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Change 

A Tapestry for 

Addressing Chronic Health 

Issues in a Dynamic World 

SOPHE-NACDD 2011 Joint Academy 

and Midyear Scientific Meeting 

May 1-4, 2011 | Albuquerque, NM 

Final Program 

NATIONAL ASSOCIATION OF 

Society for 

Public Health Education 

Promoting Health. Preventing Disease.

2010-2011 SOPHE BOARD OF TRUSTEES 

President: Dan Perales, DrPH, MPh 

President-Elect: Robert S. Gold, DrPH, PhD, FAAHB 

Secretary: Suzanne Miro, MPH, CHES 

Treasurer: Mary Cheryl Nacionales, MPH, MBA, CHES 

Immediate Past President: Diane Allensworth, PhD 

Trustee, Advocacy & Resolutions: Robert Strack, PhD, MBA 

Trustee, Publications & Communications: Jesus Ramirez-Valles, PhD 

Trustee, Membership & Leadership Development: Sarah Olson, MPH, CHES 

Trustee, Professional Preparation: Carol Azar, MPH 

Trustee, Professional Development & Continuing Education: Cam Escoffery, PhD, MPH, CHES 

Student Trustee: Rachael Dombrowski, MPH, CHES 

Trustee, 2011 Midyear Meeting: Sharon Thompson, PhD, MPH, CHES 

Trustee, 2011 Annual Meeting: Eva Doyle, PhD, CHES 

Trustee, 2012 Midyear Meeting: Karen Spiller 

Trustee, 2012 Annual Meeting: Kelly Bishop, MA, CHES, FASHA 

Delegate Trustee & Speaker of the House: Crystal Owensby, MS, CHES 

Delegate Trustee: Melanie Stopponi, MPA, CHES 

Delegate Trustee: Rhonda Payne, MPH, CHES 

Delegate Trustee: Heather Alberda, BA 

NATIONAL ASSOCIATION OF 

Promoting Health. Preventing Disease. 

2010-2011 NACDD BOARD OF DIRECTORS 

Leslie A. Best, BSW, Pennsylvania Department of Health 

Heather Borski, MPH, CHES, Utah Department of Health 

Shonta Chambers, MSW, Georgia Division of Public Health 

Paula F. Clayton, MS, RD, Kansas Department of Health and Environment 

Ann M. Forburger, MS, Virginia Department of Health 

Sue Grinnell, Washington State Department of Health 

David Hoffman, MEd, New York State Department of Health 

Jillian Jacobellis, PhD, MS, Colorado Department of Public Health and Environment 

Pama Joyner, Washington State Department of Health 

Donald O. Lyman, MD, DTPH, California Department of Public Health 

Mary S. Manning, RD, MBA, Minnesota Department of Health 

Kathryn Rowley, RT, Utah Department of Health 

Ramona D. Schaeffer, MSEd, CHES, Virginia Department of Health 

Victor Sutton, PhD, MPPA, Mississippi State Department of Health 

Danette Wong Tomiyasu, MBA, Hawaii Department of Health 

Betsy Wood, Florida Department of Health 

Namvar Zohoori, MD, MPH, PhD, Arkansas Department of Health 

Contents 

Welcome 1 

Conference Objectives 2 

Conference Supporters 3 

Planning Committee Members 3 

Selected Conference Faculty 4 

NACDD Academy Workshops 6 

Meeting Highlights 7 

Detailed Schedule 9 

Conference Abstracts 16 

Poster Presenters 40 

Poster Promenade 41 

Poster Abstracts 42 

Schedule-At-A-Glance 56 

Hotel Floor Plan (Inside Back Cover)

Welcome 

Dear Conference Attendees: 

We are pleased to welcome you to this first joint meeting of the National Association of Chronic Disease Directors 

(NACDD) and the Society for Public Health Education (SOPHE). The theme of this conference, A Tapestry for 

Change: Addressing Chronic Health Issues in a Dynamic World, reflects a central focus of both of our organizations 

– a commitment to leveraging change to prevent chronic disease and its complications, eliminate health disparities and 

promote healthy behaviors. 

More than 75% of all U.S. healthcare costs are related to chronic diseases and much of that cost is preventable. 

Approximately 133 million Americans live with at least one chronic condition and seven out of 10 people die of a chronic 

disease every year. Five chronic diseases – heart disease, cancer, stroke, chronic obstructive pulmonary disease, and 

diabetes – cause more than 2/3 of all deaths each year. 

The rapidly growing incidence and prevalence of diabetes is particularly serious, and hence a subtheme of this 

conference. One in three children born today is likely to develop diabetes in his/her lifetime. Some 16.1% of the total 

adult population served by the Indian Health Service had diagnosed diabetes, with rates varying by region from 5.5% 

among Alaska Native adults to 33.5% among American Indian adults in southern Arizona. CDC reports that compared 

to non-Hispanic white adults, the risk of diagnosed diabetes is 18% higher among Asian Americans, 66% higher among 

Hispanics, and 77% higher among non-Hispanic blacks. 

Addressing these contemporary chronic disease challenges will demand new paradigms and partnerships. We must 

expand our search for evidence-based strategies and maximize opportunities to achieve health equity through policy, 

systems and environmental change. Integrating health promotion research, chronic disease prevention, and community 

capacity through the experience, expertise, and commitment of diverse stakeholders will improve our collective ability to 

impact the public’s health. 

This meeting is designed to weave a tapestry of new connections among chronic disease directors, health education 

practitioners, allied health professionals, students, community members, and others dedicated to chronic disease 

prevention and control. Please avail yourself to the many outstanding skill-building workshops, concurrent sessions, and 

posters, as well as breaks, socials, and lunch-time roundtables to meet new colleagues who can help fortify your research 

and practice. 

Finally, we wish to thank the many SOPHE and NACDD members who served on the planning committee in creating 

this wonderful academy and meeting. Support from the CDC Division of Diabetes Translation, the Navajo Health 

Education Program, the Paso del Norte SOPHE chapter and our various exhibitors also has enriched this conference 

opportunity. We hope you take time to enjoy the beautiful landscape, rich heritage and colorful diversity of the native 

southwest. 

Salud! 

M. Elaine Auld, MPH, Ches John W. Robitscher, MPH 

Chief Executive Officer, SOPhe 

Chief Executive Officer, NACDD 

SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting 1

Conference Objectives 

»» 

Facilitate dialogue, collaboration , and networking between SOPHE and NACDD members to create a strong public health infrastructure 

through communication and translation of prevention research and practice. 

»» 

Discuss challenges and opportunities of those working in chronic disease prevention and health promotion to achieve the Healthy People 

2020 Objectives for the Nation and to strive for health equity. 

»» 

Address diabetes as a major 21st century chronic health issue and discuss emerging theories, models and programs that are 

working for successful diabetes prevention and treatment, particularly in diverse and vulnerable populations. 

»» 

Foster new, innovative, and sustainable partnerships among federal, state, local, and tribal governments and communities, and the private 

sector to invest in the prevention of chronic disease and access to health care. 

Conference Participants Include: 

»» 

Health Education & Promotion Specialists 

»» 

Prevention Researchers and Staff 

»» 

Social Marketers 

»» 

Community Health & Public Health Education Faculty 

»» 

Patient Educators 

»» 

Health Communication Professionals 

»» 

Health Education/Promotion Students 

»» 

Behavioral/Social Scientists 

»» 

Community Members 

»» 

Tribes and Tribal Organizations 

»» 

Public Health Practitioners 

»» 

Health/Social Policy Experts 

»» 

Chronic Disease Directors 

»» 

Community-Based Organizations and Staff 

»» 

Health Coalition Representatives 

»» 

Health Administrators 

»» 

Lay Health Advisors 

»» 

Epidemiologists 

»» 

Allied Health Professionals 

What’s in this Conference for You? 

An opportunity to network, share, and learn with over 400 colleagues 

from across the country dedicated to reducing chronic disease and 

promoting wellness. Choose from more than 100 oral presentations, 

skill building workshops, and posters designed to foster the exchange 

of knowledge and skills of researchers, practitioners, and community 

members. Enjoy the social exchange, visit the resource/exhibit room, 

explore job and internship opportunities, dialogue in small group 

lunch roundtables, and rejuvenate your body and spirit with daily wellness 

activities. 

Welcome First-Timers and Students 

This conference extends a special invitation to all first-time attendees, 

including students who recently joined SOPHE and all others looking 

for a professional home. Attend the SOPHE Snapshot Orientation 

on Monday morning (continental breakfast will be available) to learn 

more about SOPHE membership benefits, meet SOPHE leaders, 

and discuss how SOPHE involvement can advance your professional 

career. 

2 

SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting

Conference Supporters 

Alzheimer’s Association 

CDC Division of Diabetes Translation 

DePaul University, MPH Program 

HRSA Traumatic Brain Injury Technical 

Assistance Center at NORC 

Navajo Health Education Program 

National Commission for Health Education Credentialing 

The University of Michigan Center for Managing 

Chronic Disease and the National Program Office for 

the Alliance to Reduce Disparities in Diabetes 

Sage Publications 

The Rural Assistance Center (RAC) 

University of Utah 

2011 Mid-Year Meeting Student Scholarship Recipients 

SOPHE is proud to award four support scholarships to enable the following students to attend this year’s meeting. 

The scholarships are provided through SOPHE’s “Campaign for the 21st Century” fund. 

»» 

Lauren Bifulco, Southern Connecticut University 

»» 

Kristen Hernandez,The University of Texas at El Paso 

»» 

Demetrice Jordan, Georgia State University 

»» 

Francis Reyes , The University of Texas at El Paso 

PLANNING COMMITTEE MEMBERS 

2011 Midyear Meeting Trustee: Sharon Davis, PhD, MPH, CHES 

Brenda Adjei 

Vincentia Agbah 

Tabia Henry Akintobi 

Elaine Auld 

Kathy Berman 

Leslie Best 

Adenike Bitto 

Diana Bradshaw 

Gail Brandt 

Mario Browne 

Beth Canfield-Simbro 

Jennifer Conner 

Cheryl Cooper 

LaShonda Coulbertson 

A. Michelle Corbett 

Andrea Crivelli-Kovach 

Erin Cuddy 

Kay Deaner 

Nikkie (Amilya) Ellis 

Sue Forster-Fox 

Lisa Goodin 

Bernadette Guzman 

Philene Herrera 

Robyn Housemann 

Eileen Huereque 

Melinda Ickes 

Ellen Jones 

Marti Macchi 

Mary Manning 

Laura Mariani 

Mary Martinasek 

Holly Mata 

Jim Melancon 

Beth Miller 

Joyce Morris 

Leah Neubauer 

Barbara Ozaeta 

Alice (Alli) Patty 

Daniel Perales 

Margaret Procaccino 

Ninfa Pena-Purcell 

Elizabeth Rivers 

John W. Robitscher 

Ramona Schaeffer 

Tim Sims 

Francisco Soto-Mas 

Karen Spiller 

Michael Splaine 

S. Noell Stone 

Joe Tomaka 

David Vigil 

Debra Vinci 

Joan Ware 

Alexis Williams 

Betsy Wood 

Janna Zwerner 

SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting 

3

Selected Conference Faculty 

Hector Balcazar, PhD, MS, University of Texas School of Public Health, 

El Paso Regional Campus 

Hector Balcazar, PhD, MS, is the Regional Dean of the study of public health problems of Latinos/Mexican 

Public Health at the University of Texas Health Science Americans. Dr. Balcazar is a bilingual, bicultural, community 

and public health scientist who has conducted 

Center- Houston, School of Public Health, El Paso 

Regional Campus. He is also a professor of health promotion 

and behavioral sciences. Dr. Balcazar serves as the acculturation and health related behaviors, cardiovascu- 

numerous studies of Hispanic/Latino birth outcomes, 

Co-Director of the Hispanic Health Disparities Research lar disease (CVD) prevention programs in Hispanics / 

Center, an NIH funded initiative in collaboration with the Latinos, border health issues and CBPR. 

University of Texas at El Paso. Dr. Balcazar specializes in 

Ursula Bauer, PhD, MPH, CDC National Center for Chronic Disease Prevention & 

Health Promotion 

Ursula Bauer, PhD, MPH, is the director of CDC’s with attention to the primary chronic disease risk factors. 

National Center for Chronic Disease Prevention and Before becoming director of NCCDPHP, Dr. Bauer was 

Health Promotion (NCCDPHP), a position she assumed director of the Division of Chronic Disease and Injury 

on January 4, 2010. In that role, she sets the strategic Prevention in the New York State Department of Health. 

direction for the center’s “Winnable Battles” of tobacco Her entire public health career has been in state service, 

use prevention, improved nutrition and physical activity, in Louisiana, Florida, and New York. 

and prevention of teen and unintended pregnancy, as well 

as key priorities related to the leading causes of death. 

NCCDPHP has an annual budget of about $1 billion and 

1,300 staff dedicated to preventing chronic diseases and 

promoting health across the life span, in key settings, and 

Dr. Bauer received her PhD in epidemiology from Yale 

University, her MPH in family health from Columbia 

University, and a master’s degree in political science from 

Rutgers University. 

Lt. Governor Anthony G. Brown 

Anthony G. Brown has redefined the Office of the Lt. 

Governor in the State of Maryland. He manages a substantive 

policy portfolio and leads the O’Malley-Brown 

administration’s work to expand and improve health 

care, support economic development, make college more 

accessible and affordable and provide Veterans with better 

services and resources. Since taking office, the O’Malley- 

Brown administration has expanded access to health coverage 

to more than 260,000 uninsured Marylanders, led 

the nation in job growth even during a national economic 

recession, protected record investments in higher education 

– including community colleges and fully-funding 

Veteran scholarships and business loans and expanded 

Veteran health services. 

Anthony was elected alongside Governor Martin 

O’Malley in 2006 and reelected in 2010. He chairs the 

Governor’s Subcabinet on Base Realignment (BRAC), 

the Maryland Veterans Behavioral Health Advisory 

Board and co-chairs the Maryland Health Care Reform 

Coordinating Council and Maryland Health Quality 

and Cost Council. A Colonel in the U.S. Army Reserves, 

Anthony is the nation’s highest-ranking elected official to 

have served a tour of duty in Iraq. 

Prior to serving as Lt. Governor, Anthony represented 

Prince George’s County for two terms in the Maryland 

House of Delegates, rising quickly to Majority Whip. 

He is a former chair of the Prince George’s County 

Community College Board of Trustees and proud 

father of two children – Rebecca (16) and Jonathan (10). 

Anthony lives in Prince George’s County. 

4 

SOPHE-NACDD 

2011 Joint Academy and Midyear Scientific Meeting

Leonard Jack, Jr, PhD, MSc, Xavier University of Louisiana 

Leonard Jack, Jr., PhD, MSc, currently serves as Director, Georgia where he served as Team Leader of Applied 

Center for Health Minority Health & Health Disparities Behavioral Research, Epidemiology, and Evaluation; and 

Research and Education; Endowed Chair of Minority Chief of Community Intervention in the Division of 

Health; and Professor in the Division of Clinical 

Diabetes Translation. He has delivered over 95 professional 

presentations and published over 80 peer reviewed 

and Administrative Services, College of Pharmacy at 

Xavier University of Louisiana. Prior to this appointment, 

Dr. Jack held the Jim Finks Endowed Chair of editorial boards of peer reviewed journals and is Editor- 

publications and or book chapters. He serves on several 

Health Promotion and was Professor of Behavioral and in-Chief of the Health Promotion Practice Journal. Dr. Jack 

Community Health Sciences at the Louisiana State is Editor and contributing author of his recently published 

University Health Sciences Center’s School of Public book, “Diabetes in Black America: Public Health and 

Health. Dr. Jack also served as Associate Dean (the Dean) Clinical Solutions to a National Crisis”. He also served as 

of the School of Health Sciences and Interim Chair, Editor of the National Commission for Health Education 

Department of Behavioral and Environmental Sciences Credentialing seven chapter study guide, The Health 

at Jackson State University. He worked for 14 years at the Education Specialists: A Companion Guide for Professional 

Centers for Disease Control and Prevention in Atlanta, Excellence, 6th Edition. 

Martha King, MPA, MSW, National Conference of State Legislatures 

Martha King directs the Health Program at the National Swarthmore College in biology and psychology, and her 

Conference of State Legislatures (NCSL), which is a graduate degrees in public administration and social work 

bipartisan membership organization of all 50 state legislatures, 

D.C. and the commonwealths and territories. She Corps Volunteer in tuberculosis control in rural South 

from the University of Denver. Martha served as a Peace 

has been with NCSL for 25 years, working on a variety of Korea from 1973-1975, where she learned to appreciate 

issues, including public health, Medicaid, maternal and public health. As a graduate student, she enjoyed a social 

child Health, and other topics. Before joining NCSL, work practicum at Denver’s Westside Neighborhood 

Martha worked as policy staff for the Colorado General Health Center, Department of Pediatrics. 

Assembly for seven years. She received her B.A. from 

Dorinda Wiley-Bradley RN, CDE, Albuquerque Indian Health 

Dorinda Wiley-Bradley RN, CDE, is the Diabetes Nurse Prevention, was Acting Director for the AIHC Diabetes 

Educator for the Albuquerque Indian Health Center Program, and currently works with Healthy Heart 

(AIHC) Diabetes Program, Indian Health Service. She Project, provides diabetes consultation/education for 

is registered with the San Carlos Apache tribe and is also pueblo communities in the Albuquerque Area, and works 

Hopi. She has been a diabetes educator since 1995, has with I.H.S. workgroups on diabetes education curricula. 

worked for the I.H.S. Division of Diabetes Treatment and 

Alexis Williams, MPH, CHES, CDC/National Diabetes Education Program 

Alexis Williams is a Public Health Advisor for the managed the national dissemination of Body & Soul: 

National Diabetes Education Program (NDEP) at the A Celebration of Healthy Living and Eating for the 

Centers for Disease Control and Prevention. The focus National Cancer Institute. Body & Soul helped African 

of her work is developing and delivering training and American churches develop healthy eating programs for 

technical assistance for NDEP programs and resources. their congregations. She also worked as a Public Health 

In this capacity, she works with CDC funded programs, Advisor for the National 5 A Day for Better Health 

partners and community based organizations to help Campaign and as Manager of Nutrition and Physical 

strengthen their capacity to deliver effective diabetes Activity Promotion for the American Cancer Society. 

prevention and control programs. She has presented Alexis is a Certified Health Education Specialist. She 

extensively to a wide variety of audiences on the topic holds a Bachelor of Arts in Sociology from Mills College 

of diabetes prevention and control, as well as provided in Oakland, California, and a Masters of Public Health 

training on the planning and implementation of 

in Behavioral Science and Health Education from Emory 

diabetes related health communication and behavior University in Atlanta. 

change interventions. Prior to working for CDC, Alexis 

SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting 

5

NACDD Academy Workshops 

Monday, May 2 – Full 

Day NACDD Academy 

Workshop 

(Tickets required. Must attend Part I and Part 

II to receive CEs.) 

10:00AM-5:00PM 

Workshop 1 

Developing a Quality Assurance/Quality 

Improvement Framework for Evidencebased 

Programs 

Presenter: Phillip McCallion, PhD, Center 

for Excellence in Aging and Community 

Wellness, School of Social Welfare, University 

at Albany; Lisa Ferretti, LMSW, Center 


Wellness, School of Social welfare, University 

of Albany; Mari Brick, MA, National 

Association of Chronic Disease Directors 

Public Health Consultant 

Workshop 2 (Ends at 6:00PM) 

Strategic Leadership in Chronic Disease 

Presenter: Denise Cyzman, MS, RD, 

National Assn of Chronic Disease Directors; 

Frank Bright, MS, National Association of 


Workshop 3 

People, Policy, and Politics: Opportunities 

for the future 

Presenter: Ellen Jones, PhD, MS, CHES, 

Program Consultant for National Association 

of Chronic Disease Directors; Lisa Daily, 

MPA 

Workshop 4 

Developing and Managing Strategic 

Partnerships and Coalitions in a Systems 

Change World 

Presenter: Shelli Bischoff, MPA, Nonprofit 

Impact 

Monday, May 2 – Morning 

Half Day Workshops 

10:00AM- 1:00PM 

WORKSHOP 5A 

How Health Departments Work and How 

to Work with Health Departments in 

Creating Healthy Schools 

Presenter: Amy Greene, MSW, MPH, 

National Association of Chronic Disease 

Directors; Cheryl DePinto, MD, MPH, 

Maryland Department of Health and 

Mental Hygiene; Sandra Jeter, BS, MSW, 

South Carolina Department of Health and 

Environmental Control 

WORKSHOP 6A 

Introduction to Type 2 Diabetes Prevention 

and Control for Health Educators 

Presenter: Alexis Williams, MPH, CHES, 

CDC/National Diabetes Education Program 

WORKSHOP 7A 

Telling your Story: The Publication Journey 

Begins Here! 

Presenters: Hector Balcazar, PhD, M.S, The 

University of Texas Health Science Center- 

Houston, School of Public Health; Leonard 

Jack, Jr. PhD, MSc, Xavier University of 

Louisiana 

Monday, May 2 – 

Afternoon Half 

Day NACDD Academy 

Workshops 

2:00PM-5:00PM 

WORKSHOP 6B 

Using Storytelling to Promote Diabetes 

Prevention and Control Vulnerable 

Populations 


CDC/National Diabetes Education Program; 

Randy Chatto, AA, Empowering Ramah 

Navajo to Eat Healthy by Using Traditional 

Foods Program; Lemyra DeBruyn, PhD, 

CDC Native Diabetes Wellness Program; 

Melinda R Frank, MPH, CDC Native 

Diabetes Wellness Program 

WORKSHOP 7B 

The Power of Systems Thinking: Building 

Short Term Momentum in Service of Long 

Term Goals 

Presenter: Claire Sherry Immediato, 

MPP, MBA, President, Heaven & Earth 

Incorporated 

2:00PM-6:00PM 

Workshop 5B 

LGBT 101: Seeking Cultural Competency = 

Knowledge + Sensitivity + Action 

Presenter: Sherri Paxon, BS, MSPH, Medical 

Technology, National Association of Chronic 

Disease Directors 

Tuesday, May 3 and 

Wednesday, May 4 – 

Day and a Half NACDD 

Academy Workshops 

(These workshops are offered at the same 

time as concurrent sessions on both days. 

Tickets required. Must attend both days to 

receive CEs.) 

Workshop 8 

Tuesday, May 3, 8:30AM-5:00PM 

and Wednesday, May 4, 

8:00AM-11:00AM 

Re-Imagining the Box: Critical Thinking 

and Problem Solving in Chronic Disease 

Presenter: Marti Macchi, MEd, National 


and Margaret Casey, RN MPH, National 


Workshop 9 

Tuesday, May 3, 8:30AM-3:00PM 

and Wednesday, May 4, 

8:30AM-10:30AM 

Creating a more Integrated and Sustainable 

Chronic Disease Program 


Impact; Jeanne Alongi, MPH, National 


6 


Meeting Highlights 

Albuquerque Fiesta Gala Opening Social 

Relax and socialize on Monday, May 2, 6:00 – 8:00 pm with colleagues 

old and new, dialogue with poster presenters, and learn about latest 

resources from exhibitors. A festive evening filled with the flavor of 

the enchanting Southwest through food and music. 

NEW! Poster Gallery & Poster Promenade 

View over 30 posters on display during the conference and interact 

with authors at the Gala Opening Social on Monday, May 2, 6:00 – 

8:00 pm. On Tuesday morning, enjoy your continental breakfast and 

participate in our Poster Promenade, consisting of guided poster tours 

on topics of Chronic Disease & Diabetes, Health Communications, 

and Policy/Systems/ Environment. 

NACDD Annual Business Meeting & Awards 

Luncheon 

NACDD will hold its Annual Awards Luncheon on Monday, May 2, 

1:00-2:00 pm. NACDD members and special guests are invited to hear 

about NACDD’s recent accomplishments and celebrate the achievements 

of outstanding leaders in chronic disease prevention and control. 

SOPHE Town Hall Meeting 

Grab your box lunch on Monday, May 2, 1:15-2:00 pm and attend 

the SOPHE Town Hall Meeting. Get the scoop on SOPHE’s new 

strategic plan and recent activities. Let us know what’s on your mind 

and how we can serve you better. All invited! 

Albuquerque Fiesta II 

Join your colleagues, Tuesday, May 3, 6:00-10:00 pm, for a flavorful 

southwest buffet at Seasons of Albuquerque, a short stroll from the 

hotel. After dinner, join the “Afterglow “on the roof top bar overlooking 

beautiful Old Town Albuquerque. A limited number of tickets are 

available for purchase at the registration desk ($40). Don’t be left out 

of this memorable fiesta! 

SOPHE Snapshot/Meeting Mentor Program 

First-time meeting attendees are invited to the SOPHE Snapshot, 

Monday, May 2, 7:00-8:00 am. Enjoy continental breakfast and learn 

about SOPHE’s programs and how you can be involved. This session 

will also kick off the Meeting Mentoring Program, joining mentors 

and protégés during the conference. 

Continuing Education 

An application has been submitted to award Certified Health 

Specialists (CHES) and Master Certified Health Education 

Specialists (MCHES) up to 28.0 total Category I Continuing 

Education Contact Hours (CECH). Maximum Advanced-level 

contact hours available are 24.25. SOPHE, including its chapters, 

is a designated multiple event provider of CECHs by the National 

Commission for Health Education Credentialing. In addition, applications 

have been submitted by NACDD for CME, CNE and CEU 

credits for the skill-building workshops; the number of credits will be 

determined upon approval. Administration fees for continuing education 

are included in the conference registration fees 

Networking Roundtables/Communities 

of Practice 

Ever wonder how they did that? On Tuesday, May 3, 12:00 – 1:00 

pm, grab your box lunch and participate in roundtable dialogues 

with others interested in the same topic. Or, join one of SOPHE 

Communities of Practice (CoP) roundtables on the following topics: 

Children/Adolescent Health; Medical Care/Patient Education; 

Health Communications/Social Marketing; Health Disparities; 

Healthy Aging; Emergency Preparedness; Environmental Health; 

Worksite Health; Anthropology; and International/ Health. SOPHE 

Student/New Professionals and University Faculty CoPs will meet on 

Tuesday, May 3, 7:15-8:15 am, with continental breakfast. 

Exhibits & Publications Mart 

Peruse information, publications, tools, and the latest technological 

innovations from an array of organizations and companies, starting on 

Monday, May 2, 7:00 am. Enjoy continental breakfast with the exhibitors 

or use your break time to get one-on-one tips and advice. Exhibits 

will be featured through Wednesday, May 4, 11:00 am. 

SOPHE Annual Silent Auction 

Looking for the perfect Mother’s Day or birthday gift? Bid on a 

variety of crafts, edibles, and treasures from across the country. The 

silent auction benefits the Campaign for the 21st Century: Building 

SOPHE’s Future to provide student scholarships and more. Bidding 

will open on May 2, 7:30 am and conclude May 4, 9:00 am. All items 

MUST be picked up by 3:00 pm; no items will be shipped. 

“Ask Me about My Chapter” Challenge 

Look for SOPHE chapter representatives wearing the “Ask Me about 

My Chapter” stickers. Learn about the state/regional chapter in your 

area and have your Chapter Challenge card signed to be entered into a 

drawing for fabulous prizes. View the chapter poster at the Opening 

Social or visit the SOPHE Chapter exhibit to learn how you can start 

a chapter in your area. 


Career Resource Center 

Are you a job seeker? Do you have a position to fill? Check out the 

Career Resource Center for valuable connections to tools, resources, 

internships, and employment opportunities in health education, health 

promotion and prevention. The Center will be on display near the 

Exhibits throughout the conference. 

Wellness Challenge 

Start your day by energizing with one of the conference’s exercise 

activities. Choices include: Whole Body Movement Class with 

NIA instructor Nancy Arenas; Being Well Relaxation Exercise 

Class by Alana Grier, LMT; and/or Walking Tour of Old Town 

Albuquerque with NACDD ACHIEVE Team. See schedule for 

days, times and locations. Or, take advantage of the hotel’s complimentary 

fitness center and indoor pool. The conference sponsors 

are committed to providing healthy foods and encouraging 

healthy behaviors addressing the mind, body and spirit connections. 

Turn in your Wellness Challenge Card at the registration 

desk by Wednesday, May 4, 9:00 am for a raffle with prizes. 

NEW! Twitter Alert! 

This conference will feature an opportunity to twitter, enhancing your 

professional exchange with other attendees. Be sure to bring your cell 

phones and laptops, and get geared up to participate in this exciting 

and generative social media! (Note – participants are responsible for 

any individual fees that may apply.) 

On-Demand Webcasts 

Can’t see all the sessions? Plenaries and selected concurrent sessions 

will be available after the conference via SOPHE’s On-Demand 

Webcast Service. Visit the SOPHE website following the meeting for 

details and pricing information. 

8 


Detailed Schedule 

SUNDAY | MAY 1 

7:30 am – 6:00 pm 

Registration / Hospitality / CEU Desk Open 

Room: North Atrium 

8:00 am – 11:00 am 

SOPHE House of Delegates Business 

Meeting 

(Continental Breakfast Included) 

Room: Alvarado D 

8:30 am – 10:00 am 

NACDD Board Meeting Orientation 

(Continental Breakfast Included) 

Room: Alvarado A 

9:00 am – 12:00 pm 

SOPHE CPPW Tobacco Meeting 

Room: Alvarado C 

10:00 am – 5:30 pm 

NACDD Board Meeting 

(Buffet Lunch Included) 


12:00 pm – 5:30 pm 

SOPHE Board of Trustees Meeting 

(Buffet Lunch Included) 

Room: Fireplace 

2:00 pm – 7:00 pm 

Exhibitor Set up & Poster Set up 

Room: NE Atrium 

6:30 pm – 7:30 pm 

NACDD & SOPHE Boards Reception 

Room: South Portal 

MONDAY | MAY 2 

7:00 am – 6:00 pm 

Registration / Hospitality / CEU Desk Open 


7:00 am – 8:30 am 

Continental Breakfast 


7:00 am – 8:00 am 

Wellness Challenge: Whole Body Movement 

Class by Nancy Arenas, NIA Instructor 


7:00 am – 8:00 am 

Wellness Challenge: Being Well Exercise 

Relaxation Class by Alana Grier, LMT 

Room: Outside /Meet in Lobby 

7:00 am – 8:00 pm 

Exhibits/Posters Opens 

7:30 am – 8:00 pm 

Silent Auction Opens 

7:00 am – 8:00 am 

SOPHE Member Orientation & Meeting 

Mentoring Kick-off 

Room: Alvarado B 

7:00 am – 8:00 am 

NACDD/ACHIEVE Meeting 


7:00 am – 8:00 am 

SOPHE Professional Development 

Committee Meeting 

Room: Q-Bar 

7:00 am – 8:00 pm 

Exhibits/Posters Open 

8:15 am – 8:30 am 

Opening Remarks/Welcome 

Presenters: Sharon Davis, MPH, PhD, CHES, 

2011 SOPHE MID-YEAR Meeting Planning 

Committee Chair; M. Elaine Auld, MPH, 

CHES, Chief Executive Officer, SOPHE; John 

W. Robitscher, MPH, Chief Executive Officer, 

NACDD; and the Honorable Senator Jerry 

Ortiz y Pino, New Mexico State Senate and 

Health and Human Services Committee 

Room: Alvarado EFGH 

8:30 am – 9:30 am 

+ Plenary Session I 

Moderator: Dan Perales, DrPH 


Health Promotion in the New Decade: A 

Tapestry of Change 

Presenter: Ursula Bauer, PhD, MPH, 

Director, CDC National Center for Chronic 

Disease Prevention & Health Promotion 

9:30 am – 10:00 am 

BREAK 

10:00 am -1:00 pm 

NACDD Academy 

WORKSHOPS 1–7 

(Tickets Required) 

10:00 am – 1:00 pm 

+#WORKSHOP 1 Part I 

Room: TBD 



Programs 

Presenters: Phillip McCallion, PhD, Center 






of Albany; Mari Brick, MA, NACDD Public 

Health Consultant 

*# WORKSHOP 2 Part I 

Moderator: Mario C. Browne, MPH, CHES, 

Allegheny County Health Department 

Room: Potters 


Presenters: Denise Cyzman, MS, RD, 


Frank Bright, MS, NACDD 

+#WORKSHOP 3 Part I 

Room: Weavers 


for the Future 

Presenters: Ellen Jones, PhD, MS, CHES, 

Program Consultant for NACDD; Lisa 

Daily, MPA 

Key for credits applied for: *CHES, +MCHES, #Other disciplines (CME/CNE/CEU) 


+#WORKSHOP 4 

Moderator: Betsy Wood, BSN, MPH, 

Florida State University 




Change World 


Impact 

+#WORKSHOP 5A 


How Health Departments Work and How 

to Work with Health Departments in 

Creating Healthy Schools 

Presenters: Amy Greene, MSW, MPH, 

NACDD-School Health; Cheryl DePinto, 

MD, MPH, Maryland Department of Health 

and Mental Hygiene; Sandra Jeter, BS, MSW, 

South Carolina Department of Health and 

Environmental Control 

+#WORKSHOP 6A 


Introduction to Type 2 Diabetes Prevention 

and Control for Health Educators 


CDC/National Diabetes Education Program 

#WORKSHOP 7A 

Moderator: Sharon Davis, MPH, PhD, 

CHES, The University of Texas at El Paso 


Telling your Story: The Publication Journey 

Begins Here! 

