1. Running Head: FINAL REPORT 1
Health Promotion Project in Program Planning
Childhood Obesity in ages 5-12 in 75215
Samantha Dunn, Sydney Hill, Hatice Kuzu, and Abigayle Martinez
Health Studies 3073.50: Program Planning
Summer 2015
August 6, 2015

2. FINAL REPORT 2
Priority Population
Demographics. Dallas is ranked the second largest city in Texas. The county covers over
879.6 square miles with 2,760 population per square mile with a total population of 2,427,813
(Texas Department of State Health Services, 2015). Table 1.1 in Appendix A shows the largest
age group is the 25-29 years of age for both female and males. According to the 2010 United
States Census Bureau (2015b), the average age for men is 31.6 and women 33.4. Within a
household, a family setting is the largest group at 65.4% and lowest setting is male with children
with no wife or mother present at 9.1%. This could explain why the owner-occupied housing
units is the highest percentage in housing tenures with 53.2% and renter-occupied housing units
at 46.8%, when compared to overall population percentages (United States Census Bureau,
2015). Dallas has a wide variety of ethnic backgrounds. The top three are White (53.5%),
Hispanic (38.3%), and African American (22.3%). (Refer to figure 1.1 below) This data stays
true on the state and national level. The demographics in Texas rank white (44.0%), Hispanic
(38.4%), and African American (12.4%) (United States Census Bureau, 2015b).
Figure 1.1: Race demographics for Dallas County
Source: United States Census Bureau (2015a)
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
Race

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Dallas County had a 3.9% job growth increase in 2015, the fastest job growth in Texas (refer to
figure 1.2 in Appendix B). Job increases were found in hospitality, business professionals, health,
education, transportation and utilities (United States Department of Labor, 2015).
The leading cause of death for Dallas County is heart disease followed by all types of cancers
(refer to Table 1.2 in Appendix C). Overall, Dallas has a health ranking of 122 out of 237 when
compared to other counties in the state. Dallas has a life expectancy of age 68 (Robert Wood
Johnson Foundation Program, 2015).
At a 77% high school graduating rate, Dallas has the lowest rate compared to other
counties in the state (Town Charts, 2015). But according to the Dallas Independent School
District (2015), it’s the nation’s fastest improving school district. The district has 160,000
students within 224 schools. The School for the Talented and Gifted and Yvonne A. Ewell
Townview Center’s school of Science and Engineering are the top two rated schools within the
district. In the advanced placement exams students are scoring a 3 or above, which is an increase
in the last 6 years. Since 2008, 14 new schools have been built and a majority of schools have
been renovated (Dallas Independent School District, 2015).

4. FINAL REPORT 4
Figure 1.3: Education level for Dallas County
Source: Town Charts (2015)
Key Health Issue
Following some of the demographic finds in Dallas County, the health issue that has been
chosen as the main focus of the program is childhood obesity ages 5-12. Overweight in
childhood is defined as, “…a BMI at or above the 85th percentile and below the 95th percentile
for children and teens of the same age and sex. Obesity is defined as a BMI at or above the 95th
percentile for children and teens of the same age and sex” (Centers for Disease Control and
Prevention [CDC], 2015). Due to the changes children go through as they grow, the BMI is
based on age and sex and in comparison to children of the same age and sex (CDC, 2015). The
program aims to attempt to change the demographics in relation to this issue, while addressing
underlying issues and causes relating to childhood obesity in Dallas County. For example, the
intention is to target unique and various factors that encourage and contribute to childhood
obesity. In doing so, children can learn how to adopt healthier lifestyles and habits to influence a

5. FINAL REPORT 5
change in the area’s demographics, by becoming a healthier weight and increasing their overall
well-being. Childhood obesity has become a top priority due to the rising figures of obesity in
children. The CDC found that the prevalence of obesity in children is 17% in the United States,
15.7% in Texas, and 36% of children in Dallas County (CDC, 2013; Landers, 2012). In addition
to the prevalence of childhood obesity, research has shown a correlation between income and
health and this further justifies the need to address childhood obesity in the 75215 zip code. The
socioeconomic status of Dallas County is ranked 191 out of the 254 counties in Texas (National
Institute for Children’s Healthcare Quality [NICHQ], 2010). This puts the children and their
health, in this area, at a disadvantage. The CDC found that, "….obesity prevalence was the
highest among children in families with an income-to-poverty ratio of 100% or less, household
income that is at or below the poverty threshold” (CDC, 2012). The cost per child due to lifetime
medical costs is an estimated $19,000 (Duke Global Health Institute, 2014). In order to prevent
chronic health problems in adulthood, it is important to address the health and habits of children
at a young age. Research has shown that implementing health promotion interventions early in
life, “…can help young children establish healthy eating and activity habits during a
developmental phase that is especially important for habit formation [because] habits acquired
early can track into adulthood” (Reynolds, Cotwright, Polhamus, Gertel-Rosenberg, & Chang,
2014, p. 1). After analyzing the research and demographics in Dallas, the program has decided
to narrow its focus to children age 5-12 located in a low income neighborhood in South Dallas,
zip code 75215.
Healthy People 2020. Over the past 30 years, childhood obesity has more than doubled
in the United States (CDC, 2014). It stems a multitude of health concerns. Obese children are
have an increased risk of type 2 diabetes, impaired glucose tolerance, high cholesterol and high

6. FINAL REPORT 6
blood pressure (CDC, 2012). As mentioned earlier, addressing these issues early in life can help
nourish a healthy lifestyle into adulthood. The Healthy People 2020 mentions that in order to
decrease the overall prevalence of obesity, initiatives need to be taken to decrease the prevalence
in childhood obesity. Healthy People 2020 also works around the thought that when children are
obese, “…they are also likely to stay overweight or obese into adulthood” (United States
Department of Health and Human Services [HHS], Healthy People 2020, 2015). Additionally,
childhood obesity puts them at a greater risk of health problems and serious chronic diseases as
adults (HHS, Healthy People 2020, 2015). The likelihood of high cholesterol and high blood
pressure puts obese children at risk for cardiovascular disease (CVD). For example, research
found that 70% of obese children already had at least one risk factor for CVD and 39% of obese
children had two or more risk factors (CDC, 2012).
Obese children are more likely to have joint, bone, and breathing problems such as
asthma (NIH, 2011). If left untreated, obese children are likely to be obese adults. Adult obesity
is associated with a number of serious health conditions including diabetes, stroke, heart disease,
and some cancers (CDC, 2012). Childhood obesity also has a psychological and social effect. It
can cause poor self-esteem, school bullying, social stigma, emotional eating, depression, and
discrimination. These concerns are on a personal and psychosocial level, which can cause serious
psychological stress.
Community Partner
In order to help establish a program within Dallas County, to help promote the
importance of a healthier lifestyle with the goal of preventing childhood obesity, a partnership
should be made to produce more significant results within the priority population. The
community partner chosen was an organization called The Dallas Area Coalition to Prevent

