Post on 03-Jan-2016
transcript
Outrageous Health Community Makeover
AAHE Session-AAHPERD-San Diego
3.31.11JoAnne Owens-Nauslar,
Ed.D.-drjo@geomotiongroup.com
Diane D. Allensworth, Ph.D.-dimaster6@gmail.com
Session Objectives Share Model Program Information Provide participants with “paper to
practice” evidence Share strategies that work with policy
makers and stake holders Have a chance to laugh, learn, and
connect with other participants
Teach a kid to FishCreating Community Solutions for Children’s Health
Lincoln, NE
Mission & VisionThe mission of Teach a Kid to Fish (TKF) is to prevent and
reduce childhood obesity by empowering Lincoln children and families to eat healthy and be active.Teach a Kid to Fish envisions creating community
solutions for children's health.Karla Lester, MD; Bob Rauner, MD;
info@teachakidtofish.org
The Need
dedicated to addressing the childhood obesity epidemic through utilization of the collaborative advantage.
TKF is the only organization in Lincoln that is committed to uniting organizations and community members to focus on a shared mission and commit to implementing measurable solutions that prevent and reduce childhood obesity among Lincoln children.
Long-term goals Program plan will address: Foster and facilitate partnerships among
community organizations and members Lower obesity rates in children (Lincoln, NE) Obtain measurable improvements in nutrition and
physical activity in children Increase access to healthy foods and physical
activity opportunities for all children and families Advocate for policy changes in support of these
goals
VALUES Teach a Kid to Fish has identified values it
will keep in mind as it addresses the epidemic of childhood obesity:
AdvocacyWellnessCompassionIntegrity
OBJECTIVES Increase: organizational capacity of TKF to better
serve mission community awareness, participation and
support of TKF mission working impact through expansion of each
working group communication among and between
working groups
OBJECTIVES Secure commitments from organizations
representing all working group areas to implement recommended strategies including identifying “champions” in each working group area to lead the cause
Provide communications tools that advocate for greater physical activity throughout the community
Provide communications tools that focus on healthy eating throughout the community
To meet these objectives: Design and implement a multi-tiered
development plan to support TKF operations and activities
Design and implement a marketing plan to increase community awareness of TKF strategy and activities of TKF working groups
Identify an individual at each and every school in Lincoln to champion the cause of TKF and establish a way of sustaining this role at the schools
Coordinate efforts to address and prevent childhood obesity across government departments and jurisdictions
Evaluation: How can we measure success? 1. Measure BMI and fitness levels in LPS students
and develop a method to measure BMI in early childhood.
2. Track eating and physical activity behaviors of children
3. Ensure that a formal public health evaluation component is incorporated into the design of all projects and programs.
4. A developed best-practice guide implemented to evaluate our multi-level collaborative model.
Mobilization/Sustainability Next Steps: Mobilizing and broadening (or widening) the net of working
group members committed to promotion TKF Prioritizing the action steps outlined in this strategic plan
and developing and expanding our core initiatives. Sustainability: How will our efforts continue? The sustainability of this long-range plan will come with the
committed partnerships being forged as we engage in finding this community solution to the epidemic of childhood obesity.
To make systemic changes leading to healthy behavior changes in our community, will require engagement and collaboration of key stakeholders, organizational, and individual partners.
Empowering Students, Staff and
Families for Systemic,
Sustainable ChangeHealth MPowers
Contact us at info@healthmpowers.orgDiane Allensworth, PhD
Christi Kay, MEd
Session Objectives
Describe the relationship between improved nutrition and increased physical activity on academic performance.
Identify at least three strategies to integrate nutrition education, physical education and physical activity into the whole school to improve healthy eating and physical activity.
Participate in easy to implement integrated nutrition and physical activity activities.
13
Poor nutrition and inadequate physical activity in children has far reaching consequences… Health consequences
Cardiovascular risks Hypertension Type 2 diabetes High blood cholesterol Respiratory ailments Orthopedic issues
Psychological consequences Self-esteem Withdrawal Anxiety Poor body image
15
Academic Consequences…• Attendance • Classroom behavior• Cognitive development• Test scores• Academic performance
Therefore, healthful living is as important to well being and quality of life
as it is to academic achievement.
