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2011-Caldara-CATCH

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					                  CATCH
Coordinated Approach
   To Child Health

 Center for Health Promotion and Prevention Research
  University of Texas-Houston School of Public Health

             FlagHouse, Inc., Publishers


       Presenter – CAROL CALDARA, MA CHES
CATCH®
Coordinated Approach To Child Health
                CATCH
   A child health       Coordinated
    promotion             Approach
    program
    resource for :
   Schools K-8          Physical activity
   Afterschool and      Nutrition education
   Preschools           Cafeteria
                         Family
                 CATCH
   Research and development – began in 1991

“ Child and Adolescent Trial for
  Cardiovascular Health” original study
  funded by NIH

 A Multi year study– 96 schools in 4 states–
 designed to impact health behaviors and
 reduce risk of heart disease !
 4 components – PE, classroom, cafeteria and
 family -coordinated approach
Basic Assumption:
Behavior change is influenced or
determined by the environment –
            because,
     environments value and
    reward certain behaviors.
              CATCH
       Research was funded by
National Heart Lung & Blood Institute
• Collaborative work of 4 major universities:
  –   University of Texas
  –   University of California
  –   University of Minnesota
  –   Tulane

  – “ largest school based health promotion study
    ever done in the US !
Overweight Children and Adolescents:
             NHANES
                    Equal or greater than 95% age/sex CDC Growth Charts
% overweight




               20
               15
               10
                5
                0
                        63- 71-74         76-80     88-94       99       2002         2004
                     65
                     66-70
                                            Years of Survey

                                      6-11 years         12-19 years

                                         Source: Medline, 2006
                    Ogden et al. JAMA;195:1549-55, Hedley et al. JAMA;291:2847-2850
          Obesity* Trends Among U.S. Adults
                     BRFSS, 1991
               (*BMI  30, or ~ 30 lbs overweight for 5’4” person)




No Data      <10%       10%-14%            15-19%          20%
 Obesity Trends* Among U.S. Adults
            BRFSS, 2007
                 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)




No Data   <10%      10%–14%    15%–19%    20%–24%   25%–29%    ≥30%
What can happen to a child
 with a poor diet and not
enough physical activity?
Complications of Obesity in
        Children
Psychosocial Effects & Stigma
 – Eating disorders
 – Poor self esteem
Growth
Hepatic steatosis (liver fibrosis)
Gall stones
Hypertension (high blood pressure)
Sleep apnea
Orthopedic complications (bones and cartilage
aren’t strong enough for excess weight)
Polycystic ovarian disease
Asthma
Type 2 diabetes
         Eating Behaviors
• What is the most influential factor that
  determines how much children and adults
  eat???
  A. Hunger
  B. Mood
  C. Portion Size
  D. Time of Day

            C. PORTION SIZE
  National
 Geographic,
August 2004;
 The Heavy
 Cost of Fat,
    p. 59
       Shifts in Physical Inactivity
• Increase in screen time –
  Television, Internet, Computers

• Less PE minutes in schools

• Less outside play –
• Kids stay in – don’t play outside

• Only ½ of all American youth
  regularly participate in vigorous
  physical activity

   –   Youth Risk Behavior Survey
 CDC’ Coordinated School
      Health Model
                     Health Education
         Family &
        Community                       Physical
       Involvement                      Education


  School-site
Health Promotion                            School Health
    for Staff                                 Services



       Healthy                          School Nutrition
       School                              Services
     Environment        School
                      Counseling &
                     Social Services
CATCH Components
     It’s All About Healthier Kids

Classroom                      Physical
Curriculum                    Education




  School
 Nutrition                     Family
 Services
                  CATCH
                 Is Fun !
  Children are moving and learning healthy
  behaviors
• Everyone can be successful – no
  elimination
• Opportunities to participate and build
  healthy physical activity and nutrition skills
                CATCH
• CATCH puts a high“ Value” on Children’s
  health in school and after school.
• Increases collaboration of staff, admin,
  parents toward coordinated school health
• Provides plan for coordination, curricula
  for nutrition, PE and cafeteria
• Impacts school culture, improves health
  environment and health behaviors
        Does CATCH Work?
CATCH studies revealed:

