The Steps to a HealthierUS five-year cooperative agreement program
aims to help Americans live longer, better, and healthier lives by reducing the
burden of diabetes, overweight, obesity, and asthma and addressing three related
risk factors—physical inactivity, poor nutrition, and tobacco use.
For FY 2003, this U.S. Department of Health and Human Services (HHS) program
allocated $13.6 million to fund 23 communities, including four counties in
Colorado, to implement community action plans to reduce health disparities and
promote quality health care and prevention services.
- Mesa County: Grand Junction, Fruita, Palisade (population 120,000).
- Pueblo County: Pueblo (population 147,000).
- Teller County: Cripple Creek, Victor, Woodland Park, Florissant, Divide
- Weld County: Greeley and 31 unincorporated towns (population 205,000).
Target Populations for Steps Interventions
Mesa: School-aged children, youth in low income areas, government
and school district employees, senior citizens, uninsured/underinsured adults,
and migrant farm workers.
Pueblo: Children and adults at high risk for or diagnosed with
chronic diseases, health professionals, low-income people and Latinos.
Teller: Low-income people and school-aged children.
Weld: Latinos, low-income people, and people without health
Implement community-wide, social norming media campaigns to increase
tobacco-use cessation attempts and promote clean indoor air policies.
Arrange for television public service announcements to promote clean
indoor air polices.
Develop public advertising/promotion campaign on diabetes prevention
strategies and resources using multiple media outlets, including newspapers,
government-access and other cable television channels, and radio stations.
Develop a multifaceted promotional campaign on the 5 A Day for Better
Health Program and the annual 5 A Day month using seminars, posters,
brochures, and educational classes.
Conduct media campaigns on free screenings for diabetes and on the need
for annual foot and dilated eye examinations for adults with diabetes.
Place, maintain, and enhance distance markers on trails and
walkways within the community.
Work with the state compliance officer to evaluate merchant education and
penalties/incentives on tobacco sales to underage youth.
Promote an educational campaign and messages supporting improved clean
indoor air ordinances and policies on smoking in public places.
Implement policies in accordance with the Surgeon General's
recommendations for physical education requirements.
Develop and implement guidelines for providing healthy snacks and foods in
school vending machines, grocery stores, and convenience stores.
Implement Middle Schools On The Move pedometer program.
Implement Take 10! Curriculum in classrooms.
Recruit, organize, and provide technical assistance for KidsWalk-to-School
Develop and implement a Junk Food Free Zone policy in schools.
Establish guidelines for foods provided to students for school parties and
Promote compliance with the Tobacco Free Schools Law through an
Develop and implement policies ensuring that all foods and beverages
available on school campuses and at school events are consistent with the
Dietary Guidelines for Americans.
Introduce the 5 A Day model and Breakfast in the Classroom to students.
Conduct physical activity awareness campaigns that focus on informing
elementary school Parent Teacher Organizations (PTOs) and middle and high
school health teachers (especially those working with students at risk) about
Colorado On The MoveÔ , Turn Off the TV Week, and
Walk or Bike to School Days.
Implement a comprehensive marketing plan for 5 A Day in schools.
Implement Colorado On The MoveÔ in youth
centers, seniors centers, and faith-based organizations in the community.
Implement nutrition education including 5 A Day, good nutrition, and
healthy eating messages into programs for day care children, parents, and
Administer American Diabetes Association Risk Tests and distribute
appropriate diabetes educational materials.
Arrange social norming project to promote tobacco-use cessation.
Coordinate with the Sangre de Cristo Arts and Conference Center to
establish a permanent interactive Steps-sponsored exhibit in the
nationally recognized Buell Children’s Museum that will promote health and
wellness among children and adults through education on diabetes, obesity,
asthma, physical activity, healthy nutrition, and tobacco prevention.
Use "walkability" checklists in communities to make existing community
trail systems more accessible and useable by children and adults.
Implement Colorado On The MoveÔ in workplaces,
especially those with large Latino populations.
Work with large employers to implement point-of-decision prompts in the
workplace to promote healthy lifestyles.
Provide training to health care providers on how to implement the Diabetes
Assessment Survey and disseminate diabetes prevention and education materials.
Coordinate with the Colorado Prevention Center to implement the Bridge the
Gap (train-the-trainer) program, bringing the latest research into practice
regarding lipid management, drug therapy, and other diabetes-related issues.
Sponsor Continuing Medical Education events targeted to primary care
providers in order to establish a standard level of care for all patients with
Provide dilated eye examinations for low-income people with diabetes who
do not have vision insurance.
HHS will provide training and technical assistance to help each Steps
community develop measurable program objectives and specific indicators of
progress and use relevant data to support ongoing program improvement. HHS also
will conduct a national evaluation of the overall program. Existing data
sources, such as the Behavioral Risk Factor Surveillance System and the Youth
Risk Behavior Surveillance System, will be used to identify and measure program
outcomes and assess progress toward program goals.
Colorado On the Move, Colorado Department of Education, Colorado Physical
Activity and Nutrition (COPAN) Coalition, Colorado Asthma Coalition, Colorado
Cancer Coalition, Colorado Diabetes Coalition,
Colorado Cardiovascular Health Coalition, Colorado Physical Activity and
Nutrition (COPAN) Task Force, Colorado Diabetes Task Forces, Mesa County Health
Department, Mesa County School District 51, Western Colorado Area Health
Education Center, Colorado State University Cooperative Extension, Marillac
Clinic, American Cancer Society, Grand Junction Parks and Recreation, Pueblo
School District 60, Southeastern Area Health Education Center, Weld County
Diabetes Coalition, Tobacco-Free Weld County Program,
Weld County Community Consortium, Greeley Recreation Center, Banner Health,
Weld County Commissioners, Rocky Mountain HMO, Parkview Medical Center, and
Northern Colorado Health Alliance.
Colorado Steps Contact
- Rachel Oys, MPP
- Colorado Physical Activity and Nutrition Program
- Colorado Department of Public Health and Environment
- 4300 Cherry Creek Drive South, A-5
- Denver, CO 80246
- (303) 692-2606
- (303) 691-7721 fax
Note: Steps communities have until May 2004 to finalize their
community action plans. Proposed interventions may change accordingly.
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