cdphe early childhood obesity prevention in early care and ... · •share the tips handout for...
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Jennifer Dellaport, Unit Manager
Stacy Miller, Breastfeeding Specialist
Jodi Christopfel, Physical Activity Project Coordinator
Emily Bash, Nutrition Specialist
CDPHE Early Childhood Obesity Prevention in
Early Care and Education Settings
ECOP Unit’s Health Equity Approach
• All people deserve to live healthy lives.
• Many barriers exist.
• We are changing our ways to address barriers to
living healthy lives, such as providing technical
assistance to child care professionals on how to
support breastfeeding families and integrate
physical activity into daily routines.
• Equity and justice begins and ends with meaningful
community involvement in shaping programs,
practices and policies.
Current Key Strategies
CDC - Chronic Disease
& School Health
(0.6 FTE) 7/2013 – 6/2018
Funding/
period
Strategy
Partners
Local public health agencies, CACFP, WIC agencies, community parents, Bright by Three, Early
Childhood Councils, Healthy Child Care Colorado, Qualistar, University of Colorado Culture of
Wellness in Preschools, CO Department of Human Services Office of Early Childhood,
community parents, Family, Friends, and Neighbor Network, CO Head Start Association,
American Heart Association, Children’s Museum of Denver, USDA- SNAP Ed, Share Our Strength,
Cooking Matters, Early Learning Ventures, child care providers, health care providers, Carolina
Global Breastfeeding Institute, recreation centers, libraries, food pantries, Chambers of
Commerce, and more!
Implement
structured
physical
activity in
ECEs
Provide technical
assistance to promote
breastfeeding-friendly
ECEs including as
employers
Amendment 35
CCPD
(0.1 FTE) 7/2015 -6/2018
Implement cross-
sector provider use of
consistent messaging
of ECOP evidenced-
based practices
MCH Block Grant
(.85 FTE) 10/2016-9/2018
WIC - USDA
(.30 FTE) annually
Provide technical
assistance to LPHAs in
promoting healthy
eating, responsive
feeding, sleep +/or
reduced screen time
focus areas in ECEs
Current Trend
Breastfeeding in
Child Care
Breastfeeding in Child Care • Advisory Committee
• Toolkits – address knowledge
gaps, influence attitudes and
beliefs
• Statewide toolkits: o Centers
o Homes
o Mom’s Tips
• Spanish
• Training modules – PDIS early
2018
• Posters
Toolkits – What to know
• Toolkits provide a resource for professionals and
partners
• Consistent messaging
• Increased knowledge and
support
• Alignment with Colorado
licensing and health and
sanitation regulations
Toolkits – How to
• Share the toolkits!
• Share the Tips handout for moms!
• Share resources – www.breastfeedcolorado.com
• Provide technical assistance to child care
professionals:
o Walk through the toolkits, emphasizing key messages
o Assist professional in completing the Self-Assessment
o Use resources to start the conversation – feeding plan,
action plan, talking with families, etc.
More to come…
• Train the trainer webinars
• PDIS interactive online modules
• Additional resource materials
www.breastfeedcolorado.com
Under the Child care professionals tab
Mom’s handout is also within
Moms and Families tab
Physical Activity
in Early Care and Education Settings
2013-2017
IMIL Training Reach:
• Centers: 464
• Staff: 1051
TA & Implementation:
• Contractor
• IMIL Trainers
• LPHA Coaches
• Wellness
Champion
Trainings
Structured physical activity and
Wellness Champion trainings
Moving into Wellness
Trainings
• IMIL
• Wellness
Champion
• IMIL for Infants
and Toddlers
TA & Implementation:
• Wellness
Champion
Webinars
Structured physical activity and
Wellness Champion trainings 2017-2018
Physical Activity in ECE: What Works
• Using I am Moving, I am Learning approach o promotes moderate to vigorous physical activity (MVPA)
o improves the quality of movement activities
o is intentionally planned and led by adults
o is low cost approach
o includes infant/toddler module
o Spanish version of MVPA available
• Providing portable play equipment
when needed.
• Offering physical activity training to
WIC for families engagement.
• Reimbursing ECE providers & parents for their time &
effort for participation on committees and work groups.
• Beginning to reach Hispanic & Native American
populations.
Physical Activity in ECE: What Works
• IMIL helps meet licensing requirements - Daily physical gross motor activities
o 60 min. for full day programs
o 30 min. for half day programs
• IMIL and Wellness Champions - Support achieving 1 physical activity
point in CO Shines o Submit daily schedule/lesson plan
o Observe structured PA during rating
• Physical Activity in ECE Work Group - Physical activity professional
development module for PDIS
• Staff wellness not prioritized
• Some teachers don’t have
fitness to lead physical activity
• Teachers & directors have limited
time to integrate physical
activity into daily routines
Physical Activity in ECE: Challenges
• Staffing shortages and turnover require retraining.
• Competing demands for directors’ focus (educational
development, safety, etc)
• Reaching rural communities (few centers to participate)
Carrie’s slides
Healthy Weight Messaging:
9 Ways to Grow Healthy
Colorado Kids!
9 Messages
Messages: Spanish versions
Rutabaga
Local WIC Clinics
Partner Organizations
Partner Organizations
• Public Health Agencies
• Libraries
• Non-profits – Food banks,
United Way
• Childcare Centers
• Home visitation providers
• Head Start/Early Head Start
• Early Childhood Councils
• Mental Health providers
• Family Resource Centers
• Community Health Centers
• Child and Adult Care Food
Program
• Schools
• Life Skills Service Providers
• Health care clinics
• Primary care setting
• Family Centers
• Hospitals
• Recreation Centers
• Physical Therapy providers
• Environmental Health
How messages are being used:
• Public waiting areas and classrooms
• Bulletin boards
• New Baby/Family Welcome & Bright by Three bags
• Breastfeeding promotion in child care centers
• Grandparents Raising Grandchildren Support Group
• Back to school night
• Biggest loser competition
• Organization newsletters
• Parent education
• Use them everywhere!
2017 Messaging Awareness Survey
English
o 1614
o Closed 9/8/17
Spanish
o 115
o Closes 9/22/17
Least familiar messages (English):
o Help your child sleep better in a TV-free space
o There’s no power like parent power
Elicited most behavior change - Rethink your drink
9 Ways messaging: What works
• Motivated staff to disseminate messages
• One message per month roll out with related tools
and resources
• Engaging smaller professional groups/organizations
• Grassroots topic specific
collaboration
o CREA Results
o Spanish media
9 Ways messaging: Challenges
• Limited local staff capacity to take on additional
tasks
• Budget and CDPHE staffing
What we are working on:
• Approaching faith communities/organizations
• Gathering input from child care providers regarding
desired tools and resources
• Engaging FFNs
Questions?
Contact: ECOP programs - [email protected] 303.692.2462
Physical activity - [email protected] 303.692.2608
Breastfeeding - [email protected] 303.692.2406
Messaging - [email protected] 303.692.2413