Presenters: Hector Balcazar, PhD, M.S, The 

University of Texas Health Science Center- 

Houston, School of Public Health; Leonard 

Jack, Jr. PhD, MSc, Xavier University of 

Louisiana 

1:00 pm – 1:30 pm 

BOX LUNCH PICK-UP 

1:15 pm – 2:00 pm 

SOPHE All Member Town Hall Meeting 


1:00 pm – 2:00 pm 

NACDD Annual Business Meeting Lunch 

(Do not pick up a box lunch) 

Room: Q-Bar 

2:00 pm – 6:00 pm 

Continuation of NACDD Academy 

Workshops (Tickets Required) 

(Please note some workshops end at 5:00 pm 

and others end at 6:00pm) 

2:00 pm – 5:00 pm 

+#WORKSHOP 1 Part II 

Room: TBD 



Programs 

Presenters: Phillip McCallion, PhD, Center 






of Albany; Mari Brick, MA, NACDD Public 

Health Consultant 

2:00 pm – 6:00 pm 

+# WORKSHOP 2 Part II 

Room: Potters 


Presenters: Denise Cyzman, MS, RD, 


Frank Bright, MS, NACDD 

2:00 pm – 5:00 pm 


Room: Weavers 


for the Future 

Presenters: Ellen Jones, PhD, MS, CHES, 

Program Consultant for NACDD; Lisa 

Daily, MPA 

2:00 pm – 5:00 pm 


Room: Turquoise 



Change World 


Impact 

2:00 pm – 6:00 pm 

*#WORKSHOP 5B 

Moderator: Gail Brandt, MPH, EdD, RD, 

Health Equity Consultant 


LGBT 101: Seeking Cultural Competency = 

Knowledge + Sensitivity + Action 

Presenter: Sherri Paxon, MSPH, BS Medical 

Technology, NACDD 

2:00 pm – 5:00 pm 

*#WORKSHOP 6B 


Using Storytelling to Promote Diabetes 

Prevention and Control in Vulnerable 

Populations 

Presenters: Alexis Williams, MPH, CHES, 

CDC/National Diabetes Education Program; 

Randy Chatto, AA, Empowering Ramah 

Navajo to Eat Healthy by Using Traditional 

Foods Program; Lemyra DeBruyn, PhD, 

CDC Native Diabetes Wellness Program; 

Melinda R Frank, MPH, CDC Native 

Diabetes Wellness Program 

2:00 pm – 6:00 pm 

*#WORKSHOP 7B 

Moderator: Karen A. Spiller, Boston 

Collaborative for Food and Fitness 


The Power of Systems Thinking: Building 

Short Term Momentum in Service of Long 

Term Goals 



Incorporated 

10 


6:00 pm -8:00 pm 

Albuquerque Fiesta I: Opening Gala 

Reception 

Featuring Poster Session with Authors & 

Exhibitors 


TUESDAY | MAY 3 

7:00 am – 5:00pm 

Registration/Hospitality/CEU Desks 


7:00 am – 8:15 am 

Continental Breakfast 


7:00 am – 8:00 am 

Wellness Challenge: Whole Body Movement 

Class by Nancy Arenas, NIA Instructor 


7:00 am – 8:00 am 



Room: Outside – Meet in Lobby 

7:15 am – 8:15 am 

+ Poster Promenade 


Moderators: Joan Ware MCH/Gestational 

Diabetes/Women’s Health Consultant; 

Robert Gold, PhD, DrPH, University of 

Maryland; and Mari Brick, MA, NACDD 


7:15 am – 8:15 am 

SOPHE Faculty Community of Practice 

(CoP) 

Room: Christobal’s 

7:15 am – 8:15 am 

SOPHE Student/New Professional 

Community of Practice (CoP) 


7:15 am – 8:15 am 

SOPHE Committee Meetings 

7:00 am – 5:00 pm 

Exhibits/Posters/Silent Auction Open 

8:30 am 

NACDD Academy 

WORKSHOPS 8–11 

(Tickets Required – 1½ days - held during 

same time as Concurrent/Plenary Sessions – 

must attend both days for CEs) 

8:30 am – 5:00 pm 

# WORKSHOP 8 Day 1 




Presenters: Marti Macchi, MEd, 


Directors and Margaret Casey, RN MPH, 


Directors 

8:30 am – 3:00 pm 

+#WORKSHOP 9 Day 1 

Moderator: Ellen Jones, PhD, MS, CHES, 

Program Consultant for NACDD 

Room: Weavers 

Creating a More Integrated and 

Sustainable Chronic Disease Program 

Presenters: Shelli Bischoff, MPA, Nonprofit 

Impact; Jeanne Alongi, MPH, Program 

Consultant, NACDD 

8:30 am – 10:00 am 

CONCURRENT SESSION A 

+A 1 Ecological Approaches to Wellness: 

Integrating Community Health Workers 

into Health Promotion Programs 

Moderator: E. Lee Rosenthal, PhD, MS, 

MPH, The University of Texas at El Paso 


Proyecto HEART: Integrating Community 

Health Workers into an Ecological Approach 

to Wellness in El Paso, Texas 

Presenter: Hector Balcazar, PhD, MS, 

University of Texas School of Public Health, 

El Paso Regional Campus at El Paso 


Proyecto HEART: Integrating Community 

Health Workers into an Ecological Approach 

to Wellness in El Paso, Texas 

Presenter: Sherri Wise, MPH, University 

of Texas School of Public Health, El Paso 

Regional Campus 

A Strategy to Strengthen the Community’s 

Capacity to Build and Sustain CHWs and a 

HEART Healthy El Paso 

Presenter: Aurora Aguirre Polanco, BS, 

Department of Public Health; Maria Rafaela 

Gonzales, CHW 

The Role of the CHWs Within the Proyecto 

HEART 

Presenter: Rafaela Gonzalez, CHW, 

University of Texas at El Paso HEART 

Project 

+A2 Improving and Evaluating Capacity 

for Change 

Moderator: David M. Vigil, MBA, New 

Mexico Department of Health 


Building Capacity in Local Public Health to 

Make Policy, Systems, and Environmental 

Changes to Prevent Chronic Disease 

Presenter: Carla Huyck, BS, Washington 

State Department of Health 

Evaluating Capacity Building in Local 

Healthy Communities Projects to Achieve 

Policy, Systems, and Environmental 

Changes 

Presenter: Mike Boysun, MPH, Tobacco 

Prevention and Control Program, 

Washington State Department of Health 

Tracking Development of Policy, Systems, 

and Environmental Changes in Local 

Healthy Communities Projects 

Presenter: Marilyn Sitaker, MPH, 



+A 3 Tobacco National Networks and 

Tribal Support Centers: Sharing Strategies, 

Lessons Learned, and Implications for 

Tobacco Control Efforts 

Moderator: Brick Lancaster, MA, CHES, 

CDC Office on Smoking and Health 


Tobacco National Networks and Tribal 

Support Centers: Promoting Policy, Systems, 

and Environment Change 

Presenters: Kevin Collins, PhD, CDC Office 

on Smoking and Health; Kim Alford, BS, 

CHES, TTS, National Native Commercial 

Tobacco Abuse Prevention Network 

+A 4 SOPHE Leadership Development 

Moderator: Crystal Owensby, MS,CHES, 

New Jersey State Health Department 

Room: Potters 

Partnering for Health: Creating and 

Sustaining Action-Learning Collaboratives 

with Key Stakeholders 



Incorporated 

10:00 am – 10:30 am 

BREAK 

10:30 am – 12:00 pm 

CONCURRENT SESSION B 

+B1 Regional Approaches to Reducing 

Health Disparities: Partnering to Promote 

Healthy Aging 

Moderator: Mario C. Browne, MPH, CHES 

Allegheny County Health Department 


Using a Regional Approach, New Mexico 

and Texas Work to Address Health 

Disparities along the Border through 

Evidence-Based Programs and Policy and 

Systems Change- As Seen From a Regional 

Perspective 

Presenter: Sue Lachenmayr, MPH, National 

Council on Aging - Center For Healthy Aging 




Evidence-Based Programs and Policy 

Systems Change- New Mexico’s Steps to 

Building a Comprehensive Coordinated 

Approach To healthy Aging 

Presenter: Christopher Lucero, BCH, 

CHES, New Mexico Department of Health/ 

Public Health 





Systems Change- Lessons from the Fieldthe 

Southern Area Heath Education 

Center’s Promatoras Reach Older Latinos 

with Chronic Conditions in Border Towns 

Presenter: Beatriz Favela, MSW, Southern 

Area Health Education Center (SoAHEC) 

NM State University 





Systems Change- Partnering with the Ysleta 

Pueblo del Sur Tribe, Aging and Disability 

Resource Centers, and New Mexico To 

Improve the Health of Native Americans 

and Latino Seniors Along the Border 

Presenter: Yvette Lugo, LMSW, Area 

Agency on Aging (AAA) of the Rio Grande 

Council of Governments 

*B 2 Under the Diabetes Umbrella: Improving 

Prevention, Intervention, and Care 

Moderator: Joan Ware MCH/Gestational 

Diabetes/Women’s Health Consultant 


Under the Umbrella: The North Carolina 

Diabetes Education Recognition Program 

Presenter: Joanne Rinker, MS, RD, CDE, 

LDN, NC Diabetes Education Recognition 

Program 

Honing Diabetes Care Skills in Rural Areas 

Presenter: Anna Hargreaves, MA, MPH, 

New Mexico Department of Health 

Policy Agenda and YMCA Intervention 

Needed to Address Pre-Diabetes in 

Washington State 

Presenter: Marcelle Thurston M.S., RD, CDE, 


+B3 Addressing Tobacco Related 

Disparities: Strategies for Communities 

Moderator: Laura Boyle, MPH, CHES, 

MIPP, Society for Public Health Education 


Tobacco-Related Disparities Datea and its 

Use in Program Planning 

Presenter: James Padilla, MS, New Mexico 

Department of Health, Tobacco Use 

Prevention & Control 

Partnerships for Policy: Creating a 

Movement for Change by Connecting 

Grassroots and Grasstops 

Presenter: Cynthia Serna, AA, Grassroots 

Development Director, American Cancer 

Society Action Network (ACS CAN), Great 

West Division 

Addressing Tobacco Use and Mobilizing 

Community Members through the Fierce 

Pride Project 

Presenter: Andrea Quijada, MA, Executive 

Director, Media Literacy Project 

A Common Goal for the Common Good: 

Creating Systems Change for Treating 

Nicotine Dependence in Persons with Mental 

Illness and/or Substance Abuse Disorders 

Presenter: Linda Wright Eakers, MPH, 

CPM, Oklahoma Department of Mental 

Health and Substance Abuse Services 

*B4 Using Health Communication 

Campaigns to Build Healthy Communities 

Moderator: Amilya “Nikkie” Ellis, BS, MPH/ 

MSW(s), New Mexico State University 

Room: Potters 

12 


Health Communication Campaigns 

That Include mass Media and Health 

Related Product Distribution: A Review 

of Effectiveness from the Task Force on 

Community Preventive Services 

Presenter: Maren Robinson, MPH, CNC, 

CHES, Centers for Disease Control 

The “Have a Heart” Campaign: Protecting 

people with Diabetes from Secondhand Smoke 

Presenter: David Tompkins, BS, New Mexico 

Department of Health 

Public Education Resources to Increase 

Hispanic Men’s Participation in Colorectal 

Cancer Screening as Recommended by the 

Guide to Community Preventive Services 

Presenter: Jennifer Pieters, BS, MPH, CHES, 

CDC/Division of Cancer Prevention & 

Control 

Communities Putting Prevention to Work: 

Food, Farms and Policy 

Presenter: Marion Kalb, Community Food 

Security Coalition 

12:00 pm – 1:00 pm 

Box Lunch Pick-Up 

12:00 pm – 1:00 pm 

Networking/RoundTable Discussions Box 

Lunch (SOPHE Communities of Practice – 

NACDD members welcome) 

Room: Alvarado EFGH & Garden Area 

1:30 pm – 3:00 pm 

CONCURRENT SESSION C 

+C 1 Preventing Chronic Disease through 

Collaboration, Communication, and 

Contextual Change 

Moderator: Rob Simmons, DrPH, MPH, 

CHES, CPH, Thomas Jefferson University, 

School of Population Health 


California Collaborative for Chronic 

Disease Prevention: Weaving Traditional 

and Innovative Health Communication 

Strategies to Reach Priority Populations 

Presenter: Pamela Ford-Keach, M.S., 

Arthritis Program and Heart Disease and 

Stroke Prevention Program, Jacqueline 

Tompkins MPH, CHES, California Arthritis 

Partnership Program; Roberta Campbell, BS, 

CA Arthritis Program and Heart Disease and 

Stroke Prevention Program 

California Collaborative for Chronic 

Disease Prevention: Using Policy, 

Environmental, and Systems Approaches to 

Reduce the Burden of Chronic Disease 

Presenter: Pamela Ford-Keach, MS, 

Arthritis Program and Heart Disease and 

Stroke Prevention Program, Jacqueline 

Tompkins MPH, CHES, California Arthritis 

Partnership Program; Roberta Campbell, BS, 

CA Arthritis Program and Heart Disease and 

Stroke Prevention Program 

*C2 Building Healthy Communities: Policy 

Systems and Environmental Approaches to 

Chronic Disease Prevention 

Moderator: Alice (Ali) A. Patty, MSH, 

CHES, ACHIEVE Project Consultant for 




Can the Home Environment Be Changed to 

Promote Physical Activity? Results From a 

Home-Based Pilot Intervention Study 

Presenter: Iris Alcantara, MPH, Emory 

Prevention Research Center 

Working to Create Healthy Communities 

at the National and Local Level Through 

Policy, Systems and Environmental 

Approaches 

Presenters: Jennie Hefelfinger, MS, National 

Association of Chronic Disease Directors; Tina 

Amato, MS, LDN, RD, Allentown Health 

Bureau; Erin Engelbrecht, BA, ACHIEVE 

Coordinator; Kirsten Frandsen, BS, Tacoma- 

Pierce County Health Department 

*C 3 Culture matters! Addressing Cancer 

Risk at the community Level 

Moderator: Holly Mata, PhD (c), The 

University of Texas at El Paso 


Exploring Linguistic Isolation, Poverty, 

and Spatial Segregation as Social 

Determinants of Cancer Risk in Galena 

Park, Texas 

Presenter: Demetrice Jordan, BS, Georgia 

State University 

Not Everyone is Doing it: Perceptions 

and Prevalence of Peer Smoking in U.S. - 

Mexico Border Community 

Presenter: Jose Guevara, B.S., University of 

Texas at El Paso, Hispanic Health Disparities 

Research Center 

Using Culturally Tailored Health 

Communications to Address Disparities in 

Breast Cancer Screening 

Presenter: Kristin Wallace, MPH, Kaiser 

Permanente and the University of Colorado, 

Denver 

Perspectives on Colorectal Cancer Screening: 

Hispanics Over Age Fifty with Health 

Insurance Coverage in New Mexico 

(18112) 

Presenter: Maria Otero, BA, Nuestra Salud 

*C4 Improving Health through 

Collaborative Change 

Moderator: Ann Ussery-Hall, MPH, CHES 

ACHIEVE Program Coordinator/Evaluator 



Room: Potters 

Changing Local Food Policy in Native 

American Reservations Using Community- 

Based Participatory Research 

Presenter: Valarie Jernigan, MPH DrPH, 

University of New Mexico 



Community-School Partnership To Improve 

Student Fitness Levels 

Presenter: Diane Allensworth, PhD, Centers 

for Disease Control 

Creating and Evaluating Systems Change 

through a Participatory Planning and 

Evaluation Model 

Presenter: Ron Hale, MS, NM Department 

of Health Office of Community Health 

Partnerships 

Results of a Participatory Policy Study in a 

Northern New Mexico Community 

Presenter: Yolanda Cruz, San Miguel Family 

and Community Health Council 

3:00 pm – 3:15 pm 

BREAK 

3:15 pm – 4:45 pm 

+PLENARY SESSION II 

Moderator: Nina Wallerstein, DrPH, RWJF 

Center for Health Policy at UNM 


Weaving New Multi-Cultural Approaches 

to Diabetes Prevention & Control 

Presenters: Hector Balcazar, PhD, MS, 

University of Texas School of Public Health, 

El Paso Regional Campus; Leonard Jack, 

PhD, Xavier University of Louisiana; Alexis 

Williams, MPH, CHES, CDC/National 

Diabetes Education Program; Dorinda 

Wiley-Bradley RN, CDE, Albuquerque 

Indian Health Center 

6:00 pm – 10:00 pm 

Albuquerque Fiesta II 

Dinner Outing at Seasons (Walking Distance 

from hotel) - Optional 

WEDNESDAY | MAY 4 

7:00 am – 3:00 pm 

Registration / Hospitality / CHES Open 


7:15 am – 8:15 am 

Coffee Service 


7:30 am – 8:30 am 



Room: Outside – Meet in Lobby 

7:30 am – 8:15 am 

Wellness Challenge: Albuquerque NACDD 

ACHIEVE Team Leads Walking Tour 

Through Old Town 

Room: Outside/ Meet in Lobby 

7:30 am – 8:30 am 

SOPHE 2011 Annual Meeting Planning 

Committee Meeting 

Room: Q-Bar 

7:30 am 

Exhibits/Posters/Silent Auction Open 


9:00 am 

Silent Auction Closes (No more Bids after 

9:00 am) 

8:00 am 

CONTINUATION OF NACDD 

Academy WORKSHOPS 8–11 

(Tickets Required – held during same time as 

Concurrent/Plenary Sessions) 

8:00 am – 11:00 am 

# WORKSHOP 8 Day 2 




Presenters: Marti Macchi, MEd, National 


and Margaret Casey, RN MPH, National 


8:30 am – 10:30 Am 

+#WORKSHOP 9 Day 2 

Moderator: Ellen Jones, PhD, MS, CHES, 

Program Consultant for NACDD 


Creating a More Integrated and 

Sustainable Chronic Disease Program 

Presenters: Shelli Bischoff, MPA, Nonprofit 

Impact; Jeanne Alongi, MPH, Program 

Consultant, NACDD 

9:00 am – 10:30 am 

Concurrent Session D 

+D1 Planning to Action: Initiatives in 

Environmental Health and Emergency 

Preparedness 

Moderator: Bryan Damis, MPH, Society for 

Public Health Education 


Healthy Home Environment Self- 

Management Asthma Program 

Presenter: Serina Gaston, M.Ed., CHES, 

Division of Nutrition & Physical Activity, PA 

Department of Health 

Including People Who are Experiencing 

Homelessness in Emergency Preparedness 

Planning 

Presenter: Sabrina Edgington, MSSW, 

National Healthcare for the Homeless 

Council 

Radiation Basics: Medical Reserve Corps 

and Radiation Emergencies 

Presenter: Sherwin Levinson, MBA, 

Director, Georgia East Metro Medical 

Reserve Corps 

Tools and Strategies for Public Health 

Response to Radiation Emergencies 

Presenter: Kevin Caspary, MPH, Health 

Education Specialist 

14 


*D2 Changing Systems for Community 

Health 

Moderators: Adenike Bitto, MD, MPH, 

DRPH, CHES, FRSPH 


Do We Have What it Takes? Assessing State 

and Territorial Chronic Disease Program 

Health Equity Capacity 

Presenter: Kati Moseley, MPH, Oregon 

Public Health Division 

Building an Inter-Organizational 

Partnership to Promote Community Systems 

Change 

Presenter: Perdita Wexler, MA, NM 

Diabetes Prevention and Control Program 

Healthcare and Community Approaches to 

Improving Health Literacy With Vulnerable 

Senior Populations – The Southeast 

Pennsylvania Regional Enhancements 

Addressing Disconnects in Cardiovascular 

Health Communication (READS) Project 

Presenter: Rob Simmons, DrPH, MPH, 

CHES, CPH, Thomas Jefferson University 

Passing Policy-The Game Changer for 

Healthier Communities 

Presenter: Tracy Wiedt, MPH, YMCA of 

the USA 

*D3 Making Connections: Multifaceted 

Approaches to Mental Health 

Moderator: Amilya “Nikkie” Ellis, BS, MPH/ 

MSW(s), New Mexico State University 


Incorporating Critical Consciousness into 

HIV Prevention Interventions for Diverse 

Groups of Youth 

Presenter: Gary Harper, PhD, MPH, MPH 

Program, DePaul University 

Alzheimer’s and Diabetes: Exploring the 

Connection 

Presenter: Michael Splaine, MA, Alzheimer’s 

Association 

Status of Alzheimer’s Disease State Plans: A 

Policy Review 

Presenter: Catherine Morrison, MPH, 

Alzheimer’s Association 

*D4 Prioritizing Vulnerable Populations: 

Sharing Visions and Strategies to Reduce 

Health Disparities 

Moderator: Mari Brick, MA, NACDD 


Room: Alvarado D 

Impact of Buenos Dias, Artritis, A Spanish 

Health Communications Campaign 

Promoting Physical Activity among 

Spanish-Speaking People with Arthritis 

Presenter: Teresa Brady, PhD, CDC/ 

NCCDPHP 

A Pilot Study: Health Literacy Initiative 

for Immigrant, Pregnant Women in Central 

New Jersey (17913) 

Presenter: Caitlin Sulley, BFA, Central New 

Jersey Maternal and Child Health 

California WISEWOMAN Adaptation of 

the Spanish New Leaf Curriculum (17712) 

Presenter: Marianne Hernandez, MS, 

California Department of Public Health 

Consortium 

Leadership, Advocacy and System Strategies 

for Developing A “Shared Vision” To Reduce 

US/Mexico Border Health Disparities and 

Chronic Diseases 

Presenter: Crystal Moran, MPH, BCH, New 

Mexico State University 

+D5 REACH/MNO: Leading Minority 

Communities in Managing Diabetes 

Moderator: Nicolette Warren, MS, CHES, 

Society for Public Health Education 

Room: Alvarado E 

SOPHE Health Equity Sustainable 

Solutions: Chapter Collaboration to Address 

Diabetes Among Minority Communities 

Presenters: Nicolette Warren, MS, CHES, 

Society for Public Health Education; Dr. 

Swati Raychowdhury, PhD., MPH, Georgia 

Southern University; Dr. Cassandra Arroyo, 

PhD, Georgia Southern University; Shristi 

Reddy, MPH(c), Northern California 

SOPHE Chapter; Charlotte Kaboré, MS, 

Community Health and Equity Branch 

(CHEB) Technical Assistance and Program 

Support (TAPS) Program Consultant 

10:00 am 

Silent Auction Winners Posted 

10:30 am – 11:00 am 

BREAK/HOTEL CHECK-OUT 

11:00 am – 12:30 am 

+PLENARY SESSION III 

Moderator: Fern Goodhart, MSPH, CHES, 

Health/Education LA, Office of Senator Tom 

Udall (D-NM) 


Health Reform 911: Weaving a Tapestry 

for Change from the State Capitals’ 

Perspective 

Presenters: Maryland Lt. Governor Anthony 

G. Brown; Martha King, MPP, National 

Conference of State Legislatures 

12:30 pm – 12:45 pm 

CONCLUDING REMARKS 

Presenters: M. Elaine Auld, MPH, CHES, 

Chief Executive Officer,SOPHE; John W. 

Robitscher, MPH, Chief Executive Officer, 

NACDD 


12:30 pm – 3:00 pm 

Posters, Resource Room Break Down 

1:00 pm – 5:00 pm 

SOPHE Health Equity Grant Meeting 




Conference Abstracts 

Monday, May 2 

10:00AM- 6:00PM (Full Day Workshops) 

Workshop 1 

Developing a Quality Assurance/Quality Improvement Framework 

for Evidence-based Programs 

Phillip McCallion, PhD, Center for Excellence in Aging and 

Community Wellness, School of Social Welfare, University at 

Albany; Lisa Ferretti, LMSW, Center for Excellence in Aging and 

Community Wellness, School of Social welfare, University of Albany; 

Mari Brick, MA, National Association of Chronic Disease Directors 


Leaders in public health continue to extol the benefits of Evidence- 

Based Programs (EBPs) and investigate methods to faithfully deliver 

EBPs and reported positive health outcomes. By delivering programs 

that maximize efficiency and effectiveness, resource driven quality 

outcomes can be achieved. The Effective Practice Standard Model 

(EPS) describes and applies Quality Assurance/Quality Improvement 

(QA/QI) plans anchored in low-cost program fidelity strategies for use 

with multiple EBPs by teaching tools, knowledge and skills to assess, 

design, implement and evaluate your program. Participants will apply 

EPS QA/QI Model and develop an individualized draft QA/QI plan 

and rationale for use in home organization/system. 

Workshop 2 


Denise Cyzman, MS, RD, National Assn of Chronic Disease 

Directors; Frank Bright, MS, National Association of Chronic 

Disease Directors 

This is a one day workshop designed to advance and enhance the 

leadership skills of chronic disease practitioners in leadership positions. 

During this interactive session, participants will explore the 10 principles 

of strategic leadership, the common components of organizations 

as systems, and how these principles and components impact a systems 

approach to organizational leadership. Interactive group exercises during 

the workshop utilize a public health case study to provide opportunities 

to apply the principles and discuss outcomes with colleagues. 

In addition, participants will leave the workshop with a personalized 

action plan for development of their skill levels in the principles of 

strategic leadership and utilization of the systems approach to decision 

making in leadership situations. 

10:00AM- 5:00PM (Full Day Workshops) 

Workshop 3 

People, Policy, and Politics: Opportunities for the Future 

Ellen Jones, PhD, MS, CHES, Program Consultant for National 

Association of Chronic Disease Directors; Lisa Daily, MPA 

Wondering where your public health program fits in the changing 

context of public health agencies in 2011? This presentation will discuss 

research and practical knowledge of the most effective strategies 

to plan, communicate, and evaluate chronic disease prevention and 

control policy. Distinctions and similarities for national, state, and local 

policy advocacy will be discussed. Presenters will use hands-on tools, 

share lessons learned, and practice advocacy skills for health policy 

communication in a variety of settings. 

Workshop 4 

Developing and Managing Strategic Partnerships and Coalitions 

in a Systems Change World 

Shelli Bischoff, MPA, Nonprofit Impact 

This training helps participants reassess and reinvigorate their partnerships 

and coalitions to be more integrated, more productive and more 

potent. Participants will gain solid content knowledge in partner relations 

management and turning partners into loyal, long term, engaged 

constituents. Participants will have specific and proven tools and 

techniques. They will be challenged to create a new model of partnerships 

and coalitions that moves beyond coordination. This is a “must 

have¨ session for anyone working with partners. It promises to make 

partnerships more productive and to significantly enhance program 

or agency effectiveness. Suggested audience: This is for intermediate 

and advanced participants. It is applicable to directors, managers, or 

program coordinators. It will be highly useful for anyone managing 

a project or a program that involves internal or external partners, or 

who must work with partners in order to be successful. The training 

assumes that participants have basic level communication, meeting 

management, leadership and management skills, and project management 

skills. 

10:00AM- 1:00PM (Half Day Workshops) 

WORKSHOP 5A 

How Health Departments Work and How to Work with Health 

Departments in Creating Healthy Schools 

Amy Greene, MSW, MPH, NACDD-School Health; Cheryl 

DePinto, MD, MPH, Maryland Department of Health and Mental 

Hygiene; Sandra Jeter, BS, MSW, South Carolina Department of 

Health and Environmental Control 

16 


Workshop is aimed at providing the knowledge and skills toward 

developing and sustaining effective partnerships with state health 

departments. Key resources and strengths of health departments at 

the state and local level in the area of chronic disease prevention and 

school health will be identified, as well as, approaches to accessing 

these resources to support policy, environmental and systems change. 

How health departments function, approaches to working with health 

departments, and practical steps for making collaborations happen to 

further the mission of schools will be discussed. Successful examples 

will be shared of partnerships between individuals, schools and communities 

and health departments in the area of school health and 

chronic disease prevention. 

WORKSHOP 6A 

Introduction to Type 2 Diabetes Prevention and Control for 

Health Educators 

Alexis Williams, MPH, CHES, CDC/National Diabetes Education 

Program 

Participants will learn about the evidence-based strategies for diabetes 

prevention and control and consider the implications for planning 

health education programs. Participants will also learn about the role 

of health care systems and community-based organizations in diabetes 

prevention and control efforts. The course will explore some of the 

socioeconomic and cultural factors contributing to diabetes-related 

disparities. It will introduce participants to resources that support 

health promotion efforts, especially those tailored for vulnerable populations. 

By the end of the course, participants will identify key areas 

where health educators can make an impact on diabetes prevention 

and control. 

2:00PM- 6:00PM (Half Day Workshops) 

WORKSHOP 5B 

LGBT 101: Seeking Cultural Competency = Knowledge + 

Sensitivity + Action 

Sherri Paxon, MSPH, BS Medical Technology, NACDD 

This interactive session will give participants the opportunity to learn 

about the LGBT community and the impacts of societal exclusion, 

homophobia, heterosexism and discrimination on health equity. The 

social determinants of health will be discussed in relation to LGBT 

health inequities and a synopsis of current research will be given. 

Participants will learn about the LGBT community as a culture and 

how discrimination and homophobia impacts the mindset of LGBT 

individuals and communities. There will be opportunity for participants 

to assess personal thoughts and feelings about LBGT populations. 

Methods for implementing an LGBT-specific welcoming environment 

will be demonstrated and a variety of resources that aid in 

education, awareness, advocacy and action toward health equity for the 

LGBT community will be made available. The National Association 

of Chronic Disease Directors (NACDD) Health Equity Council 

(HEC) is inclusive in its views of health equity and recommends that 

all health professionals receive training in LGBT cultural competency. 

Both NACDD and SOPHE competencies specify the importance of 

cultural competency and tailoring messages to priority populations. 

NACDD encourages the development of approaches that take into 

account differences among populations and emphasizes the impact of 

socioeconomic and behavioral determinants of health disparities. 

