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Dubach Health Outreach Project

Topics Health promotion and disease prevention
Obesity
Wellness
States served Louisiana
Description The purpose of this health outreach project was to access a multidisciplinary community-based intervention to combat obesity and related chronic diseases in Dubach and the neighboring communities through preventive services and health education aimed at lifestyle related behavioral changes.
Services offered A total of 639 individuals were screened for obesity, blood sugar, hypertension, and cholesterol, dietary and physical activity habits and were provided with one-on-one counseling based on their screening results at baseline. A total of 474 individuals were provided with follow-up screening every six months for the duration of the project. Participants with at risk values were encouraged to see their doctors. Recommendations for behavior changes to modify the values were discussed. Approximately, 100 of those screened are participating in small group exercise programs. A total of 10 Community Health Mentors were trained to lead the exercise groups.

The project was well recognized by the local papers and made headlines several times. The project director was recognized by the President of the University for the Successful Implementation of the project in the community and providing service learning opportunities to the students. The project director was awarded the Scholarly Activity Award for the year 2006 as a result of the project implementation and results.

Results An external project evaluator was contracted to assess the program using both structural and nonstructural evaluation instruments. The evaluation instruments were developed to examine the program in the following major areas:
  • decrease in overall fat and added sugar consumption
  • increased frequency and duration of physical activity
  • increased intake of fruits, vegetables, and whole grains
  • normal cholesterol and blood glucose levels among the participants
  • increase in number of participants taking control of their health by adhering to medical prescriptions and accessing available services

Food frequent questionnaires, Physical activity questionnaires and the blood work data were used to collect data before and after training. Intervention goals and objectives were evaluated to assess the knowledge gained and the behavior change or modification made. The following national and international presentations were given using data from the project.

Replication Absolutely yes, if rural low income and low literacy population will be reached with health services, this model provides the gateway. Working with the community and addressing their concerns, removes barriers to participation and builds trust. Counseling people on one on one basis at the most teachable moment as they see and understand their results fosters behavior change. Training and equipping recognized and trusted leaders with accurate health information and developing groups in established organizations in the community provides both multiplication effect and sustains the project impact.

Preliminary results of this project indicated that this model is a best practice and it works. Thank you for funding this project. I would be willing to provide workshops to train people in this model or answer any questions. It worked!

Most important aspect of the program will be sustained. For example the exercise groups are still in progress. The mentors have resources to continue teaching about a healthy lifestyle. Most churches included health aspect as part of their activities in church and identified a budget for it.

Source Outreach Sourcebook, Vol. 13, 2005-2008, Office of Rural Health Policy
Contact person Mary Murimi, Ph.D., RD, LDN
Associate Professor
Louisiana Tech University
P.O. Box 3168
Ruston, Louisiana 71272
Phone: 318-257-3026
E-mail: murimi@latech.edu
Date added January 16, 2007

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