| POW Number: 5.I |
July 1, 2002
|
POW Title: Healthy People/Healthy Communities
Situation Statement:
Well-informed people, working together in an inclusive community-based process, can make a difference in the safety, health, and quality of life of community members. Healthy community efforts consider a range of factors including education, housing, employment, job skill training and retraining, public transportation, recreational opportunities, healthy and clean environments, personal safety, and access to safety and health education and preventive services. Thus, efforts to improve community health should utilize a community development model that seeks to engage business and industry, government, service organizations, safety and healthcare systems and providers, healthcare payers, and citizens in community decision-making processes that strengthen these basic building blocks of healthy communities.
The State Health Improvement Plan (SHIP) being implemented by the PA Department of Health, offers important opportunities for the Healthy People/Healthy Communities POW. The SHIP initiative is intended to encourage the formation of community health partnership efforts that use data and information to (1) assess community assets and needs, and (2) develop a plan to address key community health issues and concerns. The Sub-POW "Building Healthy Communities" provides opportunities to engage Cooperative Extension in the formation and implementation of community health partnership activities that target healthy community objectives.
Penn States Cooperative Extension state health education agenda will promote the capacity of individuals, families, and communities to increase healthy personal and lifestyle choices and wise consumer decisions. The program will also strengthen community leadership and involvement in tailoring local health and educational infrastructures to meet community needs. This agenda will be accomplished through linking research, education, and outreach available to Cooperative Extension through its land-grant system, in partnership with both public and private health and human service agencies and consumer groups.
Americans are now gaining a greater appreciation for the role prevention plays in terms of the quality of life, and in terms of dollars spent, because many acute injuries and chronic diseases are preventable or controllable. With an emphasis on prevention, the individual must make important decisions regarding personal and lifestyle choices such as choosing not to smoke and managing injury and illness risk. Injury, illness, and disease prevention and promotion require access to health and safety education and primary care.
To assist in the development of action plans, community decision-makers, citizens, health professionals, safety professionals and others must understand and demonstrate competencies in the application of health and safety data, including incidence reporting and comparative statistics. As communities face budget constraints, there is a need to build partnerships and collaborations with other organizations. For example, a partnership between public health and extension is one way of maximizing resources, combining expertise, and involving citizens in both community and individual decision-making.
Target audiences include:
SUB POW: 5.I.1. Preventing and Controlling Farm Work Hazards and Injury
Objective: 5.I.1.1. To increase understanding of how to minimize and control farm work site hazards and risks through extension farm safety programs.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Special Indicators (suggested by the POW team):
- Percent of participants completing evaluation cards who indicate an improvement in their understanding or awareness of the specific hazards discussed during the program*.
- Percent of participants completing program evaluation cards who indicate they learned at least two new facts about farm safety or hazards from the program*.
- Percent of participants completing program evaluation cards who agreed that the program helped to meet their farm safety education needs*.
- Percent of participants completing program evaluation cards who agreed that they would recommend the program to others*.
- Number of participants who implement one or more safety recommendations from participation in a safety program**.
Objective: 5.I.1.2. Provide leadership and coordination for farm safety programs for youth.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Special Indicators (suggested by the POW team):
- Number of youth who participated in a youth farm safety activity in which extension provided coordination only*.
- Percent of participants completing program evaluation cards who indicate an improvement in their understanding of the specific hazards discussed during the program*.
- Percent of participants completing program evaluation cards who indicate they learned at least two new facts about farm safety or hazards from the program*.
- Percent of participants completing program evaluation cards who agreed that the program helped to meet their farm safety education needs*.
- Percent of participants completing program evaluation cards who agreed that they would recommend the program to others*.
Objective: 5.I.1.3. To provide farm safety training to those with disabilities.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Objective: 5.I.1.4. To provide leadership and coordination for farm safety programs for minority and under served populations.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of farm-workers who received farm safety training by extension professionals*.
Special Indicators (suggested by the POW team):
- Number of Amish farm workers who received farm safety training by extension professionals*.
- Number of new extension farm safety materials developed or converted by extension to non-English formats to reach under served populations*.
Objective: 5.I.1.5. To support PAgricultural Rescue courses as the means for providing volunteer emergency service providers (firemen, EMTs, rescuers, etc.) with farm emergency response training.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Special Indicators (suggested by the POW team):
- Number of PAgricultural Rescue training programs that are conducted***.
