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Eat Well Play Hard with Day Care Homes

Eat Well Play Hard with Day Care Homes. NYS Department of Health CACFP Child Care Wellness Grant. Background Concept and Development Implementation Design Evaluation Design Timeline. Improving the Nutrition and Physical Activity Environment in CACFP Day Care Homes. Background.

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Eat Well Play Hard with Day Care Homes

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  1. Eat Well Play Hard with Day Care Homes NYS Department of Health CACFP Child Care Wellness Grant

  2. Background Concept and Development Implementation Design Evaluation Design Timeline Improving the Nutrition and Physical Activity Environment in CACFP Day Care Homes

  3. Background

  4. Eat Well Play Hard Strategies Established in 1998 Revised to add Increase initiation, duration and exclusivity of breastfeeding Decrease screen time • Increase intake of fruits and vegetables (fresh) • Increase consumption of low fat or fat free milk and dairy products • Increase developmentally appropriate physical activity

  5. Concept Development • Drafted White Paper (2007) • Convened external workgroup (2007-08) • Applied for SNAP-ed funds (FFY 2010 and 2011) • Hired temporary nutritionist to write curriculum (2009-2010) • Applied for CCWG (2010)

  6. Implementation Design Goal: To gain the support and commitment of DCH providers to: • Improve the nutrition and physical activity practices in their DCHs • Communicate positive messages about eating healthy food and being physically active to children in care and their families

  7. How the Intervention Works • 4 intervention cycles per year • 6 DCH providers per cycle • Bi-monthly Lesson Extenders Each Unit Group Workshop  In-the-Home Lessons • Handouts • Tool Kit • - Parent Newsletter • Resource Materials • Family Event • Lesson Extenders 5 Units  & Day Care Homes Curriculum

  8. CCWG Application • Targeted intervention for 288 DCH providers • State Share: Tool kits, Expert speaker fees • Subcontracts to 4 DCH Sponsors • Hire Registered Dietitians to implement project • 12 intervention cycles (24 DCH each) • Advisory Committee • Social media component • Evaluation component • Pre and post assessments by Providers and RD’s

  9. CCWG Results • Funded for 2-years • Reduced reach to 192 DCHs • State share reduced • 4 Sponsor contracts with RDs • Reduced completed intervention cycles to 6 (32 DCHs each) • Last two cycles are not funded • Incomplete lesson extenders and post-assessments

  10. Challenges • Delays in Approving Contracts • Implementation began December 2011 • Scheduling problems with DCHs • Drop-outs • Purpose of In-home lessons • RD’s knowledge and skills • My Plate versus My Pyramid • Restrictions on use of Social Media • Evaluation design is limited

  11. Lessons Learned • Have a “back pocket” idea on hand • Providers and children love activities • Expect changes to your implementation design • Routine technical support is valuable • Data collection for evaluation is burdensome but necessary

  12. Sandra Rhoades, R.D. M.P.H. CACFP Homes Unit Director Division of Nutrition NYS Department of Health 518-402-7104 sjr02@health.state.ny.uswww.nyhealth.gov/nutrition

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