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Massachusetts Children at PlaySupporting the Health and Wellness of Our State’s Young Children
Kate Roper
Early Childhood Comprehensive Systems (ECCS) Director, Mass Department of Public
Health (DPH)
Janet McKeon
Training Coordinator Manager, Department of Early Education and Care (EEC)
Childhood Obesity Data
According to CDC and Prevention:16 % of MA Children (over 8M) between ages 6-9 are obese 15-19% of MA preschool children are obese with higher rates for Hispanic and African American children
Massachusetts Response: EEC
EEC licensing regulations (promulgated in January 2010) require programs and educators to:Offer 60 minutes of physical activityDesign and implement nutrition programs meeting USDA. guidelinesReceive training in USDA nutrition guidelines
DPH Response: CDC Funding
DPH Division of Nutrition, Physical Activity and Obesity Prevention and Mass ECCS (MECCS) successfully applied for Center for Disease Control (CDC) ARRA funding to support new EEC regulation, particularly around policy and environmental change using public health approach (June 2010)
ESE Response: DOE Funding
The Department of Elementary and Secondary Education (ESE) also applied for USDA funding for the Child Care and Adult Food Program (CACFP) programs to augment training and technical assistance (TA) delivered, primarily to family child care
Blending Resources DPH, EEC, ESE are
coming together (with MECCS support) to blend resources & utilize common training models to target child care health consultants, Head Start Nutritionists and CACFP program consultants
This team participated in ACF sponsored Region I strategic planning on obesity prevention
MECCS Linkages
TA provision to EEC re: new regulations
Liaison between DPH, EEC, ESE Training collaborative on I am Moving,
I am Learning (IMIL) Training and support for network of
Child Care Health Consultants (CCHCs)
Mass Children at Play (MCAP)
DPH, EEC, ESE formed Mass Children at Play (MCAP) to:Provide training, resources and support to early education and care programs and assess their effectiveness Increase quantity and quality of physical activity for childrenPromote the importance of good nutrition for educators, children and familiesSupport both grant initiatives and link to existing state efforts
MCAP Members
DPH EEC ESE Administration for Children and Families Regional Office Boston Public Health Commission Head Start Training and Technical Assistance Project Harvard Prevention Resource Center Head Start State Collaboration Office Higher Ed Comprehensive Family and Community Engagement grantee Child Care Resource and Referral Agency/ Educator Provider
Support grantee
TWO MODELS TOGETHER
NAP SACC IMIL
NAP SACC
The Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC):
Practice-based intervention to enhance policies, practices, and environments in child care Developed by University of North Carolina (UNC)
NAP SACC: Goals
Assist and support preschool programs in making policy and practice changes that include more attention to nutrition and physical activity
The NAP SACC Intervention Model
Director/admin. completes self assessment
Child Care Health Consultant (CCHC) supports work around changes ID’d
( 0.375 FTE over 6months) CCHC delivers five workshops
on topics including talking to parents and self-care
Program completes self assessment again at end of intervention period
I am Moving, I am Learning (IMIL)
Evidence Supported Research to Practice
Proactive Approach to reduce childhood obesity in Head Start and now Child Care in Massachusetts
(IMIL): Goals
Increase moderate to vigorous activity (MVPA) daily Improve quality of structured movement activities facilitated by
educators Promote healthy food choices among children each day
IMIL: Concepts
Messaging through music, mascot Link to brain development Action Awareness (What my body does) Effort Awareness (How my body moves) Space Awareness (Where my body moves); Relational Awareness (With myself, other movers
and objects) Nutritional Awareness (Healthy eating and drinking)
Choose Healthy Options Often and Start Young (Choosy Kids)
IMIL: Workshop Modules Overview of IMIL Body Language MVPA Every Day Nutrition Building Blocks Moving with the Brain in Mind Move, Play & Learn at Home Activities for All Take it Outdoors
IMIL MVPA Time
Sample Song:
Shake Mix/Stir Pound Roll
IMPLEMENTATION
Opportunity Knocks:
Reversing Current Obesity Trends
Project Coordinator 8/2010
DPH hired a project coordinator through ARRA funding: Coordinate project with three agencies
Preschool Mentors 1/ 2010
Cohort of 23 CCHCs/HS Nutritionists CCHCs/HS Nutritionists (Mentors) trained in NAP SACC and IMIL
Implement NAPSACC at up to 5 programs (with ARRA stipends)
Coordinator provides support to CCHCs and conducts regular site visits
Agree and sign MOU Receive $1,000 stipend
IMIL Training 10/2010
DPH coordinator , EEC staff and other New England IMIL trainers deliver training for trainers to:
EEC LicensorsEPS Grantees CFCEsFood Sponsorships
Expansion 1/2011
Demo Sites Complete NAP SACC Intervention
Outreach and registration begins for demo site programs to attend regional IMIL training
CACFP Food Programs begin NAP SACC Implementation
Translation of IMIL Expansion to Infant & Toddler
Programs Additional links to resources through
WIC and UMASS Extention Services College Credit for training completion
March, 2011
Data is analyzed from program pre/post NAP SACC assessments, follow-up from IMIL training
New cohort of 23 CCHC’s begin NAP SACC implementation at another ~100 programs
CACFP Demo Sites Receive IMIL training
Connection to Other Initiatives
Let’s Move DPH Mass In Motion USDA Nutrition Curriculum PA program guide for children with special needs Head Start Body Smart CSEFEL EEC CORE Competencies EEC QRIS EEC Infant, Toddler & Preschool Guidelines Mass Chapter of AAP Obesity Committee Evaluation of EEC regulation, Sara Benjamin, Duke University Harvard Prevention Research Center
Online Resources
Center for Excellence (NAP SACC Tool http://www.center-trt.org/index.cfm?fa=
opinterventions.intervention&intervention=napsacc&page=materials Head Start Body Start http://www.aahperd.org/headstartbodystart/ Choosy Kids http://www.choosykids.com/CK2/ Healthy Kids, Healthy Future
http://healthykidshealthyfuture.com/ Mass In Motion
http://www.hria.org/services/public-health-funding/mass-in-motion.html Department of Early Education and Care Licensing Regulations http://www.mass.gov/Eeoe/docs/EEC/regs_policies/20100122_606_cmr.pdf Preventing Obesity: Caring for Our Children Standards http://nrckids.org/CFOC3/PDFVersion/preventing_obesity.pdf
