Oregon School Employee Wellness Conference. Kathy Chichester National CATCH Coordinator

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1 Oregon School Employee Wellness Conference Kathy Chichester National CATCH Coordinator

2 What does CATCH look like? Components of CATCH Evidence Base How CATCH changes the environment How CATCH affects the community

3 CATCH GOAL The goal of the CATCH Program is to create and support healthy school and healthy community environments.

4 Today s Objectives Introduce CATCH Components Review Lesson Content and Organization

5 Today s Objectives Use the Materials! Play Games Do Activities Have Fun

6 Today s Objectives Now What?? Action Planning Evaluation Methods Monitoring Progress

7 Before We Begin Ground Rules Activity at YOUR pace Ask Questions

8 Before We Begin What is your role in the community?

9 What is CATCH? A Coordinated School Health Program designed to prevent sedentary behavior, poor dietary choices, and tobacco use at the elementary school level

10 CATCH Research Trial NIH Research study was called the Child and Adolescent Trial for Cardiovascular Health First research trial to integrate school, child & family Ethnically diverse population Four geographic areas of the U.S. California Louisiana Minnesota Texas Large number of schools (N=96) & students (>5,000)

11 Coordinated School Health Family & Community Involvement Health Education Physical Education School-site Health Promotion for Staff School Health Services Healthy School Environment School Counseling & Social Services School Nutrition Services

12 Coordinated School Health Family & Community Involvement Health Education Physical Education School-site Health Promotion for Staff School Health Services Healthy School Environment School Counseling & Social Services School Nutrition Services

13 CATCH Components Classroom Curriculum Physical Education Food Service Family

14 Did CATCH Work? Reduced total fat and saturated fat content of school lunches. Increased moderate-to-vigorous physical activity (MVPA) during P.E. classes. Improved students self-reported eating and physical activity behaviors. Effects persisted over three years without continued intervention. Luepker RV, et al (1996). JAMA, 275(10), Nader PR, et al (1999). Arch Pediatr Adolesc Med, 153(7),

15 CATCH Kids Club Developed based on the successful elements of CATCH A physical activity & nutrition education program for elementary school aged children (grades K-5 ) in after school and summer care settings.

16 CATCH Kids Club The primary goal is to promote healthy nutrition and physical activity behaviors.

17 CATCH KIDS CLUB A physical activity program A nutrition component A family component

18 CATCH Kids Club Pilot Study CKC pilot tested in Took place in 16 sites - 8 in El Paso and 8 in Austin After-school staff were trained and implemented the program with assistance from CKC staff

19 conclusions After-school programs are prime channels for health education interventions. CKC significantly increased MVPA, was easy to implement, and was enjoyed by staff and children. CKC nutrition lessons increased healthy eating behaviors and intentions, & nutrition knowledge. CKC increased self-efficacy for healthy food choices & involvement in physical activity.

20 Time to Move Hey, Hey & Howdy Toe to Toe

21 Table Talk #1 What is the role, if any, of after school programs in providing healthy environments for kids? What are you currently doing in your facility or program to support and advocate healthy lifestyle choices? Will you need to make some changes? If so, what? You have 3 minutes. Be ready to summarize your dialogue for all of us!

22 Obesity Trends Among U.S. Adults between 1985 and 2006 Definitions: Obesity: Having a very high amount of body fat in relation to lean body mass, or Body Mass Index (BMI) of 30 or higher. Body Mass Index (BMI): A measure of an adult s weight in relation to his or her height, specifically the adult s weight in kilograms divided by the square of his or her height in meters.

23 Obesity Trends Among U.S. Adults between 1985 and 2006 Source of the data: The data shown in these maps were collected through CDC s Behavioral Risk Factor Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect data through a series of monthly telephone interviews with U.S. adults. Prevalence estimates generated for the maps may vary slightly from those generated for the states by BRFSS ( as slightly different analytic methods are used.

