Notes to readers of this on-line document:

1.    January 22, 1999:  UW Cooperative Extension Service has awarded this proposal $40,000.

2.    Please refer to this version for content only.  Conversion from  word-processing to html altered the spacing, formatting, and paging.  If you would like to receive this document as a WordPerfect or Word e-mail attachment, please contact Suzy Pelican at pelican@uwyo.edu.  Thank you.

 

Wellness IN Wyoming (WIN Wyoming):

Healthier at Any Age/Weight/Income, Size Acceptance, and Vitality

 

 

Leadership

Principal educator: Suzanne Pelican, University of Wyoming (UW), Food and Nutrition Specialist, Cooperative Extension Service (CES)

 

Co-principal educators:

Betty Holmes, UW, 4-H Youth Specialist, CES

Linda Melcher, UW, Cent$ible Nutrition Program Director, CES

 

Steering Committee:

Judy Barbe, Western Dairy Council and Wyoming Dietetic Association

Dr. Kathi Clement, UW, Wyoming Family Practice Center (Cheyenne)

Dr. Sally Conklin, UW, School of Physical and Health Education

Dr. Chuck Denison, The Psychology Clinic (Laramie)

Vicki Flores, Wyoming Department of Health, WIC (Women, Infants, and Children) Program

Laura Hudspeth, Wyoming Department of Health, Division on Aging

Phyllis Lewis, UW CES, Hot Springs and Washakie Counties

Dr. Sylvia Moore, UW, WWAMI (Washington, Wyoming, Alaska, Montana, and Idaho) Medical Education Program and AHEC (Area Health Education Center)

Darrell Okray, Campbell County School District

Carol Peterson, Wyoming Department of Education

Glen Revere, Indian Health Service, Wind River Indian Reservation

Susan Siler, Wyoming WIC Program, Park/Big Horn Counties

 

Program Network --See optional Attachment A for a list of all 40 members of the WIN Wyoming network. Note: The 40-member WIN Wyoming network includes the 27 participants in a think tank on July 28, 1998, and 13 additional state and local leaders unable to participate in the think tank but fully supportive of the initiative.

 

Duration: Three years (January 1,1999 - December 31, 2001)

 

Location: UW CES in Laramie will organize and coordinate the program. The steering committee and the network, with diverse membership from throughout the state, will provide additional leadership and guidance. Model projects will be carried out in communities in various parts of the state. A satellite up-linked conference will be promoted within and beyond Wyoming, nationally and internationally.

 

Project Summary

Through this program, Wyoming residents will adopt the concepts of healthier at any age/weight/income, size acceptance, and vitality (physical/emotional vigor). The program will assess public and professional knowledge, attitudes, and behaviors related to these concepts; develop and expand model projects; and conduct an up-linked conference to build community-based programs state-wide.

 

Program Development and Implementation

The overweight problem in the U.S. has increased 30% in only ten years. Now, one in three adults, and one in four youth are overweight. "Population obesity" now exists in the U.S.

- Robert W. Jeffery, PhD, University of Minnesota

 

Why is there an obesity epidemic in the U.S.? [For one thing] our culture and the medical profession may be looking in the wrong places. -

- Kelly Brownell, PhD, Yale University

 

Our emphasis on thinness has created a monster.  There is this army of overweight women, hating themselves, waking up every morning feeling that they are inadequate, spending energy they should be spending getting a doctorate or becoming president, counting the calories in a box of cereal or counting out individual raisins.

- Susan C. Wooley, PhD, University of Cincinnati

 

Obesity remains the last socially acceptable form of prejudice, and obese persons remain perhaps the only group toward whom social derogation can be directed with impunity.

- Albert J. Stunkard, MD, University of Pennsylvania, and Jeffrey Sobal, PhD, Cornell University

 

Situation Statement

Background

Americans in general and Wyoming residents specifically are losing ground in terms of physical and emotional well-being related to body weight and associated lifestyle habits, including eating and physical activity patterns. (See optional Attachment B for references.) Extensive national data and considerable state data indicate the following: obesity is increasing among people of all ages; eating disorders are on the rise; and many people have less-than-positive attitudes about food, despite the fact that eating should be one of life’s great pleasures. Compounding these problems is the fact that body size is a source of personal distress and the focus of humiliation and prejudicial actions for many people.

