VERB 1 Running Head: VERB Applying the PRECEDE-PROCEED Model to a Local Adaptation of the National VERB Physical Activity Campaign Jen Nickelson University of South Florida VERB 2 TABLE OF CONTENTS INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 PHASE 1: SOCIAL ASSESSMENT Community Participation Social Diagnosis ........................................ 7 .............................................. 7 .................................................... 8 PHASE 2: EPIDEMIOLOGICAL ASSESSMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Behavioral Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Who Has the Problem? Health Objective ........................................ 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 How Changeable Is the Problem? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Which Behavior Has the Greatest Potential For Improvement? . . . . . . . . . . 11 Behavioral Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Environmental Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 PHASE 3: EDUCATIONAL AND ECOLOGICAL ASSESSMENT Identifying Predisposing, Enabling, and Reinforcing Factors Setting Priorities Among and Within Categories Ecological and Educational Objectives . . . . . . . . . . . . . . . . 14 . . . . . . . . . . . . . . . . 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 PHASE 4: ADMINISTRATIVE AND POLICY ASSESSMENT AND INTERVENTION ALIGNMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Intervention Alignment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Administrative Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Policy Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 PHASE 5: IMPLEMENTATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 VERB 3 PHASE 6: PROCESS EVALUATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 PHASE 7: IMPACT EVALUATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 PHASE 8: OUTCOME EVALUATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 CONCLUSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 REFERENCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 APPENDIX A: References for Table 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 APPENDIX B: Sarasota County Locations for Physical Activity APPENDIX C: Budget . . . . . . . . . . . . . . . . . . . . . . 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37 VERB 4 INTRODUCTION The Sarasota County Obesity Prevention Coalition was established in May of 2003 for the purpose of promoting optimal weight and improving the quality of life for Sarasota County residents. The coalition invited the University of South Florida’s Prevention Research Center (FPRC) to help them design a social marketing intervention for the prevention of obesity among Sarasota County youth. The FPRC’s mission has been to test the effectiveness of a communitybased prevention marketing (CBPM) framework in designing “health promotion and disease prevention interventions suitable for dissemination to communities throughout the United States” (FPRC, 2005, p. 1). Among the FPRC’s objectives are “to investigate the efficacy of the CBPM approach for supporting national social marketing programs with community-based interventions . . . (and) for tailoring evidence-based programs to use in local communities” (FPRC, 2005, p. 1). The FPRC has provided the coalition with training in social marketing techniques, information about the behavioral determinants of obesity, and guidance on selecting a target audience for intervention. In addition, representatives from the Centers for Disease Control and Prevention (CDC) and the FPRC’s Kentucky Youth Nutrition and Fitness Project have provided the coalition with information on CDC’s national VERB physical activity campaign and guidance on methods by which a local community can tailor the national campaign. The VERB campaign is a social marketing campaign launched in 2002 by the CDC “to increase and maintain physical activity among tweens (youth age 9-13)” (CDC, 2004a, p. 1). The campaign was developed after extensive interviews with tweens, parents, and other people, like teachers and coaches, who know and work with tweens. Marketing firms have been intricately involved with developing and promoting this edgy, kid-focused media campaign—the VERB 5 purpose of which is to, in effect, “sell” physical activity to tweens by making the product “cool” and “fun.” The marketing approach employs many of the same techniques that would be used to market any other popular tween commodity. Initial reports from the VERB campaign revealed that physical activity levels have improved substantially among youth who have been exposed to the campaign (CDC, 2004b, p. 1). As of this writing, the Sarasota County Obesity Prevention Coalition has selected physical activity as the target behavior, middle school students as the target audience, and VERB as their intervention program. The coalition is presently in the implementation phase of a summer pilot program. Although the coalition was following the CBPM model in designing and implementing this program under the guidance of the FPRC, the PRECEDE-PROCEED model (Green & Kreuter, 2005) is probably more widely known and understood by public health professionals. In fact, the CBPM model, like many program planning frameworks, mimics the PRECEDE-PROCEED model in several ways. Table 1 lists the primary phases of CBPM and links them to the primary phases of PRECEDE-PROCEED. Table 1. CBPM mapped to PRECEDE-PROCEED. CBPM Phases Mobilize the Community Develop Community Profile Select Protective Behaviors Enhance Community Capacity Formative Research Strategy Development Program Development Program Implementation On-Going Tracking and Evaluation PRECEDE-PROCEED Phases Social Assessment Social Assessment Epidemiological Assessment Epidemiological Assessment Social Assessment Intervention Alignment and Administrative and Policy Assessment Social Assessment Epidemiological Assessment Educational and Ecological Assessment Implementation Implementation Implementation Process, Impact, and Outcome Evaluation This paper will describe the efforts the coalition has undertaken to date within the context of the PRECEDE-PROCEED model as described by Green and Kreuter (2005). Where the VERB 6 coalition did not carry out key components of PRECEDE-PROCEED, suggestions for what they might have done are provided. VERB 7 PHASE 1: SOCIAL ASSESSMENT Community Participation Various members of the community came together in May of 2003 under the guidance of the Sarasota County Health Department because of the growing concern with obesity in this nation in general, and in Sarasota County in particular. Initial involvement included not only health department personnel, but also key personnel from the Area Health Education Center, Sarasota Memorial Hospital, the Sarasota County School District, the Parks and Recreation Department, the YMCA, the Community Youth Development Organization, other youth organizations, as well as a wide variety of other concerned citizens. The FPRC was also invited to participate because of the county’s previous successful collaboration with the FPRC on a social marketing campaign designed for the prevention of smoking and alcohol use among youth. The Health Department was aware that the FPRC might have had funds available for an obesity prevention project, but this information was not shared with other coalition members until several months into the program. The coalition came together because of the members’ shared concern with the obesity epidemic, not because there was funding available for an obesity prevention program. Initial planning recognized the importance of the participation