- Number of PAgricultural Rescue training programs that are supported by cooperative extension*.
Objective: 5.I.1.6. To increase knowledge about community-level effects and impacts that farm work injury has on local farm operations, farm families and community well-being.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
*Program and evaluation cards will be provided to collect these indicators.
**A follow-up survey form will be provided for these indicators. A follow-up contact or personal visit will be needed.
***These indicators will be collected from the National Training Center.
SUB POW: 5.I.2. Cancer Prevention and Control
Objective: 5.I.2.1. Participants will recognize risk reduction and early detection practices for breast, cervical, and colorectal cancers learned through coalition sponsored education programs.
Colorectal Cancer Indicators:
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Special Indicators (suggested by the POW team):
- Number of individuals who can identify two ways to reduce colorectal cancer risk such as early detection and dietary change.
- Number if individuals who can identify three foods that might reduce the risk of colo-rectal cancer.
Breast Cancer Indicators:
Output/Outcome Indicators
- Number of participants who attend breast cancer risk reduction programs.
- Number of individuals who call the Extension office looking for breast cancer information.
Special Indicators
- Number of individuals who can identify one way to reduce their breast cancer risk (early detection for the older audience and exercise, diet, and reducing exposure to potential carcinogens for younger audience).
Cervical Cancer Indicators:
Output/Outcome Indicators
- Number of participants who attend cervical cancer risk reduction programs.
- Number of individuals who call the Extension office looking for cervical cancer information.
Special Indicators
- Number of individuals who can identify two ways to reduce cervical cancer risk (early detection, use of condoms).
Objective: 5.I.2.2. Participants will adopt cancer risk reduction and early detection practices learned through cancer coalition sponsored education programs.
Colorectal Cancer Indicators:
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of participants who attend colorectal cancer risk reduction programs.
- Number if individuals who intend to incorporate one new food or one new food preparation practice into their diet within the next month.
Special Indicators (suggested by the POW team):
- Number of individuals who can identify colorectal cancer screening guidelines recommendations of the National Cancer Institute.
- Number of individuals who intend to talk to their physician about colo-rectal cancer early detection in the next month.
- Number of individuals who intend to schedule a colorectal cancer screening in the next month.
- The number of individuals who reported adopting at least one behavior change related to colorectal cancer risk reduction (changed diet, talked to a physician or scheduled a colorectal cancer exam) within three months following the education program.
Breast Cancer Indicators:
Output/Outcome Indicators
- Number of participants who attend breast cancer risk reduction programs.
- Number of individuals who can identify breast cancer screening guidelines recommendations of the National Cancer Institute.
Special Indicators
- Number of individuals who intend to talk to their physician about breast cancer early detection in the next month.
- Number of individuals who intend to schedule a clinical breast exam or mammogram in the next month.
- The number of individuals who reported adopting at least one behavior change related to breast cancer risk reduction (talked to a physician or scheduled a mammogram) within three months following the education program.
Cervical Cancer Indicators:
Output/Outcome Indicators
- Number of participants who attend cervical cancer risk reduction programs.
- Number of individuals who can identify cervical cancer screening guidelines recommendations of the National Cancer Institute.
Special Indicators
- Number of individuals who intend to talk to their physician about cervical cancer early detection in the next month.
- Number of individuals who intend to schedule a PAP test in the next month.
- The number of individuals who reported adopting at least one behavior change related to cervical cancer risk reduction (talked to a physician or scheduled a pap test) within three months following the education program.
Objective: 5.I.2.3. Participants will participate in cancer coalition leadership training to learn skills related to community health and cancer program planning, marketing, and grant-writing, conflict resolution, and program management.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Special Indicators (suggested by the POW team):
- Number of individuals who take leadership responsibility as a result of the education programs or mentoring effort in support of coalition efforts.
Objective: 5.I.2.4. Participants will acquire information and skills from coalition program opportunities that address issues of cancer survivorship and quality of life.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Special Indicators (suggested by the POW team):
- Number of individuals who can identify three financial skills to manage the impact of cancer diagnosis and treatment for their financial well being.
- Number of individuals who intend to engage in the practice of the arts, meditation or other complimentary modalities to improve their quality of life during recovery.