Participation in the School Breakfast Program and Academic Performance
Compared to peers who do not participate in the School Breakfast Program, low-income elementary school students who do participate have: greater improvements in
standardized test scores and math grades
reduced rates of absenteeism, tardiness, and psychosocial problems
Murphy et al. Arch Pediatr Adolesc Med 1998; Meyers et al. Am J Dis Child 1989
16
Physical Activity and Academic PerformancePhysical activity among adolescents: is consistently related to higher levels of
self-esteem and lower levels of anxiety and stress.
can positively affect concentration, memory, and classroom behavior.
Calfas and Taylor. Pediatr Exerc Sci 1994; Strong et al. J Pediatr 2005
17
Associations Between Time Spent in Physical Education and Academic Achievement*Nationally representative sample: 5,316 students starting
kindergarten in 1998-99, followed through 5th grade PE measure: Low (0-35 mins./week), Medium (36-69),
High (70-300) AA measure: Mathematics and reading tests Higher amounts of PE not associated with AA in
boys A small but significant benefit on both the math and
reading tests were observed for girls in the high PE category
Carlson SA et al. Am J Pub Health 2008 April
18
19
20
Percentage of U.S. High School Students Getting Mostly A’s or Mostly B’s and Mostly D’s or F’s*
Who Engage in Selected Health Risk Behaviors
11 12
34 31
10
28
1419
44 46
12
39
22
31
5458
16
45
35
46
66 67
21
47
0
20
40
60
80
100
Carried a Weapon Current cigarette user Current alcohol use Ever had sexual intercourse
Did not eat for 24 or more hours to lose
weight or to keep from gaining weight
Watched television 3 or more hours per day
Mostly A's
Mostly B's
Mostly C's
Mostly D/F's
Source: CDC available at www.cdc.gov/healthyyouth. Data based on YRBS, 2003
Health Risk Behaviors
Opinions of U.S. Adults About School Health Programs
21
■65% of U.S. adults believe schools should play a major role in fighting the obesity problem1
■81% of parents of children in K—12 want their kids to receive daily physical education2
■74% of parents of adolescents said schools should spend more time or the same amount of time teaching health education as they do teaching other subjects3
1. Survey by Lake Snell Perry and Associates for Harvard Univ., based on interviews with a nationally representative sample of 1,002 adults, May-June 20032. Survey by Opinion Research Corp. based on interviews with a nationally representative sample of 1,017 adults, February 2000 (margin of error = +6%)3. Gallup Organization for the American Cancer Society, national telephone survey of 1,003 parents of adolescents enrolled in U.S. public schools, 1993
Mission: Promote healthy behaviors and environments by empowering students, school staff and families to improve health and academic
achievement
A three-year health promotion initiative for K-8 schools in Georgia
23
Multiple Populations Students
School Staff
Families
Number of Students Served 2002-2010
What We Do: Employ Effective Health Promotion Strategies:
Focus on priority behaviors (increase physical activity, healthy eating; reduce screen time)
Promote a supportive environment Engage multiple populations:
Students, peers, teachers, school staff, families
Engage multiple interventionsInstruction, policy, social support, media, direct
intervention, resources Establish/Empower sustained coordination &
leadership via school health councils/teams
Project Goals
Increase physical activity during the school day. Increase health related fitness scores. Improve nutrition education Improve staff wellness. Engage school in continuous improvement of
physical education and nutrition programs.
RESULT - Improved school health programming, policies and environments.