2:00PM-5:00PM (Half Day Workshops) 

WORKSHOP 7A 

Telling your Story: The Publication Journey Begins Here! 

Hector Balcazar, PhD, M.S, The University of Texas Health Science 

Center-Houston, School of Public Health; Leonard Jack, Jr. PhD, 

MSc, Xavier University of Louisiana 

This workshop will provide participants with the tools and motivation 

they need to turn their work into something they can share through 

publication. During this half-day workshop, participants will hear 

from experienced editors/contributors of public health journals and 

will learn the specific skills, challenges, and opportunities inherent 

in the publication process. They will learn that getting from that 

first draft to seeing it in print is a dynamic and evolving process. 

Understanding and engaging in the process of writing and publishing 

can be achieved through acquired skills, resilience in the process, and a 

willingness to respond to collegial and editorial feedback. 

WORKSHOP 6B 

Using Storytelling to Promote Diabetes Prevention and Control 

Vulnerable Populations 

Alexis Williams, MPH, CHES, CDC/National Diabetes Education 

Program; Randy Chatto, Empowering Ramah Navajo to Eat Healthy 

by Using Traditional Foods Program; Lemyra DeBruyn, CDC Native 

Diabetes Wellness Program; Melinda R Frank, CDC Native Diabetes 

Wellness Program 

Workshop will address the principles of good storytelling, and provide 

ideas for developing and testing stories for use in health promotion 

programs. Participants will learn to think critically about the place for 

stories in health promotion initiatives, and explore issues related to the 

evaluation of storytelling. Participants will also learn about resources 

developed to support storytelling in diabetes prevention and control 

efforts in vulnerable populations. These resources include toolkits, 

films, children’s books, and photonovellas, and have been developed 

for use in African American, Hispanic/Latino, and American Indian 

communities. 


2:00PM-6:00PM (Half Day Workshops) 

WORKSHOP 7B 

The Power of Systems Thinking: Building Short Term Momentum 

in Service of Long Term Goals 

Claire Sherry Immediato, MPP, MBA, President, Heaven & Earth 

Incorporated 

Everybody likes to see results sooner rather than later. However we 

also recognize that the consequence of short-term thinking is that 

we often undermine the health of our systems to be sustainable over 

time. This is true for the individual and for society and all levels in 

between. The purpose of this workshop is to introduce two basic 

tools of systems thinking: 1) the iceberg as a metaphor for levels of 

appreciating reality and 2) system archetypes as the classic stories 

that help us appreciate system complexity and act more intelligently 

in service of both the short and long-term. We will consider how we 

can use these resources in our own work and in collaborating with 

multiple stakeholders with diverse agendas. 

Tuesday, May 3 

These workshops are offered at the same time as concurrent sessions 

on both days. 

8:30AM-5:00PM 

Workshop 8 (Full Day Workshop) 

Re-Imagining the Box: Critical Thinking and Problem Solving in 

Chronic Disease 

Marti Macchi, MEd, National Association of Chronic Disease 

Directors; Margaret Casey, RN MPH, National Association of 


This workshop is designed to expand and enhance the critical thinking 

and problem solving skills of chronic disease practitioners, both 

individually and as team members and leaders. During the course of 

the workshop, participants will explore what critical thinking is, why 

it matters in daily practice, and what skills and dispositions are needed 

to effective demonstrate critical thinking in interactions with others. 

The final components of the workshop enable the practitioner to take 

their skills into team situations to enhance the abilities of teams to 

collaboratively identify and solve problems. Interactive group exercises 

during the workshop will allow participants to assess their own level 

of expertise, practice applying the questions for critical inquiry, and 

demonstrate the use of these enhanced skills in building effective team 

processes in problem solving. 

Workshop 9 (Day 1) 

Using Systems Change to Create Impactful and Sustainable 

Statewide Chronic Disease Programs 

Shelli Bischoff, MPA, Nonprofit Impact; Jeanne Alongi, MPH, 

National Association of Chronic Disease Directors 

This workshop is a highly interactive, practical session to enhance 

skills and provide tools to create more efficient, effective, and integrated 

operations. It introduces a systematic process, based on proven 

practices and State examples, to develop chronic disease programs to 

deliver health outcomes, with partners, at a systems level. The workshop 

serves directors interested in integration; systems change; and/ 

or change processes. Integration: Policy, environmental and systems 

change requires a more integrated, cross- disease approach. This workshop 

provides the fundamentals, in a step-by-step guide, to create and 

implement a comprehensive and integrated chronic disease program. 

The material can be applied at the local, multi-jurisdiction, or state 

level. Specific case studies and examples will be used, and participants 

will have the tools for immediate application. 

Concurrent Session A 

8:30 AM- 10:00 AM 

Concurrent Session A1 

Ecological Approaches to Wellness: 

Integrating Community Health Workers 

into Health Promotion Programs 

Proyecto HEART: Integrating Community Health Workers into an 

Ecological Approach to Wellness in El Paso, Texas 

Hector Balcazar, PhD, MS, University of Texas School of Public 

Health, El Paso Regional Campus; Sherrie Wise, MPH, University 

of Texas School of Public Health, El Paso Regional Campus; Rafaela 

Gonzalez, CHW, University of Texas at El Paso - HEART Project; 

Aurora Aguirre Polanco, BS, Department of Public Health; Maria 

Duarte, PhD, MS, Health Promotion, University of Texas at El Paso; 

Lee Rosenthal, MPH, PhD, University of Texas at El Paso 

Proyecto HEART: Evaluating an ecological approach for a cardiovascular 

disease prevention model on the U.S.-Mexico border with 

community health workers. 

Balcazar H., Wise, S., Gonzalez, R., Aguirre Polanco, A. , Duarte, M., 

Rosenthal, E. L. 

Proyecto HEART (Health Education Awareness Research Team) is a 

community-based participatory and multi-institutional project that is 

testing an ecological model of cardiovascular disease health promotion 

and disease prevention in the El Paso Texas. The project has incorporated 

five elements being utilized to evaluate a variety of indicators. 

18 


The five intervention levels include: 1) the individual participant who 

is exposed to a 4-month intervention called “MiCMiC” “Mi Corazon, 

Mi Comunidad” (“My Heart, My Community”) directed towards 

activities focusing on nutrition and physical activity within a variety 

of lifestyle education and environmental enhancement programs; 2) 

interpersonal level represented by the community health workers, family 

and friends touched by HEART; 3) organizational level represented 

by HEART partners including the YWCA, Parks and Recreation 

Department where the 4-month MiCMiC intervention program is 

being launched; 4) community level represented by an evaluation site 

not participating in MiCMiC and by individuals and leaders who will 

continue supporting post intervention activities (i.e. walking groups, 

aerobic activities, cooking clubs); and 5) policy level with a policy 

agenda for HEART. In this presentation we highlight few evaluation 

results from the different elements of HEART. For example, for the 

individual participant we present results of the first pre-post cohort 

who enrolled in the 4-month MiCMiC intervention. Data is shown 

relative to changes in a variety of heart-healthy domains and outcomes 

such as blood pressure, BMI and a 3-minute step test for heart rate. 

Evaluation at each ecological level will be showcased. 

Proyecto HEART: Integrating Community Health Workers into an 

Ecological Approach to Wellness in El Paso, Texas 

Sherri Wise, MPH, University of Texas School of Public Health, El 

Paso Regional Campus, Lee Rosenthal MPH, PhD, University of 

Texas at El Paso; Rafaela Gonzalez, CHW, University of Texas at El 

Paso - HEART Project; Aurora Aguirre Polanco, BS, Department 

of Public Health; Maria Duarte, PhD, MS, Health Promotion, 

University of Texas at El Paso; Hector Balcazar, PhD, MS, University 

of Texas School of Public Health, El Paso Regional Campus 

Proyecto HEART: Development of a CVD risk factor reduction 

intervention targeting Hispanics in El Paso, Texas Wise, S., Rosenthal, 

L., Gonzalez, R., Aguirre Polanco, A , Duarte, M., Balcazar, H. 

BACKGROUND: The HEART Project (Health Education 

Awareness Team) is a two- stage 8 year NIH-funded CBPR project 

aimed to reduce cardiovascular disease risk factors highly indicated in 

Hispanic residents of El Paso, Texas. THEORETICAL BASIS: The 

second stage of programming comprises a lifestyle change and environmental 

enhancement intervention, theoretically driven by Social 

Cognitive Theory and the Social Ecological Model. METHODS: 

Utilizing an ecological approach, a key conceptual framework was 

established to guide Phase 2, and a multi-phasic development process 

was underwent. Core intervention development began with an 

inventory of programs and facilities at one YWCA branch location, 

three recreation and senior centers, four city parks, and six elementary 

schools. Second, the initial set of HEART Phase 2 programs 

were selected and categorized into two types: lifestyle education and 

environmental enhancement. Each program type was categorized 

once again into two foci: 1) nutrition activities, and 2) physical fitness 

activities. Finally, employing best practice methods, community health 

worker-led activities were integrated including 1) “charlas” (coffee 

talks), 2) heart-healthy cooking demonstrations, 3) heart-healthy 

grocery shopping tours, 4) Latin dance aerobics in the parks, 5) family 

sports/swimming, and 6) walking groups emphasizing peer support. 

RESULTS: The Phase 2 curriculum includes a family of CVD risk 

factor reduction activities entitled “Mi Corazon, Mi Comunidad” (My 

Heart My Community)(MiCMiC), which is facilitated by CHWs 

and community partner organizations. Results of the first intervention 

cohort and baseline measurement of a community phone survey will 

be showcased. 

A Strategy to Strengthen the Community’s Capacity to Build and 

Sustain CHWs and a HEART Healthy El Paso 

Aurora Aguirre Polanco, BS, Department of Public Health; Maria 

Rafaela Gonzales, CHW , University of Texas at El Paso - HEART 

Project; Lee Rosenthal MPH, PhD, University of Texas at El Paso; 


Health, El Paso Regional Campus; Sherrie Wise, MP, University of 

Texas School of Public Health, El Paso Regional Campus; Mahamud 

Ahmed, MS, University of Texas at El Paso 

Proyecto HEART: Integrating CHWs into an Ecological Approach to 

Wellness in El Paso, Texas. A strategy to strengthen the community’s 

capacity to build and sustain CHWs and a HEART healthy El Paso. 

Aurora Aguirre Polanco, Lee Rosenthal, Mahamud Ahmed, Maria 

Rafaela Gonzalez , Sherry Wise, Maria Duarte, Hector Balcazar. 

Proyecto HEART applies a Community-base Participatory Research 

(CBPR) approach among Hispanics in the lower valley of El Paso, 

Texas. The main goal of the National Institutes’ of Health funded 

study is to reduce Cardio Vascular Disease (CVD) risks by promoting 

healthier lifestyles through the implementation of Community 

Health Worker (CHWs)-driven multifaceted intervention. Overall, 

the Proyecto HEART has identified two distinct policy aims, they are: 

1) the sustainability of heart healthy environment in El Paso; and 2) 

the integration of CHWs into the labor force. In order to address the 

first policy aim, HEART partners frame their efforts in the ecologic 

perspective including a focus on the individual, interpersonal, organizational, 

and community levels. Examples of policy changes for a heart 

healthy community will involve changes in such areas as the built 

environment and the availability of physical fitness opportunities. For 

addressing the second policy aim, a policy agenda geared to building 

recognition and integration of CHWs in the workforce; an integral 

aspect of efforts in this area is the emergence of the “Working Group 

for El Paso Community Health Worker Workforce Development”. 

The working group has the command of designing a workforce 

development strategic planning process that is inclusive of the ideals 

and vision of local and state agencies such as: CHWs networks, El 

Paso Community College, the Texas Health and Human Services 


Commission, the Department of State Health Services, the Workforce 

Solutions Upper Rio Grande, and others. At the state level, Proyecto 

HEART actions are aligned with others engaged in making similar 

efforts such as participation in a CHW employer forum that looked 

at four arenas: Policy/Awareness, Workforce Development, Evidence/ 

Research, and Special Populations. Nationally, Proyecto HEART 

researchers play an active role in the CHW Section of the American 

Public Health Association and participate in other national CHW 

workforce development activities. Proyecto HEART’s policy aims 

are complemented by current health care reform efforts that express 

the importance of employing CHWs and a social justice approach to 

promoting health 

The Role of the CHWs Within the Proyecto HEART 

Rafaela Gonzalez, CHW, University of Texas at El Paso HEART 

Project; Aurora Aguirre Polanco, BS, Department of Public Health; 

Lee Rosenthal MPH, PhD, University of Texas at El Paso; Hector 

Balcazar, PhD, MS, University of Texas School of Public Health, El 

Paso Regional Campus; Sherrie B. Wise, MS, University of Texas 

School of Public Health, El Paso Regional Campus; Maria Duarte, 

PhD, MS, Health Promotion, University of Texas at El Paso 

Proyecto HEART: integrating CHWs into an Ecological Approach to 

Wellness in El Paso, Texas The role of the CHWs within the Proyecto 

HEART. Maria Rafaela Gonzalez, CHW, E. Lee Rosenthal, Aurora 

Aguirre Polanco, Sherry Wise, Maria Duarte, Hector Balcazar. The 

Community Health Workers (CHWs) in the Proyecto HEART, a 

National Institutes of Health funded Community-based Participatory 

Research study in El Paso, promote the participation of the community 

in various wellness activities including physical fitness activities. 

The activities within the Proyecto HEART are based on the Social 

Cognitive Theory and Social Ecological Model. The roles of the 

CHWs in Proyecto HEART are: participant recruitment, enrollment, 

intake documentation, and tracking. Additonally, a cornerstone of 

the CHW role in this research study is health education and physical 

activity programming as a part of the “Mi Corazon- Mi Comunidad” 

(MiC-MiC) curriculum. The CHWs build a working environment of 

trustworthiness to better understand the health needs of the participants 

and community overall. They work to motivate participants and 

help reinforce and model strategies for a healthy heart lifestyle. CHWs 

represent the change agents that facilitate the connection among 

individuals, agencies, and HEART project partners. The effectiveness 

of the CHWs model can be evaluated by observing the impact of their 

service on multiple levels: the individual participant, interpersonal, and 

organizational level, among others. At the participant level, CHWs 

support individuals’ health improvements through leading such activities 

as the walking groups, swimming, and Latin dance aerobics in the 

park. CHWs observe that by understanding the benefits of exercising 

and eating healthy, participants feel more prepared to deal with current 

and future health issues. At the interpersonal level, individuals share 

program information and activities with their family and friends and 

ideally begin to work together to promote family and community 

health. At the organizational level, partner agencies such as the local 

branch of the YWCA, local Parks and Recreation centers, and other 

participant institutions, participate through integrating CHW led 

activities into their daily programming. CHWs also help create client 

navigation services creating greater culturally competent access to 

physical fitness and related programming. HEART CHWs themselves 

foresee structural changes in the community. A goal of HEART 

is that individuals served are better able to mobilize resources at the 

interpersonal and agency level contributing to better health and access 

to a heart healthy environment for Hispanics in the Lower Valley of 

El Paso, Texas. 


Improving and Evaluating Capacity 

for Change 

Building Capacity in Local Public Health to Make Policy, Systems, 

and Environmental Changes to Prevent Chronic Disease 

Paj Nandi, MPH, Washington State Department of Health; 

Marilyn Sitaker, MPH, Washington State Department of Health; 

Michael Boysun, MPH, Tobacco Prevention and Control Program, 


As part of the evaluation for the Washington state Healthy 

Communities Program, we are specifically looking at development of 

local health department capacity to do policy, systems, and environmental 

(PSE) change work. Because this program was a pilot approach 

to capacity development in low-capacity counties, the evaluation not 

only explored how local capacity for PSE change developed over time 

but also how the quality of the program could be improved for the 

next cohort of Healthy Communities county teams. In this presentation, 

we describe the over-arching evaluation plan and approach to 

assessing and tracking capacity building and quality improvement 

process. This includes a baseline assessment of competencies as defined 

through the Directors of Health Promotion and Education. We then 

discuss the specific data collection methods, rationale, and metrics collected 

throughout the year. We include a discussion on the challenges 

and encountered and solutions in evaluating capacity in low-capacity 

counties. Finally, we share the results and findings of the data analyzed 

plus the quality improvement findings used to shape the new round of 

capacity development Healthy Communities county health department 

teams. 

20 


Evaluating Capacity Building in Local Healthy Communities 

Projects to Achieve Policy, Systems, and Environmental Changes 

Mike Boysun, MPH, Tobacco Prevention and Control Program, 


Abstract for the HC Policy Tracking system As part of the evaluation 

for the Washington state Healthy Communities Program, we 

are specifically looking at development of local health department 

capacity to do policy, systems, and environmental (PSE) change work. 

Because this program was a pilot approach to capacity development 

in low-capacity counties, the evaluation not only explored how local 

capacity for PSE change developed over time but also how the quality 

of the program could be improved for the next cohort of Healthy 

Communities county teams. In this presentation, we describe the 

over-arching evaluation plan and approach to assessing and tracking 

capacity building and quality improvement process. This includes a 

baseline assessment of competencies as defined through the Directors 

of Health Promotion and Education. We then discuss the specific 

data collection methods, rationale, and metrics collected throughout 

the year. We include a discussion on the challenges and encountered 

and solutions in evaluating capacity in low-capacity counties. Finally, 

we share the results and findings of the data analyzed plus the quality 

improvement findings used to shape the new round of capacity development 

Healthy Communities county health department teams. 

Tracking Development of Policy, Systems, and Environmental 

Changes in Local Healthy Communities Projects 

Marilyn Sitaker, MPH, Washington State Department of Health 

Abstract for the HC Policy Tracking system Since 2003 the 

WA-NPAO program has helped local communities implement the 

policy, systems and environmental (PSE) change strategies promoted 

in its CDC-funded State Nutrition and Physical Activity Plan. As 

Washington’s public health practitioners learned to adapt traditional 

program planning approaches to PSE work, they struggled to find 

ways to evaluate their progress. As we began our capacity-building 

Healthy Communities project, the Recommended Community 

Strategies and Measurements to Prevent Obesity in the United State 

helped us focus on those strategies that were likely to have the greatest 

impact. Strategies identified in the Communities Putting Prevention 

to Work 

grants showed us which PSE changes were being counted at the 

national level. Yet this solves only part of the evaluation puzzle. We 

found that identifying a theoretical model of policy development, 

enactment, implementation and impact was a critical step in creating 

a framework to evaluate PSE change work in local communities, and 

measure impact statewide. In this presentation, we briefly describe 

two theoretical policy models: the Stages of Policy Development 

framework, and the Multiple Streams Framework. We discuss how 

these models were used to develop, test and refine Washington’s policy 

tracking system. We describe the reporting tool used to collect progress 

in local policy development on a semi-annual basis, and provide 

definitions and examples of reported milestones across the stages of 

policy development. We show data that summarizes progress in policy 

development for each “MAPPS” strategy (media, access, point of 

purchase/promotion, pricing, social support) in Healthy Community 

projects statewide. 


Tobacco National Networks and Tribal 

Support Centers: Sharing Strategies, 

Lessons Learned, and Implications for 

Tobacco Control Efforts 

Tobacco National Networks and Tribal Support Centers: Promoting 

Policy, Systems, and Environment Change 

Kevin Collins, PhD, CDC Office on Smoking and Health; Kim 

Alford, BS, CHES, TTS, National Native Commercial Tobacco Abuse 

Prevention Network 

Background: National Tobacco Control Networks for Priority 

Populations have been funded since 2001 to provide leadership, expertise 

and promotion of policy-related initiatives (including environmental 

and systems change) and increase utilization of proven or potentially 

promising practices when available or appropriate. Successes and 

lessons learned from this initiative includes the development policies 

that restrict tobacco use, an increase in the participation of tobacco 

prevention efforts by underserved populations, and the development of 

population specific tools that communities can use in tobacco prevention 

efforts. These organizations are tasked to create and maintain 

the following networks: • African-American • American Indians/ 

Alaskan Natives • Asian Americans/Pacific Islanders • Hispanic/ 

Latino • Gay/Lesbian/Bisexual/Transgender • Low Socio-economic 

status Building upon efforts begun in 2000, CDC-OSH funded a 

second round of Tribal Support Centers in an attempt to identify and 

eliminate the tobacco-related disparities among AI/AN populations. 

The evaluation report provided findings and recommendations on 

the Tribal Support Centers for Tobacco initiative which was funded 

for five years (Oct 2005 to Sept 2010) . Theoretical basis: Networks 

are intended to be powerful mechanisms for sharing information and 

knowledge. They also promote communication and coordination to 

achieve sustainable development. Networks act as effective catalysts 

for building relationships and commitment among public and private 

stakeholders at the local, national, regional, and international levels. 

They help build trustful relationships as a basis for sharing information 

and knowledge, and serve as mutual learning and capacity – building 

mechanisms. Objectives: National Networks facilitate a process 

by which network participants will inform the tobacco prevention 

community about: the depth of industry targeting; the gaps in data 

used to describe the burden of tobacco; and strategies to implement 


proven or promising interventions in specific populations. Each 

Network will build capacity in communities by recruiting individuals 

and organizations to facilitate learning and information sharing across 

and within network participants. Tribal Support Centers reduce commercial 

tobacco use and abuse among American Indian and Alaska 

Native tribal members; eliminate exposure to secondhand smoke; 

promote commercial tobacco cessation; and prevent youth initiation 

to commercial tobacco use. Methods: In 2007, the Center for Tobacco 

Policy Research at Washington University in St. Louis was funded by 

the CDC to conduct an evaluation of the National Tobacco Control 

Networks for Priority Populations. One of the primary goals of the 

National Networks evaluation was to examine the relationships among 

the core strategic network partners. The networks were evaluated based 

on the following performance measures: program and fiscal management, 

communication with partners, training and technical assistance, 

and program evaluation. JCW Research & Evaluation Group, Inc. 

evaluated the Tribal Support Centers using the MPOWER framework 

created by the World Health Organization that outlines 6 policy 

strategies that encompass a comprehensive tobacco control program. 

Results: The National Tobacco Control Networks for Priority 

Populations and Tribal Support Centers have expanded the reach 

of the Office on Smoking and Health (OSH). These initiatives have 

created linkages with traditional and nontraditional organizations that 

serve their populations, which have been beneficial in state, tribal, and 

local policy efforts. OSH is using the evaluation results to guide the 

ongoing implementation of the programs. However, further examination 

of the program and discussion with participants will further 

examine future directions and opportunities. 


SOPHE Leadership Development 

Partnering for Health: Creating and Sustaining Action-Learning 

Collaboratives with Key Stakeholders 

Claire Sherry Immediato, MPP, MBA, President, Heaven & Earth 

Incorporated 

One of the largest challenges we face in our complex world is that the 

results that we care about most are not something that one organization 

can achieve alone. In addition, complex and dynamic issues 

are most successfully addressed with an experimental approach that 

acknowledges that we are in new territory and must learn as we go. 

This session will provide a simple action-learning model with examples 

of gathering the “whole system” in a way that builds relationships 

that last by addressing short term issues systemically. 

Concurrent Session B 

10:30 AM - 12:00 PM 

Concurrent Session B1 

Regional Approaches to Reducing 

Health Disparities: Partnering to 

Promote Healthy Aging 

Using a Regional Approach, New Mexico and Texas Work to 

Address Health Disparities along the Border through Evidence- 

Based Programs and Policy and Systems Change- As Seen From a 

Regional Perspective 

Sue Lachenmayr, MPH, National Council on Aging - Center For 

Healthy Aging; Fern Goodhart, MPH, Staff to Honorable Senator 

Tom Udall of New Mexico 

Background: More than 1.7 million Americans die of a chronic disease 

each year. Eighty percent of older adults have at least one chronic 

condition; 50% at least two. For minorities and people with low 

income, the prevalence of chronic conditions and functional loss is 

even greater. In 2011, 25% of seniors with 4 or more chronic conditions 

will spend 80% of nation’s $2.8 trillion healthcare dollars. Only 

1% of health dollars are spent on public health efforts to improve 

overall health. Despite evidence that prevention works, few take 

advantage of strategies to prevent chronic disease even when behavioral 

risk factors account for about 75% of chronic disease. A national 

effort through the U.S. Administration on Aging (AoA), Centers 

for Medicare and Medicaid Services, and the Centers for Disease 

Control and Prevention is coordinating efforts to maximize the use 

of proven self-care management services and bring to scale evidencebased 

activities to improve efficiency, quality and costs. The National 

Council on Aging (NCOA) is the technical assistance center for 45 

states DC and Puerto Rico, funded by AoA through the Recovery 

Act, tasked with assisting the grantees to reach 52,000 completers in 

the Stanford University Chronic Disease Self-Management Program 

(CDSMP) and to create sustainable statewide delivery and distribution 

systems for evidence-based prevention programs by April 2012. 

Theoretical basis and interventions: Bandura’s Theory of Self Efficacy 

is utilized through highly interactive 6-week lay leader led skill-based 

group workshops in community settings. Increasing self-efficacy to 

reinforce individuals’ beliefs is essential for them to perform behaviors 

that can assist them in self-management of their chronic condition(s). 

Evaluation measures and results: NCOA, Stanford University and 

Texas A&M are conducting a national study to repeat replicability 

of Lorig et al. 1999 original research findings, including: significant 

improvements in exercise, cognitive symptom management, communication 

with physicians, self-reported general health, health distress, 

fatigue, disability, and social/role activities limitations. They also spent 

fewer days in the hospital, and there was also a trend toward fewer 

22 


outpatient visits and hospitalizations. A web-based national database 

captures county location and participant demographics, as well 

as completer rates for each state. The New Mexico Department of 

Health, the Texas Department of Aging and Disability Services and 

their community partners have forged an extraordinary new partnership 

to reach Latino and Native American seniors in rural communities 

and to leverage shared resources to successfully deliver CDSMP in 

the Texas/New Mexico border region as they build statewide systems 

to reach older adults. 



Based Programs and Policy Systems Change- New Mexico’s Steps to 

Building a Comprehensive Coordinated Approach To Healthy Aging 

Christopher Lucero, BCH, CHES, Arthritis, Osteoporosis and 

Worksite Health Programs, New Mexico Department of Health/ 

Public Health Division, Chronic Disease Prevention and Control 

Bureau 

Background: Approximately 25% of the New Mexico’s population 

resides in rural frontier areas. In general, rural populations experience 

higher rates of heart disease, cancer, diabetes, and depression than do 

urban populations. The 2003 direct medical treatment costs for chronic 

diseases in New Mexico (NM) were estimated at $1.2 billion (Milken). 

An estimated 31.5% of NM’s older adult population is of Hispanic or 

Latino heritage and 12.6 % of people age 60 and older in NM have 

incomes below the poverty level. Methods: To assist minority older 

adults better manage their chronic conditions and to create a statewide 

distribution and delivery system for evidence-based programs, the 

NM Department of Health/Public Health Division, together with the 

NM Aging and Long Term Services Department, created the NM 

Healthy Aging Collaborative (NM HAC). The HAC will: 1) create 

collaborative capacity and structure; 2) maximize statewide resources 

and effectiveness; 3) capitalize on joint funding opportunities; 4) 

provide a forum for information sharing and partnership development; 

5) establish statewide, needs-based strategic priorities and direction; 

and 6) act as a statewide advisory resource. 2-day sustainability training 

assisted the HAC build a strategic framework for a coordinated 

approach to increasing statewide capacity for evidence-based healthy 

aging programs like Chronic Disease Self-Management Program 

(CDSMP). Partnerships: Collaboration with Texas began when the 

Texas Department of Aging and Disability Services request training 

assistance to support their efforts in delivering CDSMP along the 

Texas/New Mexico border region. In August, SoAHEC agreed to 

have two Master Trainers coordinate and facilitate a Leader training 

in the El Paso area for the Rio Grande Council of Governments. 

Seventeen people received their certification. Implications for Future 

Policy/Practice: Both states have agreed to continue discussing ways to 

enhance this new partnership and how to share resources to successfully 

deliver CDSMP in the Texas/New Mexico border region and 

meet grant requirements. • New Mexico invited Rio Grande’s new 

Wellness Program Specialist to attend a retreat for the Promotoras. • 

Texas connected its Aging and Disability Resource Center (ADRC) 

coordinator with NM to assist in any strengthening that relationship. 

• The states are exploring additional ways to partner to expand future 

cross-border interaction. 



Based Programs and Policy Systems Change- Lessons from the 

Field- the Southern Area Heath Education Center’s Promatoras 

Reach Older Latinos with Chronic Conditions in Border Towns 

Beatriz Favela, MSW, Southern Area Health Education Center 

(SoAHEC) NM State University 

Background: The Southern Area Health Education Center 

(SoAHEC) provides services in five southern New Mexico counties; 

four are U.S./Mexico border counties. SoAHEC serves a target population 

including an estimated 345,935 area residents age 60 and older; 

30% are low-income, 60% are minority; and 20% are limited English 

speaking. Theoretical basis and interventions: Bandura’s Theory of 

Self Efficacy is utilized to increase the sense of self-efficacy among 

Promatoras who are trained to deliver the Stanford Chronic Disease 

Self-Management Program (CDSMP) in English and in Spanish. 

Promatoras are community health workers living in the communities 

they serve. Promatoras are seen as providing accurate, culturally appropriate 

health education and to improve access to primary healthcare 

services. SoAHEC’s Promatora training model is successful because 

the organization is seen as the bridge to the community; it has a history 

with health related topics; and its program coordinator has been 

a Promatora. The model was developed as a support system to assist 

Promotoras with their community work through training on a variety 

of topics; providing emotional support, empowerment, education, 

guidance, and a friendly environment. SoAHEC values and trusts the 

presence that Promotoras have in their community; equips Promotoras 

to succeed in the community by providing a variety of tools; and 

compensates Promotoras through stipends. Evaluation measures and 

results: SoAHEC has delivered the Stanford University Chronic 

Disease Self-Management Program (CDSMP) and the Tomando 

Control de su Salud (Spanish CDSMP) in southern NM. Recently, 

SoAHEC provided 25 CDSMP community workshops and six Lead 

Trainer courses. Fourteen community workshops were facilitated in 

Spanish, 10 in English, and one was bilingual-English/Spanish for a 

total of 369 community participants; 233 participants completed four of 

the six sessions, indicating a 65% completion rate. A total of 35 people 

participated in the Lead Trainer courses and 32 received their certification. 

The Lead Trainer course evaluation summaries indicated leaders 

had a high level of confidence. SoAHEC partnered with Texas to provide 

a Leader Trainer training in El Paso for the Rio Grande Council 

of Governments. Nineteen people participated in the training and 17 


eceived their certification. The Rio Grande Area Agency on Aging 

and SoAHEC are meeting via conference calls to explore future collaborations 

between the two states to deliver evidence-based programs 

along the border region of Texas, New Mexico, and Mexico. 