7. FINAL REPORT 7
Childhood Obesity. This organization aims to “promote healthy lifestyles in Dallas area children
through physical activity and nutrition (Community Council of Greater Dallas [CCGD], n.d.-a).
The program works to “encourage children and families to adopt the daily behaviors in the 5-4-
3-2-1 Go!® Program” (CCGD, n.d.-a). The person to contact would be Sonia White. Mrs. White
is the Associate Executive Director for Coalitions and Planning. She can be reached by email at
swhite@ccgd.org or by telephone at 214-954-4212 (CCGD, n.d.-a). This organization seemed
ideal to partner with because they address a similar health issue and can strengthen the programs
initiatives due to their experience and knowledge on the issue in this specific area. Furthermore,
this organization partners up with many different organizations which can provide a greater
number of resources and knowledge base to build a successful program and initiatives. This
partnership will assist in creating a program that targets enhancing the quality of life of those
affected by childhood obesity within Dallas County, zip code 75215.
The Dallas Area Coalition to Prevent Childhood Obesity is one of the multiple health
initiatives the Community Council of Greater Dallas (CCGD) implements throughout the county.
The mission of the CCGD is to serve the community by providing leadership in the following
areas: “determining priority issues solutions in the human services arena, convening partners to
significantly impact service delivery, and increasing awareness of and access to services (CCGD,
n.d.-c)”. They are located in Dallas, Texas 75247 within the Mocking Bird Towers at 1341 W.
Mockingbird Lane, Suite 1000W. The organization can be reached by telephone at 214-871-5065
(CCGD, n.d.-b).
Based on the literature, it is important that one “gain the support of key people in order to
obtain the necessary resources to ensure that the planning process and the eventual
implementation proceed as smoothly as possible” (McKenzie & Neiger, 2013, pg. 19). In order

8. FINAL REPORT 8
to gain the support of high level individuals, such as the CCGD, it is critical to promote the need
for the establishment of a program that enhances the quality of life of those affected by
childhood obesity within Dallas County. This can be done by creating a program rationale. The
Dallas Area Coalition to Prevent Childhood Obesity is seen as an ideal organization to partner
with due to the success of their prior programs, implemented by the CCGD. The first initiative,
Vickery is Active, began in 2007 and this was their first effort for preventing childhood obesity.
The program included walking groups, walking paths, cycling clubs, and extracurricular fitness
(CCGD, n.d.-d). This initiative is located close to the target zip code, 75215, which makes the
Coalition's an ideal community partner because of their knowledge and experience with the area.
Key Leaders and Supporters
A key leader/stakeholder is described as “any person or organization with vested interest
in a health program, usually decision makers, program partners, or clients” (Mckenzie, Neiger,
and Thackeray, 2013, p. 12). In order for a program to be successful, key leaders and their
specific skills should be identified and utilized. Furthermore, individuals in the priority
population need to be interviewed in order to gain a greater understanding of how to better
influence this community. These steps provide a stable foundation to build a strong program to
help decrease childhood obesity within the 75215 zip code.
Key Leader Interviews. One individual that the program identified as a stakeholder is an
employee in the City of Garland’s Public & Media Relations Department. Her name is Tralana
Pollard and her email interview can be found under Appendix D. She is passionate about helping
not only those in her community but educating those all over the metroplex about healthy
lifestyles. Although this part of Dallas County is farther from the priority population, Ms. Pollard
works with the City of Garland to provide insight to other city leaders into possible wellness

9. FINAL REPORT 9
needs in those communities. As stated earlier, South Dallas, specifically 75215, is burdened by
unhealthy lifestyles and its negative effects. For this reason, leaders have an important job to
help change those negative behaviors and, in turn, provide healthy environments for children to
learn how to live a healthy lifestyle, free from chronic diseases. For the last 20 years, Ms. Pollard
has participated and contributed to the Summer Nutrition Program (SNP) offered every year by
the City of Garland. This program, “…provides free, nutritious meals to children who may not
have a balanced meal otherwise” (T. Pollard, personal communication, June 23, 2015). In
addition to educating on a balanced diet, the program focuses on physical activity. They
accomplish this by, “…coordinating games, learning activities, and group projects to encompass
the ‘physical activity’ aspect of wellness” (T. Pollard, personal communication, June 23, 2015).
The SNP is a great tool for the community members and can be expanded to the priority
population identified in South Dallas. The SNP already has several meal sites in Garland with a
few in Rowlett. By coordinating with the leaders associated with the SNP, meal sites can be
created in the 75215 neighborhood and entire families can participate in these free programs. In
addition to providing a family friendly atmosphere, all members of the family can learn ways to
alter their quality of life by engaging in healthy behaviors. As Ms. Pollard mentioned, children
adopt unhealthy lifestyles because they have grown up around family members that set negative
examples. “A child’s early years should not have to begin with unnecessary struggles from
learned behavior” (T. Pollard, personal communication, June 23, 2015).
Sonia White has also been chosen as a valid stakeholder due to her position within the
Dallas Area Coalition to Prevent Childhood Obesity. An over-the-phone interview was
conducted with Sonia White. The questions asked to her during the interview were the same as
those asked in Appendix D. Mrs. White is the Associate Executive Director of Coalition and

10. FINAL REPORT 10
Planning. As the Associate Executive Director, she represents the Community Council of Greater
Dallas in various coalitions across the metroplex of Dallas, Texas. She oversees the membership
and communication of all members. It is her job to arrange for any guest speakers, and she also
oversees federal grants for children’s health and health outcomes. When asked about the
importance of childhood obesity for children ages 5-12 within zip code 75215, Mrs. White stated
that there was a “very high concern” (S. White, personal communication, June 24, 2015). She
mentioned that Dallas has one of the highest rates of childhood obesity within the state of Texas.
She feels that in order for change to be implemented for the better, health organizations need to
be on the same page regarding childhood obesity. A great example that she spoke of was how
health educators came together to reduce the rates of smoking. Mrs. White stated that once upon
a time smoking was socially acceptable; however, it has slowly become less and less of the norm
thanks to everyone working together to educate individuals about the deadly effects of smoking.
Mrs. White was asked, “in what way(s) would you be able to partner with us in offering a health
education/ promotion program that addresses childhood obesity for children ages 5-12 within zip
code 75215?” Mrs. White shared that the Dallas Area Coalition to Prevent Childhood Obesity is
a product of the Community Council of Greater Dallas (CCGD). The way they are structured is
to act as a sounding board that gathers collectively to exchange knowledge regarding
programming. The CCGD does not directly help implement a program; instead, its members help
by providing knowledge and support. Mrs. White mentioned that a great place for one to present
their program would be at the Get Kids Fit. This is an annual function held to showcase what
individuals and organizations are doing to help prevent childhood obesity. It also serves to help
educate parents and their children. Mrs. White suggested that one can use this as an opportunity
to present their program, run a booth, or solely volunteer their time. Mrs. White additionally