 

Wyoming think tank and consensus

In light of these growing problems, the food and nutrition program of UW CES convened a multidisciplinary think tank of Wyoming state and local leaders in July 1998. This meeting included 27 individuals from a broad range of disciplines and agencies: representatives from the state Departments of Health and Education; nutrition educators with Wyoming-based commodity groups; UW faculty with expertise in medical school education, health education, nutrition science, and qualitative research; a community-based physician, psychologist, public health nurse, and credit counselor; community-based dietitians and public health nutritionists; and UW Extension specialists and field-based Family and Consumer Sciences educators.

The clear consensus of the think tank was 1) there is a pressing need in Wyoming for programs that address the concepts of healthier at any age/weight/income, size acceptance, and vitality; and 2) CES is an appropriate entity to organize and coordinate programs that address these concepts at the state and community levels.

 

Identifying and addressing barriers

The think tank identified a number of barriers, including the following:

1. Variation among Wyoming communities as to where/with whom to start programs

2. Counterproductive attitudes and practices of health-care professionals

3. The challenge of helping people develop a sense of self-worth independent of body size and shape, without implying that obesity is free of health risks

4. The media’s obsession with thinness

5. Effectively evaluating educational programs that address complex issues such as those proposed by this program.

To address these and other barriers, WIN Wyoming will do the following:

1. Employ a participatory program development approach, allowing the needs and expertise within local communities to shape effective, interdisciplinary model projects that can be adopted by other Wyoming communities

2. Assess knowledge, attitudes, and behaviors of health-care professionals and the general public related to the concepts of healthier at any age/weight/income, size acceptance, and vitality

3. Promote healthy lifestyle habits for people of all ages, weights, and incomes, in addition to fighting size-based prejudice

4. Be multi-faceted, using many different materials, methods, and avenues to work with audiences

5. Incorporate a solid, comprehensive evaluation component that includes formative and summative evaluations based on quantitative and qualitative data.

 

Program Objectives--Program participants will

Improve their sense of self-worth, basing it on healthy lifestyle habits and vitality rather than on body size and shape

Increase their sense of self-control over decisions that affect their physical and emotional well-being related to food, physical activity, and body size

View eating as an enjoyable experience

Improve their eating and physical activity habits

Demonstrate acceptance of people of varying body sizes.

Needed Resources

$14,500 Model projects (planning, implementation, evaluation, replication, etc.)

12,000 Conference (speaker costs, promotion, on-site and up-link charges, etc.); registration fees and sponsorships will help offset total conference costs

10,300 Data collection and evaluation (separate from model projects) and communication of program results, including summary promotional video

1,600 Purchase of relevant resources and references to use/share state-wide

21,600 Operating (part-time support, supplies, copying, postage)

$60,000 Total funds requested.

 

Instructional Plan

Key principles

Tenets of the international size acceptance movement (as outlined by a spokesperson from the University of California at Berkeley) that would be incorporated into WIN Wyoming are the following:

There is no ideal body size, shape, or weight that every individual should strive to achieve.

Self-esteem and body image are strongly linked. Helping people feel good about their bodies and who they are can help motivate and maintain healthy behaviors.

People of all sizes and shapes can reduce their risk of poor health by adopting a healthy lifestyle.

Canada’s national health promotion program, Vitality, encourages healthy eating, active living, and positive self and body images. Examples of Vitality principles that would be incorporated into WIN Wyoming are the following:

Take pleasure in eating a variety of foods.

Value and practice [physical] activities that are moderate and fun.

Recognize and accept that healthy bodies come in a range of weights, sizes, and shapes.

 

Action steps

1. Form interdisciplinary partnerships and coalitions to develop projects and disseminate information within communities and across the state.

2.    Identify and clarify knowledge, attitudes, and behaviors of the lay public and health professionals related to healthier at any age/weight/income, size acceptance, and vitality.  (Health professionals include physicians, nurses, dietitians, etc.)  This information will help guide successful program development.

3. Develop three to five innovative and well-evaluated model projects that could be shared and adopted state-wide. Target audiences for these model projects will vary with the needs and expertise within the communities carrying out the model projects. Audiences will include children, adolescents, adults, parents, seniors, health professionals, and school staff.

