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AAP – NACHC HOP Learning Community Fact Sheet

High Obesity Program (HOP) v3 9-5-22

INTERNAL DOCUMENT  NOT FOR DISTRIBUTION

1. BACKGROUND CONTEXT:

The HOP funds land grant universities to leverage community extension services to implement evidence-based strategies that increase access to healthier foods and safe, accessible places for physical activity in counties with an adult obesity rate of over 40%. Under the HOP NOFO, recipients must propose work in both the nutrition and physical activity strategies . This implementation guide assists in that effort by providing potential activities and resources to support the strategies. If a county is already working on the strategies, the recipient can propose activities in their work plan that build upon the existing work.

https://www.cdc.gov/nccdphp/dnpao/state-local-programs/pdf/HOP-Implementation-Guide-508.pdf

Themes from HOP applications:

·        Partnerships

·        Evidence based programs

·        Metrics

·        Clinical linkages

·        County level data

·        Family engagement

·        Asset mapping

·        Leveraging other programs

o   DPP

o   Food Insecurity

o   Headstart

1. APPROACH:

PREWORK:

1. Create a mini 5 question survey: https://nachc.co1.qualtrics.com/jfe/form/SV_6qV8wpY7nIXfELY

2. Conduct 15 minute interviews post receipt of mini survey

Guiding Principles and Logistics

·        Virtual convening (NACHC to host)

·        Shared online repository (NACHC to host)

·        Co Design strategy with HOP grantees

·        Practical / concrete vs academicConsider hosting  a kick-off call after summarizing the interviews

·        Faculty to be from AAP, CDC, and NACHC cadre of experts

·        Monthly 60 minute structure of calls

o   5 minutes meaningful work

o   15 minutes didactic

o   25 minutes peer to peer learning

o   10 minutes actionable next steps

o   5 minutes evaluation

·        Off weeks one to one coaching or open office hours

Target Audience

o   10 HOP Grantees

3.    LEARNING COMMUNITY MODEL

Goal:     Design and implement a learning community for HOP grantees to prepare for the next funding cycle to advance evidence based pediatric obesity interventions.

1. Conduct two virtual sprint Learning Communiti1. es  (

monthly meetings with off week office hours) to help HOP sites understand their community and its child obesity-related needs and assets in relation to selecting and potentially implementing an evidence-based FHWP in their site.

1. October – December Exploration, laying the foundation (goal: understand the different EB FHWP, build internal and external awareness around assets, challenges, and priorities)

2. January – February  office hours

3. March – May Preparation (Plan for integration of a program if your work in the exploratory phase confirms it is a good fit)

1. Balance adaptation and fidelity with community systems, implementation science, clinical evidence and the local environment.

2. Curriculum could include:

Session

Moderator

Faculty

Resources [1]

EXPLORATORY SPRINT:  October - December

HOP Partnerships: asset mapping

1. Define clear aim

1. Define community

1. Define what a healthy family weight program

[2]

1. Define local partners (WIC, faith-based organizations, girls/boys club, YMCA etc.)

1. Define clinical linkages

1. Explore Power and Equity dynamics in your community

1. Motivational Interviewing and/or Journey Mapping (engaging the community in co-design)

HOP Community Systems: leadership, strategic plans, internal policies, MOUs, contracting, data governance/ DUAs and procedures etc.)

HOP data collection for qualitative and quantitative for actionable data to inform decision making and measure change

Preparation Sprint:  March – May

Steeped in QI approaches, evidence, implementation science and change theory

Health Equity (application of social and clinical risk, SDOH) culturally responsible care, family centric interventions

Community-Clinic  linkages (team approach)

Co-design Activities:  interviews, trust or journey mapping

Establishment of new partnerships or enhanced strategies with existing partners

Products:

·        2 virtual sprints.  3 months each

·        Open office hours between sprints

·        Documented activities throughout (asset mapping, interview results, etc..)

·        Final Harvest ideas through Posters

Resources:

https://episframework.com/

https://www.re-aim.org/wp-content/uploads/2018/02/Planning-and-Evaluation-Questions-for-Initiatives-Intended-to-Produce-Public-Health-Impact-_Final.pdf

[1] Concrete practical tools from AAP and NACHC toolkits tailored to HOP.

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