U.S. Department of Health and Human Services National Institutes

U.S. Department of Health and Human Services National Institutes of Health A National Obesity-Prevention Program Developed by the National Institutes of Health Your Logo Here National Heart, Lung, and Blood Institute National Institute of Diabetes and Digestive and Kidney Diseases National Institute of Child Health and Human Development National Cancer Institute 1

A national education program targeting youth, ages 8–13, and their parents and caregivers in home and community settings to meet the overall goal of preventing overweight and obesity. Turn key! Science-based program for the entire community Flexible! Variety of settings Fosters collaboration! 2

A National Collaboration We Can! is a collaborative effort of four Institutes within the National Institutes of Health (NIH): National Heart, Lung, and Blood Institute (NHLBI) National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) National Institute of Child Health and Human Development (NICHD) National Cancer Institute (NCI) 3

Why We Can! National trends and statistics show alarming changes in: Overweight and obesity rates Calorie intake Food and beverage consumption Television viewing 4

Percentage of U.S. Children and Adolescents Who Are Overweight* 20 18 16 14 12 10 8 6 4 2 0 17 16 19 17 17.6 17 15 11 5 4 1963-65; 1966-70 6 4 19711974 7 5 Ages 6-11 Ages 12-19 19761980 19881994 19992000 20012002 20032004 20032006 * 95th percentile for BMI by age and sex based on 2000 CDC BMI-for-age growth charts **Data are from 1963-65 for children 6-11 years of age and from 1966-70 for adolescents 12-17 years of age Source: National Center for Health Statistics 5

Trends in Overweight* for Children (2-19 Yrs) 25 20 % 15 10 5 0 1999-2000 All (2-19Yrs) 2001-2002 Non-Hispanic White 2003-2004 Non- Hispanic Black 2003-2006 Mexican American *BMI 95th percentile of BMI-for-age, 2000 CDC growth charts Source: NHANES 1999-2004 Ogden et al. JAMA 2006. 6

Why the Increase? Multiple causes Lifestyle, environment, and genes Bottom line ENERGY BALANCE (calories and physical activity) More calories consumed Larger food portions and sizes Eating out more often Increases in soda, pizza, and candy consumption Fewer calories being used up Declines in physically activity Increases in sedentary lifestyle and screen time Computers and television time 7

Food Away From Home Between 1970 and 1995 Between the late '70s and mid '90s Food away from home went from 25% of food spending to 45% Contribution of calories from food awayfrom-home went from 18% to 34% Away from home foods shown to be higher in fat and lower in fiber and calcium than home foods SOURCE: USDA data, Lin et al., AG Bull 750, 1999 8

from 1977-78 Beverages, Children 6-11 Years Old Milk Soda 431 Milk -39% 54% grams Fruit juice 261 258 109 Fruit drinks 69% 2001-02 137% Carbonated soda % decrease 1977-78 0% % increase SOURCE: L. Cleveland USDA; NFCS 1977-78 and WWEIA, NHANES 2001-02, 1 day 9

from 1977-78 Other Foods, Children 6-11 Years Old 320% Savory grain snacks 180% Candy 144% Grain mixed dishes 425% Pizza Vegetable -43% Fried potato % decrease 18% 0% % increase SOURCE: L. Cleveland USDA; NFCS 1977-78 and WWEIA, NHANES 2001-02, 1 day 10

TV Viewing, 6-11 Years, per Day 80 Percent 70 60 50 40 30 20 10 0 2 hours 1988–94 3 hours 1999–00 2001–02 SOURCE: NHANES II, NHANES III, NHANES 1999-2000 11

Prevalence of Obesity by Hours of TV/Day NHES* Youth Aged 12–17 in 1967–1970 NLSY** Youth Aged 10–15 in 1990 35 30 25 20 15 10 5 0 0-1 1-2 2-3 3-4 NHES 1967-70 4-5 5 or more NLSY 1990 *NHES National Household Education Surveys **NLSY National Longitudinal Survey of Youth From http://www.cdc.gov/nccdphp/burden pres/bcd 30.htm 12

Development of We Can! We Can! was developed based on Recommendations from an NIH strategy development workshop A review of science-based literature An environmental scan to review other work on overweight and obesity Lessons learned from Hearts N’ Parks 13