Based Programs and Policy Systems Change- Partnering with the 

Ysleta Pueblo del Sur Tribe, Aging and Disability Resource Centers, 

and New Mexico To Improve the Health of Native Americans and 

Latino Seniors Along the Border 

Yvette Lugo, LMSW, Area Agency on Aging (AAA) of the Rio 

Grande Council of Governments 

Background: Texas has 254 counties and over one-half of them are 

considered rural. Hispanics are 38.6% of the total population and about 

4% are Native American. In the border counties of the Rio Grande, 

77.6% of the elderly population is a minority, and 77.8 older adults live 

below the poverty level. Within theses border counties, there are also 

undeveloped communities known as Colonias. These communities lack 

basic infrastructure such as water, sewers, electricity, natural gas, and 

roads, making it difficult to maintain hygiene and to follow doctor’s 

orders for disease management. The Ysleta Pueblo del Sur tribe has 

limited-to-no programming for its tribal elders, Theoretical basis: 

Recognizing that distrust can impede acceptance into the Colonias 

areas, the Promotora model was used when reaching out to these area 

and developing this initiative. Because Promotoras are community 

members, there is an inherent sense of trust which allows us to reach 

members of these communities. The importance of understanding 

cultural differences is particularly important when working with tribal 

members. Identifying tribal elders who can be champions and leaders 

is essential to bridging the gap between bridging the aging network 

and tribal members. Discussion with the Tribal Elders trough their 

Elder’s Center was established in order to create buy-in and trust 

in developing this initiative. Interventions: Familias Triunfadoras, 

Inc., the Cancer and Chronic Disease Consortium, Centro San 

Vicente Health Clinic and the Texas A& M Colonias Program 

employ Promotoras who were trained as Lay Leaders to teach the 

Chronic Disease Self-Management Program (CDSMP) in English 

and Spanish, with a focus on serving the Colonias of El Paso and 

Hudspeth counties. Ysleta del Sur Pueblo tribal elders were also be 

trained as leaders. . Results: The Rio Grande Area Agency on Aging 

(AAA) was one of five Area Agencies on Aging in the state of Texas 

awarded funding through the state’s Texas Healthy Lifestyles Project. 

As the Aging and Disability Resource Center, the AAA is working 

to imbed referral to CDSMP within the information and referral 

system. This will allow us to screen for much needed services as well as 

enhancing the knowledge of and management of the many diseases so 

common to our area and population. The Texas Rio Grande AAA is 

utilizing its effective partnership with the Ysleta Pueblo del Sur Tribe 

to assist New Mexico in working with the tribe in Albuquerque. 


Under the Diabetes Umbrella: Improving 

Prevention, Intervention, and Care 

Under the Umbrella: The North Carolina Diabetes Education 

Recognition Program 

Joanne Rinker, MS, RD, CDE, LDN, NC Diabetes Education 

Recognition Program; Laura Edwards, RN, MPA, NC Diabetes 

Education Recognition Program 

Objectives: Increase access to care through state partnerships with 

36 local health departments (covering 40 counties) across the state 

as “multi-sites” under the umbrella recognition. Also, increase access 

in all areas of the state for people with diabetes to get needed selfmanagement 

training, while providing reimbursement to local health 

departments for support staff to do this Methods: Recruit local 

health departments, train them in use of all forms, curriculum, ADA 

standards and data collection so that the program is consistent around 

the state. Results: New sites are invited each year to increase participation. 

All sites that have applied for recognition have been approved. 

Conclusion: Data shows that just a 1% decrease in A1c will have a 

20% decrease in diabetes complications. Of the patients who have 

completed our program, 63% of them have an A1c of 7.0% or less. Our 

program has outcomes data that supports national research which 

indicates improved health outcomes for those who receive DSME. 

We have seen over 2000 patients in the state of NC since the program 

started in 2007. 

Honing Diabetes Care Skills in Rural Areas 

Anna Hargreaves, MA, MPH, New Mexico Department of Health 

Background: The New Mexico DPCP has now created three online 

courses, available free of charge to health professionals who are 

interested and have internet access. The courses are Diabetes and 

Depression (2007), Diabetes and Smoking (spring 2010), and Pre- 

Diabetes (winter 2010). Theoretical basis: New Mexico is a predominantly 

rural state with very limited provider resources outside 

the metro areas. For this reason, and because the department has 

the capacity and expertise, we have been developing online courses 

since 2006. With shrinking budgets, this can be a very cost-effective 

way of reaching rural, underserved communities. It also ensures that 

professional development is of a consistent standard, and that health 

professionals are able to maintain their licenses by receiving continuing 

education credits (CMEs and CEUs) at no cost and with no travel 

required. Interventions: The three topics were selected because they 

were not widely covered elsewhere, we had local expertise available in 

these areas, and the material lends itself to online delivery. In order 

24 


to develop the interactive courses, a team was formed consisting of 

internal and external partners including content experts, instructional 

designers, and media specialists. The courses include videos shot in 

New Mexico, with our diverse populations and especially those most 

affected by diabetes – Native Americans and Hispanics. We took 

special care in crafting case studies that reflect the demographics 

and realities of our state. Evaluation Measures: Before releasing the 

courses, we piloted each one with a variety of statewide target users 

(mid-level providers and health educators) to ensure the content was 

culturally appropriate. Participants are required to score at least 75% on 

a test and must complete an evaluation form before being issued a CE 

certificate. We are also doing follow-up surveys to find out if and how 

professionals are using the information in their practice. Results: Over 

1,000 participants have taken the courses, and we expect many more to 

be added over time. As more health professionals are trained this way, 

we are able to amortize the costs of producing the courses. We market 

the courses widely in New Mexico, but have many participants from 

other states as well. Sustainability: The lifespan of the courses depends 

on the material. We plan to update the content at least every three 

years to make sure that it is relevant. This requires minimal effort when 

compared to the courses’ impact and potential return on investment. 

pre-diabetes in the DPP. Ultimately, this will translate into prevention 

or delayed onset of diabetes. 


Addressing Tobacco Related Disparities: 

Strategies for Communities 

Tobacco control strategies that include community-based approaches 

that address tobacco related disparities can be effective in decreasing 

smoking behavior. By better understanding tobacco related disparities 

and ways to reach and mobilize community members, tobacco control 

and prevention policies can be more successful. 

Tobacco-Related Disparities Datea and its Use in Program Planning 

James Padilla, MS, New Mexico Department of Health, Tobacco Use 


Partnerships for Policy: Creating a Movement for Change by 

Connecting Grassroots and Grasstops 

Cynthia Serna, AA, Grassroots Development Director, American 

Cancer Society Action Network (ACS CAN), Great West Division 

Policy Agenda and YMCA Intervention Needed to Address Pre- 

Diabetes in Washington State 

Marcelle Thurston M.S., RD, CDE, Diabetes Prevention and Control 

Program (DPCP) for the Washington State Department of Health 

One in three Washington adults has pre-diabetes, increasing the risk 

of developing costly chronic diseases. In Washington, diabetes has 

increased by 71% since 1993 for a total annual cost of $4 billion. The 

evidence-based Diabetes Prevention Program (DPP) reduces more 

than half (58%) of new cases of diabetes by helping people make lifestyle 

changes. The Washington State Diabetes Prevention and Control 

Program (DPCP) and the Diabetes Network Leadership Team use an 

evidence-based curriculum at the local level and a statewide advocacy 

plan to prevent diabetes. The DPCP and five Regional Diabetes 

Coalitions formed new partnerships with several YMCA’s across the 

state to offer DPP. While promising, we realize we cannot impact 30% 

of the population with pre-diabetes through a single intervention. 

Therefore, DPCP and key partners created a Pre-diabetes Advocacy 

Plan (Plan) with the assistance of the National Association of Chronic 

Disease Directors Diabetes Council. The two primary goals are: 1) 

Increase promotion of screening benefits to detect pre-diabetes; 2) 

Secure health plan reimbursement for Diabetes Prevention Programs. 

The Diabetes Network Leadership Team supports an Advocacy 

Committee to implement the Plan. In parallel, the diabetes program 

and regional coalitions continue to offer assistance to YMCA’s in 

supporting the DPP. Building this infrastructure and advocating for 

reimbursement will result in more adult screenings for pre-diabetes, 

and increased referrals and participation by adults diagnosed with 

Addressing Tobacco Use and Mobilizing Community Members 

through the Fierce Pride Project 

Andrea Quijada, MA, Executive Director, Media Literacy Project 

A Common Goal for the Common Good: Creating Systems Change 

for Treating Nicotine Dependence in Persons with Mental Illness 

and/or Substance Abuse Disorders 

Linda Wright Eakers, MPH, CPM, Oklahoma Department of 

Mental Health and Substance Abuse Services 


Using Health Communication Campaigns 

to Build Healthy Communities 

Health Communication Campaigns That Include mass Media and 

Health Related Product Distribution: A Review of Effectiveness 

from the Task Force on Community Preventive Services 

Maren Robinson, MPH, CNC, CHES, Centers for Disease Control; 

Kristin Tansil, MSW, Centers for Disease Control 

Health Communication Campaigns That Include Mass Media and 

Health-Related Product Distribution: A Review of Effectiveness 

from the Task Force on Community Preventive Services Robinson 

M, Tansil K, Elder R, Task Force on Community Preventive Services 

Background and Theoretical Basis Health communication campaigns 

that use multiple channels, including mass media to deliver a behavior 

change message and distribute health-related products free or at a 

reduced-priced can play a valuable role in increasing healthy behaviors, 


educing unhealthy behaviors, and preventing injury. In October 2010, 

the Task Force on Community Preventive Services (Task Force) examined 

the evidence available on the effectiveness of these interventions 

in producing intended behavioral changes and developed recommendations 

regarding use. Methods developed at the Centers for Disease 

Control and Prevention (CDC) were used to identify and evaluate 

the available evidence. A systematic review of the literature was 

undertaken and data abstracted from studies that fit our definition. 

Results from studies were summarized and findings were translated 

into conclusions on effectiveness. Interventions Products distributed 

in the interventions reviewed included child safety seats, condoms, 

pedometers, helmets, sun-protection products and over-the-counter 

nicotine-replacement therapy (OTC-NRT) products. Partnerships 

the conceptual framework and conduct of this systematic review was 

informed by a diverse team of subject matter experts in social marketing, 

health communication and health literacy. This team operated 

under the direction of the Task Force, an independent, nonfederal, 

volunteer, group of public health and prevention experts. Results: Our 

search identified 23 studies published between 1980 and 2009 that met 

criteria. Seventeen of these studies provided measurements of behavior 

change in the form of a rate, and observed an overall absolute median 

percentage point improvement of 8.4 pct pts (IQI: 2.7, 14.5) in the 

proportion of people engaging in a healthful product-related behavior. 

Evidence included studies of child safety seats (median improvement 

in use: 8.6 pct pts; 3 studies), condom use (median improvement: 4.0 

pct pts; 4 studies), and use of OTC-NRT (median improvement: 10.0 

pct pts; 3 studies). Conclusion: According to Community Guide rules 

of evidence, the Task Force recommends these interventions based on 

strong evidence on effectiveness. In addition, the available evidence 

on effectiveness suggests that these interventions should be applicable 

across demographic groups when they are appropriately selected and 

targeted. Future studies should include: 1) important intervention 

details, such as methods used to develop the campaigns, 2) characteristics 

of the targeted populations and, 3) information on costs of these 

interventions. 

The “Have a Heart” Campaign: Protecting people with Diabetes 

from Secondhand Smoke 

David Tompkins, BS, New Mexico Department of Health 

The NM Tobacco Use Prevention and Control Program (TUPAC) has 

partnered with the NM Diabetes Prevention and Control Program 

(DPCP) because research points to a detrimental link between 

secondhand smoke and diabetes. Efforts focus on Native Americans 

living in New Mexico, as 14% of Native Americans in New Mexico are 

living with diabetes and the state’s clean indoor air law does not apply 

to reservations. TUPAC and DPCP can’t directly lobby for any specific 

law, but can provide education that can support changes in public 

policy and norms. The programs believe they can be most successful 

in this effort by raising awareness with a community-by-community 

approach. Each tribe/pueblo is at a different place in terms of understanding 

and caring about the dangers of secondhand smoke. By 

coupling secondhand smoke with diabetes, a subject they understand 

to a greater degree, we believe we can increase support for clean indoor 

air protections in tribal communities. The objective of the project is 

to raise awareness and community concern about the critical link 

between secondhand smoke and diabetes in a way that is culturally 

relevant and can be tailored to individual Native American communities. 

The “Have a Heart” campaign was developed by TUPAC and 

DPCP as an integration project to maximize resources. Collaborating 

partners include the Southwest Tribal Tobacco Coalition, Black Hills 

Center for American Indian Health, New Mexico Diabetes Advisory 

Council, Navajo Nation Special Diabetes Project, and the Southwest 

Navajo Tobacco Education Prevention Project. “Have a Heart” pin 

cards are being distributed throughout the Navajo Nation to educate 

people about the importance of clean indoor air for people living with 

diabetes. Attached to the card, which features artwork by a Navajo 

artist, is a heart-shaped pin. The message on the card encourages 

people to wear the pin to “show support and respect for people living 

with diabetes while reminding others to do their part to keep the 

air clear of secondhand cigarette smoke.” The “Have a Heart” campaign 

is directed at friends and families of Navajo people living with 

diabetes. The campaign is currently tailored to the Navajo Nation. The 

campaign will later be expanded into other Native communities and 

will be tailored to each individual group’s unique culture. Anecdotal 

feedback regarding the developmental process and audience reception 

will be shared in the presentation. Current observations indicate 

that public awareness of the heightened vulnerability of people with 

diabetes to commercial tobacco smoke has increased. 

Public Education Resources to Increase Hispanic Men’s 

Participation in Colorectal Cancer Screening as Recommended by 

the Guide to Community Preventive Services 

Jennifer Pieters, BS, MPH, CHES, CDC/Division of Cancer 


Background: Colorectal cancer (CRC) is the second leading cause 

of cancer-related death. Screening can prevent CRC death by early 

detection of the disease and identification and removal of polyps 

before they develop into cancer. CRC screening has remained underutilized 

with Hispanics having the lowest adherence to colorectal 

cancer screening at 49.8% compared to Whites at 63.9% and Blacks 

at 62%. The Community Guide recommends five interventions 

to increase colorectal cancer screening rates or remove barriers to 

screening (client reminders, small media, reducing structural barriers, 

provider assessment and feedback, and provider reminders). 

Hypothesis: There are limited resources available targeting minority 

populations to assist with improving CRC screening rates as recommended 

by the Community Guide. Barriers to screening differ by 

gender and ethnicity, therefore interventions specific to Hispanic men 

26 


are unique. Methods: We performed an online search for publicly 

available resources about CRC and CRC screening utilizing the 

Google search engine. An assessment of public education and recruitment 

resources among a convenience sample of 28 government, nonprofit 

and community-based organizations was performed. Identified 

resources were matched with the Community Guide’s recommended 

interventions and examined for target populations, specifically 

Hispanic men. Interventions: Each organization had from one to 150 

different resources. Seventy-five percent of organizations had small 

media resources including factsheets and brochures describing CRC, 

the different CRC screening tests; and questions to ask your doctor. 

Forty-six percent of organizations had mass media resources including 

public service announcements (PSAs) and patient education materials. 

Thirty-two percent had resources on reducing structural barriers such 

as factsheets and brochures in Chinese or Spanish. Only one organization 

had a resource for patient and provider reminders and provider 

assessment and feedback. Among the organizations, relatively few 

had resources that targeted Hispanic men (38% small media resources 

including factsheets about colorectal cancer, 21% mass media resources 

and 14% resources on reducing structural barriers). Implications for 

Improved Research, Policy or Practice: The online search identified 

available small media, mass media, and resources on reducing structural 

barriers resources for CRC screening. Limited resources were 

identified for provider reminders and provider feedback. Among the 

resources identified, few targeted the Hispanic population, especially 

men. Further research needs to be done to formally identify the 

availability of proven interventions to increase CRC screening, with 

focus on Hispanics. Interventions targeting minority populations with 

low CRC screening rates is critical for increasing CRC screening 

adherence. 

Communities Putting Prevention to Work: Food, Farms and Policy 

Marion Kalb, Community Food Security Coalition 

The CPPW programs supported by the Community Food Security 

Coalition target underserved communities with successful strategies 

that increase access to healthy foods. These include farmers’ markets, 

farm to institution, healthy corner stores and food policy councils. 

This workshop will explore the CPPW initiative as it relates to folks 

on-the-ground and the benefits and challenges they’ve encountered in 

their work. 

Concurrent Session C 

1:30 PM- 3:00 PM 

Concurrent Session C1 

Preventing Chronic Disease through 

Collaboration, Communication, and 


California Collaborative for Chronic Disease Prevention: Weaving 

Traditional and Innovative Health Communication Strategies to 

Reach Priority Populations 

Pamela Ford-Keach, M.S., Arthritis Program and Heart Disease and 

Stroke Prevention Program, Jacqueline Tompkins MPH, CHES, 

California Arthritis Partnership Program; Roberta Campbell, BS, CA 

Arthritis Program and Heart Disease and Stroke Prevention Program 

The California Collaborative for Chronic Disease Prevention 

(CCCDP) is an integrated chronic disease project of the California 

Heart Disease and Stroke Prevention Program, implemented in 

collaboration with the California Arthritis Partnership Program, the 

California Diabetes Program, and the California Smokers’ Helpline 

to enhance local chronic disease prevention and health promotion. 

The project goal is reduce the burden of cardiovascular disease, the 

leading cause of death in California, by developing and implementing 

multiple policy, environmental, and system change strategies 

within the community, health care systems, and worksite sectors by 

improving access to evidence-based chronic disease self-management, 

physical activity programs, and tobacco cessation resources. CCCDP 

pilot project is currently being implemented in five counties—both 

rural and urban. The counties were selected based on high chronic 

disease and risk factor prevalence data compared to that of the entire 

state. The primary target audience for the CCCDP community-wide 

education campaign materials is female (health care decision-maker), 

ages 35–54, recently diagnosed or have a loved one recently diagnosed 

with high blood pressure, arthritis, diabetes, or who smokes. CCCDP 

messaging includes lifestyle changes that cross chronic disease programs 

and promote desirable health outcomes. Messages include: 1) 

be physically active, 2) maintain a healthy weight, 3) eat a healthy diet, 

4) manage chronic health conditions, 5) take medication as directed, 

and 6) tobacco cessation. A multi-media, community-wide education 

campaign has been developed that supports and promotes the key 

messages and evidence-based interventions of the project. CCCDP 

campaign materials are developed in both English and Spanish. Of 

the five CCCDP counties Kern County is utilizing Spanish campaign 

materials to reach the needs of their large Latino population. The 

media campaign includes traditional media such as newspaper ads, 

radio spots, posters, and magnets, as well as innovative social media 

messaging within webpage, pay-per-click, and Pandora radio internet 


advertisements. Specific health care collateral materials include prescription 

pads and blood pressure reading monitoring cards. The look 

and feel of the campaign is uniform across all media, yet is customized 

for each CCCDP county. Campaign materials are disseminated within 

the community through multiple strategies. Using the Performance 

Partnership Model framework, dissemination strategies are developed 

collaboratively among key stakeholders from the community, health 

care, and worksite sectors through convening a Chronic Disease 

Summit. Campaign materials will be evaluated though established 

CCCDP project performance measures. Key Words: collaboration, 

chronic disease, campaign, media, health communications, community 

education, stakeholders, social marketing, and innovative. 

California Collaborative for Chronic Disease Prevention: Using 

Policy, Environmental, and Systems Approaches to Reduce the 

Burden of Chronic Disease 

Pamela Ford-Keach, MS, Arthritis Program and Heart Disease and 

Stroke Prevention Program; Jacqueline Tompkins MPH, CHES, 

California Arthritis Partnership Program; Roberta Campbell, BS, CA 

Arthritis Program and Heart Disease and Stroke Prevention Program 

The California Collaborative for Chronic Disease Prevention 

(CCCDP) is an integrated chronic disease project of the California 

Heart Disease and Stroke Prevention Program, California Arthritis 

Partnership Program, California Diabetes Program, and California 

Smokers’ Helpline to reduce the burden of cardiovascular disease by 

influencing shared risk factors. CCCDP uses a multi-sector approach 

to implement: 1) interventions to strengthen individual self-management 

and physical activity behaviors; 2) policy, environmental, and systems 

(PES) level interventions to support individual behavior change; 

and 3) community education to influence PES intervention outcomes. 

CCCDP pilot project is currently being implemented in five counties 

both rural and urban and is highly replicable, with potential for 

expansion statewide. California’s Master Plan for Heart Disease and 

Stroke Prevention and Treatment recommends strategies for communities, 

schools, worksites, and health care systems to reduce high blood 

pressure. A literature review suggests that good control of risk factors 

for CVD (glucose, blood pressure, and lipids) has been associated 

with community linkages and delivery system design. The Chronic 

Care Model describes how patient care is enhanced through linkages 

between health care providers and community resources that improve 

self-management skills. Lessons learned from California’s highly successful 

Tobacco Control Program informed the CCCDP implementation 

design. CCCDP counties will use the Performance Partnership 

Model (PPM) to guide the development and implementation of PES 

interventions in multiple community sectors. The PPM can be used 

with traditional and non-traditional partners to share resources and 

expertise to achieve a measurable outcome that is demand driven, has 

universal appeal, and tracks progress. CCCDP counties will convene 

Chronic Disease Summits with stakeholders from the health care, 

worksite, and community sectors to identify and develop action plans 

for PES interventions that include community education, to support 

individual lifestyle behaviors. CCCDP is anchored by evidencebased 

individual interventions: Chronic Disease Self-Management 

Program, Walk with Ease Program, and California Smokers’ Helpline. 

CCCDP performance measures assess continuous process improvement 

and impact at multiple levels. The final evaluation of CCCDP 

will demonstrate best practices to: (1) improve the reach and access of 

self-management and physical activity interventions available through 

community-based organizations; (2) implement systems change strategies 

in the health care sector to improve linkages with communitybased 

organizations; (3) implement policy strategies in the worksite 

sector to enhance opportunities for physical activity or participation 

in self-management programs; and (4) increase individual knowledge 

of the importance of self-management, physical activity, and tobacco 

cessation to prevent and control chronic disease. 


Building Healthy Communities: Policy 

Systems and Environmental Approaches 

to Chronic Disease Prevention 

Can the Home Environment Be Changed to Promote Physical 

Activity? Results From a Home-Based Pilot Intervention Study 

Iris Alcantara, MPH, Emory Prevention Research Center; Karen 

Glanz, PhD, MPH, University of Pennsylvania, Schools of Medicine 

and Nursing; Regine Haardoerfer, PhD, Emory Prevention Research 

Center; JK Veluswamy, BS, Emory Prevention Research Center, 

Southwest Georgia Cancer Coalition; James Hotz, MD, Albany Area 

Primary Health Care, Inc.; Michelle Kegler, DrPh, MPH, Emory 

University, Rollins School of Public Health Emory Prevention 

Research Center 

Physical activity (PA) is shaped in part by physical and social contexts. 

However, few studies have attempted to examine and change the 

home environment to promote PA. The Emory Prevention Research 

Center, with community partners, pilot tested a home-based, environmental 

change intervention to promote PA among rural adults. The 

6-week intervention, based on goal setting and behavioral contracting, 

was delivered by community members trained as health coaches. 

Participants received tailored home environment profiles, and selected 

from a list of 4 environmental change strategies (rules for TV watching; 

having exercise equipment; neighborhood recreational facilities; 

and family time spent in PA). Data were collected by telephone at 

baseline, 2 months, and 4 months. 54 intervention and 36 comparison 

group participants completed all 3 interviews. A majority were female; 

African American; age 50-59; overweight or obese; and married or 

living with a partner. Statistically significant differences were observed 

between the intervention and comparison group for the increase in the 

amount of exercise equipment in the home, and family support for PA. 

28 


More intervention participants reported having rules for TV watching. 

Perceived access to neighborhood recreational facilities decreased 

for the intervention group. No significant changes were found for 

time spent in moderate and vigorous PA. The statistically significant 

changes in home PA environments indicate that the intervention 

shows promise for changing the home environment to promote PA. 

However, because the intervention was short and the sample size 

was small, additional research is needed to determine whether such 

changes will result in changes in behavior. 

Working to Create Healthy Communities at the National and Local 

Level Through Policy, Systems and Environmental Approaches 

Jennie Hefelfinger, MS, National Association of Chronic Disease 

Directors; Tina Amato, MS, LDN, RD, Allentown Health Bureau; 

Erin Engelbrecht, BA, ACHIEVE Coordinator; Kirsten Frandsen, 

BS, Tacoma-Pierce County Health Department 

As communities nationwide are increasing their focus on policy, systems, 

and environmental change strategies to address chronic diseases 

locally, questions are being asked about how this can be done, and who 

needs to be involved. The National Association of Chronic Disease 

Directors (NACDD) is working with states and local communities 

to answer those questions and promote policy change. NACDD has 

successfully done this with communities of all sizes and levels of economic 

status. This session will provide information about the Action 

Communities for Health, Innovation, and EnVironmental ChangE 

(ACHIEVE) national movement and its novel approaches towards 

building healthy communities. Discussion will include background 

and history of ACHIEVE, formulation of recommendations for local 

and state partners that need to be involved to affect policy change, the 

descriptions of Action Guides and other technical assistance tools, 

and appropriate evaluation strategies for ACHIEVE and other policy, 

systems, and environmental change strategies. Examples will be provided 

from three communities with lessons learned and recommendations 

for strategies to address chronic diseases and related risk factors. 

Throughout the session, presenters will make recommendations and 

share ideas related to using a unified approach between partners at the 

local, state, and national levels to effectively address chronic disease. 


Culture matters! Addressing Cancer Risk 

at the community Level 

Exploring Linguistic Isolation, Poverty, and Spatial Segregation as 

Social Determinants of Cancer Risk in Galena Park, Texas 

Demetrice Jordan, BS, Georgia State University Dept of Geoscience/ 

UT MD Anderson Cancer Center Cancer Prevention Research 

Training Program; Denae King, PhD, University of Texas M.D. 

Anderson Cancer Center; Dr. Lovell A. Jones, PhD, University of 

Texas M.D. Anderson Cancer Center 

Linguistic isolation can have dire effects on vulnerable populations. 

Many racial/ethnic minorities, often spatially segregated and suffering 

higher poverty rates than non-minorities, find that language barriers 

present a significant problem in their efforts to access healthcare. This 

project seeks to visualize the spatial segregation, poverty status, and 

linguistic isolation of Hispanic residents in Galena Park, Texas and the 

implication these social factors have on cancer risk. The community 

of Galena Park, Texas, a predominantly Hispanic/Latino community 

located along the Houston Ship Channel, suffers from significant 

exposure to industrial sources of environmental pollutants. This project 

maps the extent of poverty, residential segregation, and linguistic isolation, 

and identifies cancer risk from exposure to Benzene pollution 

for area residents. Preliminary findings indicate that Galena Park has 

a high poverty rate with more than 20% of residents living below the 

federal poverty level. The Hispanic residents in Galena Park are residentially 

segregated, and are at higher risk for cancer from prolonged 

exposure to Benzene pollutants due to the community’s proximity to 

petroleum refineries. The findings also suggest the Hispanic residents 

of Galena Park are highly linguistically isolated, which compromises 

their ability to access appropriate healthcare. 

Not Everyone is Doing it: Perceptions and Prevalence of Peer 

Smoking in U.S. - Mexico Border Community 

Jose Guevara, B.S., University of Texas at El Paso, Hispanic Health 

Disparities Research Center; Luisa Esquivel, University of Texas at 

El Paso, Hispanic Health Disparities Research Center; Holly Mata, 

MS, PhD, University of Texas at El Paso, Hispanic Health Disparities 

Research Center; Joe Tomaka, PhD, Department of Public Health 

Adolescents living along the U.S. – Mexico border are more likely 

to smoke compared to their counterparts living elsewhere in Texas. 

Specifically, in the Paso Del Norte Border Region, about 28% of El 

Paso youth have had “any use” of cigarettes in the past month. In addition, 

risk factors associated with the border region that contribute to 

increased tobacco use are low-socioeconomic status, illicit drug availability, 

increased alcohol and tobacco marketing, and low educational 

attainment. Smoking rates are considerably higher among people who 

receive a GED or drop out of high school as opposed to those who 

receive a high school diploma. To address these disparities, researchers 

are piloting a smoking prevention intervention among adolescents 

who likely have a low educational trajectory based on neighborhood 

demographics. This project is grounded in part in social norms theory, 

which suggests that correcting normative misperceptions may reduce 

unhealthy behavior. Adolescents who smoke tend to overestimate 

the proportion of peers who are users like themselves. Perceptions of 

peer smoking, smoking among friends, and smoking susceptibility are 


assessed as part of the project. Although adolescents in general tend 

to overestimate smoking prevalence, our preliminary findings show 

unusually high levels of normative misperceptions among participating 

adolescents. Consequently, interventions that address correcting 

misperceived social norms are imperative to help reduce smoking 

rates among Hispanic youth, particularly youth at risk of high school 

dropout. Descriptive data related to smoking measures described 

above are presented, along with implications for continued research 

and prevention programs in the priority population. Additionally, the 

community/academic collaboration between our University, an NIH 

Research Center, and a community youth program are highlighted as 

an example of how such partnerships can facilitate improved research 

and programs informed by and tailored for adolescents in border communities 

with low education and high poverty rates. 

Using Culturally Tailored Health Communications to Address 

Disparities in Breast Cancer Screening 

Kristin Wallace, MPH, Kaiser Permanente and the University of 

Colorado, Denver 

Disparities in utilization of mammography contribute to health 

inequities in the early detection of breast cancer. In alignment with 

Healthy People 2010, our organization is working to align quality 

improvement efforts with initiatives aimed at the reduction of health 

disparities. One such initiative involves the creation of a culturally 

competent communications campaign to increase breast cancer 

screening rates for African American and Latina members. We have 

developed a scalable and reproducible approach to culturally competent 

communications that can be used to evaluate and evolve health 

communications practices across a variety of settings. A 2009 analysis 

of Kaiser Permanente Colorado’s race, ethnicity and language preference 

(RELP) data demonstrated a gap in the use of mammography 

across racial/ethnic groups, with African American and Latina members 

more likely to be un-screened than their White/other counterparts. 

These gaps are consistent with the published literature, which 

consistently demonstrates disparities across a variety of geographic 

and practice settings. In collaboration with the African American and 

Latino Centers of Excellence, the Population and Prevention Services 

(PPS) department at Kaiser Permanente Colorado (KPCO) is using 

RELP data to inform the delivery of health care services. Program 

Design: The stepwise creation of culturally tailored outreach letters 

began with the identification of barriers to breast cancer screening 

by race/ethnicity, as well as best practices in health communications 

and cultural tailoring. Phase one of the pilot included the creation of 

a “tailor base” letter informed by best practices in health communications. 

This letter was then modified and culturally tailored for African 

American and Latina members. We created a user-friendly matrix to 

allow for standardization across diverse communications campaigns. 

The entire process was informed by literature reviews, best practices, 

and input from content and cultural experts. Conclusions KPCO is 

committed to excellence in population-based health management. This 

pilot has demonstrated that it is possible to create culturally tailored 

health communications at a population level. Combining internal 

and external data, as well as expert insight, can foster the creation of 

a culturally focused communication campaign organized around a 

practical, scalable, and reproducible protocol. These methods can be 

used to inform tailoring outreach for other populations impacted by 

health inequities. 

Perspectives on Colorectal Cancer Screening: Hispanics Over Age 

Fifty with Health Insurance Coverage in New Mexico (18112) 

Maria Otero, BA, Nuestra Salud; Noell Stone, MPH, Department of 

Family and Community Medicine, University of New Mexico Health 

Sciences Center; Christine Brown, MS, NM Department of Health 

Comprehensive Cancer Program; Beth Pinkerton, NM Department of 

Health Comprehensive Cancer Program 

Background: Colorectal Cancer (CRC) is the 4th most common 

cancer diagnosed in New Mexico and the 3rd leading cause of cancer 

death. Hispanic men in New Mexico(NM) are at higher risk of 

being diagnosed with CRC than other ethnic groups and are more 

likely to be diagnosed with later-stage disease than non-Hispanic 

Whites. Almost ½ of the Hispanics in NM have never been screened, 

compared to 1/3 of non- Hispanic Whites. Having insurance has 

been shown to influence screening behavior, although this has not 

been shown in New Mexico Hispanics. Theoretical Basis: This project 

explored the cultural and contextual issues surrounding non- receipt 

of CRC screening among Hispanic men and women over age 50 

who are insured and live in NM. Methods: Two focus group discussions 

with Hispanics over age 50, one for each sex, explored people’s 

knowledge and perceptions about CRC, screening utility, insurance 

coverage and the acceptability of various CRC risk-reduction and 

prevention interventions. Results: The findings suggest that patients 

must be informed of their CRC risk and the importance of screening. 

