a child care center intervention
DESCRIPTION
A Child Care Center Intervention. Promoting Policy and Menu Change in Early Care and Education in Ohio Autumn Trombetta MS, RD, LD Cheryl Graffagnino MS, RD, LD. Obesity In Ohio (BMI > 95% % ile ). Newborns. 10-17 yr olds 2. Adults 2. 2-5 yr olds 1.TRANSCRIPT
A Child Care Center Intervention
Promoting Policy and Menu Change in Early Care and Education in Ohio
Autumn Trombetta MS, RD, LDCheryl Graffagnino MS, RD, LD
Obesity In Ohio (BMI > 95% %ile)
¹ Pediatric Nutrition Surveillance System (PedNSS), CDC and ODH, 20062 Ohio Family Health Survey (OFHS), ODJFS/ODH/ODI/ODMH, 2008
Newborns 2-5 yr olds1 Adults210-17 yr olds2
<5% 5-9.9% 10-14.9% 15-19.9% 20-24.9% 25-29.9% ≥30% NS
Program Development
• Began in 2004 • Focus groups with parents
– Identified child care providers as trusted source of health information
• Created training & toolkit for child care provider staff
Evolution of a Statewide Initiative
• Began in 2010• Voluntary designation• Provides Step Up To Quality • Education CEUs• Monitored through
Professional Development Registry
Becoming an Ohio Healthy Program..
1. Attend Step Up To Quality approved trainings
2. Implement a healthy policy
3. Increase the nutritional content of menus
4. Include parent participation
Becoming an Ohio Healthy Program…
1. SUTQ-Approved Trainings
• Session 1: Healthy Habits (10 Hour series)– Healthy Activity– Healthy Eating and Feeding– Healthy Growing– Healthy Families
• Session 2: Healthy Menus (2.5 hours)
• Session 3: Healthy Policies (2.5 hours)
Becoming an Ohio Healthy Program…
2. Implement a Healthy Policy
• “Television, video, computers and other visual recordings shall not be used with children under two years of age.”
• “Breastfeeding mothers shall be provided a private and sanitary place to breastfeed their babies or express milk. The area will have an electrical outlet, comfortable chair, and nearby access to running water.”
• “Staff members consume the same food and drinks as the children. Staff members do not consume other foods and drinks in front of the children. “
Becoming an Ohio Healthy Program…
3. Ohio Healthy Programs Menu
• Includes variety every day of the week– Non-fried Vegetables– Whole Fruit– Whole Grain Food
• Offers fried foods no more than twice a week
• Offers only low fat milk (1% or skim) to children ages 2 and up
(adapted from Healthier US School Challenge 2010)
Becoming an Ohio Healthy Program…
4. Parent Participation
• Parent Bulletin Board• Parent Newsletter
Statewide Train-The-Trainer
• Local Resource and Referral agencies – 27 Education Specialists
• Ohio Department of Health’s Healthy Child Care Ohio – 37 Nurses– 1 Dietitian
Ohio Healthy Programs Results
• January 2010 – March 2011– 65 statewide trainers– 349 trainings – 1300 child care staff – 608 centers– 13 Ohio Healthy Programs
Local Programming
• Recruiting child care centers• Technical assistance
– RD and/or DTR– 2 week menu review and
recommendations– Parent/Policy Handbook review
and recommendations– Environmental Assessment
Local Programming
• Sustainable Supporting Materials– $100 for Ohio Healthy Program
Menu– $100 for Ohio Healthy Program
designation – $100 per policy
• maximum of $300
Intervention Measure
Center Policies
• Since January 2011• 26 licensed centers • 404 policies(mean=15):
– 284 nutrition• 9 breastfeeding
– 110 physical activity– 10 Nutrition and physical
activity promotion for parents
Child Care Centers & Number of Policies by Zip, Columbus, OH
Adult Obesity by Zip CodeColumbus, Ohio
29.0%
53.2%
27.7%
287.6%
Pre- & Post Intervention Measures
Menu Changes
50.1%
56.6%
Pre- & Post Intervention Measures
Menu Changes
Next Steps
• Statewide:– Incorporate Ohio’s Healthy Program criteria into
statewide voluntary quality rating systems– Enhance parent engagement efforts
• Local:– Ongoing evaluation of long-term, sustained
environmental change– Continue to seek sustainable funding source
Questions?
• Autumn [email protected]
• Cheryl [email protected]
http://publichealth.columbus.gov/healthy-children-healthy-weights.aspx