HEALTHY HOMES PARTNERSHIP - NATIONAL LEADERSHIP

• Sponsoring Institution: National Institute of Food and Agriculture
• Project Status: COMPLETE
• Funding Source: OTHER GRANTS
• Reporting Frequency: Annual
• Accession No.: 1010953
• Grant No.: 2016-48540-25859
• Cumulative Award Amt.: $765,000.00
• Proposal No.: 2016-08151
• Project Start Date: Sep 1, 2016
• Project End Date: Aug 31, 2020
• Grant Year: 2018
• Program Code: [FF-L]- IYFC, Admin. Discretionary & Reim. Extension

Recipient Organization
UNIVERSITY OF MISSOURI EXTENSION
(N/A)
COLUMBIA,MO 65211

Performing Department
Architectural Studies

Non Technical Summary
The mission of this project is to reduce housing deficiencies in the United States, make housing healthier and safer, and ultimately, to reduce the risks housing poses to health, especially those associated with childhood diseases and injuries. The project team will summarize successful strategies from these partners and report these to the larger Healthy Homes Partnership community, so that strategies, lessons and curriculum can be replicated nationwide.The Healthy Homes curriculum and outreach model are based on the large body of scientific research that has demonstrated that numerous housing-related hazards pose a threat to human health. This research has made clear that unhealthy housing is costly in terms of economics, social capital and personal health. The Healthy Homes approach uses well-documented, evidence-based interventions to address these housing-related health hazards. A "healthy home" is a home designed, constructed, maintained or rehabilitated in a manner that supports the health of residents. The Healthy Homes approach focuses on the "Eight Principles of Healthy Homes": dry, clean, well ventilated, pest-free, contaminant free, safe, comfortable, and maintained.The comprehensive Healthy Homes approach is more efficient and has a greater public health impact than single issue-focused programs because it promotes interrelated strategies. A comprehensive approach to healthy homes includes the Environmental Protection Agency's three-step process of: 1) identifying the problem; 2) mitigating the problem; and 3) increasing the quality of the home environment, including most importantly, indoor air quality. This comprehensive approach looks at the following individual components, as well as their intersection, to see how they affect the health of individuals: Mold and biological pollutants, Carbon monoxide and other combustion products, Toxins (e.g., lead, asbestos, radon, and household chemicals), dander, dust, pests and asthma triggers.Homes that are poorly constructed or maintained can have a significant impact on the health and safety of residents, and more often, these are the homes of individuals with low incomes. Low- income populations suffer disproportionately from housing quality concerns, and are therefore a significant target population for the Healthy Homes Partnership. Risk factors associated with poor housing quality and increased risk of housing-related illness include age of housing, poverty, geographic location, age of residents and race and ethnicity.

Animal Health Component

(N/A)

Research Effort Categories

Basic

(N/A)

Applied

(N/A)

Developmental

(N/A)

Classification

Knowledge Area (KA)	Subject of Investigation (SOI)	Field of Science (FOS)	Percent
804	5320	3020	90%
804	5320	3110	10%

Knowledge Area
804 - Human Environmental Issues Concerning Apparel, Textiles, and Residential and Commercial Structures;

Subject Of Investigation
5320 - Houses (human residences), furniture, household equipment, non-textile furnishings;

Field Of Science
3020 - Education; 3110 - Art and architecture;

Keywords

environmental health

housing

Goals / Objectives
The long-term goal of this project is to reduce housing deficiencies in the United States, make housing healthier and safer, and ultimately, to reduce the risks inadequate housing poses to health, especially those associated with childhood diseases and injuries. The strategy to pursue this goal is to strengthen and support the Healthy Homes Partnership public outreach education program. In this proposal, the University of Missouri (MU) requests the opportunity to continue to lead the national Healthy Homes Partnership, so that it may build on the success of the more than 15- year-old program through supporting and coordinating the efforts of up to ten Healthy Homes sub- grant teams toward the following specific objectives:Implement the existing Healthy Homes toolkit curriculum in the selected states. This effort will also include promoting the updated "Help Yourself to a Healthy Home" (now Everyone Deserves a Safe and Healthy Home) consumer guide to the general public and utilizing the educator's (stakeholder's) guide for training outreach in selected states.Evaluate the Healthy Homes project implementation in the selected states and work with the states to identify evaluation data to be collected. The metrics will be the same resulting in key quantitative impacts/outcome data for Healthy Homes. Qualitative data on the public value of Healthy Homes will also be collected in each state through anecdotal records. The Coordinating Institution will receive evaluation data for compilation. The evaluation draft metrics will be shared with USDA NIFA and HUD/OLHCHH for approval during the initial beginning phase of the project.Conduct webinars to coincide with resource information in the Healthy Homes toolkit and the "Help Yourself to a Healthy Home" educational materials. Utilize webinars to train state project managers and regional/county extension educators within targeted states in using the Healthy Homes materials. (Train-the trainer model).Increase coordination with HUD on developing collaborative and consistent Healthy Homes messaging for the general public. Utilize information from the existing Healthy Homes toolkit referenced above and other information deemed appropriate by both parties to develop collaborative and consistent messaging for general public. Transfer information using technology via social media applications to include, but not be limited to Facebook, Twitter, YouTube, Pinterest, Tumblr, and Google + presentations. Develop bi-monthly newsletters to focus on Healthy Homes and disseminate to stakeholders.Coordinate with Healthy Homes Advisory Committees working with state coordinators in the selected states for guidance in project implementation and identification of emerging needs.Expand the network for sharing and exchanging information among the state partners, including a communication network for the Healthy Homes Advisory Committees in the selected states. Coordinating Institution will provide an updated list of Advisory Committees from each of the existing states in the project from FY15 (Alaska, Connecticut, Georgia, Louisiana, Missouri, Montana, Oklahoma, and Tennessee).Direct sub grantees in utilizing other products related to the Healthy Homes project for educational outreach that HUD/OLHCHH may provide during the performance period. The goal is to share outreach products and mutually increase overall awareness of the partnership activities.Develop a Youth Component for Healthy Homes that includes interactive teaching tools for Educators that should include curriculum for 4-H, middle school, or other youth audiences.Expand radon educational outreach for increased promotion of testing dwellings in selected states. This will include educating consumers on the value of testing for radon and mitigating for radon, when appropriate. The number of dwellings tested in each state will depend upon the cost and/or availability of free radon test kits that can be secured by the Coordinating Institution or in selected states.