of youth on the community coalition. The executive committee drew up plans that asserted at least one member of the board would be a high school student. As of this writing, the board has not included a youth member, despite their good intentions. The board has always convened during the early-morning hours, when high school students are in school. Nonetheless, in January of 2005, the school nurses successfully recruited approximately 15 students from five of the six high schools in the county to serve on an advisory board for the coalition. As of this writing, the youth advisory board has VERB 8 held three meetings, and 10 members of the board have completed training to become community researchers. Two or more members of the adult coalition have attended each meeting of the youth board and have served as liaisons between the two groups. Social Diagnosis During March of 2005, middle school youth and parents participated in individual and focus group interviews. Among others, the goals of the research included identifying the types of physical activities middle school students participate in, where they participate in these activities, and factors that influence participation in physical activity. In addition, the coalition was interested in finding out from middle school students the best way to adapt the materials developed by the Kentucky project in support of the national VERB campaign for the local Sarasota market. As indicated previously, several members of the youth advisory board completed training to become community researchers. These high school students were responsible for collecting data from middle school youth via individual interviews and focus group interviews. At least one adult member of the community coalition has undergone training in conducting research and has agreed to assist in collecting additional data from parents of middle school students and other adult influencers, such as physical education teachers, coaches, school nurses, and middle school principals, if and when this data is collected. One coalition member has successfully worked with the county planning department to develop a map that identifies parks and schools within the county, and plans to add physical activity locations to the map as more information is gathered from focus group and individual interviews. A strength of this project has been the willingness of community members to become involved, particularly after having made the decision to proceed with the local adoption of the national VERB campaign. VERB 9 PHASE 2: EPIDEMIOLOGICAL ASSESSMENT Behavioral Diagnosis In March and April of 2004, the FPRC provided the coalition with a summary of data collected to date to help them narrow the target audience and target behavior for the social marketing intervention. Up to that point, the coalition had only decided they wanted to prevent obesity among youth, and had segmented the youth into four subgroups: pre-school, elementary school, middle school, and high school. Because obesity has multiple behavioral and environmental determinants and because appropriate interventions may differ markedly between the age groups, it was important that the coalition narrow their focus. Following is a summary of the data shared with the coalition. Who Has the Problem? Obesity rates are presented in Table 2. Sarasota County data are shown in black, Florida Table 2. Obesity rates Pre-Schoola At Risk for Overweight1 Or *Slightly Overweight Elementary Schoolb Middle Schoolc High Schoold 15.3%*** 13.9%*** 22.8%* 13.6%** 14.3%** Overweight Or *Very Overweight 12.5%*** 12.2%*** 13.4%*** 12.9%*** 15.9%*** 15.3%*** 3.2%* 15.5% 10.5%** 10.4%** TOTAL 28.8%*** 29.8%*** 26%* 2 27%* 29.2%* 28.7%* 24%** 24.7%** Black = Sarasota County * = self-described as slightly overweight or very overweight Green = Florida ** = BMI based on self-reported height and weight Red = United States *** = BMI based on measured height and weight a (U.S. Department of Agriculture, 2003; Polhamus et al., 2003) b (Florida Department of Health, 2004; Ogden et al. 2001) c (School Board of Sarasota County, 2002; Ogden et al., 2001) d (School Board of Sarasota County, 2004a; CDC, 2004c) 1 “At risk for overweight” among children is defined as a BMI falling between the 85th and 95th percentiles on BMI charts (CDC, 2003). 2 “Overweight” among children is defined as a BMI falling above the 95th percentile on BMI charts (CDC, 2003). VERB 10 data are shown in green, and national data are shown in red. Unfortunately, because of the differences in how the data were collected, it was decided that these data would not be helpful in segmenting the target audience. It should also be noted that, although there are more current data presently available, these are the actual data that were shared with the coalition in early 2004. Health Objective While the coalition did not specify a health objective, Healthy People 2010 (U.S. Department of Health and Human Services [USDHHS], 2000) has specified the following objective: “reduce the proportion of children and adolescents who are overweight . . .” (p. 1913) from 11% to 5%. The reduction of 6 percentage points would be an acceptable target for the local program, but the community will have to first obtain valid and reliable measures of weight. How Changeable is the Problem? Table 3 provides a summary of 27 intervention studies (see Appendix A for references Table 3. Review of published nutrition and physical activity intervention studies (1995-2003) Age Group (Number of Studies) Pre School (3*) Elementary School (15) Middle School (5) High School (4) Number Measuring Weight Status 2 (66%)* 8 (53%) 3 (60%) 1 (25%) Number with Improvement in Weight Status 0 (0%)* 1 (13%) 3 (100%) 0 (0) Number with Improvement in Behaviors 2 (66%)* 12 (80%) 4 (80%) 3 (75%) *One study was still in progress; therefore, results were not published. for this table), either focusing on nutrition or physical activity behaviors, or both, published between 1995 and 2003. In some cases, weight status was not measured, and therefore the efficacy of the intervention in improving weight status could not be determined. However, change in the nutrition or physical activity behaviors was measured in all cases. Although the number of intervention studies conducted among middle school students was a third of those conducted among elementary school students, of those that measured weight status among VERB 11 middle school students, all of them showed an improvement in weight, compared to just 13% of those that measured weight status among elementary school students. While the numbers of studies conducted among pre-school and high-school students were small, those that did measure weight did not show an improvement in weight status. These data helped the coalition to decide that obesity would be most amenable to change among the middle-school audience. Finally, because the coalition was aware that they would be using a social marketing approach to obesity prevention, they were provided with information concerning the cognitive and developmental characteristics of each of the age groups to help them select the audience most likely to be directly affected by marketing interventions. After this presentation, the coalition selected the “tween” (9-13 years/approximately 4th- 8th grade) age group, because it became clear that the target of the intervention for the younger groups would have to be the parents, and that it would be difficult to target the older adolescents because of the many distinct differences among groups within this age range. Tweens were considered to be an impressionable audience that could be directly affected by a marketing intervention. Which