5-2-1-0 Healthy Messaging Campaign webinar slides
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5-2-1-0 An evidence-based prevention program to guide parents and other caretakers to help kids develop a healthy lifestyle. Obesity in childhood is a serious medical condition that has both psychological and health consequences. Learn how to implement this program in your practice or community.
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5-2-1-0 Healthy Messaging Campaign webinar slides
- 1. 5-2-1-0- Healthy Messaging Campaign https://learn.extension.org/events/2145 This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Readiness Policy, U.S. Department of Defense under Award Numbers 2010-48869-20685, 2012-48755-20306, and 2014-48770-22587.
- 2. Research and evidenced-based professional development through engaged online communities www.extension.org/militaryfamilies Sign up for webinar email notifications at www.extension.org/62831
- 3. Facebook.com/MFLNNutritionWelln ess @MFLNNW www.youtube.com/user/MIlFamLN MFLN Nutrition and Wellness
- 4. Military Families Learning Network (MFLN) September 22, 2015 11am EST
- 5. Make the most of this training! 1 2 3 Ask questions! Email: 5210@psu.edu Use the information & follow up with me! Jen DiNallo, Ph.D. jmd422@psu.edu Website http://5210.healthymilitarychildren.psu.edu Training modules Implementation Guide Think about what you want to learn today?
- 6. Learning Objectives: 1 2 3 4 You will be able to state what the mnemonic 5-2-1-0 represents, as well as the relevance of the mnemonic and the population for whom this campaign was developed. You will be able to list the 2 main goals of 5210 Healthy Military Children health messaging campaign. You will be able to list strategies for successfully implementing a health messaging campaign in a community setting You will be able to state the rationale behind EVALUATING both the implementation of a campaign and the short and long term outcomes of the campaign. You will be able to list strategies for successfully SUSTAINING a health messaging campaign for one year in a community setting. 5
- 7. or more servings of fruits and vegetables or fewer hours of screen time or more hours of physical activity sweetened beverages 5210 is a way to remember four evidence-based health recommendations.
- 8. What does evidence-based mean? Describes a product (i.e., program, strategy, component, service, practice, and/or process) that demonstrates impact on outcomes of interest through application of rigorous scientific research methods that do allow for causal inference.
- 9. Where do these recommendations come from?
- 10. The “5 A Day” recommendation comes from a variety of sources. U.S. Department of Agriculture & U.S. Department of Health and Human Services. (2000). Nutrition and your health: Dietary guidelines for Americans. Retrieved from http://www.cnpp.usda.gov/Dietary-Guidelines-2000 Vegetables Fruits Total Children ages 2 to 6 3 2 5 Children over age 6, teenage girls, and most women 4 3 7 Teenage boys and most men 5 4 9
- 11. http://choosemyplate.gov/food-groups/ UPDATED recommendations use cups instead of servings.
- 12. or more servings of fruits and vegetables ↓ EAT MORE FRUITS & VEGETABLES!
- 13. Playing video games Using social media Screen time is nonproductive. free time spent sitting or reclining in front of televisions, computers, tablets, and similar screens. Screen time is
- 14. Typing a book report Checking work emails *Reducing/breaking up time spent sitting is always healthy – even if it’s not screen time! Necessary/productive activities aren’t screen time*.
- 15. Is it possible to get a healthy amount of physical activity and engage in an amount of screen time that increases health risk? 4 HOURS 1 HOUR 24-Hour Period
- 16. • “Limit the amount of total entertainment screen time to <1 to 2 hours per day. • Discourage screen media exposure for children <2 years of age.” Council on Communications and the Media. (2013). Policy Statement: Children, Adolescents, and the Media. Pediatrics, 132(5), 958-961. Children under 2 should be allowed how much screen time?
- 17. or fewer hours of screen time ↓ NO SCREEN TIME FOR CHILDREN UNDER 2 REDUCE SCREEN TIME FOR ANYONE AGE 2+ FIND WAYS TO REDUCE/BREAK UP SITTING EVEN IF IT’S NOT SCREEN TIME
- 18. Physical activity is any body movement that raises a person’s heart rate above a resting heart rate.
- 19. Young children need structured (planned) and unstructured (free play) physical activity. Birth to 12 months Interact with caregivers in structured and unstructured physical activities each day that are devoted to exploring movement and developing motor skills. National Association for Sport and Physical Education. (2009). Active Start: A Statement of Physical Activity Guidelines for Children From Birth to Age 5. Retrieved from http://www.aahperd.org/naspe/standards/nationalGuidelines/ActiveStart.cfm
- 20. Young children need structured (planned) and unstructured (free play) physical activity. National Association for Sport and Physical Education. (2009). Active Start: A Statement of Physical Activity Guidelines for Children From Birth to Age 5. Retrieved from http://www.aahperd.org/naspe/standards/nationalGuidelines/ActiveStart.cfm 12 to 36 months Engage in at least 30 minutes of structured physical activity plus at least 60 minutes (and up to several hours) of unstructured physical activity each day.
- 21. National Association for Sport and Physical Education. (2009). Active Start: A Statement of Physical Activity Guidelines for Children From Birth to Age 5. Retrieved from http://www.aahperd.org/naspe/standards/nationalGuidelines/ActiveStart.cfm 3 to 5 years Engage in at least 60 minutes of structured physical activity plus at least 60 minutes (and up to several hours) of unstructured physical activity each day. Young children need structured (planned) and unstructured (free play) physical activity.