Project Methods
The project will use an online reporting system based on the current Healthy Homes Impact report. Using this document allows the success of the partner states to be included in the 15-year long narrative that supports prior Healthy Homes partnership programs across the United States. This year, the reporting document will be integrated into an online reporting system while also adding new metrics for qualitative and quantitative positive health outcomes from HH principle implementation, based on feedback from sub-grant PIs and their state advisory boards/coalitions. The MU team will also integrate direct and indirect contacts from statewide programs, website visits, social media use and other online resources. Finally, the MU team expects a few minor modifications to the reporting document, such as adding healthy homes issues that are new to the housing education community and issues relevant to the partner states with a sub-award.Analysis and Interpretation of Data Data and reporting from the partner states is essential to the project's success, as perceived by grantors, grantees, and the general public. To be transparent, the PD will post quarterly and final reports on the Healthy Homes website and the USDA REEport System. Quarterly reports will include direct and indirect contact numbers for each state, success stories for each state, and documented direct health impacts from HH principles implementation. A final report will summarize the project impacts against all benchmarks and highlight success stories. Under the ?supervision of the PD, the Project Coordinator will maintain the reporting data and compile the necessary reports.InputsHealthy Homes outreach programs from ten statesHealthy Homes Advisory Boards/Coalitions in each of the ten states working with the PI of each state grantHealthy Homes Toolkit CurriculumHelp Yourself to a Healthy Home GuideActivities/OutputsHealthy Homes Partnership website(healthyhomespartnership.net), and related social media (Facebook, Twitter, Pinterest, Tumblr)Regular educator webinars and newsletters on best practices and success stories.Healthy Homes Partnership mobile AppTrain-the-trainer and consumer workshops, presentations, and other outreach activities in each of the ten states (Consumers reached: number of attendees, viewers, listeners, reading audience for method used to train or reach consumers with Healthy Homes information):a. Trainings/Workshops/Presentationsb. Displays/Exhibitsc. TV programs/Radio spots?d. News articles?e. Newsletters with Healthy Home information?f. Telephone calls (Healthy Home related)?g. Direct Mail?h. Website and social media activity (Healthy Home related)i. Home visits?j. OtherNumber of educators or professionals trained (enter numbers):a. Extension faculty, staff, and volunteers?b. Non-profit social service providers?c. Health Department officials/staffd. Childcare providerse. Others (please list):Total reached:Documentation of Short, Intermediate, and Long Term Outcomes?The National Healthy Homes Partnership is designed to address health and safety risks in the home. It is composed of a national inter-agency leadership of USDA-NIFA, HUD- OLHCHH, and the University of Missouri working with ten state university coordinators and their designated colleagues who are specifically trained to understand and educate on the connection between health and housing deficiencies. Through their work, they collaborate with a variety of other professionals in statewide Healthy Homes advisory boards/coalitions. Collectively, the coordinators and advisory boards use the HH curriculum and toolkit for schools, agencies, consumers, and community groups to educate families on home health hazards. Families learn a variety of techniques and tools to decide if their home is healthy and particular changes (structural and behavioral) that might need to be made to protect their family's health. Educators also provide families with specific action steps that can be taken throughout the home to protect their health and safety.As part of the strategy to begin collecting information from families about their improved health as a result of improved healthy homes practices, our state university coordinators and educators, and members of their advisory boards/coalitions, will be provided with specific evaluation criteria, outlined below, to ensure that they are inquiring about relevant issues to make the connection between their home and their health. These metrics will be the same for each of the ten states and will be collected from both the state PIs and from some of their state advisory board/coalition member organizations/agencies. This will also require collection of follow-up data from community members through the advisory board/coalition agencies to establish whether the implementation of some or all of the principles of healthy homes has led to longer- term improved health and wellness of individuals in their household. The data will be collected on a secure online reporting system, compliant with applicable federal and university regulations.At the start of the third year grant period, the PD (Goldschmidt) will conduct a program webinar with the ten sub-grant states. At the webinar, the PD will establish the specific continuing objectives and scope of work responsibilities for each state for the year as well as information about the evaluation and reporting system to be used to collect quantitative and qualitative outcomes.Shortly after this webinar, participants from each state (i.e., Extension Specialists, advisory members, and other interested parties) will finalize their statewide action plan, logic models, and other plans with specific time targets and success benchmarks.After the initial kickoff webinar, the Project Director and the MU team will continue the key project activities, over the course of the one year project period.Funding for sub awards will be based on scope of project implementation for Healthy ?Homes and the deliverable(s) to be completed. The Program Director will facilitate the sub award process with review and final approval by NIFA.Evaluate the Healthy Homes project implementation in the states. The Program Director will work with these states to identify evaluation data to be collected. The metrics will be the same for each state, resulting in key quantitative impacts/outcome data for Healthy Homes from ten states. Qualitative data on the public value of Healthy Homes will also be collected in each state. The Program Director will receive evaluation data for compilation and reporting to the Program Leader at USDA-NIFA, HUD OLHCHH, and other requested federal agency partners.Conduct webinars to coincide with resource information in the Healthy Homes toolkit and the "Help Yourself to Healthy Homes" educational materials. Utilize webinars to train state project managers and regional/county extension educators within targeted states in using the Healthy Homes materials. (Train-the trainer model).Utilize information from the Healthy Homes toolkit to develop and refine messaging for general public. Transfer information using technology via social media applications to include, but may not be limited to Facebook, Twitter, YouTube, Pinterest, Tumblr, and Google + presentations.Coordinate with Healthy Homes Advisory Committees/Coalitions working with state coordinators in the ten targeted states for guidance in project implementation, identification of emerging needs, and reporting metrics.Expand the network for sharing and exchange of information among the state partners, including a communication network for the Healthy Homes Advisory Committees in the selected states.Direct sub awardees in utilizing other products related to the Healthy Homes project for education outreach that HUD/OLHCHH may provide during the performance period. ?

Progress 09/01/19 to 08/31/20

Outputs
Target Audience:Eleven sub-grant states are participating directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, smartphone apps, youth education materials, develop a disaster recovery curriculum, tribal healthy homes publications, a newsletter, and more. During the year, the HHP programs in the eleven states and nationally reached over 830,000consumers through personal consultations, exhibits and displays, trainings and workshops, visits to websites, social media, news articles, radio spots, and other traditional media used by the states. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These eleven states created a total of over 400 partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. Changes/Problems:The HHP state partners reach large numbers of people; however, their effectiveness could be improved by increasing assessments of intermediate- and long-term impacts. An evaluation at the end of a program provides insights into knowledge gained and the intent to make behavior changes, but it is only through follow-up surveys that more impactful outcomes can be measured. Assessing intermediate- and long-term impacts requires time and funding to follow-up with participants in programs and trainings usually after the grant period has expired. Another major challenge is that the extension educators must coordinate reporting of behavioral changes and hazard mitigation leading to improved health with various state coalition members in order to be compliant with the federal Health Insurance Portability and Accountability Act (HIPAA) privacy requirements (Extension personnel are often not allowed to collect medical information under the act that is coordinated with an individual's identity). The challenges for the future are to develop new ways to assess outcomes from programs and trainings, and to measure the effectiveness of social media as a means of disseminating information. Extension is an effective means of disseminating a consistent healthy housing message. The organization is nationwide, provides unbiased research-based information, and offers free or low-cost access to information. Face-to-face programs will remain an important delivery method, but the program expects to continue to see decreases in program attendance and increased use of online tools and networks in both rural and urban communities. Partnerships and the healthy housing advisory boards are becoming increasingly important. The HHP state partners need to continue experimenting with new ways to reach audiences and sharing resources to expand knowledge about healthy housing. What opportunities for training and professional development has the project provided?States were tasked with individual key deliverables to support the mission of the Healthy Homes Partnership in addition to their other day-to-day state and healthy homes programs and initiatives. National: Eight Webinars were provided to stakeholders during National Healthy homes Month in June 2020, Topics include: 1) OLHCHH and the Healthy Homes Partnership- 15+ Years of Strengthening the Healthy Homes Agenda. 2) Housekeeping 101 3) Amulets to Zaprana: Non-Paint Sources of Lead 4) Healthy Homes Outreach: The Field Perspective 5) Healthy Homes Outreach Products for Native Americans 6) The Longer Term Effectiveness of Home Asthma Interventions 7) Interventions to Help Seniors Safely Age in Place 8) The Grande Finale of NHHM '20: The Winners of the HUD Secretary's Awards for Healthy Homes National: Five Webinars were provided to stakeholders during National Lead Poisoning Prevention Week, October 20 - 26, 2019. Topics Include: 1) Renovation, Repair, and Painting Rule (RRP) 2) Primary Prevention Protects - Working with Residents to Get Their Homes Checked for Lead 3) Consumer Outreach Ideas for Lead Programs 4) Amulets to Zaprana: Non-Paint Sources of Lead 5) HUD's Lead Paint Safety Field Guide Recordings of these webinars are available at: http://extensionhealthyhomes.org/webinars.html National: On May 4-6, 2020, the US Department of Housing and Urban Development and the National Healthy Homes Partnership at the University of Missouri presented three webinars on COVID19 mitigation strategies for multifamily and public housing developments. These webinars, and related handouts, were presented in cooperation with the Centers for Disease Control Waterborne Disease Branch (CDC WDB) and Washington State Department of Health. 1) COVID-19 and Housing (Spanish) 2) COVID-19 and Multifamily Housing 3) COVID-19 and Public Housing National: Four podcasts recorded for NHHM 1) Healthy Housekeeping 101 2) Healthy Homes and Natural Disasters 3) Healthy Homes Curriculum 4) Kickoff Healthy Housing for All Selected State Opportunities: Missouri: Given the COVID-19 pandemic, Kandace Fisher-McLean was invited to present webinars on several occasions related to housekeeping and cleaning and disinfecting during COVID-19. Topics included tips for reopening and cleaning and disinfecting County Extension offices throughout Missouri during COVID-19 and reopening public businesses and proper cleaning and disinfecting during COVID-19. Georgia, Connecticut, and Mississippi: Presented at the Housing Education and Research Association on Emergency Resilience: Grab and Go, Home, and Child Care. Alaska: Presented for NHHM in coordination with the National Director of HHP on Healthy Homes Outreach Products for Native Americans. How have the results been disseminated to communities of interest?Generally the Healthy Homes Partnership would be presenting at both the National and International level to highlight the best practices and success stories of the partnership. Unfortunately, many presentation and conference opportunties have been cancelled due to the COVID-19 pandemic. However, the Healthy Homes Partnership presented eight webinars in June 2020 as part of the National Healthy Homes Month. This year, the theme of "Healthy Housing for All" underlines how the healthy homes model impacts such a wide range of residents. The continuing impact of the COVID-19 virus greatly increases the need for awareness of, and actions around, many indoor environmental health concerns. Four podcasts were also developed for National Healthy Homes Month, 5 webinars for Naitonal Lead Prevention Week, and 3 webinars related to COVID-19 in Housing (Spanish), Public Housing, and Multi-family Housing. What do you plan to do during the next reporting period to accomplish the goals?1. Continue to develop tribal (Native American) healthy homes publications and app that will be available in itunes and the Android/google platform. 2. Continue national and statewide activities in Healthy Homes. 3. Continue to update and evaluate the Healthy Homes Partnership reporting system to collect quantitative and qualitative data to better collect long term impacts on public health. 4. Continue use of social media, newsletters, and website to publicize information on Healthy homes to stakeholders and consumers. 5. Continue to coordinate healthy homes activities with HUD OLHCHH and USDA-NIFA 6. Present Healthy Homes Partnership accomplishments and impacts, toolkits, smartphone apps, and other curricula at national and international conferences to educators, health care providers, and health professionals (dependent on COVID-19 restrictions). 7. Continue to develop the healthy homes and disaster recovery publications for Puerto Rico and the U.S. Virgin Islands.

