Transcript Slide 1

Changing the Landscape to
Prevent Childhood Obesity
Kansas City’s Childhood Obesity
Collaborative-Weighing In
We Need You!
www.kcweighingin.org
• Latest updates
• On-line enrollment
JOIN THIS WEEK- Free for the first 500
• Searchable directory
– Find others by name and contact information
– Search by organization type, topic of interest,
professional discipline
• Source for meeting notices, agendas, highlights
We Heard from You!
Issues and Challenges Identified:
Focus on schools
– Assure healthy food and beverage
options,
– Increase physical activity levels of
students
– Provide training to school staffs
Issues and Challenges, cont.
Share Information
– Members
– Policy makers and
– General public
Continue collaboration
– Continue networking opportunities
– Set clear goals and objectives to facilitate
collaboration and avoid duplication of effort
Valued WI Functions
Provide training & technical assistance
– Provide resources to support actions,
including recommendations on best
materials
– Identify strategies to overcome
obstacles
– Provide information on best practices,
local efforts and lessons learned
Valued Functions
Communicate
– Establish consistent messages and talking
points on childhood obesity
– Publish periodic childhood obesity status reports
– Coordinate media or social marketing
campaigns
– Conduct regular meetings to support networking
– Compile positions papers on WI priorities
Valued Functions
 Market
– Coordinate marketing of collective efforts to
address childhood obesity in KC
– Provide opportunities for member
organizations to market their programs and
services
Valued Functions
Assess and Plan
– Track and monitor key measures and
indicators of childhood obesity for the
Greater Kansas City Area
– Facilitate planning sessions
Valued Functions
Implement and Evaluate
– Host interactive forums with policy
makers on priority issues
– Track actions and provide status
updates
Collaboration Valued
98% of responders agree or strongly agree that
participation in WI collaboration is useful
97% stated it was essential to address childhood
obesity
95% would like to collaborate more on common
initiatives
Desired Collaboration
Characteristics
97% want to evaluate the collaboration results
97% want to track and share collaboration results
95% want training for leads and active participants
93% want resources to support efforts
93% want clearly written objectives, plan and
timeline
90% want formal arrangements between key
organizations and individuals implementing
the plan
Current Actions
• Assessing KC’s collective childhood
obesity prevention capacity
• Established website
• Updating Strategic Plan
• Will provide leadership training
Supported by Health Care Foundation – GKC funding
• Establishing Childhood Obesity Metrics
• Will convene systems mapping process
• Will provide targeted training
Early Childhood Working Group
Mission
Provides a community forum to
focus on children, ages 0-5 years, and
implement viable approaches in a
deliberate, thoughtful manner
to address childhood obesity
Primary Audience for
current priority
Child care providers, key decision
makers for early childhood policies,
programs/services and food and
fitness environments and other
agencies that support child care
settings
Child & Parent
Friends, Neighbors
Community settings
(child care, health
care, schools)
Government
Secondary Audience
Social norms, culture
Children up to five years of age and
their parents/caregivers, women,
preconception through pregnancy
under five
Guiding principles for selecting
strategies
Addresses the problem
Evidence-backed
Measurable
Viable for Kansas City
Collaboration improves impact and effectiveness
Strategy Review
CDC
Institute of
Medicine
Healthy
Communities
Leadership
Top 10 Strategies
Broad Initial Review
• Focused on all early childhood issues
• Have not researched all available
resources, programs and approaches for
all strategies
– next step for the top priorities.
Top Ten Targets for EC
1.
2.
3.
4.
5.
6.
Improve support for breastfeeding
Improve healthy meals in child care
Decrease sugar-sweetened beverages
Increase physical activity in child care
Improve access to recreation & play
Increase number of child care facilities with wellness
policies
7. Increase proportion of women with appropriate weight
gain during pregnancy
8. Increase participation in nutrition assistance programs
9. Reduce screen time
10. Increase ‘smart meals’ in restaurants
Child Care Setting priorities
Top Child Care Issues
Child care emerged as key setting to focus
efforts and following priorities identified:
I. Survey Child Care Providers
II. Implement steps to enhance policy,
environments and practices for healthy
eating and active living
III. Provide training
IV. Provide breastfeeding friendly
environment
Examined Priorities in Detail to
Inform Our Next Steps
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Who or which agencies already support this strategy?
