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We can powerpoint
1. Community Partnerships
Helping Children Maintain
a Healthy Weight
National Heart, Lung, and Blood Institute
National Institute of Diabetes and Digestive and Kidney Diseases
Eunice Kennedy Shriver National Institute of Child Health and Human Development
National Cancer Institute
2. Why we’re talking with you today
Background
– Childhood obesity
– We Can! program
Our We Can! program
plans
Why we need your help
3. Childhood Obesity: A National Public Health
Problem
1 in 3 children between the ages of 2-19 are
overweight or obese
80% of children who were overweight at ages 10-15
were obese at age 25
The current generation may have a shorter lifespan
than their parents
6. Nutrition: What Are Children Eating?
Added sugar contributes to about 16% of the total calories in
American diets
Pizza and candy consumption have increased by 425% and
180%, respectively, since 1977
On average, Americans eat less than half
of the recommended amount of fruit per day
7. Physical Activity: Are Children Moving
Enough?
Only 26% of high school girls and 44% of high school boys get
at least one hour of physical activity 5 days a week
Approximately 33% of elementary children
have daily physical education, and less
than 20% have extracurricular physical
activity programs at their schools
8. Screen Time
Nearly 30% of 0-1 year olds have a TV in their bedroom
On average, 8-18 year olds spend about 4 and a half hours a
day watching TV and movies
On average, 8-18 year olds spend about
and hour and a half on their phones
9. We Can! is a national education program –
developed by the National Institutes of Health
and designed to give parents, caregivers, and
communities a way to help children 8 to 13 years
old prevent overweight and obesity, and
maintain a healthy weight
12. Why Focus on Parents/Primary Caregivers?
Parents influence what children eat at home and act as
effective role models
The home is a primary place for children to learn about and
get nutritious food
15. Community Outreach
Through We Can!, community organizations can offer:
– Programs for parents
– Programs for youth ages 8-13
– Resources to distribute at community events
We are particularly excited to offer:
— [ADD LOCAL SITE PLANS HERE]
16. We Can! Parent Program
Communities can run this 4session curriculum for parents
and caregivers
Lessons focus on helping parents
make healthy behavior changes
at home:
– Energy balance
– Portion control
– Family physical activity
17. Youth Curricula
CATCH Kids Club – After-school program for children (K-5) –
focuses on increasing physical activity and promoting
healthy nutrition
S.M.A.R.T. (Student Media Awareness to Reduce
Television) – 3rd or 4th grade classroom curriculum
designed to reduce TV and video game usage
Media Smart Youth: Eat, Think and Be Active – A 10 lesson
curriculum for youth (11-13) that helps them understand the
connections between media and their health
SPARK PE and SPARK After School – Curricula designed to
promote physical activity in youth (K-12
18. We Can! Web site
We Can!’s Web site presents a wealth of information and
materials for all audiences
http://wecan.nhlbi.nih.gov
19. We Can! Materials
Low Literacy
Materials
Posters in
English and
Spanish
Tip Sheets
Cookbooks
20. We Can! Local Media Outreach
The We Can! Web site and Energize Our Community:
Toolkit for Action offers scripts for radio & TV, print
ads, and more
The We Can! “Reaching the Media” Toolkit offers
additional step-by-step instructions for sites to use in
contacting the media
A press kit
Ads for insertion in local press
Matte articles for local distribution
All materials available online
23. Why We Can! Needs Partnerships
Our goal is to build partnerships with groups like YOURS to
strengthen our outreach activities
Partnering together can best optimize We Can! program
recruitment/retention – which is critical to making a greater
impact on childhood obesity within OUR community
25. How We Hope You Will Help
Partners can support We Can! community sites in a variety of
ways. We’re hoping you can help by:
[INSERT YOUR COMMUNITY SITE PITCH HERE]
(See notes below for suggestions)
We are delighted to speak with you today about We Can! – a program that we are very excited about and thrilled to participate in.
We Can! is a national obesity-prevention program developed by the National Institutes of Health. Today as we go through this presentation together we will be providing background on the overall issue of childhood obesity and the We Can! program.