Impacts
What was accomplished under these goals? Eleven sub-grant states are participating directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, smartphone apps, youth education materials, develop a disaster recovery curriculum, tribal healthy homes publications, a newsletter, and more. During the year,the HHP programs in the eleven states and nationally reached over 500,000 consumers through personal consultations, exhibits and displays, trainings and workshops, visits to websites, social media, news articles, radio spots, and other traditional media used by the states. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These eleven states created a total of over 350 partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. National Accomplishments: The entire Healthy Homes Partnership participated with and coordinated with HUD OLHCHH and USDA-NIFA in promoting the 2020 Healthy Homes Month, the 2019 National Lead Prevention Week, and various special topics related to the COVID-19 pandemic. Selected State Accomplishments: Georgia: The University of Georgia was able to reach nearly 22,000 individuals through news articles on healthy homes topics such as vaping in the home, mold, and second hand furniture and pest infestations. Florida: The Homeflow Program is a series of research-based modules that explores the relationships between he health of the home and its occupants, home maintenance and operations, energy and functional efficiency, and home safety routines. The Homeflow program was translated into Spanish by 3 bilingual County Extension agents who worked on scripting and recording the videos for the curriculum. The videos will be hosted on the National Healthy Homes Partnership website (along with the English version of the Homeflow videos) to serve our Spanish speaking audiences. Connecticut: UConn Extension was contacted by a corporate health representative at a company to provide information at a lunchtime fair for 60 company employees related to Healthy Homes. They provided information on Healthy Homes principles and emergency preparedness so people will maintain their homes and take steps to be prepared for severe weather. They also talked about the necessity of having Carbon Monoxide and Smoke Detectors, generator safety, reducing household allergens, organizing household records, maintaining an updated household inventory, making an emergency kit, food safety, and what to do after the power is restored, was discussed. Two participants shared they knew of several individuals who were poisoned by carbon monoxide. At future programs I have shared the stories which makes it easier for people to relate to the fact that carbon monoxide detectors are a necessity. The company was pleased and invited us to present programs at another corporate facility in CT in October. Tennessee: The Tennessee Association for Family and Community Education Clubs (TAFCE) conducts lessons throughout the year for their members. Lesson plans are prepared and made available through County Extension agents to club leaders, who then teach the lessons. There are approximately 312 clubs throughout the state with a membership of around 3600 people. North Carolina: Published 27 Web articles related to hurricane readiness and recovery - can be found on https://ncdisaster.ces.ncsu.edu/ and https://healthyhomes.ces.ncsu.edu

Publications

• Type: Other Status: Published Year Published: 2020 Citation: Spanish video translation of Homeflow curriculum This video translation enable Homeflow to be taught to audiences on an increasingly larger scales than previously. Demand was unable to be met because we lacked sufficient bilingual extension agents, but they will soon be able to interact and facilitate within Homeflow classes via the use of these videos.
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Turner, P., Griffiths-Smith, F. and Welch, M. Preparing for a Disaster. Extension Disaster Education Network (EDEN) Conference, Spokane, Washington
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Welch, M., Turner, P., Cosgrove, S., Bales, D. Emergency Resilience: Grab and Go, Home, and Child Care. Housing Education and Research Association Conference.
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Fisher-McLean, K. The Marijuana Movement: Indoor Air Quality in the Home

