin-person training

• Active breaks• Healthy lunch & food demo• Resources

3. Church submits FANProgram Plan

4. Church holds kick-off event

5. Church committee meets regularly to plan

6. Church receives 12 brief monthly calls to support program implementation

• FAN coordinator: 8 calls• Pastor: 4 calls

4

**USC PRC trained Community Health Advisors delivered all intervention components

Assessment & Planning Process Assess current

activities (for the 4 targets)

Select ways to add, enhance, expand

Interactive workbook with ideas & resources

Informs FAN Program Plan

5

Phase 1 – Aims of Countywide Study Study reach, effectiveness,

adoption, implementation, and maintenance of FAN in Fairfield County churches RE-AIM Framework

Examine factors that influence adoption, reach, implementation, and maintenance of FAN Consolidated Framework for

Implementation Research

Fairfield County: • 23,363 residents• 59% African American• 15% with BA or higher• 21% below poverty level• Rural & medically

underserved

Adoption & Reach

All churches in Fairfield County were invited to participate

54/132 churches trained ---42% adoption

~3,527 regular attendees at these 54 churches --- direct reach

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Characteristics of Churches

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Adopting (n=55) Non-adopting (n=77) PChurch size

<25 members25-49 members50-74 members75+ members

12.740.023.623.6

23.933.814.128.2

.24

Predominant raceBlack/African AmerCaucasianMulti-racial

92.75.51.8

50.746.82.6

<.0001

DenominationBaptistNon-denom/indepAME/AME ZionPresbyterianPentecostalMethodistEpiscopal

45.520.014.65.57.35.51.8

36.423.43.916.77.82.66.5

.07

Earlier tobacco initiative 67.3 22.1 <.0001

Effectiveness

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PA (I vs C) HE (I vs C)Organizational Outcomes

Opportunitie ** *

Messages ** **

Pastor support ** **

Self-Efficacy * *

Health Behaviors ** (inactive) * (meeting recs)

* (F&V)

** = statistically significant difference; * = in the predicted direction, but not statistically significant

Church visits at 54 churches 8-12 months after early-intervention (I) churches were trained, but before delayed-intervention (C) churches were trained. Those in attendance completed anonymous surveys.

Implementation (based on 12-month FAN Coordinator interviews)

10Saunders et al., manuscript under review

Maintenance (based on 24-month FAN Coordinator interviews)

11Saunders et al., manuscript under review

Enablers & Barriers to ImplementationEnablers Internal & external

support Leadership Communication Healthy opportunities Champion

Barriers No barriers! (most

common response) Resistance to change Church characteristics

Facilities Member age / health

Lack of participation / motivation

Lack of time / priorities Lack of leadership Lack of internal support

12Based on Bernhart et al., under review

Enablers & Barriers to Maintenance

Enablers Internal and external

support Leadership Communication Creation of healthy

opportunities

Barriers Nothing or positive

response Resistance to change Lack of motivation Lack of leadership Conflicting priorities Church characteristics

(e.g., older members)

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What Contributed to Our Success?

Development of a strong partnership (USC, FBHS, FCCC, Pastor Advisors)

A very strong, known, and trusted point-of-contact (relationships) Ms. Cheryl Goodwin

Multiple avenues and contacts to reach out to all churches (lots of time!)

A flexible program developed with and for the faith community (FAN)

Thank you to…. PRC Faculty, Staff, and

Students Co-Is: Patricia Sharpe, Andrew

Kaczynski, Ruth Saunders, Marge Condrasky (Clemson)

Staff: Jessica Stucker, Deborah Kinnard, Brent Hutto, DantzWoodberry, Keith Painter, Maxine Mixon, Maz Aziz

PhD students: Caroline Dunn, John Bernhart, Danielle Schoffman

MS student: Nathan Peters Many undergraduate students,

practicum students, and BBIP rotation students!

All Participating Churches

Individuals & Groups in Fairfield County Fairfield Behavioral Health

Services (FBHS), especially Cheryl Goodwin

Fairfield Community Coordinating Council (FCCC) Members

Pastor Health Advisors: Rev. Henry Spann, Jr., Rev. Ricky Gibson

Community Health Advisors: Cheryl Goodwin, Bessie Gladden

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Questions?

Learn more & download FAN Church Spotlights:http://prevention.sph.sc.edu/projects/fanumc.htm