SUB POW: 5.I.3. Prevention of Youth Alcohol, Tobacco, and Other Drug Abuse
Objective: 5.I.3.1. To strengthen community capacity to analyze and take action on youth alcohol, tobacco, and drug (ATOD) prevention issues.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
SPECIAL INDICATORS FOR NIDA PROJECT ONLY:
- Number of communities that develop CES/school collaborations to implement ATOD prevention programs.
- Number of communities that enter into collaborations to implement ATOD prevention programs.
SPECIAL INDICATORS FOR PROSPER PROJECT ONLY:
- Number of communities that develop CES/school collaborations to implement ATOD prevention programs recommend by PROSPER.
Objective: 5.I.3.2. To engage participants to take action on local youth ATOD prevention issues.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Special Indicators (suggested by the POW team):
- The number of youth who indicate they well not use alcohol, tobacco, or other drugs as a result of attending a prevention activity which addresses youth ATOD use.
SPECIAL INDICATORS FOR NIDA PROJECT ONLY:
SPECIAL INDICATORS FOR PROSPER PROJECT ONLY:
- The number of community adults who lead an ATOD prevention program in CES/school collaborations.
- The number of families of middle school youth who participate in one of the PROSPER collaborative/school ATOD prevention programs.
- The number of middle school youth who participate in one of the PROSPER collaborative/school ATOD prevention programs.
- The number of community adults who participate in PSU training to implement the family-based PROSPER collaborative/school ATOD prevention program.
- The number of school personnel who participate in PSU training to implement the school-based PROSPER collaborative/school ATOD prevention program.
Objective: 5.I.3.3. To prevent youth ATOD use, reduce risk factors for youth ATOD use, and increase protective factors that may buffer youth from ATOD use.
SPECIAL INDICATORS FOR NIDA PROJECT ONLY:
SPECIAL INDICATORS FOR PROSPER PROJECT ONLY:
- The extent to which, after participation in one of the PROSPER collaborative/school ATOD prevention programs, program families report increased communication regarding ATOD use, satisfaction with the program, and improved life skill development of youth.
- The extent to which, after participation in one of the PROSPER collaborative/school ATOD prevention programs, program youth report more desirable outcomes regarding ATOD use and knowledge, normative beliefs, attitudes and skills related to ATOD use, relative to control group youth.
- The extent to which, after participation in one of the PROSPER collaborative/school ATOD prevention programs, program youth report improved life skills (i.e., decision-making, relaxation techniques, assertiveness, and personal and social skills), relative to control group youth.
- The extent to which, after participation in one of the PROSPER collaborative/school ATOD prevention programs, program youth report better grades, relative to control group youth.
- The extent to which, after participation in one of the PROSPER collaborative/school ATOD prevention programs, program youth show more desirable school conduct, relative to control group youth.
TOBACCO SETTLEMENT
PREVENTION PROGRAMS
Objective: 5.I.3.4. To increase
youth leadership skills as tobacco prevention advocates.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of youth who participate as tobacco advocates (in BUSTED, ACS Youth Leadership, TATU groups or in school coalitions).
- Number of youth who exhibit at least two leadership skills as tobacco prevention advocates.
Objective: 5.I.3.5. To increase
youth knowledge of the dangers of tobacco addiction and skills to reduce their
risk of addiction.
Output/Outcome Indicators (these indicators will be captured in the database for FY2003)
- Number of youth who participate in the programs.
- Number of youth who can identify two signs of tobacco addiction.
Special Indicators (suggested by the POW team):
- Number of education programs.
- Number of youth who can identify three ways to prevent tobacco use.
Objective: 5.I.3.6. To increase
youth knowledge of the influence of tobacco industry practices to increase the
risk of addiction.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of youth who participate in BUSTED.
- Number of youth who can identify three ways that the tobacco industry misinforms the public to increase tobacco consumption.
Objective: 5.I.3.7. To increase
youth knowledge of tobacco communication strategies and the media.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of youth who work with Extension and media.
- Number of youth who can identify three ways to use media to counter tobacco advertising.
Special Indicators (suggested by the POW team):
- Number of youth who develop tested media messages and strategies for use in the community.
Objective: 5.I.3.8. To increase
local media partners' awareness of tobacco control issues and counter marketing.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of media partners who participate in education programs.
