Operation Kid Fit Demonstration Pilot

1. Operation Kid Fit Demonstration Pilot Briefing Slides Molly Koczarski, RDN, CD 2 April 2014 UNCLASSIFIED

2. Reason for Action • 67% of adult Army retirees and family members were considered overweight (32%) or obese (35%)1 • Clinical BMI data show that nearly one-third of Army Children are overweight or obese 2 • Rates of obesity and overweight increase with age 3 Percent of children age 2 to 19 at, below, or over normal weight. Source: AHLTA, extracted January-June 2011 Percent of children obese, overweight and healthy weight by age group. Source: AHLTA, extracted January-June 2011

3. Operation Kid-Fit (OKF) • Part of the DoD Obesity Deep Dive Initiative • Modified for military populations and renamed Operation Kid Fit • Take place at 4 military installations: • Ft. Sill (Oklahoma) • Ft. Bragg (North Carolina) • Eglin AFB (Florida) • Joint Base Lewis-McChord (Washington) • Led by 4 certified facilitators • 128-160 families across 4 sites • 8-10 families per group • 4 groups per site • Partnered with Healthy Base Initiative (HBI) Sites

4. Lifestyles Triple P • Part of a larger network of Triple P (Positive Parenting Programs) interventions • Utilizes motivational interviewing and behavioral management strategies • In RCT demonstrated significant effects on parents’ confidence in managing weight-related issues, reductions in coercive parenting strategies, reduction in children’s BMI and decreased rates of weight-related behaviors at one-year follow-up. (West, Sanders, Cleghorn & Davies, 2010) • For parents and caregivers of children ages 5-10 who have been identified as overweight or obese • Comprised of ten 90-minute small group sessions and two 20-minute individualized calls • Includes sessions on nutrition, physical activity and behavior modification techniques