• Students Increased Moderate to Vigorous Phys
  Activity(MVPA)

• Improved’ student -self-reported food choices and
  physical activity levels

• Improvement in healthy school lunch offerings

• Health Behaviors learned in elementary school
  stuck in adolescent years.
).
       CATCH MODEL
    WHY is CATCH effective ?
• Social Cognitive Theory – Environmental
  personal and behavioral factors influence health
  behaviors.
  Reciprocal Determinism –

  Observational Learning- Role Models, Practice

• Self Efficacy – Build self confidence to adopt
  healthy behaviors

• Extrinsic Reinforcement and Self Modulation
                CATCH

Improvement in health behaviors stuck !



Sustainability increased with
• 1. Program Champion
• 2. Staff Training
• 3. Administrative Support and Resources
        CATCH cited
      EL PASO TEXAS
           Regional
Reduction of Childhood Obesity
              -
    CATCH in El PASO- 8 year
    funded by Paso Del Norte
• 1997-2005 CATCH El Paso included
  training and materials for 162 schools –
• 14 districts with full-time program
  coordinators.
• Result in significant increase in physical
  activity - decrease of dietary fat and
  reduction of obesity rates.
    PASS & CATCH Improves
     Academic Achievement
Recent Study -Nancy Murray lead-..Univ. of Texas -

• 60 minutes per school day of physical activity –
  included CATCH and Take 10 –
• Increased physical activity during school day
  improved achievement test scores and
• Stanford Math scores improved significantly !
  Reading scores increased also.
                    CATCH
                  Advocated by
•   Action for Healthy Kids
•   WE CAN
•   Alliance for Healthier Generation
•   Robert Wood Johnson –
•   Leadership for Healthy Communities
• Utilized by YMCA’s, Boys and Girls Clubs,
• Parks and Recreations, Save the Children,
• Nemours, Texas Education Association and many more ..
                  CATCH
 Recognized as a program that works by:
• US Department of HHS - Secretary’s Award
• Centers for Disease Control - Community
  Guide
• Robert Wood Johnson Foundation
• Institute of Medicine (IOM Report)
• NHLBI
• National Cancer Institute
• National Governor’s Association
• CDC – Public Health Grand Round
                 CATCH


• Implemented in Do D schools in
  Germany and Japan military base
  in elementary schools for past 5 years.
CATCH Physical Education
    • Opportunity for Moderate to
      vigorous physical activity 50% or
      more of class time
    • All non-elimination activities!
    • Opportunities to observe,
      participate, practice new skills and
      have fun.
    • Students are encouraged to be
      physically active outside of school
        CATCH Physical Activity
EASY TO PRE-PLAN ACTIVITIES

Effective class management
techniques.

Form groups, establish boundaries,
observe, practice, build skills and
confidence

FUN without realizing how physically
active they are during play.
   EAT SMART - Child Nutrition Services
• Helps guide nutrition
  staff to plan, purchase,
  prep and promote
  healthy school meals.
  Link classroom nutrition
  messages to cafeteria.
  USDA school meal
  initiative alignment.


               GO SLOW WHOA
                     CATCH –

Eat Smart – School Nutrition Guide

• Aids in planning, purchase, prep
  and promotion of school lunch
  and programs.
• Elevates importance of cafeteria
  on impact of student health for
  meals and nutrition education.

  Help train and guide school
  nutrition staff for continued
  improvement and collaboration
               CATCH –
              EAT SMART
– Cafeteria tours for parents and students

– Posting Go/Slow/Whoa signs

– Have students design nutrition wall art,
  make posters – partner with teachers

– Cafeteria staff cooks vegetables students
  grow in a garden
– Taste testing/ samples healthy foods
GO SLOW WHOA
Message/Theme
       GO –SLOW -WHOA
Helps children make healthy food choices
• GO    foods – are everyday foods
• SLOW foods – higher in fats and sugars
       than GO foods – 5-7 x week ok
• WHOA foods – highest in fats, sugar,
         processed -
  Brownsville I.S.D.




