American Public Health Association
800 I Street, NW • Washington, DC 20001-3710
(202) 777-APHA • Fax: (202) 777-2534 •

Public Health Education and Health Promotion
Section Newsletter
Fall 2009

Chair's Corner

Hey everyone, looks like we are coming down the home stretch!  Only 1 more month until we gather together again at the APHA Annual Meeting in Philadelphia.  Thanks to the tireless efforts of so many of our dedicated members, the PHEHP Section will be offering a terrific schedule of scientific sessions this year.  We still need people to help us with the Section booth, so be on the lookout for an e-mail calling for volunteers.  Please come by and visit friends and colleagues during our business meetings, socials and at the exhibit hall.  If this is going to be your first time attending the Annual Meeting, please contact us so we can help you navigate APHA and get the most out of your experience. 

On another note, PHEHP is now on Facebook and Twitter!  To find us on Facebook, please search under our full name or click the link below if you already have a Facebook account.  

To find us on Twitter, just follow the following link:  

Please note, you do not need a Twitter account to view the updates. However, if you would like an account, simply log on to to create one.  

As the meeting approaches, we will be posting reminders and locations of our scientific sessions and meetings, as well as any news and updates for PHEHP’ers.

We have had a great and productive year so far and I appreciate everyone’s help and support throughout.   

Hope to see you all in Philadelphia! 


Health Education and Health Promotion Tools


CFAH “Getting Tools Used” Research Helps Develop Better Consumer Tools for Health Care Decisions

Molly E. French, MS

Potomac Health Consulting

(703) 473-1298

The Center for Advancing Health (CFAH) shared findings from the “Getting Tools Used” (GTU) project, an initiative to assist health care groups develop better and more popular decision aids. CFAH and their team of research consultants examined four widely used consumer guides: Consumer Reports: Car Buying Guide; eBay; U.S. News & World Report: America's Best Colleges, and the FDA’s federally mandated Nutrition Facts Panels (NFP), and identified six essential elements that have made these tools successful and that can be applied to health care:  

1. Health care decision support tools must be sponsored by a trustworthy source.  Tools produced by multi-stakeholder groups including physicians and hospitals can drive performance, but will have limited impact on consumer behavior.

2. Tools must be created with a sustainable business model that allows the sponsor to reinvest in the tool and improve it based on user-feedback.

3. They must meet a ready audience.

4. Tools must make information available to consumers that they would otherwise not have access to and information must be arrayed so that users can sort based on individual needs.

5. They must have a strong brand identity - best reinforced by a national strategy.

6. Their success depends on strategic timing.

The GTU research initiative was funded by CFAH, the California Healthcare Foundation, the Changes in Healthcare Financing & Organization, a national program of the Robert Wood Johnson Foundation, and the Foundation for Informed Medical Decision Making. For more information visit:

Tips for Developing Senior-Friendly Health Materials and Web Sites


Emily Glazer, MS, CHES

Outreach Specialist

National Institute on Aging Information Center and

Alzheimer's Disease Education and Referral Center


As the population ages, it is increasingly important to know how to communicate effectively with older adults. The National Institute on Aging offers helpful evidence-based resources for health communicators and consumers. 


Making Printed Materials Senior Friendly

Taking into account cognitive and physical changes that often accompany aging, Making Your Printed Materials Senior Friendly, a six-page tip sheet, suggests ways to write and design information that is easier for older readers to use and retain.


Making Websites Senior Friendly

Making Your Website Senior Friendly, an eight-page tip sheet from NIA and the National Library of Medicine, offers research-based guidelines for enhancing websites to work well for older adults. It details how to organize web content, write online text, and design websites to make it easy for older viewers to find and use material.

This NIH Web site, created especially for older adults, offers up-to-date information on 43 health topics. Special features include the ability to enlarge the text, change the contrast, or hear the text read aloud.


Accessing Resources

To download or order free copies of Making Your Printed Materials Senior Friendly or Making Your Website Senior Friendly, visit and click on “Making Sense of Health Information.” To get notices about new publications and other information from NIA, click on “Sign up for NIA e-mail alerts.” You can also order these and other free publications, in single or bulk quantities, by calling the NIA Information Center, at (800) 222-2225, or TTY (800) 222-4225.