This group of people (especially the women) appeared to expect 

a physician to initiate the discussion. The most important source of 

information appeared to be family and shared histories of deaths from 

the disease. “Family” was described not only as immediate family, but 

those in the community including members of their churches or community 

centers. These men and women appeared comfortable talking 

about CRC although several did acknowledge difficulty with talking 

about the symptoms and body parts associated with CRC. Most noted 

that coverage of services was not a concern, that insurance issues were 

not a reason they would not seek screening. The primary reasons that 

some had not sought screening was lack of awareness of severity of 

CRC, competing health problems, and not having a conversation with 

their provider regarding the pros and cons of the tests available. An 

important point to stress with this population would be that a person 

does not need to have symptoms to be checked for CRC. These results 

suggest that communication from insurance companies encouraging 

30 


screening would be useful. Raising provider awareness regarding the 

willingness of Hispanic patients to discuss CRC screening is key. Note 

in awareness campaigns that screening is done when someone does 

not have symptoms. A future avenue of investigation may include 

using the women’s interest in men’s well-being to increase awareness 

and encourage screening. 


Improving Health through 

Collaborative Change 

Changing Local Food Policy in Native American Reservations 

Using Community-Based Participatory Research 

Valarie Jernigan, MPH DrPH, University of New Mexico 

Changing local food policy in a Native American reservation 

using community-based participatory research Valarie Blue Bird 

Jernigan, Alicia L. Salvatore, Dennis M. Styne, Marilyn Winkleby 

ABSTRACT Background. Native American reservations suffer 

from high rates of food insecurity resulting in diabetes and obesity. 

Objectives: We implemented a community-based participatory 

research (CBPR) study to address upstream factors causing food 

insecurity in a rural Native American reservation. Methods. We 

conducted a community assessment in a rural California reservation 

using the Tool for Health and Resilience in Vulnerable Environments 

(THRIVE) and incorporating the participatory media methodology 

of digital storytelling. The THRIVE tool was adapted to be appropriate 

for use in this community. Theoretical basis. The THRIVE 

tool is an evidence-based policy engagement framework created by 

the Prevention Institute of Oakland, CA, a non-profit organization 

dedicated to using participatory research methods to assist vulnerable 

communities in making policy changes to end health disparities. 

Results: Racial injustice and physical and financial barriers to 

accessing healthy and culturally-appropriate foods were identified as 

top concerns for this community. As a result, the project partnership 

developed a number of policies including the integration of a new 

community supported agriculture initiative with the existing commodity 

food program and the use of Electronic Benefits Transfer (EBT) at 

the local farmers’ market. Conclusions: A participatory research orientation 

combined with the use of an adapted version of the THRIVE 

tool were effective means not only for identifying structural determinants 

of food insecurity but also for initiating several novel policy 

interventions to promote healthy environments and reduce health 

disparities experienced by the community. Implications. The THRIVE 

tool was a valuable policy engagement framework that can be adapted 

and localized in other communities to address local policy changes for 

improving health. 

Community-School Partnership To Improve Student Fitness Levels 

Diane Allensworth, PhD, Centers for Disease Control; Christi Kay, 

MA, Health MPowers; Beth Stevenson, MA, PRADO, Centers for 

Disease Control 

Background: The state of Georgia has the 3rd highest obesity rates 

of all states for youth ages 10-17. Health MPowers (HMP), a community 

based health and physical education initiative, works with 

both elementary and middle schools in over 15 Georgia school 

districts to create model health and physical education programs. 

Theoretical Base: HMP patterned its program after the CDC’s Role 

of Schools in Preventing Obesity which can be found at http://www. 

cdc.gov/HealthyYouth/physicalactivity/pdf/roleofschools_obesity. 

pdf. Interventions: This project aims to: 1) increase the percentage of 

students who engage in daily moderate to vigorous physical activity; 

2) increase the percentage of students in grades 4-8 who can pass 

FITNESSGRAM standards; 3) increase the number of students who 

eat healthy; 4) increase the number of staff engaged in continuous 

improvement of the physical education and nutrition program; and 5) 

engage parents in promoting nutrition and physical activity at home, 

including limiting screen time. Evaluation Measures: An evaluation of 

a sub-set of 13 schools in seven districts serving 10,166 students from 

2004-2007 was completed in 2007 and again in 2009, two years after 

the program was completed to identify those portions of the program 

that had been institutionalized in the participating schools. (In 2007, 

HMP served approximately 25,000 students in total). Students participated 

in pre and post FITNESSGRAM testing, completed surveys 

of knowledge and behaviors, school staff completed annual surveys 

in regard to policies and programs. Results: Results at the end of the 

three year intervention included: 

»» 

The number of schools conducting fitness testing progressed from 

4 to all 13 schools; 

»» 

All nine of the participating elementary schools demonstrated an 

increase in the numbers of students achieving fitness levels in the 

healthy fitness zone; 

»» 

The four middle schools demonstrated an increase in student fitness 

levels in at least one grade, which varied by school. 

»» 

All schools demonstrated an increase in the number of school 

health activities initiated. • All 13 schools established a School 

Health Council that improved policies and programming. Results 

from the 2-year follow-up evaluation showed that twelve of the 

thirteen schools, had institutionalized most of the interventions 

that were recommended. One school was closed by the district. 

Those policies that were implemented to promote institutionalization 

of the program and how much of the program remained 

intact two years after the project was completed by Health 

MPowers will be discussed. Lessons learn from this community 

school partnership will also be shared. 


Creating and Evaluating Systems Change through a Participatory 

Planning and Evaluation Model 

Ron Hale, MS, NM Department of Health Office of Community 

Health Partnerships; Victoria Sanchez, DrPh, University of New 

Mexico; Yolanda Cruz, San Miguel Family and Community Health 

Council 

Background: New Mexico’s Community Health Councils are community-based 

health coalitions located in each of the state’s 33 counties 

and in several Native American tribal communities. New Mexico 

is one of 13 states that have centralized (non-county-based) health 

departments, resulting in a need for community health assessment, 

planning, and coordination at the local level. Community Health 

Councils support public health core functions, including assessment, 

policy development, and assurance. Health councils mobilize communities 

to address locally-identified priority issues, such as diabetes 

and obesity prevention, teen pregnancy prevention, substance abuse 

and mental health issues, and access to primary health care. Theoretical 

framework: Our goal was to develop and implement a statewide planning 

and evaluation model as a way of organizing and describing the 

work of community health coalitions around common, systems-level 

outcomes—programs, policies, services, and practices. The model was 

developed through a participatory process that has allowed for local 

identification of community needs, strategies, and health priorities. 

Hypothesis/research questions: Community Health Councils can 

accomplish changes in community systems and capacity that are likely 

to contribute to community health improvement. A central research 

question is: Can a statewide planning framework tied to intermediate, 

systems-level outcomes be designed and implemented for use with allvolunteer 

community coalitions with minimal staffing and training? A 

secondary question is: Can evaluation data be collected from diverse 

communities through the use of a web-based data reporting system? 

Methods/interventions: Over the last four years, the NM Dept. 

of Health (NMDOH), faculty from the Master of Public Health 

Program (University of New Mexico) and health council coordinators 

and members have co-developed and implemented a statewide 

planning and evaluation framework. The purpose of the planning 

framework was to guide the development of community health plans 

in each of 37 communities. The plans incorporated common elements: 

community assessment, problem analyses, identification of priorities, 

system outcomes, objectives, and partnerships. We developed an online 

data collection system for councils to report on their systems-level 

outcomes and indicators. Results/conclusion/implications for practice: 

Evaluation results show that community health councils can be an 

effective strategy for accomplishing community capacity and systems 

outcomes. 

Results of a Participatory Policy Study in a Northern New 

Mexico Community 

Yolanda Cruz, San Miguel Family and Community Health Council; 

Ron Hale, MS, San Miguel Family and Community Health Council; 

Victoria Sanchez, DrPh, University of New Mexico; Perdita Wexler, 

MA, NM Department of Health/Diabetes Prevention and Control 

Program 

Background and theoretical basis: Community partnerships are a common 

mechanism to bring public health agencies, CBOs, citizen associations, 

university researchers and others together to assess, plan and 

act to ameliorate health problems in geographic or relational communities. 

We report on results of a university/community/agency participatory 

research study to examine school health policy, analyze success, 

gaps, and identify policy areas to serve as a foundation for community 

mobilization to reduce youth obesity. Methods and interventions: 

We conducted key informant interviews with school administrators 

to learn about formal and informal nutrition and physical activity 

policies. We also conducted two focus groups with middle school and 

high school students to examine how school policies influence students’ 

eating and physical activity during the school day. Community 

and agency research partners co-developed the interview guides and 

conducted the interviews. Research team members reviewed interview 

transcripts and contributed to the coding scheme and interpretation of 

the data. Our preliminary analysis focused on: 1) barriers and facilitators 

of physical activity and nutrition policies; 2) recommendations to 

improve policy implementation in the school districts and; 3) recommendations 

for health council involvement. Key facilitators included 

grant funding and a wellness policy champion; key barriers included 

limited understanding and accountability for enforcement of the policies. 

Our analysis identified ways that the Community Health Council 

could serve as a linking agent with the broader community to improve 

the implementation of school health and wellness policies, including 

outreach and education to parents and community and strengthening 

the communication linkages among existing groups to support school 

wellness policies. Our team has continued to work with the community 

health council and school districts to co-develop next steps in 

support of physical activity and nutrition policies. Partnerships: We 

are a university-community-state health agency partnership engaged 

in a long-term collaboration with one of New Mexico’s 37 community 

health councils. Implications for improved research, policy & practice: 

Integrating a community-based, participatory research approach to 

inform public health programs and practice in communities offers an 

important resource to improve the link between research and practice. 

32 


3:15 PM- 4:45 PM 

Plenary 2 

Weaving New Multi-Cultural Approaches to Diabetes Prevention 

& Control 


Health, El Paso Regional Campus; Leonard Jack, Jr., PhD, MSc, 

CHES, Xavier University of Louisiana; Alexis Williams, MPH, 

CHES, CDC/National Diabetes Education Program; Dorinda Wiley- 

Bradley RN, CDE, Albuquerque Indian Health Center 

In 2000, American Indians and Alaska Natives were 2.6 times more 

likely to have diagnosed diabetes compared with non-Hispanic 

Whites, African Americans were 2.0 times more likely, and Hispanics 

were 1.9 times more likely. While further scientific research will 

help understand the underlying biomedical mechanisms, we know 

that culturally appropriate, community-driven programs are critical 

for eliminating the current epidemic of diabetes health disparities. 

Establishing these programs will also require new and innovative partnerships 

among federal, state, local, and tribal governments and communities 

and the private sector. A one size fits all approach, however, 

will not be appropriate for all populations. This panel will reveal the 

emerging theories, models and programs that are working for successful 

diabetes prevention and treatment and new approaches for working 

with diverse populations. 

WEDNESDAY / MAY 4 

Concurrent Session D 

9:00 AM-10:30 AM 

Concurrent Session D1 

Planning to Action: Initiatives in 

Environmental Health and Emergency 

Preparedness 

Healthy Home Environment Self-Management Asthma Program 

Serina Gaston, M.Ed., CHES, Division of Nutrition & Physical 

Activity, Pennsylvania Department of Health 

into an ideal setting to educate, review medication plans, and help 

families to identify environmental factors in their homes that may 

contribute to the severity of asthma. The Pennsylvania Departments 

of Health and Public Welfare and the Medicaid Program within the 

University of Pittsburgh Medical Center Health Plan have joined in a 

collaborative to assist Medicaid recipients and their families to identify 

and mitigate the effects of exposure to environmental triggers in the 

home and medication adherence through self-management strategies. 

Many studies have shown that improvement in self-management skills 

and reduction of asthma triggers lead to improved asthma control. 

Reducing home environmental asthma triggers reduce the length of 

hospital stays, reliance on clinical care in the ED, and the number of 

primary care sick visits due to asthma. The primary purpose of this initiative 

is to offer asthma education to families with poorly controlled 

asthma in their homes as a policy of the Managed Care plan. HHEP 

has the potential to improve the quality of life for those individuals 

and to stimulate system change within the Managed Care Plans who 

adopt the program. HHEP aims to reduce hospital visits and hospitalizations, 

increase a person’s quality of life and reduce the health plan’s 

cost of care. As of December 2010, our program targets approximately 

90 homes. Major components of the program include: 

»» 

Basic Asthma Education- what is asthma, what happens during 

an asthma attack 

»» 

Patient skills- self-monitoring of asthma symptoms, recognizing 

signs of worsening, utilizing an action plan 

»» 

Resources- smoking cessation, suppliers of remediation products, 

pest management services or case management services. 

Preliminary results show that there is often not an asthma action 

plan, individuals have no knowledge about how to administer 

asthma medication, and housing conditions are not conducive for 

constant asthma management. 

Initiative for Emergency Preparedness 

This session includes several presenters from within the arena of emergency 

preparedness and environmental health. It will highlight specific 

practices in public health including education regarding environmental 

factors controlling asthma, outreach and planning for the homeless 

in emergency situations, and an introduction to radiation preparedness 

from the public health perspective. Overarching themes include 

outreach to vulnerable populations and public health education. 

Title: Healthy Home Environment Self–Management Asthma 

Program Subthemes: Policy, Systems and Environmental Change 

Home visits are one way to give individuals with asthma the tools they 

need to address their asthma effectively as part of a comprehensive 

disease management program incorporating medical and environmental 

management techniques. Pennsylvania’s Asthma Healthy Home 

Environment Program’s (HHEP) goal is to integrate routine medical 

care for Medicaid recipients diagnosed with poorly controlled asthma 

Including People Who are Experiencing Homelessness in Emergency 

Preparedness Planning 

Sabrina Edgington, MSSW, National Healthcare for the Homeless 

Council 


Radiation Basics: Medical Reserve Corps and Radiation 

Emergencies 

Sherwin Levinson, MBA, Director, Georgia East Metro Medical 

Reserve Corps 

Tools and Strategies for Public Health Response to Radiation 

Emergencies 

Kevin Caspary, MPH, Health Education Specialist 


Changing Systems for Community Health 

Do we have what it takes? Assessing State and Territorial Chronic 

Disease Program Health Equity Capacity 

Kati Moseley, MPH, Oregon Public Health Division, Health 

Promotion and Chronic Disease Prevention Section; Louise Square, 

BA, New York State Department of Health Diabetes Prevention and 

Control Program 

Achieving health equity is an economic as well as an ethical imperative. 

The Joint Center for Political and Economic Studies concluded 

that eliminating health inequalities for minorities would have reduced 

the indirect costs associated with illness and premature death by more 

than one trillion dollars between 2003 and 2006. Developing effective 

policies and programs to achieve health equity requires a public health 

workforce that understands its role in public policy change processes 

and has specific competencies needed to foster equity through policies 

and programs. We must have a public health workforce that is equally 

able to educate lawmakers on health equity, health disparities and the 

social conditions that shape health, as well as empower communities 

and individuals to advocate for policies that increase equity. The 

presenter will: (1) describe the process used to develop and administer 

a pilot assessment of skills needed by public health workers to achieve 

health equity, including identification of health equity competencies 

and their integration into existing public health competencies; 

and (2) identify next steps to translate individual skills into systems 

changes that increase health equity. Attendees will learn the methods 

of analysis used, results and recommendations offered to the Centers 

of Disease Control and Prevention. Members of the Health Equity 

Council (HEC) of the National Association of Chronic Disease 

Directors completed this work through funding from the CDC. The 

purpose of the assessment was to provide data for the CDC on staff 

development and training opportunities in health equity. This research 

describes a systems approach to measuring the current ability of state 

chronic disease program staff to take action on health equity and the 

social determinants of health, and its results offer guidance on where 

to investment in staff capacity in order to improve health equity. The 

participants will learn how to access the resources of the HEC, and 

ways to network with other professionals. 

Building an Inter-Organizational Partnership to Promote 

Community Systems Change 

Perdita Wexler, MA, NM Diabetes Prevention and Control Program; 

Ron Hale, MS, NM Department of Health Office of Community 

Health Partnerships; Victoria Sanchez, DrPh, University of New Mexico; 

Yolanda Cruz, San Miguel Family and Community Health Council 

Background and theoretical basis: The growth of partnerships, including 

community coalitions, has led to collective strategies to assess, 

plan and act to ameliorate health problems in geographic or relational 

communities. Over the past decade a body of research has emerged 

that emphasizes change models that identify, and theoretically link, 

short and intermediate term changes to longer-term community or 

population changes. These intermediate outcomes are reflected in 

a small but growing body of coalition research on how coalitions 

produce systems changes in programs, practices, and policies that can 

be theoretically linked to population health outcomes. By creating a 

change model that is focused on systems changes, coalitions strategically 

identify, engage, and mobilize constituencies to produce changes 

such as increased integration of services or greater capacities for policy 

action and change. Partnership: We are a university-communityagency 

partnership that has evolved over a three-year period. Partners 

include the San Miguel Community Health Council, two programs 

of the New Mexico Department of Health/Public Health Division: 

the Office of Community Health Partnerships, and the Diabetes 

Prevention and Control Program, and two university-faculty research 

partners. Methods & Interventions: We grounded our initial efforts 

in the application of a community health improvement planning 

framework designed to guide the community health council toward 

identifying systems changes. Using a community determined priority 

(diabetes), we conducted a problem analysis with the San Miguel 

Community Health Council to identify diabetes risk and protective 

factors across an ecological spectrum. Based on the analysis, which 

illuminated organizational, community and policy risk/protective factors, 

the collaboration selected school policy as a key target of change 

for their work. We engaged in a participatory policy study to examine 

school nutrition and physical activity policies. The study helped us to 

shape our work and to solidify our direction. We have met monthly to 

plan, implement, and assess collaborative activities. We’ve also structured 

time to critically reflect on our internal processes, challenges, 

and lessons for replicating our processes with other health councils, 

university researchers, and other department of health programs. 

Implications of research results for enhanced practice The inter-organizational 

partnership, through its ongoing reflection and dialogue, 

has identified organizational, environmental/contextual, and personal 

characteristics that have shaped our partnership and facilitated success. 

Characteristics such as organizational and personal commitment, 

connection to community, and support of department leadership have 

emerged as some key characteristics that should be considered as others 

create or expand exiting partnerships. 

34 


Healthcare and Community Approaches to Improving Health 

Literacy With Vulnerable Senior Populations – The Southeast 

Pennsylvania Regional Enhancements Addressing Disconnects in 

Cardiovascular Health Communication (READS) Project 

Rob Simmons, DrPH, MPH, CHES, CPH, Thomas Jefferson 

University, School of Population Health; James Plumb, MD, MPH, 

Thomas Jefferson University, Dept. of Family and Community 

Medicine; Rickie Brawer, PhD, MPH, CHES, Thomas Jefferson 

University and Hospital; Patricia Yurchick, RN, MBA, CPHQ, The 

Health Care Improvement Foundation; Kate Flynn, FACHE, The 

Health Care Improvement Foundation 

The limited level of health literacy is a serious and escalating public 

health issue. Consumers must be proficient in health literacy to lead 

healthy lifestyles, to effectively navigate the healthcare system, and 

to advocate for their health needs. The Health Care Improvement 

Foundation (HCIF), in collaboration with Thomas Jefferson 

University and Hospital in Philadelphia has organized a coalition 

to address health literacy in Southeast Pennsylvania. Its goals are to 

identify, implement and evaluate educational and systems changes 

to enhance the cardiovascular (CVD) health literacy needs of adults 

aged 50+, and improve their ability to communicate effectively with 

healthcare providers/staff at multiple points of care to promote their 

ability to effectively act on cardiovascular health information. This 

regional project incorporates best practices and chronic disease prevention 

competencies in health literacy training and patient empowerment 

activities to enhance the quality and safety activities in health 

systems and hospitals. Its work focuses on health literacy as a key 

determinant underlying disparate outcomes in hypertension, coronary 

artery disease, congestive heart failure and stroke with an emphasis on 

low income and diverse populations including non-English speaking 

patients and consumers. The model guiding this work is the Expanded 

Chronic Care Model which combines Wagner’s Chronic Care Model 

with the Institute of Healthcare Improvement’s Triple Aim Initiative 

emphasizing system change, the patient and provider care experience, 

and improved outcomes. The anticipated impact includes :1) 

Institutionalization of effective communication materials and strategies 

into the culture of patient quality and safety; 2) A centralized educational 

materials repository; 3) Reduced CVD related readmissions; 

4) Reduced CVD medical errors; 5) Improved CVD patient disease 

management/ self-care behaviors; 6) Increased patient and provider 

satisfaction with health communication; 7) Policy changes that support 

patient-centered health care services; 8) Improved cardiovascular 

health outcomes. The Coalition and its professional and community 

advisory groups will create new materials, programs and polices/ 

systems that support and enhance programs and activities including 

managing medications, coaching/handoffs, and personal health records 

as examples to take to scale in hospital/health systems as well as integrating 

literacy improvement techniques and strategies, such as Teach 

Back, Plain Language, Creating a Shame Free Environment, and 

Ask Me 3 via toolkits, staff development, training of trainers, patient 

activation, and the use of peer educators. Mini-grants to healthcare 

organizations and community agencies will be a key mechanism for 

program development, implementation, and evaluation. An overview 

of the initiative will be presented along with tools and resources. 

Passing Policy-The Game Changer for Healthier Communities 

Tracy Wiedt, MPH, YMCA of the USA 

The YMCA of the USA (Y-USA) began the Healthier Communities 

Initiative (HCI) to engage community leaders, convened by local 

YMCAs, in policy change efforts that support and promote healthy 

lifestyles. These initiatives empower local communities with proven 

strategies and models to create and sustain positive, lasting change for 

healthy living. Three distinct projects encompass HCI – Pioneering 

Healthier Communities (PHC), Statewide Pioneering Healthier 

Communities (Statewide PHC) and Action Communities for Health, 

Innovation, and EnVironmental ChangE (ACHIEVE). Nearly 200 

Ys have contributed to the initiative through multi-sectoral, organically 

grown, local strategies addressing the needs of communities 

nationwide. Local efforts have led to large scale impacts including: 

increased access to and use of attractive and safe locations for physical 

activity; supportive environments to complement and support individual 

and family efforts to make health decisions; increased healthy 

food choices in restaurants, grocery stores, worksites, schools and 

other community settings; and reduced inequities in health and access 

to opportunities. Y-USA’s HCI is joined and supported by national 

organizations such as the Society for Public Health Education, Robert 

Wood Johnson Foundation, American Planning Association and Trust 

for America’s Health as well as federal agencies including the Centers 

for Disease Control and Prevention. Recent evolutions of the initiative 

comprise the Pioneering Healthier Communities Health Equity 

program (PHC-HE) and the Southern States Strategy to further 

engage and build capacity in those communities with the greatest burden 

of chronic disease. Y-USA will present the overarching national 

perspective of all three projects, the various iterations, the vision for 

the initiative, as well as the current and projected outcomes on the 

health of communities participating in HCI. Local HCI initiatives 

will be highlighted to illustrate the impact of policies on health and 

well-being while demonstrating the actions taken to accomplish changes 

in the game. 



Making Connections: Multifaceted 

Approaches to Mental Health 

Incorporating Critical Consciousness into HIV Prevention 

Interventions for Diverse Groups of Youth 

Gary Harper, PhD, MPH, MPH Program, DePaul University; 

Andrew Riplinger, BA, DePaul University 

According to the Critical Consciousness (CC) component of Freire’s 

pedagogy, people must develop a critical analysis of the social conditions 

that perpetuate their marginalization or oppression before they 

mount effective resistance. Since many of the communities most 

impacted by HIV are those that experience varying degrees of societal 

oppression, interventions that enhance CC can assist in the development 

of a critical understanding of the role that negative social influences 

(e.g., racism, heterosexism, and sexism) can play in increasing 

sexual risk behaviors; thus fostering collective resistance to health 

damaging societal notions. Although programs that promote CC have 

been applied across a variety of areas in health education, they have 

been underutilized in HIV prevention. This presentation will detail 

the use of a CC coaching technique in the implementation of two 

culturally tailored HIV prevention programs for youth at high risk for 

HIV—African American gay/bisexual male youth in the US and rural 

male youth in Kenya. These illustrations will be used to demonstrate 

the ways in which CC techniques can be tailored to culturally diverse 

populations, and incorporated into HIV prevention and other health 

promotion interventions. Ways in which CC strategies can result in 

sustained improvements in health by fostering positive psychosocial 

development and engagement in health behaviors among youth will 

be discussed. Incorporating CC into HIV prevention interventions 

for diverse populations is a promising strategy to unveil a variety of 

historical, political, social, and cultural factors that serve to promote 

oppression among marginalized populations. 

Alzheimer’s and Diabetes: Exploring the Connection 

Michael Splaine, MA, Healthy Brain Initiative, Alzheimer’s 

Association; Catherine Morrison, MPH, Alzheimer’s Association 

An estimated 5.3 million Americans have Alzheimer’s disease. By 

2030, the number of people aged 65 and older with Alzheimer’s 

disease is expected to reach 7.7 million. Of Medicare beneficiaries with 

Alzheimer’s disease and other dementias, 23 percent also have diabetes. 

Alzheimer’s disease increases the health care costs of individuals with 

diabetes by 60 percent. Beyond the cost element, emerging research 

shows that diabetes may be linked to an elevated risk of developing 

Alzheimer’s disease and vascular dementia. The purpose of this presentation 

is to present the evidence regarding, and increase knowledge 

about, the connections between Alzheimer’s disease, cognitive health, 

vascular health, and diabetes. Additionally, the presentation will 

facilitate understanding of the impact on racial and ethnic minority 

communities. Current programs and policies for addressing both 

conditions will be explored. For the first time since its inception in 

1979, the federal government’s Healthy People report includes national 

health goals and objectives related to Alzheimer’s disease and other 

dementias. With the intersection of two public health crises and 

growing prevalence of both Alzheimer’s and diabetes, action is necessary 

to define the connections between the conditions, create tailored 

interventions, and prepare for the future. 

Status of Alzheimer’s Disease State Plans: A Policy Review 

Catherine Morrison, MPH, Alzheimer’s Association; Michael Splaine, 

MA, Healthy Brain Initiative, Alzheimer’s Association 

Status of Alzheimer’s disease State Plans: A Policy Review 

Background: An estimated 5.3 million Americans have Alzheimer’s 

disease. By 2030, the number of people aged 65 and older with 

Alzheimer’s disease is expected to reach 7.7 million. In order to address 

this growing public health threat, many states have started planning 

for the crisis and have begun to take action to confront the looming 

Alzheimer’s disease epidemic. Currently, 13 states have official state 

Alzheimer’s disease plans, and many of them have included recommendations 

on how to deal with the disease from a public health 

perspective. For the first time since its inception in 1979, the federal 

government’s Healthy People report includes national health goals and 

objectives related to Alzheimer’s disease and other dementias. Purpose: 

The purpose of this analysis is to present a portrait of actions to 

address Alzheimer’s disease from a public health perspective throughout 

the United States. This presentation will summarize states’ priorities 

and specifically focus on the level and extent of authority, process, 

use of data, and outcomes in the state plans. Methods: Information is 

gathered through research, state legislative and regulatory monitoring, 

and direct communication with state health and aging officials. 

Discussion: Information in this analysis highlights key trends in state 

actions and policies to address Alzheimer’s disease from a public 

health perspective. Specific case studies from the state level are 

included in order to document the process. This analysis should help 

improve future development of state Alzheimer’s plans as well as assist 

the public health community in campaigns and activities surrounding 

Alzheimer’s disease. 

36 



Prioritizing Vulnerable Populations: 

Sharing Visions and Strategies to Reduce 

Health Disparities 

Impact of Buenos Dias, Artritis, A Spanish Health Communications 

Campaign Promoting Physical Activity among Spanish-Speaking 

People with Arthritis 

Teresa Brady, PhD, CDC/NCCDPHP; Jed Lam, MA, Aeffect 

Background: Buenos Dias, Artritis (BDA) is a health communications 

campaign designed to promote physical activity among 

Spanish-speaking people with arthritis (PWA). The purpose of this 

study was to evaluate the effects of BDA as implemented by 4 state 

health departments (SHD). Theoretical Framework: Social-Cognitive 

theory Hypothesis: PWAs in communities receiving BDA will report 

increases in knowledge, confidence, and physical activity when compared 

to communities that did not receive BDA. Methods: A quasiexperimental 

design was used. Each SHD conducted BDA in one 

community by placing radio ads and/or outdoor advertising, brochures 

in community locations and newspaper ads or other print materials. 

Data were collected from these Test communities (TC) and 2 Control 

communities (CC), selected to have similar proportions of Hispanic 

populations, at baseline (T1), immediately post-campaign (T2) and 

6 months after baseline (T3). Data were collected by random-digit 

dial telephone survey from purchased lists of numbers from Hispanic 

areas. T1 respondents were ineligible for T2 survey. Results: By design, 

T1 and T2 data were collected for approximately 1200 respondents 

at T1(1213) and T2 (1167), and 600 T3 respondents. Characteristics 

of T1 sample: 41% ages 55-64, (range 45-75), 68% from Mexico, 69% 

education less than high school graduate, and 75% female. Changes 

in knowledge and confidence were seen. TC demonstrated significant 

increase in the percentage who believed “moderate exercise can help 

you beat arthritis” at T3, (T1=84%, T3=89%) but control respondents 

also had a significant increase . However, the TC significant increase in 

beliefs that “moderate exercise can be helpful even if done 10 minutes 

at a time” (T1=84%, T3=91%), and they could “reduce arthritis pain 

by exercising regularly” (T1=76%, T3=82%) were not matched by CC 

increases. Exercise behavior increased significantly in TC but not 

CC at T2 and T3. TC demonstrated significant increases in percentages 

“exercising at least 10 minutes per day” at T2 and T3 (T1=72%, 

T2=76%, T3=86%), and “exercising at least 3 days per week” at T2 and 

T3 (76%, 82%, 81% respectively). No comparable increase was seen in 

CC. Respondents in TC reported significant increases in 2 behavioral 

responses to BDA’s call to action at T3 (thought about exercising more, 

T1=66%, T3=78%; increased my exercise T1=42%, T3=53%). Conclusion: 

As implemented in 4 communities, BDA produced significant 

increases in physical activity at T2 and T3, with limited number of 

changes in knowledge or confidence. Implications: The Buenos Dias, 

Artritis campaign can foster increases in physical activity among 

Spanish-speaking people with arthritis. 

A Pilot Study: Health Literacy Initiative for Immigrant, Pregnant 

Women in Central New Jersey (17913) 

Caitlin Sulley, BFA, Central New Jersey Maternal and Child Health 

Consortium 

Title: A Pilot Study: Health Literacy Initiative for Immigrant, 

Pregnant Women in Central New Jersey Background: Immigrant 

women have difficulty accessing prenatal services and acting on health 

information. Multiple factors challenge immigrant families’ abilities to 

obtain and maintain health care, leaving them at-risk for poor health 

and birth outcomes. In Perth Amboy, New Jersey, 36% of residents are 

foreign-born. 75% of residents speak non-English languages at home. 

The majority are Hispanic or Latino. High rates of teen mothers (15%), 

unmarried mothers (69%), preterm births (8%), and low birth weight 

births (11%) exist. Theory: Coordinated efforts to improve health literacy 

and prenatal education for immigrant women can lead to healthier 

pregnancies and improve access to and satisfaction with prenatal care. 