24 Obesity Trends* Among U.S. Adults BRFSS, 1988 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14%

25 Obesity Trends* Among U.S. Adults BRFSS, 1989 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14%

26 Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14%

27 Obesity Trends* Among U.S. Adults BRFSS, 1991 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19%

28 Obesity Trends* Among U.S. Adults BRFSS, 1992 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19%

29 Obesity Trends* Among U.S. Adults BRFSS, 1993 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19%

30 Obesity Trends* Among U.S. Adults BRFSS, 1994 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19%

31 Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19%

32 Obesity Trends* Among U.S. Adults BRFSS, 1996 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19%

33 Obesity Trends* Among U.S. Adults BRFSS, 1997 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20%

34 Obesity Trends* Among U.S. Adults BRFSS, 1998 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20%

35 Obesity Trends* Among U.S. Adults BRFSS, 1999 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20%

36 Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20%

37 Obesity Trends* Among U.S. Adults BRFSS, 2001 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25%

38 Obesity Trends* Among U.S. Adults BRFSS, 2002 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25%

39 Obesity Trends* Among U.S. Adults BRFSS, 2003 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25%

40 Obesity Trends* Among U.S. Adults BRFSS, 2004 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25%

41 Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

42 Obesity Trends* Among U.S. Adults BRFSS, 2006 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

43 Obesity Trends* Among U.S. Adults BRFSS, 2007 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person)

44 Obesity Trends* Among U.S. Adults BRFSS, 2008 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person)

45 Obesity Trends* Among U.S. Adults BRFSS, 2009 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person)

46 Obesity Trends* Among U.S. Adults BRFSS, 2010 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

47 Obesity Trends* Among U.S. Adults BRFSS, 1990, 1999, 2010 (*BMI 30, or about 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

48 Table Talk #2 Discuss your impressions of the CDC data. How did it get to be so? Causes? Trends? Reasons? You have 3 minutes. Be ready to summarize your dialogue for all of us!

49 How did this get to be so? Portion Distortion High Fat Content/High Sugar Content Fast Food Marketing & Advertising to Children Mothers Move to Workforce children move inside (less time for nutritious meals at home & supervised activity). Decline in Physical Activity

50 How did this get to be so? 6.5 average hours per day Screen Time. 75% children who DO NOT participate in sufficient weekly moderate physical activity ( 30 min per day, 5 days per week). 12% children who DO NOT participate in ANY moderate-to-vigorous physical activity (MVPA). 72% children who DO NOT have daily P.E

51 How did this get to be so? The average American home has the TV on for 7 hours each day. By age 70, the average American will have watched 7-10 years worth of television. Nearly one-third of all youth ages 6-19 eat fast food on a daily basis. In 1945 Americans consumed four times more milk than soda. We now consume 2.5 times more soda than milk.

52 Table Talk #3 What is the result of a lifestyle with consistently too many calories and not enough physical activity? You have 3 minutes. Be ready to summarize your dialogue for all of us!

53 Result: A National Crisis Type 2 Diabetes was formerly known as adult onset diabetes, but there is an increasing incidence of type 2 diabetes in youth. Rosenbloom et al., 1999 Approximately 85% of children diagnosed with type 2 diabetes are overweight or obese. American Diabetes Association As the US population becomes increasingly overweight, researchers expect type 2 diabetes to appear more frequently in younger children American Diabetes Association Higher prevalence in Hispanics (1.9x) & African Americans (1.7x) NIDDK, 2000

54 Result: A Large Problem in Many Ways Health Problems Overweight children miss 3-4 times as much school. Kids born today may have lower life expectancies than their parents. March 2005 New England Journal of Medicine Social Problems Severely overweight kids scored lower on a quality of life survey than kids with cancer! Out of 100, the overweight kids average score was a 67. Journal of American Medical Association Cost Burden Surgeon General s report 2001 US expenditures on obesity - $117 billion. Child & Adolescent Hospitalizations for diseases associated with obesity increased sharply between 1979 and From 1987 to 2002 health care spending on obesity rose from 2% to 11.6%. Journal of health Policy and Research

55 Table Talk #4 Is someone to blame? Can we, should we, assign fault? Should we point the finger? If yes, where? If not, why not? You have 3 minutes. Be ready to summarize your dialogue for all of us!

