Coordinated Approach To Child Health CATCH

1. Coordinated Approach To Child HealthCATCH Peter Cribb, MEd UT-Houston School of Public Health

3. Behavior change is influenced or determined by the environment � because environments value and reward certain behaviors. So, we begin with a basic assumption. Would you all agree that: read slide? Stated another way, would you agree that the way we act in today�s society is different from how we/or people acted 20-30 years ago because our society is different or has changed? Allow for feedback/discussion.So, we begin with a basic assumption. Would you all agree that: read slide? Stated another way, would you agree that the way we act in today�s society is different from how we/or people acted 20-30 years ago because our society is different or has changed? Allow for feedback/discussion.

4. Overweight Children and Adolescents:NHANES Up until the mid-70�s, children�s obesity rates were relatively stable, holding at about 5% of the total population (statistically speaking, a normal rate). Then, beginning in the early 80�s, the rate began to increase and over the past 20-25 years has actually tripled. Currently, the national average is about 16%. So, what happened in the last 25 years to cause such a drastic increase in the obesity rate? (Receive input from the audience.) Well, you�re right those (whatever they identified) factors have all contributed to the problem. Let�s take a quick look at how much those and other factors have influenced our health behaviors. Up until the mid-70�s, children�s obesity rates were relatively stable, holding at about 5% of the total population (statistically speaking, a normal rate). Then, beginning in the early 80�s, the rate began to increase and over the past 20-25 years has actually tripled. Currently, the national average is about 16%. So, what happened in the last 25 years to cause such a drastic increase in the obesity rate? (Receive input from the audience.) Well, you�re right those (whatever they identified) factors have all contributed to the problem. Let�s take a quick look at how much those and other factors have influenced our health behaviors.

5. To address the obesity problem we need to affect an environmental change � to create an environment that teaches, reinforces and rewards physical activity and healthy eating habits (which is the premise of Coordinated School Health Programming). Knowing all of these things leads us to our 2nd assumption: Read slide. Basically, to create an environment in the school that does the opposite of what society does � which is to support healthy dietary choices, provide opportunity for physical activity and to support doing physical activity, and reward that behavior. This is the foundation for what we mean when we say �Coordinated School Health�.Knowing all of these things leads us to our 2nd assumption: Read slide. Basically, to create an environment in the school that does the opposite of what society does � which is to support healthy dietary choices, provide opportunity for physical activity and to support doing physical activity, and reward that behavior. This is the foundation for what we mean when we say �Coordinated School Health�.

6. How did get to be so?

7. Consider the messages we send to our nation�s youth�

9. Consider the messages we send to our nation�s youth�

11. Consider the messages we send to our nation�s youth�

17. CATCH Middle School Components

18. Goals of CATCH Eat Smart Provide students with tasty, healthy school meals Maintain required levels of essential nutrients and student participation Coordinate healthy messages with the rest of the school Note that sodium was a major focus of Eat Smart in the early 1990�s when CATCH was implemented as a research study. At that time, reducing sodium was a major dietary focus. Since then, sodium has become less of a focus overall. Note that sodium was a major focus of Eat Smart in the early 1990�s when CATCH was implemented as a research study. At that time, reducing sodium was a major dietary focus. Since then, sodium has become less of a focus overall.

19. This is a photo of the CN staff at Lawrence Powell Elem. at Northside ISD (a district in San Antonio). Notice if you call your cafeteria a �caf� instead, it has a much more pleasing association. This is a photo of the CN staff at Lawrence Powell Elem. at Northside ISD (a district in San Antonio). Notice if you call your cafeteria a �caf� instead, it has a much more pleasing association.

20. 6th � 8th grades (Heads Up & IMPACT materials) Curriculum Focus: Knowledge (Nutrition, PA, Diabetes, CV Disease, & Osteoporsis) Case studies Interactive videos & activities Peer role models Promotes critical thinking

21. HEADS UP Curriculum

22. Behaviorally based lessons to adopt healthy eating and physical activity behaviors Improve healthful eating habits with more servings of calcium each day Increase participation in daily MVPA Higher frequencies of weight bearing PA IMPACT Curriculum

23. CATCH PE is designed to promote children�s enjoyment and participation of MVPA (moderate to vigorous physical activity) during PE classes, extracurricular activities, and recreation time with family and friends.

24. Students enjoy physical activity Students will be involved in MVPA for 50% of class time Students are provided many opportunities to participate and practice skills Students are encouraged to be physically active outside of school Emphasis on weight-bearing activities & lifetime physical activities in 6th � 8th

25. Serve as an educational program that raises awareness about health & wellness Motivates parents, students, and community members to change their behaviors Provide opportunities for parents and family members to visit the school and actively participate in CATCH Influence healthy changes in the home and community The objectives for the Family component are fairly simple - review the objectives. We try to accomplish these objectives through a variety of ways that spread the message and reach the family to change some of those family norms. State before advancement to next slide - One of those ways is to simply raise awareness. The objectives for the Family component are fairly simple - review the objectives. We try to accomplish these objectives through a variety of ways that spread the message and reach the family to change some of those family norms. State before advancement to next slide - One of those ways is to simply raise awareness.

26. CATCH Newsletter: Providing CATCH updates and news and highlighting CATCH Champions. Family Fun Events: Repeatable family health activities at least once a year Participation by CATCH students and families, teachers, food service staff, physical education specialists and administrators Community involvement opportunity Activity booths highlighting healthy snacks and fun activities The Family Fun Night can take all shapes, sizes and forms. Hopefully, they will be repeated from year to year and will involve everyone in the process. You can have activity booths that highlight healthy snacks and fun activities such as Meal Of Fortune. Remember those community partnerships The students can also learn aerobic or dance routines to perform. The Family Fun Night can take all shapes, sizes and forms. Hopefully, they will be repeated from year to year and will involve everyone in the process. You can have activity booths that highlight healthy snacks and fun activities such as Meal Of Fortune. Remember those community partnerships The students can also learn aerobic or dance routines to perform.

27. In Midland ISD, they promoted their Family Walk Day where they had the kids create promotional posters for the event and announced it on their marquee in front of the school. In Midland ISD, they promoted their Family Walk Day where they had the kids create promotional posters for the event and announced it on their marquee in front of the school.

31. High-energy, dynamic and multi-dimensional One full day All groups train together as a coordinated team It�s FUN!

33. It does take everyone working together.It does take everyone working together.