SOPHE 2012 Midyear Conference

TuningHealth UpPromotion: April 11–14, 2012 Sheraton Music City Hotel Nashville, TN

Pre-Registration March 9, 2012

Society for Public Health Education

New Lyrics across the Lifespan 2012 SOPHE Midyear Scientific Conference

Preliminary Program

Join Us Join us for the Society for Public Health Education’s (SOPHE) 2012 Midyear Scientific Conference, “Tuning Up Health Promotion: New Lyrics across the Lifespan.” Older adults represent approximately 13% of the US population and are among the fastest growing age groups. Given this dramatic demographic shift, it is timely to explore the determinants of healthy aging; identify policy and other interventions that promote healthy aging; and assist in the translation of effective healthy aging interventions into sustainable community-based programs. Additionally, we must look “upstream” across all populations to address the social and behavioral factors that have a greater influence on longevity than genetics. To improve our nation’s health, innovative health education and communication interventions are needed across all age segments, with a particular focus on communities and populations that bear a disproportionate burden of illness and disease.

Conference Objectives This 2 ½ day conference will enable attendees to: • Apply evidence-based and/or best practices that promote healthy aging and quality of life, addressing social justice and health disparities, as well as the intergenerational roles of aging adults; • Identify conceptual frameworks for environmental or policy interventions at the organizational, community, state and national levels to reduce chronic disease and injury;

• Develop multi-level strategies to improve equity from pre-conception to end of life that integrate health with non-health factors such as education, employment, housing, and transportation; • Explore cutting-edge theory, research, tools and strategies in health communications and media that are relevant to various ages and demographic audiences.

WHO SHOULD ATTEND? All health education specialists, health communicators, gerontologists, behavioral scientists, faculty and students whose work extends to: • • • • • • •

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Federal, state or local health agencies Voluntary organizations Community-based agencies Hospitals and clinics Elementary and secondary schools Colleges and universities Prevention research centers

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• • • • • • •

Tribal organizations Wellness facilities Businesses and corporations Faith-based organizations Consulting firms Community coalitions Other public health & social service settings

What’s in this Conference for You? Opportunities to network, share, and learn with more than 400 colleagues from across the country dedicated to health promotion! Choose from more than 100 oral presentations, workshops, and posters designed to foster the exchange of knowledge and skills of researchers, practitioners, students, and community members. Enjoy the social exchange, visit in small group lunch roundtables, and rejuvenate your body and spirit with daily wellness activities. Visit the many museum and music venues in Nashville, and enjoy trendy shopping, restaurants, and nightlife, including an optional outing to the Wildhorse Saloon for a dinner buffet and line-dancing!

Welcome First-Timers and Students SOPHE extends a special invitation to all first-time attendees, including all new student members and all others looking for a professional home. Don’t miss the Snapshot Orientation on Thursday, April 12, 7:15 – 8:15 AM (with continental breakfast) to learn more about SOPHE membership benefits, meet SOPHE leaders, and explore how SOPHE involvement can advance your professional career.

Bonus: CHES/MCHES fees are included in the registration fee. No professional conference offers you a better, all-inclusive package!

Selected Conference Supporters U.S. Centers for Disease Control & Prevention Sage Publications PLANNING COMMITTEE MEMBERS 2012 Midyear Scientific Conference Trustee: Karen A. Spiller Heather Alberda