Strategy Development Workshop Convened at NIH in February 2004 with more than 70 leading researchers, public health experts, nutritionists and dietitians, youth marketing experts, and community center representatives from around the country. Online at www.nhlbi.nih.gov/health/p rof/heart/obesity/hwcoi/ 14

Review of Science-Based Literature Review of latest science, including Peer reviewed journals to select target audience, behavioral objectives, and intervention settings NIH 2004 workshops on obesity prevention 2004 Institute of Medicine Report (IOM) Preventing Childhood Obesity: Health in the Balance Final review by IOM panel members and other leading scientists 15

Environmental Scan A review of more than 50 Federal and non-Federal programs addressing overweight and obesity at the national level Captures project descriptions, objectives, partners, target audiences, topics, locations, and components per program Also tracks Federal planning initiatives (e.g., NIH Obesity Research Task Force) and non-Federal initiatives (e.g., IOM Committee on Prevention of Obesity in Children and Youth) Confirms need for emphasis on parents Provides valuable list of potential We Can! partnerships for collaboration to reach youth, physicians, and other key audiences 16

Lessons Learned From 50 Magnet Centers in 11 States Annual increases in the number of programs implemented Annual increases in the number of youth and adults reached Changes in participant knowledge, attitudes, and behavioral intent Magnet Center feedback Positive experience Need for increased focus on parents and families Need to provide better linkages between physicians and community resources Evaluation component highly valued Demonstrates existing community-based capacity to address overweight and obesity Shows need to target parents/primary caregivers Provides helpful feedback for materials development, channels and possible messages 17

We Can! Program Description Target Audiences: Parents and Youth Behavioral Objectives Intervention Settings 18

Parents/Primary Caregivers Studies show parents as effective change agents concerning obesity. The home is a primary source of nutrition for children. Parents can act as effective role models for youth. Parents are asking for resources. Relatively few programs are targeting families and the home environment. 19

Youth Ages 8-13 National survey data show 17% of children and youth as overweight. A high likelihood of obesity transfer from adolescence into adulthood. Health consequences associated with obesity. Heart disease Asthma High blood pressure Type 2 diabetes Many more! Public health environment looks amenable to change concerning youth audiences. 20

Behavioral Objectives Youth Ages 8–13 Choose a sufficient amount of a variety of fruits and vegetables per day. Limit intake of high-fat foods and energy-dense foods that are low in nutrients. Control portion sizes of foods consumed. Substitute water, fat-free milk, or low-fat milk for sweetened beverages. Engage in at least 60 minutes of moderate physical activity on most, preferably all, days of the week. Reduce sedentary activity by limiting screen time to no more than 2 hours per day. Parents/Primary Caregivers Increase the availability and accessibility of healthy foods in the home. Limit the availability and accessibility of sweetened beverages and highfat, high-density/low-nutrient-value foods in the home. Control portion sizes of foods consumed. Support and enable family physical activity. Support and enable reduced screen time. 21

Intervention Settings Home “A child’s health and well-being is fostered by a home environment with engaged and skillful parenting that models, values, and encourages sensible eating habits and a physically active lifestyle.” – IOM 2004 Community “Local governments, public health agencies, schools, and community organizations should collaboratively develop and promote programs that encourage healthful eating behaviors and regular physical activity, particularly for populations at high risk of childhood obesity.” – IOM 2004 – IOM 2004 22

We Can! Program Elements Community Outreach Media and Consumer Outreach Program Resources and Channels Partnership Outreach 23

Community Outreach 24

Community Outreach More than 1,170 communities across the country and around the world have signed up for We Can!. In coordination with these efforts, we are implementing Programs with youth ages 8 to 13 Programs with parents of youth ages 8 to 13 Community events 25

Look who We Can is reaching out to! Clinicians Educators Parks and recreation department staff County extension agents Dieticians Coaches Occupational health professionals Public health professionals 26

