1. Making A Difference in Child Care Nutrition & WellnessCACFP Wellness Grant Project Denise Redmon, Nutrition Specialist Missouri Department of Health & Senior Services

2. Introduction • Background Review • Eat Smart Guidelines • Demographics • Methodology • Analysis of Data • Results • Final Remarks

3. Background • CFNA’s Obesity Initiative • Missouri Eat Smart Guidelines • Dietary • Nutrition Policy • 2011 Update of Eat Smart Guidelines • Institute of Medicine Recommendations • 2010 Dietary Guidelines & MyPlate

4. Eat Smart Guidelines • More whole grains • Decrease Juice • More Fresh Fruit & Vegetables • Less processed foods • Lower fat milk • Fewer sweets • Improved Quality Snacks • More Variety www.health.mo.gov/eatsmart

5. Background • Eat Smart Mini-Grants Awarded • Grant Requirements • Pre- & Post- Nutrition Assessment Submitted • Apply for Recognition • Attend 3 Hour Training or On-Line Training

6. Background • Three Rounds of Mini-Grants • Independent Centers • Max of $2,500 • Sponsoring Organization • $2,500 per Center • Sponsoring Organizations of Homes • Funding Expended

7. Demographics • Mix of Urban & Rural Child Care Centers • 158 Child Care Centers Received Funding

8. Evaluation Technique

9. Evaluation Technique • Purpose of Post-Assessment • Scored on Likert Scale • Analysis of Each of the 38 Assessment Questions • Results Combined Across all 3 rounds and Separate by Round

10. Data Analysis • Conducted by Missouri Office of Epidemiology • Wilcoxon Signed Rank Test • SAS Analysis Software

11. Round 1: Ranking of Assessment Criteria Top 5 Significant

12. Round 2: Ranking of Assessment Criteria Top 5 Significant

13. Round 3: Ranking of Assessment Criteria Top 5 Significant

14. Nutritional Components Assessment Ranking

15. Environmental Components with Highest Percent Change

16. Ranking of Assessment Criteria High/Low Across All 3 Rounds • 5 Environmental Components Ranked in the Top 10. • 5 Nutritional Components Ranked in the Top 10. • 7 Environmental Components Ranked in the Top 10. • 3 Nutritional Components Ranked in the Top 10. Highest Percent Change Lowest Percent Change

17. Other Observations • Noteworthy Achievement • Family Meal Service • 12 Centers Initiated this Component • Factors Influencing Change • Funding & Training

18. Eat Smart Recognized

19. Final Remarks • What We Learned… • What is in the Works?