Carol Gill

Darlene Jenkins

Robin Mockenhaupt

Chandra Russell Story

Anita Albright

Turner Goins

Demetrice R. Jordan

Brittany Morey

Nicolette Warren

Elaine Auld

June Gorski

Erica Krupp

Kate Morrison

Chandrani Wijayasinghe

David Brown

Jeanne Harmon

Sue Lachenmayr

Leah Neubauer

Kay Deaner

Cassandra Harris

Laura Mariani

Titilayo Okoror

Marissa Demetrius

Eileen Huereque

Allison McElvaine

Joseph Sharkey

Kristen Frame

Rebecca Hunter

Carol McPhillips-Tangum

Melanie Stopponi

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Selected Conference Faculty Lorien Abroms, ScD Lorien Abroms is Assistant Professor of Prevention and Community Health at The George Washington University School of Public Health and Health Services. She received her Bachelor of Science in Psychology and Master of Arts in Sociology at Brown University, and her Doctor of Science from Harvard School of Public Health. Dr. Abroms’ research focuses on the application of communication technologies—including emails, text messaging, and smartphone apps—for smoking cessation and other health behaviors. She has developed and evaluated smoking cessation interventions. In 2008, she was awarded the Early Career Award by the Public Health Education and Health Promotion Section of the American Public Health Association.

Calvin Anderson Calvin Anderson serves as chief of staff and senior vice president of corporate affairs for BlueCross BlueShield of Tennessee and is the executive director of the BlueCross BlueShield of Tennessee Health Foundation and Community Trust. Anderson served as senior staff to U.S. Senator Jim Sasser from 1985 to 1994. Early in his career, he held sales and management positions in the insurance industry. On a national level, he represents BlueCross as a congressional relations coordinator with the Blue Cross Blue Shield Association, and on America’s Health Insurance Plans Policy Committee and Federal Government Relations Group. He also serves on the Health Industry Council for District Eight of the Federal Reserve.

Lynda A. Anderson, PhD Lynda Anderson is the Director of the Healthy Aging Program at the Centers for Disease Control and Prevention (CDC). She is an Adjunct Associate Professor at the Rollins School of Public Health at Emory University.

Dr. Anderson has more than 100 peer-reviewed publications and numerous book chapters and invited articles. She received her doctorate from the School of Public Health at the University of North Carolina at Chapel Hill. She completed a Postdoctoral Fellowship in aging at the Duke University Center for the Study of Aging and Human Development. Much of her work has focused on providerpatient communication, moving science into practice, and the development of several measures such as the Trust in Physician Scale.

John M. Auerbach, MBA John Auerbach was appointed Massachusetts’s Commissioner of Public Health in April, 2007. Under his leadership the Department has developed new and innovative programs to address racial and ethnic disparities, to promote wellness, to combat chronic disease and to support the

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successful implementation of the state’s health care reform initiative.

Auerbach also served a term as President for the Association of State and Territories Health Officials, and currently is on the Executive Committee. He served as Executive Director of the Boston Public Health Commission for 9 years. He had previously worked at the State Health Department for a decade, first as the Chief of Staff and later as an Assistant Commissioner overseeing the HIV/AIDS Bureau.

Olivia Carter-Pokras, PhD Olivia Carter-Pokras is an Associate Professor in the Department of Epidemiology and Biostatistics, University of Maryland School of Public Health.

Dr. Carter-Pokras has conducted health disparities research in the Federal government and academia for more than 25 years. She has published more than 50 journal articles, Federal government publications, book chapters and books, and her research has played a critical role in national recognition of health disparities experienced by the Latino community. She is currently conducting health assessments of Latinos in Baltimore and Montgomery County. Dr. CarterPokras is an elected fellow and member of the Board of Directors for the American College of Epidemiology, and an elected member of the Executive Board of the American Public Health Association.

James Firman, EdD Dr. James Firman is President & CEO of the National Council on Aging. Under his leadership, NCOA has developed many nationally acclaimed programs to improve the health, independence, and economic security of older adults. NCOA has also developed world-class core competencies in collaborative leadership, fostering and scaling evidence-based innovations, and advocacy. As an advocate, he significantly influenced the development of federal Medigap legislation and long-term care insurance regulations throughout the United States. He currently serves as Board Chair of the National Human Services Assembly and Chair of the Independent Sector’s National Advisory Committee on Charting Social Impact. Dr. Firman earned his MBA and his EdD from Columbia University.

Camara P. Jones, MD, MPH, PhD Camara Phyllis Jones, MD, MPH, PhD, is Research Director on Social Determinants of Health and Equity in National Center for Chronic Disease Prevention and Health Promotion, and an Adjunct Associate Professor at both the Morehouse School of Medicine and the Rollins School of Public Health. Dr. Jones received her BA from Wellesley College, her MD from the Stanford University School of Medicine, and her MPH and PhD from the Johns Hopkins School of Hygiene and Public Health.