Community Site Update A total of 1,172 Community Sites have signed up for We Can! in all 50 states, the District of Columbia, Puerto Rico, the Northern Mariana Islands, the Virgin Islands, and 11 other countries (Antigua and Barbuda, Australia, Bangladesh, Canada, Fiji, Greece, India, Israel, Nigeria, the Philippines, and Uganda). Demonstrating program flexibility, adaptability and value, Sites represent a diversity of implementation settings, from schools and park and recreation departments to hospitals, health systems and public health departments (12 different settings in total). 27

116 Intensive Community Sites **A Founding We Can! Intensive Community Site State City Description AL Birmingham Health Education Linkage Programs (Project HELP) USA AL Birmingham Bethel Community Learning Center AL** Statewide Statewide coalition led by the State Department of Health in partnership with the Department of Education AZ Cottonwood Cardiac Care AZ Glendale Child Obesity Center AZ Nogales University of Arizona COOP Extension CA Los Angeles Drive Kids to Be Fit CA Norco Alvord United School Distirct CA Northridge North Valley YMCA CA San Diego Ellen Browning Scripps Elementary School CA South Lake Tahoe Parks and Recreation CA Whiteriver White Mountain Apache Health Education CO Centennial Integrated Health Center CO Greeley Sunrise Community Health Center CO Thornton Explore Elementary School CT Stamford Stamford Hospital DC Washington Chartered Health Plan DC Washington Corder Pounders Fitness and Nutrition FL Fort Lauderdale Vital For Life, Inc. 28

116 Intensive Community Sites (cont.) **A Founding We Can! Intensive Community Site State City Description FL Indialantic MIMA FL Jacksonville Nemours Children’s Clinic FL Miami Dr. Rafael A. Penalver Clinic, INC. FL Saint Cloud Innovative Behavioral Services FL** Tamarac City of Tamarac Parks and Recreation GA** Athens Athens-Clarke County Leisure Services GA Atlanta CHAPM GA Augusta Neighborhood Improvement Project GA Baxley Appling Healthcare GA Macon Bibb County School District GA Norcross Victory Community Sports Foundation GA Smyrna Imagine International Academy of Smyrna GA Smyrna & Kennesaw We Can! in Cobb/Cobb & Douglas Public Health & Cobb County School District HI Honolulu Kokua Kalihi Valley IL Chicago Malcolm X College IN Columbus Healthy Communities Initiative IN East Chicago Multicultural Wellness Network IN Fort Wayne Parkview Hospital IN Indianapolis Clarion Health IN Michigan City Temple Total Fitness 29

116 Intensive Community Sites (cont.) **A Founding We Can! Intensive Community Site State City Description KS Kansas City University of Kansas Medical Center, Department of Pediatrics KS Manhattan Riley County Manhattan Health Department KS Newton Newton Seventh Day Adventist Church KY Bowling Green Barren River District Health Department KY Burlington YMCA – RC Durr KY Danville Families First, FRC KY Georgetown Western-Anne Mason Family Resource Center KY Providence The Rosenwald Center Corporation LA Minden All Age Medical P.C., Inc. MA Fitchburg BF Brown Middle School MA North Dartmouth Medical Survival Consultants MA** Pittsfield Hillcrest Campus of Berkshire Medical Center MA Roxbury Sociedad Latina MD Columbia Liberty Seventh Day Adventist Church MD La Plata Civista Health and Charles County Health Department MD** Montgomery County Montgomery County Recreation Department MD Waldorf ABC Wellness and Fitness Center ME Kennebunk Jump Ropin’ Rays MI** Ann Arbor Project Healthy Schools: A Community-University Collaborative MI Clinton Township St. Joseph’s Medical Center School Health Network MI Detroit Detroit Department of Health and Wellness Promotion 30

116 Intensive Community Sites (cont.) **A Founding We Can! Intensive Community Site Stat e City Description MI Flint The Good Samaritan Family Network MI Muskegon Muskegon County Health Department MI Pontiac The Baldwin Center MI Rochester Hills Nutrition Emphasis Center MO Fulton Callaway County YMCA MN Minneapolis Fremont Community Health Services MS Jackson North Jackson Baptist Church MS Tunica Tunica County MO Columbia University of Missouri-Columbia Sinclair School of Nursing MO Sedalia Weight Watchers MO** Springfield Springfield-Green County Park Board MP Tinian Tinian Elementary School NC Durham Families In It Together (FIIT) NC Kings Mountain Ervin Clinic NJ Irvington Sivian Nutrition and Health Consulting, LLC NV** Henderson University of Nevada Las Vegas Department of Nutrition Sciences NV Las Vegas Clear Beverage Corporation NY Corona Public School 19 31