- 22. Engage in at least 60 min of daily moderate- or vigorous-intensity aerobic physical activity. Office of Disease Prevention & Health Promotion, U.S. Department of Health and Human Services. (2008). 2008 Physical Activity Guidelines for Americans. Retrieved from http://www.health.gov/paguidelines/guidelines/default.aspx The “1 or more hours” recommendation is for ages 6 to 17. Engage in muscle- strengthening physical activities at least 3 days / wk. Engage in bone- strengthening physical activities at least 3 days /wk.
- 23. Engage in at least 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity physical activity each week, and include muscle- strengthening physical activities at least 2 days per week. Additional aerobic activity offers more extensive health benefits. Office of Disease Prevention & Health Promotion, U.S. Department of Health and Human Services. (2008). 2008 Physical Activity Guidelines for Americans. Retrieved from http://www.health.gov/paguidelines/guidelines/default.aspx The “1 or more hours” recommendation is suitable for adults.
- 24. or more hours of physical activity ↓ BE MORE PHYSICALLY ACTIVE!
- 25. Sweetened beverages contain caloric sweeteners.
- 26. Gortmaker, S., Long, M., & Wang, Y. C. (2009). The Negative Impact of Sugar-Sweetened Beverages on Children’s Health. Retrieved from http://www.rwjf.org/en/research-publications/find-rwjf-research/2009/11/the-negative-impact-of- sugar-sweetened-beverages-on-children-s-h.html Sweetened beverages only have negative impacts on health. TRUE or FALSE?
- 27. Reducing or eliminating sweetened beverage intake “would have no negative effect on children’s health and would reduce the risk of childhood obesity and many other health problems, including type 2 diabetes, poor nutrition, excess caffeine consumption and dental decay.” Gortmaker, S., Long, M., & Wang, Y. C. (2009). The Negative Impact of Sugar-Sweetened Beverages on Children’s Health. Retrieved from http://www.rwjf.org/en/research-publications/find-rwjf-research/2009/11/the-negative-impact-of- sugar-sweetened-beverages-on-children-s-h.html TRUE
- 29. EAT MORE FRUITS & VEGETABLES! AVOID SWEETENED BEVERAGES BE MORE PHYSICALLY ACTIVE! NO SCREEN TIME FOR CHILDREN UNDER 2 REDUCE SCREEN TIME FOR ANYONE AGE 2+ FIND WAYS TO REDUCE/BREAK UP SITTING - EVEN IF IT’S NOT SCREEN TIME
- 30. or more hours of physical activity POSTURE BREAK! -stand up! -move! -walk! -stretch
- 31. What is the HMC health messaging campaign?
- 32. www.hawaii5210.org “5210” is widely used by public health initiatives. www.letsgo.org www.keys4healthykids.com www.pamf.org www.uwvp.org healthylee.com escambia.floridahealth.gov www.ok5210.org www.live5210.ca
- 33. MC&FP: Office of the Deputy Assistant Secretary of Defense for Military Community and Family Policy’s Office of Family Policy/Children & Youth Clearinghouse: Clearinghouse for Military Family Readiness at The Pennsylvania State University 5210 HMC & HC campaigns were developed collaboratively.
- 34. 5210 Healthy Military Children & 5210 Healthy Children are modeled after Let’s Go 5210!
- 35. 5210 Healthy Military Children is a health messaging campaign. Health messaging campaign: Consistent message: 5210 Multi-sector: throughout the community Coordinated: benefitting from your leadership, networking & collaboration
- 36. 5210 Healthy Military Children is not an individual event. “5210 Healthy Children” refers to the overall campaign. Individual events support 5210 Healthy Children.
- 37. WHY 5210? Evidence-informed strategies Multi-sector approach Child health promotion 5210 Healthy Military Children meets a public health need.
- 38. 5 or more servings of fruits and vegetables Fruits and vegetables are nutrient-dense without being calorie-dense. This means that fruits and vegetables provide a lot of nutrients without contributing too many calories to the diet. Some of the nutrients that fruits and vegetables provide are particularly important because, according to the Dietary Guidelines for Americans, they are under-consumed in the United States. These nutrients include folate, magnesium, potassium, dietary fiber, and vitamins A, C, and K. In addition, diets high in fruits and vegetables are associated with lower risk of chronic diseases, like cardiovascular disease, and certain cancers. 2 or fewer hours of screen time The American Academy of Pediatrics has concluded that screen time, and TV time in particular, is one of the causes of obesity. Sedentary behaviors, like screen time, are associated with increased disease risk, even in people who are physically active. That means that a person can be physically active and still engage in an amount of screen time that puts them at risk for various diseases. Screen time may also displace healthier activities where children are moving their muscles, problem solving, relating with others, or engaging in creative play – and these activities are essential for healthy child development. Screen time has been shown to increase unhealthy eating, both because of the influence of advertisements and because of increased snacking during screen time. Finally, screen time can interfere with normal sleep. This is especially true when screen media, like televisions, are present in a child’s bedroom. Sleep is, itself, important for health promotion because it supports immune function and metabolism, and regular sleep deprivation is associated with weight gain, depression, anxiety, stress, and a variety of chronic diseases such as diabetes and heart disease. 1 or more hours of physical activity According to the U.S. Department of Health and Human Services, physical activity is one of the most crucial health improvement strategies for Americans of all ages. In children, physical activity improves cardiorespiratory fitness, muscular fitness, bone health, and body composition, and reduces depression symptoms. These same effects happen in adults. In addition, adults who are physically active have a lower risk of cardiovascular disease, type 2 diabetes, and some cancers. 0 sweetened beverages Sweetened beverages are the primary source of added sugars in Americans’ diets and a major source of calories in 2- to 18-year-olds’ diets in the United States. Unfortunately, most of these are empty calories that have no nutritional benefit. Sweetened beverages may also contain caffeine, which is associated with increased anxiety and decreased sleep and sleep quality. Children who drink sweetened beverages drink less milk, and the displacement of milk with sweetened beverages is associated with a lower nutrient intake and reduced bone health. Eliminating sweetened beverages from the diet also promotes child health by reducing the risk of childhood obesity, type 2 diabetes, and dental decay. 5210 behaviors can impact a lot of health outcomes!