Dr. Jones’s work focuses on the impact of racism on the health and well-being of the nation. She seeks to broaden the national health

debate to include not only universal access to high-quality health care but also attention to the social determinants of health (including poverty) and the social determinants of equity (including racism).

Robin E. Mockenhaupt, PhD, MPH, MBA Robin E. Mockenhaupt, Ph.D., M.P.H, M.B.A, is Chief of Staff at the Robert Wood Johnson Foundation. She describes RWJF’s work as “finding gems of great ideas and people who are doing terrific work and, with the right resources, helping those ideas and models grow and develop to make an impact.” Before joining the Foundation, Mockenhaupt spent 16 years with AARP., where she specialized in health and aging. Mockenhaupt received a PhD in health education from the University of Maryland, a graduate certificate in gerontology from the Center on Aging at the University of Maryland, an MPH. in health administration and health education from Columbia University, an MBA and a BS in biology from the Pennsylvania State University.

William Steven Paul, MD, MPH William Paul is Director of Health for the Metro Nashville Public Health Department. He has a Bachelor of Science from Stanford, and an MD and Master of Public Health from the University of Illinois. He completed internship and residency in Internal Medicine at the University of Wisconsin. He is board certified in Internal Medicine and Infectious Diseases, and completed a 2-year assignment as an Epidemic Intelligence Services officer at the Centers for Disease Control. Accomplishments of the Department under Dr. Paul’s leadership include work to pursue menu labeling regulation, and recent award of a stimulus grant to promote environment, policy, and systems change to increase opportunities for healthy eating and active living.

Scott C. Ratzan, MD, MPA Scott Ratzan is Vice President, Government Affairs, Europe for Johnson & Johnson. He also is Editorin-Chief of the Journal of Health Communication: International Perspectives and holds faculty appointments at Yale University School of Medicine, Tufts University School of Medicine, George Washington University, the College of Europe (Belgium) and the University of Cambridge. He has been involved in a variety of global and domestic initiatives including his recent work at the U.S. Agency for International Development where he led the design for strategic health communication implementation for over 65 countries.

From 1990-1998 he was co-founder and Director of the Emerson/Tufts Program in Health Communication, a joint master’s degree program between Emerson College and Tufts University School of Medicine.

Timothy L. Seiler, CFRE, BA, MA, PhD Tim Seiler is director of Public Service and The Fund Raising School at the Center on Philanthropy at Indiana University and is also assistant professor of philanthropic studies in the graduate program. Seiler is an alumnus of The Fund Raising School and has been a faculty member since 1986 and the director since 1994. He was also involved with the establishment of the Center on Philanthropy through serving on the Policy Advisory Committee. He earned a B.A. degree in English from Saint Joseph’s College, Rensselaer, Indiana, and M.A. and Ph.D. degrees in English from Indiana University. He also holds the Certified Fund Raising Executive professional designation.

John Wren John Wren is Deputy Assistant Secretary for Policy, Planning and Evaluation, where he oversees the Administration on Aging’s strategic planning, policy development, budgeting, and management functions. Prior to joining the Administration on Aging in 2000, Mr. Wren served as Vice President for the National Council on Aging and Director of the National Aging Program at the Pew Charitable Trusts. Mr. Wren has served on the Board of Directors for the National Senior Citizen’s Law Center and is a member of the National Academy of Social Insurance. He has a master’s degree in Public Administration from the Maxwell School of Citizenship and Public Affairs at Syracuse University, and received advanced training in policy analysis and public management at Harvard University’s Kennedy School of Government.