Progress 09/01/16 to 08/31/20

Outputs
Target Audience:Eleven sub-grant states are participating directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, a smartphone app, youth education materials, develop a disaster recovery curriculum, develop tribal healthy homes publications, a newsletter, and more. The HHP programs in the eleven states and nationally reached over 1.5 million consumers through personal consultations, exhibits and displays, trainings and workshops, visits to websites, social media, news articles, radio spots, and other traditional media used by the states.Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These eleven states created a total of over 800partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. Changes/Problems:The HHP state partners reach large numbers of people; however, their effectiveness could be improved by increasing assessments of intermediate- and long-term impacts. An evaluation at the end of a program provides insights into knowledge gained and the intent to make behavior changes, but it is only through follow-up surveys that more impactful outcomes can be measured. Assessing intermediate- and long-term impacts requires time and funding to follow-up with participants in programs and trainings usually after the grant period has expired. Another major challenge is that the extension educators must coordinate reporting of behavioral changes and hazard mitigation leading to improved health with various state coalition members in order to be compliant with the federal Health Insurance Portability and Accountability Act (HIPAA) privacy requirements (Extension personnel are often not allowed to collect medical information under the act that is coordinated with an individual's identity). The challenges for the future are to develop new ways to assess outcomes from programs and trainings, and to measure the effectiveness of social media as a means of disseminating information. Extension is an effective means of disseminating a consistent healthy housing message. The organization is nationwide, provides unbiased research-based information, and offers free or low-cost access to information. Face-to-face programs will remain an important delivery method, but the program expects to continue to see decreases in program attendance and increased use of online tools and networks in both rural and urban communities. Partnerships and the healthy housing advisory boards are becoming increasingly important. The HHP state partners need to continue experimenting with new ways to reach audiences and sharing resources to expand knowledge about healthy housing. What opportunities for training and professional development has the project provided?States were tasked with individual key deliverables to support the mission of the Healthy Homes Partnership in addition to their other day-to-day state and healthy homes programs and initiatives. National: Seven Webinars were provided to stakeholders during National Healthy homes Month in June 2019, Topics include: 1) Growing up Safe and Healthy- 5 Minutes to a Healthy Home 2) Using Valuable Resources from the Healthy Homes Partnership 3) Improving Your Home Environment 4) HUD's Lead Paint Safety Field Guide 5) Home Visits are Needed to Address Asthma Health Disparities in Adults 6) Implementing Healthy Homes Principles and Practices in Disaster Recovery and Rebuilding 7) Serving Native Americans with Healthy Homes Resources.Recordings of these webinars are available at: http://extensionhealthyhomes.org/webinars.html Selected State Opportunities: Florida: The Homeflow program was translated into Spanish by 3 bilingual County Extension agents who worked on scripting and recording the videos for the curriculum. The videos will be hosted on the National Healthy Homes Partnership website (along with the English version of the Homeflow videos) to serve our Spanish speaking audiences. Georgia and Connecticut: Presented at the Extension Disaster Education Network Conference in Spokane, Washignton related to Disaster Preparedness Louisiana: Presented at the annual Louisiana Housing Corporation conference demonstrating strategies for resilient, high performance homes. Louisiana: The Lead Prevention Program reached nearly 1200 individuals through their outreach consisting of flip-chart presentations, display tables, Powerpoint presentations, and brochures to reach parents and children at Head Start, WIC clinics, Rural health clinics, health fairs, daycares, food pantries and more. Montana: Utilized the Asthma and Allergy training module in the Healthy Homes Toolkit (available on the HHP website) to train (via webinar) the Montana Department of Public Health and Human Services and the Asthma Control Program Home Visiting Nurses who operate across the state how to identify and remedy asthma triggers in the home. 2020 National efforts : Eight Webinars were provided to stakeholders during National Healthy homes Month in June 2020, Topics include: 1) OLHCHH and the Healthy Homes Partnership- 15+ Years of Strengthening the Healthy Homes Agenda. 2) Housekeeping 101 3) Amulets to Zaprana: Non-Paint Sources of Lead 4) Healthy Homes Outreach: The Field Perspective 5) Healthy Homes Outreach Products for Native Americans 6) The Longer Term Effectiveness of Home Asthma Interventions 7) Interventions to Help Seniors Safely Age in Place 8) The Grande Finale of NHHM '20: The Winners of the HUD Secretary's Awards for Healthy Homes National: Five Webinars were provided to stakeholders during National Lead Poisoning Prevention Week, October 20 - 26, 2019. Topics Include: 1) Renovation, Repair, and Painting Rule (RRP) 2) Primary Prevention Protects - Working with Residents to Get Their Homes Checked for Lead 3) Consumer Outreach Ideas for Lead Programs 4) Amulets to Zaprana: Non-Paint Sources of Lead 5) HUD's Lead Paint Safety Field Guide Recordings of these webinars are available at: http://extensionhealthyhomes.org/webinars.html National: On May 4-6, 2020, the US Department of Housing and Urban Development and the National Healthy Homes Partnership at the University of Missouri presented three webinars on COVID19 mitigation strategies for multifamily and public housing developments. These webinars, and related handouts, were presented in cooperation with the Centers for Disease Control Waterborne Disease Branch (CDC WDB) and Washington State Department of Health. 1) COVID-19 and Housing (Spanish) 2) COVID-19 and Multifamily Housing 3) COVID-19 and Public Housing National: Four podcasts recorded for NHHM 1) Healthy Housekeeping 101 2) Healthy Homes and Natural Disasters 3) Healthy Homes Curriculum 4) Kickoff Healthy Housing for All Selected State Opportunities: Missouri: Given the COVID-19 pandemic, Kandace Fisher-McLean was invited to present webinars on several occasions related to housekeeping and cleaning and disinfecting during COVID-19. Topics included tips for reopening and cleaning and disinfecting County Extension offices throughout Missouri during COVID-19 and reopening public businesses and proper cleaning and disinfecting during COVID-19. Georgia, Connecticut, and Mississippi: Presented at the Housing Education and Research Association on Emergency Resilience: Grab and Go, Home, and Child Care. Alaska: Presented for NHHM in coordination with the National Director of HHP on Healthy Homes Outreach Products for Native Americans. How have the results been disseminated to communities of interest?2019: Summary of the Healthy Homes Partnership program, including best practices, toolkit, and success stories, was presented at the following national and international conferences: National Health Outreach Conference. Fort Worth, Texas. May 2019 European Network of Housing Research Conference. Athens, Greece. August 2019 In addition, to the above activities, the Healthy Homes Partnership presented seven webinars in June 2019 as part of the National Healthy Homes Month. These webinars highlighted The webinars highlighted the National Healthy Home Month's theme of Growing Up Safe and Healthy - 5 Minutes to a Healthy Home. This overarching theme promotes awareness of potential indoor environmental health hazards, and simple actions that residents can take in a short time to address many of them. National: Seven Webinars were provided to stakeholders during National Healthy homes Month in June 2019, Topics include: 1) May 28th, 2019: Growing up Safe and Healthy- 5 Minutes to a Healthy Home 2) June 4th, 2019: Using Valuable Resources from the Healthy Homes Partnership 3) June 5th, 2019: Improving Your Home Environment 4) June 6th: HUD's Lead Paint Safety Field Guide 5) June 11th: Home Visits are Needed to Address Asthma Health Disparities in Adults 6) June 18th: Implementing Healthy Homes Principles and Practices in Disaster Recovery and Rebuilding 7) June 20th: Serving Native Americans with Healthy Homes Resources Through this project the states were able to support a national Healthy Homes Partnership website, various social media sites, webinars, a smartphone app, and a newsletter to provide ongoing information on the partnership's activities. Annual reports are available at: healthyhomespartnership.net 2020: Generally the Healthy Homes Partnership would be presenting at both the National and International level to highlight the best practices and success stories of the partnership. Unfortunately, many presentation and conference opportunties have been cancelled due to the COVID-19 pandemic. However, the Healthy Homes Partnership presented eight webinars in June 2020 as part of the National Healthy Homes Month. This year, the theme of "Healthy Housing for All" underlines how the healthy homes model impacts such a wide range of residents. The continuing impact of the COVID-19 virus greatly increases the need for awareness of, and actions around, many indoor environmental health concerns. Four podcasts were also developed for National Healthy Homes Month, 5 webinars for Naitonal Lead Prevention Week, and 3 webinars related to COVID-19 in Housing (Spanish), Public Housing, and Multi-family Housing. What do you plan to do during the next reporting period to accomplish the goals?1. Continue to develop tribal (Native American) healthy homes publications and app that will be available in itunes and the Android/google platform. 2. Continue national and statewide activities in Healthy Homes. 3. Continue to update and evaluate the Healthy Homes Partnership reporting system to collect quantitative and qualitative data to better collect long term impacts on public health. 4. Continue use of social media, newsletters, and website to publicize information on Healthy homes to stakeholders and consumers. 5. Continue to coordinate healthy homes activities with HUD OLHCHH and USDA-NIFA 6. Present Healthy Homes Partnership accomplishments and impacts, toolkits, smartphone apps, and other curricula at national and international conferences to educators, health care providers, and health professionals (dependent on COVID-19 restrictions). 7. Continue to develop the healthy homes and disaster recovery publications for Puerto Rico and the U.S. Virgin Islands.

Impacts
What was accomplished under these goals? Eleven sub-grant states are participating directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, a smartphone app, youth education materials, develop a disaster recovery curriculum, develop tribal healthy homes publications, a newsletter, and more. The HHP programs in the eleven states and nationally reached over 1.5 million consumers through personal consultations, exhibits and displays, trainings and workshops, visits to websites, social media, news articles, radio spots, and other traditional media used by the states.Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These eleven states created a total of over 800partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. National Accomplishments 2019: The entire Healthy Homes Partnership participated with and coordinated with HUD OLHCHH and USDA-NIFA in promoting the 2019 Healthy Homes Month. Selected State Accomplishments: Alaska: The University of Alaska filmed a 30 second segment with the Executive Director of the Alaska Lung Association encouraging people to test for Radon. The TV segment aired 100 times throughout Alaska and reached countless individuals. Florida: The Homeflow Program is a series of research-based modules that explores the relationships between he health of the home and its occupants, home maintenance and operations, energy and functional efficiency, and home safety routines. The Homeflow program was translated into Spanish by 3 bilingual County Extension agents who worked on scripting and recording the videos for the curriculum. The videos will be hosted on the National Healthy Homes Partnership website (along with the English version of the Homeflow videos) to serve our Spanish speaking audiences. Connecticut: The University of Connecticut conducts extensive programming opportunities focusing on Emergency Preparedness and Disaster Recovery. In addition to their Healthy Homes Partnership funding, they also received a NIFA Inland and Coastal Flooding and Mitigation Recovery grant and a NIFA Preparedness and Decision making for Coastal Residents grant. Through their efforts, they were able to educate military spouses in the U.S. Navy about household storm preparedness and present about storm preparedness at the Extension Disaster Education Network conference in partnership with the University of Georgia. They also educated individuals about how children process and react to disasters and presented to corporate audiences on how to better prepare their employees for disasters. Georgia: The University of Georgia is committed to Radon testing and education in their state. They receive specific radon grant funding through the U.S. EPA and in 2019 were able to distribute 2178 radon test kits, There were 1416 test results received, and 306bof the test results came back over 4 picocuries per liter (pCi/L). The households testing about 4 pCi/L were contacted and encouraged to test again and consult a radon mitigator. Mississippi: Mississippi State University utilized the Healthy Homes toolkit module (Available on the HHP website) on Home Safety and Accessibility to educate 1200 elementary students as part of Safety Town Day. National Accomplishments 2020: The entire Healthy Homes Partnership participated with and coordinated with HUD OLHCHH and USDA-NIFA in promoting the 2020 Healthy Homes Month, the 2019 National Lead Prevention Week, and various special topics related to the COVID-19 pandemic. Selected State Accomplishments: Georgia: The University of Georgia was able to reach nearly22,000individuals through news articles on healthy homes topics such as vaping in the home, mold, and second hand furniture and pest infestations. Florida: The Homeflow Program is a series of research-based modules that explores the relationships between he health of the home and its occupants, home maintenance and operations, energy and functional efficiency, and home safety routines. The Homeflow program was translated into Spanish by 3 bilingual County Extension agents who worked on scripting and recording the videos for the curriculum. The videos will be hosted on the National Healthy Homes Partnership website (along with the English version of the Homeflow videos) to serve our Spanish speaking audiences. Connecticut: UConn Extension was contacted by a corporate health representative at a company to provide information at a lunchtime fair for 60 company employees related to Healthy Homes. They provided information on Healthy Homes principles and emergency preparedness so people will maintain their homes and take steps to be prepared for severe weather. They also talked about the necessity of having Carbon Monoxide and Smoke Detectors, generator safety, reducing household allergens, organizing household records, maintaining an updated household inventory, making an emergency kit, food safety, and what to do after the power is restored, was discussed. Two participants shared they knew of several individuals who were poisoned by carbon monoxide. At future programs I have shared the stories which makes it easier for people to relate to the fact that carbon monoxide detectors are a necessity. The company was pleased and invited us to present programs at another corporate facility in CT in October. Tennessee: The Tennessee Association for Family and Community Education Clubs (TAFCE) conducts lessons throughout the year for their members. Lesson plans are prepared and made available through County Extension agents to club leaders, who then teach the lessons. There are approximately312clubs throughout the state with a membership of around3600people. North Carolina: Published27Web articles related to hurricane readiness and recovery - can be found on https://ncdisaster.ces.ncsu.edu/ and https://healthyhomes.ces.ncsu.edu