- 39. 5210 behaviors can impact a lot of health outcomes! Dental decay Cardiorespiratory fitness Muscular fitness Bone health Cardiovascular disease Cancer Obesity Healthy development Sleep Immunity Metabolism Weight gain Depression Anxiety Stress Diabetes Nutrient intake
- 40. 5210 behaviors can impact a lot of health outcomes! Dental decay Cardiorespiratory fitness Muscular fitness Bone health Cardiovascular disease Cancer Obesity Healthy development Sleep Immunity Metabolism Weight gain Depression Anxiety Stress Diabetes Nutrient intake
- 41. Actually, it’s a health promotion program. Isn’t 5210 Healthy Children a childhood obesity program? 5210 Healthy Children has a health promotion focus.
- 42. I’m glad you asked!What’s the difference? 5210 Healthy Military Children has a health promotion focus.
- 43. Health promotion program Health promotion is INCLUSIVE. Childhood obesity program Good for some children: obese youth and youth at risk of developing obesity
- 44. POP QUIZ: Who is 5210 Healthy Children for? A B C Health promotion is INCLUSIVE.
- 45. INTERNET HIGH-FIVE! POP QUIZ: Who is 5210 Healthy Children for? A B Health promotion is INCLUSIVE.
- 46. Health promotion program Health promotion is POSITIVE. Childhood obesity program Negative focus: Preventing/decreasing something bad Positive focus: Promoting something good
- 47. Health promotion is POSSIBLE.
- 48. Health promotion: inclusive, positive, possible
- 49. or more hours of physical activity POSTURE BREAK! -stand up! -move! -walk! -stretch
- 50. GOALS: 1. Permeate children’s and families’ environments with the 5210 message. 2. Provide strategies to support 5210 behaviors to a variety of people and places. 5210 Healthy Military Children campaign has two main goals.
- 51. Live Learn Work Play 5210 Healthy Military Children is for children & families.
- 52. 5210 Healthy Military Children targets Child Development Centers.
- 53. 5210 Healthy Military Children targets Elementary Schools.
- 54. 5210 Healthy Military Children targets Middle & High Schools.
- 55. 5210 Healthy Military Children targets Youth Centers.
- 56. 5210 Healthy Military Children targets After-School Programs.
- 57. 5210 Healthy Military Children targets Cafeterias.
- 58. 5210 Healthy Military Children targets Restaurants.
- 59. 5210 Healthy Military Children targets Commissaries/Grocery Stores.
- 60. 5210 Healthy Military Children targets Fitness Centers.
- 61. 5210 Healthy Military Children targets Community Centers.
- 62. 5210 Healthy Military Children targets Workplaces.
- 63. 5210 Healthy Military Children targets Healthcare Professionals.
- 64. 5210 Healthy Military Children targets Leaders.
- 65. 5210 Healthy Military Children targets Families.
- 66. How do you implement 5210 Healthy Military Children health messaging campaign?
- 67. 1. Check out the 5210 HMC website www.5210.healthymilitarychildren.psu.edu 2. Download the Implementation Guide & follow the steps 4. Review the 5210 Healthy Military Children Toolkits 3. Review the 7 training modules & follow the “Action Steps”
- 69. 1. Check out the 5210 HMC website www.5210.healthymilitarychildren.psu.edu 2. Download the Implementation Guide & follow the steps 4. Review the 5210 Healthy Military Children Toolkits 3. Review the 7 training modules & follow the “Action Steps”
- 71. Identify the relevant venues.
- 73. 1. Check out the 5210 HMC website www.5210.healthymilitarychildren.psu.edu 2. Download the Implementation Guide & follow the steps 4. Review the 5210 Healthy Military Children Toolkits 3. Review the 7 training modules & follow the “Action Steps”
- 74. Training will take several weeks, including time to complete implementation actions. 1. What does 5210 mean? 1 week: • View trainings 1-3 2. What is 5210 Healthy Military Children? 3. Why implement 5210 Healthy Military Children? 4. How to implement 5210 Healthy Military Children: Identifying venues. 2 weeks: • View training 4 and complete action steps 5. How to implement 5210 Healthy Military Children: Ordering materials. 1 week: • View training 5 and complete action steps 6. How to implement 5210 Healthy Military Children: Preparing and distributing materials. 2 weeks: • View training 6 and complete action steps 7. How to implement 5210 Healthy Military Children: Promoting and sustaining the campaign over time. 1 week: • View training 7 and begin action steps Long term: • Complete action steps
- 75. 1. Check out the 5210 HMC website www.5210.healthymilitarychildren.psu.edu 2. Download the Implementation Guide & follow the steps 4. Review the 5210 Healthy Military Children Toolkits 3. Review the 7 training modules & follow the “Action Steps”
- 76. http://5210.healthymilitarychildren.psu.edu/ ACTION STEP: Review the 5210 Healthy Children toolkit.