Regina D. Walker Regina Walker serves as Senior Vice-President of Community Engagement and Alignment with United Way of the Mid-South in Memphis, TN and has been with UWMS since 1984. Regina graduated from Virginia State College in Petersburg, Virginia, with a B.S. degree in Psychology and began her career in the United Way system as a VISTA (Volunteer In Service To America) with a home health agency in Portsmouth, Virginia in 1978. From there, she joined the United Way of the Portsmouth Area as a Statistician and later began work with the United Way of Southhampton Roads in Norfolk, Virginia, ultimately becoming the Director of Allocations. Working with United Way of the Mid-South for twenty-seven years, Ms. Walker has provided oversight for processes that provide resources generated by United Way to not-for-profit agencies in the eight counties served by United Way in Tennessee, Arkansas, and Mississippi.

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Program In Brief Wednesday, April 11, 2012 7:30 AM – 6:00 PM Registration/Hospitality/CHES Desk Open 8:00 AM – 11:00 AM SOPHE House of Delegates Meeting 9:00 AM – 5:00 PM Fine-Tuning Your Policy Education Skills Workshop (by invitation only) 11:30 AM – 6:00 PM SOPHE Board of Trustees Meeting (Lunch Buffet) 3:00 PM – 7:00 PM Exhibit Set-Up and Poster Set-up

1:00 PM – 2:00 PM 2:15 PM – 4:45 PM

Thursday, April 12, 2012 7:00 AM – 6:00 PM Registration/Hospitality/CHES Desk Open 7:15 AM – 8:15 AM SOPHE Snapshot Orientation & Meeting Mentoring Kick-Off (includes continental breakfast) 7:15 AM – 8:15 AM Wellness Activity 8:00 AM – 8:30 AM Coffee Service 8:30 AM – 7:30 PM Exhibits and Posters Open 8:30 AM – 8:45 AM OPENING REMARKS & WELCOME Karen Spiller, 2012 Midyear Scientific Conference Trustee Elaine Auld, MPH, MCHES, Chief Executive Officer, SOPHE 8:45 AM – 9:15 AM Keynote Address James P. Firman, EdD, National Council on Aging 9:15 AM – 10:15 AM Plenary Session I: Healthy Aging John Wren, HHS Administration on Aging Lynda Anderson, PhD, Centers for Disease Control & Prevention 10:30 AM – 1:00 PM Skill-Building Workshops Session A Workshop I: Using Standardized Assessment Tools to Evaluate Function in Older Adults (repeats in afternoon session), Linda Bloodworth, Suzanne Greenwalt, Jennifer Miller Workshop II: Preview for the “Changing Health System to Support Smoking Cessation among Pregnant Women” Training Curriculum, Laura Boyle, Amy Kozicki, Rose Matulionis Workshop III: Media Advocacy: Keys to Amplifying Your Message, Denise Billings, Nancy Hauskins & Michael Holtz Workshop IV: What’s Cooking? A Recipe for Creating and Sharing Success Stories, Christopher Thomas & Kamesha Ellis Workshop V: Fine Tuning Program Delivery: How to Scale and Sustain Evidence-Based Health Promotion Programs in Times of Fiscal Crisis, Sue Lachenmayr & Anita Albright

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5:00 PM – 6:00 PM

6:00 PM – 7:30 PM

Lunch – SOPHE Town Hall Meeting Skill-Building Workshops Session B Workshop VI: Using Standardized Assessment Tools to Evaluate Function in Older Adults (repeats from morning session) Linda Bloodworth, Suzanne Greenwalt, Jennifer Miller Workshop VII: Evaluation on a Shoestring, Robert M. Goodman Workshop VIII: Making a Commitment to Improving the Health of Aging LGBTIQ-2S Adults, Kristen Frame Workshop IX: Coalition Building, Sylvia Stevens-Edouard Workshop X: Addressing Health Literacy and Health Communication to Promote Health across the Lifespan, Richard White Plenary Session II: Environmental Policy & Change John M. Auerbach, MBA, Massachusetts Department of Public Health William S. Paul, MD, MPH, Metro Nashville Public Health Department OPENING SOCIAL Exhibits, Poster Presentations with the Authors

Friday, April 13, 2012 7:00 AM – 6:00 PM 7:15 AM – 8:15 AM 7:15 AM – 8:15 AM 7:15 AM – 8:15 AM