116 Intensive Community Sites (cont.) **A Founding We Can! Intensive Community Site Stat e City Description NY Clayton The River Rocks Cancer Support Group NY Penfield Penfield Pediatrics NY Poughkeepsie Nubian Directions, Inc. OH Akron Akron Children’s Hospital OH Cincinnati Nutrition Council OH Cleveland A Touch of Sugar Healthy Lifestyle Center OK Ada Ada Public Schools OR** Lane County Lane Coalition for Healthy Active Youth OR McMinnville Linfield College/Kid Fit OR Portland Familiias en Accion PA Brockway After School at Moorhead PA Guys Mills Crawford County Kids PA Mercer Cool Springs Fitness & Aquatics PA Pittsburgh Children’s Museum of Pittsburgh RI Central Falls Channel One-Central Falls/Ralph J. Holden Community Center RI Providence Rhode Island Department of Health, Initiative for Healthy Weight RI Woonsocket Thundermist Health Center of Woonsocket SC Clemson Clemson University – College of HEHD 32

116 Intensive Community Sites (cont.) **A Founding We Can! Intensive Community Site State City Description SC Columbia The Vision Foundation SC Darlington Pee Dee Minority Health Inc. TN Clarksville Academy for Academic Excellence TN Memphis New Beginning Ministries Church TN Sneedville ETSU School-Based Health Centers TX Austin South Family YMCA of Austin TX El Paso Youth Obesity Prevention TX Nacogdoches Nfusion YouthSports & Fitness Inc. TX** Temple The Children’s Hospital at Scott & White WI Janesville Mercy Health System WY Cheyenne Wyoming Department of Health Canada Orangeville, Ontario Dufferin Area Family Health Team Fiji Suva No organization 33

16 We Can! Cities and Counties Stat e City Description GA Brunswick CIA Sportsclub GA** Roswell Roswell Recreation and Parks Department GA Savannah Coastal Health District IN** Gary Gary Youth Services Bureau and Park Recreation IN** South Bend South Bend Parks and Recreation Department MA** Boston Boston Public Health Commission MI Berrien County Lakeland Regional Health System NV Carson City Washoe Tribe NV Las Vegas University of Nevada Las Vegas Department of Nutrition Sciences NY Binghamton Creative Nutrition Solutions NY Broome County Steps to a Healthier NY PA Indiana Indiana Medical Center PA Pittsburgh UPMC Health Plan PA Armstrong Armstrong County Commissioner PR Caguas Corporacion S.A.N.O.S. TN Knox County Knoxville Area Coalition on Childhood Obesity **A Founding We Can! Intensive Community Site 34

