Valerie Minor, RN, MSN., Christa Ice, Ph.D.,
& Shannon Holland, MA.
CARDIAC on the Move: School-based Surveillance and
Intervention
1. Valerie Minor, Associate Director CARDIAC, will introduce the CARDIAC project
2. Christa Ice will present findings from the past year of CARDIAC and give examples of CARDIAC research projects
3. Shannon Holland, Executive Director WVOM, will talk about the Schools on the Move grants
Outline for today’s talk
The West Virginia CARDIAC Project
Coronary
Artery
Risk
Detection
In
Appalachian
Communities
“To reduce cardiovascular disease, diabetes, and other
chronic illnesses in West Virginia through
research and intervention in children.”
1998: 3 counties
2012: 55 counties
Once upon a time…
W.A.Neal, MD
…there was a famous pediatric cardiologist. He saved and improved the quality of the lives of hundreds of sick children.
He was very happy about this.
But he knew there was more.
In 1995, the WV age adjusted death rate from heart disease was 21% higher than the national average.
Something had to be done. But the grown-ups just didn’t seem to be getting it.
Now, this was not just your average “run of the mill” famous pediatric cardiologist. He was a deep thinker!
Hold that thought.
The postman delivered letters that invited lots of people (including the famous pediatric cardiologist and a cranky nurse) to a meeting.
And lots of people went to the meeting to do good work.
And everyone listened carefully to all the speeches.
Lfdoas lfoei ad ald da ll ldjpe fj j erd lfoe d 0p aod ap apo
A[a aeipf apoia’p d ka adl k
Then they all got their special assignment to a special focus group.
And the famous pediatric cardiologist with the bright idea was assigned to the same focus group as the cranky nurse.
Welcome to “our” focus group.
“Geez, you’re the worst focus group I’ve ever seen.”
Geez, you’re the worst focus group I’ve ever seen.”
…blah blah…if the school nurses had money…blah blah…reports that never go anywhere…A-B nursing & RHEP…
The cranky nurse didn’t like focus groups with all talk and no action and said so as she introduced herself to the group.
The land of dead-end reports
The famous pediatric cardiologist agreed. He decided to introduce himself to the cranky nurse.
W.Neal, MD
And there are 2 others who can make this happen…
So over lunch at the meeting, the famous pediatric cardiologist talked to the cranky nurse. He told her about his bright idea and about 2 other people...
WVU SOM Department of Pediatric Cardiology
Super-duper RHEP Site Coordianator
And you will do community service projects…
And the pieces came together…
CDC
Benedum Foundation
Departm
ent of
Pediatrics FoundationCompton Nutrition Chair
American Heart Association
…and the givers gave…
Private contributions
WE CARDIAC
…and the legislature gave…
And the famous pediatric cardiologist said, “This is good.”
A-B Senior Nursing Students: The Dream Team since ’98
Major Change: Demise of RHEP
Based at WVU SOM
Many of the same peopleRemains community basedAble to focus on CARDIAC aloneSo far, so good!
1) Active consent 5th grade (CARDIAC Kid)1) Family history2) BMI3) Blood pressure4) Acanthosis Nigricans5) Fasting lipid profile
2) Eight county active consent research program
3) Passive consent 2nd grade (CARDIAC TOO)
CARDIAC: Results from 2011-2012
County and state results for 5th grade are available on our website: www.cardiacwv.org
Since 1998, we’ve screened over 81,156 5th graders!
In 2011-2012:1. 48 counties were screened2. 259 schools3. 4,780 students4. 60 parents
Results – 5th grade
Among those 4,780 screened: 18.7% were overweight 27.8% were obese 20.3% had high blood pressure 23.5% had abnormal lipids (high TC and/or low HDL) 3.9% had Acanthosis Nigricans
Of those with AN, 62.1% had high insulin Many of the students screened do not realize they need medical
attention! Parents can call our toll-free hotline with questions. Parents are contacted if their child should seek immediate medical
attention.
5th grade results, cont.
Since 2005, over 50,082 2nd graders have been screenedDuring 2011-2012:
41 counties participated8,591 students15.7% were overweight24.5% were obese2% had Acanthosis Nigricans
Results for 2nd grade
Screened 868 kindergartners17.2% were overweight13.6% were obese0.7% had Acanthosis Nigricans
Screened 97 8th graders19.8% were overweight26% were obese6.2% had Acanthosis Nigricans
Other grades 2011-2012
Validate a Model for Reducing and Preventing Obesity in WV School Aged Children
3 year project following students in 6th, 7th, and 8th grades In collaboration with Marshall University regarding School Based
Health Centers Funded by The Claude Worthington Benedum Foundation Compared school-based health centers to a physician office-based
model
Other screening projects
Evaluation and program develop of Greenbrier CHOICES, an integrated adolescent health promotion program on the physical activity, fitness, and dietary behaviors of middle school students.