Who else needs to buy-in?
Benefits of this strategy?
Current opportunities available that support this
strategy?
Are there barriers to implementing?
How could barriers be minimized?
How feasible is this for the Kansas City Area on a scale
of 1 to 10?
Do you recommend that we pursue this for Kansas City?
Current Priority—Child Care
Providers Survey
What do we want to know?
• Nutrition and physical activity practices,
policies and environments;
• Obstacles and barriers to healthy food and
fitness environments and practices;
• Priorities for viable actions among child
care providers in the KC community; and
• Resource and training needs
Next Meeting-May 24, 2011
Early Childhood Working Group
KC Childhood Obesity Collaborative-Weighing In
Child Care Survey, April 25, 2011
Survey Purpose
 To determine nutrition and physical activity practices in child care settings.
 To determine biggest obstacles and barriers to enhance food and fitness environments within child care settings.
 To identify priorities for action that are viable among child care providers
 To determine resource and training needs to advance strategies to prevent childhood obesity in child care settings.
Methods:
Family and Group Child Care Homes
Who will complete survey
Family child care home or group home provider
Method to collect
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Demographics wanted
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Hard copy distributed and collected at trainings
E-mail child care providers through existing groups with
link to survey on-line
o Family Conservancy
o Family Day Care Home Associations
Distributed by CACFP Home Sponsoring Organizations
Child Care Center
Directors or Site Managers at child care
centers
 E-mail request through existing
networks:
o Head Start
o YMCA
o Family Conservancy
o CACFP list serves
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Zip Code of facility
Type of facility
Number of children in care
Age range of children (or do they care for
infants/preschool/school-age
Length of time in child care field
Participate in CACFP—yes or no
Licensed—yes or no
All of items for Homes
Number of staff at facility
Target Audience: Representative sample of licensed child care facilities in the Greater Kansas City Area
Licensed Homes, Group Homes and Child Care Centers in the Greater Kansas City Area (April 2011)
Licensed
Total
Licensed
Total
Licensed Child
Total
Total
Homes
Capacity
Group
Capacity Care Centers Capacity Capacity At
Homes
All Facilities
Cass County, MO
31
310
1
20
22
1,854
Clay County, MO
44
430
-
-
42
4,270
Jackson County, MO
181
1,800
7
126
173
14,569
Platte County, MO
13
128
-
-
15
1,443
Wyandotte County, KS
114
1,034
75
889
53
3,202
Johnson County, KS
704
6,629
154
1,844
188
17,144
TOTAL
1,087
10,331
237
2,879
493
42,482
55,692
Obesity Prevention Schools
Committee
Food
Policy
Coalition
Building a
Healthier
Heartland
Weighing
In
Unified Schools Committee
Primary Audiences
K-12 school staff-administrators,
teachers, school food and nutrition
services personnel
Child & Parent
Friends, Neighbors
Community agencies supporting
schools
Secondary Audiences
School-age children and their
families
Community settings
(schools, agencies
supporting schools)
Government
Social norms, culture
Vision
School-age children enjoy
optimal growth and development
in the Greater Kansas City Area
where active living and healthy eating is
supported for all.
Mission
Schools and community agencies
collaborate to shift the social norm and
enhance school policies, environments and
practices so students in
the Greater Kansas City Area
increase physical activity and
improve healthy eating
to prevent and address childhood obesity.
Desired Outcomes for the
Schools Committee
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Network map of resources
Baseline assessment
Plan for action
Means to track progress
Benefits document
Consistent messages
Increased number of schools
meeting Healthier US School
Standards
• Strengthened partnerships
Guiding Principles
• Evidence based or promising practice
• Focus on use and redirection of existing
resources in view of economic conditions
• Systems approach
• Sensitive to multiple demands in school setting
• Empower and equip the adults in the child’s life
• Provide options that can be tailored to schools
unique needs.
Sample messages
• Healthy eating and physical activity are
among the most effective interventions for
the prevention and treatment of obesity
and other chronic diseases.
• Academic success is better in healthy and
physically active students.
• Schools are a mirror of the community—
can’t modify actions in schools in isolation
of community-wide norms
School Committee Meeting
June 7, 2011
Obesity Prevention School Committee Charter
Vision:
Guiding Principles
School-age children enjoy optimal growth and development
in the Kansas City area where active living and healthy eating
is supported for all.