Behavior Has the Greatest Potential For Improvement? With the target audience selected, in April of 2004 the coalition was provided with information concerning the promise of various obesity prevention interventions. The primary sources for this data were a review of pediatric obesity by the Center for Weight and Health (CWH) at the University of California, Berkeley (CWH, 2001), and the Physical Activity Guide to Community Preventive Services (Task Force on Community Preventive Services, 2002). Several specific interventions were reviewed with the coalition, including the CDC’s national VERB campaign that was specifically designed for the “tween” audience. VERB 12 Behavioral Objectives At the April 2004 meeting, the coalition chose physical activity as its target behavior. Specific behavioral objectives were not set. However, potential behavioral objectives could be set based upon three of the Healthy People 2010 objectives related to physical activity among youth (USDHHS, 2000). Table 4 lists these objectives, along with national and Sarasota County baseline data and the national and Sarasota objectives. It should be noted that the Sarasota County physical activity data were not yet shared with the coalition. In addition, it will be important to follow high school data to see if the effects of the middle school intervention carry over into high school. Table 4. Behavioral objectives based on Healthy People 2010 objectives Sarasota Baselineb Sarasota Objective a National Objectivea (HS) (MS/HS) (MS/HS) National Baseline (HS) Healthy People 2010 Objective #22-6: Increase the proportion of adolescents who engage in moderate physical activity for at least 30 minutes on 5 or more of the previous 7 days 60%/50% 27% 35% 54%/45% Healthy People 2010 Objective #22-7: Increase the proportion of adolescents who engage in vigorous physical activity that promotes cardiorespiratory fitness 3 or more days per week for 20 or more minutes per occasion 85%/75% 65% 85% 75%/56% Healthy People 2010 Objective #22-9: Increase the proportion of adolescents who participate in daily school physical education --/45% 29% 50% --/24% MS = Middle School HS = High School a (USDHHS, 2000 b (School Board of Sarasota County 2004a; School Board of Sarasota County 2004b) Environmental Diagnosis The coalition has not undergone a formal environmental diagnosis; however, during February through March of 2005, the community researchers collected and compiled data to determine where youth say they participate in physical activity within the county as well as barriers and factors that promote physical activity. Coalition members, with the assistance of FPRC staff, compiled a list of organizations that provide opportunities for middle school students to be physically active and those that have been recruited to provide some kind of assistance with VERB 13 the pilot program being developed for the summer (Appendix B). A GIS map is being developed for each middle school zone that will identify these organizations, with distinct colors for those acknowledged by middle school students as locations they frequent as well as those that have agreed to participate in the summer program. From this map, gaps in existing services within each middle school zone will be identified. VERB 14 PHASE 3: EDUCATIONAL AND ECOLOGICAL ASSESSMENT Green and Kreuter (2005) describe three broad categories of factors that influence health behavior: predisposing factors, enabling factors, and reinforcing factors. As they describe, predisposing factors are those pre-existing factors that “provide the rationale or motivation for the behavior” (p. 147). Enabling factors are those pre-existing conditions that allow the behavior to occur. Reinforcing factors are those factors that follow “a behavior that provide the continuing reward or incentive for the persistence or repetition of the behavior” (p. 147). Identifying Predisposing, Enabling, and Reinforcing Factors Although the community coalition did not itself create a list of factors that influence physical activity among tweens; in February of 2005, the planning subcommittee was provided with a presentation on CDC’s VERB formative research findings, including a listing of factors that influence physical activity and those factors that serve as barriers to physical activity for tweens (Aeffect, Inc., 2000). Although these factors were not categorized as predisposing, enabling, and reinforcing at the time of the presentation, an attempt to categorize these factors in this manner is made in Table 5. It is interesting to note that some predisposing factors may also Table 5. Predisposing, enabling, and reinforcing factors identified by CDC. Influencers of Physical Activity Barriers to Physical Activity Predisposing Factors Desire for competition Poor body image and self-concept Active people on TV Desire not to mess up make-up and hair Parents Peers/siblings Enabling Factors Availability of facilities TV and computer time Opportunities to showcase talent Homework Parents Reinforcing Factors Parents Poor body image and self-concept Peers/siblings Active people on TV VERB 15 be viewed as enabling and/or reinforcing as well (for example, parents may provide the motivation for physical activity to occur, may enable physical activity by providing transportation, and may also reinforce the behavior by praising the child after the behavior occurs). A number of other correlates of physical activity among youth have been identified by other researchers (e.g. Sallis, Prochaska, & Taylor, 2000); however, the factors listed in Table 5 were identified specifically with tweens in mind. Therefore, the other correlates will not be placed under consideration at this time. Setting Priorities Among and Within Categories As Green and Kreuter (2005) explain, it is logical to be sure the enabling factors are in place before motivating a behavior to occur or having reinforcing factors in place. Although the community coalition did not explicitly set priorities among or within the categories, they have indeed focused their efforts on the enabling and predisposing factors. Within these categories, they have indirectly selected “availability of facilities,” “opportunities to showcase talent,” “homework,” and “desire for competition” as priorities for intervention efforts. During February and March of 2005, they identified locations or facilities available for tweens to participate in physical activity. They plan to proceed with a pilot intervention (VERB Summer Scorecard) that will provide youth with opportunities to use these facilities and showcase their talent – both enabling factors. Because the intervention will be occurring during the summer, the homework barrier under this category will be minimized. However, the motivation for physical activity to occur must be there in order to use the facilities and showcase talent. To create this motivation, it is hoped that the desire for competition will be enhanced with the Scorecard that requires that all the spaces be filled in order to qualify for fun prizes. VERB 16 Ecological and Educational Objectives Although the community coalition did not explicitly state ecological or educational objectives, the objectives listed in Table 6 would be appropriate. Table 6. Ecological and educational objectives Problem Availability of Facilities • Facilities for youth to participate in physical activity must be available and affordable. • Youth and their parents must know that these facilities exist and that they are offering discounts. Objective • • • Opportunities to Showcase Talent • Youth must be provided with opportunities to showcase their talent. • Youth and their parents must know what