Next we will discuss what we are doing as a We Can! community site such as (Insert some short examples of how you plan to implement the We Can! program such as providing the parent program, hosting community events, etc.).
Finally, we will talk about why we need your help and ways we think you can help us make a difference in our community.
The rise in obesity among children has become a national issue. Some startling statistics on the topic include:
In addition to data showing that one in three children and youth are overweight, there is a high likelihood of obesity transfer from adolescence into adulthood.
In just 30 years, obesity has more than doubled among children ages 2-5, has nearly tripled among youth ages 6-11, and more than tripled among adolescents ages 12-19.
Health consequences associated with obesity are increasingly being seen in children including, heart disease, asthma, high blood pressure, and type 2 diabetes*.
Slide Bullet Sources:
Ogden, C L, Carroll, M, Kit, B, & Flegal, K. (2012). Prevalence of Obesity and Trends in Body Mass Index Among US Children and Adolescents, 1999-2010. Journal of American Medical Association, 307(5):483-90.
Centers for Disease Control and Prevention. (2010). Trends in Childhood Obesity. Childhood Overweight and Obesity. Retrieved from http://www.cdc.gov/obesity/childhood/trends.html
Flegal, K M , Graubard, B I , Williamson D F , et al. (2005) Excess deaths associated with underweight, overweight, and obesity. Journal of the American Medical Association, 293(15), 1861-1867 .
*Copy Source: (Source: National Center for Health Statistics: Prevalence of Obesity Among Children and Adolescents: United States, Trends 1963-1965 Through 2007-2008.)
There are many complex reasons for the increase in obesity rates. The most direct influences on childhood obesity are behavioral factors that correspond directly to the way American lifestyles are evolving. We are now:
Spending more time in front of a screen, living more sedentary lifestyles;
Less physically active – more likely to sit our children in front of the TV or computer, instead of sending them outside to play; and
Consuming more calories as a result of increased portion sizes, eating out more often, and consuming more sugar-sweetened beverages.
Further, there are secondary factors that contribute to, and complicate, obesity rates. These include, but aren’t limited to:
A lack of built environments that encourage physical activity – limited access to safe play areas, parks, and bike and walking paths;
Limited access to healthy/nutritious food options including fresh fruits and vegetables – the growing prevalence of food deserts. Of all U.S. households, 2.3 million live more than a mile from a supermarket and do not have access to a vehicle*; and
Cultural influences that impact both perceived risk of obesity as well as approaches to food preparation and choices.
We will talk about all of these in more detail.
*Copy Source: U.S. Department of Agriculture. (2009). Access to Affordable and Nutritious Food. Retrieved from
http://www.ers.usda.gov/Publications/AP/AP036/
This chart shows the breakdown of obesity rates by race, ethnicity, and gender. The latest data continues to suggest that overweight and obesity rates are having a greater effect on minorities, including blacks and Hispanics.
Source: National Center for Health Statistics. Prevalence of Obesity Among Children and Adolescents: United States, Trends 1963-1965 Through 2007-2008.
We Can!’s core focus is on nutrition, physical activity, and screen time. As you can see from these statistics, the American diet plays an important role in the current obesity epidemic.
Added sugar, as referred to in the first statistic, includes: sugars, syrups, and other calorie-adding sweeteners that are added to foods during preparation, or eaten separately. Examples include: brown sugar, corn syrup, fruit juice concentrate, honey, and molasses. These types of sugars are often added to otherwise healthy foods, like syrup added to fruit in the packaging process.
Slide Bullet Sources:
U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2010. 7th Edition, Washington, DC: U.S. Government Printing Office, December 2010.
L. Cleveland USDA; NFCS 1977-2978 and WWEIA, NHANES 2001-2002 survey.
U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2010. 7th Edition, Washington, DC: U.S. Government Printing Office, December 2010.
As you can see from these statistics, lack of physical activity is also a major factor in the current levels of obesity prevalence.
Slide Bullet Sources:
Centers for Disease Control and Prevention. National Youth Risk Behavior Surveillance—United States, 2007.