- 77. ACTION STEP: Review the 5210 Healthy Military Children toolkit.
- 78. or more hours of physical activity POSTURE BREAK! -stand up! -move! -walk! -stretch
- 79. Evaluating & Sustaining 5210 HMC health messaging campaign
- 80. Evaluating your campaign Process evaluation • POC and Venue Owner feedback • Lessons learned • Barriers impact Outcome evaluation • Awareness • Knowledge • Behavior
- 81. Evaluating your campaign Innovative methods • Text based surveys • Smart phone surveys • Computer based surveys • Others?
- 82. Take a moment to think about your next steps. Sustaining your campaign
- 83. Take a moment to think about your next steps. Reflect on what went well, and what didn’t Use positive and negative reflections for future success! Process Evaluation- lessons learned: positives & barriers
- 84. Take a moment to think about your next steps. Some process went smoothly “The printer had my materials ready a week earlier than estimated.” Some person was especially helpful “A colleague with connections at the commissary reached out on my behalf.” Keep the process in mind for future use “I will keep the printer’s contact information handy so I can use it again.” Maintain a great relationship “I will be helpful in return, and build up a network of people I can depend on.”
- 85. Take a moment to think about your next steps. Some process presented barriers “The middle school won’t launch the campaign until next month, so they can introduce it at an assembly.” Some person was especially challenging “The venue leader at the fitness center is unresponsive to email/phone calls.” Anticipate barriers better next time “I will think ahead about promoting the campaign and ask all school venue leaders about upcoming events.” Cater to his/her strengths in the future “She works at the fitness center during set hours, so I can use site visits to talk.”
- 86. Take a moment to think about your next steps. Check in with venues to ensure maintenance of the campaign Strengthen the campaign Promote the campaign Sustainability ACTION STEP #1: Draft a yearly plan.
- 87. Sustainability ACTION STEP #1: Draft a yearly plan. 20 days 22 days Maintain the campaign: “I will complete a site visit at each venue once each month.” 20 daysCreate S.M.A.R.T. goals to maintain, strengthen, and promote the campaign: • Specific • Measurable • Achievable • Relevant • Time-bound
- 88. Strengthen the campaign: “I will facilitate a meeting between the community center and the elementary school by September 1st so that the community center may support International Walk To School Day in October.” Create S.M.A.R.T. goals to maintain, strengthen, and promote the campaign: • Specific • Measurable • Achievable • Relevant • Time-bound Sustainability ACTION STEP #1: Draft a yearly plan.
- 89. Sustainability ACTION STEP #1: Draft a yearly plan.
- 90. Sustainability ACTION STEP #3: 1) Act on your yearly plan, revising it as necessary. 2) Utilize the Clearinghouse Technical Assistance & Coaching Support 5210@psu.edu
- 92. Take-Aways • Training • Resources • Tools • Implement • Evaluate • Sustain
- 93. WWW.5210.HEALTHYMILITARYCHILDREN.PSU.EDU THANK YOU! Jennifer DiNallo, Ph.D. jmd422@psu.edu
- 94. Evaluation and Continuing Education Credits To receive CPEU credits, please complete the evaluation and post-test found at: https://vte.co1.qualtrics.com/SE/?SID=SV_bwkvhzQQc2n Sdrn Available until September 22, 2016. The applicability of information presented today may change with new research or policies after this time.
- 95. MFLN Nutrition and Wellness Upcoming Event • Eating Right When Eating Out: How calories on the menu can guide healthy choices • Date: October 20, 2015 • Time: 11:00am Eastern • Location: https://learn.extension.org/events/2247 For more information on MFLN Nutrition & Wellness go to: http://blogs.extension.org/militaryfamilies/nutrition- and-wellness/
- 96. Find all upcoming and recorded webinars covering: Personal Finance Military Caregiving Family Development Family Transitions Network Literacy Nutrition & Wellness Community Capacity Building This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Readiness Policy, U.S. Department of Defense under Award Numbers 2010-48869-20685, 2012-48755-20306, and 2014-48770-22587. www.extension.org/62581
Editor's Notes
- We encourage you to make the most of this training. There are three ways you can do this. [1st animation] First, please have your Implementation Guide in front of you. All of the 5210 Healthy Children trainings follow along with the Implementation Guide, and you may find it useful to take notes in the Guide as you follow along with the trainings. [2nd animation] The second way you can make the most of today’s training is to review what you’ve learned. In addition to your Implementation Guide, you may review the 5210 Healthy Children website, which is 5210.healthymilitarychildren.psu.edu. You may also re-watch the training modules as often as you like. [3rd animation] Finally, if you have questions, you may email us at 5210@psu.edu. Now, let’s begin.
- What does 5210 mean? It’s a mnemonic that represents 4 behaviors that children should try to achieve every day for good health: 5 or more servings per day of fruits and vegetables, 2 or fewer hours per day of screen time, 1 or more hours per day of physical activity, and no sweetened beverages. We will now review each of these behaviors in more detail.