Publications

• Type: Other Status: Published Year Published: 2020 Citation: Spanish video translation of Homeflow curriculum This video translation enable Homeflow to be taught to audiences on an increasingly larger scales than previously. Demand was unable to be met because we lacked sufficient bilingual extension agents, but they will soon be able to interact and facilitate within Homeflow classes via the use of these videos.
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Turner, P., Griffiths-Smith, F. and Welch, M. Preparing for a Disaster. Extension Disaster Education Network (EDEN) Conference, Spokane, Washington
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Goldschmidt, Michael and Peek, Gina (2019). Healthy Homes: Using Smartphone Apps for Stakeholders and Consumers. National Health Outreach Conference, Fort Worth, Texas
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Louisiana State University: Reichel was a speaker at the IICRC (restoration industry) national conference session for restoration trainers.
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Louisiana State University: Reichel presented at the national Energy and Environmental Building Alliance Home Performance Summit.
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: University of Alaska: Nash was an invited session presenter at the Kawarek tribal regional conference.
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Fisher-McLean, K. The Marijuana Movement: Indoor Air Quality in the Home
• Type: Websites Status: Published Year Published: 2020 Citation: Healthy Homes Partnership Website: www.extensionhealthyhomes.org and healthyhomespartnership.net (includes links to the HH toolkit and Newsletter) Healthy Homes Partnership Facebook Page: https://www.facebook.com/HealthyHomesPartnership/ Healthy Homes Partnership Pinterest Page: https://www.pinterest.com/healthyhomes4/ Healthy Homes Pertnership Twitter Page: https://twitter.com/HealthyHomes4
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Goldschmidt, Michael and Fisher-McLean, Kandace Lenae (2019). The national healthy homes partnership: an education program for consumers and stakeholders 1999-2019. European Network of Housing Research Conference, Athens, Greece.
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Turner, P., Bales, D., and Kirby, S. (2019) Healthy Homes Presentation. International Federation for Home Economics Conference, Trinidad.

Progress 09/01/18 to 08/31/19

Outputs
Target Audience:Eleven sub-grant states are participating directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, a smartphone app, youth education materials, and a newsletter. During the year so far, the HHP programs in the eleven states and nationally reached over 235,000 consumers directly personal consultations, exhibits and displays, trainings and workshops, and visits to websites and social media. This is in addition to the many news articles, radio spots, and other traditional media used by the states for a total of over 480,000 indirect and direct contacts. So far this year, the HHP was able to train and educate 6,579 stakeholders about healthy homes issues. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These eleven states created a total of over 350 partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. Changes/Problems:The HHP state partners reach large numbers of people; however, their effectiveness could be improved by increasing assessments of intermediate- and long-term impacts. An evaluation at the end of a program provides insights into knowledge gained and the intent to make behavior changes, but it is only through follow-up surveys that more impactful outcomes can be measured. Assessing intermediate- and long-term impacts requires time and funding to follow-up with participants in programs and trainings usually after the grant period has expired. Another major challenge is that the extension educators must coordinate reporting of behavioral changes and hazard mitigation leading to improved health with various state coalition members in order to be compliant with the federal Health Insurance Portability and Accountability Act (HIPAA) privacy requirements (Extension personnel are often not allowed to collect medical information under the act that is coordinated with an individual's identity). The challenges for the future are to develop new ways to assess outcomes from programs and trainings, and to measure the effectiveness of social media as a means of disseminating information. Extension is an effective means of disseminating a consistent healthy housing message. The organization is nationwide, provides unbiased research-based information, and offers free or low-cost access to information. Face-to-face programs will remain an important delivery method, but the program expects to continue to see decreases in program attendance and increased use of online tools and networks in both rural and urban communities. Partnerships and the healthy housing advisory boards are becoming increasingly important. The HHP state partners need to continue experimenting with new ways to reach audiences and sharing resources to expand knowledge about healthy housing. What opportunities for training and professional development has the project provided?States were tasked with individual key deliverables to support the mission of the Healthy Homes Partnership in addition to their other day-to-day state and healthy homes programs and initiatives. National: Seven Webinars were provided to stakeholders during National Healthy homes Month in June 2019, Topics include: 1) Growing up Safe and Healthy- 5 Minutes to a Healthy Home 2) Using Valuable Resources from the Healthy Homes Partnership 3) Improving Your Home Environment 4) HUD's Lead Paint Safety Field Guide 5) Home Visits are Needed to Address Asthma Health Disparities in Adults 6) Implementing Healthy Homes Principles and Practices in Disaster Recovery and Rebuilding 7) Serving Native Americans with Healthy Homes Resources Recordings of these webinars are available at: http://extensionhealthyhomes.org/webinars.html Selected State Opportunities: Florida:The Homeflow program was translated into Spanish by 3 bilingual County Extension agents who worked on scripting and recording the videos for the curriculum. The videos will be hosted on the National Healthy Homes Partnership website (along with the English version of the Homeflow videos) to serve our Spanish speaking audiences. Georgia and Connecticut: Presented at the Extension Disaster Education Network Conference in Spokane, Washignton related to Disaster Preparedness Louisiana: Presented at the annual Louisiana Housing Corporation conference demonstrating strategies for resilient, high performance homes. Louisiana: The Lead Prevention Program reached nearly 1200 individuals through their outreach consisting of flip-chart presentations, display tables, Powerpoint presentations, and brochures to reach parents and children at Head Start, WIC clinics, Rural healthclinics, health fairs, daycares, food pantries and more. Montana: Utilized the Asthma and Allergy training module in the Healthy Homes Toolkit (available on the HHP website) to train (via webinar) the Montana Department of Public Health and Human Services and the Asthma Control Program Home Visiting Nurses who operate across the state how to identify and remedy asthma triggers in the home. How have the results been disseminated to communities of interest?Summary of the Healthy Homes Partnership program, including best practices, toolkit, and success stories, was presented at the following national and international conferences: National Health Outreach Conference. Fort Worth, Texas. May 2019 European Network of Housing Research Conference. Athens, Greece. August 2019 In addition, to the above activities, the Healthy Homes Partnership presented seven webinars in June 2019as part of the National Healthy Homes Month. These webinars highlighted The webinars highlighted the National Healthy Home Month's theme of Growing Up Safe and Healthy - 5 Minutes to a Healthy Home. This overarching theme promotes awareness of potential indoor environmental health hazards, and simple actions that residents can take in a short time to address many of them. National: Seven Webinars were provided to stakeholders during National Healthy homes Month in June 2019, Topics include: 1) May 28th, 2019: Growing up Safe and Healthy- 5 Minutes to a Healthy Home 2) June 4th, 2019: Using Valuable Resources from the Healthy Homes Partnership 3) June 5th, 2019: Improving Your Home Environment 4) June 6th: HUD's Lead Paint Safety Field Guide 5) June 11th: Home Visits are Needed to Address Asthma Health Disparities in Adults 6) June 18th: Implementing Healthy Homes Principles and Practices in Disaster Recovery and Rebuilding 7) June 20th: Serving Native Americans with Healthy Homes Resources Through this projectthe states were able to support a national Healthy Homes Partnership website, various social media sites, webinars, a smartphone app, and a newsletter to provide ongoing information on the partnership's activities. Annual reports are available at: healthyhomespartnership.net What do you plan to do during the next reporting period to accomplish the goals?1. Continue to develop tribal (Native American) healthy homes publications and app that will be available in itunes and the Android/google platform. 2. Continue national and statewide activities in Healthy Homes. 3. Continue to update and evaluate the Healthy Homes Partnership reporting system to collect quantitative and qualitativedata to better collect long term impacts on public health. 4. Continue use of social media, newsletters, and website to publicize information on Healthy homes to stakeholders and consumers. 5. Continue to coordinate healthy homes activities with HUD OLHCHH and USDA-NIFA 6. Present Healthy Homes Partnership accomplishments and impacts, toolkits, smartphone apps, and other curricula at national and international conferences to educators, health care providers, and health professionals.