11. FINAL REPORT 11
added to the interview that in order for change to be implemented in eradicating childhood
obesity, one must understand that obesity tends to be generational. It affects not only a child, but
their parents, grandparents, and so forth. One must address obesity as a family issue to help the
generations to come. This can be done by teaching families the benefits that come from home
cooked meals. (S. White, personal communication, June 24, 2015).
Priority Population Interviews. In addition to coordinating with key leaders to better
this program, members of the priority population were also interviewed in order to gain a better
understanding of how to support individuals in the community. This gives the program
information on ways to best educate families on behaviors that contribute to or prevent childhood
obesity. Parents and elementary school teachers were interviews to provide insight on the needs
and views of the priority population because it is unrealistic to interview and address 5-12 year
olds personally. These are a few of the adults that play prominent roles in these children’s
everyday lives and can help in making healthy changes.
An interview conducted with the priority population was with an elementary teacher in
this low income neighborhood (Appendix E). Natalie Johnson has observed first-hand the
negative effects that accompany the unhealthy lifestyles learned by these children. Ms. Johnson
explained that, “…children are not getting the proper nutrition and are developing health
problems, which could be anything from being sick frequently to diabetes” (N. Johnson, personal
communication, June 24, 2015). She emphasized the lack of resources these families have
because of their financial status. Unfortunately, many are low income and face the issues that
come with poverty (N. Johnson, personal communication, June 24, 2015).
Research has shown that zip code 75215 in Dallas County is burdened with food deserts
and job deserts. The United States Department of Agriculture (USDA) defines a food desert as:

12. FINAL REPORT 12
Food deserts are defined as urban neighborhoods and rural towns without ready access to
fresh, healthy, and affordable food. Instead of supermarkets and grocery stores, these
communities may have no food access or are served only by fast food restaurants and
convenience stores that offer few healthy, affordable food options. The lack of access
contributes to a poor diet and can lead to higher levels of obesity and other diet-related
diseases, such as diabetes and heart disease (United States Department of Agriculture
[USDA], n.d., para 1).
A map is provided in Appendix F, showing the zip code of the priority population and the
job and food deserts surrounding them. This map represents information collected by the USDA.
The map shows the low income and low access to grocery stores surrounding the 75215 zip
code. This could explain why families engage in negative behaviors, because it is easier to stop
by a fast food restaurant or convenience store for dinner than a grocery store that is farther away.
This behavior is then learned by the children because they do not know any other way. This
validates the need for an educational program in this neighborhood and to provide resources,
such as increased access to healthier, fresh foods, that these families may not be able to provide
themselves.
A telephone interview was also conducted with Belinda De La Cruz, a parent of a
potential program participant. The questions asked during the interview are the same as those
located in Appendix E. She has lived within the zip code 75215 for 27 years. When asked about
the importance of childhood obesity within her community, she mentioned that it is very
important because of the medical and social issues that childhood obesity can cause. No other
health issues could come to mind when asked which other health issues she felt were important.
She has participated in other community health programs because she feels that the health of her

13. FINAL REPORT 13
children is important and does everything she can to ensure good health for her children. Mrs. De
La Cruz believes that cost, convenience of time/location, and frequency of the program may be a
barrier that prevents community members from participating; however, incentives such as
multiple time slots, informative brochures regarding the event, and convenient locations may be
used to encourage participation. Both Ms. Johnson and Mrs. De La Cruz mentioned that cost,
convenience, and a lack of resources act as barriers to the members of this community. This
provides an insight to steps that need to be taken to ensure more individuals and families are
capable of attending the various family-friendly health events the program may put on.
Considering that the program will target children ages 5-12 within zip code 75215, Mrs.
De La Cruz feels that late afternoon (5-7pm) or weekends would be the best times to hold the
program, so that both children and their parents can attend. She feels that participants should
receive individual attention to create a bond with the administrators and then move into small
group sessions. When asked about who she believed should deliver the program, Mrs. De La
Cruz stated that an individual that directly works with children living with obesity would be
ideal; perhaps a pediatric doctor or a nutritionist. She would also like to hear different
testimonials for children and their parents. This could provide others with a sense of assurance
that they are not alone on this path to a better quality of life. Mrs. De La Cruz also felt that it
would be difficult to have the whole family attend the program. She stated that she and many
women she knows would have trouble bringing along their husbands. Mrs. De La Cruz feels that
along with social media, flyers, and word of mouth, an article in Dallas Child would be a great
way to market the program. She had no additional feedback to add to the interview (B. De La
Cruz, personal communication, June 24, 2015).

14. FINAL REPORT 14
Other Public/Private Supporters. Childhood obesity has a significant impact on a
child's physical and emotional well-being. An alarming number of children in the Dallas area are
overweight and at risk for numerous health concerns. The Mayor's Youth Fitness Initiative
[MyFi] is a program that involves the collaboration between public and private organizations in
Dallas County. MyFi is led by the City of Dallas Mayor Mike Rawlings and Dallas community
leaders. The community leaders include the CEOs of many companies like Oncor, Baylor Health
Care System, Texas Health Resources, Luke’s Locker, the Dallas Mavericks, and many others in
Dallas (Mayor's Youth Fitness Initiative [MyFi], 2013, para. 1). MyFi is the first program to
unite government leaders with local leaders in order to design and implement an active lifestyle
and healthy eating. MyFi’s mission statement is to "mobilize the Dallas community to take
coordinated action to improve youth health and fitness by improving the physical and mental
health of children across Dallas, reduce the economic impact of health care burden, and to create
sustainable opportunities for families to learn a new, healthier way of life" (MyFi, 2013, para.
2).
One aspect that sets this program aside from other private/public organizations, which
relate to this health concern, is their commitment to ongoing assessment. MyFi utilizes a
consistent measurement tool to chart each participant’s progress. This allows the participant's to
view their success and allows an individualized plan for every child. Participants in the MyFi
program learn how to make good choices and practice good eating habits on a daily basis. They
are educated on proper nutrition and the importance of getting active. Another aspect that sets
MyFi aside from others is its collaboration with organizations that share the same mission. One
of their partnerships is with the Dallas Park and Recreation Department. Dallas Park and
Recreation Department has more than 18,000 children enrolled and 43 centers. MyFi's goal is to

15. FINAL REPORT 15
"create a culture in Dallas of well-being where, every day, children and their parents are
physically active, eating right and feeling better" (MyFi, 2013).
MissionStatement, Goals, & Objectives
The mission of the Childhood Obesity Foundation is to provide information and tools to
the children and families within the zip code 75215 to prevent and control obesity in children
ages 5-12. The goal of this program is to reduce and prevent childhood obesity in zip code
75215. The objectives the program include a process objective, an impact objective, and an
outcome objective. The process objective is that after the first six months, information regarding
one’s health status (eating habits and activity levels) will be gathered from 75% of the target
population through surveys given out by health professionals to the parents of children within zip
code 75215. It will be used to assess and provide the needed programing. The impact objective is
that after the following 6 months, 75% of children ages 5-12 within zip code 75215 will be able
to identify at least three healthy behaviors they and their family can engage in to decrease their
risk of chronic illnesses. The outcome objective is that by the end of the year, 50% of the
individuals living in the 75215 zip code have begun to engage in one new healthy behavior such
as eating their daily recommended amount of fruits and vegetables.
Intervention
Transtheoretical Model. A successful program has a sound model guiding the various
processes and intervention strategies. This program has chosen the transtheoretical model as a
reference point in the planning process. This model is defined as, “…an integrative framework
for understanding how individuals and populations progress toward adopting and maintaining
health behavior change for optimal health” (McKenzie, Neiger, & Thackeray, 2013, p. 181). This
couples very well with the ultimate mission and goals of this program because the program