- The recommendation to eat 5 or more servings of fruits and vegetables a day was given by the National Cancer Institute in their “Eat 5 A Day…” and “Eat 5 to 9 A Day for better health” campaigns, [1st animation] in the USDA’s Food Pyramid, and [2nd animation] in the 2000 edition of the Dietary Guidelines for Americans.
- The recommendation to eat a certain number of SERVINGS of fruits and vegetables has largely been replaced by the recommendation to eat a certain number of CUPS of fruits and vegetables per day.
- Therefore, [1st animation] the bottom line is that [2nd animation] the “5” of “5 or more servings of fruits and vegetables” represents the idea that we should eat more fruits and vegetables for optimal health.
- It is nonproductive. For example, if you were sitting playing video games, or laying on your couch using social media on your smartphone, you would be engaging in screen time.
- Screen time does not refer to necessary and productive time spent in front of screens, doing tasks such as typing a book report for school or checking work emails... although finding ways to reduce or break up time spent sitting is a healthy practice, no matter what activity you’re engaged in!
- Let’s say that this physically-active person went home from playing basketball and sat watching a football game on TV for a couple of hours, and then surfed the internet and used social media on another couple of hours. It quickly adds up to four hours and increased risk for the adverse health outcomes that come from getting too much screen time, EVEN THOUGH an hour of physical activity was completed.
- It’s important to note that the 2 or fewer hours per day recommendation is for children and adolescents 2 years of age and older. The American Academy of Pediatrics actually recommends [1st animation] NO screen time for children under 2 years of age.
- So, [1st animation] the bottom line is that [2nd animation] children under two should have no screen time, all other age groups should reduce their screen time, and finding ways to reduce or break up sitting – even if it’s not screen time – is healthy.
- Physical activity is any movement of the body that raises a person’s heart rate above a resting heart rate. Physical activity recommendations actually differ based on age.
- Recommendations for birth to age 5 make a distinction between structured physical activity, which is planned, and unstructured physical activity, which is free play. According to the National Association for Sport and Physical Education, infants under 12 months of age should engage in structured and unstructured physical activities each day that are devoted to exploring movement and developing motor skills.
- Toddlers ages 12 to 36 months should engage in structured physical activities for at least 30 minutes per day plus unstructured physical activities for at least 60 minutes (and up to several hours) per day.
- And preschoolers ages 3 to 5 years should engage in structured physical activities for at least 60 minutes per day plus unstructured physical activities for at least 60 minutes (and up to several hours) per day.
- That’s because the 1 hour per day recommendation actually corresponds to the recommendation for 6 to 17 year olds. The U.S. Department of Health and Human Services recommends that children and adolescents engage in at least one hour of daily physical activity. Most of that should be moderate- or vigorous-intensity aerobic physical activity. These are physical activities that involve moving large muscle groups with enough intensity to make the heart, lungs, and muscles work noticeably harder. Bicycling, swimming, and playing chasing games like tag are examples of moderate-to-vigorous intensity aerobic physical activity.
- The recommendation for adults is actually only 150 minutes of moderate-intensity physical activity per week – which amounts to 30 minutes on 5 days of the week. But the U.S. Department of Health and Human Services clarifies that more extensive health benefits are gained from engaging in more physical activity – so the 1 hour per day recommendation is appropriate for adults as well!
- So, with physical activity, [1st animation] the bottom line is that we should be getting more of it!
- Sweetened beverages are drinks that contain sugars, syrups, and other sweeteners with calories.
- Researchers from the Robert Wood Johnson Foundation Healthy Eating Research Program published a report summarizing current research about the impact of sweetened beverage consumption on children. They concluded that reducing children’s sweetened beverage intake would have no negative effects, and would, in fact, have many positive effects such as reducing the risk of childhood obesity, type 2 diabetes, poor nutrition, excess caffeine consumption, and dental decay.
- Researchers from the Robert Wood Johnson Foundation Healthy Eating Research Program published a report summarizing current research about the impact of sweetened beverage consumption on children. They concluded that reducing children’s sweetened beverage intake would have no negative effects, and would, in fact, have many positive effects such as reducing the risk of childhood obesity, type 2 diabetes, poor nutrition, excess caffeine consumption, and dental decay.
- So, [1st animation] the bottom line is that we should [2nd animation] avoid sweetened beverages.
- So, what does 5210 mean? We hope that this presentation has helped you to understand that the 5210 message is a way to remember four evidence-based health recommendations that have formed the basis of many public health initiatives. The overall intent of the 5210 message is to encourage people to [1st animation] eat more fruits and vegetables, [2nd animation] eliminate screen time for children under 2, reduce screen time in all other age groups, find ways to reduce or break up sitting even if it’s not screen time, [3rd animation] be more physically active, and [4th animation] avoid sweetened beverages.
- So, with physical activity, [1st animation] the bottom line is that we should be getting more of it!
- What does 5210 mean? It’s a mnemonic that represents 4 behaviors that children should try to achieve every day for good health: 5 or more servings per day of fruits and vegetables, 2 or fewer hours per day of screen time, 1 or more hours per day of physical activity, and no sweetened beverages. We will now review each of these behaviors in more detail.
- 5210 is a concept that is used widely by public health initiatives, like the ones you see here.