Impacts
What was accomplished under these goals? Eleven sub-grant states are participating directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, a smartphone app, youth education materials, and a newsletter. The HHP programs in the eleven states and nationally reached over 235,000 consumers directly personal consultations, exhibits and displays, trainings and workshops, and visits to websites and social media. This is in addition to the many news articles, radio spots, and other traditional media used by the states for a total of over 480,000 indirect and direct contacts. So far this year, the HHP was able to train and educate over 6,500stakeholders about healthy homes issues. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These eleven states created a total of over 350 partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. National Accomplishments: The entire Healthy Homes Partnership participated with and coordinated with HUD OLHCHH and USDA-NIFA in promoting the 2019 Healthy Homes Month. Selected State Accomplishments: Alaska: The University of Alaska filmed a 30 second segment with the Executive Director of the Alaska Lung Association encouraging people to test for Radon. The TV segment aired 100 times throughout Alaska and reached countless individuals. Florida: The Homeflow Program is a series of research-based modules that explores the relationships between he health of the home and its occupants, home maintenance and operations, energy and functional efficiency, and home safety routines. The Homeflow program was translated into Spanish by 3 bilingual County Extension agents who worked on scripting and recording the videos for the curriculum. The videos will be hosted on the National Healthy Homes Partnership website (along with the English version of the Homeflow videos) to serve our Spanish speaking audiences. Connecticut: The University of Connecticut conducts extensive programming opportunities focusing on Emergency Preparedness and Disaster Recovery. In addition to their Healthy Homes Partnership funding, they also received a NIFA Inland and Coastal Flooding and Mitigation Recovery grant and a NIFA Preparedness and Decision making for Coastal Residents grant. This year, through their efforts, they were able to educate military spouses in the U.S. Navy about household storm preparedness and present about storm preparedness at the Extension Disaster Education Network conference in partnership with the University of Georgia. They also educated individuals about how children process and react to disasters and presented to corporate audiences on how to better prepare their employees for disasters. Georgia: The University of Georgia is committed to Radon testing and education in their state. They receive specificradon grant funding through the U.S. EPA and in 2019 were able to distribute 2178 radon test kits, There were 1416 test results received, and 306bof the test results came back over 4 picocuries per liter (pCi/L). The households testing about 4 pCi/L were contacted and encouraged to test again and consult a radon mitigator. Mississippi: Mississippi State University utilized the Healthy Homes toolkit module (Available on the HHP website) on Home Safety and Accessibility to educate 1200 elementary students as part of Safety Town Day.

Publications

• Type: Websites Status: Published Year Published: 2019 Citation: Healthy Homes Partnership Website: www.extensionhealthyhomes.org and healthyhomespartnership.net (includes links to the HH toolkit and Newsletter) Healthy Homes Partnership Facebook Page: https://www.facebook.com/HealthyHomesPartnership/ Healthy Homes Partnership Pinterest Page: https://www.pinterest.com/healthyhomes4/ Healthy Homes Pertnership Twitter Page: https://twitter.com/HealthyHomes4
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Goldschmidt, Michael and Fisher-McLean, Kandace Lenae (2019). The national healthy homes partnership: an education program for consumers and stakeholders 1999-2019. European Network of Housing Research Conference, Athens, Greece.
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Goldschmidt, Michael and Peek, Gina (2019). Healthy Homes: Using Smartphone Apps for Stakeholders and Consumers. National Health Outreach Conference, Fort Worth, Texas
• Type: Conference Papers and Presentations Status: Submitted Year Published: 2019 Citation: Louisiana State University: Reichel was a speaker at the IICRC (restoration industry) national conference session for restoration trainers.
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Louisiana State University: Reichel presented at the national Energy and Environmental Building Alliance Home Performance Summit.
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: University of Alaska: Nash was an invited session presenter at the Kawarek tribal regional conference.
• Type: Conference Papers and Presentations Status: Submitted Year Published: 2019 Citation: Turner, P., Griffiths-Smith, F. and Welch, M. Preparing for a Disaster. Extension Disaster Education Network (EDEN) Conference, Spokane, Washington
• Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Turner, P., Bales, D., and Kirby, S. (2019) Healthy Homes Presentation. International Federation for Home Economics Conference, Trinidad.

Progress 09/01/17 to 08/31/18

Outputs
Target Audience:Eleven sub-grant states are participating directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, a smartphone app, youth education materials, and a newsletter. During the time period, the HHP programs in the eleven states and nationally reached over 325,000 consumers directly through personal consultations, exhibits and displays, trainings and workshops, and visits to websites and social media. This is in addition to many news articles, radio spots, and other traditional media used by the states for a total of over 2.4million indirect and direct contacts. TheHHP was able to train and educate over 5,000 stakeholders about healthy homes issues. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These elevenstates created a total of over 350 partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. Changes/Problems:The HHP state partners reach large numbers of people; however, their effectiveness could be improved by increasing assessments of intermediate- and long-term impacts. An evaluation at the end of a program provides insights into knowledge gained and the intent to make behavior changes, but it is only through follow-up surveys that more impactful outcomes can be measured. Assessing intermediate- and long-term impacts requires time and funding to follow-up with participants in programs and trainings usually after the grant period has expired. Another major challenge is that the extension educators must coordinate reporting of behavioral changes and hazard mitigation leading to improved health with various state coalition members in order to be compliant with the federal Health Insurance Portability and Accountability Act (HIPAA) privacy requirements (Extension personnel are often not allowed to collect medical information under the act that is coordinated with an individual's identity). The challenges for the future are to develop new ways to assess outcomes from programs and trainings, and to measure the effectiveness of social media as a means of disseminating information. Extension is an effective means of disseminating a consistent healthy housing message. The organization is nationwide, provides unbiased research-based information, and offers free or low-cost access to information. Face-to-face programs will remain an important delivery method, but the program expects to continue to see decreases in program attendance and increased use of online tools and networks in both rural and urban communities. Partnerships and the healthy housing advisory boards are becoming increasingly important. The HHP state partners need to continue experimenting with new ways to reach audiences and sharing resources to expand knowledge about healthy housing. What opportunities for training and professional development has the project provided?States were tasked with individual key deliverables to support the mission of the Healthy Homes Partnership in addition to their other day-to-day state healthy homes programs and initiatives. National: Ten webinars were provided to stakeholders during National Healthy Homes Month in June 2018, Topics included: 1)Improving Your Home Environment - Presenter: Selina Lujan, Fort Collins, CO Healthy Homes Program 2)Healthy Homes Toolkit - Presenter: Michael Goldschmidt, USDA NIFA/Healthy Homes Partnership 3)Forming Healthy Homes Coalitions - Presenters: Brandon Kitagawa, California Healthy Homes Coalition Co-Chair, Jill Bednarek, Colorado Healthy Housing Coalition Coordinator, Patricia Barnes, Ohio Healthy Homes Coalition Executive Director, Mary Sue Schottenfels, CLEARCorps Detroit Executive Director 4)How am I going to Pay for This? Healthy Homes for Residents with Limited Financial Resources - Presenter: Jayne Windham, Training partner from Healthy Homes Training Center, Healthy Housing Solutions, Inc. 5)Bridging the Cultural Divide-The Role of Community Health Representatives/Workers in Environmental Public Health Presenters: Maureen Lichtveld, M.D., MPH Professor and Chair of Environmental Policy, Tulane University School of Public Health and Tropical Medicine and Ray Lopez, Director of Programs, LSA Family Health Service 6)Assessing Indoor Air Quality and Indoor Household Hazards for Native Americans - Presenters: Michael Goldschmidt and Art Nash, USDA NIFA, Healthy Homes Partnership 7)Teaching the Next Generation Healthy Homes Principles - Presenter: Sarah Kirby, USDA NIFA, Healthy Homes Partnership 8)Healthy Homes Youth App - Presenter: Gina Peek, USDA NIFA Healthy Homes Partnership 9)Protect Your Homes -The Top 5 Wind, Flood, and Fire Damage Defenses - Presenter: Claudette Hanks Reichel, Ed.D, LSU AgCenter, La. Extension service Housing Specialist, Director of LaHouse Resource Center, USDA NIFA, Healthy Homes Partnership 10)Hoarding - Presenter: Dion Lerman, Penn State, PA IPM Program, Philadelphia Hoarding Task Force, Pennsylvania State University State IPM Program, Trainer in the Healthy Homes Training Center Network Recordings of these webinars are available at: http://extensionhealthyhomes.org/webinars.html Selected State Opportunities: Missouri: Fisher-McLean, Kandace Lenae (2018). Hitchhiking home: bedbug's in your backpack. Housing Education and Research Association Conference, Savannah, Georgia. Georgia: Saha, Sonon, Kitto, Turner, Lynch & Dean (2017). A comparison of various factors affecting analysis of radon in water by liquid scintillation counting. International Radon Symposium, Myrtle Beach, South Carolina. Georgia: Turner, P. (2018). Preparing the child care environment for natural disasters and other emergencies, National Extension Association of Family and Consumer Sciences, San Antonio, TX. Louisiana: Reichel, C. (2017). A Tale of a King, a Queen, and the Couyans. Westford Building Science Symposium. Reichel was invited speaker at Westford Building Science Symposium, Westford, Massachusetts. Focused on resilient housing, including healthy, hazard-resistant new construction and restoration. How have the results been disseminated to communities of interest?Summary of the Healthy Homes Partnership program, including best practicies, toolkit, and success stories, was presented at the following national and international conferences: Housing Education and Research Association Conference, Savannah, Georgia. October 2017 and 2018 National Environmental Health Association Conference, Anaheim, California. June 2018 In addition, to the above activities, the Healthy Homes Partnership presented ten webinars in June 2018 as part of the National Healthy Homes Month. These webinars highlighted the activities of the program, including best practices and success stories. 1)May 22, 2018: Improving Your Home Environment 2)May 24, 2018: Healthy Homes Toolkit 3)May 30, 2018: Forming Healthy Homes Coalitions 4) June 5, 2018: How am I going to Pay for This? Healthy Homes for Residents with Limited Financial Resources 5)June 7, 2018: Bridging the Cultural Divide-The Role of Community Health Representatives/Workers in Environmental Public Health 6)June 11, 2018: Assessing Indoor Air Quality and Indoor Household Hazards for Native Americans 7)June 12, 2018: Teaching the Next Generation Healthy Homes Principles 8)June 18, 2018: Healthy Homes Youth App 9)June 20, 2018: Protect Your Homes -The Top 5 Wind, Flood, and Fire Damage Defenses 10)June 27, 2018:Hoarding Through this project, the states were able to support a national Healthy Homes Partnership website, various social media sites, webinars, a smartphone app, and a newsletter to provide ongoing information on the partnership's activities. Annual reports are available at: healthyhomespartnership.net What do you plan to do during the next reporting period to accomplish the goals?1. Complete development of the Disaster Recovery and Rebuilding Healthy Homes Curriculum 2. Continue national and statewide activities in Healthy Homes. 3. Continue to expand radon educational outreach for increased promotion of testing dwellings in selected states. Continued tracking of individuals with high radon levels and mitigation efforts. 4. Continued development of the new Healthy Homes tribal publications and app development in the App store and Google Playbased on these publications 5. Continue use of social media, newsletters, and website to publicize information on Healthy homes to stakeholders and consumers. 6. Continue to coordinate healthy homes activities with HUD OLHCHH and USDA-NIFA