1039 General Community Sites AL Brewton, Camden, Mobile (2 sites), Montgomery (2 sites), Opelika, Tarrant, Union Springs (2 sites) AK Anchorage, Bethel, Sitka, St. Paul Island, Unalaska AZ Goodyear, Mesa (2 sites), Nogales, Peoria, Phoenix (2 sites), Queens Creek, Tempe, Tucson (4 sites) AR Little Rock (3 sites), Marshall (2 sites) CA Anaheim, Chico, Colton, Concord, Costa Mesa, Diamond Bar, Downieville, Fremont, Fort Bragg, Fountain Valley, Fullerton, Goleta, Imperial Beach, Indio, La Jolla, Lancaster, Long Beach, Los Angeles (4 sites), Manteca, Marina del Rey, Modesto, Newark, North Hollywood, Oakland, Ontario, Orange, Orangevale, Oroville, Oxnard, Pine Valley (2 sites), Red Bluff, Redwood City, Sacramento (2 sites), San Bernardino, San Diego (9 sites), San Fernando, San Francisco (2 sites), San Jose (4 sites), San Leandro, San Marcos (2 sites), Santa Ana, Santa Barbara, Santa Clarita, Santa Fe Springs, Santa Paula, Santee (2 sites), Stockton, Sunland, Truckee, Ukiah, Upland, Vacaville, Ventura, Visalia, Vista, Walnut Creek, Weed, West Sacramento, South Lake Tahoe, Yuba City (2 cities) CO Alamosa, Arvada, Aurora, Denver (2 sites), Golden, Larkspur, Towaoc CT East Lyme, Enfield, Middletown, New Britain, New London, New Milford, Norwalk, Norwich, Uncasville, Wethersfield DE Fenwick Island, Greenville, Seaford DC Washington, DC (12 sites) FL Apopka, Bristol, Chiefland, Deltona, Fort Myers, Fort Pierce, Ft. Walton Beach, Gainesville, Hollywood (3 sites), Hialeah, Homestead, Homosassa (2 sites), Immokalee, Indiantown, Jacksonville (4 sites), Largo, Lauderhill, Leesburg, Miami (4 sites), Miami Beach (2 sites), North Miami, North Miami Beach, Ocala (2 sites), Oldsmar, Okeechobee, Orlando (2 sites), Palm Beach Gardens, Palm City, Perry, Port St. John, Port St. Lucie, St. Marks, St. Petersburg, Sarasota (2 sites), Sebastian, Starke, Stuart (2 sites), Tallahassee (3 sites), Tampa (2 sites), Titusville (2 sites), Vero Beach GA Acworth, Albany (2 sites), Atlanta (4 sites), Augusta, Austell, Brunswick, Calhoun, Carrollton, Clarkesville, Columbus, Dahlonega, Decatur (2 sites), Ft. Stewart, Gainesville (3 sites), Greensboro, Jackson, Kennesaw, LaGrange, Lawrenceville, Lithonia, Macon (2 sites), Marietta (2 sites), McDonough, Powder Springs, Rome, Savannah(2 sites), Smyrna, St. Marys, St. Simon’s Island, Stone Mountain HI Waimanalo ID Boise (2 sites), Council, Fort Dodge, St. Anthony (2 sites) IL Addison, Algonquin, Aurora, Bourbonnais, Cahokia, Charleston (2 sites), Chicago (12 sites), Decatur, Ford Heights, Glenview, Homewood (2 sites), Murray, Northlake, Oak Lawn, Oak Park (2 sites), Oglesby, Olympia Fields, Oquawka, Peoria, Peru, Pinckneyville, Rockford, Shorewood, Spring Valley, Sterling, Urbana IN Anderson, Clinton, Covington, Crown Point, Dyer, Elkhart (2 sites), Evansville, Fort Wayne (2 sites), Goshen, Greensburg, Huntington, Indianapolis (5 sites), Lafayette, Michigan City, Mishawaka, Monroeville, Muncie, Plymouth, Poland, Portage (2 sites), Muncie, South Bend, Terre Haute, Trafalgar35 (2 sites), Valparaiso (3 sites),