Incorporating health literacy skill-building into existing prenatal 

health education for patients and healthcare providers will strengthen 

services, increase patient engagement with services, and empower 

patients to advocate for their own and their family’s health and wellbeing. 

These short term benefits will lead to improved communication 

and preventive care, which promote better perinatal outcomes 

and reduce health disparities. Objectives: The pilot project objective 

is to improve health literacy skills of immigrant pregnant women 

and influence their perinatal outcomes. Intervention: The teachback 

method was used by two clinical prenatal sites: an FQHC and a hospital 

outpatient clinic, and two community-based programs: a home 

visitation program and a prenatal group education program, to ensure 

patients/clients understood prenatal information communicated to 

them. After attending a health literacy and prenatal health training, 

healthcare workers used educational materials written in participants’ 

native languages to impart literacy skills and prenatal knowledge. A 

trained group education facilitator taught eight consecutive weekly 

sessions in English and Spanish each lasting 1.5-2 hours. Evaluation 

Measures: Twenty-six group education participants1completed a selfadministered 

13-question survey assessing the intervention. Developed 

with a professional evaluator, it was processed using health literacy 

software to ensure a 4th grade reading level. Results: • 100% of survey 

respondents indicated: knowing more about pregnancy using two or 

more information sources to retrieve pregnancy-related information, 

and indicating they would attend their post natal appointment. • 85% 

reported satisfaction with group education, socializing with other participants, 

and educational materials. 1March-June 2010 data. 43 newer 

surveys being analyzed. 


California WISEWOMAN Adaptation of the Spanish New Leaf 

Curriculum (17712) 

Marianne Hernandez, MS, California Department of Public Health; 

Maureen Farrell R.N., F.N.P., M.H.A., California Department of 

Public Health, California Heart Disease and Stroke Prevention 

Program; David A. Rocha, BS, California Department of Public 

Health, California Heart Disease and Stroke Prevention Program; 

Valerie Marden, California Department of Public Health, California 

Heart Disease and Stroke Prevention Program 

The California Well Integrated Screening and Evaluation for Women 

Across the Nation (WISEWOMAN) Program is a cardiovascular 

disease (CVD) screening and risk-reduction education program which 

uses community health workers and other clinic-based staff to counsel 

low-income women on lowering their CVD risk. One California 

WISEWOMAN program goal was to refine, update, and enhance the 

nationally accepted Vida Saludable, Corazón Contento! curriculum 

for California’s Hispanic women, age 40 to 64, and to design a colorful, 

low literacy manual for counseling women on ways to improve 

nutrition and increase physical activity. This activity was accomplished 

through intensive focus groups, key informant interviews, and thorough 

review and feedback from multiple Spanish speaking subject 

matter experts. In addition to updated nutrition and physical activity 

topics, the manual’s revised content included information requested by 

focus group women and counselors who utilize the curriculum. These 

additional subjects include: an introductory section on cardiovascular 

changes specific to perimenopausal women, a one-page assessment 

of current behaviors and readiness to change, types of cholesterol and 

their effects on health, blood pressure, glucose, waist circumference, 

diabetes and osteoporosis. The size was also modified to a smaller 

5”X 8” size from the original 8.5” X 11” so the manual could be carried 

more easily. The Manual del Programa Corazón de la Familia de 

California successfully went to print and distribution April 2010 to 

California’s local programs. To date, the manual has received positive 

feedback from the local clinic counselors and from the women who 

receive a copy of the curriculum. Missouri and Utah WISEWOMAN 

Programs have asked to use this manual for their Spanish-speaking 

WISEWOMAN clients. 

Leadership, Advocacy and System Strategies for Developing A 

“Shared Vision” To Reduce US/Mexico Border Health Disparities 

and Chronic Diseases 

Crystal Moran, MPH, BCH, Department of Health and Social 

Services, New Mexico State University 

Background: The unique health issues e.g. violence, intended injuries 

and chronic diseases faced by the 14 million residents on the US/ 

Mexico Border region require the establishment of health policy, 

which is part of an advocacy process. Agenda-setters play a crucial 

role in the process of developing health policy, and this process entails 

appropriate strategies to properly address border health issues. The 

process that focuses on how health promotion and health policy 

agendas are set and influenced is Health Promotion Agenda-Setting 

(HPA-S). Decision makers take action primarily on topics that attain 

the peak of the policy agenda. One factor that shapes policy in HPA-S 

is how policy makers choose which issues are most valuable to take 

action on, a “shared vision”. Methods: Ten interviewees selected from 

the population of agenda-setters each from Las Cruces, NM, El Paso, 

TX, and Cd. Juarez were asked to participate in qualitative, point-intime 

interviews, which included a open-ended question on how to 

better develop a “shared vision” among border health leaders, advocates 

and health practitioners. A snow-ball sample was used to allow an 

opportunity to study the sometimes “hidden” population of border 

region agenda-setters. Common themes were extracted, coded, and 

quantified using descriptive statistics. Findings: Beneficial common 

processes and strategies were found among and between the 3 cities for 

use by border health leaders, advocates and practitioners to develop a 

working shared vision to foster health policy development for reducing 

health disparities and chronic disease in the border area. Conclusions: 

Collaboration, networking, continuous dialogue, prioritization of 

issues and sustained salience were among the major common strategies 

identified that are needed to develop a “shared vision” along the U.S./ 

Mexico border. Implications for Practice: Implications, based on findings 

of this research study focused on indentifying strategies to foster 

a “shared vision” among those in the public, media and policy arenas, 

reducing border health disparities e.g. violence, intended injuries and 

chronic diseases, and to develop policy driven border health interventions. 

The findings serve as a guideline for developing a shared vision 

among agenda-setters along the U.S./Mexico border region. 


REACH/MNO: Leading Minority 

Communities in Managing Diabetes 

SOPHE Health Equity Sustainable Solutions: Chapter 

Collaboration to Address Diabetes Among Minority Communities 

Nicolette Warren, MS, CHES, Society for Public Health Education; 

Dr. Swati Raychowdhury, PhD., MPH, Georgia Southern University; 

Dr. Cassandra Arroyo, PhD, Georgia Southern University; Charlotte 

Kaboré, MS Community Health and Equity Branch (CHEB) 

Technical Assistance and Program Support (TAPS) Program 

Consultant 

Background: Inequalities in health status among racial and ethnic 

groups continue to indicate that American Indians/Alaska Natives 

(AI/AN) and African Americans/Black (AA/B) are more likely to 

38 


develop chronic illnesses than non-Hispanic White populations. Type 

II diabetes among AA/B and AI/AN communities has some of the 

most staggering inequities in diagnosis, access to care, and treatment. 

In addition, prevalence of diabetes among these communities continues 

to rise. Objective: To address racial and ethnic health disparities 

by developing and implementing health promotion programs using 

the latest theory, evidence and skills in social marketing, leadership 

development, cultural competency, program planning, evaluation and 

coalition-building. Methods: SOPHE, in collaboration with REACH 

US CEEDs, partnered with the National Center for Chronic Disease 

Prevention and Health Promotion at the U.S. Centers for Disease 

Control and Prevention to develop a strategic, sustainable initiative 

to help eliminate health disparities among AA/B and AI/AN 

communities. Results: This presentation will include dissemination of 

evidenced-based health disparities elimination strategies and tools to 

build the capacity of SOPHE Chapters so they may better address 

health disparities, affect change at the local level, and promote community 

empowerment. Illustrating a holistic approach, the presentation 

will address the social determinants of health through interventions 

based on sound scientific theories that encompass the social, 

cultural, economic, political, environmental and individual influences 

on health. Lessons Learned: SOPHE will demonstrate the feasibility 

of Chapters partnering with community-based organizations and 

universities to build a foundation for policy and environmental change 

among racial and ethnic groups addressing health disparities. 

11:00 AM- 12:30 PM 

Plenary 3: Closing Panel 

Health Reform 911: Weaving a Tapestry for Change from the State 

Capitals’ Perspective 

Maryland Lt. Governor Anthony G. Brown; Martha King, MPP, 

National Conference of State Legislatures 

The Patient Protection and Affordable Care Act (ACA) offers states 

an unprecedented opportunity to change the face of our health care 

system to better support the vitality and strength of our families, businesses 

and communities. Yet, the 112th Congress is debating potential 

repeal of the Act due to mounting fiscal deficits. The Congressional 

Budget Office estimates that such action would increase federal budget 

deficits by approximately $230B over the period 2012-2021 and would 

result in leaving a total of approximately 54 million people uninsured. 

Chronic conditions consume more than 75 percent of the $2.2 trillion 

spent on health care in the United States each year - the equivalent 

of about 2.5 economic “bailout” packages. This session will provide an 

overview of how states are weathering the budget storm when it comes 

to health reform and provide one State Governor’s perspective on how 

to implement the law to make care more accessible, affordable, and 

address health disparities and chronic disease management. 


Poster Presenters 

1. Spotlight on SOPHE Chapters 

Crystal Owensby, MS, CHES, Speaker, SOPHE House of Delegates 

2. *The KidneyMobile: On the Road to Healthy Living 

Nicole Sisen, MS, National Kidney Foundation of Illinois 

3. Developing Public Health Capacity in Kazakhstan 

Altyn Aringazina, MD, PhD, Columbia University 

4. *The New Mexico Colorectal Cancer White Paper: 

Development and Future Plans 

Noell Stone, MPH, Department of Family and Community Medicine, 

University of New Mexico Health Sciences Center 

5. Baby Steps to Success: Utilizing the Chronic Disease Self- 

Management Program with Caregivers of Children with Sickle 

Cell Disease 

Lisa Shook, MA, CHES, Cincinnati Children’s Hospital - Sickle Cell 

Center 

6. *Harnessing Integration, Collaboration, Coordination, and 

Cooperation for Chronic Disease Prevention and Control 

Jeanne Alongi, MPH, NACDD/UNC-Chapel Hill 

7. Sex differences among System Lupus Erythematous Patients: 

Are males more likely to have serious comorbidities 

Katie Crosslin, PHD, CHES, Texas Woman’s University 

8. *Beyond Reading Levels: Assessment of Linguistically and 

Culturally Appropriate Diabetes Brochures 

Gabe Gose, BS, NMSU Dept. of Health Science 

9. Coping with Bad Body Image Days: Strategies from First year 

college women 

TeriSue Smith-Jackson, PhD, MPH, Department of Public and 

Community Health, Utah Valley University 

10. (Re)building of AI/AN community health through implementing 

Healthy Food Programs: A Case Study of Intertribal 

Friendship House (IFH) 

Nanjie Caihua, BA, Research Associate (Seva Foundation) & Hart 

Fellow (Duke University) 

11. Tobacco Tipi Project 

JamieLou Delavan, BA, Idaho Department Of Health and Welfare 

12. Nutritional habits among youth in a U.S.-Mexico border community: 

Assessing and responding to neighborhood level data 

Luisa Esquivel, University of Texas at El Paso, Hispanic Health 

Disparities Research Center 

13. Health Care Providers’ prescribing authority during emergencies: 

challenges for the management of chronic mental health 

conditions 

Lainie Rutkow, JD, PhD, MPH, Johns Hopkins Bloomberg School of 

Public Health 

14. *Developing and Evaluating Interactive Spanish Pain Classes 

for Cancer Patients to ensure Understanding 

Lina Mayorga, MPH, CHES, City of Hope 

15. HIV/AIDS Prevention Addressing the Conundrum of 

Consistent Condom Use in sub-Saharan Africa through 

Community-Based Social Marketing Model 

Mahamud Ahmed, MS, University of Texas at El Paso, College of 

Health Sciences 

16. *Diabetes and Diet: Evaluation of Online Health Materials for 

Older Adults and Implications for Health Education 

Savannah Pierson, MPH (c), New Mexico State University 

17. The influence of the supplemental nutrition program for 

Women, infants, and Children (WIC) on the dietary behavior 

of breastfeeding women 

Ayanna Robinson, MPH, Morehouse School of Medicine 

18. *Barriers to Health Communication: Readability of Chronic 

Disease Information on Pan American Health Organization 

U.S.-Mexico Border Office Web Site 

Andrew Vernon, MD, NMSU Dept. of Health Science 

19. African American Men and High Blood Pressure Control: 

Taking a Closer Look 

Bernadette Ford Lattimore, MPH, CDC 

20. *Using health communication to increase exposure to NCI 

colorectal cancer information and recommendations in 

Southwest New Mexico 

David Tomkins, BS, New Mexico Department of Health 

21. Women’s Health issues in Kurdish Villages of Armenia: 

Developing a Tapestry for Change 

Eva Doyle, Phd, MSEd, CHES, Baylor University 

22. Impact of Nursing Education on Understanding of Risk 

Evaluation Mitigation Strategies 

Nancy Rayhorn, BSN, CGRN, Medical Affairs, Centocor Ortho 

Biotech Services, LLC 

23. Using Cultural Competence to Eliminate Health and 

Healthcare Disparities in African Americans 

Nakeitra Hill, B.S, M.S, CHES, Community Based Health 

Disparities 

24. Horizons: Understanding core intervention components 

of a best-practice HIV prevention intervention for African 

American Adolescent females 

Tiffaney Renfro, MSW, BSHE/RSPH/Emory University 

25. Weaving Web 2.0 to Inform Diverse Audiences on a New 

Advanced-level Certification 

Linda Lysoby, MS, CAE, CHES, National Commission for Health 

Education Credentialing, Inc 

26. *Synthesizing assets, goals, and resources for a health community: 

Lessons learned from an ongoing partnership 

Sujehy Arredondo, BS, The University of Texas at El Paso, Hispanic 

Health Disparities Research Center 

27. Empowered to Act: How Freire’s Theory of Co-Intentional 

Education Extends Cultural Competency and Increases 

Community Engagement as Seen in the “Pedagogy of Action” 

HIV/AIDS Prevention Program. 

Jessica Moorman, MHS, Montefiore School Health Program 

40 

*Denotes Poster Promenade 


28. *A social ecological perspective on barriers to practicing secondary 

abstinence among young African-American women at 

risk for HIV/STIs 

Erin Bradley, MPH, Emory University 

29. Patient-Centered Medical Homes: Healthcare System 

Integration that Increases Access and Enhances Chronic Care 

Management 

Alicia Chung, BA, MPH, Teachers College, Columbia University 

30. *Agenda-Setting for Expanded Policy-Driven Change: 

Research Directions and Implications for Leadership and 

Practice Development 

Charles Kozel, PhD, MPH, CHES, College of Health and Social 

Services, Department of Health Science, New Mexico State University 

31. Relationships between behavioral and motivational systems 

and physical activity, body composition and blood pressure 

Janeth Sanchez, MPH, Department of Public Health, New Mexico 

State University 

32. *Strengthening our Evidence Based and our Approaches to 

Publish Health Policy: Taking Advantage of Health Policy 

Theory and Practice 

Beth Stevenson, MPH, CDC 

33. SOPHE & AAHE: Working to Strengthen the Health 

Education Profession 

Elaine Auld, MPH, CHES, Society for Public Health Education 


Poster Promenade 

Early Riser Sessions 

Tuesday, May 3, 7:15 am – 8:15 am 

The Poster Promenade highlights twelve selected posters that have 

been grouped into three categories. Each group will provide a 45 minute 

guided discussion tour of four posters. Choose one group based 

on your topic of interest to participate in as you enjoy your morning 

coffee. (Credits for MCHES provided) 

Chronic Disease and Diabetes 

»» 

The KidneyMobile: On the Road to Healthy Living 

»» 

Beyond Reading Levels: Assessment of Linguistically and 


»» 

The New Mexico Colorectal Cancer White Paper: Development 

and Future Plans 

»» 

Harnessing Integration, Collaboration, Coordination, and 


Health Communication 

»» 

Developing and Evaluating Interactive Spanish Pain Classes for 

Cancer Patients to ensure Understanding 

»» 

Diabetes and Diet: Evaluation of Online Health Materials for 

Older Adults and Implications for Health Educatiion 

»» 

Barriers to Health Communication: Readability of Chronic 


U.S.-Mexico Border Office Web Site 

»» 

Using Health Communication to Increase Exposure to NCI 

Colorectal Cancer Information and Recommendations in 


Policy & Systems/ Environment 

»» 

Synthesizing Assets, Goals, and Resources for a Healthy 

Community: Lessons Learned From an Ongoing Partnership 

»» 

A Social Ecological Perspective on Barriers to Practicing 

Secondary Abstinence Among Young African-American Women 

at Risk for HIV/STIs 

»» 

Strengthening our Evidence Base and our Approaches to Public 

Health Policy: Taking Advantage of Health Policy Theory and 

Practice. 

»» 

Agenda-Setting for Expanded Policy-Driven Change: Research 

Directions and Implications for Leadership and Practice 

Development 


Poster Abstracts 

1. Spotlight on SOPHE Chapters 

Crystal Owensby, MS, CHES, Speaker, SOPHE House of Delegates, 

SOPHE Chapters 

SOPHE’s 19 chapters represent some 2,000 health educators residing 

in more than 30 states and regions of the United States, western 

Canada, and northern Mexico. Since the first chapter (San Francisco 

Bay Area - now Northern California) was recognized in 1962, chapters 

have expanded to provide vital services through networking, continuing 

education, advocacy, leadership development, community service, 

awards, and partnerships with state/local public and private agencies. 

SOPHE chapters must meet certain requirements for National 

SOPHE recognition, but maintain their own independent governing 

boards, member dues, programs and benefits structure. Many attract 

and serve a vibrant student population and other scholarships and 

mentoring programs. Find out how you can become involved and 

grow personally and professionally by being involved in your local 

SOPHE chapter. 

2. *The KidneyMobile: On the Road to Healthy Living 

Nicole Sisen, MS, National Kidney Foundation of Illinois; Kate 

O’Connor, National Kidney Foundation of Illinois, Nancy LePain, 

APN-BC, KidneyMobile 

Background: 23.6 million people have diabetes with 5.7 million (or 

25%) of these individuals undiagnosed. Even more alarming is that 57 

million people in the US have pre-diabetes and still more are at risk 

of complications such as blindness, amputation and of kidney disease. 

In Illinois, the National Kidney Foundation estimates that there 

are approximately 960,000 individuals with chronic kidney disease 

(CKD), most of whom are unaware of their condition. 68% of CKD 

cases are caused by untreated and/or undiagnosed diabetes. It is estimated 

that at least 40% of kidney patients are diagnosed with CKD in 

emergency rooms with kidney failure and several co-morbid conditions, 

such as hypertension, cardiovascular disease, and anemia and 

bone disease. Intervention In 2005, the National Kidney Foundation of 

Illinois introduced the KidneyMobile® screening and educational and 

referral program to the residents of Chicago and surrounding areas 

of Illinois. The Kidneymobile is a community-based health screening 

program targeting individuals 18 years and older with/without 

diabetes, hypertension, or family history of kidney disease, diabetes, or 

hypertension. Screenings are targeted at individuals at great risk for 

chronic kidney disease. Site selections focused on high-risk individuals 

and rural communities with limited access to care and/or underserved 

areas. Each participant completes a short health-related questionnaire, 

participates in the screening and has a private consultation 

with the nurse practitioner. Postscreening; follow-up is conducted 

through phone surveys in Spanish and English to capture data on 

implementation of recommendations and follow-up care or treatment 

where education and consultation is provided. 

Objectives: The overall goal of the KidneyMobile is to impact 

primary, secondary, and tertiary diabetes prevention outcomes by 

conducting community-based screening and education program 

throughout the state of Illinois. The KidneyMobile® Program is 

composed of the following components: (a) conducting community 

based KidneyMobile screenings to identify individuals with possible 

unidentified hypertension, diabetes, and/or kidney disease; (b) provide 

immediate individual consultation from a health care provider regarding 

the screening results; (c) provide written educational materials on 

diabetes/kidney disease/hypertension; (d) increase access with health 

care providers through referrals and community resources; (f ) followup 

with those with abnormal screening results to support linkage 

with needed medical care. Evaluation The NKFI seeks to establish the 

KidneyMobile as a valid resource for participants, their families and 

those interested in learning more and taking steps toward preventing 

the onset of hypertension, diabetes and chronic kidney disease (CKD) 

through KidneyMobile® Program this is evaluated for process and 

formative evaluation methods through tracking, surveys and follow-up 

with participants and partners. Results The KidneyMobile® screening 

and educational program identifies unknown cases of kidney disease 

and diabetes, provides education and facilitates access to health care 

among underserved and high risk populations in Illinois. More than 

23,000 individuals have participated in a screening. Of those identified, 

more than 74% of participants screened had one or more abnormal 

result indicating high blood pressure, diabetes and/or kidney disease, 

where 29% tested with a critically high result and referred for followup 

care and/or treatment. Nearly 90% of participants with critical 

results have been contacted through phone or survey for follow-up 

post screening. 

3. Developing Public Health Capacity in Kazakhstan 

Altyn Aringazina, MD, PhD, Columbia University; John 

Allegrante, PhD, Columbia University 

Over the last decade, a series of important government initiatives 

in the Republic of Kazakhstan have sought to build public health 

capacity as one of the cornerstones of state policy to revitalize and 

strengthen the public health system and improve population health. 

Healthy People Kazakhstan outlines the development and delivery of 

public health services for 2011–2015 and has established quantifiable 

epidemiologic targets in order to address a wide range of population 

health problems and disparities in rapidly changing society. Achieving 

many of the targets will require increased capacity of the public health 

system’s health promotion workforce and developing practice standards 

that are consistent with the core competencies envisioned by the 

42 


Galway Consensus Conference and those of the International Union 

for Health Promotion and Education CompHP Project. This presentation 

will describe efforts now under way to meet the challenges of 

developing health promotion capacity in Kazakhstan and modernizing 

its public health workforce as part of broader public health policy, systems, 

and environmental change. The presentation will provide: 1) an 

overview of the demographic and epidemiologic profile of Kazakhstan; 

2) the results from a population-based survey of public attitudes (N 

= 4,497) toward the health improvement process and opinions about 

the health care system in Kazakhstan, including respondent views on 

health-related social capital and critical issues in the development of 

intersectoral approaches; and 3) the results and an eight-dimension 

spidergram from a health promotion capacity mapping exercise. The 

results suggest that policy makers and public health specialists should 

work out new vision concerning understanding health promotion 

issues in the country to develop competency-based standards for 

professional practice. Implications of these findings for developing 

health promotion capacity and public health workforce competence in 

Kazakhstan will be discussed. 

4. *The New Mexico Colorectal Cancer White Paper: 

Development and Future Plans 

Noell Stone, MPH, Department of Family and Community Medicine, 

University of New Mexico Health Sciences Center; Richard Hoffman, 

MD, MPH, University of New Mexico Health Sciences Center; 

Christine Brown, MS, NM Department of Health Comprehensive 

Cancer Program; Beth Pinkerton, Comprehensive Cancer Program 

Background: The New Mexico Cancer Council is a collaborative 

effort of diverse public and private partners working together to 

combat cancer in the state. The Council first targeted colorectal cancer 

(CRC) as a priority area in 2009 and commissioned the CRC White 

Paper Report to provide an overview of the current status of CRC 

in New Mexico. The report is intended to serve as a comprehensive 

overview of relevant colorectal cancer issues for New Mexicans, 

including a description of colorectal cancer epidemiology, risk factors, 

screening tests, treatments, costs, survivorship, programs, and policy 

recommendations. Partnerships: This is a university-communityagency 

collaboration engaged in a participatory research policy study 

to examine CRC in New Mexico. Partnerships include the NM 

Cancer Council, the CRC workgroup, the New Mexico Department 

of Health Comprehensive Cancer Control Program, the University of 

New Mexico Cancer Center Division Of Population Sciences, among 

others. Theoretical Framework, Methods and Proposed Interventions: 

A socio-ecologic framework guided our investigations. We used the 

following methods: review of the medical literature, analysis of tumor 

registry and screening data, key informant interviews and stakeholder 

meetings. The information presented in the report is intended to be 

an intermediate step with the intention to ultimately inform systems 

change and policy decisions by the state legislature, healthcare systems, 

and stakeholder advocacy groups for allocating resources to colorectal 

cancer screening, surveillance, and treatment programs in the state. 

Implications: The systematic exploration of multi-level influences on 

CRC policy in New Mexico is particularly relevant in an era of changing 

health care priorities and allocation of resources due to impending 

health care reform. We used a combination of participatory approaches 

and traditional public health research methods to integrate and link 

the descriptive epidemiology of CRC and the multi-faceted environment 

in which policy and practice are evolving. 

5. Baby Steps to Success: Utilizing the Chronic Disease Self- 

Management Program with Caregivers of Children with Sickle 

Cell Disease 

Lisa Shook, MA, CHES, Cincinnati Children’s Hospital - Sickle Cell 

Center; Gwendolyn D. Brown, BA, University of Cincinnati 

Sickle cell disease (SCD) is an inherited, lifelong chronic disease, 

that affects the red blood cells. SCD is typically diagnosed at birth 

through newborn screening. Raising a child with SCD impacts the 

entire family. Learning self-efficacy and self-management tools, using 

evidence-based techniques, has been shown to lead to better health 

outcomes and improved quality of life in adults with chronic illnesses. 

The Stanford University Chronic Disease Self-Management Program 

(CDSMP) has been utilized primarily with adults living with chronic 

illnesses. Our innovative program targeted caregivers of children with 

SCD. Caregivers participated in a 6-week pilot CDSMP program. The 

curriculum included communicating with health professionals; coping 

with difficult emotions; and creating a health behavior action plan. 

The pilot group consisted of 10 caregivers (ages 19 – 69 years old). The 

caregivers’ children ranged in age from 9 months – 16 years old. Six 

participants attended all 6 sessions, and 4 parents missed 1 session due 

to illness and/or scheduling conflicts. Evaluation data showed 100% 

of participants would recommend the program to other parents. Posttests 

revealed chronic disease self-management knowledge increased 

15% after the program. Follow-up surveys at 6 months and 1 year postprogram 

show caregivers still utilize the self-management techniques 

with their children. A second group of caregivers recently completed 

the program, and a third is beginning in January 2011. Interventions 

aimed at increasing self-efficacy and self-management may help caregivers 

of young children provide better care to their children. These 

types of interventions may also improve caregivers’ disease knowledge 

and motivation to adhere with clinic visits and treatment recommendations, 

which leads to better disease management and outcomes for 

the child with SCD. 



6. *Harnessing Integration, Collaboration, Coordination, and 


Jeanne Alongi, MPH, NACDD/UNC-Chapel Hill 

Background: More and more, state health departments and other 

public health sector public health agencies are faced with increased 

financial pressures, staffing reductions, changing funder expectations, 

and frustration with competing partner requests. Many are exploring 

program integration as a way to maximize impact per effort and 

expenditure. Theoretical Basis: Program integration expects to improve 

overall effectiveness without jeopardizing the impact of individual 

programs. (Salinsky & Garsky) Methods: The NACDD Chronic 

Disease Program Integration Logic provides a systematic framework 

for exploring elements such as partnership, interventions, and data. 

Challenges and strategies collected from state heath department experiences 

highlight opportunities for tailoring effort in specific jurisdictions. 

Interventions: Strategies may be as straightforward as periodic 

information sharing and as complex as matrix management for 

comprehensive planning and implementation. Partnerships: Internal 

partnership has been challenged by the realities of categorically 

focused expectations. External partnerships have not been leveraged 

as effectively as possible. Implications for Improved Practice: Program 

integration is a process that can enable improved effectiveness and 

efficiency in state health departments and can be done without diluting 

the impact and focus of categorical programs. The application 

of innovative leadership and management strategies may facilitate 

efficiencies and improved effectiveness of partnerships, planning, and 

intervention delivery. 

7. Sex differences among System Lupus Erythematous Patients: 

Are males more likely to have serious comorbidities 

Katie Crosslin, PHD, CHES, Texas Woman’s University, Kristin 

Wiginton, PhD, Texas Woman’s University 

Background: Systemic Lupus Erythematosus (SLE) is a prototypical 

autoimmune disease that disproportionately affects females. However, 

some studies have indicated that males experience greater comorbidities 

than females though more research is needed to explain this 

phenomenon. Theoretical framework: The Ecosocial theory of disease, 

which addresses social and biological influences, was used to guide 

an epidemiological study examining comorbidities among males and 

females. Hypothesis: Sex will not significantly predict comorbidities 

in SLE patients. Methods: The sample consisted of 14,829 unique SLE 

patients hospitalized from 1999-2005. Comorbidities were measured 

by the SLE Comorbidity Index, which consists of 14 common comorbidities 

believed to predict severity of SLE. ANOVAs were conducted 

to test for differences between males and females for comorbidities, 

age, length of stay in the hospital, total hospital charges, and number 

of autoimmune diseases. Results: Male patients had significantly 

greater comorbidities compared to female patients. Additionally, 

female patients had more autoimmune diagnoses than male patients. 

Male SLE patients were more likely to have cardiovascular and renal 

comorbidities when compared with female patients. Female SLE 

patients had significantly greater odds of diagnoses for UTI, hypothyroidism, 

depression, esophageal reflux, asthma, and fibromyalgia. 

Conclusions/Implications: While the prevalence of SLE among males 

is rare, they have the potential for greater disease severity and are more 

likely to suffer from cardiovascular and renal disease. Sex differences 

in SLE comorbidities should be further evaluated, but with the added 

recommendation to develop an index with conditions more indicative 

of active SLE. Implications and future interventions will be discussed 

for health educators and researchers. 

8. *Beyond Reading Levels: Assessment of Linguistically and 


Gabe Gose, BS, NMSU Dept. of Health Science; Bianca Zamora, 

BA, NMSU Dept. of Health Science; Cindy Kratzke, PhD, CHES, 

NMSU Dept. of Health Science 

Background: It is estimated that 24 million U.S. adults ages 20 and 

older have diabetes including 6.6% of non-Hispanic whites, 7.5% of 

Asian Americans, 10.4% of Hispanics, and 11.8% of non-Hispanic 

blacks. Changing demographic trends indicate minority populations 

will represent 48 percent of the U.S. population by 2050. The demand 

for more diabetes programs targeting diverse populations will increase. 

Culturally sensitive diabetes programs may be perceived to be more 

relevant when cultural values are meaningful to community members. 

However, little is known about the assessment of appropriate diabetes 

brochures or materials for diverse populations. Objective: The purpose 

of this study was to assess the suitability of linguistically and culturally 

appropriate online diabetes brochures from the Centers for Disease 

Control and Prevention and National Diabetes Education Program. 

Methods: The 22-item Suitability Assessment of Materials (SAM) 

instrument was used to assess the suitability of eleven brochures written 

for English, Hispanic, African American, and American Indian/ 

Alaska Native groups. The six categories are content (purpose, scope, 

and summary), literacy demand (active voice, readability, vocabulary, 

sentence construction, and advance organizers), graphics (illustrations 

and graphics), layout (typography and chunking), learning stimulation 

(interaction, motivation, and cultural appropriateness (cultural match 

and images). Specific scoring criteria for evaluating the materials 

included 0 = not applicable, 1 = adequate, and 2 = superior. Results: The 

scores ranged from was 39 to 43 (M=40.9 and SD=1.44). The majority 

of brochures provided cultural appropriateness, reading levels between 

6th to 8th grade levels, graphics, motivation, and content about 

44 


ehaviors. Health educators must be able to evaluate health education 

materials to meet the needs of diverse populations. 