4. Conduct an up-linked conference in May 2000. The conference will be one to two days long, with two to three hours of the conference satellite up-linked and promoted state-wide and internationally. The target audience will be community-based teams of educators and health professionals, along with other community leaders. The conference will provide participants with information, ideas, resources, and opportunities for networking related to the concepts of healthier at any age/weight/income, size acceptance, and vitality. Community teams will be motivated and able to plan and conduct programs within their communities.

5. Coordinate revision and implementation of model projects state-wide.

6. Evaluate the impact of the program, develop the promotional videotape to highlight results and benefits, and disseminate information about results and benefits.

 

General time line

Year 1 - Gather baseline data from health professionals and the public.

- Elicit proposals and fund model projects; assist with implementation.

Year 2 - Foster formation of coalitions and programs in other communities.

- Conduct satellite up-linked international conference.

-       Revise model projects for replication and dissemination.

Year 3 - Implement model projects state-wide.

- Conduct overall evaluation, develop promotional video, disseminate results.

 

Evaluation and Outcome

Assessment of impacts and achievement of program objectives

The program will be assessed through a number of state and local avenues, with an eye to data usable with Government Performance and Results Act (GPRA) reports.

 

State-wide. The following on-going surveys (with sources indicated in parentheses) will provide baseline and follow-up data, either through existing or added questions:

Behavioral Risk Factor Surveillance System (BRFSS) survey (Wyoming Department of Health in conjunction with the U.S. Centers for Disease Control and Prevention)

Youth Risk Behavior Survey (Wyoming Department of Education in conjunction with the U.S. Centers for Disease Control and Prevention)

WIC (Women, Infants, and Children) Program surveys (Wyoming Department of Health)

Cent$ible Nutrition Program surveys (UW CES).

 

Local. All model projects will include quantitative and/or qualitative evaluation components that reflect the specific objectives of each project. Examples include participation in recreational activities, pre- and post-intervention body-image surveys, in-depth interviews, work absence data, achievement of individually established goals, etc. With input and leadership from the steering committee and network members, the principal educators will help plan and coordinate these local evaluation components to encourage quality and consistency.

 

Products

Educational materials from model projects that will be duplicated and made available for dissemination within and beyond Wyoming

Satellite conference with accompanying support resources

Program Web site

Promotional video that summarizes WIN Wyoming and its components, which can be used to inform policy- and decision-makers and to motivate new communities and groups to initiate efforts to promote the concepts of healthier at any age/weight/income, size acceptance, and vitality.

 

Significance to Extension goals and priorities from the college’s strategic plan

CES goals. WIN Wyoming helps achieve the four identified goals for UW CES:

1. Increases university collaboration within and beyond the college by a) combining specialists from food and nutrition, 4-H, and Cent$ible Nutrition as principal/co-principal educators; b) having commitment on the steering committee from three faculty members from different disciplines within the College of Health Sciences; and c) involving a College of Education faculty member and qualitative researcher in the program network.

2. Represents, in terms of creativity and intensity, a new level of collaboration among traditional CES programs (food/nutrition, 4-H, Cent$ible Nutrition, and gerontology/ mid-life) to address growing health-related issues among people of Wyoming.

3. Strengthens CES programs as a result of collaborating with many agencies and groups at the state and local levels.

4. Increases the visibility and enhances the image of CES and its partners through the program’s products, including a satellite conference and promotional videotape.

 

Extension priorities. Within the area of Family and Community Resources, WIN Wyoming effectively addresses at least three of the priority areas:

Assist individuals, families, and communities--across all ages and economic levels--in addressing issues and adopting healthful practices related to body size and weight, eating and physical activity habits, and physical and emotional well-being.

Collaborate with counterparts throughout the state and nation to provide programs and policies that support child, youth, and family development and to work together to provide educational support to the children, youth, and families of Wyoming.

Work with college, university, and other counterparts to develop educational programs and serve as a resource for valid research-based information on foods and nutrition.

 

CES’s mission. WIN Wyoming’s breadth and depth are consistent with UW CES’s mission "to provide Wyoming youth, adults, and communities with life-long learning opportunities that encourage the application of research-supported information and leadership skills." WIN Wyoming will enhance CES’s ability to complete its mission.

By working closely with partners at the state and local levels, this program enhances CES’s advisory process to gain clientele input for educational programs.

WIN Wyoming will train staff from CES and partner agencies to address priority issues, evaluate program impacts, and plan and use educational technologies.

