A Coordinated Approach To Child Health

A Coordinated Approach To Child Health Illinois Department of Public Health Office of Health Promotion Healthy Schools Campaign Quarterly Meeting April 13, 2005 Copyright © 2003, CATCH Program. All rights reserved. What is CATCH? A Coordinated School Health Program designed to prevent sedentary behavior, poor dietary choices, and tobacco use at the elementary school level Copyright © 2003, CATCH Program. All rights reserved. CATCH Research Trial 1991-94      Research study was called the “Child and Adolescent Trial for Cardiovascular Health” First research trial to integrate school, child & family Ethnically diverse population Four geographic areas of the U.S. – California – Louisiana – Minnesota – Texas Large number of schools (N=96) Copyright © 2003, CATCH Program. All rights reserved. CATCH Components It’s All About Healthier Kids Classroom Curriculum Physical Education Food Service Copyright © 2003, CATCH Program. All rights reserved. Family Physical Education Students will be involved in MVPA for 50% of class time  Students are provided many opportunities to participate and practice skills  Students enjoy physical activity  Students are encouraged to be physically active outside of school  Copyright © 2003, CATCH Program. All rights reserved. Classroom Curricula  3-5th grades (15-24 sessions/year)  Objectives are for students to be able to: – Identify, Practice, & Adopt healthy eating & physical activity behaviors  Focus on: – – – – – Knowledge Modeling by cartoon and peers Skills training & Self-monitoring Social skills (tobacco refusal) Social norm setting Copyright © 2003, CATCH Program. All rights reserved. Family Program  Homework done by child with parent/grown-up assistance – Focus on skills development & changing family norms – Complements the curricula  Family fun nights – health fairs with parent/child & community participation Copyright © 2003, CATCH Program. All rights reserved. Eat Smart Goals Goals of CATCH Eat Smart • Provide children with tasty lower fat, saturated fat, and sodium school meals • Maintain required levels of essential nutrients and student participation • Coordinate healthy messages with the rest of the school Copyright © 2003, CATCH Program. All rights reserved. Four Target Areas of Eat Smart     Menu Planning Food Purchasing Food Production Promotion Copyright © 2003, CATCH Program. All rights reserved. Menu Planning  CATCH Eat Smart Guidelines = USDA/School Meal Initiative (SMI) requirements –  30% kcal from fat, < 10% from saturated fat – Sodium reduction  Guidebook offers menu planning suggestions – Criteria for fat content of foods and vendor products – Menu modification suggestions – Salad bar suggestions – Ideas for healthier a la carte, school stores and vending machines  Guidebook contains 58 recipes Copyright © 2003, CATCH Program. All rights reserved. Food Purchasing  Pre-prepared foods from vendors (e.g. pizza and hamburger patties)  Produce/milk/other foods & ingredients  Commodities – supplied by Govt. – fruits and vegetables; meats; cheese or dry and canned beans; fruit juices; vegetable shortening and vegetable oils; peanut products; and others – Bonus commodities –dried fruit, applesauce, turkey, frozen apricots Copyright © 2003, CATCH Program. All rights reserved. Food Preparation Preparation Techniques – Bake potato products instead of frying – Use non-stick coating spray or pan liners instead of greasing pans – Reduce or eliminate fat and sodium added to pasta, vegetables, and rice – Defat ground beef – Make changes one step at a time Copyright © 2003, CATCH Program. All rights reserved. Promotion  Anything that integrates PE, classroom, or family with nutrition!! – Cafeteria tours – Posting Go/Slow/Whoa signs on cafeteria line – Students/teachers participate in menu planning – Taste testing/free samples – Have students design nutrition wall art, make posters – partner with teachers – Cafeteria staff cooks vegetables students grow in a garden Copyright © 2003, CATCH Program. All rights reserved. Does CATCH Work?     Reduced total fat and saturated fat content of school lunches. Increased moderate-to-vigorous physical activity (MVPA) during P.E. classes. Improved students’ self-reported eating and physical activity behaviors. Effects persisted over three years without continued intervention. Luepker RV, et al (1996). JAMA, 275(10), 768-76. Nader PR, et al (1999). Arch Pediatr Adolesc Med, 153(7), 695-704. Copyright © 2003, CATCH Program. All rights reserved. Copyright © 2003, CATCH Program. All rights reserved. The Illinois CATCH Program  A new initiative by the Illinois Department of Public Health  Debuted in January 2004  Currently 19 schools funded with approximately 6000 students participating  Approximately 100 CATCH team members have been trained in the schools Copyright © 2003, CATCH Program. All rights reserved. Criteria for Selection of Schools  Current obesity, diabetes, cardiovascular health, and environmental program efforts within the community  Previously funded for CATCH from the Illinois Health and Wellness Initiative in 1999  An expressed interest in CATCH  Geographical distribution within the state Copyright © 2003, CATCH Program. All rights reserved. Schools Received Grants To:  Train key personnel  Implement the CATCH curriculum  Purchase necessary equipment  Promote CATCH activities and the program philosophy  Host a family fun event Copyright © 2003, CATCH Program. All rights reserved. Self-Assessment and Planning  Each CATCH school is required to complete the CDC “School Health Index” Schools are required to complete a CATCH school action plan  Copyright © 2003, CATCH Program. All rights reserved. TRAINING  Provided by certified CATCH trainers  One day in length  Minimum team of 4 from each school must attend – – – – One classroom teacher (preferably 3rd grade) One physical education teacher One food service person (head cook preferred) One administrator (school nurse, principal, curriculum specialist, etc.) Copyright © 2003, CATCH Program. All rights reserved. Family Fun Activities  Schools are to host an event to promote healthy eating and physical activity  Promote family and community participation  Familiarize parents and others with CATCH activities and philosophy Copyright © 2003, CATCH Program. All rights reserved. Evaluation  SOFIT (System for Observing Fitness Instruction Time) – Used to determine the level of activity in the physical education classes – Observations occur before CATCH training to provide baseline levels – Repeated 6 mo. to 1 year after implementation – Performed by certified SOFIT observers Copyright © 2003, CATCH Program. All rights reserved. Learning Standards  The CATCH curriculum and physical education activities for grades 3-5 have been aligned with the Illinois learning standards for physical development and health. Copyright © 2003, CATCH Program. All rights reserved. Future of the IL CATCH Program  Will continue in the pilot phase for the 2005-2006 school year  Dependant upon funding, additional schools will be added in the fall of 2005  IDPH will assist with training of schools securing outside funding (other than IDPH) for full CATCH implementation Copyright © 2003, CATCH Program. All rights reserved. Model Wellness Policies  CATCH schools are well on the way towards adoption of a wellness policy. – The CATCH program promotes children’s health and well-being. – The CATCH team is a good starting point for development of a school health council. – Completion of the School Health Index also provides documentation of the school’s current nutrition and physical activity environments and plans for improvements. Copyright © 2003, CATCH Program. All rights reserved. Contact Information Jo Ambrose Illinois Department of Public Health Phone: 217-785-1053 E-mail: jambrose@idph.state.il.us CATCH website: http://www.CATCHTexas.org Look forward to the Illinois website coming soon! Copyright © 2003, CATCH Program. All rights reserved.