Impacts
What was accomplished under these goals? Eleven sub-grant states are participating directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, a smartphone app, youth education materials, and a newsletter. During the time period, the HHP programs in the eleven states and nationally reached over 325,000 consumers directly through personal consultations, exhibits and displays, trainings and workshops, and visits to websites and social media. This is in addition to many news articles, radio spots, and other traditional media used by the states for a total of over 2.4million indirect and direct contacts. TheHHP was able to train and educate over 5,000 stakeholders about healthy homes issues. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These elevenstates created a total of over 350 partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. National Highlights: The entire HHP participated with and coordinated with HUD OLHCHH and USDA-NIFA in promoting the 2018 National Healthy Homes Month. Selected State Accomplishments: Georgia: During 2018, 1021 radon test kits were distributed. There have been 773 test results received, with 186 of the test results coming in over 4 picocuries per liter (pCi/L). The households testing about 4 pCi/L were contacted with the test results and encouraged to test again or consult a radon mitigator. Alaska: The University of Alaska also distributed over 2,000 radon test kits in 2018 at various Expos and State and Regional Fairs. Louisiana: Claudette Reichel was interviewed by the Wasihngton Post and Journal of Light Construction regading safe, healthy, and durable home restoration in response to hurricanes Harvey and Irma.Wash Post:How Flood Damages and House - and which parts can be saved.JLC Online:Flood-hardy Construction: Louisiana lessons for Texas

Publications

• Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Fisher-McLean, Kandace Lenae (2018). Hitchhiking home: bedbugs in your backpack. Housing Education and Research Association Conference, Savannah, Georgia.
• Type: Conference Papers and Presentations Status: Published Year Published: 2017 Citation: Goldschmidt, M. and Peek, G. (2017). Healthy Homes: Using Smartphone Apps for Stakeholders and Consumers. Housing Education and Research Association, Lowell, Massachusetts.
• Type: Conference Papers and Presentations Status: Published Year Published: 2017 Citation: Saha, Sonon, Kitto, Turner, Lynch & Dean (2017). A comparison of various factors affecting analysis of radon in water by liquid scintillation counting. International Radon Symposium, Myrtle Beach, South Carolina.
• Type: Websites Status: Published Year Published: 2018 Citation: Healthy Homes Partnership Website: www.extensionhealthyhomes.org and healthyhomespartnership.net (includes links to the HH toolkit and Newsletter) Healthy Homes Partnership Facebook Page: https://www.facebook.com/HealthyHomesPartnership/ Healthy Homes Partnership Pinterest Page: https://www.pinterest.com/healthyhomes4/ Healthy Homes Pertnership Twitter Page: https://twitter.com/HealthyHomes4
• Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Goldschmidt, Michael, Fisher-McLean, Kandace Lenae, Barbara Allen, Pamela Turner, Mary Ellen Welch, David Buys, Claudette Hanks-Reichel, Martha Keel, and Gina Peek (2018). Evolution of online resources by the healthy homes partnership. Housing Education and Research Association Conference, Savannah, Georgia.
• Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Goldschmidt, Michael, and Kandace Lenae Fisher-McLean (2018). Healthy homes: using smartphone apps for stakeholders and consumers. National Environmental Health Association Conference, Anaheim, California.
• Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Kirby, S.D., Kirby, K.E., and Allen, K.I. (2018). Integrating Healthy Homes Principles into Middle School Curriculum, Housing Education and Research Association Annual Conference, Savannah, GA.
• Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Turner, P. (2018). Preparing the child care environment for natural disasters and other emergencies, National Extension Association of Family and Consumer Sciences, San Antonio, TX.
• Type: Conference Papers and Presentations Status: Published Year Published: 2017 Citation: Reichel, C. (2017). A Tale of a King, a Queen, and the Couyans. Westford Building Science SymposiumReichel was invited speaker at Westford Building Science Symposium, Westford, Massachusetts. Focused on resilient housing, including healthy, hazard-resistant new construction and restoration.
• Type: Journal Articles Status: Published Year Published: 2017 Citation: Hebert, P., Peek, G., Kang, M., & Zhang, X. (2017). Illuminance levels in social spaces of an older adult facility. Industrial and Systems Engineering, 2 (2), 21-27.