 

Dissemination

Regular communication among program partners

Since July 1998, this initiative has identified a 40-member network and an 11-member steering committee and has developed a directory of members and a system of communication, including compressed video, conference calls, e-mail, U.S. mail, and a Web-site (http://august.uwyo.edu/winwyoming). With program funding, these avenues will continue to foster communication among the principal educators, the steering committee, and the network. In turn, these individuals can regularly update other key people in their respective agencies, organizations, and communities.

 

Communication of results and benefits

Program results and benefits will be disseminated in a number of ways:

The satellite conference will showcase progress by the model projects and establish Wyoming as an international leader in this area.

The model projects will yield processes and materials that will be revised (based on evaluative information) and made available state-wide.

The program’s progress and accomplishments will be publicized through the media, in professional publications, and in appropriate documents published by UW’s College of Agriculture and by other partner agencies.

The short promotional videotape highlighting program accomplishments and benefits will target policy-makers and decision-makers within and beyond Wyoming.

 

Cooperation and Support

This proposal reflects cooperation and support at all levels. WIN Wyoming’s 40-member network and steering committee are broad in terms of discipline, geographic area of responsibility, and work affiliation. See optional Attachment C for support letters.

 

Roles and responsibilities

With guidance and assistance from the steering committee and network members, the principal educators’ major roles and responsibilities are as follows:

 

Suzanne Pelican (25% of time = 3 months/year = 9 months total in 3 years)

Coordinate overall program components, including budget oversight

Coordinate communication among network and steering committee members

 

Betty Holmes (20% of time = 2.4 months/year = 7.2 months total in 3 years)

Coordinate community outreach and promotion activities

Organize elicitation of model project proposals and selection of projects for funding

 

Linda Melcher (10% of time = 1.2 months/year = 3.6 months total in 3 years)

Coordinate incorporation of program components into Cent$ible Nutrition Program

Guide adaptation of ERS4 (EFNEP Reporting System) for use with WIN Wyoming

Coordinate the satellite portion of the conference

With guidance, assistance, and leadership from the steering committee and network members, Suzanne, Betty, and Linda will collaborate to carry out the following:

 

Model projects:

Assist, as needed, with planning, implementation, and evaluation.

Revise and duplicate materials to disseminate state-wide.

Organize and carry out hands-on training for replication.

 

Conference:

Identify and arrange for speakers and facilities.

Develop companion resources for participants.

Solicit sponsorships.

 

Evaluation/Dissemination of results and benefits:

Organize evaluation components, including coordination of overall strategies with those used in model projects.

Develop summary promotional video based on program results.

Disseminate information about program results and benefits.

 

Other:

Plan and carry out complementary program state and local activities, for example, a speakers bureau.

Secure additional funding for complementary program components and activities.

 

Additional support

Wyoming AHEC (Area Health Education Center) contributed $2400 to this initiative in FY 98. This funded the compressed video think tank and two questions to be asked in a state-wide health survey. AHEC pledged $500 in year #1 of the program.

Western Dairy Council has pledged to support the program through an activity such as speaker sponsorship, promotional brochure development, in-kind donation, etc.

 

Budget Justification for Requested Funding1, 2, 3
-------------------------Years4------------------------
1
2
3
Total

Requested

Model Projects
$10,000
$4,500
$14,500
  • Fund
10,000
10,000
  • Revise and reproduce for dissemination
3,000
3,000
  • Travel for trainings to disseminate
1,500
1,500
Conference
$12,000
$12,000
  • Promotion
1,000
1,000
  • Uplink
15,000
15,000
  • Speaker fees
4,000
4,000
  • Room rental
1,000
1,000
  • [Less offset from registration fees & sponsorships]
[$9,000]
[$9,000]
Evaluation5
$2,000
$8,300
$10,300
  • Surveys (professionals and BRFSS6 )
2,000
2,000
4,000
  • Overall summative
1,300
1,300
  • Promotional video
5,000
5,000
Resources
$800
$800
$1,600
  • Content-specific resources
800
800
800
Operating
$7,200
$7,200
$7,200
$21,600
  • Part-time support (10 hrs/wk x $9.28/hr + Social Security [7.65%] x 52)
5,200
5,200
5,200
15,600
  • Supplies
500
500
500
1,500
  • Copying
1,000
1,000
1,000
3,000
  • Postage
500
500
500
1,500
Total Requested
$20,000
$20,000
$20,000
$60,000
1See Attachment D for more budget details, including matching funds.
2Additional funding will be sought for complementary program components.
3Wyoming Area Health Education Center (AHEC) contributed $2400 to the program initiative in FY 98 and pledged $500 in FY 99. 1998 AHEC funds covered the compressed video think tank and initiated development of BRFSS questions for the 1999 survey.
4Project planned for calendar years 1999-2001 as per Extension Administration instructions 9/9/98.
5Each model project will include an internally funded evaluation component.
6BRFSS = Behavioral Risk Factor Surveillance System