56 Consider the messages we send to our nation s youth

57 about health and wellness? WHAT S WRONG WITH THIS PICTURE? Winners of the Tobacco Prevention Persuasive Poster Contest

58

59 Consider the messages we send to our nation s youth

60 about physical activity?

61 about physical activity?

62 about nutrition?

63

64

65

66 Play Break! Enough Yak-Yak! Please Stand Back-to-Back with a Partner!

67 So why are we here today

68 Table Talk #5 So where do we start? What are first steps. What are essential steps? What are long term steps? You have 3 minutes. Be ready to summarize your dialogue for all of us!

69 the first step is VISION! A vision of a healthy community

70

71 CATCH KIDS CLUB What makes CATCH different? Before you break, write down your most vivid memory of physical education.

72 Time to Move

73 Nutrition Discussion Points

74 Super Size It! Portion sizes are getting bigger and bigger!

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

76

77

78

79 Introduction The Healthy Habits & Nutrition lessons are designed to be: User friendly & flexible for program staff. Short and informative with an emphasis on interactive and hands-on activities. A resource for program/ recreational staff to incorporate health topics into their existing programs.

80 Coordinating the Message The language of CATCH: GO, SLOW, & WHOA food categories. Kids receive consistent healthy messages in the classroom, cafeteria, & in PE class. Through the classroom lessons. Posting GO, SLOW, & WHOA signs on cafeteria line. Using CATCH GO, SLOW, & WHOA Eat Smart games in CATCH PE class.

81 Coordinating the Message Language of CATCH: Go Slow Whoa

82 Coordinating the Message Language of CATCH: Go Slow Whoa

83 Time to Move

84 Family Component Family Tip Sheets 7 Family Tip Sheets relay information home to parents. Intended to be sent home at the conclusion of the theme. All letters are in English and Spanish.

85 Observable Changes

86 Observable Changes

87 Observable Changes

88 Observable Changes

89

90 Observable Changes

91 Action Planning Routine Planning & Strategies for Class Management

92 CATCH Physical Activity Planning Tool DAY WEEKS Week 1 Week 2 Week 3 Monday Tuesday Wednesday Thursday Friday

93 How do we Know Its Working? Evaluation Tools for Staff Evaluation Tool for Students

94 Determinants of CATCH Implementation Success Administrative support State Agencies (Education, Agriculture, Health) School District Administration (PE, Nutrition, Health Education) School Campus (Principal, Asst Principal, Teachers) On-site CATCH Champion Attendance at training Physical Education, Nurse, School Food Service, Classroom teacher, Counselor, After school Director Recognition across the board Parent Teacher Organization Neighborhood and larger community support

95 CATCH Training CATCH Implementation Training - 4 Component Component Specific Training After School Training Booster Training Train the Trainer 3 Day Academy On-Line Training 24/7 Subscription

96 Training Network USA and Canada

97 CATCH in Community Health Houston Endowment, TX Michael and Susan Dell Foundation, TX Paso Del Norte Health Foundation YMCA Activate America Save the Children Hospitals, Insurance Companies State DOH and DOE IL, OK, HI, NM, AR,OH CDC Block Grants, Stimulus Grants Native American Communities

98 Conclusions Recognized 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

99 Conclusions: Funding Support Evidence based Program Sustainable Behavior Results 3 years out Sustainable Implementation Strategies Long Term Support Measurable Results and Tools from UT

100 Conclusions: Funding Support CATCH has been cited as the most cost effective obesity prevention strategy (Cawley, 2010)

101 Contact Info Kathy Chichester National CATCH Coordinator background info studies, evaluation on-line support

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