RiseVT is working to implement community health initiatives where we live, work, learn, and play to make the healthy choice, the easy choice for Vermonters across the state.
Local RiseVT program managers develop and implement evidence-based strategies to improve community health.
RiseVT Amplify Grant funds.
Ongoing training by the statewide coordinating team.
Number and scope of projects initiated and completed by RiseVT program Managers.
Impact of local programming using dose scoring
Impact of amplify grants on community health using dose scoring.
Expect To See
Dose Scoring to Measure Impact
Dose in an evidence-based, objective measure of the intensity of community health programming and policies, derived from the inividual measures of duration, reach, and behavior change strategy. A nationwide research effort (Fawcett et al., 2015) found that higher intensity community programs and policies were associated with a greater decrease in childhood BMI (body mass index).
Dose Scoring Examples
(1.0=High, 0.55=Medium, 0.10+Low)
PROGRAM OR POLICY EXAMPLE
High - Ongoing
• A new shared use recreation path
• Formation of a municipal parks/recreation committee
Medium - Occurring more than once during that year
• Series of cooking classes
Low - One time event
• A local health fair
High - >21% of the population benefit
• A comprehensive citywide pedestrian policy
• Strengthening a school wellness policy
Medium - 6%-20% of the population benefit
• Grade 3-5 participate in scool gardening
• Exercise room used by 10%of employees at worksite
Low - 0%-5% of the population benefit
• Rise to 5K program
• "Show Up" free exercise event
High - Modifying policies; Changing consequences; Modifying access, opportunities, and barriers
• Implement universal free school meals
• Sidewalk improvements
• Rise to 5K program
• Trail signage
Medium - Enhancing services and support
• Rise to 5K program
• Nutrition education/cooking classes
• Worksite biometric screening program
Low - Providing information and enhancing skills.
• Providing an in-service to teachers
• Social media campaign
Key Informant Interviews to Assess RiseVT Program Impact
Biannual key informant interviews with program managers show that the number of projects that RiseVT has initiated continues to grow year over year.
Between 2018 and 2020, RiseVT grew from 2 to 9 health service areas, serving over 113,000 Vermonters. Our local program managers have initiated 163 projects across their home communities. We have touched all sectors including municipalities, schools, and worksites. When evaluating how our projects are in-line with the CDC 24 Strategies to Reduce Overwight and Obesity, we found that, while we we employed all strategies through our projects, the two categories that rose to the top were: increasing physical activity and limiting sedentary behavior among youth and supporting healthy food and beverage choices.
Amplify Grant Tracking & Impact Analysis
RiseVT began offering Amplify Grants to local community partners in 2018. A 2021 analysis of the 325 grants awarded between 2018 and 2020 found that the majority of grants included community-wide impact. Additionally, the majority of grants included one or more elements aimed at increasing physical activity in youth or reducing sedentary activity in the same population. Each grant was analyzed using the dose methodology and a comparison from years 1 to 3 of the RiseVT program showed considerable increases in dose score, both in each individual metric (reach, strategy, and duration), as well as overall score. This demonstrates an important evolution of the Amplify Grant program, specifically the trend towards more durable, far-reaching grants that focus on policy and infrastructure work.
Height & Weight Measurement Study
RiseVT conducts a biennial longitudinal measurement study surveilling the BMI of 1st, 3rd, and 5th graders in 20 elementary schools in 2 pilot counties. This effort began in the fall of 2017 when RiseVT collected height and weight measurements for over 1,700 children in Franklin and Grand Isle counties. In the first round of this measurement effort data indicated that over 40% of the children in pilot communities were overweight or obese, far higher than the self-reported data from most recent the Youth Risk Behavior Survey data. In the fall of 2019, RiseVT conducted a second round of measurement, capturing BMI on over 1,700 schoolchildren. Find here the results of this second wave of measurement released in January 2020.
Mid-and-Long-Term Population Health Data Trends
RiseVT has selected key population health indicators that are available for all Vermont counties to monitor mid- and long-term health trends. We compare local and state data to help us identify areas of both strength and need to guide our local programming and ensure our organization and partners are highly effective. These indicators include self-reported measures around nutrition and physical activity, food insecurity rates, tobacco usage, and health outcomes, including rates of obesity, diabetes, heart disease, chronic conditions, and cholesterol levels. These data are curated from the Youth Risk Behavior Survey (YRBS), the Behavioral Risk Factor Surveillance System (BRFSS), and Map the Meal Gap. This data is collected bi-annually into state and county data snapshots.