- 5210 Healthy Children was conceived and developed through a collaboration between the [1st animation] Office of the Deputy Assistant Secretary of Defense for Military Community and Family Policy’s Office of Family Policy/Children & Youth and [2nd animation] the Clearinghouse for Military Family Readiness at The Pennsylvania State University.
- The Let’s Go! 5210 program, which operates throughout the state of Maine, provided an excellent model of a community-wide initiative to improve child health behaviors. It is designed to increase healthy eating and active living in children from birth to 18 years across 6 community sectors. [1st animation] It was from this model that [2nd animation] 5210 Healthy Military Children was adapted to a Military context with 15 sectors. After materials were developed for 15 military sectors, MC&FP asked the Clearinghouse to make analogous, non-military versions of all of the materials. [3rd animation] 5210 Healthy Children was the result.
- So, we want to emphasize here what 5210 Healthy Children IS and what it ISN’T, because 5210 is such a commonly-used concept. “5210 Healthy Children” is a coordinated health messaging campaign designed to spread the 5210 message [1st animation] throughout communities, and provide community sectors with resources to support 5210 behaviors in children and families.
- 5210 Healthy Children [1st animation] IS NOT an individual event, like a 5K race sponsored by an after-school program, or a cooking class hosted by a community center. Certainly, these kinds of healthy events can – and should! – help support 5210 Healthy Children. But a community that only has a few of these kinds of events each year can’t claim that they’re “5210 Healthy Children” events.
- MC&FP approached the Clearinghouse after [1st animation] identifying a need for [2nd animation] evidence-informed strategies that would [3rd animation] promote child health and could be disseminated to a [4th animation] variety of Military community members and across a range of Military community settings.
- This is text from your Implementation Guide that reviews why 5210 behaviors are healthy. Let’s turn it into a list.
- So, here is a list of health outcomes that can be favorably impacted by practicing 5210 behaviors. Take a moment to reflect on the huge variety of health outcomes in this list – cardiovascular health, musculoskeletal health, endocrine health, oral health, mental health, and on and on…. I want to bring your attention to one of the items on this list.
- You may hear others refer to 5210 Healthy Children as a childhood obesity program. But, that’s not quite right. Obesity IS a health outcome that 5210 Healthy Children hopes to improve, but it’s only [1st animation] one of many health outcomes.
- So, what should you do if you hear someone calling 5210 Healthy Children a childhood obesity program? [1st animation] Clarify that it’s actually a health promotion program.
- This is an important distinction for you to make, and [1st animation] for you to help others understand for a few reasons.
- First, a health promotion focus is inclusive [1st animation] because all children – no matter their size – benefit from eating enough fruits and vegetables, reducing their screen time, being physically active, and avoiding sweetened beverages. [2nd animation] A childhood obesity program, on the other hand, is only relevant for some children – those who are obese or at risk of developing obesity.
- So, here’s a quick [1st animation] pop quiz! Who is 5210 Healthy Children for? [2nd animation] Child A? [3rd animation] Child B? Or [4th animation] child C? If you answered [5th animation] Child A and Child B, give yourself an internet high five! 5210 Healthy Children is good for every child.
- So, here’s a quick [1st animation] pop quiz! Who is 5210 Healthy Children for? [2nd animation] Child A? [3rd animation] Child B? Or [4th animation] child C? If you answered [5th animation] Child A and Child B, give yourself an internet high five! 5210 Healthy Children is good for every child.
- So, health promotion is inclusive. It’s also positive. [1st animation] The focus of a health promotion program is to promote something [2nd animation] good – health. On the other hand, the focus of a [3rd animation] childhood obesity program is to prevent or decrease something [5th animation] bad – obesity.
- Health promotion is also possible. [1st animation] The Clearinghouse for Military Family Readiness has examined the evidence base of hundreds of programs and found more consistent evidence that programs can improve behavior change – like [2nd animation] fruit and vegetable consumption, [3rd animation] participating in non-screen time activities, [4th animation] increasing physical activity, and [5th animation] reducing sweetened beverage consumption – and less consistent evidence that programs can improve obesity.
- So, why is 5210 Healthy Children important? We hope that this presentation has helped you to understand that 5210 Healthy Children is important because it’s a [1st animation] health promotion program that can have a positive impact on [2nd animation] a variety of health outcomes, which means that 5210 Healthy Children is [3rd animation] good for every child – no matter his or her size. The health-promotion focus of 5210 Healthy Children is important because it’s inclusive, positive, and possible.
- So, with physical activity, [1st animation] the bottom line is that we should be getting more of it!
- The goals of 5210 Healthy Children are to [1st animation] permeate children’s and families’ environments with the 5210 message, and [2nd animation] to provide strategies to support 5210 behaviors to a variety of people and places, shown here.
- Through these sectors, the campaign targets children and their families where they live, learn, work, and play. Let’s take a brief tour of these sectors to learn how the multi-sector approach works.