opportunities exist. • • • By June 1, 2005, at least 10 facilities in each middle school zone will be asked to provide discounts to tweens participating in the Summer Scorecard program. By June 1, 2005, 100% of participating facilities will be identified on the Summer Scorecard itself or on the Summer Scorecard website. By June 1, 2005, 90% of youth in grades 5-7 will be provided with take-home information on the Summer Scorecard. By June 1, 2005, a minimum of 8 opportunities per month for youth to participate in physical activity will be identified on the Summer Scorecard itself or on the Summer Scorecard website. By August 13, 2005, 30% of the youth provided with a Summer Scorecard will have participated in the Summer Scorecard program. By the end of the program, 30% of the youth provided with a Summer Scorecard will have participated in the Grand Finale, (an opportunity to showcase their talent). Homework • Homework interferes with physical activity. • The pilot program will be provided during the summer so that 90% of the youth will not have homework that interferes with physical activity. Desire for Competition • Desire for competition is motivation for physical activity. • By June 1, 2005, 90% of youth in grades 6-7 will be provided take-home information on the Summer Scorecard program. By August 13, 2005, 50% of the youth provided with a Summer Scorecard will have participated in the Summer Scorecard program. By August 13, 2005, 30% of the youth provided with a Summer Scorecard will have participated in the Grand Finale, an opportunity to participate in competitive activities. • • VERB 17 PHASE 4: ADMINISTRATIVE AND POLICY ASSESSMENT AND INTERVENTION ALIGNMENT Intervention Alignment The goal of intervention alignment is to fit the components of the intervention program with the various macro- and micro-ecological levels of the community. Some key terms in this phase of PRECEDE-PROCEED are “matching,” “mapping,” “pooling,” and “patching,” where the ecological levels are “matched” with intervention components; practice-based evidence is “mapped” or linked to the determinants of the health problem; evidence-based intervention programs are “pooled” and reviewed; and where evidence is lacking, interventions that show promise are “patched” in to fill in the gaps (Green & Kreuter, 2005). As indicated previously, with the help of the FPRC, the community “pooled” and reviewed several existing physical activity intervention programs. Based upon their review and the collaboration the FPRC had with a similar coalition in Lexington, Kentucky, the coalition invited the CDC and the Lexington coalition to give presentations in October of 2004 on the CDC’s national VERB campaign and Lexington’s VERB Summer Scorecard – a local intervention program developed by the Lexington coalition that built off the popularity of the national VERB campaign. In a sense, the Lexington coalition used “patching” by filling in the gaps on how to use the VERB campaign locally and developing their own intervention to meet their local needs. After hearing these presentations, the Sarasota coalition elected to proceed with a pilot program of the VERB Summer Scorecard based upon the program designed by the Lexington coalition. In PRECEDE-PROCEED terms, the coalition “mapped” or linked the evidence-based national VERB campaign to the behavioral determinant of obesity—physical activity. VERB 18 The VERB Summer Scorecard intervention components “match” various ecological levels of the community. For example, the community level is addressed by ensuring there are sufficient locations for youth to participate in physical activity; the organizational level is addressed by ensuring various organizations provide resources for administering the program; and the individual level is addressed by encouraging youth to participate in physical activity. Administrative Assessment The administrative assessment incorporates an assessment of the resources needed to implement the program, including the development of a timeline as well as budget. The staff of the FPRC have reviewed the steps of community-based prevention marketing with the coalition and have communicated the time commitment involved in developing an evidence-based intervention. Table 7 represents a Gantt chart with an approximation of the community-based prevention marketing timeline for the 2003-2004 / 2004-2005 fiscal years. The executive committee of the coalition selected the Sarasota County Health Department to serve as the fiscal agent for the program, and the year-one budget was prepared by FPRC staff with the assistance of key personnel from the Health Department and coalition. Until the fiscal year beginning October 1, 2005, the community coalition did not have funds for an intervention, with the exception of $10,000 provided to the coalition to award a “mini-grant” for a summer program. These funds were provided to the coalition to give them a sense that they were “doing something” while working through the community-based prevention marketing process. The coalition awarded these funds to the Sarasota County Parks and Recreation Department for a summer jump rope program during the summer of 2004. See Appendix C for the year-one budget and budget justification for fiscal year 2004-2005. VERB 19 Table 7. Gantt chart Steps in CBPM Model Oct Nov Dec Jan 2003-2004 Fiscal Year Feb Mar Apr May Jun Jul Aug Sep Nov Dec Jan 2004-2005 Fiscal Year Feb Mar Apr May Jun Jul Aug Sep Mobilize Community Establish Community Coalition Community Profile Audience Profile Behavior Profile Select Protective Behaviors Select Target Audience Enhance Community Capacity Training in Marketing Mindset Members Share Expertise Formative Research Monitor Jump Rope Program Oct Enhance Community Capacity Members Share Expertise Establish Youth Board Formative Research Train Community Researchers Collect and Analyze Data Strategy Development Researchers Present Findings Develop Marketing Plan Program Development Select Creative Team Pretest Materials Program Implementation Assign Tasks and Funds Implement Assigned Tasks On-Going Tracking and Evaluation Staff Evaluates and Monitors Coalition Makes Revisions Policy Assessment The policy assessment includes an appraisal of both the policy of the organization implementing the program as well as the policy of the community within which the organization operates. Indeed the overall mission of the Sarasota County Coalition for Obesity Prevention is consistent with the intervention program. However, the community members have expressed a desire to proceed more rapidly than is usually feasible for a thoroughly-researched and welldesigned intervention program. Additionally, it was felt by members of the coalition that if they were to seek additional funding elsewhere, they would have to be able to show evidence of their accomplishments to the funding agency. It was with these factors in mind that the FPRC VERB 20 directed the coalition toward the existing VERB campaign and the intervention developed by the Lexington coalition. The hopes were that the pilot program would provide the community with a sense of accomplishment that would sustain them while data was continually collected and analyzed for possible future interventions. The primary policy barrier within the community has been one voiced both implicitly and explicitly by the Sarasota County School District. The school district has expressed their concern that any intervention program involving the schools might present a hardship for school staff who are already overworked. The overarching concern has been with the statewide aptitude test – the “FCAT.” Teachers and school administrators are so concerned