CDC’s Coordinated School Health Program
Family/CommunityInvolvement
Health Education
Health Promotionfor Staff
Healthy SchoolEnvironment Counseling,
Psychological, &Social Services
Nutrition Services
Health Services
Physical Education
Student Health
Advocates
Coordinated School Health Program
Health Education
Integrated Nutrition Lessons for Classroom Teachers
All School Events – School Assembly Power of Choice Nutrition Detectives Body Walk Exhibit
Grade Specific Programs Nutrition Travels Pedometers and Math
Coordinated School Health Program
Physical Education
Exercise DVDs Classroom Exercises for the Body and Brain Mind in Motion Exercise Sequence Sheets
Fitness TestingFitness PortfoliosFitness Calendars
Coordinated School Health Program
Nutrition Services
Taste Testings Classroom Integrated Activities Parent Newsletter with Recipes
Nutrition Education Program for the Cafeteria
Coordinated School Health Program
Healthy SchoolEnvironment
www.healthmpowers.org
www.cdc.gov/HealthyYouth/SHI/index.htm
Coordinated School Health Program
Health Promotionfor Staff
“Catch a Teacher Being Healthy”
Health Risk Appraisals and Fitness Assessments
Coordinated School Health Program
Family/CommunityInvolvement Family Food
and Fitness Fun
Pack
Coordinated School Health ProgramStudent
Health Advocate
s
Kid2Kid Newsletter
Student Health Advocate Club
Georgia Youth Panel Member
and 2010-2011 National
Youth Advisory Board for AFHG
ResultsSTUDENTS Improved fruit and vegetable consumption Increased physical activity during the school day Improved health related fitness
SCHOOLSIncreased integrated health education opportunitiesImproved school health programming
Improved school health policies
Consolidated reports of all data will be providedto the school for program improvement.
36
Students Improving Cardiovascular Fitness (2007-08) Percentage of Elementary Students Meeting or Exceeding Cardiovascular Fitness Standards
Fifth Grade Students in FITNESSGRAM
“Needs Improvement” Category for Cardiovascular Endurance Demonstrating Improvements Pre – Post
1100 fifth grade students tested2009-2010 Fitness Data
Copyright Pending
Represents a 24% improvement!Represents a 24% improvement!
Improvements in Health Education Opportunities
Improvements in Physical Activities Opportunities
Improvements in Staff Engagement Opportunities
Improvements in School Health Team Engagement
Improvements in Family Engagement
Effect of NE Modeling on Teacher Time Spent on Nutrition Education and Physical Activity Promotion
Number of
Schools
Avg Hrs of Nut Ed by HMP
Avg Additional Hrs by Teacher
Additional Classroom Impact per
NE Hour
Year 1 Schools
40 1202 13635 11.3 hours
Year 3 Schools.
30 917 14046 15.3 hours
Nationally, teachers provided 3.4 hours (median) of required instruction on nutrition and dietary behavior in 2006.* This compares to approximately 40 hours of instruction received by PE-Nut students (via 5 hours of instruction by a nutrition educator, plus a mean of 35 additional hours provided by the classroom teacher).
*Society for Nutrition Education. (2009). State of Nutrition Education & Promotion for Children & Adolescents: 2009 Report. Author: Indianapolis, IN.
Sustainability Results100% of schools provide annual health
related fitness testing100% of schools now provide daily physical
activity outside of PE to ALL students100% of school promote staff wellness75% (9/12) school have functioning and
effective School Health Teams meeting (from 2-12 times per year)
92% (11/12) continue to provide health information to families
Easy Ways to Increase Physical Activity During the School Day
Easily Integrated Physical Activity Programs for the Classroom Teacher
Pedometers and Math Fitness Portfolios Health Literacy
Classroom Exercise DVDs Student Health Advocates
Increasing health related fitness scores
Fitness Testing Sharing Results with Parents Consolidating Results for Program Improvement Self Improvement Plans Incorporating fitness into all PE lessons –
maximizing physical activity time
Other Unintended Changes in Participating Schools
Healthy choices made available at all school functions and parties
Students can not be held from recess for not completing work
School fund raisers will promote healthy options Only water, juices and ergogenics in vending
machines.
Lessons Learned
It takes three years or more to bring about systemic change.
Professional development is a MUST.Information and knowledge gain is not
enough. Students and staff must have opportunities to practice healthy behaviors in a supportive environment.
The principal must be supportive.
50
“Health and success in school are interrelated. Schools cannot achieve their primary mission of education if students and staff are not healthy and fit physically, mentally, and socially.”
-National Association of State Boards of Education
“No educational tool is more essential than good health… Policies and practices that address the health and developmental needs of young people must be included in any comprehensive strategy for improving academic performance.”
-Council of Chief State School Officers
Impact….“ I have been thinking about all this health stuff a lot lately and I am really concerned about Santa's weight. So, I plan to leave him apples and orange slices with juice instead of cookies and milk! He should really watch his calories. And I can help him!"
Pine Grove Elementary 1st grader
Other Community Efforts
Roscommon, MIHoughton Lake, MIWest Fargo, ND