- TARGETS THE ADULTS AT ALL VENUES. The first sector is Child Care and Early Childhood Education. Recall that the first goal of 5210 Healthy Children is to permeate children’s and families’ environments with the 5210 message. This is one such environment because it serve infants, toddlers, and young children in the community. Recall that the second goal of 5210 Healthy Children is to provide strategies to support 5210 behaviors. In Child Care and Early Childhood Education Centers, those strategies are disseminated to the [1st animation] providers. The providers can then use the strategies to [2nd animation] support 5210 behaviors in the infants, toddlers, and young children in their care. This dynamic holds true in many of the 5210 Healthy Children sectors. For example, in the… [continued on the next slide]
- [continued from previous slide] …elementary school sector… [continued on next slide]
- [continued from previous slide] …middle & high school sector… [continued on next slide]
- [continued from previous slide] …youth center sector… [continued on next slide]
- [continued from previous slide] …and after-school program sector, 5210 Healthy Children is disseminated to [1st animation] the providers. This includes teachers, school nurses, food service personnel, administrators and staff. The providers use the sector-specific 5210 Healthy Children resources to [2nd animation] spread the 5210 message and to support 5210 behaviors in the children and adolescents they serve.
- The next several sectors do not directly serve children, but they are prominent places within communities where parents can be targeted with the 5210 message and learn how to support it within their families. For example, in the Cafeterias sector and… [continued on next slide]
- [continued from previous slide] …in the Restaurants sector, the 5210 Healthy Children resources are generally directed toward adult patrons, who may be parents, and help support 5210 behaviors when eating outside of the home.
- The resources for the Grocery Stores sector help food shoppers make choices that will support 5210 behaviors in their families… [continued on the next slide]
- [continued from previous slide] …just as the resources for the fitness center sector help patrons make choices that will support 5210 behaviors in their families.
- Resources for the community centers sector help community centers support 5210 behaviors in community members.
- Resources for the workplace help promote 5210 behaviors during work hours.
- Resources developed for healthcare professionals help primary care pediatricians counsel their patients and their patients’ families about 5210 behaviors.
- And resources for leaders are intended to support the development of policy changes, environment changes, and other large-scale initiatives that support 5210 behaviors throughout communities.
- The final sector is families. Resources for families help parents or guardians support 5210 behaviors in their homes. It can be difficult to disseminate the resources for families to families directly, so sectors such as [1st animation] Child Care and Early Childhood Education, [2nd animation] schools, [3rd animation] youth centers and after-school programs, and [4th animation] healthcare may help deliver 5210 Healthy Children resources for the family sector to families.
- Hello, and thank you for your interest in 5210 Healthy Children! This is the fourth training module, which is designed to help you identify the specific venues on your Military installation where you will implement 5210 Healthy Military Children. It will take you about _____ minutes to view, and corresponds to the fourth section of your Implementation Guide, titled “Identifying venues”.
- Hello, and thank you for your interest in 5210 Healthy Children! This is the fourth training module, which is designed to help you identify the specific venues on your Military installation where you will implement 5210 Healthy Military Children. It will take you about _____ minutes to view, and corresponds to the fourth section of your Implementation Guide, titled “Identifying venues”.
- Visit the 5210 Healthy Children website, which is 5210.healthymilitarychildren.psu.edu. [1st animation] At the top of the page, click on the “Toolkits” link.
- Hello, and thank you for your interest in 5210 Healthy Children! This is the fourth training module, which is designed to help you identify the specific venues on your Military installation where you will implement 5210 Healthy Military Children. It will take you about _____ minutes to view, and corresponds to the fourth section of your Implementation Guide, titled “Identifying venues”.
- Hello, and thank you for your interest in 5210 Healthy Children! This is the fourth training module, which is designed to help you identify the specific venues on your Military installation where you will implement 5210 Healthy Military Children. It will take you about _____ minutes to view, and corresponds to the fourth section of your Implementation Guide, titled “Identifying venues”.
- Your community may not have every sector. For example, many communities have [1st animation] at least one Child care or early childhood education center, and [2nd animation] multiple schools, but perhaps not a [3rd animation] youth center. Start thinking about your specific community and the sectors that [4th animation] exist there, because we will now work through a checklist together to help you identify which sectors exist in your community, and prepare you to identify the exact venues for each sector.
- [1st animation] You should now have completed the checklist on page _____ of your implementation guide. If you were [2nd animation] unsure about whether your community has one or more of the sectors on this checklist, make time to [3rd animation] double-check.
- Hello, and thank you for your interest in 5210 Healthy Children! This is the fourth training module, which is designed to help you identify the specific venues on your Military installation where you will implement 5210 Healthy Military Children. It will take you about _____ minutes to view, and corresponds to the fourth section of your Implementation Guide, titled “Identifying venues”.
- The follow-up actions corresponding to the seventh training will last throughout the duration of the program because they are intended to ensure that the program is sustained long term.
- Hello, and thank you for your interest in 5210 Healthy Children! This is the fourth training module, which is designed to help you identify the specific venues on your Military installation where you will implement 5210 Healthy Military Children. It will take you about _____ minutes to view, and corresponds to the fourth section of your Implementation Guide, titled “Identifying venues”.
- Visit the 5210 Healthy Children website, which is 5210.healthymilitarychildren.psu.edu. [1st animation] At the top of the page, click on the “Toolkits” link.
- All of the 5210 Healthy Children resources are [1st animation] assembled into a [2nd animation] toolkit, called the 5210 Healthy Children toolkit. There is a section in the toolkit for each of the 15 sectors. Before watching the third training, [3rd animation] please review the 5210 Healthy Children toolkit. Here’s how.
- So, with physical activity, [1st animation] the bottom line is that we should be getting more of it!
- Hello, and thank you for your interest in 5210 Healthy Children! This is the fourth training module, which is designed to help you identify the specific venues on your Military installation where you will implement 5210 Healthy Military Children. It will take you about _____ minutes to view, and corresponds to the fourth section of your Implementation Guide, titled “Identifying venues”.
