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Together for Kids (TFK)

Together for Kids (TFK). Presented by: Margaret Swift . Objectives . Purpose & Aim Theoretical Framework Target Audience & Intervention Setting Program Elements Barriers. Obesity in Massachusetts . 21% of Adults in Boston are Obese 1 Out of 9,841 students measured

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Together for Kids (TFK)

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  1. Together for Kids (TFK) Presented by: Margaret Swift

  2. Objectives • Purpose & Aim • Theoretical Framework • Target Audience & Intervention Setting • Program Elements • Barriers

  3. Obesity in Massachusetts • 21% of Adults in Boston are Obese1 • Out of 9,841 students measured • 43.6 % were overweight or obese.2 • 1 of 7 low-income, preschool-aged children is obese3 1. http://www.boston.com/news/local/massachusetts/specials/090810_obesity_chart/ 2. www.metrobostondatacommon.org/.../Calendar2010_10_Obesity.pdf 3. http://www.cdc.gov/obesity/childhood/data.html

  4. Adolescent Activity in Massachusetts

  5. Purpose & Aim Increase Limit • Fruit, vegetable, & low fat foods • Daily physical activity • self-efficacy, self-concept, and self-regulation of healthy habits • Fast food and sugar sweetened beverage (SSB) consumption • Excess weight gain Using a cultural-ecological lens, TFK considers the interactions between adolescents and life events, family, and contexts such as school, community, societal conditions, and/or cultural beliefs

  6. Model Programs • Partners of All Ages Reading About Diet and Exercise (PARADE)1 • Child-focused healthy eating intervention incorporated into mentoring programs • Individual, family, and organizational levels of the social-ecological model “ There were no significant differences in fruit and vegetable intake, total calories, percent time being active, or BMI z-score” • High Five For Kids (HFK)2 • A 2-year, RCT, based on the chronic care model. • MI, clinical restructuring, and educational modules. “After 1 year HFK was effective in reducing television viewing but did not significantly reduce BMI” 1. Haire-Joshu, D., Nanney, M. S., Elliott, M., Davey, C., Caito, N., Loman, D., et al. (2010). The Use of Mentoring Programs to Improve Energy Balance Behaviors in High-risk Chidren. Obesity, 18, S75-S83. 2. K. M., et al. (2011). Randomized Controll Trial to Improve Primary Care to Prevent and Manage Childhood Obesity: The High Five for Kids Study. Arch PediatrAdolesc Med, 165 (8), 714-722.

  7. Integrative Model Decision Pathways Cultural-Ecological Framework Behavioral Domains Kia-Keating, M. P., Dowdy, E. P., Morgan, M. P., & Noam, G. G. (2011). Protecting and Promoting: An Integrative Conceptual Model for Healthy Development of Adolescents. Journal of Adolescent Health, 48, 220-228.

  8. Expanding Context & Scope • 17 Big Brothers Big Sisters,Boston • After-school mentor program • 10 Massachusetts League of Community Health Centers, Boston • Parents, in homes of at-risk children • > 95thpercentile • 85th - 95th percentile w/ 1 parent/caregiver is overweight

  9. Target Map

  10. Measures

  11. TFK Program Logic

  12. Barriers • Cost • HIT programs • Food & Activity Screeners • Time • Synchronized events • Schedules • Buy-In/Commitment • Parents • Mentors • Clinic Staff • Sample • Convenient ? • Confounding ? • Measures • Consistent • Reflective

  13. Will it Work? • Plausibility • Multi-Level • E-Data Collection • Consistent & familiar • Immediate • Target Population • Need • Community Support • Practicality • Previous models • Setting is familiar • 87% of Adults are already online (PEW Internet)

  14. Thank You

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