Registration/Hospitality/CHES Desk Open Wellness Activity Early Riser I: Injury and Violence Prevention Early Riser II: SOPHE Chapter Development Session: Managing Organizational Change to Address Programs, Services and Revenue Challenges 8:30 AM – 5:00 PM CHES Lounge and Clinic (All Welcome) 8:30 AM – 3:00 PM Exhibits and Posters Open 8:30 AM – 9:30 AM Plenary Session III: Health Communications & Informatics Lorien Abroms, ScD, George Washington University School of Public Health and Health Services Scott C. Ratzan, MD, MPA, Johnson & Johnson 9:30 AM – 10:00 AM Refreshment Break

10:00 AM – 11:30 AM Concurrent Session A A1 Harmonizing: Reducing Youth Health Disparities A2 Keeping the Beat: Changing Policy to Support Healthy Aging A3 Techno Mix: Using Web-Based Communication to Promote Healthy Living A4 Ending Dissonance: Health Equity in Diabetes Prevention A5 Increasing Resonance: Health Equity in Cancer Prevention and Care 11:30 AM – 1:00 PM SOPHE Communities of Practice/ Roundtable Luncheon 12:00 PM – 1:00 PM Poster Promenade 1:00 PM – 2:30 PM CONCURRENT SESSION B B1 A Chorus for Tobacco Cessation B2 Notes on Aging in Diverse Communities B3 Amping Up: Amplifying College Health B4 Feeling the Rhythm: Nutrition and Physical Activity Interventions B5 Developing the Refrain: Addressing Health Literacy through Communications to Promote Health at Home 2:30 PM – 3:00 PM Refreshment Break with Exhibitors 3:00 PM – 4:30 PM CONCURRENT SESSION C C1 Waltzing towards Effective Programs and Policies for Health Promotion across the Lifespan C2 Leveling the Vibrato: Reducing Health Disparities in Latino Populations C3 All in Unison: Approaches to Promoting Healthy Aging C4 Avoiding Treble: Environmental Change and Policy to Promote Child Health C5 A Movement for Community Change 4:45 PM – 6:15 PM Plenary Session IV: Emerging Trends in Philanthropic Support for Public Health Calvin Anderson, BlueCross BlueShield of Tennessee Robin Mockenhaupt, PhD, MPH, MBA, Robert Wood Johnson Foundation Timothy L. Seiler, CFRE, BA, MA, PhD, The Center on Philanthropy, Indiana University Regina D. Walker, United Way of the Mid-South 6:30 PM Outing to Wildhorse Saloon – Dinner Buffet & Line-Dancing (Optional tickets)

Saturday, April 14, 2012 7:00 AM – 3:00 PM 7:15 AM – 8:15 AM 7:00 AM – 8:15 AM 7:15 AM – 8:15 AM 7:15 AM – 8:15 AM 8:30 AM – 10:00 AM

10:00 AM – 10:30 AM 10:30 AM – 11:45 AM

11:45 AM – 12:00 PM

Registration/Hospitality/CHES Desk Open Wellness Challenge Continental Breakfast Early Riser III: Environmental and Policy Change Early Riser IV: Film Viewing & Discussion CONCURRENT SESSION D D1 Maintaining the Tempo: Healthy Physical Aging D2 A Grand Finale: Promoting Mental and Cognitive Health in Aging D3 Aiming for an Encore: Cultural Competency in Health Communication D4 Creating a Chorus: CommunityBased Interventions to Address Health Disparities D5 Rocking the Requiem: Issues in End of Life Care BREAK Plenary Session V: Health Disparities And Health Equity Olivia Carter-Pokras, PhD, University of Maryland School of Public Health Camara P. Jones, MD, MPH, PhD, Centers for Disease Control & Prevention Concluding Remarks Robert Gold, PhD, SOPHE President

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Meeting Highlights CHES Continuing Education An application has been submitted for Category I Continuing Education Contact Hours (CECH) to award Certified Health Education Specialists (CHES) and Master Certified Health Education Specialists (MCHES) up to 20 credits. SOPHE, including its chapters, is a designated multiple event provider of CECHs by the National Commission for Health Education Credentialing, Inc. Administration fees for continuing education are included in the conference registration fees.