1039 General Community Sites (cont.) IA Anamosa, Ankeny, Burlington, Des Moines, DeWitt, Fort Dodge, Huxley, Mt. Pleasant, Sioux City KS Council Grove (2 sites), Ellsworth, Emporia, Kansas City (2 sites), Lawrence, Mayetta, Meade, Pittsburgh, Prairie Village, Wichita (4 sites), Winfield KY Alexandria, Bardstown, Benton (3 sites), Berea, Betsy Lane, Bowling Green (2 sites), Brooksville, Burgin, Burkesville (2 sites), Campbellsville, Clinton (2 sites), Cold Spring, Corbin, Cynthiana, Danville, Glasgow, East Bernstadt, Eddyville (2 sites), Elizabethtown, Elkhorn City, Felmingsburg, Frankfort, Georgetown (2 sites), Greenville, Grays Knob, Henderson, Highland Heights, Hodgenvile, Hoskinston, Jamestown, LaCenter, LaGrange, Lebanon (2 sites), Leitchfield (2 sites), Lexington (2 sites), Louisa (2 sites), Louisville (11 sites), Lucas, Manchester, Marion, Mayfield (6 sites), Mt. Sterling, Munfordville, Mt. Washington, Owensboro, Owingsville, Pikeville, Pineville, Richmond, Salem, Shepherdsville, Somerset, Stamping Ground, Stanton, Tompkinsville, Versailles, Warsaw, Williamsburg, Williamstown LA Anacoco, Baldwin, Baton Rouge (2 sites), Farmerville, Franklin, Independence, Mandeville, Morganza, Natchitoches, Ruston, Shreveport ME Bowdoin, Kennebunk, Parsonsfield (2 sites), Saco, Skowhegan, Waterville MD Annapolis, Baltimore (6 sites), Bowie, Cambridge, Centreville, Clarksburg, Clinton (2 sites), College Park, Columbia, Frederick, Glen Burnie, Howard County, Hughesville, Hyattsville, Kensington, Lee’s Summit, Montgomery Village, Nottingham, Oakland, Pasadena, Queen Anne’s County, Westminster MA Acton, Boston (2 sites), Chelsea, Dorchester, Fall River, New Bedford, Longmeadow, Palmer, Quincy, Roxbury (2 sites), South Boston, Wellfleet, Wellesley, Worcestor (2 sites) MI Ann Arbor, Atlanta, Au Train, Burton, Cadillac, Chesterfield, Clinton Township, Detroit (5 sites), Grand Rapids, Holland, Lansing (2 sites), Lapeer, Lincoln, Manistique, Marquette, Mt. Pleasant, Pittsford, Rochester, St. Joseph, Sturgis, Warren MN Baxer, Brooklyn Center, Grand Marais, Mankato, Minneapolis (3 sites), Moorehead, Slayton MS Batesville, Jakson, McLain, Port Gibson (2 sites), Rolling Fork, Terry, Tupelo, Yazoo City MO Bolivar, Buffalo, Columbia, Joplin, Kansas City (4 sites), Kirksville, Mountain Grove, Nevada, New London, Poplar Bluff, Rolla, Slayton, St. Joseph (2 sites), St. Louis, St. Peters, Van Buren (2 sites), Warsaw MT Ashland, Big Timber, Billings, Great Falls (3 sites), Havre, Livingston, Missoula NE Columbus (2 sites), Lincoln, Omaha (4 sites), Scottsbluff, Sidney NV Carson City (4 sites), Gardnerville, Henderson, Las Vegas (3 sites), Reno (2 sites), Silver Spring NH Barrington, Bedford (2 sites), Berlin, Kingstown, Littleton, Stratham NJ Belvidere, Bridgeton, Bridgewater, Butler, Camden, Edison, Egg Harbor, Englewood, Flemington, Fords, Glen Rock, Hackettstown, Highlands, Jersey City, Lakewood, Long Branch, Maplewood, May’s Landing, Neptune, Newark (2 sites), Oceanville, Paterson (2 sites), Princeton, Spotswood, St. Davids, Toms River (2 sites), Union, Vauxhall l 36