Screening 6th, 7th, and 8th grade students In Greenbrier County middle schools As part of the Clinical Component of the Carol M. White Physical Education
Program (PEP) Grant
Other screening projects, cont.
With the discontinuation of WVRHEP in the 2011-2012 school year, CARDIAC hired experienced Area Coordinators
If you are currently a school nurse participating in the CARDIAC Project, please see our booth, pick up screening results, and say hi to your Area Coordinator!
If you have any questions regarding CARDIAC screening of 2nd or 5th grade students, please feel free to talk to them!
Changes
One of the biggest questions we get is what can we do with these CARDIAC results to improve child health in WV?
Area Coordinators will start implementing or facilitating intervention efforts in their areas in 2012-2013
We will generally only be screening passive consent 2nd grade and active consent 5th grade schools
We value the expertise of the School Nurses and we request that they participate in the screening
Changes for 2012-2013
These results are extremely important for families, who might not realize cardiovascular risk starts in young children
They are also important for state and nationwide research
implications.
CARDIAC in the state news: Kate Long with the Charleston Gazette:
http://theshapewerein.wordpress.com/
Research
Nationwide CARDIAC research in the news:1) 2012 AHA EPI-NPAM Science News: Sam Gidding, MD, FAHA
and Christa Ice, PhD. CV Risk Factors and Rurality in Appalachian Children
2) Ms. Ritchie’s 2010 article: Universal versus targeted blood cholesterol screening among Appalachian youth: The CARDIAC project. Pediatrics. 126, 260-265.
3) Dr. Cottrell’s 2011 article: Metabolic abnormalities in children with asthma. American Journal of Respiratory and Critical Care Medicine. 183, 441-448.
Research
20,266 Subjects Tested(5th Graders)
14,468 met NCEP screening Guidelines (71.4%)
5,798 did not meet NCEPScreening guidelines (28.6%)
170 warrant pharmacologic tx (1.2% of those who met
NCEP guidelines)(1.7% of those who did not
Meet NCEP guidelines)
Universal versus Selective Screening:Testing Current NCEP Guidelines
98 warrant pharmacologic tx98 warrant pharmacologic tx
Results Summary:
Mid-sized metro areas consistently presented with the worst outcomes (BP, BMI, cholesterol)
All areas/counties have high rates of cardiovascular risk!
Cardiovascular Risk Factorsand Rurality
Data from 2003 - 2011
Obesity by county since 1998
Obesity is defined as BMI ≥95th percentile
Data includes over 81,000 participants
National average is ~20%
All counties have prevalence above the national average
Take steps to improve West Virginia children’s health! Here are a few ways you can help:
Ask parents and schools to participate in the CARDIAC Project
Encourage state legislators to continue supporting child health initiatives, such as healthy school meals and obesity screening
Volunteer with local, community-based health initiatives, such as school gardens
Become a role model: Follow 5-2-1-0. Have your cholesterol and blood pressure checked.
Partner with CARDIAC
AAP 5-2-1-0 Campaign
Become involved in statewide initiatives, such as the physical activity plan: www.wvphysicalactivity.org
Go to West Virginia on the Move for other great physical activity ideas: www.wvonthemove.net
Partner with WVU Extension’s healthy lifestyle initiative: www.ext.wvu.edu
CARDIAC Partners
West Virginia on the Move Since 2004Statewide non-profitMission :
To promote a physically active lifestyle for all West Virginians, by providing leadership, technical expertise, and collaboration with the goal of reducing the prevalence of chronic disease.
50
Schools on the Move - GoalTo help WV schools create
and foster opportunities for comprehensive school physical activity that could not be developed without external funding. *
*WV Physical Activity Plan - Priority Area 1: School-based Programs & Initiatives. Implement multi-year programs to provide resources and technical support for PK-12 schools seeking to establish comprehensive school physical activity programs. (ActiveWV Schools)
Warwood School 2010-2011
51
Schools on the MoveSince 2005Up to $5,000Pre-K to 12Public or private# of grants varies
5 to 11Increase physical activity
opportunities before, during or after school for students, staff and families
Tunnelton-Denver Elementary (2011)
52
Project ExamplesWalking TracksCircuit Training & Hip
Hope Dance ProgramMobile PE BoxesClimbing WallsFamily Fun NightsCycling ClubsKids Run Wild ProgramSPARK TrainingSummer Shape Up
Challenge
Williamstown Elementary 2009
Congratulations! 2012-2013 Grants
Brandywine Elementary (Pendleton) - Walking Trail
Increase physical activity most students receive by twenty minutes on a new walking trail. Activities include after-school family walking program in addition to before and during school programs.
