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Intervention System

The Community Setting Level – Healthy Places Change Team

Healthy Places Change Team – The three people at the program site (Site Leaders) who participate in the Community Hub will implement the Change Team intervention. Each intervention school is provided with a personnel and equipment budget for enrichment activities at the after school site.

The enrichment activities consist of developing policies and practices and delivering the evidence-based intervention. The desired outcome of the enrichment activities is to increase students’ options for participating in physical activity and for eating fruits and vegetables.

The Site Coordinator (one of the three Site Leaders) leads a youth/adult Healthy Places Change Team to function like the Community Hub but operate only at the after school site level. So, the Community Hub is a model learning experience for the Site Coordinator to lead the Change Team.

The Change Team meets at least monthly and involves student representatives from each grade that has participants in the after-school program. The Site Coordinator will help a Youth Leader conduct the meeting. Community/school adult leaders, parents and staff will be invited to the meeting when appropriate.

Worksheets to guide the Change Team process are available in PDF format. Click on a title below to open the file in a new window.

Evidence-Based Practices in Community PlacesA menu of programs and strategies that evidence, gathered through rigorous research, has shown to promote healthy eating and physical activity. They can be implemented and sustained in targeted places where children and youth live, learn, and play, such as out-of-school programs, home, early childhood education programs, and faith communities.

For personnel who participate in the Community Hub and in the Change Team, capacity to make informed decisions is built over time. They will develop skills in selecting and adapting evidence-based programs and strategies to meet local needs and to move public health outcomes related to eating, physical activity, and obesity. Although control for decisions about what is best for children and youth are made locally, to successfully implement quality programming, these decisions should be informed by evidence-based programs and strategies.

Healthy Place Change Team Strategies
Social persuasion and parental involvement. In general, Site Leaders can use the Community Hub activities to facilitate Healthy Place Change Teams. Each Site Coordinator has a goal to create a local Change Team and have face-to-face meetings where strategies are defined and logged using the Healthy Youth Places Evaluation (H.Y.P.E.) system.

Media resources, such as fact sheets and newsletters, provided by the intervention will encourage parents to participate in changing behaviors related to increased physical activity (PA) and fruit and vegetable consumption (FJV). The parental component is modeled after a successful parent-based intervention. In the model intervention, parents who received the behaviorally-oriented resource materials had higher expectations for the importance of physical activity in children. This, in turn contributed to increases in a child’s perception of parental support for physical activity (Welk, 1999).

Vicarious modeling experiences. Each Healthy Place Change Team will receive equipment and training that they will need to produce local documentary-style public service announcements and environmental change model videos. Each Change Team (one per site) will create a video and other media that accomplish the following goals: 1) identify after school FJV and PA goals and options, 2) identify barriers to these behaviors in a variety of settings, and 3) suggest ways to build new attractive, accessible FJV and PA options in a variety of settings.

Easy-to-use digital video cameras and digital video editing software make video production an inexpensive way to share information. The videos will be shown to community leaders to assist with policy change and to students to recruit them to the after school program.

Mastery experiences. Healthy Place Change Teams are encouraged to focus on developing the after school program. Their successes are documented through feedback by the Site Coordinators using the H.Y.P.E. system. All students in the program learn Healthy Place development skills, linking them to the Change Team, when leaders present active learning lessons as they implement the evidence-based intervention(s). We also supply a curriculum that teaches environmental skills for this target audience and setting.

For individual members and for the Change Team as a whole, these activities provide many opportunities. Members develop and demonstrate new skills as individuals (personal mastery experiences) and as a team (group capacity). The activities also demonstrate to members and to the Change Team itself that they can make changes, i.e., the activities raise individual and collective self-efficacy.

 
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