16. FINAL REPORT 16
addresses behaviors on various levels of change depending on the individual. The intention is to
address childhood obesity by gaining an understanding of the unique individuals and families in
the community and how to motivate the adoption of healthier behaviors. Furthermore, programs
apply multiple interventions and activities to better influence the population. These activities are
focused on the different levels of change individuals find themselves. The transtheoretical model
provides stages of change for the health educators to follow as they move through this process
with the priority population.
The stages of change described in the transtheoretical model begin with the
precontemplation stage, where individuals have no intention of making a change (McKenzie,
Neiger, & Thackeray, 2013, p. 181). The model provides constructs that can be paired with each
step. For example, in order for a program to move an individual from the precontemplation stage
to contemplation, awareness of the health issue should be brought to the individual’s attention.
This can be done through consciousness raising, which can inform and lead the individual to
assessing the decisional balance of the behavior change. As the individual evaluates the pros and
cons of adopting a healthier behavior, the self-efficacy construct can act as a pro in the decisional
balance and a motivating factor as the individual decides they can perform this behavior with
confidence. As stated earlier, there are multiple constructs within this model and many of them
can be applied to a variety of the stages of change.
This model is built around the understanding that change does not happen
overnight (McKenzie, Neiger, & Thackeray, 2013, p. 181). The key concepts of this model
support this program as it assists the priority population through the stages of change to engage
in a healthy behavior.

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Fit of Goals & Objectives. The program’s goals and objectives fit in with the planned
interventions because they correlate with the variety of individuals in the priority population to
help reach the objectives and ultimately the goal. The intervention addresses, “...the needs and
capacities of the people found in the different settings” (McKenzie, Neiger, & Thackeray, 2013,
p. 244). This is accomplished by reviewing the questionnaires in which the priority population
answers and in turn, informs the health educators about their level of knowledge, who they are,
their personality and beliefs, the environment they live in, etc. This accomplishes the process
objective of gathering information. Understanding the individuals and the different factors of
their lives and environment further assists the program in providing a positive atmosphere that
supports change in the priority population. Once the interventions are tailored, within the
program’s capability, to the various individuals and their learning styles, the objectives and goals
have a better probability of being reached. The interventions are based on the, “...context in
which the change will take place” (McKenzie, Neiger, & Thackeray, 2013, p. 244).
Level of Prevention. Furthermore, the information gathered from the priority population
will help decipher the individuals that need interventions aimed at primary, secondary, or tertiary
levels of prevention. For example, the program will intervene at the primary level with families
that are at risk for diabetes or other complications associated with weight gain. A primary level
of prevention for that disease free family may include setting a goal of turning off the television
and suggest eating all meals as a family. This shows stimulus control, or “…removing reminders
or cues to engage in the unhealthy behavior and/or adding reminders to engage in the healthy
behavior” (McKenzie, Neiger, & Thackeray, 2013, p. 182). This stimulus control is one of the
processes of change of the transtheoretical model and helps eliminate an aspect of sedentary
lifestyles while providing communication and support among the family members. On the other

18. FINAL REPORT 18
hand, a family with a history of diabetes that eats out most nights of the week will begin with a
different goal. A goal for this family may include preparing meals 3 days a week and then to
gradually increase this number. This goal could be secondary by helping, “...prevent more severe
pathogenesis…” or tertiary level by suggesting, “...preventive measures aimed at
rehabilitation…” (McKenzie, Neiger, & Thackeray, 2013, p. 6). This uses the
counterconditioning process of change of the transtheoretical model by substituting a healthy
alternative of home prepared meals for the unhealthy behavior, eating fast food most nights a
week.
Level of Influence. Multiple levels of influence will be utilized for the interventions
because, “...there is a greater chance of changing and maintaining health behaviors if
interventions are aimed at multiple levels of influence…” (McKenzie, Neiger, & Thackeray,
2013, p. 244). Intrapersonal level of influence will be used to address an individual’s specific
level of knowledge, self-concept, motivation, and skills as a few examples. Interpersonal level
can include their family, friends, and support group. The intrapersonal and interpersonal levels
include the predisposing and reinforcing factors that are the driving force for a behavior or lack
of a behavior. Additionally, promoting a healthier lifestyle for the whole family enables them on
an individual level to have a stronger support system by motivating each other. This helps the
individual reach the social liberation process of change by, “...realizing that social norms are
changing in the direction of supporting the healthy behavior change” (McKenzie, Neiger, &
Thackeray, 2013, p. 182). Additionally, community factors on a community level will be a
primary focus of the program by providing support from social networks, classmates, teachers,
and the other families in the priority population.

19. FINAL REPORT 19
Effective Intervention Strategies. Interventions that have shown to be effective include
behavioral interventions, which target eliminating unhealthy behaviors and encouraging the
individual to adopt a healthy behavior. Behavioral intervention reduces sedentary lifestyles,
which so many children have come accustomed. The Community Preventive Services Task
Force recommends the use of behavioral intervention to help reduce the amount of time children
ages 13 years and younger spend sedentary in front of a television/monitor screen (Guide to
Community Preventive Services, 2014). This is an example of a best practice intervention
strategy which includes many of the same aspects for the program’s initiatives in the 75215 zip
code. For example, the recommended intervention includes classroom education, monitoring
system, coaching or counseling sessions, and family or peer social support (Guide to Community
Preventive Services, 2014). This intervention aimed for a more active and overall healthier
lifestyle and the evidence showed it to be effective for weight-related outcomes and reducing
sedentary behaviors while adopting healthier diets and a more active lifestyle (Guide to
Community Preventive Services, 2014).
A behavioral intervention similar to the one in the previous study has been conducted in
Dallas County and shown effective for the target population of 75215. The Get Kidz Fit health
fairs is the largest fitness event that occurs in Dallas. It’s free to families and has over 50 fitness
and nutrition activities from sporting games, interactive booths, entertainment, prizes and so
much more (Puente, 2015). There are over 140 organization that are involved with the health
fair. One of them being the Dallas Mayor’s Youth Fitness Initiative (MyFi). The fair has seen
long-term improvements with the way Dallas children play, eat, and live (Puente, 2015).
Fit of Intervention. The interventions fit the priority population because specific steps
have been taken to tailor and segment the population to better fit their needs and unique