Progress 09/01/16 to 08/31/17

Outputs
Target Audience:Ten sub-grant states are participating directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, a smartphone app, youth education materials, and a newsletter. During the year so far, the HHP programs in theten states and nationally reached over 111,000 consumers directly through personal consultations, exhibits and displays, trainings and workshops, and visits to websites and social media. This is in addition to many news articles, radio spots, and other traditional media used by the states for a total of over 1.9 million indirect and direct contacts. So far thisyear, the HHP was able to train and educate 4,864 stakeholders about healthy homes issues. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These eight states created a total of over 400 partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. Changes/Problems:The HHP state partners reach large numbers of people; however, their effectiveness could be improved by increasing assessments of intermediate- and long-term impacts. An evaluation at the end of a program provides insights into knowledge gained and the intent to make behavior changes, but it is only through follow-up surveys that more impactful outcomes can be measured. Assessing intermediate- and long-term impacts requires time and funding to follow-up with participants in programs and trainings usually after the grant period has expired. Another major challenge is that the extension educators must coordinate reporting of behavioral changes and hazard mitigation leading to improved health with various state coalition members in order to be compliant with the federal Health Insurance Portability and Accountability Act (HIPAA) privacy requirements (Extension personnel are often not allowed to collect medical information under the act that is coordinated with an individual's identity). The challenges for the future are to develop new ways to assess outcomes from programs and trainings, and to measure the effectiveness of social media as a means of disseminating information. Extension is an effective means of disseminating a consistent healthy housing message. The organization is nationwide, provides unbiased research-based information, and offers free or low-cost access to information. Face-to-face programs will remain an important delivery method, but the program expects to continue to see decreases in program attendance and increased use of online tools and networks in both rural and urban communities. Partnerships and the healthy housing adivsory boards are becoming increasingly important. The HHP state partners need to continue experimenting with new ways to reach audiences and sharing resources to expand knowledge about healthy housing. What opportunities for training and professional development has the project provided?States were tasked with individual key deliverables to support the mission of the Healthy Homes Partnership in addition to their other day-to-day state healthy homes programs and initiatives. National: Five webinars were provided to stakeholder during National Healthy Homes Month in June 2017, Topics included: Delivering the Healthy Homes Partnership: Best Practices and Success Stories Increasing Reach with the Healthy Homes Toolkit Creating Healthier Indoor Environments for Child Care Facilities Meeting the Challenges with Youth and Healthy Homes Restoring for Health Homes after a Natural Disaster- Model Home at LSU Recordings of these webinars are available at: http://extensionhealthyhomes.org/webinars.html Selected State Opportunities: Florida: National Homeflow Workshops. Provided an overview of the Homeflow program to audiences throughout the US so it could be understood at a basic level for potential users. Georgia: Presentation to the Georgia Agriculture & Natural Resources Extension Professionals conference. Information on radon and a focus on the radon in water issues that UGA dealt with in Monroe county. Louisiana: HH consultants, Ext. agents and specialists conducted 51 community outreach activities., focused on lead and overall healthy home education - including child care centers, healthy fair, schools, WIC clinics, community events, flood forums, home shows, one-on-one contacts, etc. Louisiana: Conducted CEU training seminar for housing professionals on: air sealing and ventilation best practices, RRP certification, and Duct and Envelope Tightness - with indoor air quality implications Montana: Montana State University Tribal Extension Agent & Tribal College Professionals meeting/training. This meeting/training serves as a time to reconnect with our Tribal Extension Professionals in the work they are doing at the local level, as well as our opportunity to provide a comprehensive healthy homes training and Q&A session. How have the results been disseminated to communities of interest?Summary of the Healthy Homes Partnership program, including best practices, toolkit, and success stories, was presented at the following national and international conferences: International Conference on Energy and Environment of Residential Buildings - Healthy Housing. Brisbane, Australia. November 2016. HUD Lead and Healthy Housing Conference. Indianapolis, IN. March 2017. National Health Outreach Conference. Annapolis, MD. May 2017. In addition to the above activities, the Healthy Homes Partnership presented five webinars in June 2017 as part of National Healthy Homes Month. These webinars highlighted the activities of the program for the last two years, including best practices and success stories: June 5th, 2017 Delivering the Healthy Homes Partnership: Best Practices and Success Stories June 12th, 2017 Increasing Reach with the Healthy Homes Toolkit June 19th, 2017 Creating Healthier Indoor Environments for Child Care Facilities June 26th, 2017 Meeting the Challenges with Youth and Healthy Homes June 29th, 2017 Restoring for Health Homes after a Natural Disaster- Model Home at LSU Through this project, the states were able to support a national HHP website, various social media sites, webinars, a smartphone app, and a newsletter to provide ongoing information on the partnership's activities. Annual reports are available at: healthyhomespartnership.net What do you plan to do during the next reporting period to accomplish the goals?1. Complete development of the youth Healthy Homes curriculum including modules for elementary schools, 4-H, and secondary students. 2. Continue national and statewide activities in Healthy Homes 3. Present Healthy Homes toolkit, smartphone app, and other curricula at national conferences to educators, health care providers, and health professionals. 4. Continue use of social media, newsletters, and website topublicize information on Healthy homes to stakeholders and consumers. 5. Continue to coordinate healthy homes activities with HUD OLHCHH and USDA-NIFA.

Impacts
What was accomplished under these goals? Ten sub-grant states are participating directly in the project, funded through an interagency grant from the HUD Office of Lead Hazard Control and Healthy Homes (OLHCHH) and USDA National Institute of Food and Agriculture (NIFA). Each state used the grant to fund healthy homes projects within their state and region, while also contributing to projects nationally. Through this project, these states were able to support a national HHP website, various social media sites, webinars, a smartphone app, youth education materials, and a newsletter. During the year so far, the HHP programs in the ten states and nationally reached over 111,000 consumers directly through personal consultations, exhibits and displays, trainings and workshops, and visits to websites and social media. This is in addition to many news articles, radio spots, and other traditional media used by the states for a total of over 1.9 million indirect and direct contacts. So far this year, the HHP was able to train and educate 4,864 stakeholders about healthy homes issues. Each state was also responsible for coordinating state-wide healthy homes coalitions, comprised of state leaders in healthy homes issues and programs. These eight states created a total of over 400 partnerships in these coalitions. These coalitions continue to discuss how they can all work together and coordinate their activities in the future. National Highlights: The entire HHP participated with and coordinated with HUD OLHCHH and USDA-NIFA in promoting the 2017 Healthy Homes Month. The HHP also completed work on two healthy homes guides (one consumer, one stakeholder) and related smartphone apps. Selected State Accomplishments: Georgia: The Georgia Radon Program was privileged to celebrate National Radon Action Month with a Proclamation from Governor Nathan Deal. The proclamation recognizes the importance of increased awareness of testing homes for radon. The 2016 Georgia Radon Poster Contest winners were invited to attend the proclamation ceremony along with their families. Poster contest winners received prizes from Alpha Radon, a local radon testing company. Other attendees included representative from the state radon program and Region 4 Environmental Protection Agency representatives. Georgia: During the first quarter of the year, 944 radon test kits were distributed. There have been 398 test results received, with 35% of the test results coming in over 4 picocuries per liter (pCi/L). The households testing above 4 pCi/L were contacted and encouraged to test again or consult a radon mitigator. Louisiana: Low-literacy, illustrated flipchart lessons, "Be Aware of Your Indoor Air and Protect Kids from Lead Poisoning" were created, reproduced and distributed to Extension agents in Louisiana and Mississippi who had previously participated in Healthy Home Solutions training. The flipcharts offer an easily portable, fully-scripted teaching visual for educators and volunteers to use with small audiences and when showing a slide presentation is not feasible. Connecticut: Tools for Healthy Living. Healthy homes series designed for youth in afterschool/enrichment programs. 265 youth from 4 urban schools in two cities, Hartford and New Britain completed workshop series (23 programs). Mississippi: Grandparents Raising Grandchildren Workshops through Pinebelt Association for Families. Three Individual Workshops on Asthma and Allergies; Hazardous Household Products; and Mold and Moisture Control.

Publications

• Type: Conference Papers and Presentations Status: Accepted Year Published: 2017 Citation: Healthy Homes: Using Smartphone Apps. Housing Education and Research Association Annual Conference. Lowell, MA. October 8 - 11, 2017.
• Type: Conference Papers and Presentations Status: Published Year Published: 2017 Citation: Goldschmidt, M. and Turner, P. The Healthy Homes Partnership Toolkit. 2017 National Health Outreach Conference. Annapolis, MD. May 1 - 4, 2017
• Type: Conference Papers and Presentations Status: Published Year Published: 2017 Citation: Goldschmidt, M. Linking National and Local Lead and Healthy Homes Campaigns. HUD Lead and Healthy Housing Conference. Indianapolis, IN. March 28 - 30, 2017
• Type: Conference Papers and Presentations Status: Published Year Published: 2017 Citation: Goldschmidt, M. Healthy Homes CurriculumWork in Progress through USDA-NIFA Partners. HUD Lead and Healthy Housing Conference. Indianapolis, IN. March 28 - 30, 2017
• Type: Websites Status: Published Year Published: 2016 Citation: Healthy Homes Partnership Website: www.extensionhealthyhomes.org and healthyhomespartnership.net (includes links to the HH Toolkit and Newsletter) Healthy Homes Partnership Facebook Page: https://www.facebook.com/Healthy-Homes-Partnership-238568859513814/ Healthy Homes Partnership Pinterest Page: https://www.pinterest.com/healthyhomes4/ Healthy Homes Partnership Twitter Page: https://twitter.com/HealthyHomes4
• Type: Conference Papers and Presentations Status: Published Year Published: 2016 Citation: Goldschmidt, M., and Turner, P. Effectiveness and Impact of a National Healthy Housing Partnership on Occupant Health. 7th International Energy and Environment of Residential Buildings Conference. Queensland University of Technology Brisbane, Australia. November 20  24, 2016.
• Type: Conference Papers and Presentations Status: Published Year Published: 2017 Citation: Goldschmidt, M. and Fisher-McLean, K. Impacts of a National Healthy Homes Partnership. 2017 National Health Outreach Conference. Annapolis, MD. May 1 - 4, 2017