- Number of counter marketing efforts put in place by local media partners.
Special Indicators (suggested by the POW team):
- Number of education programs.
Objective: 5.I.3.9. To increase
awareness of Extension clientele in tobacco control issues through Extension
media efforts.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of clientele who read or listen to Extension media related to tobacco control.
- Number of clientele who can recall three key points related to tobacco smoke pollution in Extension media.
Special Indicators (suggested by the POW team):
- Number of Extension produced media related to tobacco control (number of articles, radio programs, public service announcements, etc.).
Objective: 5.I.3.10. Individuals
who participate in education programs on tobacco smoke pollution will learn
and apply principles of environmental health in their homes, schools, recreational
areas, and worksites.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of program participants who attend Clean Air education programs.
- Number of program participants attending Clean Air education programs who incorporate the information into additional tobacco education efforts within three months of training.
Special Indicators (suggested by the POW team):
- Number of Clean Air or tobacco smoke pollution education programs.
- Number of business owners, day care providers, teachers, school administrators and other local leaders who attend Clean Air or tobacco smoke pollution education programs.
- Number of business owners, day care providers, teachers, school administrators and other local leaders who attend Clean Air education programs and report that their homes, schools, recreational areas, and worksites are smoke free three months following the program.
- Number of smokers who attend tobacco smoke pollution education programs.
- Number of smokers or family members of smokers who report their home is smoke free three months following the program.
- Number of participants who can identify three ways that tobacco smoke pollution effects human health.
- Number of participants who can identify the primary requirements of the Clean Air Act and two repercussions for those who break the laws related to this act.
Objective: 5.I.3.11. Educators
who participate in tobacco control curriculum training will learn and apply
principles of effective prevention education for youth.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of participants in curriculum training programs.
- Number of participants who implement a research-based model curriculum as a result of the program.
Special Indicators (suggested by the POW team):
- Number of education programs.
Objective: 5.I.3.12. Parents
and family members who participate in tobacco control training and activism
opportunities will learn and apply principles of effective prevention education
for youth.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of participants in training and activism programs.
- Number of participants who are actively engaged in a community tobacco initiative at least 3 months after the training.
Special Indicators (suggested by the POW team):
- Number of education programs.
Objective: 5.I.3.13. Individuals
who participate in education programs on tobacco enforcement will practice compliance
within their businesses.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of participants attending tobacco enforcement programs.
- Number of trained merchants and staff who report compliance (requesting ID's) three months following training.
Special Indicators (suggested by the POW team):
- Number of education programs.
- Number of trained merchants and staff who report compliance using warning signs.
- Number of trained merchants and staff who report compliance with limited self service displays.
- Number of trained merchants and staff who report compliance limiting tobacco vending machines.
Objective: 5.I.3.14. Individuals
who participate in cessation education programs will learn and apply effective
cessation strategies to quit smoking.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of participants in cessation programs.
- Number of participants who quit smoking and stay quit after three months.
Special Indicators (suggested by the POW team):
- Number of programs.
- Number of pregnant or young mothers who participate in cessation programs.
Objective: 5.I.3.15. Individuals
who participate in cessation education programs will learn and apply clinical
cessation guidelines or cessation programs within their worksites.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of participants who attend cessation programs.
- Number of new free cessation programs generated within community, by those trained.
Special Indicators (suggested by the POW team):
- Number of programs.
- Number of worksites that implement PHS Clinical Guidelines for tobacco cessation, as a result of this program.
- Number of worksites that implement Clean Air for Healthy Children program.
Objective: 5.I.3.16. Individuals,
and their organizations, who develop and implement chronic disease prevention
programs will engage in partnership efforts to control tobacco use within schools,
worksites, and other community venues.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of participants from chronic disease organizations who engage in partnership with Extension educators for tobacco control.
- Number of programs implemented by these partnerships.
SUB POW: 5.I.4. Preventing Teen Pregnancies
Objective: 5.I.4.1. Participants will adopt healthier lifestyles by reducing high risk sexual behaviors and taking responsibility for their health related decisions.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Special Indicators (suggested by the POW team):
- Number who completed evaluation tool.
Objective: 5.I.4.2. To form community coalitions of guidance counselors, health educators, parents and peer counselors to address and seek needed resources for teen pregnancy prevention education programs.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Objective: 5.I.4.3. Participants will be able to provide youth with a basic comprehensive workshop/information on sexuality including sexual development and decision making; empowering the young girls positive self-esteem and acceptance of sexuality.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of participants.