9. Coping with Bad Body Image Days: Strategies from First year 

college women 

TeriSue Smith-Jackson, PhD, MPH, Department of Public and 

Community Health, Utah Valley University; Justine Reel PhD, LPC; 

Utah Valley University; Rosemary Thackeray , PhD, MPH, Brigham 

Young University 

This exploratory qualitative research allowed college women to 

describe in their own words how they cope with body image pressures, 

something that has not previously been done. Semi-structured interviews 

with first-year female college students (N=30) revealed common 

strategies used for body image coping, as well as their perceived effectiveness. 

While exercise was most frequently cited, other coping strategies 

included: healthy eating, appearance changing, talking to friends 

or family, religion/spirituality, alone time, getting out and doing something, 

music and self-acceptance. One of the emerging themes was 

participation in a cycle of eating as a result of body image concerns or 

pressures, and then feeling bad about themselves for eating. Far more 

women used coping strategies that reflected avoidance or appearance 

fixing motives rather than acceptance. The way in which the women in 

our study talked about coping made it somewhat difficult to compare 

to previous quantitative work. For example, our most frequently cited 

method of coping, exercise, appeared to be avoidance for some participants, 

and appearance-fixing for others. This study also warrants more 

inquiry into avoidance coping, as we found some avoidance coping to 

be more positive, such as going out with friends, while other avoidance 

coping behaviors, such as eating chocolate could have a more negative 

impact. The coping strategies identified by individuals in this research 

may aid in creating lists of possible coping strategies to encourage 

college women to adopt more positive coping strategies when 

experiencing body image concerns. Previous research has found that 

women who eat as a coping strategy may actually have more emotional 

distress compared with those who do not. Motivational Interviewing 

and Dialectical Behavioral Therapy are two approaches that could 

be considered to help students deal with this emotional distress and 

add positive characteristics while eliminating the negative ones. The 

research from this study identifies the need for further investigation 

into the body image coping behaviors of women. This research shows 

the diversity and complexity associated with coping, and highlights 

several situations where it is difficult to discern whether the coping 

behavior is healthy or unhealthy. As coping is related to psychological 

dysfunction and further perpetuates negative body image problems, 

dieting-related issues, and eating disorders, it is important to further 

understand this complex arena. 

10. (Re)building of AI/AN community health through implementing 

Healthy Food Programs: A Case Study of Intertribal 

Friendship House (IFH) 

Nanjie Caihua, BA, Research Associate (Seva Foundation) & Hart 

Fellow (Duke University); Robert Rinck, BS, MPH, SJSU; Shreya 

Desai, BS, SOPHE; Carol Wahpepah, BS, Intertribal Friendship 

House 

(Re)building of AI/AN community health through implementing 

Healthy Food Programs: A Case Study of Intertribal Friendship 

House (IFH) Background: AI/AN communities suffer food insecurity 

due to lack of access/resources resulting in diabetes, obesity, and other 

health issues. Objectives: In 2010, IFH, an urban AI/AN community 

center, implemented a healthy food program consisting of a community 

garden, cooking classes and other health promotion activities 

NC-SOPHE and Seva Foundation were partners in implementing 

the program; this community-based participatory research (CBPR) 

can serve as a model of how diverse organizations can collaborate to 

support AI/AN community-driven health efforts Abstract: Our poster 

displays IFH’s successful first year of a healthy food program. Content 

based on CBPR recounting processes of program implementation/ 

analyzing impact. Implementation process includes how IFH makes 

decisions impacting AI/AN populations, encourages community participation, 

strengthens community cooperation, and plays a critical role 

in community-organizing/ (re)building. Impact includes quantitative 

data to show the number of community members directly/indirectly 

benefited from the program. Qualitative data is shown how individuals 

describe their encounters with the program and how their perspectives 

changed regarding Native health knowledge, skills, interests, and abilities 

From a theoretical viewpoint, this presentation addresses health 

disparities within AI/AN populations, but also urban-rural disparities 

within Native health programs. Studies have shown that while AI/AN 

populations have migrated into urban settings, health resources/service 

programs remained stagnant. Poster is based on: IFH/Seva’s statistical 

data tracking community participation/program implementation 

phases Participatory research consisting of interviewing individual 

members/focus groups Studying/incorporating relevant and current 

health literature vis-à-vis the program. 

11. Tobacco Tipi Project 

JamieLou Delavan, BA, Idaho Department of Health and Welfare; 

This will be a single presentation provided by Ms. Delavan who will 

present the idea behind the Tobacco Tipi project. The health journalism 

project involved interviewing Tribal members about their 

relationship with both sacred and commercial tobacco. The same 

members where also photographed and the resulting photo essays were 

displayed in tipis during festivals and other community events, shared 



in schools and Tribal council members inviting further discussion 

about sacred vs. commercial tobacco use. Ms. Delavan will describe the 

methods for obtaining community input when developing the project, 

tools needed, the benefits to the state and Tribal tobacco control programs, 

evaluation methods, lessons learned, and the unexpected results 

of the project. She will share the resulting photo essays and next steps. 

This project was implemented in three Tribal areas in Idaho. 

12. Nutritional habits among youth in a U.S.-Mexico border community: 

Assessing and responding to neighborhood level data 

Luisa Esquivel, University of Texas at El Paso, Hispanic Health 

Disparities Research Center; Jose Guevara, BS, The University of 

Texas at El Paso; Holly Mata, MS, PhD (c), University of Texas at 

El Paso; Joe Tomaka, PhD, The University of Texas at El Paso 

Health disparities in the U.S.-Mexico border region are the focus of 

significant research and health promotion efforts. As part of a project 

to reduce smoking prevalence and susceptibility among Hispanic 

youth in neighborhoods with low educational attainment and high 

poverty rates, we collected data on nutritional habits and exercise 

frequency in addition to smoking related data. More than half of 

Hispanic 9th graders in Texas do not get the recommended amount of 

physical activity (compared to 36% of non-Hispanic Whites [NHW’s] 

),and 35% are considered overweight or obese compared with 19% of 

NHW. Communities located on the U.S.-Mexico border have even 

higher rates of obesity compared with non-border communities. 

According to Social Ecological Theory, health promotion intervention 

efforts are most effective when implemented through multiple levels 

(individual, relationship, community, organizational, and social/public 

policy). Our project was designed to reach youth who are most at risk 

for unhealthy behaviors in community settings, and highlights the 

potential for additional levels of intervention. As part of our ongoing 

research into the efficacy of the smoking prevention intervention 

program, all participants answered questions similar to several key 

indicators assessed in the national Youth Risk Behavior Survey. We 

compare our data collected in specific neighborhoods in the border 

region with state-level data collected in school settings. As expected, in 

our sample soda consumption was negatively correlated with exercise 

frequency and positively associated with average daily time spent 

watching TV or playing video games. Less than 10% of participants 

reported eating more than 7 servings of fruit in an average week. 

Relationships between self-reported degree of affiliation with Mexican 

culture and nutritional habits are explored, as are relationships between 

smoking susceptibility and nutritional habits. We describe our intervention 

and the feedback from participants regarding their perceptions 

of the relevance of the USDA food pyramid to themselves and their 

families. Suggestions for multifaceted interventions through community 

youth programs tailored for youth and families are offered, as are 

strategies for improved neighborhood access to recreation and healthy 

foods based on our experience and collaboration with key community 

partners. 

13. Health Care Providers’ prescribing authority during emergencies: 

challenges for the management of chronic mental health 

conditions 

Lainie Rutkow, JD, PhD, MPH, Johns Hopkins Bloomberg School of 

Public Health; Jon Vernick, 

JD, MPH, Johns Hopkins Bloomberg School of Public Health; 

Lawrence Wissow, MD, MPH, Johns Hopkins Bloomberg School 

of Public Health; Christopher Kaufman , MHS, Johns Hopkins 

Bloomberg School of Public Health; James Hodge, JD, LLM; Sandra 

Day O’Connor College of Law, Arizona State University 

Background: Lessons learned from recent natural and man-made 

disasters have led to heightened preparedness efforts at the local, state, 

and national levels. However, some individuals may find it difficult or 

impossible to access mental health services (e.g., therapeutic interventions; 

prescription of psychotropic medications) during and immediately 

after emergencies. Therefore, access to legally authorized prescribers, 

during and after emergencies, is critical for individuals with 

chronic mental health needs. Theoretical framework: This research 

relies upon a modified version of the health competence model, which 

suggests that the legal environment influences both initial health 

outcomes and sustainable health outcomes. Hypothesis: The legal environment 

presents barriers to the timely prescription of medications 

for chronic mental health conditions during and after emergencies. 

Methods: We used legal research methods to identify and analyze relevant 

laws, regulations, and judicial opinions at the federal, state, and 

local levels. This research was supplemented with a systematic search 

of the “gray” literature to identify pertinent guidelines and other materials. 

Results: Laws can prevent individuals with chronic mental health 

needs from receiving needed prescription medications during and after 

emergencies. Licensure laws for providers and regulations that govern 

controlled substances may impede the prescription of psychotropic 

medications. To facilitate the treatment of those with chronic mental 

health needs during and after emergencies, existing laws may be 

altered by emergency laws and policies. But, these emergency laws, too, 

may unintentionally impede the prescription of psychotropic medications 

to those with chronic mental health conditions. Conclusion: 

Laws and regulations impose important and complex requirements 

that may obstruct the prescription of needed psychotropic medications. 

Our findings indicate that some aspects of the legal environment 

should be altered to improve the care of those with chronic mental 

health needs during and after emergencies. Implications for practice: 

We developed multiple recommendations to alter the legal and policy 

environment to improve the care of individuals with chronic mental 

46 


health conditions during and after emergencies. For example, we 

recommend clarifying or, in some cases, modifying the prescribing 

authority of licensed mental health care providers during emergencies. 

In addition, we recommend the updating or expansion of current laws 

and policies that may unintentionally prevent individuals with chronic 

mental health needs from receiving needed prescription medications 

during and after emergencies. We discuss the implications of these and 

additional recommendations to facilitate the management of chronic 

mental health conditions during and after emergencies. 

14. *Developing and Evaluating Interactive Spanish Pain Classes 

for Cancer Patients to ensure Understanding 

Lina Mayorga, MPH, CHES, City of Hope; 

An interactive Spanish Pain Class was developed for cancer patients. 

The objectives of the class were to educate patients on how to describe 

and identify their pain and how to communicate their pain to their 

health care team. The need for a Spanish Pain class was identified via a 

bi-lingual “Educational, Problem-Solving and Support Groups” needs 

assessment conducted amongst new patients at a cancer center. A three 

part series was offered, using a mixed method approach used to evaluate 

effectiveness and knowledge gained. Quantitative and qualitative 

data was collected at the end of the class and a one week follow-up 

phone call with patients to see if they applied any of the skills gained 

during the class. Five interactive components were added throughout 

the class to ensure patients understanding and learning. Education 

was provided on how to interpret and use the pain scale (Faces versus 

ten point likert scale), creating a pain diary and medication list, and 

how to read medication bottles and warnings. A Bingo game was used 

as a way for patients was conducted to demonstrate the skills gained 

during the class, and for educators to re-address objectives or provide 

clarification. Data collected demonstrated that patients were more 

comfortable using the pain scale with faces to describe their pain, and 

to visually see what exactly a “5” was on a scale. Patients also stated that 

the class provided them with tools and resources to take more of an 

active role in their care and managing their pain. 

15. HIV/AIDS Prevention Addressing the Conundrum of 

Consistent Condom Use in sub-Saharan Africa through 

Community-Based Social Marketing Model 

Mahamud Ahmed, MS, University of Texas at El Paso, 

College of Health Sciences 

HIV/AIDS Prevention—Addressing the Conundrum of Consistent 

Condom Use in sub-Saharan Africa through Community-Based 

Social Marketing Model Abstract Background: Consistent condom 

use is a linchpin for preventing the spread of HIV/AIDS in Africa. 

Despite reports of availability of condoms in many African countries, 

the spread of HIV/AIDS infection remains largely unabated and 

consistent condom use has all but become a theoretical possibility. 

In sub-Saharan Africa, consistent condom use is constrained by a 

myriad of social, structural, cultural, and economic factors. Programs 

of condom social marketing in Africa appeared to have only modest 

impact in reducing the spread of HIV/AIDS. This paper addresses 

the determinants of condom use in Africa and provides an overview 

of the impact of condom social marketing in Africa. Specifically, the 

potential use of community-based social marketing approach that 

augments and integrates community knowledge, skills, and resources 

to increase the use of condoms in preventing the spread of HIV/AIDS 

in Africa is discussed. Theory: Community-based prevention marketing 

approach (CBPM) is “a community-directed social change process 

that applies marketing theories and techniques to the design, implementation, 

and evaluation of health promotion and disease prevention 

programs” (Bryant, Brown, McDermott, et al., 2007). The CBPM 

developed by Florida Prevention Research Center, University of South 

Florida, combines community engagement theories and social marketing 

concepts to direct health behavior change that appears to have 

important implication for increasing the use of condoms in preventing 

HIV/AIDS in Africa. Methods: A systematic literature research was 

conducted in major databases including CINHAL, EBSCO, DOAJ, 

MEDLINE & PubMed using key words: condom social marketing, 

Africa, HIV/AIDS prevention, and community-based social marketing. 

Implication for policy or practice: Based on this review, although 

social marketing of condoms plays a valuable role in the fight against 

the spread of HIV/AIDS in Africa, its apparent full potential to help 

curb generalized epidemic is not realized. With a growing recognition 

of a need to complement the traditional social marketing strategy 

in HIV/AIDS prevention, the community-based social marketing 

approach that integrates community knowledge, skills, and resources 

to increase the use of condoms in preventing the spread of HIV/ 

AIDS should be more fully employed to augment the social marketing 

approach. 

16. *Diabetes and Diet: Evaluation of Online Health Materials for 

Older Adults and Implications for Health Education 

Savannah Pierson, MPH (c), New Mexico State University; Aisha 

Kudura, BA, New Mexico State University; Yvonne Schwarz, RD, 

Fred Hutchinson Cancer Research Center; Rebecca Palacios, PhD, 

New Mexico State University; Marian Neuhouser , PhD, RD 

University of Washington 

Background and Purpose: Many popular weight-loss diets today have 

suggested that frequent eating, or grazing, might be beneficial for 

weight loss. However, chronic exposure to glucose and insulin through 

frequent eating may put individuals at risk for metabolic disorders 

and other chronic disease yet few studies have examined the effects 



of high meal frequency on health. The purpose of this study was to 

examine the effects of different meal frequencies on glucose loads and 

insulin levels. Methods. Participants were 7 adults between the ages 

of 28-45 years with varying BMIs. Using a two-week crossover design, 

blood glucose and insulin patterns were compared across two meal 

plans, a standard three-meal-a-day plan and a grazing meal plan (i.e., 

eight smaller meals a day). Order of meal plan was randomized across 

participants. All participants were free-living and ate their habitual 

foods during the study, although the study was designed to maintain 

the same caloric intake across the two meal plans. Subjects completed 

a food log and questionnaires regarding satiety and mood during each 

meal plan. Results: Area Under the Curve (AUC) analysis of blood 

glucose data demonstrated no significant difference between the grazing 

meal pattern and the three-meals-a-day pattern (p=.570). However, 

a trend for higher AUC glucose during the grazing pattern compared 

to the standard three-meal-a-day pattern was observed. Limitations: 

Low statistical power due to the small sample size may have limited 

the ability to identify significant effects across the meal plans. Further 

research on meal frequency needs to be conducted using a larger 

sample size in order to examine observed trends toward differences in 

glucose across meal patterns. 

17. The influence of the supplemental nutrition program for 

Women, infants, and Children (WIC) on the dietary behavior 

of breastfeeding women 

Ayanna Robinson, MPH, Morehouse School of Medicine 

The diet of a lactating mother has an impact on the health of the 

baby and low income women often lack the nutrients their babies 

need. This study used the trans theoretical model to examined the 

dietary behaviors of breastfeeding mothers who are WIC participants 

and breastfeeding mothers who are non-WIC participants. As the 

number of breastfeeding women increases, it is increasingly important 

to promote adequate diets of breastfeeding women to ensure the 

best outcomes for mothers and their babies. Using the Diet History 

Questionnaire from the Infant Feeding Practices Study II (IFPS 

II), the diet of exclusively breastfeeding women who participated in 

supplemental program for Women, Infants, and Children (WIC) (n 

= 97) and breastfeeding women who did not participate in WIC (n 

= 372) were assessed. Diet*calc variables were run in SAS to evaluate 

the daily macronutrient, micronutrient, and food group intake of the 

women. Breastfeeding women who participated in the WIC program 

reportedly ate significantly more fruits and dairy products than breastfeeding 

women who were not on WIC. Women who received WIC 

had significantly higher intakes of vitamins C, B6, B12, folic acid, and 

calcium. This study illustrated the importance of education and access 

for breastfeeding mothers of low socioeconomic status. Low intakes 

of folic acid and vitamin B6 indicate the need for all breastfeeding 

women to receive more information on the importance of maternal 

diet. More research should be done to explore the diets of nutrient 

deficiencies in breastfeeding women. 

18. *Barriers to Health Communication: Readability of Chronic 


U.S.-Mexico Border Office Website 

Andrew Vernon, MD, NMSU Dept. of Health Science; Elva Palmer, 

BS, NMSU Dept. of Health Science, Cindy Kratzke, PhD, CHES, 

NMSU Dept. of Health Science 

Background: The Internet is becoming an important resource for 

adults seeking online information for chronic diseases such as 

heart disease, diabetes, and cancer. It is estimated that 133 million 

Americans have at least one chronic disease. The Pan American 

Health Organization (PAHO)/World Health Organization (WHO) 

U.S.-Mexico Border Office in El Paso, Texas provides consumer 

health information related to the border region and the Americas. 

The PAHO El Paso office received the Health On the Net (HON) 

certification for quality and reliable Website health and medical information. 

Despite the quality health information materials, one barrier 

to health communication is the readability level of online health 

information to reach consumers such as vulnerable populations in the 

U.S.-Mexico border region. Recommended reading level guidelines 

is 6th grade reading level for U.S. adults functioning at low literacy 

levels. Objective: The purpose of this study was to assess the readability 

of the PAHO U.S.-Mexico Border Office Website public health 

information for chronic diseases. English fact sheets and other chronic 

disease materials were selected using the Website health topic options. 

Ten Web site pages pertaining to different chronic diseases were evaluated 

using Flesch-Kincaid reading level formula. Results: The reading 

levels ranged from 8.6 to 25.0 (M=16.32, SD=4.38). Conclusions: With 

high reading levels, the PAHO web pages were limited for consumers 

with less than 8th grade reading levels. Many immigrants may have 

difficulty reading health materials at higher reading levels. Online low 

literacy health information must be developed and evaluated to reach 

more consumers seeking information about chronic diseases 

19. African American Men and High Blood Pressure Control: 

Taking a Closer Look 

Bernadette Ford Lattimore, MPH, CDC 

Background: Heart disease and stroke are the first and fourth leading 

causes of death in the United States. High blood pressure, also known 

as the “silent killer,” is a major risk factor for these conditions. In 2006, 

the death rate of African American men from hypertensive disease 

was more than double that of white men (51.1 vs. 15.6 respectively). 

Although the burden of disease and disability from heart disease 

48 


and stroke is greater in African American men, there is a paucity of 

information that focuses on systems-level interventions addressing 

high blood pressure control in this population. The Division for Heart 

Disease and Stroke Prevention at the Centers for Disease Control 

and Prevention developed a resource tool that highlights the hypertension 

burden, promising systems-level interventions, and men’s 

health resources to assist public health agencies desiring to address 

this vulnerable population. Methods: The resource tool was developed 

through a review of the literature using the Internet, scientific 

journals, and other sources to document the burden of high blood 

pressure, delineate psychosocial factors surrounding disparate morbidity 

and mortality rates, identify promising systems-level interventions 

and men’s health resources. The social-ecological model was used to 

frame the content categorization of systems-level interventions. Key 

informant interviews were conducted on a subset of nine interventions 

that were selected for further study. In addition, an expert panel 

was engaged through conference calls and e-mails to give input and 

guidance. Results: Scientific literature pertaining to African American 

men and blood pressure control was scarce. Of the nine systems-level 

interventions studied, only two had been formally evaluated and had 

published information. The other interventions reported making 

significant changes in the lives of the participants, but did not have the 

infrastructure or staff to document or evaluate their efforts. Although 

African American men were not the sole focus of some interventions, 

key informants shared lessons learned regarding culturally responsive 

programming for this group. A noteworthy methodological challenge 

was finding a knowledgeable key informant to report detailed 

information about the intervention. Partnerships: Experts in the areas 

of African American men and hypertension from academia, private, 

and public institutions participated in the development and implementation 

of this resource. Implications for Improved Research, Policy, 

or Practice: The development, implementation, and evaluation of 

systems-level interventions addressing high blood pressure control in 

African American men may be facilitated by state programs and other 

public health agencies using this resource. 

20. *Using health communication to increase exposure to NCI 

colorectal cancer information and recommendations in 


David Tomkins, BS, New Mexico Department of Health 

The NM Tobacco Use Prevention and Control Program (TUPAC) has 

partnered with the NM Diabetes Prevention and Control Program 

(DPCP) because research points to a detrimental link between 

secondhand smoke and diabetes. Efforts focus on Native Americans 

living in New Mexico, as 14% of Native Americans in New Mexico 

are living with diabetes and the state’s clean indoor air law does not 

apply to reservations. TUPAC and DPCP can’t directly lobby for any 

specific law, but can provide education that can support changes in 

public policy and norms. The programs believe they can be most successful 

in this effort by raising awareness with a community-by-community 

approach. Each tribe/pueblo is at a different place in terms of 

understanding and caring about the dangers of secondhand smoke. By 

coupling secondhand smoke with diabetes, a subject they understand 

to a greater degree, we believe we can increase support for clean indoor 

air protections in tribal communities. The objective of the project is 

to raise awareness and community concern about the critical link 

between secondhand smoke and diabetes in a way that is culturally 

relevant and can be tailored to individual Native American communities. 

The “Have a Heart” campaign was developed by TUPAC and 

DPCP as an integration project to maximize resources. Collaborating 

partners include the Southwest Tribal Tobacco Coalition, Black Hills 

Center for American Indian Health, New Mexico Diabetes Advisory 

Council, Navajo Nation Special Diabetes Project, and the Southwest 

Navajo Tobacco Education Prevention Project. “Have a Heart” pin 

cards are being distributed throughout the Navajo Nation to educate 

people about the importance of clean indoor air for people living with 

diabetes. Attached to the card, which features artwork by a Navajo 

artist, is a heart-shaped pin. The message on the card encourages 

people to wear the pin to “show support and respect for people living 

with diabetes while reminding others to do their part to keep the 

air clear of secondhand cigarette smoke.” The “Have a Heart” campaign 

is directed at friends and families of Navajo people living with 

diabetes. The campaign is currently tailored to the Navajo Nation. The 

campaign will later be expanded into other Native communities and 

will be tailored to each individual group’s unique culture. Anecdotal 

feedback regarding the developmental process and audience reception 

will be shared in the presentation. Current observations indicate 

that public awareness of the heightened vulnerability of people with 

diabetes to commercial tobacco smoke has increased. 

21. Women’s Health issues in Kurdish Villages of Armenia: 

Developing a Tapestry for Change 

Eva Doyle, Phd, MSEd, CHES, Baylor University; Anne Griffith, 

MA, The Enlighten Foundation; Shannon Thiel, BSEd, RN, Baylor 

University; Narine Khachatryan, BS, The Enlighten Foundation 

Approximately 30,000 Kurdish Armenians reside in poverty-stricken 

villages surrounding Armenia’s capital city of Yerevan. Inadequate 

health care and promotion contribute to multiple health problems in 

these villages. Preliminary discussions with key informants revealed 

that general reproductive health issues and a condition commonly 

referred to by village women as “erosion of the womb” were primary 

concerns. Yet, no research or community-based efforts had 

been implemented to clarify and address these issues. The principles 

of community-based participatory research, and qualitative and 



quantitative research methods, were used to engage village women 

as partners in a pilot study of reproductive health concerns. In phase 

1, seventy village women participated in guided group interviews to 

discuss reproductive health. Innovative methods were used in these 

group interviews to allow English-speaking qualitative researchers 

and trained interpreters to co-lead discussions. Data triangulation 

included data from session recordings, hand-written notes of trained 

recorders, and summarized group responses written on large tablets in 

both languages during group discussions. “Erosion of the womb” was 

described by participants as inflamed cervical growths that resulted in 

mucus discharge, burning, itching, bleeding, leg stiffness, and intense 

pain. Intense agrarian labor in an excessively cold climate and a high 

frequency of inadequately-performed abortions were named as causes. 

In phase 2, sixty-six women participated in individual structured 

interviews to report details about family planning and pre-/post-natal 

care among village women. Over 88% stated that village women begin 

having babies at 13-18 years of age, and 41% indicated family planning 

was not commonly practiced. Though 86% said women often see a 

doctor while pregnant, only 30% indicated this happens during the 

first trimester. Approximately 45% said women take their babies back 

for check-ups and only 7% said women obtain personal check-ups 

after the birth. Over 90% said abortions were common for unwanted 

pregnancies and 82% stated women generally have abortions every 

1-2 years. Though most abortions and births were reportedly hospitalassisted, 

77% knew a woman who had experienced abortion-related 

complications. Fifty-six percent believed village women did not know 

enough about their bodies and 86% believed knowing more would 

change lives and improve women’s health. Study outcomes were used 

to develop a training program to equip six volunteer village women 

to become community health workers. Innovative approaches to the 

5-week leadership training program will be reported. Implications for 

addressing women’s health issues in similar underserved populations in 

the U.S. and around the globe will be discussed. 

22. Impact of Nursing Education on Understanding of Risk 

Evaluation Mitigation Strategies 

Nancy Rayhorn, BSN, CGRN, Medical Affairs, Centocor Ortho 

Biotech Services, LLC; Toni Mefford, RN, MS, Centocor Ortho 

Biotech Services, LLC ; Susan Risley, BSN, MAOM, ETN, Medical 

Affairs, Centocor Ortho Biotech Services, LLC; Maggie Smith, MSN/ 

Ed RN, OCN, Medical Affairs, Centocor Ortho Biotech Services, 

LLC ; Heide Fuchs-Crosby, H ND, Medical Affairs, Centocor Ortho 

Biotech Services, LLC 

Background/Theoretical basis: Risk Evaluation and Mitigation 

Strategies (REMS) are used to manage a known or potential serious 

risk associated with a drug or biological product. The United States 

Food and Drug Administration (FDA) may mandate a REMS, if 

deemed necessary, to ensure that the benefits of a drug or biological 

product outweigh the risks. REMS include patient education components. 

Nurses may encounter drugs or biologics that are part of a 

REMS program, necessitating awareness of these programs. Objective: 

To evaluate nurses’ understanding of REMS and adverse event (AE) 

reporting before and after presentation of an education program. 

Interventions: The Nursing Council of Centocor Ortho Biotech 

developed an educational program consisting of a basic outline of 

REMS, patient education resources, and AE reporting. Twenty-five 

nursing professionals completed the training. A pre-and post-knowledge 

assessment was completed using the ZOOMERANG® on-line 

survey tool. Evaluation Measures: To date, 25 nurses from 5 specialty 

areas participated. The pre-training questionnaire revealed a lack of 

exposure to REMS and AE reporting. The post-training questionnaire 

demonstrated efficacy of the education and potential for impact 

on nursing practice. The results of an additional analysis comparing 

registered nurses and nurse practitioners’ understanding of REMS 

and AE reporting will be presented. Results: REMS are crucial to 

many drug approvals and ongoing safety monitoring. REMS training 

directed toward nurses may result in improvements in patient care and 

education. 

23. Using Cultural Competence to Eliminate Health and 

Healthcare Disparities in African Americans 

Nakeitra Hill, B.S, M.S, CHES, Community Based Health 

Disparities, Dr. Mark Colomb, PhD, CRA, My Brother’s Keeper, Inc; 

Angela Johnson, BS, MPPA, Community Based Health Disparities 

Background: In the wake of major healthcare reform, significant 

health and healthcare disparities still exist among African Americans 

in the United States. African Americans are disproportionately 

affected by chronic diseases such as Cardiovascular Disease, Obesity, 

Cancer and Stroke than White Americans. Educating health care 

workers on how culture impacts the way African Americans seek and 

receive healthcare services is imperative in eliminating health and 

healthcare disparities. By providing cultural competency training to 

healthcare providers, the healthcare system will be able to respond 

to the health needs of African Americans as related to prevention of 

chronic diseases and effectively provide care. Methods: The African 

American Cultural Competence to Eliminate Health Disparities 

training is a one-day skills building course designed to provide 

community health workers with the necessary knowledge and skills 

needed to work in cross cultural situations and to use the knowledge 

of the health related beliefs and practices of African American 

clients to improve the quality of services they provide related to 

chronic diseases. The cultural competence continuum was utilized 

as a developmental process for gaining cultural and linguistic competence. 

Healthcare workers were presented the opportunity to gain 

50 


a thorough understanding of African American culture and events 

that shaped the way that African Americans seek and receive health 

services. Additionally, the course emphasized recognizing the impact 

cultural competency has on an organization’s ability to provide culturally 

and linguistically competent healthcare services. Results: The skills 

building course has trained 323 participants over a 4 year period from 

5 different states. Program evaluation data has revealed that 80% of 

the participants strongly agreed that their awareness about cultural 

competence had increased due to the course. Additionally, 89.86% of 

the participants strongly agreed that they would apply the cultural 

competence skills taught in the class in their healthcare organizations 

within the next three months. 

24. Horizons: Understanding core intervention components 

of a best-practice HIV prevention intervention for African 

American Adolescent females 

Tiffaney Renfro, MSW, BSHE/RSPH/Emory University; Teaniese 

Latham, MPH BSHE/RSPH/Emory University ; Lorin Boyce, MA, 

BSHE/RSPH/Emory University; Jessica Sales, PhD, BSHE/RSPH/ 

Emory University; Ralph DiClemente, PhD, BSHE/RSPH/Emory 

University ; Eve Rose, MSPH, BSHE/RSPH/Emory University 

Background: While there are HIV prevention intervention programs 

available for African American adolescent females, few have been 

designed specifically focusing on high-risk sexually active adolescents. 

To address this need, we developed an intervention for African 

American adolescent females, aged 15-21 years, seeking sexual health 

services. Theoretical framework: The HORIZONS intervention was 

based on Social Cognitive Theory and Theory of Gender and Power. 

Hypothesis: We hypothesized that a gender and culturally-appropriate 

STD/HIV intervention would be effective in reducing adolescents’ 

risk for Chlamydia and behaviors associated with human immunodeficiency 

virus (HIV) acquisition. Method: African American adolescent 

females (N=715), ages 15-21 years old, seeking services at one of three 

sexual health clinics in a metropolitan area were enrolled in the study. 

Eligibility criteria included self-identifying as African American, 

female, ages 15-21 years, and reporting vaginal intercourse in the past 

60 days. HORIZONS participants received 2, 4-hour group sessions 

and 4 telephone contacts over a 12-month period. Group sessions were 

facilitated by two African American female health educators and the 

4 telephone contacts were administered by one African American 

health educator. The intervention targeted personal, relational, 

sociocultural and structural factors associated with adolescents’ STD/ 

HIV risk. Intervention participants received vouchers to encourage 

male partner’s STD testing/treatment at sexual health clinics. Results: 

Over the 12-month follow-up, fewer participants in the intervention 

had a chlamydial infection or recurrent chlaymydial infection. 

Participants in the intervention also reported a higher proportion of 

condom-protected sex acts and consistent condom use in the 60 days 

preceding follow-up assessments. In addition to being a successful 

intervention, participants gave favorable ratings of interventionists and 

workshop activities. Conclusion: HORIZONS demonstrated evidence 

in reducing chlaymydial infections and enhancing STD/HIV preventive 

behaviors and psychosocial mediators for STD/HIV preventive 

behaviors Implications for practice: For interventionists, there is great 

utility in understanding intervention components, especially when the 

interventions have been proven efficacious in a randomized controlled 

trial. 

