Coordinated Approach To Child Health

1. Coordinated Approach To Child Health CATCH Center for Health Promotion and Prevention Research University of Texas-Houston School of Public Health FlagHouse, Inc., Publishers Presenter – CAROL CALDARA, MA CHES

2. CATCH® Coordinated Approach To Child Health

3. CATCH • A child health promotion program resource for : • Schools K-8 • Afterschool and • Preschools • Coordinated Approach • Physical activity • Nutrition education • Cafeteria • Family

4. CATCHResearch and development – began in 1991 “ Child and Adolescent Trial for Cardiovascular Health” original study funded by NIH A Multi year study– 96 schools in 4 states– designed to impact health behaviors and reduce risk of heart disease ! 4 components – PE, classroom, cafeteria and family -coordinated approach

5. Basic Assumption:Behavior change is influenced or determined by the environment – because, environments value and reward certain behaviors.

6. CATCHResearch was funded by National Heart Lung & Blood Institute • Collaborative work of 4 major universities: • University of Texas • University of California • University of Minnesota • Tulane • “ largest school based health promotion study ever done in the US !

7. Overweight Children and Adolescents:NHANES Equal or greater than 95% age/sex CDC Growth Charts Source: Medline, 2006 Ogden et al. JAMA;195:1549-55, Hedley et al. JAMA;291:2847-2850

8. No Data <10% 10%-14% 15-19% 20% Obesity* Trends Among U.S. AdultsBRFSS, 1991 (*BMI 30, or ~ 30 lbs overweight for 5’4” person)

9. Obesity Trends* Among U.S. AdultsBRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

10. What can happen to a child with a poor diet and not enough physical activity?

12. Eating Behaviors • What is the most influential factor that determines how much children and adults eat??? A. Hunger B. Mood C. Portion Size D. Time of Day C. PORTION SIZE

13. National Geographic, August 2004; The Heavy Cost of Fat, p. 59

15. Shifts in Physical Inactivity • Increase in screen time – Television, Internet, Computers • Less PE minutes in schools • Less outside play – • Kids stay in – don’t play outside • Only ½ of all American youth regularly participate in vigorous physical activity • Youth Risk Behavior Survey

16. CDC’ Coordinated School Health Model Health Education Family & Community Involvement Physical Education School-site Health Promotion for Staff School Health Services Healthy School Environment School Nutrition Services School Counseling & Social Services

17. CATCH Components It’s All About Healthier Kids Classroom Curriculum Physical Education School Nutrition Services Family

18. CATCH Is Fun ! Children are moving and learning healthy behaviors • Everyone can be successful – no elimination • Opportunities to participate and build healthy physical activity and nutrition skills

19. CATCH • CATCH puts a high“ Value” on Children’s health in school and after school. • Increases collaboration of staff, admin, parents toward coordinated school health • Provides plan for coordination, curricula for nutrition, PE and cafeteria • Impacts school culture, improves health environment and health behaviors

20. Does CATCH Work? CATCH studies revealed: • Students Increased Moderate to Vigorous Phys Activity(MVPA) • Improved’ student -self-reported food choices and physical activity levels • Improvement in healthy school lunch offerings • Health Behaviors learned in elementary school stuck in adolescent years. ).

21. CATCH MODEL WHY is CATCH effective ? • Social Cognitive Theory – Environmental personal and behavioral factors influence health behaviors. Reciprocal Determinism – Observational Learning- Role Models, Practice • Self Efficacy – Build self confidence to adopt healthy behaviors • Extrinsic Reinforcement and Self Modulation

22. CATCH Improvement in health behaviors stuck ! Sustainability increased with • 1. Program Champion • 2. Staff Training • 3. Administrative Support and Resources

23. CATCH cited EL PASO TEXASRegional Reduction of Childhood Obesity -

24. CATCH in El PASO- 8 year funded by Paso Del Norte • 1997-2005 CATCH El Paso included training and materials for 162 schools – • 14 districts with full-time program coordinators. • Result in significant increase in physical activity - decrease of dietary fat and reduction of obesity rates.

25. PASS & CATCHImproves Academic Achievement Recent Study -Nancy Murray lead-..Univ. of Texas - • 60 minutes per school day of physical activity – included CATCH and Take 10 – • Increased physical activity during school day improved achievement test scores and • Stanford Math scores improved significantly ! Reading scores increased also.

26. CATCHAdvocated by • Action for Healthy Kids • WE CAN • Alliance for Healthier Generation • Robert Wood Johnson – • Leadership for Healthy Communities • Utilized by YMCA’s, Boys and Girls Clubs, • Parks and Recreations, Save the Children, • Nemours, Texas Education Association and many more ..

