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The Healthy Schools Partnership: A Need for Balance-A Need for Change. Why the Healthy Schools Partnership?. The Birth of HSP. ACFN identified gap: HSP is solution
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The Healthy Schools Partnership: A Need for Balance-A Need for Change
The Birth of HSP • ACFN identified gap: HSP is solution • A Partnership of American Council for Fitness and Nutrition Foundation, American Dietetic Association Foundation and PE4life—Established early 2007 • Builds upon successful PE4life program that has remade the traditional physical education class • Teams an RD nutrition coach with PE4life teacher • Active kids learn better—mind/body connection—lifelong habits are easier to form and stick longer
ADAF & HSPKatie Brown, Ed.D., R.D.National Nutrition Education Director,RD Coach Project
Healthy Schools Partnership Registered Dietitian Nutrition Coaches • Nutrition experts • HSP Academy Training • Ongoing RD Coach support and training
HSP Approaches for Success • Focus on Energy Balance • Group activities + 1:1 personalized nutrition coaching
HSP Approaches for Success • Technology Integration
HSP Approaches for Success • Reinforcement of key messages throughout the school to create a culture of wellness
HSP Approaches for Success • Community Relationships & Referrals
HSP Preliminary Findings Up to 30% improvement in nutrition knowledge scores 80% reported making better food choices because of what they learned from the RD 91% reported learning new things from the RD in PE class
I’ve learned new things about nutrition from the RD nutrition coach: • “Before I didn’t worry about nutrition, but now I’m active and eat the right choices.”—5th grader • “If you eat more than a serving of the same food, you eat more calories.”—6th grader • “I learned that you shouldn’t eat a lot if you won’t be very active.” —8th grader
I’ve made better food choices because of what I’ve learned from the RD nutrition coach • “I ate half of a giant cookie instead of the whole thing and then played soccer.” – 8th grader • “I have eaten more fruits and I walk my dog more.” – 6th grader • “I eat lots and lots of veggies & fruits.” –7th grader
I’ve made better food choices because of what I’ve learned from the RD nutrition coach • I have been drinking milk, balancing my meals. • I went from 142 to 130 pounds. I feel much better when I see a difference and all thanks to having a dietitian and a physical education teacher to encourage me. I worked out and ate healthy meals and snacks.” – 6th grader
“I learned that eating healthy is a lifelong journey to maintain.”--9th grader
HSP is Leading on Many Fronts • Engaging schools in obesity prevention • Creating and measuring lasting change • Beginning the process of providing depth and analysis on HSP
Goal of the Berkeley Study Provide the evidence of the effectiveness of the RD nutrition coaching component
Study design Controlled trialKansas City, Missouri n= 500 at baseline n= 416 at endpoint from student surveys
Research Methods: Student Measures Self-reportedknowledge Self-reportedfood behaviors Observationalfood behaviors
Summary of changes of nutrition knowledge at Intervention vs. Comparison Schools Knowledge Score at baseline Knowledge Scoreat endpoint Change in knowledge Intervention schools 4.24 6.09 1.85 Comparison schools 4.16 4.59 0.43 p <0.0001 Significance is based on cumulative score
Nutrition Knowledge: percent of students with correct responses at baseline follow-up Intervention Schools Comparison Schools Baseline Follow-up Baseline Follow-up Identifying a way to maintaina healthy weight 51.4 82.9 50.0 50.5 Understanding the concept of “vary your veggies” 10.5 54.8 11.0 11.7
Observation of vegetable consumption at school lunch Mean at Intervention Schools Mean at comparison schools t-test p value Change in vegetable scores 0.2902 -0.1656 -4.0673 P<0.0001
Nutrition Education Physical Education Knowledge/ Attitudes Fitness Levels Knowledge/ Attitudes Behavior Change Behavior Change Healthier Students BMI
Implementation of Healthy Schools Partnership in HWC Communities Kansas City Des Moines Washington DC Chicago(1 school) Tribal Community (1 school) Kansas City (4 schools) Des Moines (4 schools) Washington, DC (4 schools) Chicago (1 school) Tribal Community, IA (1 school) PE4life Only HSP