20. FINAL REPORT 20
characteristics. As stated earlier, individuals were segmented into groups based on their
knowledge, availability, resources, and many other characteristics. This allows for the health
educator to tailor the activities to fit their personal lifestyle. The levels of prevention, previously
discussed, was one way the program segmented the population by their unique needs and
characteristics to better influence them in adopting a healthier lifestyle.
Resources. There are many resources available for the program to use. A few resources
include teachers, school faculty, and nurses from the local elementary schools who want to see
the growth and well-being of the children in the target population. These individuals will be
recruited as volunteers and rotated each month, as to not be overworked. Utilizing the local
elementary school building for health fairs and activities would also act as a great resource,
providing a convenient location and eliminating cost to the families. MyFi is another valuable
tool for Dallas County, created by Mayor Mike Rawlings in 2010, to help improve the mental
and physical health of children and create opportunities for families to learn a healthier way of
life together. The program unites already existing Dallas youth programs, educators,
stakeholders, and businesses to come together and coordinate fitness and health initiatives for
Dallas County (MyFi Dallas Mayor’s Youth Initiative, 2015). The resources will be further
explained in subsequent sections.
Multiple strategy approach. The Dallas program, specifically in zip code 75215, will
consist of multiple strategies. It will be a more effective intervention because it will
communicate the health message on multiple levels of influence by reaching children at school
and the various events offered to the local families. It will provide a variety of learning
techniques, including presentations, open discussions, physical activity, and introducing new
foods. The program intends on presenting the health message through a number of various

21. FINAL REPORT 21
channels and appealing to the different learning styles, interests, and senses of the priority
population (McKenzie, Neiger, & Thackeray, 2013, p. 248). Utilizing multiple strategies
increases the chances of reaching the goals and objectives to ultimately promote a healthy
change, in order to prevent and control childhood obesity in zip code 75215.
Marketing, Motivation, & Retention
To promote childhood obesity awareness and prevention, two tools will be utilized, the
school system and the media. Utilizing the school system is an excellent way to educate and
engage the residents in childhood obesity. For example, organizing health fairs at local
elementary schools will have a higher attendance rate from the residents compared to other
locations due to the familiarity and the convenience. Mrs. De La Cruz, one of the individuals
interviewed from the priority population, believed that cost and convenience of location were
both potential barriers for the program (B. De La Cruz, personal communication, June 24, 2015).
Holding the events at the local schools provides a convenient location that is free of cost for the
families. The health fairs will educate and engage the parents or caretakers of children ages 5-12
through a number of activities. As mentioned earlier in an interview with an elementary school
teacher, Ms. Johnson emphasized her concern about the lack of resources the families in the area
had because of the low income neighborhood (N. Johnson, personal communication, June 24,
2015). This offers a free event for the whole family to enjoy together.
The first activity that will take place in order to assess the health status, diet, and level of
physical activity of the children is through a simple questionnaire. This is to gain a better
understanding of the targeted population's lifestyle as well as to show the parents or caregivers
the areas in need of improvement. Various educational activities will be used during the health
fairs, including power points, guest speakers, videos, and group discussions. Various engaging

22. FINAL REPORT 22
activities will also be held during the health fairs, a few being: healthy cooking classes, games,
fitness, and sports. Since individuals respond through different means of learning techniques,
marketing strategies will be presented through numerous channels to successfully reach the
segmented population. As mentioned earlier, segmenting allows the program, “…to meet the
specific needs and desires of the priority population…” (McKenzie, Neiger, & Thackeray, 2013,
p. 317). Parents or caregivers will receive a calendar with all the events listed through each
month and weekly flyers as a reminder of upcoming events. Health fair information will also be
included on the school's website.
Utilizing the media will work in favor for those who cannot attend the health fairs. The
media will focus more on the educational factors rather than engaging. The Dallas Morning
News is widely read by many of the residents in Dallas County, and this would be an excellent
method of communicating the message on childhood obesity awareness and prevention (Dallas
Morning News, Inc., 2015). A Facebook page and/or blog will be created for the residents of zip
code 75215, and be advertised through flyers sent home from school. These social media sites
will provide another channel to help educate the parents or caregivers on childhood obesity.
In order to motivate and help maintain participation in the childhood obesity program,
parents or caregivers will be regularly contacted and reminded of all upcoming events. Regular
contact will be through various channels including updates with school faculty, emails with a
mentor or coach, and flyers to encourage continued involvement. It is important to keep the
entire family engaged because, “…the importance of social support for behavior change and its
relationship to health are well recognized” (McKenzie, Neiger, & Thackeray, 2013, p. 239).
Additionally, participants will be given various forms of incentives for their participation
throughout the program. Items such as t-shirts, bracelets, stickers, magnets, pens, etc.

23. FINAL REPORT 23
Program Staff, Vendors, & Partners
To ensure a successful program, a combination of internal and external personnel will be
utilized. Evidence supports that the most successful organizations use this method (McKenzie,
Neiger, & Thackeray, 2013). Internal personnel is the utilization of individual people within the
organization or within the priority population to supply the necessary labor. These individuals
will possess the knowledge and skills necessary to help carry out the program (McKenzie,
Neiger, & Thackeray, 2013, p. 282). Internal personnel that will be utilized are health educators,
school nurses, nutritionists, physical education instructors, administrative assistants, and
volunteers, such as parent-teacher association members. The program has established a set of
requirements and qualifications for the use of internal personnel. These can be found in Appendix
A.
External personnel are individual people outside the organization or outside the priority
population that are needed to conduct all or part of the program (McKenzie, Neiger, &
Thackeray, 2013, p. 284). An external personnel discussed was to request an expert speaker from
a health agency or hospital. In order to find a guest speaker outside the program, the speaker’s
bureau will be utilized. Vendors will also be needed to supply the program incentives: t-shirts,
bracelets, stickers, magnets, pens, etc. For this, multiple outside vendors will be contacted to
find the best prices, although many organizations have expert speakers available for no cost. This
is because the organizations and speakers have advantages to gain as well, such as recognition
and good public relations (McKenzie, Neiger, & Thackeray, 2013, p. 285). In order to eliminate
program cost, a thorough search will be conducted through means of networking to find an
expert speaker willing to donate their time and knowledge.

24. FINAL REPORT 24
The program plans to partner with the Dallas Area Coalition to Prevent Childhood
Obesity. Sonia White is a staff member that this program could utilize and take advantage of her
knowledge and skills. She is the associate executive director and will make a great addition to
the team, perhaps as a program director. The collaboration with this organization will bring
together, “…people with complementary skills who are committed to a common purpose, a set of
performance goals, and an approach for which they hold themselves mutually accountable”
(McKenzie, Neiger, & Thackeray, 2013, p. 289). This will ensure the progression towards the
program’s ultimate goal, to reduce and prevent obesity among children ages 5-12, in the 75215
zip code.
Facilities, Instructional Resources, and Equipment & Supplies
Facilities. In order to ensure a convenient location for our priority population, our
program will rotate out the six elementary schools located within zip code 75215. The main areas
that will be utilized within each school is the cafeteria, the school’s gym, the auditorium, and the
outside area of the school. The cafeterias will be used for the cooking class portion of the
program. The gyms and outside play areas will be utilized to provide a space for the physical
activities portion of the program. The auditoriums will be utilized to provide a space for the
guest speakers and presentations. The six elementary schools that our program will rotate
through are listed below.