that their students do well on the FCAT that anything that interferes with academics (including a physical fitness program) would not be welcomed by many school officials. Representatives from the school district sit on the coalition, in part because of their concern with obesity among youth, but also because of their concern that, without their presence, the coalition might create an intervention that involves the schools. Fortunately, the VERB Summer Scorecard program is being piloted during the summer in the community--but outside of the school system--and has the full support of those school district representatives who sit on the coalition. VERB 21 PHASE 5: IMPLEMENTATION The Sarasota VERB Summer Scorecard pilot program is in the beginning stages of implementation. The coalition members continue to actively recruit business partners who will provide incentives for youth to participate in physical activity via reduced-cost or free programs. A website (www.sarasotaverb.com) is being developed based largely on the Lexington’s website, but also from input from the youth advisory board. The local radio network and cable provider have been contacted to arrange for media coverage of the program. Vendors are being contacted to provide food and beverages for the larger events. An event coordinator was hired in April of 2005 to provide temporary assistance with recruiting partners, obtaining prize give-aways, and arranging media coverage, among other essential services. During the first week of April, “VERB Anytour” pulled into Sarasota County with a brightly designed VERB pick-up truck pulling a similarly-designed trailer full of fun activities for tweens. They set up at three YMCA locations in the county to promote VERB and provide fun, cool opportunities for kids to be active. Anytour was staffed with three recent college graduates with a cool appearance who directed the youth in fun and creative activities, giving ideas for how to have fun with or without any sports equipment. These events were staged with hip-hop music playing over loud speakers and the young coordinators spouting off directions over wireless microphones in the popular headset style seen being worn by pop-stars on stage. These events were promoted and covered by the local television station and newspapers. In addition, plans for several local kick-off events are underway. The Parks and Recreation Department will be kicking-off the Summer Scorecard with a Kids Beach Run on Siesta Key. The South County Family YMCA will be offering a mega-pool party as a kick-off event. The youth board is working on plans to provide a special mid-summer event. A VERB 22 subcommittee has formed to plan the final event, which will be a lively, fun-filled occasion with music and opportunities to complete the scorecard, participate in sports clinics, receive prizes for completing the scorecard, and more. All of these programs are being designed based upon data collected from middle school students who told us where they like to go to participate in physical activity and what kind of kick-off and grand-finale events they would like to participate in. The grand finale has been scheduled for August 13, 2005, and will be held at Twin Lakes Park in Sarasota. However, the grand-finale will not be the end of the intervention, but rather just the beginning. The Lexington coalition has evaluated their 2004 Summer Scorecard program, made some revisions, and is doing it again this summer (C. Bryant, personal communication, March 2005). The Sarasota coalition will evaluate its program and make their own judgment on how to proceed. VERB 23 PHASE 6: PROCESS EVALUATION The process evaluation will set out to determine how well the VERB Summer Scorecard was implemented and will consist of both a quantitative and qualitative component. The quantitative component will seek the answers to the following questions: How many scorecards were distributed at each location? How many stamps were given out? How many organizations were recruited? How many hits were there on the website? How many youth registered on the website? How many youth participated in kick-off events? How many youth participated in the Grand Finale? What was the average age of the youth who indicated age on the completed scorecard or website registration? What was the average grade of the youth who indicated grade on the completed scorecard or website registration? The qualitative component will seek answers to these questions: Which organizations were recruited? How could the process have been made easier . . . o For businesses? o For schools? o For coalition members? o For youth? o For parents? VERB 24 PHASE 7: IMPACT EVALUATION The impact evaluation will be designed to determine if the behavioral objectives set in Phase 2 have been met and will consist purely of a quantitative component. The impact evaluation will attempt to answer the following questions: Did the level of moderate physical activity among middle school students increase, and by how much? Did the level of vigorous physical activity among middle school students increase, and by how much? Did the level of moderate physical activity among high school students increase, and by how much? Did the level of vigorous physical activity among high school students increase, and by how much? Did the level of participation in physical education among high school students increase, and by how much? Baseline data are those obtained from the Sarasota County 2003 Middle School YRBS and 2004 High School YRBS. Follow-up data will be from the 2005 Middle School YRBS and 2006 High School YRBS. VERB 25 PHASE 8: OUTCOME EVALUATION The outcome evaluation will be designed to determine if the health objective set in Phase 2 was met. It will also be purely quantitative and will seek answers to the following questions: Did the level of ‘at risk for overweight’ and ‘overweight’ among middle school students decrease, and by how much? Did the level of ‘at risk for overweight’ and ‘overweight’ among high school students decrease, and by how much? Baseline data are those obtained from the Sarasota County 2003 Middle School YRBS and 2004 High School YRBS. Because it generally takes longer to see changes in outcome objectives, follow-up data will be not only from the 2005 Middle School YRBS and 2006 High School YRBS, but also from the 2007 Middle School YRBS and 2008 High School YRBS. VERB 26 CONCLUSION Although the Sarasota County Obesity Prevention Coalition did not set out to follow the PRECEDE-PROCEED model in designing an obesity prevention intervention, it has been useful to summarize what they have done and insert what they might have done within the PRECEDEPROCEED framework. Specifically, the explicit setting of priorities and objectives has been overlooked by the coalition. Having these objectives stated up front will help determine what facets of the program should be evaluated. This paper has been shared with the principle investigators of the FPRC who have agreed to approach the coalition and ask them to develop some program objectives with the purpose of evaluation in mind. VERB 27 REFERENCES Aeffect, Inc. (2000). Review of literature to support development of the Youth media Campaign: Exploring how to motivate behavior change among tweens in America. Prepared for Department of Health and Human Services’ Centers for Disease Control and Prevention. Retrieved May 24, 2004, from www.cdc.gov/youthcampaign/research/resources.htm. Center for Weight and Health, College of Natural Resources, University of California, Berkeley. (2001). Pediatric overweight: A review of the literature. Retrieved September 16, 2003, from http://www.cnr.berkeley.edu/cwh/activities/position.shtml. Centers