Make the Most of Your APHA Membership: Get involved in the PHEHP section!


The PHEHP Section is the largest section in APHA with more than 3,900 members.  Since the beginning of the year, there are more than 600 new members to APHA with PHEHP as a primary section.  Thank you for becoming members, and welcome to the PHEHP Section!


With a section this size, there are plenty of opportunities to advance health promotion/health education within our section and throughout the association. PHEHP has several committees including Program Planning, Advocacy, Awards, Continuing Education, Health Communication Working Group, and Worksite Health Promotion Working Group. Becoming a member of a committee also provides networking opportunities with other members who share your interests.


The Membership Committee especially invites students to join and be active in the Section. If you know students focusing on health education, promotion or health communications who would like to join the section, please contact the membership committee co-chairs.


Committee involvement required only a few hours per week. Please e-mail the Membership Committee co-chairs to explore volunteer opportunities.


Jennifer Cremeens, PhD, MSPH                                  

Keiko Sakagami, Ed.D., CHES    

Heather Brandt, PhD                                 

HCWG Social Event: “10 + 1” Health Communication Wave into the Next Decade

Carin Upstill

PHEHP-Health Communication Work Group

Chair, Communication Subcommittee


The PHEHP Health Communication Working Group (HCWG), is well into planning its annual social event during the 137th APHA Annual Meeting in Philadelphia, to be held on Sunday, Nov. 8, 2009, 7:00-9:00 p.m. at the Philadelphia Convention Center, session 295.0.  10 + 1 Catch the Health Communication Wave into the Next Decade is the theme, echoing the conference’s focus on water, and building on last year’s HWCG’s 10th year anniversary. 10 + 1 attendees will enjoy Philly’s own soft pretzels, hors d'oeuvres and fruit tarts. Local Philadelphia water will be served, along with complimentary soda, and a cash wine bar. Each guest will also receive a Trader Joe's Goody Bag, a Local Food Guide, coupons to redeem at the local Fair Food Farmstand and City Food Tasting Tours, and a complimentary copy of GRID, Philadelphia’s magazine on a livable and sustainable city.
Door prizes include current health communication books and artisan chocolate gift bags donated by the famous Philadelphia chocolatier Naked Chocolate City Café. Please join us for this engaging evening to network with sponsors, students and leaders in public health communication.


HCWG, is a network of researchers, practitioners and students that develop professional activities contributing to the discussion of health communication research throughout the year and at APHA annual meetings.


Other HCWG activities planned for the APHA Annual Meeting include: a variety of scientific panel discussions and poster sessions, and the 6th Annual APHA Film and Media Festival. For more information about our events and activities, go to:

APHA Career Guidance Center

Don't miss this opportunity! Sign up now for a one-on-one or a group session with a professional career coach at APHA Annual Meeting & Exposition. These coaches can guide you in strategizing the next phase of your career and help you define your goals. Select a 45-minute individual session or a 90-minute group session. The group sessions are designed according to your career needs. To see which session best fits for you, please read about each coach's experience and education before setting an appointment. If you have never experienced coaching before, this is a wonderful introduction to what may become a useful service for your career!


This is the link to the the Career Guidance Center:

New Publications

APHA Press has three books in production of interest to epidemiologists and other health professionals that will be available at the Annual Meeting: Chronic Disease Epidemiology and Control, 3rd edition by Patrick Remington, Ross Brownson and Mark Wegner and two books by Steven S. Coughlin, Ethics in Epidemiology and Public Health Practice, 2nd Edition and Case Studies in Public Health Ethics, 2nd edition.  


