TY  - JOUR
AU  - Adams, Alexandra K.
AU  - Scott, Jamie R.
AU  - Prince, Ron
AU  - Williamson, Amy
PY  - 2014
TI  - Using Community Advisory Boards to Reduce Environmental Barriers to Health in American Indian Communities, Wisconsin, 2007-2012
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E160
VL  - 11
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - BACKGROUND  American Indian communities have a high prevalence of chronic diseases including diabetes, obesity, cardiovascular disease, and cancer. Innovative community-based approaches are needed to identify, prioritize, and create sustainable interventions to reduce environmental barriers to healthy lifestyles and ultimately improve health. COMMUNITY CONTEXT  Healthy Children, Strong Families was a family-based and community-based intervention to increase healthy lifestyles on Wisconsin American Indian reservations. This intervention arose from a long-standing partnership between University of Wisconsin researchers and 3 of these American Indian communities. METHODS  In each community, community advisory boards (CABs) were established by the residents and university partners. CAB meetings were open and held at various times and locations to increase member participation. CABs featured continual, snowball recruitment; internal and external expert consultation; and coordination with standing tribal committees. Meetings initially focused on understanding community supports for and barriers to healthy lifestyles but quickly turned toward community action for change. OUTCOME  CAB interventions decreased environmental barriers to health at each site and improved options for healthy lifestyle choices. Over 5 years, 71 CAB meetings occurred with a total of 1,070 participants. Successful CAB interventions included planting community gardens and an apple orchard, conducting gardening and canning workshops, instituting food-related policies and dog control regulations, building an environmentally friendly playground, and providing access to recreational facilities. The CABs are now self-sustaining. INTERPRETATION  CABs can be highly effective action teams capable of improving community environments. Our experience shows that academic researchers can partner with community residents to generate programs and policies that will expand access to local food, increase people's choices for engaging in physical activity, and encourage local policy changes that improve overall community health.
SN  - 1545-1151
UR  - http://dx.doi.org/10.5888/pcd11.140014
DO  - 10.5888/pcd11.140014
ER  - 
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