Wheeling Walks Training Manual

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Introduction:
Cost Effectiveness
WHEELING WALKS - Principal Personnel and Their Qualifications

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Cost Effectiveness

From our previous studies,27-29 we determined that a more traditional health education approach to influencing low-fat milk consumption behavior (utilizing community health education programs in worksites, schools, supermarkets, and other community settings) cost $2.28 per person in the target community. At that same time, media campaign (paid ads, public relations, and educational activities combined) cost $.22 per person. The use of paid media permits a much larger community to be impacted. Thus the cost per person drops precipitously with an effective mass media campaign. With limited funds available for health promotion and ever more attention being given to how to get the ?best bang for the buck,? such financial considerations are critical to future efforts. WHEELING WALKS, like our other media-based approach, succeeded in changing behavior and in doing it in a highly cost-effective manner. A December 2008 CDC publication American Journal of Preventive Medicine concluded that Wheeling Walks cost less per QALY (quality adjusted life year) than any other physical activity intervention studied. "Cost Effectiveness of Community-Based Physical Activity Interventions" Roux, et. al., American Journal of Preventive Medicine, December 2008 Vol. 35, Issue 6, Pages 578-588.

WHEELING WALKS - Principal Personnel and Their Qualifications

--Principal Investigator Bill Reger-Nash, Ed.D., served as the principal investigator of four media-based community campaigns in West Virginia24-26 and the Bayer Community Wellness Program. Dr. Reger-Nash is a Professor of Community Medicine, with 40% of his professional time committed to intervention research.

--Linda Cooper, MSW, LCSW, MBA, Project Coordinator, has extensive experience in program development, management, and grant writing.

--Holli Smith, MS, MSW, CHES, Intervention Community Coordinator, has been extensively involved in community health education program development and research.*

--Deborah Mannarino, BA, was Project Facilitator, a Wheeling-area resident with experience in program implementation and community organizing.*

--Gus Nelson, MS, Comparison Community Coordinator, supervised the comparison community research. He is an experienced community health promotion professional.

--Co-investigator Steven Booth-Butterfield, EdD, Former Chief of the Health Communication Research Branch of the National Institute for Occupational Safety and Health (CDC), assisted with formative research and project design. He was a co-investigator on the 1% Or Less research project.

--Susan E. Middlestadt, PhD, Indiana University, holds a doctorate in Psychology from the University of California at Berkeley, where she studied attitude theory and behavior change. Dr. Middlestadt served as the research director ofr Dr. M. Fishbein, the co-designer of the Theory of Reasoned Action and Planned Behavior. She supervised the project?s formative research.

--Co-investigator Margo Wootan, Dr.Sc, Director of Nutrition Policy for the Center for Science in the Public Interest, served as co-investigator of the WV 1% Or Less campaigns. Dr. Wootan designed the 1 % Or Less materials,27-29 that served as a model for this campaign.

--Co-investigator Bess Marcus, Ph.D., is Professor of Psychiatry and Human Behavior, Brown University; Collaborating Senior Research Scientist, New England Research Institute; and Staff Psychologist at the Marian Hospital/Brown University. Dr. Marcus consulted on this project and has contributed extensively to the scientific literature on use of mass media in community interventions.

--Co-Investigator Adrian Bauman, MB.BS., M.P.H., Ph.D., PAFPHM, is on the faculty of Medicine, University of Sydney, Australia. Dr. Bauman?s research interests include the evaluation of health-related media campaigns and health promotion interventions. He consulted on this project.

--Gerry Hobbs, Ph.D., is Professor, Department of Statistics, West Virginia University, and chief statistician for the Department of Community Medicine, West Virginia University, assisted with statistical analyses and interpretation.

*Job Descriptions provided in Appendix 1A and Appendix 1B.

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