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Mission:
Schools and community agencies collaborate to shift the
social norm and enhance school policies, environments and
practices so students in the Greater Kansas City Area increase
physical activity and improve healthy eating to prevent and
address childhood obesity.
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Long Term Goals:
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Decrease rates of childhood obesity in children.
Increase physical activity levels and enhance healthy
eating among school-age children.
Influence life-long health habits by assuring:
o Core nutrition, physical and health education; and
o Supportive food and fitness policies and
environments in the school setting.
Enhance overall academic achievement.
Desired Short-Term Outcomes:
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Network map of resources available to support schools.
Kansas City plan to enhance school policies,
environments and practices.
Mechanism to track progress and determine what is
working.
‘What’s In It for Me’ document that outlines rationale for
involvement of collaboration partners
Consistent message document for use by schools and
community partners on food and fitness issues impacting
students and actions being taken.
Increased number of schools that meet the Healthier US
School standards—at any level.
Strengthened school and community partnerships to
provide and maximize use of resources to achieve goals.
Undesired Outcomes:
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Another layer of activities that don’t produce results
Fragmentation
Competition among partners
Unrealistic promises
Schools not engaged
Primary Audience
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K-12 school staff-administrators, teachers, school food
and nutrition services personnel
Community agencies supporting schools
Secondary Audience:
School-age children and their families
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Focus on viable evidence based strategies.
Innovate and embrace promising practices where
evidence is lacking to address prominent problems.
Focus on use and redirection of existing resources in view
of the current economic conditions.
Create transparent processes and host thoughtful,
engaging and deliberate discussions to create and
implement the plan.
Build systems approach that considers the needs and
perspectives of entities that comprise the school system
(e.g., students, families, school staff, school
administration, community agencies serving and
advocating for schools; oversight institutions)
Design strategies and interventions that appropriately
address the social, emotional and mental health issues.
Strive for synergy, collaboration and alignment of
resources to support priority strategies.
Feed demand that adds value and starve ideas/activities
that don’t have genuine value.
Be sensitive to the multiple demands in a school setting.
Work to empower and equip the adults in the child’s life.
Make provisions so schools can tailor approaches to
meet their unique and differing needs.
Current Situation:
The childhood obesity epidemic threatens our children’s
future health and success. While current efforts have not yet
reached the needed levels to impact the upward trend line of
obesity rates in the Greater Kansas City Area, collaboratives
are strategizing on how to improve their collective efforts.
Schools are a clear focus for obesity prevention efforts given:
1) the access to children for significant amounts of time in
their daily lives, 2) the mechanisms for education and
reinforcement of healthy behaviors, 3) the mounting
evidence on actions to take in the school settings to improve
the food and fitness environment; and 4) the enhanced
academic success experienced by physically active and wellnourished children.
The Obesity Prevention Schools Committee formed by forging
the schools committees of Building a Healthier Heartland, the
Food Policy Coalition and Kansas City’s Childhood Obesity
Prevention Collaborative-Weighing In. The respective
chairpersons of these formerly separate committees
recognized the value of unifying efforts to support viable and
effective strategies in the Greater Kansas City Area schools.
LETS CHAT
Questions
Questions from the Audience?
If time allows:
• What are priority issues from a Federal perspective for
nutrition education that are important for Kansas City to
address in both child care and school settings?
• From your experience, what factors contribute to a
school’s success in the nutrition education arena?
• What USDA supports are available to help overcome
barriers being faced in school settings in relation to
improving physical activity and healthy eating?
• What actions is your office taking in the “advocacy”
area?
Next Weighing In Dates
May 24, 2011, 3:30-5:00 p.m.
Early Childhood Working Group Meeting,
Don Chisholm Center
June 7, 2011, 10:00 a.m.-Noon
Schools Committee Meeting,
Diastole Scholars Center, 2501 Holmes, Kansas City, MO
Next Quarterly Meetings:
September 26th, 2011, 8:30 a.m.
December 12, 2011, 8:30 a.m.
Don Chisholm Center
Need more information?
Contact Deborah Markenson
[email protected], 816-234-9223
[email protected]