The Social and Economic Burden of Tobacco Use in West Virginia


Reigh Simuzoshya, MPH


Tobacco use is the leading cause of death and disease in West Virginia (West Virginia Tobacco Cessation Program, 2008). The rate of cigarette smoking in West Virginia continues to be one of the highest in the nation (A Report on Tobacco Use Rates, 2009). According to West Virginia Department of Health and Human Resources (2001), cigarette smoking rates among young adults in grades 9-12 is 42.2 percent and ranks fifth in the nation. Onset of smoking is between 13 and 14 years among youth. The adult smoking prevalence rate is 27.4 percent (West Virginia Tobacco Cessation Program, 2008). One in five deaths in West Virginia is due to smoking, which results in an estimated annual death toll of 4,200 and costing about $650 million. If current trends continue, about 46,000 kids currently under 18 and alive in West Virginia will ultimately die, prematurely, from effects resulting from cigarette smoking include chronic obstructive pulmonary disease, heart disease, chronic bronchitis, emphysema and stroke.




A Report on Tobacco Use Rates (2009). Tobacco is killing and costing us. Retrieved

August 11, 2009, from

effects resulting from cigarette smoking include chronic obstructive pulmonary disease (COPD), heart disease, chronic bronchitis, emphysema and stroke.




A Report on Tobacco Use Rates (2009). Tobacco is killing and costing us. Retrieved August 11, 2009, from


West Virginia Tobacco Cessation Program (2008). West Virginia State facts. Retrieved August 11,2009, from


The Toll of Tobacco (2009, para. 6). Tobacco use in West Virginia. Retrieved July 9, 2009, from


West Virginia Department of Health and Human Resources (2001). Tobacco use. Retrieved August 11, 2009, from  

Health Promotion in the Remote Aboriginal Tribe

Fang Tsuang Lu


Gout was rarely detected in the aboriginal in Taiwan before 1930, but it has been widespread almost everywhere in all the aboriginal tribes from 1960. This program discovered the monopoly of alcohol from Japan regime to Chinese government in Taiwan was the main cause. Before the monopoly, the aboriginal made the wine of low alcohol concentration (under 2 percent) only for use in religious ceremonies. But alcohol has been seriously abused in the aboriginal tribes because of the loss of its original sacred place in religious ceremonies.


This program focused on health in the remote aboriginal tribes concerned not only individual but also the entire community and tribes. To empower the villagers to be health promoting volunteers is very important. Thus, such a local force can be long-lasting and strong. It will form a common concept of health from children to the aged in those tribes by themselves.


In-depth interviews and focus group interviews were used. Ten tribes were visited in different areas in Taiwan, and big meetings were held at least seven times in each tribe. the meetings emphasized health onsciousness and cultural awareness.


Now, the majority of the 10 tribes have organized a health promotion group. The health promotion volunteers advance not only temperance but also the health of all the fellow tribes.

Central California Regional Obesity Prevention Program

Heather Gehlert, MJ

Online Communications Specialist

Berkeley Media Studies Group


The research is clear: the more active children are, the healthier they will be now and when they grow up. Yet certain places make physical activity harder instead of easier. Too often, kids find the gate to their school’s blacktop or basketball court locked after school hours, locking them out of opportunities to be active. If they live in an area without a nearby park or can’t afford a gym membership, opening school yards after school means children and families could incorporate physical activity into their daily routines.


A public health strategy called joint use allows schools and communities to share spaces like gymnasiums, athletic fields and swimming pools. And now, with resources available on a new interactive Web site, public health advocates can help make joint use happen. The site,, brings together the work of California’s foremost joint use experts and houses it all in one place. While the site focuses on California, many of the resources apply nationwide.


Visitors to can view Photovoice projects done by young people showing what systemic conditions are making it hard for them to be active, watch videos of successful joint use projects in action, find the locations of joint use partnerships in California, download sample joint use agreements, join a discussion forum to interact with the members of California’s joint use statewide task force, and get tips on jumpstarting a joint use partnership in their own community.


Learn more at Sign up for the joint use e-mail newsletter at

Launching Fresh Choices in Oregon

Nhu To-Haynes, Outreach & Integration Coordinator,

State of Oregon WIC Program 

After months of planning with key partners from the WIC Advisory Board; Oregon Food Bank; Oregon Dairy Council; and Multnomah County WIC, the state team and community partners held a successful launch of Fresh Choices at the Blazer Boys & Girls Club in Northeast Portland. Oregon WIC adopted the project name Fresh Choices to reflect the major changes to foods offered on the program. Implementation in Oregon started August 1, 2009. 