25. FINAL REPORT 25
Table: 1.3 Facilities Used by Program
Instructional Resources. Instructional resources will include surveys, questionnaires,
and informational packets. Surveys and questionnaires will be utilized to measure the
knowledge, dietary habits, and levels of physical activity of the priority population.
Informational packets will be used to inform children and their parents of the detrimental effects
that childhood obesity can have on one’s health, social status, and physiological status.
Information on how to live a happier and healthier lifestyle will also be handed out.
Equipment and Supplies. Since the program will take place within elementary schools,
it is planned to utilize the equipment and supplies at hand. Seating, tables, computers,
screens/projectors, and printers/copiers will all be provided by the schools. The gym equipment
will also be utilized during specific parts of the program such as the Parents vs. Kids Relay Race.
Many vendors will supply and donate materials but any other items such as paper, pens, toner,
staples, paper clips, and USB drives will all be purchased through the budget. Specific supplies
will also be purchased according to the event being held by the program. For example, flower
TelephoneLocationSchool
214-241-3645
972-749-1300
972-502-8100
972-502-8900
972-794-7600
972-749-1100
3732 Myrtle St
Dallas,Tx 75215
2908 Metropolitan Ave
Dallas, TX 75215
1817 Warren Ave
Dallas, Tx 75215
5700 Bexar St
Dallas, TX 75215
2425 Pine St
Dallas, TX 75215
1738 Gano St
Dallas, TX 75215
Charles Rice Learning Center
St Anthony Academy
Phillis Wheatley Elementary
School
Martin Luther King Junior
Learning Center
H S Thompson Learning
Center
City Park Elementary School

26. FINAL REPORT 26
seeds will be purchased for Gardening Lessons for Mother’s Day. All incentives will be strictly
donation to help minimize the overall cost of the program.
Program Implementation and Operation
The program will begin with enrollment during registration for the new school year and
include all 6 elementary schools within zip code 75215. Parents at this time will fill out the
program survey when enrolling children. Although enrollment will not be required for
participation, it is encouraged in order to gain more detailed information on the children and
families in the priority population. A school event flyer will be given out to parents once paper
work is completed. This will provide the parents with information about the health fair and
when it will be coming to their school. The school year registration will be a key component for
the program, as it will give a clear number of students enrolled to each elementary school and the
number of families within the school district.
During the program a total of 6 major health fairs will take place in order to reach all 6
elementary schools within the target population. Each health fair will provide an interesting and
engaging guest speaker for the community. In addition to a main health fair at each elementary
school, smaller activities will be set up each month to provide information in a family fun
setting. This implementation strategy works on the idea that change does not occur over night, as
mentioned earlier in the intervention section. The table below shows the timeline of the program
and when each health fair will take place.
Table: 1.4 Program Timeline
Tasks Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May Jun.
Assess target
population
X

27. FINAL REPORT 27
Develop
program
Goals and
objectives
X
Assess
resources
and staff
X X
Implement
Program
X X X X X X
Evaluate
Program
X X X
Final Report X
The various events offered each month will include fun lessons and activities for the
family. Each month will offer a different theme but they will all introduce the families to new
ways to become active and eat healthy. Some activities may be as simple as offering alternatives
to the family sitting on the couch watching television at home. For example, the family is invited
to plant a flower with their moms for Mother’s Day. The program events calendar can be found
below in Table 1.2.
Table 1.5: Program Events Calendar
School A B C D E F
Aug. Register Register Register Register Register Register
Sept. Game night
Health Fair
Game night Game night Game night Game night Game night
Oct. Halloween 5k Halloween 5k
/
Health Fair
Halloween 5k Halloween 5k Halloween 5k Halloween 5k
Nov. Healthy
holiday meals
Healthy
holiday meals
Healthy
holiday meals
/ Health Fair
Healthy
holiday meals
Healthy
holiday meals
Healthy
holiday meals
Dec. W I N T E R
Jan. B R E A K !
Feb. Parents vs.
kids relay
race
Parents vs.
kids relay
race
Parents vs.
kids relay
race
Parents vs.
kids relay
Parents vs.
kids relay
race
Parents vs.
kids relay
race

28. FINAL REPORT 28
race / Health
Fair
March Picnic in the
park
Picnic in the
park
Picnic in the
park
Picnic in the
park
Picnic in the
park / Health
Fair
Picnic in the
park
April Food Bank
speaker &
activities
Food Bank
speaker &
activities
Food Bank
speaker &
activities
Food Bank
speaker &
activities
Food Bank
speaker &
activities
Food Bank
speaker &
activities /
Health Fair
May Gardening
lesson for
Mother’s Day
Gardening
lesson for
Mother’s Day
Gardening
lesson for
Mother’s Day
Gardening
lesson for
Mother’s Day
Gardening
lesson for
Mother’s Day
Gardening
lesson for
Mother’s Day
June Field Day
with Dad
Field Day
with Dad
Field Day
with Dad
Field Day
with Dad
Field Day
with Dad
Field Day
with Dad
July July 4th
activities
July 4th
activities
July 4th
activities
July 4th
activities
July 4th
activities
July 4th
activities
Program Evaluation
A program evaluation must be conducted in order to assess the
strengths/weaknesses in the childhood obesity program. The evaluation will be conducted
through three stages: process evaluation, impact evaluation, and outcome evaluation. The
assessment will be done using questionnaires, surveys, and mini-quizzes throughout the program
to evaluate the lifestyle of the participants as well as the knowledge obtained from the
curriculum.
The process evaluation will focus on the measurement of their progress throughout the
program and their overall reaction of the program. Various forms of activities will be held at the
health fairs in order to engage and educate the families. Participants will be asked a variety of
questions throughout the program for program improvements such as:
1. If they were aware of the program
2. How did they hear about the program
3. If they heard about the program from our marketing strategies
4. If the information presented to them was useful