27. CATCHRecognized as a program that works by: • US Department of HHS - Secretary’s Award • Centers for Disease Control - Community Guide • Robert Wood Johnson Foundation • Institute of Medicine (IOM Report) • NHLBI • National Cancer Institute • National Governor’s Association • CDC – Public Health Grand Round  

28. CATCH • Implemented in Do D schools in Germany and Japan military base in elementary schools for past 5 years.

29. CATCH Physical Education • Opportunity for Moderate to vigorous physical activity 50% or more of class time • All non-elimination activities! • Opportunities to observe, participate, practice new skills and have fun. • Students are encouraged to be physically active outside of school

30. CATCH Physical Activity EASY TO PRE-PLAN ACTIVITIES Effective class management techniques. Form groups, establish boundaries, observe, practice, build skills and confidence FUN without realizing how physically active they are during play.

31. EAT SMART -Child Nutrition Services • Helps guide nutrition staff to plan, purchase, prep and promote healthy school meals. Link classroom nutrition messages to cafeteria. USDA school meal initiative alignment. GO SLOW WHOA

32. CATCH –Eat Smart – School Nutrition Guide • Aids in planning, purchase, prep and promotion of school lunch and programs. • Elevates importance of cafeteria on impact of student health for meals and nutrition education. Help train and guide school nutrition staff for continued improvement and collaboration

33. CATCH –EAT SMART • Cafeteria tours for parents and students • Posting Go/Slow/Whoa signs • Have students design nutrition wall art, make posters – partner with teachers • Cafeteria staff cooks vegetables students grow in a garden • Taste testing/ samples healthy foods

34. GO SLOW WHOAMessage/Theme

35. GO –SLOW -WHOA Helps children make healthy food choices • GO foods – are everyday foods • SLOW foods – higher in fats and sugars than GO foods – 5-7 x week ok • WHOA foods – highest in fats, sugar, processed -

38. CATCH “Go For Health”Nutrition classroom K-5 curricula • Plus 4th Grade has P.A.S.T Putting a Stop to Diabetes • 5th Grade FACTS ( Facts and Activities about Chewing Tobacco and Smoking

39. CATCH Middle School • Physical Education – 6-8 curricula – • 500 -600 moderate to vigorous PE activities • NEW – “ LIFE IN THE BALANCE” CATCH 6-8 classroom curricula • Middle School Training available

40. NEW CATCH Coordination Kits • 6 week themes • Specific tasks and resources for: Principals/Administrators, • Classroom Teachers, • Child Nutrition staff, • PE Teachers, • Parent Leaders “Making the healthy choice the easy choice…”

41. CATCH KIDS CLUB AFTER SCHOOL Nutrition Sessions Snack Recipes Physical Activities

42. CATCH Kids Club after school ! Healthy Nutrition Education and Physical Activity Kit for After School and Community Recreation Settings

43. CATCH Kids Club – after school! • In YMCA’s, Park & Recreation, Boys & Girls Clubs, & Save the Children • 325 physical activities and 32 nutrition activity lessons build healthy habits • Parent take home tip sheets - English/Spanish • Statewide Implementation - NJ YMCA – 280 sites – and Delaware –( Nemours) etc. Rochester NY Y’s

44. WE CAN • National Heart Lung and Blood Institute efforts to get families and communities active and eating right. • Promotes CATCH Kids Club ! • Makes it FUN and Easy to adopt healthy behaviors

45. NJ – YMCA “ Healthy U” • Horizon Health Foundation for NJ – Sponsors CATCH Kids Club in 380 Y afterschool sites in NJ – Now in 3rd year- 18 month – 86-96 % implementing nutrition 90-100 % implementing physical activity

46. NEW !!!!!CATCH EARLY CHILDHOOD • 10 Intro to Gardening Lessons • 9 Nutrition Activity Lessons – • 240 Physical Activities – • Parent tip sheets in English and Spanish

47. 10 Garden Lessons for age 3-5 • I’m Tom the Tomato • Digging and Planting • Plants need nutrients too. • Learn photosynthesis – • Make salad and dips from growing their own veggies.

48. CATCH Early Childhood • Designed for child care settings – for ages 3-5 years. • Encourages healthy eating, love of physical activity, movement and gardening intro.

49. CATCH Early Childhood • Tested in Houston Head Starts with fidelity and good application results • Formulated by team of University of TX –Advancement of Healthy Living - & Rae Pica – early childhood expert

50. Why Do We Need A Program Like CATCH? • Health behaviors are established in childhood • Reduce chronic diseases risk at early age – PREVENTION! • Well nourished, healthy children learn better • CSH programs improve health behaviors in children