Academic-Community Collaboration to Improve Child Health and Wellness in Schools of Underserved Communities 1, Todd Barnett 2, and Anna Volerman, MD 3 Sarah Kennedy, MEd 1 University of Chicago Pritzker School of Medicine, 2 University of Chicago Charter School, 3 University of Chicago Departments of Medicine and Pediatrics Background Specific Aims • Over the last decade, the rate of childhood obesity in the US has tripled to 16. 8%1 –Chicago Public School students are more overweight on average (figure 1) –On the South Side of Chicago, the rate of overweight and obese is 56. 4% among non-Hispanic, black students 1 • Low income limits food choice • There is little funding to promote health in schools • Urban, African American families report they do not have information regarding child health 2 • To take inventory of the health education assets at each of the school’s four campus and share best practices among them • The University of Chicago Charter School (UCCS) is a non-selective public charter school on Chicago’s South Side 3 – 4 campuses with 1, 900 students in pre th grade -kindergarten to 12 – 96. 7% are African American – 82% qualify for free or reduced price lunch – 100% of graduates accepted to college for last four years (2012 -2015) Figure 1. Overweight or obesity prevalence among Chicago Public Schools students 4 Carter G. Woodson (6 -8) N. Kenwood/ Oakland (Pre. K-5) Woodlawn (6 -12) Conclusions UCCS-UCM Health and Wellness Consortium Planning 2014 – 2015 • The needs assessment allowed the consortium to identify existing assets and gaps in health and wellness across the school’s four campuses Members brainstorm and discuss current status of health and wellness • To identify programming needs for building a wellness-conscious school culture that promotes educational success • Shifts in school culture are slow and must be implemented in small, manageable pieces with buy-in from leaders Budget prepared Health and wellness consortium formed • To reduce health disparities faced by the underserved population at these school campuses Spring 2015 Health and wellness policy written Medical students conduct wellness assessment at all campuses and model school (figure 2) Methods Family wellness night Annual implementation plan written • Bringing all stakeholders to the table in academic-community collaborations is crucial to success Fall 2015 • This innovative academic-community collaboration effort has fostered a stronger relationship between the academic medical center and its surrounding underserved communities Preventive health 5 K run / walk Nutrition • Health and Wellness Consortium developed in summer 2014 Strict food policy Physical activity and education –Physicians, residents, and medical students from University of Chicago Medicine + school administrators, nurses, and physical education and health teachers Social and emotional well-being Reproductive health –Monthly meetings to foster collaboration –Aim to develop, implement, and assess programs related to wellness • Pritzker School of Medicine students created and implemented a targeted school wellness tool Donohue (Pre. K-5) Results –Adapted from validated assessments School Health Index 5 and Well. SAT 6 –Completed assessment based on direct observation and discussion with teachers, administrators, and students Health education Movement activities in class • Next steps are focused on implementation, including identifying priority areas, securing funding, building upon community resources to implement the wellness plan incrementally Professional development for PE and health teachers Staff wellness initiatives Staff wellness Figure 2. Selected results from targeted wellness assessment tool implemented at each charter school campus and a local model school Acknowledgements • • Outside food policy Physical education UCCS Model school No formal policy Strict policy listing allowable healthy snacks that may be brought for special occasions Two 60 minute PE classes per week Daily for 60 minutes –Visited each of the four campuses during school day Provided for high school students for one trimester; taught by physical Integrated into morning routine in every Health education teacher when possible for classroom, pre. K to 8 th grade other grades –Also visited model school for wellness programming in Chicago Recess structure Unregulated after lunch Activity stations before lunch • This project was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health through Grant Number UL 1 TR 000430. We thank the faculty, staff and administration at each campus for generous assistance in survey completion. Special thank you to all members of the Health and Wellness Consortium in its inaugural year in 2014 -2015. References 1. Margellos-Anast H, Shah AM, Whitman S. Prevalance of Obesity Among Children in Six Chicago Communities: Findings from a Health Survey. Public Health Rep. 2008; 123(2): 117 -125. 2. Burnet DL, Plaut, AJ, Ossowski K, Ahmad A, Quinn MT, Radovick S, Gorawara. Bhat R, Chin MH. Community and Family Perspectives on Addressing Overweight in Urban, African-American Youth. J Gen Intern Med 2008; 23(2): 175 -179. 3. UChicago Charter School. The University of Chicago Urban Education Institute. http: //www. uchicagocharter. org. Accessed Sept 28, 2014. 4. Jones, RC, Morita J, Ramirez E, Bocskay KA, Lakhani A, Lionberger A, Harvey. Gintoft BC. Whyte S. Overweight and Obesity among Chicago Public Schools Students, 2010 -11. City of Chicago, 2013. 5. Centers for Disease Control and Prevention. School Health Index: A Self- Assessment and Planning Guide. Elementary school version. 2012. 6. Yale University Rudd Center for Food Policy & Obesity. Well. SAT: Wellness School Assessment Tool. 2013.
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