1039 General Community Sites (cont.) **A Founding We Can! Intensive Community Site NM Albuquerque (4 sties), Dulce, Las Cruces, Pine Hill, Silver City NY Albany, Beacon, Brooklyn (5 sites), Bronx (7 sites), Broome County, Carle Place, Cortland, Elmhurst, far Rockaway, Forest Hills, Glens Falls, Hastings, Hawthorne, Katonah, Kerhonkson, Latham, Lake Placid, Malone, New Windsor, New York (9 sites), Port Chester, Rochester (2 sites), Rockville Centre, Rome, Saranac Lake, Saratoga Springs, Spring Valley, Staten Island (5 sites), Syracuse (2 sites), Westfield, Wheatley Heights NC Asheville (2 sites), Ayden, Badin, Bryson City, Burlington, Charlotte, Concord, Dunn, Elizabeth City, Faison, Goldsboro, Graham, Greenville (4 sites), Hendersonville, High Point (2 sites), Linden, Raleigh, Ramseur, Rocky Mount, Wilmington, Winton ND Fargo (3 sites), Beulah (2 sites) OH Akron, Auburn Township, Bay Village, Bowling Green (2 sites), Cambridge, Canfield, Chillicothe, Cincinnati, Cleveland (5 sites), Cleveland Height, Columbiana, Columbus (3 sites), Dayton, Defiance, Elyria, Fremont, Grove City, Hamilton, Hillsboro (2 sites), Lancaster (2 sites), Lima (2 sites), Mantua, Napoleon, Ottawa, Painesville (2 sites), Parma, Steubenville, Toledo (2 sites), Toronto, Troy, Wheelersburg OK Concho, McAlester, Moffett, Oklahoma City (2 sites), Red Rock, Tulsa, Tahlequah, Wagoner OR Ashland, Benton County**, Burns, Bend, Keizer, Portland, Tualatin PA Allentown, Berwick, Bethlehem (2 sites), Bradford, Brookville, Camp Hill, Clarion, Coatesville, Danville, Delta, Dickson City, Downington, DuBois, Easton, Elizabethtown, Emmaus, Erie, Exton, Franklin (2 sites), Greenville, Hanover (3 sites), Harrisburg (2 sites), Hazleton, Hershey, Honesdale, Indiana, Johnstown (3 sites), King of Prussia, Kittanning, Lancaster (2 sites), Langhorne (2 sites), Malvern, Muncy, Norristown, Philadelphia (8 sites), Pittsburgh (2 sites), Robesonia, Russellton, Sewickley, Sigel, Uniontown, Upland, Upper Darby, Wellsboro, West Middlesex, West Mifflin, Wilkes-Barre RI Cranston SC Anderson (2 sites), Columbia (4 sites), Fort Mill, Kingston, Lancaster, McClellanville, Moncks Corner, Sheldon, Swansea, Winnsboro (2 sites) SD Chamberlain, Ft. Thompson (2 sites), Pierre, Pine Ridge, Sioux Falls TN Chattanooga, Decatur, Johnson City (2 sites), Jonesborough, Kingsport, Knoxville (2 sites), La Vergne, Lexington, Madisonville, Memphis (2 sites), Nashville (2 sites), Newport, Oak Ridge, Rogersville, Seymour, Sneedville, Springfield TX Abilene, Baytown, Carrollton, Corpus Christi, Cotulla, Denison, Denton, El Paso, Fort Arthur, Fort Worth, Houston, Humble, Irving, Knoxville, Lubbock, Mcallen, Mesquite, Odessa, Park, Paris, Pasadena (2 sites), Randolph AFB, Round Rock, San Antonio, Tyler, Waco UT Cedar City, Salt Lake City (2 sites), South Jordan 37

1039 General Community Sites (cont.) **A Founding We Can! Intensive Community Site VT Barton, Burlington, Montpelier, Whitingham WA Chelan, Lynnwood, Moses Lake, Oak Harbor, Poulsbo, Pullman, Renton, Seattle, Union Gap WV Beckley, Birch River, Bluefield, Cairo, Charleston (2 sites), Charles Town, Fairmont (3 sites), Fort Ashby, Franklin, French Creek, Harpers Ferry, Huntington, Hurricane, Madison, Martinsburg (2 sites), Mill Creek, Moorefield (2 sites), Morgantown, Mount Storm, Princeton (2 sites), Ravenswood, Reader, Romney, Shepherdstown, Sistersville (2 sites), Sophia, Summersville (3 sites), Union, Williamsburg WI Brookfield, Fort Atkinson, Green Bay (2 sites), Madison, Manitowoc, Milwaukee (12 sites), Monroe, Rice Lake WY Casper Abroad St. Paul’s, Antigua and Barbuda, Queensland, Australia; Ontario and Alberta, Canada; Athens, Greece; Karamsad, India; Ilorin, Nigeria; Saipan and Tinian, Northern Mariana Islands (2 sites); Baguio City and Manila, Philippines; Barceloneta, Bayamon, and San Juan, Puerto Rico (2 sites); Cidra, Puerto Rico; St. Thomas, Virgin Islands; Kampala, Uganda 38

Program Resources and Channels 39

We Can! Resources 1-866-35-WECAN http://wecan.nhlbi.nih.gov 40

We Can! Materials We Can! Energize Our Community: Toolkit for Action Parent curriculum Community events 41

