Florida Physical Activity and Nutrition

1. COLLABORATIVE IMPROVEMENT & INNOVATION NETWORKS FloridaPhysical Activity and Nutrition Presenter: Natasha RuizVillar, MBA-HCM Date: August 21, 2019

2. Project Background • This project focuses on: • The Comprehensive School Physical Activity Program • Improving the school nutrition environment • Implementation includes: • Utilizing Go Noodle as a tool for students to engage in physical activity during the school day • Providing a variety of school-based physical activity resources • Promoting nutrition education

3. Project Background • Year 2018: • Jefferson County implemented Go Noodle in five kindergarten classrooms • Year 2019: • Liberty County will begin implementing Go Noodle • Continue partnership with Jefferson County • Integrate nutrition education

4. Innovative Nutrition Integration Plan • Disseminate nutrition educational materials related to four benchmarks: • Preconception health • Infant and early childhood nutrition • Pregnancy nutrition • Breastfeeding best practices

5. Successes • Pilot Project: Somerset Elementary (Jefferson County) • 20,614 minutes of in-class physical activity since August 1, 2018 • Strong coordination and synergy across components of CSPAP • Looking ahead: Expand to two elementary schools in Liberty

6. Challenges • Evaluation • Limited narrative responses • Communication • Limited staff available for program implementation and follow-up

7. Key Lessons Learned • Introduce the connection between health and academic achievement at the beginning of project • Recess • Classroom physical activities • Healthy choice, is the easy choice

8. Contact Natasha RuizVillar, MBA-HCM Natasha.RuizVillar@flhealth.gov Phone: 850-901-6659 Asma Odeh, MHA Asma.Odeh@flhealth.gov Phone: (850) 558-9580

9. Indiana State Department of Healthdivision of nutrition and physical activity Emma Smythe, Youth Physical Activity Coordinator Kelsey Barrick, Wellness and Physical Activity Coordinator

10. CoIIN project background part 1Adapted movement program-fall 2018 Mission: Provide high quality adapted physical activity programming to families and individuals with disabilities in conjunction with educating Kinesiology students on best practices. Worked with IUPUI adapted physical activity educators to supply 4-5 districts/organizations a scholarship to participate in a semester-long intensive learning opportunity Individuals were involved in one of the two clinics during the academic year, Motor Activity Clinic (MAC) or Ability Fitness Clinic (AFC): • Children in MAC aged from three to 15 years and had various disability characteristics. The focus was to provide motor development and motor skill training in the gymnasium and aquatic setting. • Adults in AFC aged from 16 through adulthood and also had various disabling conditions • Districts/organizations were surveyed pre/post training to determine personal confidence and knowledge levels for physical activity in the special needs population

11. Fall 2018 successes and challenges • Successes: • Children and adults who participated in both clinics, including the student instructors, thoroughly enjoyed their time – especially the aquatics portion • Participants showed great strides in becoming more confident – socially, mentally, and physically with the PA sessions with their instructors and peers • Relationships • Improved general skills and motor skill development • Inclusiveness Challenges: • Limited participation – difficult to keep participants coming • “I can’t do it” or “This is too much for me” • Injuries • Only offered in Indianapolis – no statewide reach

12. Coiin project background part 2open workshops –fall 2019 • Online Physical Education Network (OPEN) Workshops: • Professional development workshops for all physical educators, before and afterschool professionals that work with K-12 and children with special needs • Aim: Increase access to, and knowledge of appropriate physical activity standards and activities by training school professionals who work with K-12 youth • Five workshops in September 2019: Bloomington, Indianapolis, Evansville, Ft. Wayne, South Bend • Two Adapted PE workshops: primary focus on children with special needs including information and resources on adapted and inclusive play • Two General K-12 PE workshops: primary focus physical education and physical activity for all youth • Promoting the workshops now *More to come. Stay tuned!

13. Questions? • Contact Information: • Emma Smythe: ESmythe@isdh.in.gov • Kelsey Barrick: Kbarrick@isdh.in.gov • Indiana State Department of Health, Division of Nutrition and Physical Activity website: www.dnpa.in.gov

14. Oregon

15. Project Background • Focus Groups with school administrators • Alignment of health and PE supplemental instructional materials to meet academic content standards (e.g. Safe Routes to Schools) • Training to promote CSPAP content areas • Webpage on Department of Education site to host information

16. Successes • Great collaboration and commitment among team members • Built new partnerships and expanded reach for disseminating information • Each part of the project informed the other

17. Challenges • Finishing the Focus Group Report and Summary Brief • Transitioning to working on Nutrition Integration

18. Key Lessons Learned • The importance of getting the right people at the table and coming up with the direction of the project together • Holding monthly meetings with a call-in option • The need to balance consistency and flexibility

19. Texas

20. Project Background • Texas-wide surveillance system which monitors obesity trends of school-aged children within racial/ethnic, gender, and geographic subpopulation • Identifies factors in Texas students that may underlie obesity, including dietary behaviors, nutrition knowledge and attitudes, and physical activity

21. 2019-2020 Survey Plans • Probability based sampling of students in 4th, 8th, and 11th grade, with a concurrent sampling of 2nd grade student parents, and a Texas-Mexico border-specific sample • Intended sample size is 19,900 students and 6,920 parents

22. Successes • Survey questions are nearly final • Recruiting districts to participate A project video is being created to show districts what survey implementation looks like • In June, Deborah Hoelscher, PHD was invited to a WHO meeting regarding global childhood obesity surveillance UNICEF is interested in the data collected from SPAN Future SPAN surveys may include questions that match the childhood obesity surveillance in other parts of the world

23. Challenges • Surveys are not anonymous Height and weight will be matched with paper surveys • Due to privacy concerns, many questions were cut Topics cut include bullying, e-cigarette use, income level, and others

24. Key Lessons • Questions that can be asked varies greatly depending on whether the surveys will be anonymous or not • When recruiting schools for survey participation, it is important to provide as much information as possible on what implementation entails • Think big! National and global organizations may be interested in the data collected through a survey and partnering with them early on can make sharing easier

25. Thank you

26. W I S C O N S I N Wisconsin

27. Project Background

28. Successes • Active Out-of-School Time: A Wisconsin Guide for Improving Childhood Physical Activity for School-Age Children https://dcf.Wisconsin.gov/youngstar/pdf/activeost.pdf • What Works in Active Out-Of-School Time (2 page quick reference) • Increased collaboration with Wisconsin Afterschool Network, DHS (MCH and Chronic Disease Prevention), DCF, and healthTIDE (UW) • Time and funding to develop capacity for a Healthy Early strategy for out-of-school time (PA and nutrition)

29. Challenges Need provider buy-in/representation from OST (child care and CCLC, etc. ) Recognition and collaboration with local education (LEA) around WAS (WI Academic Standards)

30. Lessons Learned Internal champion with vested interest Importance of relationships and collaboration (DHS, DCF, WAN, hT)