 Dr. Michael Zolkoski
  Superintendent




 CATCH CHAMPION
DISTRICT CONTACT
    Ms. Liz Avitia
956-548-8258 (phone)
       CATCH “Go For Health”


   Nutrition classroom K-5 curricula
• Plus 4th Grade has P.A.S.T Putting a Stop to
  Diabetes
• 5th Grade FACTS ( Facts and Activities about
  Chewing Tobacco and Smoking
      CATCH Middle School
• Physical Education – 6-8 curricula –
• 500 -600 moderate to vigorous PE
  activities

• NEW – “ LIFE IN THE BALANCE”
  CATCH 6-8 classroom curricula

• Middle School Training available
                     NEW
              CATCH Coordination Kits
•   6 week themes
•   Specific tasks and resources for:
    Principals/Administrators,
•   Classroom Teachers,
•   Child Nutrition staff,
•   PE Teachers,
•   Parent Leaders


       “Making the healthy choice the easy
       choice…”
    CATCH KIDS CLUB
            AFTER SCHOOL

Nutrition       Snack      Physical
Sessions       Recipes     Activities
  CATCH Kids Club
    after school !


Healthy Nutrition Education and
      Physical Activity Kit
               for
 After School and Community
      Recreation Settings
           CATCH Kids Club –
             after school!
• In YMCA’s, Park & Recreation, Boys & Girls Clubs,
  & Save the Children

• 325 physical activities and 32 nutrition activity
  lessons build healthy habits

• Parent take home tip sheets - English/Spanish

• Statewide Implementation - NJ YMCA – 280 sites –
  and Delaware –( Nemours) etc. Rochester NY Y’s
                WE CAN
• National Heart Lung and Blood
  Institute efforts to get families and
  communities active and eating right.

• Promotes CATCH Kids Club !



• Makes it FUN and Easy to adopt
  healthy behaviors
     NJ – YMCA “ Healthy U”
• Horizon Health Foundation for NJ –
  Sponsors CATCH Kids Club in 380 Y
  afterschool sites in NJ –
  Now in 3rd year-
  18 month – 86-96 % implementing
  nutrition
  90-100 % implementing physical activity
           NEW !!!!!
    CATCH EARLY CHILDHOOD
•   10 Intro to Gardening Lessons
•   9 Nutrition Activity Lessons –
•   240 Physical Activities –
•   Parent tip sheets in English and Spanish
10 Garden Lessons for age 3-5
• I’m Tom the Tomato

• Digging and Planting

• Plants need nutrients too.

• Learn photosynthesis –
• Make salad and dips from growing their
  own veggies.
     CATCH Early Childhood
• Designed for child care settings – for ages
  3-5 years.
• Encourages healthy eating, love of
  physical activity, movement and gardening
  intro.
       CATCH Early Childhood
• Tested in Houston Head Starts with fidelity
  and good application results

• Formulated by team of University of TX –
  Advancement of Healthy Living - & Rae
  Pica – early childhood expert
  Why Do We Need A
 Program Like CATCH?
• Health behaviors are
  established in childhood
• Reduce chronic diseases risk at
  early age – PREVENTION!
• Well nourished, healthy
  children learn better
• CSH programs improve health
  behaviors in children
 A Public Health Approach to
     Obesity Prevention

Intervention
  Efficacy
                 Public Health
    X              Impact!
Population
 Reach
             CATCH Environment
1.   HEALTH as a VALUE !

1.   Opportunities to develop healthy habits

3.   Positive role modeling, incentives and
     reinforcements

4.   Staff training – take continuous
     coordinated steps toward wellness and
     promoting healthy environment
        CATCH Training

CATCH   STAFF TRAINING

MAKE CATCH a Success in your
community !
                   TRAINING
  Certified CATCH Trainers – provide onsite
• 1. School
• 2. After school
• 3. Early Childhood

• Staff Training & Train-the-Trainer available plus
• NEW – Online versions available
                            CATCH
CATCH Trainings, Program and Equipment-


         CAROL CALDARA, MA CHES
         National CATCH Specialist
         201-329-7513
         carol.caldara@flaghouse.com



-   FLAGHOUSE, Inc. – Publisher & Distributor   800-793-7900
         CATCH Support
        Resources:

        www.catchinfo.org
              and
        www.catchtexas.org
        for evaluation tools


CATCH Monthly Newsletter – sign up at
www.catchinfo.org

				
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