25. Weaving Web 2.0 to Inform Diverse Audiences on a New 

Advanced-level Certification 

Linda Lysoby, MS, CAE, CHES, National Commission for Health 

Education Credentialing, Inc; Melissa Rehrig, MPH, CHES, 

NCHEC; Beth Chaney, PhD, CHES, University of Florida, Kelly 

Wilson, PhD, CHES, Texas State University, 

Background/Theoretical Basis: For the first time in 2011, the 

National Commission for Health Education Credentialing (NCHEC) 

will be granting an advanced-level credential, the Master Certified 

Health Education Specialist (MCHES). This certification was based 

on the research of the Health Educator Job Analysis (HEJA), which 

was released in 2010 and confirmed the findings of the Competency 

Update Project of 2005. Both national studies were conducted by using 

a systematic approach to delineating the types and levels of practice 

among health educators. In addition to these studies’ results, the 

introduction of an advance- level certification is a recommendation of 

the National Task force of Accreditation. Methods and Partnerships: 

Web 2.0 technology has transformed the way in which information 

is shared. For the field of health education and promotion, Web 2.0 

technology has enhanced health communication techniques and fostered 

a greater reach of messages. On September 17, 2010, the National 

Commission for Health Education Credentialing and the University 

of Florida’s (UF) College of Health and Human Performance 

(HHP) partnered to use Web 2.0 technology to host MCHES 

Live: The Webinar Series. The purpose of the webinar series was to 

provide individuals with the information needed to prepare for the 

implementation of the new advanced-level certification, the Master 

Certified Health Education Specialist (MCHES). Intervention and 

Implications: Specifically, the series consisted of three webinars for the 

following target audiences: university faculty and administrators, current 

CHES and non-CHES interested in pursuing the advanced-level 

credential, and designated providers and employers. The webinar series 

was very well attended, with 1, 199 individuals registered, and a total 

of 956 people actually logged in, and participated in the webinar series 

that day. Feedback from the event has been incredibly positive, with 

individuals requesting additional information on various topics (i.e. 



Experience Documentation Opportunity (EDO) and the MCHES 

examination). The purpose of this presentation is to describe the 

process of developing and marketing the webinar series and how Web 

2.0 technologies were used to create the webinars to expand the reach 

to varying audiences. In addition, a summary of the most requested 

topics from webinar participants, will be discussed including: MCHES 

examination, EDO process and results, and continuing education 

contact hour (CECH) opportunities for MCHES. MCHES has 

profound implications on the field, as it verifies an advanced-level of 

practice. The implications of MCHES as verification of advancedlevel 

practice in the field of health education will be also be discussed 

26. *Synthesizing assets, goals, and resources for a health community: 

Lessons learned from an ongoing partnership 

Sujehy Arredondo, BS, The University of Texas at El Paso, Hispanic 

Health Disparities Research Center; Francis Reyes, BS, The 

University of Texas at El Paso, Hispanic Health Disparities Research 

Center ; Holly Mata, MS,PhD (c), The University of Texas at El 

Paso, Hispanic Health Disparities Research Center; Sharon Thompson, 

MPH, PhD, The University of Texas at El Paso, Department of 

Public Health Sciences 

Community/academic collaboration to enhance health education 

efforts in our region is a public health imperative. “Communitizing” 

health education facilitates successful partnerships, increases perceived 

competency among health education students, and increases 

availability of and access to health education among diverse priority 

populations. Having been part of an ongoing partnership between our 

academic department, an NIH health disparities research center, and a 

local community youth program, we provide insight, perspective, and 

lessons learned from our collective 2 years working to enhance health 

education research and practice in a bilingual and bicultural community 

setting. Strategies grounded in principles of CBPR and community 

partnering are highlighted, as are the importance of environmental 

change, multilevel interventions, and culturally and linguistically 

responsive health educators. Community youth programs are important 

resources for our youth, and provide opportunities to reach young 

people and families in comfortable settings. Health Educators have a 

responsibility to tailor their materials and message to their audience, 

and to provide accessible and relevant health information. Youth in our 

community can benefit from participation in health education through 

local youth programs. The need for such education is clear given the 

low physical activity rates, high prevalence of overweight and obesity, 

and elevated substance use rates in the U.S.-Mexico border region in 

which we live and work. Our partnering agencies have collaborated 

on grants (some funded, some not), disaster preparedness education 

for subsidized young adult employees, community gang prevention 

forums, healthy lifestyle programs for youth, and research projects to 

reduce smoking prevalence and susceptibility among adolescents in 

neighborhoods with high poverty rates and low educational attainment. 

As student health educators who have honed our skills striving 

to increase access to quality health education in our community, we 

share our experience, successes, and lessons learned as a model for 

others hoping to develop sustainable partnerships between community 

and academic partners. 

27. Empowered to Act: How Freire’s Theory of Co-Intentional 

Education Extends Cultural Competency and Increases 

Community Engagement as Seen in the “Pedagogy of Action” 

HIV/AIDS Prevention Program. 

Jessica Moorman, MHS, Montefiore School Health Program 

Background: Co-intentional education, described by Paolo Freire 

in The Pedagogy of the Oppressed, substitutes didactic teaching for 

a reciprocal model; viewing community members as equal partners 

in education. Inherent in this theory are strategies of community 

engagement and cultural competency, a systemic approach to health 

care that seeks to increase the accessibility of information to minority 

communities. Both strategies increase acceptance of a community 

health programming, but neither is without limit. The University 

of Michigan’s Pedagogy of Action Program is a low-literacy, HIV/ 

AIDS prevention module, rooted in Freire’s theory of co-intentional 

education. The 15-minute, conversational module addresses HIV, its 

affect on the immune system, its transformation to AIDS, transmission 

prevention, and stigma mitigation. The Pedagogy of Action’s 

methodology has the potential of extending the impact of community 

engagement and cultural competency. Methods: Fifteen University 

of Michigan students attended two, four-hour a week courses, for the 

eight months prior to their work in primarily black South African 

communities. Topics included Freirian theory, South African history, 

culture, and societal factors that influence the HIV transmission. 

Students were trained in the module and taught it in their own 

community prior to entering their field site. While abroad, students 

worked with elementary school children, custodians, and rural medical 

students. Students taught the HIV/AIDS module in English. 

Community members then taught the module back in English, to 

ensure they understood the content. Once the community members 

had successfully taught the module in English they then culturally 

adapted and translated the module into their local language. Finally 

they taught their modified version in their home community. Results: 

As shown in preliminary focus group data, the Pedagogy of Action 

Program has been able to effectively respond to cultural misrepresentations 

of the HIV/AIDS virus; increase community participation in 

health education program development; decrease misunderstandings 

of HIV transmission; decrease stigma of those who have HIV/AIDS; 

empower international community members to act as health educators 

52 


in their home areas; and reach parts of communities that, while vital 

in the fight against HIV transmission, would have traditionally been 

inaccessible. Conclusion: Through Freirian theory, this pilot program 

shows potential for increasing the impact of community engagement 

and cultural competency. More research is needed to better understand 

to full potential of this program. 

28. *A social ecological perspective on barriers to practicing secondary 

abstinence among young African-American women at 

risk for HIV/STIs 

Erin Bradley, MPH, Emory University; Kirk Elifson, PhD, 

Emory University; Jessica Sales, PhD Emory University, ; Ralph 

DiClemente, PhD, Emory University 

Background: HIV/STIs rates among sexually experienced African- 

American females are striking. Although some young women reduce 

their risk by choosing to abstain from sex for various periods of times 

following sexual debut, a practice known as secondary abstinence, 

others who desire to abstain find it difficult to do so and remain at 

risk. Theoretical Framework: A social ecological approach was used to 

explore personal and contextual barriers that hinder interested young 

women from becoming or remaining abstinent. Methods: Grounded 

theory, an inductive approach consisting of systematic data collection 

and analysis techniques, was employed. In-depth interviews were conducted 

with 20 sexually-experienced African-American young women, 

ages 18-23, who had completed an HIV-risk reduction program and 

expressed interest in secondary abstinence. Results: Respondents 

identified individual-level barriers, such as thinking about sex and 

substance use, as challenges to becoming or remaining abstinent. 

However, partner-related barriers such as imbalances in sexual 

decision-making power, and situational barriers, such as being alone 

with a partner presented the greatest challenges for young women. 

Conclusions: Contextual factors play a vital role in understanding 

young women’s sexual behavior. Researchers and health professionals 

should help equip young women to identify and overcome both 

personal and environmental challenges to practicing secondary abstinence. 

Implications: Insight can be used to strengthen the abstinence 

component of HIV prevention programs designed to reduce HIV/STI 

rates among young African-American females. 

29. Patient-Centered Medical Homes: Healthcare System 

Integration that Increases Access and Enhances Chronic Care 

Management 

Alicia Chung, BA, MPH, Teachers College, Columbia University 

Background: Nearly 46 million Americans are without health 

insurance (CDC, 2010). Of those who are insured, adequate chronic 

care management, including asthma and diabetes, remains sparse. 

Patient-centered medical homes are a burgeoning solution as a 

healthcare delivery model that applies comprehensive team-based 

care coordination that aligns physician reimbursement structure with 

quality patient care. Objective: This study aimed to evaluate the level 

of private insurer, state and hospital system participation related to 

patient-centered medical home adoption and impact. Methods: A 

literature review of national patient-centered medical home projects 

was conducted to determine participation rates, physician reimbursement 

structures, changes in patient utilization rates and improvements 

in health outcomes. Qualitative telephone interviews were conducted 

with senior executives from 31 national health insurance companies, 

state health departments and hospital systems. Results: Private insurers 

are involved with 20 patient-centered medical homes involving 

20,000 physicians and 4.4 million members (Patient Centered Primary 

Care Collaborative). Case study pilot demonstration projects reported 

health outcome and cost saving improvements where evaluated. 

Conclusion: Patient-centered medical homes offer a potentially viable 

healthcare delivery model to increase access and quality at an affordable 

cost. Additional research is needed to determine cost savings 

across various demographics. Implications: The medical home model 

could drive behavior economics towards healthy outcomes through 

payment alignment and care coordination. 

30. *Agenda-Setting for Expanded Policy-Driven Change: 

Research Directions and Implications for Leadership and 

Practice Development 

Charles Kozel, PhD, MPH, CHES, College of Health and Social 

Services, Department of Health Science, New Mexico State University, 

Anne Hubbell, PhD, Department of Communication, New Mexico 

State University ; Michael Hatcher, DrPhD, Div of Toxicology and 

Environ Medicine, Agency for Toxic Substances and Disease Registry; 

Frank G. Perez, PhD, Department of Communication, U. Of Texas 

at El Paso; Sharon Thompson, PhD, MPH, CHES, Department of 

Health Promotion, U. Of Texas at El Paso 

This research provides novel directions for methods and practices for 

addressing health disparities through expanding the diffusion of policy-driven 

health promotion and disease prevention innovations. The 

interplay of how the media, public, and policy makers influence each 

other is termed agenda-setting. This perspective suggests that direct 

attitudinal effects of what to think are less empirically established 

than are indirect cognitive effects of what to think about (Cohen, 1963; 

McCombs & Shaw, 1972). Agenda-setting conceptualizes the process 

of how issues move from relative unimportance to the forefront 

of media professionals’, members of the public, and policy makers’ 

thoughts (Dearing & Rogers, 1996). An area within agenda-setting 

research, Health Promotion Agenda-Setting (HPA-S), provides practitioners 

with a framework, and strategies to set agendas for sustained 



courses of action (Kozel, Kane, Rogers, & Hammes, 1995). This 

approach fosters a shared vision, alternative solutions and strategies 

for influencing pre-decision systems, and increasing media salience 

for “sustained” action. The bi-national interdisciplinary research team 

examined agenda-setting processes and how the health agenda in the 

Paso del Norte Region is determined. Using quantitative and qualitative 

data collection, the research focused on identifying deficiencies in 

the border area’s public health systems, infrastructure and channels for 

working toward the bi-national objectives in the Healthy Border 2010 

initiative (U.S.-Mexico Border Health Commission, 2003). Studying 

HPA-S in applied locations enhances the evidence basis for health 

promotion researchers and practitioners for ways forward to improve 

health promotion leadership, advocacy, and policy development within 

regions where cultures, systems and economies are complex and 

interrelated. Key words: Agenda-setting processes and systems, health 

education practice, leadership, advocacy, policy development, health 

disparities Acknowledgements The project described was supported 

by a grant from the Paso del Norte Health Foundation, the Center 

for Border Health Research. Its contents are solely the responsibility 

of the authors and do not necessary represent the official views of the 

funding agency. In memoriam we recognize Drs. William M. Kane 

and Everett M. Rogers as grant collaborators, and mentors. 

31. Relationships between behavioral and motivational systems 

and physical activity, body composition and blood pressure 

Janeth Sanchez, MPH, Department of Public Health, New Mexico 

State University; Rebecca Palacios, New Mexico State University 

Background: The Behavioral Approach System (BAS) and the 

Behavioral Inhibition Systems (BIS) are two learning motivational 

systems (Grey, 1981; Carver & White, 1994) that have been used to 

study and predict behavior and affect. Past studies have shown that 

individual differences in these two systems are related to certain 

health risk behaviors. This study examined the relationship between 

trait motivational tendencies, Carver & White BIS and BAS survey 

(CWBB) and the behavior-specific motivational tendencies, Physical 

Activity-Specific BIS and BAS survey (PABB), to physical activity, 

body composition, and blood pressure among college students. 

Methodology: A total of 552 students enrolled at New Mexico State 

University were recruited to participate in an online survey. The survey 

consisted of the CWBB scales which contained four subscales (Drive, 

Reward, Punishment, and Impulsivity), the PABB scales with seven 

subscales (BAS: Reward, Impulsivity, Drive, Positive Emotion, and 

BIS: Punishment, Frustrative Non-Reward, and Negative Emotion), 

and the International Physical Activity Questionnaire (IPAQ). A 

subsample of the participants also completed a body composition to 

obtain % body fat, BMI, waist and hip circumference measurements, 

as well as assess blood pressure by obtaining systolic and diastolic 

measurements. Results: Bivariate correlational analysis showed that 

PABB scales were significantly related to actual physical activity, body 

composition, and blood pressure, while the CWBB survey questions 

were not. Body composition measures for body fat, BMI, and waist to 

hip ration were inversely related to physical activity BAS subscales(all 

r values < -.269, all p values < .05) and positively related to physical 

activity BIS subscales(all r values > .275, all p values < .05). Blood 

pressure was also inversely related to physical activity BAS subscales 

(all r values < -.293, all p values < .05) and positively related to physical 

activity BIS subscales (all r values < .354, all p values < .05). However, 

physical activity was positively related to physical activity BAS subscales 

(all r values > .157, all p values < .001) and inversely related to 

physical activity BIS subscales (all r values < -.115, all p values < .01). 

Discussion: When compared with Carver & White BIS and BAS 

subscales, the Physical Activity-Specific subscales correlated stronger 

with motivational tendencies towards physical activity and physical 

health. Understanding the individual differences in behavior-specific 

motivational tendencies among college students may assist in developing 

effective behavioral interventions for groups at risk for obesity and 

hypertension and therefore should be analyzed further. 

32. *Strengthening our Evidence Based and our Approaches to 

Publish Health Policy: Taking Advantage of Health Policy 

Theory and Practice 

Beth Stevenson, MPH, CDC, Diane Allensworth, PhD, CDC 

Background: With the increasing interest among public health 

educators in using policy, systems, and environmental approaches to 

impact health, respectable strides have been made in learning how to 

creatively identify potential policy interventions and in developing 

a research base to measure the effectiveness of these interventions. 

Theoretical Basis: As our field moves to embrace policy interventions, 

many public health educators are finding the need for developing new 

skills and identifying new tools to not just develop policy, but to have 

a realistic understanding of what it will take to 1) make an evidencebased 

decision on policy options, 2) successfully implement a new 

health policy and 3) define how we can determine an expanded set of 

criteria for measuring our success. Methods: This presentation explores 

the challenges and the opportunities for health educators as we move 

from programmatic to policy interventions. Using current literature 

reviews on health policy approaches, key informant interviews with 

health policy experts, and interviews with practitioners in both health 

education and health policy this presentation will share the results of 

the latest policy theorists and the latest practitioner tools for determining 

best approaches for determining and implementing evidence 

based health policy. By the end of this presentation, attendees will be 

able to: 1. Describe the basis of policy analysis and policy evaluation 

with an understanding of the needs for increasing our public health 

54 


capacity in developing and implementing evidence-based policy. 

2. Summarize a range of examples and tools for moving evidencebased 

policy approaches from theory to practice. 3. Advocate for the 

increased need for evidence-based policy research that addresses the 

context for policy development and implementation. Interventions, 

Partnerships, and Implications for Improved Research, Policy or 

Practice: Using examples from current health policy and based on 

recent health policy models, this presentation will describe a range of 

policy analysis approaches and emphasize the importance of balancing 

the health impact evidence-base with issues of feasibility and 

analysis of policy context. Key content will include the importance 

of cultivating new policy analysis skills, ways for developing broader 

cross-sector partners, emerging tools for moving evidence-based 

policy approaches from theory to practice, and the critical need of 

expanding our health policy research base. 

33. SOPHE & AAHE: Collaborating to Strengthen the Health 

Education Profession 

Elaine Auld, MPH, CHES, Society for Public Health Education; 

Dan Perales, DrPH, San Jose State University; Diane Allensworth, 

PhD, CDC; Rob Simmons, DrPH, Thomas Jefferson University; Kelli 

McCormack Brown, PhD, CHES, University of Florida 

Since December 2008, AAHE and SOPHE leaders have been discussing 

how to work more collaboratively to create a stronger voice for 

the health education profession, including the potential for organizational 

re-alignment. AAHE has been working to obtain permission 

to disengage from its parent organization, the American Association 

for Health, Physical Education, Recreation and Dance (AAHPERD). 

Much progress has been made toward this step, although a final 

determination is not expected until March 2012. On November 4, 

2011, SOPHE’s Board of Trustees voted to develop a plan for a possible 

modified merger with AAHE. SOPHE’s Futures Task Force is 

conducting due diligence with AAHE and exploring how a potential 

merger of AAHE into SOPHE could be accomplished, while preserving 

key aspects of AAHE’s legacy. The SOPHE Board and CEO are 

committed to keeping SOPHE members updated on these developments, 

and welcome comments and recommendations at any time. 



Schedule-At-A-Glance 

TIME EVENT ROOM 

SUN/ MAY 1 

7:30 am - 6:00 pm Registration/Hospitality/CEU Desk Open North Atrium 

8:00 am - 11:00 am SOPHE House Of Delegates Business Meeting 

(Includes Continental Breakfast) 

Alvarado D 

8:30 am – 10:00 am NACDD Board Meeting Orientation (Includes Continental Breakfast) Alvarado A 

9:00 am – 12:00 pm SOPHE CPPW Tobacco Meeting Alvarado C 

10:00 am – 5:30 pm NACDD Board Meeting (Includes Lunch) Alvarado A 

11:00 pm – 5:30 pm SOPHE Board Meeting (Includes Lunch) Fireplace 

2:00 pm – 7:00 pm Exhibitor Set up 

Poster Set up 

NE Atrium 

6:30 pm – 7:30 pm NACDD & SOPHE Boards Reception South Portal 

MON / MAY 2 

7:00 am – 6:00 pm Registration/Hospitality/CEU Desk North Atrium 

7:00 am – 8:00 am SOPHE Member Orientation & Snapshot & Meeting Mentoring Kick-off Alvarado B 

7:00 am – 8:00 am SOPHE Professional Development Committee Meeting Q-Bar 

7:00 am – 8:00 am NACDD/ACHIEVE Meeting Alvarado A 

7:00 am – 8:30 am Continental Breakfast NE Atrium 

7:00 am – 8:00 am Wellness Challenge – Whole Body Movement Class Fireplace 

7:00 am – 8:00 am Wellness Challenge – Being Well Relaxation Exercise Class Outside 

7:00 am – 8:00 am Exhibits/Posters Open NE Atrium 

7:30 am – 8:00 pm Silent Auction Open NE Atrium 


8:15 am – 8:30 am Opening Remarks/Welcome Alvarado EFGH 

8:30 am – 9:30 am Keynote Address/Plenary I Session 

Ursula Bauer, PhD, MPH – Director, CDC National Center for 

Chronic Disease Prevention & Health Promotion 

9:30 am – 10:00 am BREAK NE Atrium 

10:00 am – 1:00 pm NCADD Academy Workshops 

WS 1 (Part I): Developing a Quality Assurance/Quality Improvement 

Framework for Evidence-based Programs 

WS 2 (Part I): Strategic Leadership in Chronic Disease 

WS 3 (Part I): People, Policy and Politics: Opportunities for the Future 

TBD 

Potters 

Weavers 

56 


WS 4 (Part I): Developing and Managing Strategic Partnerships and Coalition in 

a Systems Change World 

WS 5A: How Health Departments Work and How to Work with Health 

Departments in Creating Healthy Schools 

WS 6A: Introduction to Type 2 Diabetes Prevention and Control for Health 

Educators 

WS 7A: Telling your Story: The Publication Journey Begins Here! 

Turquoise 

Alvarado B 

Fireplace 

Alvarado C 

1:00 pm – 1:30 pm BOX LUNCH PICK-UP NE Atrium 

1:15 pm – 2:00 pm SOPHE All Member Town Hall Alvarado E 

1:00 pm – 2:00 pm NACDD Annual Business Meeting Lunch (Do not pick up a box lunch) Q-Bar 

2:00 pm – 6:00 pm Continuation of NACDD Academy Workshops 

WS 1 (Part II): Developing a Quality Assurance/Quality Improvement 

Framework for Evidence-based Programs (ends at 5:00 pm) 

WS 2 (Part II): Strategic Leadership in Chronic Disease (ends at 6:00 pm) 

WS 3 (Part II): People, Policy and Politics: Opportunities for the Future (ends at 

5:00 pm) 

WS 4 (Part II): Developing and Managing Strategic Partnerships and Coalition 

in a Systems Change World (ends at 5:00 pm) 

WS 5B: LGBT 101: Seeking Cultural Competency=Knowledge + Sensitivity + 

Action (ends at 6:00 pm) 

WS 6B: Using Storytelling to Promote Diabetes Prevention and Control in 

Vulnerable Populations (ends at 5:00 pm) 

WS 7B: The Power of Systems Thinking: Building Short Term Momentum in 

Service of Long Term Goals (ends at 6:00 pm) 

TBD 

Potters 

Weavers 

Turquoise 

Alvarado B 

Fireplace 

Alvarado C 

5:00 pm- 6:00pm SOPHE Leadership/NACDD Leadership SCRIPT Reception (By Invitation) TBD 

6:00 pm -8:00 pm Albuquerque Fiesta: Opening Gala Reception 

NE Atrium 

Featuring Poster Session with Authors & Exhibitors 

TUES/ MAY 3 

7:00 am – 5:00 pm Registration/Hospitality/CEU Desks North Atrium 


7:00 am – 8:15 am Wellness Challenge – Whole Body Movement Class Fireplace 

7:00 am – 8:00 am Wellness Challenge – Being Well Relaxation Exercise Class Outside 

7:00 am – 8:15 am Poster Promenade NE Atrium 

7:00 am – 8:15 am SOPHE Faculty CoP Christobal’s 

7:00 am – 8:15 am SOPHE Student/New Professional CoP Alvarado A 


8:00 am – 4:00 pm Exhibits/Posters/Silent Auction Open NE Atrium 

NACDD Academy Workshops (1½ day - Seating limited – must have ticket) 

8:30 am – 5:00 pm WS 8 (Day 1): Re-Imagining the Box: Critical Thinking and Problem Solving in 


8:30 am – 3:00 pm WS 9 (Day 1): Creating a More Integrated and Sustainable Chronic 

Disease Program 

Turquoise 

Weavers 

8:30 am – 10:00 am Concurrent Sessions – A 

AI — Ecological Approaches to Wellness: Integrating Community Health 

Workers into Health Promotion Programs 

AII — Improving and Evaluating Capacity for Change 

AIII — Tobacco National Networks and Tribal Support Centers: Sharing 

AIV — Partnering for Health: Creating and Sustaining Action-Learning 

Collaboratives with Key Stakeholders (SOPHE Leadership Development Session) 

Alvarado A 

Alvarado B 

Alvarado C 

Potters 

10:00 am – 10:30 am BREAK NE Atrium 

10:30 am – 12:00 pm Concurrent Sessions – B 

BI — Regional Approaches to Reducing Health Disparities: Partnering 

to Promote Healthy Aging 

BII — Under the Diabetes Umbrella: Improving Prevention, Intervention, 

and Care 

BIII — Addressing Tobacco Related Disparities: Strategies for Communities 

BIV — Using Health Communication Campaigns to Build Healthy Communities 

Alvarado A 

Alvarado B 

Alvarado C 

Potters 

12:00 pm – 1:30 pm Networking Box Lunch Alvarado EFGH & 

Garden Area 

1:30 pm – 3:00 pm Concurrent Sessions – C 

CI — Preventing Chronic Disease through Collaboration, Communication, and 


CII — Working to Create Healthy Communities at the National and Local Level 

Through Policy, Systems and Environmental Approaches 

CIII — Culture matters! Addressing cancer risk at the community level 

CIV — Improving Health through Collaborative Change 

Alvarado A 

Alvarado B 

Alvarado C 

Potters 

3:00 pm – 3:15 pm BREAK NE Atrium 

58 


3:15 pm – 4:45 pm Plenary II Alvarado EFGH 

Weaving New Multi-Cultural Approaches to Diabetes Prevention & Control 

Presenters: 

»» 

Hector Balcazar, PhD, M.S., Regional Dean and Professor, University of Texas School 

of Public Health, El Paso Regional Campus 

»» 

Leonard Jack, Jr. PHD, MSc, CHES, Director, Center for Minority Health, Health Disparities 

»» 

Research & Education, Xavier University of Louisiana 

»» 

Alexis M. Williams, MPH, CHES,Public Health Advisor,National Diabetes Education 

Program,Centers for Disease Control and Prevention 

»» 

Dorinda Wiley-Bradley, RN, CDE, Diabetes Nurse Educator, Albuquerque Indian 

Health Center, Albuquerque Service Unit 

6:00 pm – 10:00 pm Albuquerque Fiesta II: Dinner Outing at Seasons 

(Walking Distance from hotel) – Optional (By Ticket) 

WED / MAY 4 

7:15 am – 8:15 am Coffee Service NE Atrium 

7:30am – 3:00pm Registration/Hospitality/CEU Desks North Atrium 

7:30am – 8:30 am SOPHE 2011 Annual Meeting Planning Committee Meeting Q-Bar 

7:30am – 8:30 am Wellness Challenge – Being Well Relaxation Exercise Class Fireplace 

7:30 am – 8:15 am Wellness Challenge – Albuquerque NACDD ACHIEVE team 

leads walking tour through Old Town 

Lobby 

7:30 am Exhibits/Posters/Silent Auction Open NE Atrium 

NACDD Academy Workshops (1½ day - Seating limited – must have ticket) 

8:00 am – 11:00 am WS 8 (Day 2): Re-Imagining the Box: Critical Thinking and Problem Solving in 


8:30 am – 10:30 am WS 9 (Day 2): Creating a More Integrated and Sustainable Chronic 

Disease Program 

9:00 am Silent Auction Closes (No More Bids After 9:00 am) 

Turquoise 

Fireplace 

9:00 am – 10:30 am Concurrent Sessions - D Alvarado A 

DI — Emergency Preparedness/Environmental Health 

DII — Changing Systems for Community Health 

DIII — Making Connections: Multifaceted Approaches to Mental Health 

DIV — Prioritizing Vulnerable Populations: Sharing Visions and 

Strategies to Reduce Health Disparities 

DV — REACH/MNO: Leading Minority Communities in 

Managing Diabetes 

Alvarado A 

Alvarado B 

Alvarado C 

Alvarado D 

Alvarado E 


10:00 am Silent Auction Winners Posted North Atrium 

10:30 am – 11:00 am BREAK/Hotel Check out 

11:00 pm – 12:30 pm Plenary Session III Alvarado EFGH 

Health Reform 911: Weaving a Tapestry for Change 

from the State Capitals’ Perspective 

Presenters: 

»» 

Anthony G. Brown, Lt. Governor of Maryland 

»» 

Martha King, National Conference of State Legislatures 

12:30 pm – 12:45 pm Closing – Conference Wrap-Up Alvarado EFGH 

12:30 am - 3:00 pm Exhibits & Posters Break Down NE Atrium 

1:00 pm – 5:00 pm SOPHE Health Equity Grant Meeting Fireplace 

60 


Hotel Floor Plan 

Grand Pool 

Area 

EXHIBIT & PRE-FUNCTION SPACE 

Cabana 

NORTH ATRIUM 

EAST ATRIUM 

SOUTH ATRIUM 

WEST ATRIUM 

4,740 sq ft 

3,660 sq ft 

2976 sq ft 

2048 sq ft 

Chapel 

Plaza 

Fountain 

Plaza 

Business 

Center 

Arbor 

Fitness 

Room 

Turquoise 

Room 

Weavers 

Room 

Potters 

Room 

Portal 

Rosemary 

Garden 

Portal 

Pavilion 

Fireplace 

Room 

Juniper 

Garden 

Portal 

West 

Atrium 

Portal 

N orth 

triu m 

A 

h 

A 

B 

C 

East 

Atrium 

EXHIBIT & PRE-FUNCTION 

D E F 

Alvarado Ballroom 

G 

H 

Sout 

Atrium 

To Old Town 

Cristobal’s 

Kitchen 

Cafe 

Plazuela 

Grand 

Sala 

Retail 

Q-Bar 

Gallery 

Q-Bar 

Banquet 

Kitchen 

Ramp 

Vehicle 

Loading 

Ramp 

Franciscan 

Ballroom 

Entry 

Top 10 things to do in Albuquerque! 

1. Historic Old Town Plaza 

2. National Hispanic Cultural Center 

3. Indian Pueblo Cultural Center 

4. Albuquerque Museum of Art and History 

5. New Mexico Museum of Natural History and Science 

6. Albuquerque Zoo and Bio Park 

7. Petroglyph National Monument 

8. International Hot Air Balloon Fiesta and Museum 

9. Day Trip to Acoma Pueblo 

10. Albuquerque Trolley Tour 

Photo Credits 

Kim Ashley 

Ron Behrmann 

Jeff Greenberg 

Michael Hayes 

itsatrip.org 

MarbleStreetStudio.com 

newmexicostock.com 

Steps Dance Academy

SAVE THESE IMPORTANT DATES 

»» 

JUNE 23–25, 2011 

APHA Midyear Meeting on Health Reform | Chicago, Illinois 

In collaboration with SOPHE and other partners 

»» 

SEPTEMBER 11–14, 2011 

Indiana/NACDD Chronic Disease Academy | Indianapolis, Indiana 

»» 

OCTOBER 27–29, 2011 

SOPHE 62nd Annual Meeting | Washington, DC 

»» 

FEBRUARY 14–16, 2012 

2012 CDC National Cancer Conference | Atlanta, Georgia 

In collaboration with NACDD 

»» 

MARCH, 3–5 2012 

15th Annual Health Education Advocacy Summit | Washington, DC 

In collaboration with SOPHE, NACDD and the Coalition of National Health 

Education Organizations 

» » OCTOBER 25–27, 2012 

SOPHE 63rd Annual Meeting | San Francisco, California

to view the program - Society for Public Health Education

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