29. FINAL REPORT 29
5. If the activities were relevant
The impact evaluation “measures awareness, knowledge, attitudes, skills, and behaviors”
(McKenzie, Neiger & Smeltzer, 2005). This allows a better understanding of the targeted
population’s lifestyle and the areas in need of improvement. Questionnaires, surveys, and mini-
quizzes will be given to the participants throughout the program for assessment. Some of the
questions will be to identify lifestyle factors that influence childhood obesity. Participants will
also be asked to identify some of the threats associated with childhood obesity. These forms of
data will be complied and compared to assess the effectiveness of the health fair program.
The outcome evaluation will measure the participant’s knowledge that they have retained
from the program. An outcome evaluation is a long term process that takes more time and
resources to conduct than an impact evaluation” (McKenzie, Neiger & Smeltzer, 2005). The
participants will receive an email two months after the last health fair. In the email, the
participants will be asked questions pertaining to the knowledge of childhood obesity. The
questions will assess predisposing, enabling, and reinforcing factors. Participants will also be
asked since the last health fair if they have changed any of their lifestyle.
Program Budget
Income. The funding to make this program possible will be provided by Voices for
Healthy Kids Grant and the Childhood Obesity Rapid Response Grant. Both grants have been
provided by the American Heart Association (AHA) and the Robert Wood Johnson Foundation
(RWJF). The grants add up to a total of $130,000.
Budget. A well thought out budget is important to the success and operation of a health
promotion program. In order to best utilize our budget many resources will be donated. Cost of
the program has been reduced simply by utilizing public spaces that are free of charge. Most of

30. FINAL REPORT 30
our employees will work as needed or be volunteers. The total start-up and operating cost are
$120,450; which is a high cost estimation. Please refer to Appendix H for more detail.

31. FINAL REPORT 31
Appendix A
Table 1.1: Population demographics for Dallas County
Source: United States Census Bureau (2015a)

32. FINAL REPORT 32
Appendix B
Figure 1.2: Employment rate for Dallas County
Source: United States Department of Labor (2015)

33. FINAL REPORT 33
Appendix C
Table 1.2: Mortality rate for Dallas County and Texas
Source: Texas Department of State Health Services (2015)

34. FINAL REPORT 34
Appendix D
Stakeholder interview: Tralana Pollard
1. What is your position within the community? What are your responsibilities in this position?
-I work in the City of Garland's Public & Media Relations Department. I've been the
Department Representative for the last three years, and I'm currently in training to become a
Public & Media Specialist. Aside from my daily administrative responsibilities, I'm also
responsible for logging and reporting all media coverage of City of Garland, content editing,
coordinating our external e-newsletter, social media, host monthly/weekly news update videos
(external), and assisting other departments in scheduling promotion of various events and
initiatives.
2. How important do you think childhood obesity is for the County? Explain.
-Childhood obesity is an extremely important issue, not only in our county, but in our
country. Childhood obesity can promote an unhealthy lifestyle that is learned early in life and
difficult to correct later. In the Garland community, I often see overweight children whose
parents are also overweight. It's a pattern that can only be stopped when the real issues of health
and wellness are addressed. If these parents have always carried extra weight and eaten
unhealthy, they may not see it as a lifestyle problem, even once children come into the picture.
The parents' habits become the child's habits, and the unhealthy lifestyle becomes shared in the
home. Education and example are key when discussing the prevention of childhood obesity in
the home.
3. How is your organization/agency currently addressing the health needs of childhood obesity?
-For the last 20 years, the City of Garland has participated in a Summer Nutrition
Program (SNP), which provides free, nutritious meals to children who may not have a balanced

35. FINAL REPORT 35
meal otherwise. This program opens once school is out for the summer. While overeating and
not exercising may easily lead to child obesity, the SNP is helpful because it also
addresses a lack of balanced nutrition, which can also lead to obesity. Some of the families who
participate in SNP may have food in the home, but they may not be able to afford nutritious food,
such as fresh fruits and vegetables or lean meat. The SNP also focuses on physical activity. At
each meal site (there are several locations in Garland and a few in Rowlett), not only are there
free meals, but program volunteers also coordinate games, learning activities and group projects
to encompass the "physical activity" aspect of wellness.
4. In what way(s) would you be able to partner with us in offering a health education/promotion
program that addresses childhood obesity for Dallas County?
-I am unsure if Dallas offers a similar program, but perhaps the leaders of Garland's
Summer Nutrition Program could offer some insight into the possible wellness needs of their
communities. What I am most proud of with our SNP program is the fact that it's an opportunity
to have an entire community in the same room, learning about the importance of living well.
Most of the participants in the SNP are low-income, so it is important that their children are
exposed to education about healthy lifestyles and positive social interactions.
5. What other community organizations/resources do you think would be helpful to us in
planning this health education/promotion program?
-The City of Garland also has a wellness initiative, Commit to Wellness, which uses
rewards and discounts to influence healthier lifestyles for our employees. Perhaps your
organization could connect with other municipal governments and nonprofit meal programs to
collect any information/statistics that could be used to substantiate an initiative to influence
lifestyle change. The City of Garland also offers free workout classes for employees - Perhaps

36. FINAL REPORT 36
your organization could model other group's initiatives for its employees and cater them to the
children in the community.
6. Is there anything else that you would like to add?
-Thank you for addressing this very important issue! We have overweight children in my
extended family, and it can be sad to watch them struggle as they get older because of bad
examples set by their guardians. A child's early years shouldn't have to begin with unnecessary
struggles from learned behavior. Through education and example, we can definitely turn this
around. As a country, we have to!

37. FINAL REPORT 37
Appendix E
Priority population interview: Natalie Johnson
1. How long have you lived in the community?
-I have been teaching for 4 years
2. Our program planning team is working to develop a health education/promotion program that
will address childhood obesity among 5-12 year olds. How important do you think this health
issue is for your community? Explain.
-I feel it is very important. Children are not getting the proper nutrition and are
developing health problems, which could be anything from being sick frequently to diabetes.
3. What other health issues do you think are important to your community?
-Proper hygiene
4. Have you every participated in a community health promotion program? Do you think you
would participate in a health program that addresses childhood obesity? Explain.
-No I have not. I would love to participate in something that you could actually use the
information and it is easy to understand and apply in their lives.
5. What barriers might prevent you and other community members from participating in this
health program?
-Time and an availability of resources for the community I work in; they are low income
families so money plays a huge roll.
6. What incentives might be used to encourage participation in this health program?
-Free food, recipes, and activities to involve the whole family
7. What day of the week and time of day would be best to offer this health program?
-During the week after 6

38. FINAL REPORT 38
8. What would be the best location for the health program?
-A school
9. Would you prefer individual attention or small group programs?
-Small groups
10. Who would you prefer deliver the program?
-Someone who is relatable to that community and realistic to what low income families
can do with their resources
11. Do you believe community members would pay to attend the health program? Explain.
-No
12. Do you think the whole family would be interested in attending the health program? Explain.
-Yes, being healthy should involve the whole family if you want to make meaningful
changes
13. What is the best way to market the program to your community?
-Flyers, online advertisement (Facebook, Twitter etc.)
14. Is there anything else that you would like to add?
-Teaching children to like veggies and fruits and to try new things. Making it enjoyable.