Youth Curricula Kids Club – After-school, summer day care setting for children (K-5) contains three elements– curriculum, and PA and snack components. SMART- Student Media Awareness to Reduce Television –3 or 4th grade classroom curriculum designed to reduce TV and video game usage. Eat, Think and Be Active – 10 lessons helping children (11-13) understand the connections between media and health. 42

We Can! Materials We Can! Families Finding the Balance: A Parent Handbook English Spanish 43

Media and Consumer Outreach 44

Media and Consumer Outreach National and Local Media National Consumer Outreach Public service announcements (print and radio) Media kits (press releases, media advisories) Launch announcements Matte articles Press releases for program milestones Consumer Web site Media Partners 45

We Can! on the Web Become a friend of We Can! on MySpace (http://www.myspace.com/nihwecan) View “We Can! and You Can Too” and animations on YouTube Connect on LinkedIn (http://www.linkedin.com/in/nihwecan) 46

Partnership Outreach 47

Over 20 National Partners! Over 20 National Partners & Supporting Organizations have joined We Can! Federal Partners Clinical Partners Outreach Partners Media Partners Corporate Partners Continually in ongoing discussion with additional partners 48

We Can! Partnerships The We Can! partnership goal is to work collaboratively with others to build synergy on preventive strategies and an array of outreach efforts. Through partnerships, we can most effectively leverage resources and channels to disseminate We Can! messages and materials to parents, caregivers, and youth ages 8–13. 49

Levels of Partner Commitment Organizations invited to participate as Partners or Supporting Organizations Partners Participate on a variety of fronts with a significant commitment of resources and activity Supporting Organizations Groups that are interested but unable to make as significant commitment 50

We Can! National Partners National partners coming on board to support We Can! and participate on a variety of fronts Provide resources: Support of program activities and materials development (printing, distribution, event sponsorship, etc.) Contacts and support to We Can! sites Disseminate We Can! messages via organizational communication channels (Web sites/Web links, newsletters, listservs, direct mailings to constituents) 51

We Can! National Partners (cont.) Offer exhibit space to We Can! at national/regional conferences and events Offer opportunities to present at meetings Offer to help recruit We Can! Community Sites Offer other support/activities specific to the partner’s own interests and capacity 52

Benefits of Participation Opportunity to be part of trans-NIH national program Opportunity for extended outreach channels and additional synergy through We Can! communication channels Be recognized in We Can! materials Receive We Can! Partnership Toolkit 53

We Can! Resources for Partners Comprehensive Partner Toolkit Offers overview, tools, and template materials News releases, template article, message points, print PSAs (English/Spanish), radio PSA scripts (English/Spanish), sample materials, template PowerPoint presentation, sources of statistics, logos, and more in printed and electronic (CD-ROM) versions 54

Partnerships The role of each We Can! partner will vary because every collaboration will be designed/crafted to channel the partner’s natural strengths, networks, and influence at the community level. Involvement by individual groups will depend on any existing programs the partner might already have in place, the resources the partner can contribute, and the partner’s own infrastructure and reach — We Can! wants relationships to be win-win situations! 55

Examples of How We Hope You’ll Help Participate in planning and provide resources/support activities Disseminate messages and materials to constituencies through existing communication channels (direct mailings, newsletters, flyers, online, etc.) Support/participate in and help drum up interest in/awareness of any local events 56

Local Partners Include Business: grocers, printers, sporting-goods stores, Tshirt vendors, transportation providers Civic/Community: chambers of commerce; local health, youth-related, and other coalitions Health Care: health care providers, including hospitals and clinics; insurers Government: local, county, State Media: cable, newspapers, radio, television Multicultural and Faith-Based Organizations Professional Organizations: dietitians, nurses, physicians 57

A Few Potential Benefits: Local Partners Opportunity to be part of the NIH national We Can! program and programming at the local level Opportunity to bring relevant resources and core health and related messages together under the We Can! umbrella Opportunity for partners to extend their own outreach channels and create additional synergy for themselves Opportunity for recognition as part of this exciting effort; opportunity for promotion of your existing activities/programming 58

With Your Help Succeed! 59

Potential Partnership Ideas and Collaborations Open Discussion 60

Thank You! 61