for Disease Control and Prevention (2003). BMI for children and teens (also referred to as BMI for age). Retrieved October 22, 2003, from www.cdc.gov/nccdphp/dnpa/bmi/ bmi-for-age.htm. Centers for Disease Control and Prevention. (2004a). VERB campaign overview. Retrieved April 16, 2006, from http://www.cdc.gov/youthcampaign/overview.htm. Centers for Disease Control and Prevention. (2004b). Press release: National campaign to get kids physically active is working. Survey findings prove the VERB campaign is motivating youth to get active. Retrieved April 16, 2005, from http://www.cdc.gov/od/oc/media/pressrel/r040217.htm. Centers for Disease Control and Prevention. (2004c). Florida 2003 Youth Risk Behavior Survey (YRBS) Results. Retrieved May 24, 2004, from www.cdc.gov/yrbss. Florida Department of Health, Office of Planning, Evaluation and Data Analysis. (2004). BMI Screening Results, Sarasota County Health Department School Health Services, Report VERB 28 GH330L1. Florida Prevention Research Center, University of South Florida (2005). Core Progress Report (in progress). Green, L.W., & Kreuter, M.W. (2005). Health program planning: An educational and ecological approach (4th ed.). New York: McGraw-Hill. Ogden, C.L., Flegal, K.M., Carroll, M.D., & Johnson, C.L. (2002). Prevalence and trends in overweight among U.S. children and adolescents, 1999-2000. Journal of the American Medical Association, 288, 1728-1732. Polhamus, B., Dalenius, K., Thompson, D., Scanlon, K., Borland, E., Smith, B., & GrummerStrawn, L. (2003). Pediatric Nutrition Surveillance 2001 Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Retrieved March 2004 from http://www.cdc.gov/nccdphp/dnpa/pdf/2001_ped_nutrition_report.pdf. Sallis, J.F., Prochaska, J.J., & Taylor, W.C. (2000). A review of correlates of physical activity of children and adolescents. Medicine and Science in Sports and Exercise, 32, 963-975. School Board of Sarasota County and the University of South Florida (2002). Sarasota County Middle Schools Youth Risk Behavior Survey, 2001-02 District and District by Gender and Grade Profiles. School Board of Sarasota County and the University of South Florida (2004a). Sarasota County Youth Risk Behavior Survey, 2002-2003 District High School Profile School Board of Sarasota County and the University of South Florida (2004b). Sarasota County Middle Schools Youth Risk Behavior Survey, 2003-04 District Executive Summary. VERB 29 Task Force on Community Preventive Services (2002). Physical Activity Guide to Community Preventive Services: Retrieved March 2004 from www.thecommunityguide.org/pa/DEFAULTframe.htm. U.S. Department of Agriculture, Food and Nutrition Service. (2003). WIC Program Participant Characteristics, 2003. Retrieved March 2004 from www.fns.usda.gov. U.S. Department of Health and Human Services. (2000). Healthy People 2010. Retrieved April 22, 2005, from http://www.healthypeople.gov. VERB 30 APPENDIX A (References for Table 3 only) Agron, P., Takada, E., & Purcell, A. (2002). California Project LEAN’s Food on the Run Program: An evaluation of a high school-based student advocacy nutrition and physical activity program. Journal of the American Dietetic Association 102(S): S103-S105. Baranowski, T., Baranowski, J., Cullen, K.W., Marsh, T., Islam, N., Zakeri, I., Honess-Morreale, L., & deMoor, C. (2003). Squire’s Quest! Dietary outcome evaluation of a multimedia game. American Journal of Preventive Medicine 24: 52-61. Baranowski, T., Baranoski, J.C., Cullen, K.W., Thompson, D.I., Nicklas, T., Zakeri, I.E., & Rochon, J. (2003). The Fun, Food, and Fitness Project (FFFP): The Baylor GEMS pilot study. Ethnicity & Disease 13 (suppl1): S30-39. Beech, B.M., Klesges, R.C., Kumanyika, S.K., Murray, D.M., Klesges, L., McClanahan, B., Slawson, D., Nunnally, C., Rochon, J., McLain-Allen B., & Pree-Cary, J. (2003). Ethnicity & Disease 13 (suppl1): S40-53. Frenn, M., Malin, S., Bansal, N.K. (2003). Stage-based interventions for low-fat diet with middle school students. Journal of Pediatric Nursing, 18: 36-45. Caballero, B., Clay, T., Davis, S.M., Ethelbah, B., Holy Rock, B., Lohman, T., Norman, J., Story, M., Stone, E.J., Stephenson, L., & Stevens, J. (2003). Pathways: A school-based, randomized controlled trial for the prevention of obesity in American Indian schoolchildren. American Journal of Clinical Nutrition 78: 1030-1038. Donnelly, J.E., Jacobsen, D.J., Whatley, J.E., Hill, J.O., Sswift, K.L., Cherrington, A., Polk, B. Tran, Z.V., & Reed, G. (1996). Nutrition and physical activity program to attenuate VERB 31 obesity and promote physical and metabolic fitness in elementary school children. Obesity Research 4: 229-243. Flores, R. (1995). Dance for health: Improving fitness in African American and Hispanic adolescents. Public Health Reports 110: 189-193. Gortmaker, S.L., Cheung, L.W.Y., Peterson, K.E., Chomitz, G., Cradle, J.H., Dart, H., Fox M.K., Bullock, R.B., Sobol, A.M., Colditz, G., Field, A.E., & Laird, N. (1999). Impact of a school-based interdisciplinary intervention on diet and physical activity among urban primary school children: Eat Well and Keep Moving. Archives of Pediatrics & Adolescent Medicine 153: 975-983. Gortmaker, S.L., Peterson, K., Wiecha, J., Sobol, A.M., Dixit, S., Fox, M.K., & Laird, N. (1999). Reducing obesity via a school-based interdisciplinary intervention among youth: Planet Health. Archives of Pediatrics & Adolescent Medicine 153: 409-418. Harrell, J.S., Gansky, S.A., McMurray, R.G., Bangdiwala, S.I., Grauman, A.C., & Bradley, C.B. (1998). School-based interventions im prove heart health in children with multiple cardiovascular disease risk factors. Pediatrics 102: 371-380. Harvey-Berino, J., & Rourke, J. (2003). Obesity prevention in preschool Native-American children: A pilot study using home visiting. Obesity Research 11: 606-611. Holcomb, J.D., Lira, J., Kingery, P.M., Smith, D.W., Lane, D., & Goodway, J. (1998). Evaluation of Jump Into Action: A program to reduce the risk of non-insulin dependent diabetes mellitus in school children on the Texas-Mexico border. Journal of School Health 68: 282-288. Kelder, S. H., Perry, C. L., Lytle, L.A., & Klepp, K.I. (1995). Community-wide youth nutrition education: Long-term outcomes of the Minnesota heart Health Program. Health VERB 32 Education Research 10: 199-31. Leslie, J., Yancy, A., McCarthy, W., Albert, S., Wert, C., Miles, O., James, J. (1999). Development and implementation of a school-based nutrition and fitness promotion program for ethnically diverse middle-school girls. Journal of the American Dietetic Association 99: 967-970. Luepker, R. V., Perry, C.L., McKinlay, S.M., Nader, P.R., Parcel, G.S., Stone, E.J., Webber, L.S., Elder, J.P., Feldman, H.A., Johnson, C.C., Kelder, S.H., & Wu, M. (1996). Outcomes of a field trial to improve children’s dietary patterns and physical activity: The Child and Adolescent Trial for Cardiovascular Health (CATCH). Journal of the American Medical Association 275: 768-776. Neumark-Sztainer, D., Story, M., Hanna, P.J., & Rex, J. (2003). New Moves: A school-based obesity prevention program for adolescent girls. Preventive Medicine 37: 41-51. O’Neil, C.E., & Nicklas, T.A. (2002). Gimme 5: An innovative, school-based nutrition intervention for high school students. Journal of The American Dietetic Association 102(S): S93-S96. Perry, C. L., Bishop, D.B., Taylor, G., Murray, D.M., Mays, R.W., Dudovitz, B.S., Smyth, M., & Story, M. (1998). Changing fruit and vegetable consumption among children: The 5A-Day Power Plus program in St. Paul, Minnesota. American Journal of Public Health 88: 603-609. Perry, C. L., Zauner, M., Oakes, J.M., Taylor, G., & Bishop, D.B. (2002). Evaluation