U.S. Department of Health and Human Services. (2005). ASPE Childhood Obesity White Paper. Retrieved from http://aspe.hhs.gov/health/reports/child_obesity/index.shtml
Screen time and media consumption start at an extremely young age. Screen time includes: television, video games, computers, and smart phones. The more screen time, the less opportunity for physical activity.
Slide Bullet Sources:
1. Common Sense Media. (2011). Zero to Eight: Children’s Media Use in America.
2. Kaiser Family Foundation. (2010). Generation M2: Media in the Lives of 8-18 Year-Olds. Retrieved from: http://www.kff.org/entmedia/upload/8010.pdf
3. Kaiser Family Foundation. (2010). Generation M2: Media in the Lives of 8-18 Year-Olds. Retrieved from: http://www.kff.org/entmedia/upload/8010.pdf
We Can! provides tools, fun activities, and resources to help families and communities to encourage healthy eating, increased activity, and reduced screentime. It includes programs, partnerships, and local media outreach efforts with the goal of bringing entire communities together to help children maintain a healthy weight.
There are three specific behaviors that We Can! emphasizes:
Improving food choices;
Increasing physical activity; and
Reducing screentime.
The We Can! program is developed around these three pillars and arms communities with resources they need to help parents and caregivers implement healthier lifestyle choices.
We Can! is a collaborative effort of four Institutes within the National Institutes of Health. The National Institutes of Health (NIH) is the federal agency responsible for supporting and funding medical research throughout the country. NIH is made up of more than twenty Institutes and Centers.
These institutes that support We Can! include the:
National Heart, Lung, and Blood Institute (NHLBI);
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK);
National Institute of Child Health and Human Development (NICHD); and
National Cancer Institute (NCI).
The National Heart, Lung, and Blood Institute leadsWe Can!.
We Can! is a science-based program that was developed through an extensive strategic planning process based on input from previous NIH programs, scientific and community input, and a review of current programs and research. (Details of this process can be found online at:
http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/about-wecan/background.htm)
We Can! has two primary target audiences: parents and youth. Parents are a critical audience for We Can!. Studies show that parents are effective influencers concerning obesity. They impact what children eat at home, are the primary source of nutrition, and act as effective role models for their children. Parents are eager for resources, tips, and help.
As you can see, there are communities across the country implementing We Can! and we are excited to join this network and help our community live healthy lives. Over 1,500 sites have committed to We Can! programming since 2005 in diverse rural, urban, and suburban settings within the U.S. This includes community sites in all 50 states and several U.S. territories.
In addition, many countries have also participated including: Antigua and Barbuda, Australia, Bangladesh, Canada, Fiji, Greece, India, Israel, Nigeria, Puerto Rico, the Philippines, Spain, and Uganda.
(Community Site data based on October 2011)
We Can! can be implemented in a variety of settings including: schools, park and recreation departments, hospitals, health systems, and public health departments. Through We Can!, organizations like ours can offer programs for parents of youth ages 8 to 13, programs for youth ages 8 to 13, and community events, all of which use and disseminate national materials.
We are particularly excited to offer [Describe your community site plans for implementing We Can!]
The We Can! parent program, Energize our Families, is implemented by community sites and focuses on three topics: smart eating, increased physical activity, and reduced screen time. The program consists of four flexible “how-to” sessions. Each session includes activities, handouts, and resources for the parent to put into practice at home.
If your community site has/is implementing the parent program, please discuss your successes and future plans while this slide is up.
When sharing think about: How many parents participated?, Where were the sessions held?, Which activities did the parent participants liked best?, Are there any memorable stories to share?, Did you have any communications with parents about program effectiveness?
Youth curricula are offered to communities as either after-school or school based programs that they can provide to children.
CATCH Kids Club, based on the successful in-school program, CATCH, is a physical activity and nutrition education program for elementary school-aged children (grades K–5) in afterschool and summer care settings. By changing the environment in schools, homes, and recreation programs, it helps children adopt healthy dietary and physical activity behaviors. The program includes a curriculum, physical activity, and snack component.
S.M.A.R.T. is a 3rd or 4th grade classroom curriculum designed to motivate children to reduce TV watching and video game usage. The curriculum is intended to be used over the course of the school year and includes all the lesson plans and tools needed.
