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Makin' chli

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  • 1. Making CHLI:Ingredients Ellen Zavisca Use of the Community Healthy Living Indexas a Tool for Neighborhood Assessment and Community Engagement Overview

2. Presentation overview

  • What is CHLI
  • Our experience with CHLI
  • Lessons learned

3. What is CHLI

  • Developed by YMCA
  • Recommended to Knox County by RWJF/Healthy Kids, Healthy Communities
  • A qualitative tool for assessing physical activity and food environments

4. What is CHLI

  • 5 environmental assessment tools
    • Afterschool child care site
    • Neighborhood
    • School
    • Work site
    • Community at large

5. CHLI requirements

  • Organized leadership
  • A multi-disciplinary team
  • Community volunteers

6. Some CHLI questions 7. 8. 9. 10. 11. Making CHLI:Taste Test Marsha Spence,Amber Dalton, Kristen Eppig,Mona Habibi, Miranda Huston, Zixin Lou, Alviony Pangloli, Pratsani Srikan The Pilot 12. Pilot Assessment

  • Collaboration with:
  • The University of Tennessee, Knoxville
  • Department of Nutrition
  • Public Health Nutrition (PHN) Program
  • Knox County Health Department
  • Healthy Kids, Healthy Communities
  • Robert Wood Johnson Foundation
  • YMCA, Knoxville
  • Community Healthy Living Index

13. Purpose of Project

  • Pilot the Community Healthy Living Index (CHLI) for feasibility of use for Healthy Kids, Healthy Communities Project
  • Perform a Nutrition & Physical Activity Environmental Audit of The University of Tennessee Neighborhood

14. The Neighborhood Zip code: 37916 15. Participants

  • Participants were recruited by PHN graduate students via:
    • direct contact with peers & community members
    • flyers distributed around campus
    • emails

16. Participant Meetings

  • Purpose:
    • Explained CHLI & its purpose
    • Reviewed consent form & confidentiality
    • Assigned sectors & scheduled times to conduct audits

17. CHLI

  • PHN students:
    • completed the General Information section of CHLI using data from US Census & other Internet & Library Sources
    • escorted participants through sectors of the community to complete the Programs, Physical Environment, Promotion, & Policy sections of the CHLI

18. Results

  • Neighborhood Design

19. Results

  • Environment Related to Physical Activity

20. Results

  • Environment Related to Food & Nutrition

21. Results

  • Safety

22. Usability of CHLI

  • Most participants reported CHLI was feasible & could help make positive changes in neighborhoods.
  • It took most participants between 2-3hours to complete sector audits.
  • Participants need to be familiar with the neighborhood & the CHLI form to increase ease of completion.

23. Recommendations

  • Distribute CHLI forms before scheduled audits
  • Decide neighborhood perimeters beforehand
    • Give several maps & markers to each participant
    • Decide whether or not to access all areas of neighborhoods (every road; every store/restaurant)

2007. 01 24. Recommendations

  • Meet with participants before & after audits
  • Collect demographic information about participants
  • Address concerns & clarify any areas of confusion prior to completing audits
  • Take photographs of areas that are strengths or barriers in the neighborhood

25. Conclusions

  • CHLI:
    • Successful tool to assess neighborhood nutrition & physical activity environments
    • Capable of identifying barriers & strengths in neighborhoods
    • May be used to plan programs & make changes in the neighborhood

26. Making CHLI:Main Course Ben Epperson Process, Findings, Thoughts How CHLI Worked for Us The Project 27.

  • National program of Robert Wood Johnson Foundation
  • Supporting Community Action to Prevent Childhood Obesity
  • Goal:Implement active living and healthy eating initiatives to reduce childhood obesity
  • Funding must be used to build and sustain systems, policies and environmental changes

HKHC 28. 29. Our Purpose

  • Address the needs of vulnerablepopulations and communities
  • Identify and engage:
    • populations at greatest risk for childhood obesity
    • influential community members with experience and commitment to advancing active living and healthy eating
    • Broad-based political support
  • Create something that can be replicated

30. Our HKHC Partnership

  • East TN Childrens Hospital
  • Childhood Obesity Coalition
  • Knoxville Regional Transportation Planning Organization
  • Knox County Schools Coordinated School Health Program
  • Fountain City Connections
  • Key faculty from UT-Knoxville:
    • Center for Public Health
    • Obesity Research Center
    • Department of Nutrition

31. Target Neighborhoods

  • Three neighborhoods in year one, selected based on:
    • Prevalence rates of childhood obesity
    • Socioeconomic, policy, and environmental factors
    • Assets and opportunities for success
    • A mixture of urban, rural and suburban communities
  • Lonsdale, Inskip, Mascot

32. Our Assessments

  • Key informant interviews
  • Focus groups
  • YMCA Activate America
  • Community Healthy Living Index:
    • Neighborhood assessment

33. CHLI

  • Purpose
    • Engage community members in a process of identifying environmental barriers and assets related to active living and healthy eating
    • Identify priority issues at the neighborhood level
    • Collect data that can ultimately be used to inform policy decisions at the systems level


  • Identify and convene community
  • members and stakeholders
  • Assign 5 assessment routes within each neighborhood
  • Assist students/community members in scheduling assessment
  • Be present at assessments
  • Facilitate discussion, planning and implementation

HKHC Staff 35. Community Members

  • Answer the assessment questions based on instructions, direct observation and perception
  • Participate in discussion, planning and implementation


  • Understand the CHLI Neighborhood Assessment tool
  • Facilitate use of the tool by neighborhood/community stakeholders
  • Accompany stakeholders on the assessment; assure consistent assessment process used; provide clarification, if needed; record responses
  • Enter data
  • Provide report

MPH Student Role 37. MPH Methodology

  • Data Collection
    • Student designated walking route
    • 1-2 CHLI tools per audit
    • Student, HKHC staff, community member
    • Additional participant comments noted
    • Pics/Video taken by HKHC staff

38. MPH Report Example

  • Neighborhood Design
    • 1 well-maintained park and 1 Rec center
    • but
    • Poor walkability
    • Few sidewalks, trails, greenways
    • Narrowness, uneven surfaces, uncovered small utility holes

39. MPH Report Example

  • Safety (concern among community)
    • Large crime rate, prostitution, and suspicions of gang activity
    • Poor lighting throughout neighborhood
    • High-traffic areas with high-speed drivers
    • City does not pay attention to area
    • Substantial efforts to reduce loitering

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