39. FINAL REPORT 39
Appendix F
Source: USDA. (2015).

40. FINAL REPORT 40
Appendix G
Internal Personnel Requirements:
Health Educator:
 Qualifications: Bachelor’s or Master’s degree in health education or health promotion;
CHES certification; minimum 5 years of experience; self-motivated; and skilled in public
speaking.
 Responsibilities: Assess individuals and community; plan effective health education
programs; implement health education programs; evaluate effectiveness of health
education programs; coordinate provision of health education services; act as a resource
person; communicate health and health education needs, concerns and resources.
 Time commitment: Part-time; PRN
School Nurse:
 Qualifications: Bachelor’s or Master’s of Science in Nursing; Registered Nurse;
minimum 5 years of experience; self-motivated; and skilled in public speaking.
 Responsibilities: Assess individuals and family members during health events and during
school hours; assist in planning an effective health education program; coordinate
provision of health education services; act as a resource person; communicate health and
health education needs, concerns, and resources.
 Time Commitment: Part-time; PRN
Nutritionist:
 Qualifications: Bachelor’s or Master’s degree in nutrition; and minimum 5 year
experience

41. FINAL REPORT 41
 Responsibilities: Perform nutritional assessments to clients, create meal plans for needed
clients; provide nutritional counseling.
 Time Commitment: Part-time; PRN
Physical Education Instructor:
 Qualifications: Bachelor’s or Master’s degree in physical education; teaching license; and
minimum 5 year experience
 Responsibilities: Aid in development of physical ability; provide health awareness, and
instruct physical activities.
 Time Commitment: Part time; PRN
Administrative Assistant:
 Qualifications: High School Diploma or Equivalent; good verbal and nonverbal skills;
computer skills; organizational skills; and phone etiquettes.
 Responsibilities: Perform clerical duties such as typing, filing documents and answering
phones.
 Time Commitment: Part-time; PRN
Volunteers:
 Qualifications: High school degree or equivalent; friendly; can follow instruction.
 Responsibilities: Help assess where needed; help ensure success of program.
 Time Commitment: PRN

42. FINAL REPORT 42
Appendix H
Budget Worksheet
Budget Period:
Start-Up Costs
Subtotal
Total
Capital Costs
Purchase of Land acres @ $ /acre $150
Facility Construction sq ft @ $ /sq ft $0
Facility Renovation sq ft @ $ /sq ft $100
Equipment (capital):
1. Sporting Goods (soccer balls, basket balls,
etc.)
$500
2. Speakers, monitors, projectors, etc. $500
Total Equipment $1250
Other Start-Up Costs
Facility Design $500
Furnishings:
1. Tables/ Chair $0
2. Portable Speakers/Microphones $1000
Total Furnishings $1500
Needs Assessment $2000
Marketing Analysis $ “ “
Legal Assistance $3000
Materials Development $3500
Staff Training $15000
Other:
1. Flower Seeds $200
2. Food for Cooking Class $2000
Total Other $25700
Operating Costs

43. FINAL REPORT 43
Subtotal
Total
Office Supplies $4000
Other Supplies
1. $
2. $
Total Other Supplies $4000
Communications (telephone, email, website, etc.) $4000
Printing/Copying $4000
Advertising/Promotion $4000
Program Materials/Resources
1. $
Total Program Materials/Resources $16000
Transportation $0
Travel $0
Staff Training/Development $5000
Other:
1. $
Subtotal
Total
Staff Salaries and Wages:
1. Health Educator $15,000
2. Nurse $10,000
3. Nutritionist $15,000
4. Physical Education Instructor $5,000
5. Administrative Assistant $5,000
Total Staff Salaries and Wages $50000
Fringe Benefits 20% x Salaries & Wages $10000
Consultants/External Contractors:
1. $0
Total Consultants/External Contractors $0
Facilities:
Facilities Leasing $0
Utilities $500
Facilities Maintenance $1500
Total Facilities $2000
Non-Capital Equipment – Purchased:
1. $0
Total Non-Capital Equipment – Purchased $0
Non-Capital Equipment – Rental:
1. $0
Total Non-Capital Equipment – Rental $
Equipment Maintenance $15000
1. $
Total Equipment Maintenance $15000

44. FINAL REPORT 44
Total Other $5000
Subtotal $
Total $
TOTAL COST (Start-Up + Operating) $120,450
INCOME:
Income Sources:
1. Voices for Health Kids grant $90000
2. Childhood Obesity Rapid Response Grant $40000
TOTAL INCOME $130000
References
Centers for Disease Control and Prevention. (2012). Basics about childhood obesity. Retrieved
from http://www.cdc.gov/obesity/childhood/basics.html
Centers for Disease Control and Prevention. (2013). Nutrition, Physical Activity, & Obesity:
Data, trends, & maps. Retrieved from
http://nccd.cdc.gov/NPAO_DTM/DetailedData.aspx?indicator=63&statecode=125
Centers for Disease Control and Prevention. (2014). Childhood obesity facts. Retrieved from
http://www.cdc.gov/healthyyouth/obesity/facts.htm

45. FINAL REPORT 45
Centers for Disease Control and Prevention. (2015). Defining Childhood Obesity. Retrieved from
http://www.cdc.gov/obesity/childhood/defining.html
Community Council of Greater Dallas. (n.d.-a). Childhood obesity. Retrieved from
http://www.ccgd.org/health/dacpro.html
Community Council of Greater Dallas. (n.d.-b). Leading through collaboration and
communication. Retrieved from http://www.ccgd.org/welcome.html
Community Council of Greater Dallas. (n.d.-c). Mission. Retrieved June 11, 2015, from
http://www.ccgd.org/about/history.html
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Dallas Independent School District. (2015). General information. Retrieved from
http://www.dallasisd.org/Page/336
Dallas Morning News, Inc. (2015). Audience Marketing. Retrieved from
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Duke Global Health Institute, (2014). Over a Lifetime, Childhood Obesity Costs $19,000 Per
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obesity-costs-19000-child
Guide to Community Preventive Services. (2014). Obesity prevention and control: behavioral
interventions that aim to reduce recreational sedentary screen time among children.
Retrieved from www.thecommunityguide.org/obesity/behavorial.html.

46. FINAL REPORT 46
Landers, J. (2012, December 1). Reversing childhood obesity trend a necessary long shot. The
Dallas Morning News. Retrieved from
http://www.dallasnews.com/business/columnists/jim-landers/20121126-reversing-the-
childhood-obesity-trend-a-necessary-long-shot.ece#commentsDiv
Mayor's Youth Fitness Initiative. (2013). About the Mayor's Youth Fitness Initiative.
Retrieved from http://www.myfidallas.com/about/overview/language/en-us
McKenzie, J. F., Neiger, B. L., & Smeltzer, J. L. (2005). Planning, implementing & evaluating
health promotion programs (4th ed.). San Fransisco: Pearson Education.
McKenzie, J. F., Neiger, B. L., & Thackeray, R. (2013). Planning implementing, and evaluating
health promotion programs: A primer (6th ed., pp. 6-317). Boston, MA: Pearson.
MyFi Dallas Mayor’s Youth Fitness Initiative. (2015). Mission. Retrieved from
http://www.myfidallas.com/about/mission/language/en-us
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DOI: 10.1111/jlme.12104

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Physical-Activity-and-Obesity/determinants

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