The launch included a fair highlighting foods new to WIC and a special “cook-off” similar to the popular Food Network television show “Iron Chef.” Cooking teams for The WIC Fresh Choices Challenge consisted of three children between the ages of 6-10 and a special adult team member. Adult team members included Oregon Gov. Ted Kulongoski, Sen. Margaret Carter and local restaurant owner Janette Kaden. Each team had 30 minutes to create a standard dish using a bean & vegetable quesadilla recipe that they were able to modify using a variety of WIC foods including fruits, vegetables, beans & whole grains. Teams were judged on presentation, taste, nutrition, cleanliness & teamwork.

Judges consisted of DHS Director Dr. Bruce Goldberg, local WIC RD Suzie Bruels, and a local WIC family. Event goers were entertained by the fierce cooking competition and a surprise visit from former NBA Portland Trailblazer Terry Porter, who spoke briefly on the importance of community involvement and health.

Food Desert to Food Oasis Symposium

Gwendolyn Flynn

Policy Director, Community Health Councils,


Community Health Councils, PolicyLink and Local Initiative Support Corporation (LISC) sponsored Food Desert to Food Oasis at the Center for Healthy Communities in Los Angeles.  The Symposium brought together more than 150 concerned citizens and representatives from across community sectors to discuss what can be done to stimulate grocery store and business development in South Los Angeles.


Guest speakers from across the country presented their success stories and lessons learned in changing the food resource environment in urban areas to increase access to more nutritious food choices.  Sessions were designed to stimulate public and private reinvestment by providing policy-makers with strategies to attract developers of retail grocery stores into low-income, urban neighborhoods; reframing the economic profile of South Los Angeles for retailers; and equipping local communities with the knowledge and tools to be active players in retail development.


Representatives from the City of Los Angeles Planning Department Community Redevelopment Agency, the California Grocers Association and local Economic Development Corporations worked together to develop a blueprint on what policy-makers can do to facilitate the establishment of new food retailers in South Los Angeles.  The data presented and stories shared of progress in communities across the nation demonstrate the feasibility of changing the landscape in South Los Angeles and similar communities from a food desert to a food oasis.


Community Health Councils is a Los Angeles-based health policy and advocacy organization working to address cardiovascular disease and diabetes disparities in the African American communities of South Los Angeles as part of the CDC REACH US initiative.  For more information, contact Gwendolyn Flynn at

Smoke Free Environments

Cathy Edgerly

Inter-Tribal Council of Michigan


The Grand Traverse Band’s Turtle Creek Casino and Hotel recently made their lobby and meeting hallways smoke free to accommodate the Inter-Tribal Council of Michigan’s (ITCM) August 5, 2009 REACH US and Healthy Native People Meetings.  The ITCM serves as a consortium of 11 federally recognized tribes, whose mission is to promote the health, well-being and quality of life of Michigan Indian people. Incorporating this mission, the ITCM tries to host meetings and trainings in smoke-free locations and at tribally owned businesses whenever possible. 


Derek Bailey, chairman of the Grand Traverse Band of Ottawa & Chippewa Indians, commented, “It was our pleasure to host the ITCM’s annual meeting at Turtle Creek Casino & Hotel and to assist their training initiatives by providing smoke-free areas for the meeting.”


Smoke-free locations are essential because smoking and exposure to secondhand smoke are the leading causes of preventable death in Michigan and across the nation.  According to the 2008, Great Lakes Inter-Tribal Epidemiology Center, Community Health Data Profile, 48 percent of the deaths in Michigan Native Americans can be attributed to the two leading causes of death, which are heart disease and cancer, respectively.  


Cathy Edgerly, ITCM’s REACH US Program Manager noted, “The body of scientific evidence continues to grow and proves that smok- free facilities protect nonsmokers from death and disease.  The willingness of the Turtle Creek Casino and Hotel to accommodate our organization’s request for a smoke-free meeting is to be commended.”

Personal Action Toward Health (PATH) Workshops

Ann Constance

Upper Peninsula Diabetes Outreach Network

(906) 228-9203


How we live can have positive impacts on health.  Three Michigan tribes, through the Inter-Tribal Council of Michigan’s Reaching toward Healthier Anishinaabek (REACH US) grant, are using the evidence based Stanford Chronic Disease Self Management program (called Personal Action toward Health or PATH in Michigan).  PATH is designed to help people better manage their chronic disease and implement enriching healthy lifestyle changes.