of a theater production about eating behavior of children. Journal of School Health 72: 256261. Reynolds, K.D., Franklin, F.A., Binkley, D., Raczynski, J.M., Harrington, K.F., Kirk, K.A., & VERB 33 Person, S. (2000). Increasing the fruit and vegetable consumption of fourth-graders: Results from the High 5 Project. Preventive Medicine 30: 309-319. Robinson, T.N. (1999). Reducing children’s television viewing to prevent obesity: A randomized controlled trial. Journal of the American Medical Association 282: 15611567. Sallis, J.F., McKenzie, T.L., Alcaraz, J.E., Kolody, B., Faucette, N., & Hovell, M.F. (1997). The effects of a 2-year physical education program (SPARK) on physical activity and fitness in elementary school students. American Journal of Public Health 87: 1328-1334. Sallis, J.F., McKenzie, T.L., Conway, T.L., Elder, J.P., Prochaska, J.J., Brown, M., Zive, M.M., Marshall, S.J., & Alcaraz, J.E. (2003). Environmental interventions for eating and physical activity: A randomized controlled trial in middle schools. American Journal of Preventive Medicine 24: 209-217. Stolley, M.R., Fitzgibbon, M.L., Dyer, A., Van Horn, L., KauferChristoffel, K., & Schiffer, L. (2003). Hip-Hop to Health Jr., an obesity prevention program for minority preschool children: baseline characteristics of participants. Preventive Medicine 36: 320-329. Story, M., Sherwood, N.E., Himes, J.H., Davis, M., Jacobs, D. R., Cartwright, Y., Smyth, M., & Rochon, J. An after-school obesity prevention program for African-American girls: The Minnesota GEMS pilot study. Ethnicity & Disease 13(suppl1): S54-64. Williams, C.L., Bollella, M.C., Strobino, B.A., Spark, A., Nicklas, T.A., Tolosi, L.B., & Pittman, B.P. (2002). “Healthy-Start”: Outcome of an intervention to promote a heart healthy diet in preschool children. Journal of the American College of Nutrition 21: 62-71. VERB 34 APPENDIX B Sarasota County Locations for Physical Activity Name of Business Telephone Street Address City St Zip Sarasota FL 34237 Youth Business Votes Particip. Bicycling Sarasota BMX 1590 North Tuttle Avenue X Bowling Amf Gulf Gate Lanes 921-4447 7221 South Tamiami Trail Sarasota FL 34231 Sarasota Lanes 955-7629 2250 Fruitville Road Sarasota FL 34237 AMF Venice Lanes 484-0666 1100 US Highway 41 Bypass S Venice FL 34285 Englewood Bowl 474-5265 299 South Indiana Avenue Englewood FL 34223 Feather Canoes 355-6736 3080 North Washington Blvd Sarasota Midnite Pass Bike & Kayak 346-0891 1216 Old Stckney Pt Rd Sarasota FL 34242 Rogue Wave Rentals 349-8500 5055 Ocean Blvd Sarasota FL 34242 X Canoe and Kayak FL 34234 X Kayak Treks 365-3892 3667 Bahia Vista Street Sarasota FL 34232 Myakka River Outpost Canoe Rentals 923-1120 State Road 72 Sarasota FL 34231 Faith Foundation For Youth 366-0969 2425 17th St Sarasota FL 34234 Compound The 362-8335 2425 17th St Sarasota FL 34234 Underdog 331-1330 412 South Washington Blvd Sarasota FL 34236 Boys and Girls Club-Roy McBean 953-9549 1790 21st St Sarasota FL 34234 X X Boys and Girls Club-Lee Wetherington 366-7940 3100 Fruitville Road Sarasota FL 34237 X X X Clubs Boys and Girls Club-Gene Matthews 423-4405 6851 South Biscayne Drive North Port FL 34287 Bath and Racquet 921-6675 2170 Robinhood Street Sarasota FL 34231 Girls Inc. 366-6646 201 South Tuttle Sarasota FL 34237 10th Street Bait Tackle & Boating 955-7288 1080 North Tamiami Trail Sarasota FL 34236 Aquasport 751-7851 1650 Whitfield Avenue Sarasota FL 34243 Cb's Saltwater Outfitters 346-2466 1249 Stickney Point Road Sarasota FL 34242 X X X Fishing Dancing American Dance Sport 484-0432 417 Tamiami Trail South Venice FL 34285 Starz Choice Dance Academy 485-7450 348 S Seaboard Ave Venice FL 34285 FSUdance Sarasota 373-7812 1226 N. Tamiami Trail, Suite 201 Sarasota FL 34236 X Bobby Jones Golf Complex 955-8041 1000 Circus Boulevard Sarasota FL 34232 X Evie's Mini Golf - Western Theme 377-2399 4735 Bee Ridge Road Sarasota FL 34233 X Golf courses VERB 35 Golf USA of Sarasota 926-2220 3570 Clark Road Sarasota FL 34231 Pop's Golf & Batting Center 377-4807 6800 Fruitville Road Sarasota FL 34240 Pro Golf Discount 925-7888 7690 Tamiami Tr S Sarasota FL 34231 Smuggler's Cove Adventure 351-6620 3815 North Tamiami Trail Sarasota FL 34234 Forest Lakes 922-1312 2401 Beneva Road Sarasota FL 34232 X Rolling Green 355-7621 4501 North Tuttle Sarasota FL 34234 Pelican Point Golf & Country Club 496-4653 Center Road Venice FL 34292 X Sarasota Golf Club 371-2431 7280 North Leewynn Drive Sarasota FL 34240 X Gymnastics/Cheerleading Sarasota All Star Cheer Gym 925-0902 Concorde Academy of Gymnastics Funtastics 925-9895 4553 Mariotti Court 103 Sarasota FL 34233 6508 Superior Avenue Sarasota FL 34231 4581 Ashton Road Sarasota FL 34233 X Gyms Gold's Gym 923-4653 3762 Bee Ridge Road Sarasota FL 34233 Shapes 355-6551 8344 Lockwood Ridge Road Sarasota FL 34243 4001 Cattleman Road Sarasota FL 34233 922-9622 8301 Potter Park Drive Sarasota FL 34238 Shapes YMCA-Evelyn Sadlier Jones Branch X X YMCA-Frank G. Berlin Sr. Branch 955-8194 1075 South Euclid Avenue Sarasota FL 34237 X YMCA-Metropolitan Sarasota Family 366-6778 One South School Avenue Sarasota FL 34237 X YMCA-Babe Weiller Branch 366-6778 1991 Main Street Sarasota FL 34236 X YMCA-South County Family 492-9622 701 Center Road Venice FL 34285 X The Sweat Shop Youth Fitness Center 343-9227 999 Cattlemen Road, Suite A Sarasota FL 34233 The Studio 496-9750 2203 Tamiami Trail South Venice FL 34293 Lifestyles Family Fitness 921-4400 8200 S Tamiami Trail Sarasota FL 34238 1845 34th Street Sarasota FL 34234 1758 Tamiami Trail, Venice FL 34293 The Rec X Martial Arts Family Tae Kwon Do Center 496-8787 North Port Tae Kwon Do 426-7484 12715 Tamiami Trail South North Port FL 34287 ATA Karate Shuman's Black Belt Acad 486-0330 1045 USHighway 41 Bypass South Venice FL 34285 Global Martial Arts Academy 483-1801 617 Cypress Avenue Venice FL 34285 X Karate for Kids 926-0355 5714 Clark Road Sarasota FL 34233 Suncoast Karate Dojo 923-6013 3643 Webber Street Sarasota FL 34232 West Coast Martial Arts Academy 922-6403 5656 Swift Road Sarasota FL 34231 Lee's Traditional Tae Kwon Do 923-7752 4801 South Tamiami Trail Sarasota FL 34231 Lakewood Ranch Taekwondo Acad 727-9966 7041 Professional Pkwy. E. Sarasota FL 34240 X B & D Paint Ball 426-9862 12707 Tamiami Trail South North Port FL 34287 X Firestorm Paintball 921-1818 5900 South Tamiami Trl Sarasota FL 34231 Strategic Command Paintball 359-8819 1771 Myrtle Street Sarasota FL 34234 Firestorm Nokomis 484-1600 Lee Road Venice FL 34292 488-3896 101 West Venice Avenue Venice FL 34285 X Paintball Skating/Skate Boarding V -Town Surf & Skate VERB 36 Stardust Skate Center 371-5928 5139 Island Date Street Sarasota FL 34232 X Stardust 365-6888 2571 12th Street Sarasota FL 34237 X JP Igloo 723-3663 5309 29th Street East Ellenton FL 34222 X North Port Skate Park North Port Blvd North Port FL 34287 X Payne Park 2050 Adams Lane Sarasota FL 34236 X Crosstown Skate Park 2425 17th Street Sarasota FL 34236 Tennis String King 488-7983 530 USHighway 41 Bypass South Venice FL 34285 Courtside Tennis Club 485-2000 512 North Auburn Road Venice FL 34292 Outer Image 921-6675 2170 Robinhood Street Sarasota FL 34231 Boomerang Tennis-N-Sport Shop 383-1104 645 Cedars Court Sarasota FL 34231 Colonial Oaks Park 316-1330 5300 Colonial Oaks Blvd. Sarasota FL 34237 X The Oaks Tennis & Swim Club 966-3605 317 Macewen Drive Osprey FL 33559 X 497-5985 2357 Tamiami Trail South Unit 9 Venice FL 34293 Watersports Scuba Quest Splash Sun Fun 488-6568 120 USHighway 41 Bypass South Venice FL 34285 Swim City 922-4545 1960 Stickney Point Rd Sarasota FL 34231 Economy Tackle/Dolphin Dive Center 924-2785 6018 South Tamiami Trail Sarasota FL 34231 X Ocean Pro Dive Shop