 

Vita

Summaries for Principal Educators

 

Suzanne Pelican

Education, degrees, and credentials:

MS, Food Science and Nutrition, Colorado State University, 1979

BS, Food Science and Nutrition, Colorado State University, 1976

BA, Sociology, Drake University, 1971

Registered dietitian, The American Dietetic Association, 1980-present

 

Professional positions held:

4/97 - present Food and Nutrition Specialist, UW CES

5/89 - 2/97 Nutrition Training Officer, Nutrition and Dietetics Training Program, Indian Health Service

7/88 - 4/89 Public Health Nutritionist, Navajo Area Indian Health Service

4/88 - 6/88 Program Analyst, Navajo Area Indian Health Service

6/86 - 2/88 Nutritionist, Food and Nutrition Services, The Navajo Nation

8/81 - 6/86 Outreach Coordinator, Penn State Nutrition Center, and Instructor, Nutrition Program, Pennsylvania State University

11/79- 7/81 Food and Nutrition Specialist, Colorado State University CES

 

Relevant special training:

Graduate course in qualitative research (UW’s EDFD 5640), 1998

Conducting focus groups (Richard Krueger, University of Minnesota), 1994

 

Relevant outreach activities:

Organized the 40-member multi-disciplinary network for this initiative and planned and chaired the organizational think tank and two subsequent conference calls.

Served as principal investigator on an applied research project that included collection and analysis of quantitative and qualitative data. Results were published in the Journal of The American Dietetic Association.

Helped coordinate communication among the 200 Indian Health Service and tribal nutritionists nation-wide.

 

Betty Holmes

Education, degrees, and credentials:

MS, Home Economics, Emphasis in Food Science and Human Nutrition, University of Wyoming, 1989

BS, Home Economics Communications, University of Wyoming, 1978

Registered dietitian, The American Dietetic Association, 1990-present

 

Professional positions held:

6/97 - present 4-H Youth Specialist, UW CES

2/92 - 6/97 Extension Assistant Director and 4-H Program Leader (interim), UW CES

9/89 - 2/92 4-H Youth Specialist, UW CES

8/88 - 8/89 Food and Nutrition Specialist (interim), UW CES

4/80 - 8/88 University Extension Agent, UW CES, Fremont County

10/78- 4/80 University Extension Agent, UW CES, Wind River Indian Reservation

 

Relevant special training:

National childhood and adolescent obesity conference (Univ. of Minnesota), 1997

 

Relevant outreach activities:

Authored a UW bulletin ("Childhood and Adolescent Obesity: What’s a Parent to Do?"), which has been praised and promoted by an international leader in the size acceptance movement (Joanne Ikeda, University of California, Berkeley) and placed on a USDA home page.

Has developed a presentation on size acceptance/healthier at any weight and delivered it to over 300 individuals in 12 state and community-based settings throughout Wyoming. Audiences include field-based FCS and Cent$ible Nutrition Program educators, school food-service staff, UW FCS students, middle school students, and 4-H youth.

Co-conducted 7 focus groups with adolescents as part of a regional USDA project.

 

Linda Melcher

Education, degrees, and credentials:

MS, Home Economics, Emphasis in Food Science and Human Nutrition, University of Wyoming, 1984

BA, Home Economics Education, University of Northern Colorado, 1969

Registered dietitian, The American Dietetic Association, 1989-present

 

Professional nutrition positions held:

1997 - present Director, Cent$ible Nutrition Program, UW CES

1985 - 1997 Program Coordinator, EFNEP, UW CES

1991 - present Director, Wyoming Food Products Institute, UW CES

1984 - present Back-up for Food and Nutrition Specialist, UW CES

1980 - 1984 Nutrition educator, UW CES

1977 - 1979 Nutritionist/social worker, Laramie Senior Center

 

Relevant special training:

Marketing Extension programs, various trainings

Management and sales techniques, various trainings

Diversity, various trainings

Volunteer management, various trainings

 

Relevant outreach activities:

Produced an international satellite conference ("Operation: Safe Food").