Poster Gallery & Poster Promenade

View more than 40 posters on display during the conference and interact with authors at the Opening Social on Thursday evening, 6:00 – 7:30 PM. On Friday at 12:00– 1:00 PM, enjoy your lunch and participate in our Poster Promenade, featuring guided poster tours and discussion on selected topics.

Networking Roundtables/Communities of Practice

Ever wonder how they did that? On Friday, April 13, 11:30 AM – 1:00 PM, grab your box lunch and participate in roundtable dialogues with others interested in the same topic. Or, join one of SOPHE Communities of Practice (CoP) roundtables on the following topics: Children/Adolescent Health; Medical Care/Patient Education; Health Communications/Social Marketing; Health Disparities; Healthy Aging; Emergency Preparedness; Environmental Health; Worksite Health; Anthropology; and International/ Health. SOPHE Student/New Professionals and University Faculty CoPs will meet on Saturday, April 14, 7:15-8:15 AM, with continental breakfast.

Exhibits & Publications Mart

Peruse information, publications, tools, and the latest technological innovations from an array of organizations and companies on Thursday and Friday. Opportunities and options for supporting the conference are available by contacting Allison McElvaine (amcelvaine@sophe.org).

Don’t miss this opportunity to reach some 400 decision-makers and thought leaders in disease prevention and health promotion!

SOPHE Annual Silent Auction

SOPHE Snapshot/Meeting Mentor Program

First-time meeting attendees are invited to the SOPHE Snapshot, Thursday, April 12, 7:15-8:15 AM. Enjoy continental breakfast and learn about SOPHE’s programs and how you can be involved. This session will also kick off the Meeting Mentoring Program, joining mentors and protégés during the conference. The meeting mentor program is a great way for students, community members, and new professionals, and seasoned SOPHE members to learn from each other and expand their professional networks. Sign up on the registration form. For more information, contact the National SOPHE office at (202) 408-9804.

Twitter Alert!

This conference will feature opportunities to tweet, enhancing your professional exchange with other attendees. Bring your cell phones, tablets and laptops, and get geared up to participate in this exciting and generative social media! Follow @SOPHEtweets and join the conversation! (Note – participants are responsible for any individual fees that may apply.)

Career Resource Center

The SOPHE Career Resource Center is a valuable connection for tools, resources, internships, and employment opportunities in health education and health promotion. Job postings and resumes of candidates are displayed free of charge. To post a job or your resume, fax or email your information to the SOPHE office (202) 408-9815 no later than Monday, April 2, 2012, attention Midyear Meeting Career Resource Center (info@sophe.org).

Wellness Challenge

The conference sponsors are committed to providing healthy foods and encouraging healthy behaviors addressing the mind, body and spirit connections. Join other conferees in running and walking groups of varying abilities. In addition, take advantage of the hotel’s complimentary fitness center and indoor/outdoor pools. Engage in 30 minutes or more of exercise daily to be eligible for a raffle with prizes.

Optional Dinner Buffet & Line-Dancing Outing

Looking for the perfect gift? Bid on a variety of crafts, edibles, and treasures from across the country. The silent auction benefits the Campaign for the 21st Century: Building SOPHE’s Future to provide student scholarships and more. Bidding will open on April 12, 7:30 AM and conclude April 14, 9:00 AM. All items MUST be picked up by 12:00 PM on April 14; no items will be shipped.

A complimentary shuttle from the hotel will take participants to downtown Nashville to see the flavor of the city and participate in line-dancing and dinner at the Wildhorse Saloon! Or, visit the many other restaurants, museums, and music and sports venues that Nashville has to offer.

SOPHE Town Hall Meeting

Can’t see all the sessions? Plenaries and selected concurrent sessions will be available after the conference via SOPHE’s On-Demand Webcast Service. Visit the SOPHE website following the meeting for details and pricing information.

