Transcript Mass in Motion Kids
Mass in Motion Kids
Community-Clinical Partnerships to Reduce Childhood Obesity
A partnership between the Massachusetts Department of Public Health, the cities of Fitchburg and New Bedford, the National Initiative for Children’s Health Care Quality, and Harvard University
Childhood Obesity is Not Randomly Distributed Among our Communities Childhood Obesity and Median Household Income, 2010-2011 (N = 172 local and regional academic School Districts, 100 or more students screened, all 4 grades reported)
50 45 40 35 30 25 20 15 10 5 0 $0 $20,000 $40,000 $60,000 $80,000 $100,000 $120,000 $140,000 $160,000
Median Household Income (2005-2009 American Community Survey, US Census Bureau)
$180,000
Smallest Impact Largest Impact
CDC “Health Impact Pyramid”
Counseling & Education Clinical Interventions Long-lasting Protective Interventions Changing the Context
to make individuals’ default decisions healthy
Socioeconomic Factors Examples
Eat healthy, be physically active Rx for high blood pressure, high cholesterol, diabetes Immunizations, brief intervention, cessation treatment, colonoscopy Fluoridation, trans fat, smoke-free laws, tobacco tax Poverty, education, housing, inequality
Mass in Motion: Eat Better, Move More
Multifaceted state initiative
• Call to Action report • Governor’s Executive Order 509 • BMI regulation • School Nutrition Standards • Public information campaigns • Municipal wellness grants • Worksite initiative • Website – Info on physical activity and nutrition – Calendars – Blogs – Links to state and local resources
CDC Funded Childhood Obesity Research Demonstration (CORD) Project Division of Nutrition, Physical Activity and Obesity Obesity Prevention & Control Branch Evaluation Center University of Houston Massachusetts San Diego Texas Fitchburg New Bedford
Overall Approach
Build on successful Mass in Motion Approach Enhance connections between sectors Maintain the focus on evidence-based strategies – Policies – Systems – Environmental changes
5 Key Target Behaviors
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Decrease in children’s consumption of sugar sweetened beverages Decrease in screen time & TVs bedrooms in children’s Increase in children’s moderate & vigorous physical activity Substitution of empty-calories/nutrient poor foods with fruits and vegetables Increase in children’s sleep quality & duration
Health Care Schools/ After schools Child care Community
Project Overview
Individual/ Family System
Assessment Coaching Coordinated support Motivates students/parents to eat better, move more
I Am Moving, I Am Learning
promotes physical activity & healthy food choices Support for activity groups, healthier decision making Obesity Learning Collaborative to improve quality of care Policy & practice changes w/I 2 school systems NAP SACC supports policy, practice change in child care sites Environment & policy change focused on increased activity and increased access to healthy food
Community
CHWs & physician champion link w/ local Mass in Motion initiative Implementation will link with Mass in Motion community initiatives Training of child care licensing staff to include elements in licensing visits Youth-driven media campaign to change community norms.
Environment & policy change
Primary Care: Primary Prevention
Activities
Goal: Prevention of childhood obesity.
•Efforts targeting the
entire population
•Healthy weight as well as overweight & obese children •Obesity Learning Collaborative •Be Our Voice Advocacy •EMR Best Practice Alerts •Patient education materials •Improve the healthfulness of the health center
Primary Care: Secondary Prevention
Activities
Goal: Prevent disease progression and development of comorbidities and complications •Efforts focus on
overweight & obese children
•EMR decision support tools for obesity management •Healthy Weight Clinics •Community Health Worker support of overweight/obese children and their families
Schools and After Schools
Elementary & Middle Schools Afterschool
Activities
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Eat Well, Keep Moving
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Planet Health
– Curriculum and materials – Staff training •Wellness champion •Fitness equipment •Support for wellness plan •Student survey during BMI measurement (4 th & 7 th grades) •Food and Fun –Curriculum –Support for environment changes
Child Care and Early Education
NAP SACC
Activities
•Complete self-assessment for center •Set goals to improve nutrition and physical activity •Receive training, resources and materials from Mentors I am Moving, I am Learning • Receive training on –↑ physical activity –↓sugar-sweetened beverages and calorically dense foods –↑Fruit and vegetable consumption • Educate staff and parents on IM/IL practice
WIC
Women, Infants, and Children (WIC) Nutrition Program
Activities
•Complete readiness for change assessment •Receive training, resources, and materials •Obesity Learning Collaborative •Be Our Voice Advocacy
Community Interventions
Building on foundation of Mass in Motion Evidenced-based strategies focused on policy, system and environmental change Creating environments that support healthy living Media campaign Youth empowerment approach Will be developed in collaboration with schools to integrate school efforts into community approaches
Mass in Motion as a Foundation
Enhance community action plans Focus on evidenced-based strategies that have the largest impact on the 5 obesity related behaviors, eg, IOM’s 2009 Local Government Actions to Prevent Childhood Obesity Ensure coordination and integration of the multiple sectors at the local level Special role of the Physician Champion and the Community Health Worker in clinical sites Engage champions from all sectors in community-wide efforts
Proposed MiM Kids Community Activities
Fitchburg New Bedford 1.
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Implement at least 2 environmental changes at Big Field/Green Acres to increase physical activity Increase healthy options among park vendors Market Basket grocery stores will implement at least 1 change promoting healthy eating, with focus on fresh fruits and vegetables and healthy beverages Fitchburg will adopt Complete Streets policy, including Safe Routes to Schools and Parks Increase sustainability of Fun N Fitchburg Increase the number of restaurants in NB from 0 to 5 that offer healthy childrens’ options Increase number of corner stores from 0 to 3 that participate in MiM New Bedford Healthy Corner Store Initiative Increase the number of elementary and middle schools from 0 to 3 that have well established and consistently active Safe Routes to School programs