Produced 10 videos currently being sold internationally.

Has administered 29 grants and contracts.

Co-conducted 4 focus groups with restaurant food-service staff as part of a tri-state food safety research project.

 

 

Attachment A

 

Wellness IN Wyoming (WIN Wyoming):

 

Healthier at Any Age/Weight/Income, Size Acceptance, Vitality

 

NETWORK

 

Judy Barbe1,2, MS, RD, Montana/Wyoming Representative, Western Dairy Council

 

Tina Braet-Thomas2, MA, RD, CDE, Nutrition Services Department Manager, Powell Hospital and Nursing Home

 

Darlene Christensen, MS, FCS Educator, UW Cooperative Extension Service, Campbell County

 

Kathi Clement1, MD, UW Assoc. Prof., Wyoming Family Practice Center, Cheyenne

 

Sally Conklin1,2, PhD, Asst. Prof., UW School of Physical and Health Education

 

Ann Cowardin-Bach, PhD, LGP, Assoc. Director and Training Director, UW Counseling Center

 

Peg Cullen, MEd, County Chair and Cent$ible Nutrition Program Supervisor, UW Cooperative Extension Service, Natrona County


Chuck Denison
, PhD, LP, The Psychology Clinic, Laramie

Bonnie Ellenwood, County Chair and FCS Educator, UW Cooperative Extension Service, Johnson County

 

Liz Fabrizio2, MS, RD, Nutrition Services Director, West Park Hospital (Cody)

 

Vicki Flores1,2, MS, RD, Nutrition Coordinator, Wyoming WIC Program

 

Akemi Sato Glass, RD, Clinical Dietitian, Powell Hospital and Nursing Home

 

Patti Griffith, BS, Cent$ible Nutrition Program Supervisor, UW Cooperative Extension Service, Fremont County

 

Shawn Hays, MS, Counselor, Rawlins High School

 

Bridget Hettgar2, BSN, County Manager, Carbon County Public Health Department

 

Betty Holmes2,3, MS, RD, 4-H Youth Specialist, UW Cooperative Extension Service

 

Laura Hudspeth1, MSc, RD, Nutrition Program Consultant, Wyoming Division on Aging

 

Susan James2, MS, County Chair and FCS Educator, UW Cooperative Extension Service, Laramie County

 

Debby Johnson2, BS, FCS Educator, UW Cooperative Extension Service, Natrona County

 

Lori Johnson2, Consumer Credit Counseling, Casper

 

Audrey Kleinsasser2, PhD, Assoc. Prof., UW College of Education/Leadership and Human Development

 

Phyllis Lewis1,2, FCS Educator, UW Cooperative Extension Service, Hot Springs and Washakie Counties

 

Mike Liebman2, PhD, Prof. of Human Nutrition and Department Head, UW Department of Family and Consumer Sciences

 

Maureen Lutterman2, Food-Service Director, Albany County Public Schools

 

Mary Martin, County Chair and FCS Educator, UW Cooperative Extension Service, Teton County

 

Linda Melcher2,3, MS, RD, Cent$ible Nutrition Program Director and Food Products Institute Director, UW Cooperative Extension Service

 

Sylvia Moore1,2, PhD, RD, Wyoming WWAMI Medical Education Program Director, and Wyoming AHEC Director

 

Janet Moran, MS, RD, Director, Wyoming WIC Program

 

Darrell Okray1, BS, Wellness Coordinator, Campbell County School District

 

Suzy Pelican2,3, MS, RD, Food and Nutrition Specialist, UW Cooperative Extension Service

 

Carol Peterson1,2, MS, RN, Comprehensive School Health Consultant, Wyoming Department of Education

 

Mary Ann Purtzer, RN, BSN, Adolescent Systems Manager, Wyoming Department of Health

 

Jeanne Puerta2, MS, RD, NET Program Coordinator, Wyoming Department of Education

 