CHES Lounge and Clinic

Registrants who would like to share hotel accommodations can contact the National SOPHE office at info@sophe.org. Please provide your name and arrival/departure dates.

Grab your box lunch on Thursday, April 12, 1:00-2:00 PM and attend the SOPHE Town Hall Meeting. Get the scoop on SOPHE’s strategic plan implementation and recent activities. Let us know what’s on your mind and how we can serve you better. All invited!

Would you like to know more about the CHES credential and if you are eligible? Do you have questions about your current CHES credential?

Are you thinking about becoming MCHES? Are you an employer that seeks to hire a CHES/MCHES? NCHEC staff and board members will be available to answer your questions on Friday, April 13. All are welcome.

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On-Demand Webcasts

Housing Referral Service

Accessibility

The Sheraton Music City Hotel is fully accessible to wheelchair users, including meeting rooms, exhibit halls, and public areas as well as telephones, drinking fountains and restrooms. Please let us know if you have any special needs (lmariani@sophe.org) by March 1, 2012.

Registration Form

Pre-Registration deadline: March 9, 2012

REGISTRATION FORM: SOPHE Midyear Scientific Meeting Tuning Up Health Promotion: New Lyrics across the Lifespan April 11-14, 2012/Sheraton Music City Hotel at 777 McGavock Pike, Nashville, Tennessee Please print Information with an (*) will appear on conference badges; all other information will appear in participants’ roster.

Name*_____________________________________________Degree/Certification__________________________ Title/Position __________________________ Organization/Company*__________________________________ Address_______________________________________________________________________________________ City*________________________________State*__________________________Zip Code __________________ Country _______________________________E-mail__________________________________________________ Phone ________________________________ Fax____________________________________________________ Continuing Education Are you CHES/MCHES? ❑ CHES ❑ MCHES ❑ Neither Do you plan to seek continuing education credits for attending this conference? ❑ Yes ❑ No Conference Registration Fees (Includes 2 box lunches; 2 continental breakfasts; breaks; social; materials; CHES fees) Pre-Registration Rec’d by 3/9

Onsite Rec’d after 3/9

SOPHE National/Chapter Member (must indicate Chapter):______________________________

$375/390

$425/440

Transitional Member (Available to current SOPHE members who hold transitional status)

$270

$310

Student or Emeritus Member

$230

$265

Non-Member - Professional

$560

$610

Non-Member - Student

$275

$315

Join National SOPHE and save up to $65 on registration Registration Fee Total $ Membership Fees NEW Member joining SOPHE (professionals joining for the first time)

$120

Student Member (must be full-time student with 9 hours or more & attach faculty letter attesting to full-time status)

$75

Emeritus Member

$105

Transitional/New Professional (Available only to current students who have graduated from an undergrad/grad program in the last 12months)

$100

Renewing SOPHE Membership

$165 Membership Fee Total $

Group Outing to Wildhorse Saloon with Buffet Dinner, Friday April 13th (Optional) $ $ 50 per person x ___ # persons = Total Remitted

$

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Registration Form

Pre-Registration deadline: March 9, 2012

REGISTRATION FORM CONTINUED Skill building Workshops You must select the ones you want to attend (tickets will be issued). Indicate your 1st and 2nd choices for each selection (workshop seating limited) Thursday, April 12, 10:30 AM – 1 PM (1 Morning Choice) W1 Using Standardized Assessment Tools to Evaluate Function in Older Adults (repeats in afternoon session) W2 Preview for the “Changing Health System to Support Smoking Cessation among Pregnant Women” Training Curriculum W3 Media Advocacy W4 What’s Cooking? A Recipe for Creating and Sharing Success Stories W5 Fine Tuning Program Delivery: How to Scale and Sustain Evidence-Based Health Promotion Programs in Times of Fiscal Crisis 1st Choice ____________ 2nd Choice__________

Thursday, April 12, 2:15 – 4:45 PM (1 Afternoon Choice) W6 Using Standardized Assessment Tools to Evaluate Function in Older Adults (repeat from morning session) W7 Evaluation on a Shoestring W8 Making a Commitment to Improving the Health of Aging LGBTIQ-2S Adults W9 Coalition Building W10 Health Literacy 1st Choice ____________ 2nd Choice_________

Membership Opportunities

❑ Indicate if First-Time Meeting Attendee Indicate if you would like to participate in the Conference Mentoring program: ❑ Mentor ❑ Protégé Accessibility ❑C heck here if you require assistance to participate fully in the meeting and attach written description of requirements.