The PATH workshops meet once a week for six weeks, and each session is two-and-a-half hours long.  The sessions include mini educational lessons and exposure to different techniques like muscle relaxation. Each workshop concludes with participants setting weekly personal action plans.


Positive health outcomes have been reported by both Native and non-Native attendees of the PATH workshops. After completing the PATH program, both groups felt that their health interfered less often with their lives; running errands and participating in hobbies were easier for them. Both groups also reported that they were walking more often for exercise and that disease related symptoms were interfering with their lives less often. In addition, the Native participants felt much less discouraged about health problems after attending the PATH workshops.


Focus groups result indicated that PATH participants enjoyed the supportive discussion, hearing other’s experiences, having family present and connecting with others. They also noted that setting goals and learning different types of disease management techniques were very helpful. PATH workshops work because they allow participants to adopt new skills and viewpoints and to make informed decisions to practice new health behaviors.

“Restoring the Balance” - An American Indian/Alaska Native Approach to Understanding Public Health


The National Indian Health Board (NIHB) is a non-profit organization that advocates on the behalf of all 562 federally recognized tribes in an effort to provide quality health care.  The NIHB promotes and provides public health in Indian Country; however, conversations with tribal leaders and community members have indicated that many individuals are unaware of what public health really is.  Why is Public Health integral to the AI/AN population?  The Indian Health Service (IHS) reported that AI/ANs have higher mortality rates compared to other populations from tuberculosis (750 percent higher), alcoholism (550 percent higher), diabetes (190 percent higher), unintentional injuries (150 percent higher), homicide (100 percent higher) and suicide (70 percent higher).  


Understanding what public health is and what it can accomplish is vital to the success of existing public health programs and the potential for new effective programs in the future that target these disparities for the AI/AN population.  Therefore, the NIHB, in collaboration with the Centers for Disease Control & Prevention, developed the Tribal Public Health brochure “Restoring the Balance” to educate and motivate tribal leaders, health directors and community members about public health.


The NIHB will disseminate “Restoring the Balance” to the 12 IHS Area Health Boards, hospitals, health clinics, health stations, and tribal leaders throughout Indian Country.  In addition, the brochure will be available to order at: or by contacting Erica Doxzen, NIHB Public Health Programs Assistant at 

TANDEM Pregnant & Parenting Teen Collaboration Beats National Unplanned Pregnancy Standards by More Than 50 Percent


Teen pregnancy in Texas costs taxpayers at least $1 billion a year. Teen parents are less likely to finish school, more likely to live in poverty and have children with behavioral, health, legal and educational problems and inadequate health care. Teen parents’ children are more likely themselves to become teen parents. 


The TANDEM Pregnant & Parenting Teen Collaboration based in Austin combines the forces of Any Baby Can, Austin Child Guidance Center, LifeWorks and People’s Community Clinic. TANDEM serves 13-16 year olds from low-income, single parent homes, many of whom have a history of sexual, physical or emotional abuse. At enrollment, most TANDEM clients are not in school or have academic problems.


Using various strengths of collaborative partners, TANDEM staff work with teens to reduce the risk of low birth weight, ensure that babies are born healthy, and provide clients with skills and resources to parent effectively. The program also helps teens understand family planning options and identify long-term goals and achieve them. 


The success is in the numbers: Nationally, 25 percent of teens have an unplanned pregnancy within two years of having their first child. Less than 11 percent of teens in the TANDEM program experience the same.


Learn more about TANDEM by visiting collaborative partner Web sites:,, and


Sources: Texas Department of Health and Human Services, National Vital Statistics Reports-Volume 57-No. 7, and People’s Community Clinic annual reports


2009 School Wellness Conference

Grace C. Huppert, MS, RD

California Project LEAN

California Department of Public Health


The California School Boards Association (CSBA), in collaboration with the California Department of Education, California Department of Public Health, and other sponsors and partners, is hosting the 2009 School Wellness Conference — “Leveraging Wellness Policies to Create a Healthy School Environment” — Oct. 6-7 in Anaheim, Calif.  Building upon the inaugural 2007 event, this conference will:


• addess critical health issues and their link to student achievement;

• focus on district governance;

• bring together school and community leaders to share collaborative approaches; and

• address health disparities and support a cultural shift toward healthier students.