Inc 924-3483 2259 Bee Ridge Rd Sarasota FL 34239 X Island Style Wind & Watersports 954-1009 2433 North Tamiami Trail Sarasota FL 34234 X Wellfield 861-9830 1300 Ridgewood Venice FL 34292 X Myakka River State Park 361-6511 13207 SR 72 Sarasota FL 34241 X Gillespie Park 316-1172 710 North Osprey Avenue Sarasota FL 34236 X Arlington Park 316-1346 2650 Waldemere Street Sarasota FL 34237 X Redskin Field 953-6560 2801 12th Street Sarasota FL 34234 X 8918 Midnight Pass Road Siesta Key FL 34242 X Parks/Beaches/Playing Fields Turtle Beach Sun Devils Field (Twin Lakes Park) Payne Park 954-4884 South Lido Beach E.A. Smith Field 6700 Clark Road Sarasota FL 34241 X 2050 Adams Lane Sarasota FL 34236 X 190 Taft Drive Sarasota FL 34236 X 1090 North Euclid Avenue Sarasota FL 34237 X George Mullen Center 426-8331 4956 City Center Blvd. North Port FL 34286 X Blackburn Point Park 316-1227 800 Blackburn Road Sarasota FL 34242 X Newtown Estates 316-1161 2800 Newtown Blvd. Sarasota FL 34243 X Potter Park 316-1172 8587 Potter Park Drive Sarasota FL 34237 X Siesta Beach 346-3207 948 Beach Road Sarasota FL 34242 X Oscar Scherer State Park 650-4680 1843 South Tamiami Trail Osprey FL 34229 X 475-2008 3609 South McCall Road Englewood FL 34224 X Other Pelican Pete's Playland Inc. VERB 37 APPENDIX C Principal Investigator/Program Director (Last, First, Middle): PERSONNEL (Applicant organization only) ROLE ON PROJECT NAME TYPE APPT. (months) Principal Investigator Marketing Coord. Events Coord TBD Sarasota County Health Department % EFFORT ON PROJ. FROM THROUGH 09/30/04 09/29/05 DOLLAR AMOUNT REQUESTED (omit cents) INST. BASE SALARY SALARY REQUESTED FRINGE BENEFITS TOTAL 6 5.0 100,000 0 0 0 4 50.0 30,000 0 0 0 4 50.0 25,000 0 0 0 0 0 0 SUBTOTALS CONSULTANT COSTS see continuation page 7,000 EQUIPMENT (Itemize) SUPPLIES (Itemize by category) TRAVEL see continuation page PATIENT CARE COSTS 924 INPATIENT OUTPATIENT ALTERATIONS AND RENOVATIONS (Itemize by category) OTHER EXPENSES (Itemize by category) see continuation page 22,640 CONSORTIUM/CONTRACTUAL COSTS SUBTOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD (Item 7a, Face Page) CONSORTIUM/CONTRACTUAL COSTS TOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD SBIR/STTR Only: FEE REQUESTED PHS 398 (Rev. 09/04) 30,564 DIRECT COSTS $ 4,585 FACILITIES AND ADMINISTRATIVE COSTS $ 35,148 VERB 38 BUDGET CONTINUATION PAGE CONSULTANT: Graphic Artist Trainer for Youth Researcher Training Sessions Summer Scorecard Spokesperson TRAVEL: Travel for Community Board Member to attend a scientific meeting Mileage Sarasota -- Tampa (5 trips x 130 miles x $0.29) Vicinity Mileage (30 miles x 50 trips x $0.29) OTHER EXPENSES: Data collection expenses Printing and duplication of VERB and Summer Scorecard products Stipends for community researchers (12 people x $8/hour x 50 hours) Incentives for focus group participants Convening focus groups Training sessions for youth researchers Project website Media buys to disseminate project messages (tv and/or radio and/or billboards and/or newspaper) Prizes for Summer Scorecard Finale Supplies to assist in distribution of Summer Scorecard 5000 1500 500 300 189 435 503 5994 4800 3800 1000 250 300 5593 200 200 VERB 39 Budget Justification SUBCONTRACT TO THE SARASOTA COUNTY HEALTH DEPARTMENT FOR SARASOTA COUNTY YOUTH OBESITY PREVENTION PROJECT ___ is with Sarasota County Health Department. ___ serves as Principal Investigator of the Sarasota County Youth Obesity Prevention Project and devotes 5% of his effort in kind to overseeing the management of the Sarasota County Health Department Subcontract. ___ serves as the Marketing Coordinator for the Sarasota Pilot Project. ___ is responsible for working with the Center project staff and the Sarasota community to implement and evaluate the CBPM process in Sarasota County. ___ is also responsible for assisting with sustainability efforts of the Sarasota Youth Alcohol and Tobacco Prevention Pilot Project in Sarasota County by procuring additional funds and using CBPM to facilitate the process with other community driven projects (i.e., obesity prevention). ___ will devote 25% of her effort for four months in kind (base salary $58,000). TBD Events Coordinator will coordinate the Summer Scorecard Event for the Sarasota County community. He/she will devote 50% effort for four months to this project (base salary $30,000) in kind. Graphic Artist—Funds are requested to hire a Graphic Artist to work with the Coalition to develop project materials. We estimate that this would cost $250 a day for a total of 20 days. Trainer for Youth Research Training Sessions—Funds are requested to hire a trainer to lead the youth research training sessions. We estimate that this will cost $250 a day for a total of 5 days. Summer Scorecard Spokesperson- Funds are requested to hire a spokesperson for the Summer Scorecard program. This person will play a role in the Summer Scorecard Finale and other project activities. We estimate this will cost $200 a day for 2.5 days. Travel for Coalition Member to attend a scientific meeting: Funds are requested to send one member of the Coalition to a scientific meeting; approximate cost of $300 will cover per diem and mileage reimbursement. VERB 40 Mileage: funds are requested for staff to travel (1) between Tampa and Sarasota at an estimated total of five trips at 130 miles per roundtrip; and (2) in the Sarasota vicinity (50 trips at 30 miles roundtrip) to meet with Summer Scorecard Partners and check on distribution of Summer Scorecards. Data Collection Expenses: Funds are requested to purchase paper, flip charts, writing utensils and other materials necessary to collect qualitative and quantitative data. Printing and Duplication of VERBTM and Summer Scorecard products: Funds are requested to print and reproduce project materials including the Summer Scorecard and related VERBTM materials. Stipends for Community Researchers: Teens will be trained to lead focus groups and we request funds to pay them for the time they invest in the project. Estimated cost is $4,800. Incentives for Focus Group Participants: Incentives are estimated for approximately 104 youth focus group participants at $15/participant and 56 parent focus group participants at $40/participant. Gathering qualitative data from these groups will help us identify the assets, deficits, and concerns of the community. Convening focus groups: Funds are requested to help recruit focus group participants at a rate of $6.25 per participant. Training sessions for youth researchers: We request funds to support the training sessions the youth researchers will attend to learn how to conduct focus groups. Estimated cost is $250 and includes binders, coping services, paper, pens and other related materials. Project website: We request funds for licensing and hosting a project website to be used in disseminating information pertinent to the target population. Estimated cost is $300. Media buys- Funds are requested to pay for media buys that will support the VERBTM and Summer Scorecard messages. These may include buys in print, radio, tv and/or billboards. VERB 41 Prizes for Summer Scorecard Finale- Funds are requested to purchase a giveaway for the participants who attend the finale that is in line with the projects theme. Supplies to assist in distribution of Summer Scorecard- Funds are requested to cover the cost of displaying the Summer Scorecard as well as training the partners in the program. Such supplies include plastic display containers for the cards, folders of informational material on the project for the partners who will be distributing the cards. Indirect costs for this contract are calculated at 15% of the total direct costs.