Glen Revere1, MS, RD, Public Health Nutritionist, Wind River Indian Reservation

 

Dianna Richter2, MPH, RD, CDE, Diabetes Program Coordinator, Wind River Indian Reservation

 

Theo Riley2, PhD, LP, Psychologist, West Park Hospital (Cody)

 

Susan Rottman, MS, Team Nutrition Grant Project Director, Wyoming Department of Education

 

Rhonda Shipp2, MS, RD, County Chair and FCS Educator, UW Cooperative Extension Service, Park County

 

Susan Siler1, RD, Regional Nutrition Supervisor, Wyoming WIC Program, Park/Big Horn Counties

 

Lizbeth Stephens2, MS, RD, Clinical Dietitian, West Park Hospital (Cody)

 

Pat Swan2, Executive Director, Wyoming Beef Council

 

Mary Kay Wardlaw2, MS, County Chair and FCS Educator, UW Cooperative Extension Service, Albany County

 

Ruth Wilson2, PhD, FCS Educator, UW Cooperative Extension Service, Carbon County

 

1 Member of the steering committee

2 Participated in the 7/28/98 think tank

3 Principal educator on UW CES grant proposal

 

 

Acronyms:

AHEC = Area Health Education Center

BSN = Bachelor of Science in Nursing

CDE = Certified Diabetes Educator

FCS = Family and Consumer Science(s)

LGP = Licensed Group Psychotherapist

LP = Licensed Psychologist

NET = Nutrition Education and Training

WWAMI = Washington, Wyoming, Alaska, Montana, and Idaho

WIC = Women, Infants, and Children

 

Attachment B

Key References

 

 

1996 Wyoming Behavioral Risk Factor Surveillance System (BRFSS) summary. Cheyenne, WY: Wyoming Department of Health, BRFSS Program, 1997.

Brownell KD, Fairburn CG, eds. Eating disorders and obesity: A comprehensive handbook. New York: The Guilford Press, 1995.

Brownell KD, Rodin J. The dieting maelstrom. Is it possible and advisable to lose weight? American Psychologist. 1994;49:781-791.

 

Childhood and adolescent obesity: Prevention and intervention, conference sponsored by University of Minnesota, School of Public Health and U.S. Department of Health and Human Services, Maternal and Child Health Bureau, Minneapolis, May 1997.

Gales W. Results of the 1997 Wyoming Youth Behavior Risk Survey. Cheyenne, WY: Wyoming Department of Education, 1997.

The Gallup Organization. How are Americans making food choices? Chicago: The American Dietetic Association and Washington, DC: International Food and Information Council, 1994.

Ikeda J. Basic tenets of health at every size. A size acceptance approach to health promotion. Berkeley, CA: University of California, Department of Nutritional Sciences, 1996.

Kassirer JP, Angell M. Editorial: Losing weight--An ill-fated new year’s resolution. New England Journal of Medicine. 1998;338:52-54.

Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM, Johnson CL. Overweight prevalence and trends for children and adolescents. The National Health and Nutrition Examination Surveys, 1963-1991. Archives of Pediatric and Adolescent Medicine. 1995;149:1085-1091.

 

Vitality Leader’s Kit. Ottawa, Ontario: Health and Welfare Canada, Health Services and Promotion Bureau.

 

 

Attachment C

 

Letters of Support

 

Judy Barbe, Western Dairy Council

Vicki Flores, Wyoming Department of Health, WIC Program

Catherine E. Keene, Indian Health Service, Wind River Service Unit

 Dr. Audrey Kleinsasser, UW College of Education,
Leadership and Human Development

Phyllis Lewis, UW CES, Washakie and Hot Springs Counties

Dr. Michael Liebman, UW Department of Family and Consumer Sciences

 Mindy Meuli, Wyoming Dietetic Association

 Wayne A. Milton, Wyoming Department of Health, Division on Aging

Dr. Sylvia Moore, Wyoming Area Health Education Center and
WWAMI Medical Education Program

 Dan Perdue, Wyoming Hospital Association

Carol E. Peterson and Jeanne Puerta, Wyoming Department of Education

Rhonda Shipp, UW CES, Park County

Dr. D. Paul Thomas, UW College of Health Sciences,
School of Physical and Health Education

 Mary Kay Wardlaw, UW CES, Albany County

Dr. Martha Williams, UW College of Health Sciences

 
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