Keynote speakers include Dr. John Ratey, author of SPARK: The Revolutionary New Science of Exercise and the Brain, and Pedro Noguera, renowned speaker, author and education expert.  Workshops and poster sessions will address community/family engagement, health services/education, healthy and safe school environment, mental health, nutrition education/services, physical education/activity, and student wellness policies and staff wellness. A compendium of workshop programs will be available.


A special Pre-Conference event Oct. 5, “Finding Common Ground: Collaborating to Prevent Childhood Obesity,” will explore the foundations of collaboration among schools, cities, and others around a range of critical issues.  This event is based on a new guide — Building Healthy Communities:  A School Leader’s Guide to Collaboration and Community Engagement — developed by CSBA with the Cities Counties Schools Partnership; attendees will receive a copy of the Guide.  Attendance is free to those registered for the conference, but space is limited.


For more information and hotel accommodations, visit

Symposium on Quality Improvement to Prevent Prematurity

In response to the rising rates of premature births, the Symposium on Quality Improvement to Prevent Prematurity is dedicated to exploring the present state of quality initiatives to prevent preterm birth and developing an agenda for action to decrease the rate of those preterm births that are not inevitable or medically necessary.  The Symposium will serve as a forum where experts and stakeholders can share ideas and challenges, describe model programs that have successfully improved the nature and quality of patient care and services targeted to prematurity prevention, and recommend quality improvement action plans.    

·                     Symposium on Quality Improvement to Prevent


·                     Oct. 8 and 9, 2009

·                     Hyatt Regency Crystal City, Arlington, Va.

·                     Organized by the March of Dimes, American College of Obstetricians and Gynecologists (ACOG), American Academy of Pediatrics (AAP), American College of Nurse-Midwives (ACNM), and Association of Women’s Health, Obstetric and Neonatal Nurse (AWHONN)

·                     For more information and to register, go to

·                     If you have questions, write



Continuing medical and nursing credits available. 

ACPNet Immunization

Meghan Gannon MSPH

ACPNet Administrator

Clinical Programs and Quality of Care

American College of Physicians

ACPNet Immunization is a team-based quality improvement program aimed at identifying and addressing gaps in immunization knowledge and practice among physicians and their staff members to ultimately improve adult immunization rates.  This quality improvement program includes the following core elements: 1) a pre- and post-intervention survey to examine physicians attitudes, knowledge and behavior related to immunization of their patients, 2) a Web-based educational program that instructs the entire practice team in the chronic care model and systems change and how they relate to improved immunization delivery, 3) development of tools to assist with implementation of team-based quality improvement plans, and 4) collection of baseline and follow-up immunization outcomes data to study the impact of the educational intervention.   

Because patients and practices are accustomed to the “flu shot” season, practices can build on this already established habit or “sentinel event” to address other adult immunizations, particularly the recent adult vaccine recommendations for TDaP and Varicella Zoster.  Physician participants in this program will qualify for an estimated 27 Continuing Medical Education credits as well as receive credit for Maintenance of Certification (Part 4) with the American Board of Internal Medicine.   

If you are interested in participating, please contact Cara Egan Reynolds MHS at or Meghan Gannon MSPH at

Suicide Prevention Web Seminar – Oct. 28, 2009

Oksana Kurylak

Senior Coordinator, Injury Prevention

Emergency Nurses Association

One in 10 suicides are by people seen in an ED within two months of dying.  The ENA Injury Prevention Institute will be hosting a Suicide Prevention Web Seminar on Oct. 28, 2009 at 1:00 p.m. CST.  FREE Special incentive:  First 150 people who register for the Suicide Prevention Web Seminar receive FREE access to secondary certificate program ($495 value).  For more information, or to register visit

Please feel free to share this information with your colleagues or anyone who may be interested.