- Number of youth participants who are able to describe positive feelings about their sexuality.
Special Indicators (suggested by the POW team):
- Number who completed evaluation tool.
- Number of youth participants who are able to identify two common risky sexual behaviors and two less risky alternatives.
Objective: 5.I.4.4. Participants will participate in discussions on decision making, dealing with peer pressure, developing personal goals, clarifying their personal and family values, and be able to identify and choose alternatives to pregnancy and childbearing through access to vocational training, academic tutoring, community involvement, employment , peer counseling and community service.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Special Indicators (suggested by the POW team):
- Number who completed evaluation tool.
- Number of youth being able to identify alternatives to pregnancy and early childbearing.
- Number of youth who are involved in community service activities.
SUB POW: 5.I.5. Building Family/Community Awareness and Capacity for Stress Control
Objective: 5.I.5.1. Participants will be able to identify stressors.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Special Indicators (suggested by the POW team):
- Number who completed evaluation tool.
Objective: 5.I.5.2. Participants will be able to strengthen and develop stress coping skills.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Objective: 5.I.5.3. Participants will be able to implement stress coping skills.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Sub-POW: 5.I.6. Educate the Public About Reducing Pesticide Exposures
Objective: 5.I.6.1. To increase the program participants knowledge and understanding of non-chemical pest controls.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Special Indicators (suggested by the POW team):
- Number who completed evaluation tool.
- Number who can identify at least three ways that non-chemical pest control can be practiced in their home environment.
- Number who can list at least two ways that reducing amount and toxicity of pesticides used can help promote non-chemical pest control.
- Number who indicate they will change personal practices and select an increased amount of non-chemical pest control methods.
Objective: 5.I.6.2. To be able to identify practices to reduce pesticide exposure.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Special Indicators (suggested by the POW team):
- Number who can list four routes of pesticide exposure.
- Number who indicate an improvement in their understanding or awareness reducing their exposure to pesticides.
- Number who can list three ways to reduce pesticide exposure.
- Pesticide applicators and workers regulated by the Worker Protection standard who can list the basic training, personal protective equipment and decontamination facilities requirements required by the regulation.
- Number of program participants that indicate they will change personal practices to help reduce pesticide exposure.
Objective: 5.I.6.3. To be able to identify methods to protect the environment from pesticides.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
Special Indicators (suggested by the POW team):
- Number of program participants who are able to list four methods of preventing unnecessary pesticide exposure to the environment.
- Number of program participants who are able to list three potential pesticide threats to wildlife.
- The number of program participants that indicate they will change personal practices to help reduce potential pesticide exposure to the environment.
SUB POW: 5.I.7. Prevention and Control of Zoonotic Diseases
Objective: 5.I.7.1. Participants will increase their awareness and understanding of how to prevent and control agricultural, environmental and pet-related zoonotic diseases (diseases transmitted from animals to humans).
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of participants.
- Number of participants who increase their awareness and understanding of zoonotic diseases.
Special Indicators (suggested by the POW team):
- Number of participants who received education on agricultural zoonotic diseases by extension professionals.
- Number of participants who received education on pet-related zoonotic diseases by extension professionals.
- Percent of participants completing evaluation forms who indicate an improvement in their understanding or awareness of zoonotic diseases discussed during the program.
- Percent of participants completing program evaluation forms who indicate they learned at least two new facts about zoonotic diseases from the program.
- Percent of participants completing program evaluation cards who agreed that the program has met their zoonotic diseases education needs.
SUB POW: 5.I.8.
Extension's Role in Emergency Response
Objective: 5.I.8.1. Participants (including agencies, organizations, and other community groups who address emergency preparedness issues) will increase their awareness and understanding of how to prepare to respond to "Homeland Security" emergencies within a community.
Output/Outcome Indicators (These indicators will be captured in the database for FY2003):
- Number of participants.
- Number of participants who increase their awareness and understanding of emergency response preparation.
Special Indicators (suggested by the POW team):
- Number of participants who develop a plan to follow in the event of an emergency.
- Number of agencies, organizations, and/or community groups that develop a plan to follow in the event of an emergency.
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