Media-Smart Youth: Eat, Think, and Be Active!, focuses on helping youth, ages 11 to 13, understand the connections between media and health. It includes 10 lessons with activities that explore media, nutrition, or physical activity topics. The curriculum concludes with a Big Production—an opportunity for participants to use what they have learned to create a media project designed to motivate other young people to take action for better nutrition or increased physical activity.
SPARK PE and SPARK After School is a Physical Education, After School, Early Childhood, and Coordinated School Health program for teachers and recreation leaders serving Pre-K through 12th grade students. Each SPARK Program provides a coordinated package of highly active curriculum, on-site staff development, extensive follow-up support, and expert selected, content-matched equipment.
If your community site organization has/is implementing any of the youth curricula, please take this slide to discuss your successes and future plans. When sharing think about: How many students participated in the program?, Are there any memorable stories to share?, Did you receive any feedback from the children who participated?
You can remove the text and icons on any programs you are NOT implementing, if you wish.
We Can!’s Web site presents a wealth of information and materials for all audiences including communities, parents, and youth. Resources include curricula, factsheets, tips, a BMI calculator, and more. The Web site also provides updates on current activities from the We Can! program and its community sites and partners.
If your community site organization frequents the Web site, please take this slide to share your experience. Does your community have a favorite tool or resource that can be found on the Web site? Does your community site share or link another page to the Web site?
The national We Can! program provides a host of resources and programming materials, most of which are available for free download from the Web site. These include tip sheets, curricula for youth and parents, recipes and cookbooks, and promotional items such as posters and Web banners.
If your community site organization uses print materials please take this slide to describe your experiences. When sharing think about: Which resources does your site use most frequently?, In what capacity do you use them?, Who is receiving the materials?
Media outreach takes place on both the national and local level. National media outreach leverages We Can! throughout the country and creates awareness about the program and community sites. Local media outreach is conducted by us, the community site, and creates awareness about our programs and local partnerships; and encourages participation within the community.
Outreach includes working with our local newspapers, TV, and radio stations to post information about our upcoming programs. To help us work with the media, the We Can! Web site and Energize Our Community: Toolkit for Action offers pre-written articles and scripts suitable for radio, television, and print for local media.
Please use this slide to inform potential partners about your current media outreach efforts.
Have you worked with your local newspapers, TV, or radio stations to post information about your upcoming program? Have you considered featuring a family to talk about the positive changes they made by attending the We Can! Parent Program?
For more tips and ideas, check out the We Can! Web site and Energize Our Community: Toolkit for Action which offers pre-written articles and scripts suitable for radio, television, and print that you may offer to your local media.
On a local level, we are working to build partnerships with groups like yours to strengthen our outreach activities. Partnerships are important and allow us to meet our goal of building awareness of, and action around youth-related obesity prevention. They are essential in reaching as many parents, caregivers, and youth as possible.
There are many benefits to participating in We Can! including these examples:
Being a part of an effort that can produce positive changes for residents and families can help people recognize your organization as one that is actively involved in the community. Partners are also often recognized as a good citizen and leader within our community which in turn can help drive traffic to your business. We also include partners in materials and information that we as a community site distribute.
Also, participating in We Can! provides partners with credibility and legitimacy due to the sound science-based research approach of NIH in regards to the obesity prevention issue.
Please use this slide as a prompt to provide detailed information on the benefits of partnering with YOUR community site. For example, are there any events that will include partners?
There are many ways to become involved with We Can!. Each partner can provide support through activities that are specific to that organization’s interests and capacity/resources.
Customize the slide with specific ideas of how this potential partner can help you execute your We Can! program or planned activities. Some samples of possible activity include:
Giveaways (e.g., healthy snacks, memberships)
Volunteer/staff support
Facilities/space for meetings or events
Materials and supplies
Promotion and/or publicity
Participant recruitment
Skills/expertise
Access to media
Financial resources
Training support
Thank you for allowing me to talk to you today. I’d like to hear from you. Did you have any questions? I presented a few partner ideas and potential collaborations. Knowing what you now know about We Can!, how do you think your organization might be able to participate?
[Open discussion]