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.

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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

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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

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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

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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

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19

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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

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■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

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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.

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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.

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“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

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