Fountain Primary School (Mineral) - On the Go
Increase physical activity levels of students and community members through programs using paved walking track. Promote use before during and after school and increase community access.
Marlowe Elementary (Berkeley) - Marlow is Walking around the World
Increase student physical activity levels during the school day in addition to increasing levels for parents, staff and community weekly by creating walking clubs that will “walk around the world”.
Point Harmony Elementary (Kanawha) - Point Harmony After-School Activity Program
Increase physical activity levels and reduce screen time through after school clubs and integration of nature trail in school and community outdoor physical activity.
Tucker County High School (Tucker) - Wheels for the Hills
Create school based outdoor adventure club to foster a life-long enjoyment of outdoor recreation for students, staff and community through mountain biking.
West Liberty Elementary (Ohio) - Heart of an Eagle
Increase knowledge of moderate to vigorous physical activity using heart rate monitors through programming that includes best practices such as SPARK and Let’s Move! WV.
ReachTotal 39,281 Reported by Grant Contacts 2005 – 2011
Barbour
Berkeley
Boone
Braxton
Brooke
CabellClay
Fayette
Gilmer
Grant
Greenbrier
Hampshire
Hancock
Hardy
Harrison
Jackson
Kanawha
Lewis
Lincoln
Logan
McDowell
Marion
Mason
Mercer
Mineral
Mingo
Monongalia
Monroe
Morgan
Nicholas
Ohio
Pendleton
Pocahontas
Preston
Putnam
Raleigh
Randolph
Ritchie
Roane
Taylor
Tucker
Tyler
Upshur
Wayne
Webster
Wetzel
Wirt
Wood
Wyoming
Marshall
Cal-houn
Dodd-ridge
JeffersonPleas-ants
Sum-mers
6 Grants5 Grants 4 Grants
3 Grants
2 Grants
1 Grants
Grants2005 to 2013
58 grants in 30 counties
Funding for 2011-2013 Schools on the Move Program provided by WVU Children’s Hospital Foundation. Additional support from End Childhood Obesity Race (ECHO) and The CARDIAC Project.
56
Reach Beyond Schools2010-2011 Reported..58% leveraged more
funding36% obtained up to $5,00027% obtained >$10,000
100% received publicity91% reached desired target
audience91% report SOM experience
encouraged them to seek other funding or increased their grant writing capacity
Bridge Elementary 2011-2012
In their words… “The sight of over 100 children staying after school and running happily
on a trail that the school community built was the vision we hoped for…
…[Children] are learning the basics of health through the activity and parents see it in action.”
“…I have noticed that students that were not normally competitive in sports activities are very successful and enjoy using the climbing wall. “
“Through [this project] our school adopted an entire health and wellness initiative”
Story from ...parent : “They took a slow, trudging, injury prone, overweight work horse and turned her into a eager, peppy and healthy race horse who is forty pounds lighter. … that running club's last group was 180 kids out of an enrollment of 460 children, more than 1/3 of our school. Crazy amounts of kids are running here thanks …”
Funders and SupportersThanks!
WVU Children’s Hospital Foundation
Additional support provided by The CARDIAC Project and End Childhood Obesity (ECHO) Race, Wheeling
Initial program funding from The Benedum Foundation
WVOM Board Members provide their expertise
In-kind support from countless organizations who help spread the word
59
New Funding for 2013-2014 Academic YearWVU Children’s Hospital Foundation Information on WVOM website by September 2012List of previously funded projects – available nowCARDIAC Area Coordinators rolewww.wvonthemove.net
Announcing!
ApplicationFirst - Letter of Intent Form requiredThen - Application:
Cover SheetCommittee ListNarrative
Need/Problem StatementExpected OutcomesTarget Audience Intervention DescriptionEvaluation.
Outcomes TableBudget and Justification2 Letters of Support
61
Thinking of Ideas?Proposals should support
local initiatives that promote comprehensive approaches to youth physical activity:
(a) Quality physical education
(b) Alternative before, during or after school programs
(c) Parent/community outreach
(d) Staff/faculty wellness
(e) Active transportation Tygarts Valley High School
62
Thanks for all you do to help …
West Virginia Schools Get on the Move!
www.wvonthemove.net
For Schools on the Move contact:Shannon Holland: [email protected]
For CARDIAC contact:Christa Ice: [email protected] OR Valerie Minor [email protected]
Top Related