Dietary Requirements ❑ Check here if you require vegetarian meals. ❑ Check here if you require Kosher/Passover meals. ❑ Check here if you require dairy-free meals. ❑ Check here if you require gluten-free meals.

Payment Total remitted (from page 1) $__________ Credit card payment & authorization: ❑ Visa ❑ Mastercard ❑ Discover Credit Card Number: ________________________________ Expiration Date: _____________ Cardholder’s name (print):________________________________ Cardholder’s signature: ____________________________ Purchaser’s name, if different from cardholder: _______________________________________________________________ Photo Release Acknowledgement Photos are used in promotional publications and online to educate the public about the Society for Public Health Education and the work of its members. Photos may be transmitted to news media outlets for distribution. Photos may also be displayed on web sites maintained by SOPHE. Photos may be kept in a stock photo file housed in the SOPHE offices in Washington, DC. We always strive to present individuals in a complimentary, culturally-sensitive and appropriate manner.

By registering for the conference, I understand that I give SOPHE permission to use (display, publish, etc.) any photograph(s) made of me at this conference for all purposes, including advertising and publicity in print and electronic environments.

To opt out of the photo release, attendees must check in at the onsite registration desk when they arrive at the conference.

Registration Procedure & Cancellation Policy For fast service, registrations should be completed online at www.sophe.org. Others may send a completed registration form to SOPHE 2012 Midyear Meeting, 10 G St NE, Suite 605, Washington, DC 20002; Fax (202) 408-9815. Cancellations: Refund request must be received in writing. All cancellations will be subject to a $50 cancellation fee and will be refunded after the conference. No refunds will be given for any reason after March 9, 2012. Substitutions are allowed at any time provided that they are the same membership status and submitted in writing to the National SOPHE office.

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Society for Public Health Education 10 G St. NE Ste. 605 Washington DC 20002 www.sophe.org

Society for Public Health Education

Conference Location Conference Hotel All conference sessions will be held at the Sheraton Music City Hotel, 777 McGavock Pike, Nashville, TN. Book your hotel reservation early (before March 21, 2012) to get the discounted rate of $110/night (single or double occupancy) plus tax by calling (615) 885-2200 and asking for the SOPHE 2012 Midyear Meeting room block. Room rate is based on availability, so book early! For more information on booking your travel, visit http://www.sophe.org/2012midyear.cfm Check in is 3:00 pm; check out is by noon. The hotel is located only five minutes away from Nashville International Airport via a complimentary roundtrip shuttle service offered on the hour and half-hour. It offers a complimentary full-service health facility with free weights, aerobic machines, whirlpool, and full locker room facilities. The hotel also features indoor and seasonal outdoor pools and a spa. If you’re looking for more options, you’ll find a scenic jogging trail and great golf courses nearby.

Hotel self-parking is complimentary.

Nashville, TN Top 10 Attractions in Nashville, TN! 1. Nashville Zoo at Grassmere 2. Hermitage 3. Belle Meade Plantation 4. Grand Ole Opry 5. Parthenon in Centennial Park 6. Country Music Hall of Fame 7. Frist Center for the Visual Arts 8. Cheekwood Botanical Garden and Museum of Art 9. Belmont Mansion 10. General Jackson Showboat Transportation Nashville International Airport is a five minute ride from the hotel via a complimentary shuttle.

Fifty percent of the U.S. population and 25 states are within 650 miles of Nashville, an affordable, easily accessible location and one of the foremost cities putting prevention on the map! SOPHE is proud to meet in Nashville for the first time at our 2012 Midyear Scientific Conference.