- This concludes your sixth training. Remember that you may re-watch this module at any time. At this point, you should send each venue leader a digital copy of their sector-specific toolkit section. Then, prepare a venue leader packet for each venue and plan your delivery schedule. Once your printed materials arrive, you should assemble and deliver them along with the venue leader packets you prepared. Then, please proceed with the seventh training module. Thank you for your attention – if you have quick questions or would like to schedule a technical assistance phone call, email 5210@psu.edu and we will be in touch!
- This concludes your sixth training. Remember that you may re-watch this module at any time. At this point, you should send each venue leader a digital copy of their sector-specific toolkit section. Then, prepare a venue leader packet for each venue and plan your delivery schedule. Once your printed materials arrive, you should assemble and deliver them along with the venue leader packets you prepared. Then, please proceed with the seventh training module. Thank you for your attention – if you have quick questions or would like to schedule a technical assistance phone call, email 5210@psu.edu and we will be in touch!
- Before pressing forward with campaign implementation, we urge you to first take a moment to think about your next steps. You may find that you’re more ready for those next steps if you [1st animation] stop and [2nd animation] plan before you [3rd animation] act.
- Give yourself a few days to just stop and [1st animation] reflect on what went well and what didn’t. We recommend writing down a list of positive and negative reflections, and considering how they may be useful.
- Here are some examples of positive reflections and how you can use them for future success. Some processes went smoothly. For instance, maybe the printer you worked with had your materials ready a whole week early. [1st animation] You can use that positive reflection by proactively storing the printer’s contact information for future use. Perhaps some person was especially helpful to you. For example, maybe your colleague had great connections at the commissary, and sent an email on your behalf so that you were met more readily by the venue leader there. [2nd animation] In that case, work to maintain a great relationship with that helpful person by being helpful to them so that you can start to build up a network of people on whom you may depend.
- You may also have some negative reflections that you can use proactively as you move forward. Maybe some processes presented unforeseen barriers. For example, maybe the middle school told you that they wouldn’t launch the campaign for another month, because they want to introduce it at an assembly. [1st animation] You can use this kind of information to try to anticipate similar barriers better the next time around. For example, you could think ahead about how you want to promote the campaign, and ask ALL school venue leaders about upcoming school events so that you can use them strategically or plan around them. Maybe some person was challenging to work with. For example, maybe the venue leader at the fitness center was unresponsive to your emails and phone calls. [2nd animation] Use this kind of reflection to think about how you can cater to the strengths of challenging people in the future. For instance, perhaps the venue leader at the fitness center is there during predictable work hours. That’s a strength you can use, by planning on using site visits to communicate.
- Once you’ve taken some time to stop and reflect, start planning your next steps. You will need to remain active in your role as POC to [1st animation] ensure that the 5210 Healthy Military Children campaign is being maintained at the venues. You can also plan ways to [2nd animation] promote and strengthen the campaign as time goes on. We recommend [3rd animation] drafting a yearly plan to help you stay organized.
- Let’s take a look at January. Presumably, New Years Day is a holiday, and maybe January 2nd is, too. That leaves [1st animation] 20 remaining business days for checking in with every single venue. [2nd animation] February and March don’t look much better. [3rd animation] Maybe this goal is not realistically achievable.
- Here are more examples of ways different sectors can support one another within your Military community! [1st animation] The commissary can host middle school students for a tour of the produce section, or sponsor a fruit and vegetable taste-testing lesson in the classroom. [2nd animation] Perhaps one of the pediatricians may present an assembly at the elementary school. [3rd animation] Perhaps your community center can sponsors family recreation or cooking classes. [4th animation] Maybe teens from the youth center can help organize a community garden. [5th animation] Or, perhaps your fitness center could sponsor a preschool fitness activity or help build an upgraded playground. There are lots of ways your community sectors can network with one another – and you’re in a perfect position to help facilitate these connections. Look for opportunities, listen for needs, work some magic, and put it in your yearly plan!
- The 5210 Healthy Military Children logo is available on the Promote 5210 webpage, and there are lots of online vendors that sell a wide variety of promotional items – just try to make sure you choose items that support 5210 behaviors!
- Your yearly plan is intended to be a working document. Amend it and expand it as your year progresses. All that’s left now is to [1st animation] act on your yearly plan. [2nd animation] Good luck to you! You are a very important part of your Military community, and we are grateful for your efforts to help ensure the health and success of our Military children and families now and in the future. Thank you so much. Please keep in touch – we would love to hear about your journey!
- So, what is 5210 Healthy Children? We hope that this presentation has helped you to understand that it is a health messaging campaign based on the [1st animation] 5210 concept that was developed to spread the 5210 message [2nd animation] throughout communities by providing resources to 15 community sectors to promote healthy behaviors in children and their families.
- So, what is 5210 Healthy Children? We hope that this presentation has helped you to understand that it is a health messaging campaign based on the [1st animation] 5210 concept that was developed to spread the 5210 message [2nd animation] throughout communities by providing resources to 15 community sectors to promote healthy behaviors in children and their families.
- Hello, and thank you for your interest in 5210 Healthy Children! This is the first training module, which is designed to help you understand what 5210 means. It will take you about 10 minutes to view, and corresponds to the first section of your Implementation Guide, titled “What does 5210 mean?”