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A T R A I N - T H E - T R A I N E R N U T R I T I O N E D U C A T I O N P R O G R A M
F O R P R E S C H O O L S
Growing Healthy Children
Agenda
Overview of Growing Healthy Children program (GHC) Program Timeline
GHC curriculum
Reach and evaluation
Recommendations for successful implementation
Resources
Train-the-trainer professional development model for child care centers
Based on New York State’s
Eat Well Play Hard in Child Care Settings program
Empowers child care center staff to provide nutrition education on their own
Growing Healthy Children
Growing Healthy Children
Provides curriculum, visual
aids, cooking tools, and technical assistance
Funded by USDA SNAP-Ed via the New York State Health Department’s Children and Adult Care Food Program (CACFP) from 2009-2014
Program Overview
Eat Well Play Hard nutrition education program
in group child care centers
6 child and parent lessons and 3 staff trainings implemented by registered dietitian.
Reached 5,660 3-5 year olds
and their caregivers in 2014
Growing Healthy Children nutrition education program
in group child care centers
7-hour professional development training implemented by registered dietitian.
6 child and parent lessons
implemented by child care center staff
Reached 4,965 3-5 year olds
and their caregivers in 2014
Program Overview
Same goals Increase consumption of fruits
and vegetables
Increase consumption of low fat milk and dairy products
Increase developmentally appropriate physical activity
Program Overview
Benefits of Train-the-Trainer model Based on Diffusion of Innovation and Adult Learning Theories Sustain center advancements initiated by Eat Well Play Hard
at a lower cost
Build a culture for nutrition education within the child care center
Program Timeline
Step 1: Attend training
Program Timeline
Step 2: Commit to teach lessons
Program Timeline
Step 3: Receive starter toolkit - Curriculum/Visual aids - Cooking/Serving Equipment - Books - Parent Incentives
Program Timeline
Step 4: Implement lessons 1-3 and submit attendance Step 5: Site visit
Program Timeline
Step 6: Receive second toolkit
Program Timeline
Step 7: Implement lessons 4-6 and submit attendance
Step 6: Receive second toolkit
Program Timeline
Step 8: Receive books and certificates
Step 7: Implement lessons 4-6 and submit attendance
Step 6: Receive second toolkit
Program Timeline
77% of trained centers opted to participate after training.
Percentage completing the
program increased over time: 28% in 2009 93% in
2013
56 % continued implementing after 1 year.
Curriculum Overview
Curriculum Overview
Curriculum Overview
Curriculum Overview
Curriculum Overview
Reach
12,900 3-5 year olds and 4,342 caregivers 14% more children and 67% more caregivers per center
compared to Eat Well Play Hard in 2014
0
500
1000
1500
2000
2500
3000
3500
4000
2010 2011 2012 2013 2014
children reached
caregivers reached
Survey Evaluation
Conducted in 2013 Analysis included 1,474 surveys: 15 intervention, 8
control Used Eat Well Play Hard Survey Tool
Offer children fresh, canned or
frozen fruits at least daily
Offer children fresh, canned or frozen vegetables at least daily
Children ever help them prepare meals
Offered children a new fruit or vegetable in the past week
Survey Evaluation
Statistically significant changes in trained centers as compared to control :
Survey Evaluation
Limitations Dilution Survey tool Survey return
Recommendations for Successful Implementation
Personalize follow up and communicate frequently
Offer ideas for caregiver recruitment
Simplify paperwork Require director to attend
training Stagger toolkit delivery Refresher trainings Integrate into existing
programming
Thank you
Resources Access curriculum: nyc.gov/health and search ‘school based nutrition’ Training materials available Fall 2015
Contact Information Jenna Larsen, Project Coordinator New York City Department of Health and Mental Hygiene
347-396-4297 [email protected]
GHC Survey Evaluation
Statistically significant changes showing increase confidence in: Reducing the amount of child’s TV time Helping children play outdoors every day Offering fruit to children Offering vegetables to children Offering low-fat milk to children
Survey Evaluation
GHC Survey Evaluation
Cost Effectiveness
EWPHCCS in 2014: $10,047 per center
GHC in FY14: $1,973 per center
Curriculum Overview
Curriculum Overview
Program Timeline
Adherence to curriculum 53 centers observed in 2014
90% included the discussion
94% included the food (or fitness) experience
79% covered all main points
93% distributed Parent Page
73% of child lessons, teachers role-modeled
60% of caregiver lessons included open-ended discussion
Program Timeline
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2009 Trained 2010 Trained 2011 Trained 2012 Trained 2013 Trained
% that implemented lessons (active)
Of active centers, % that completed 6child and 6 caregiver within 1 year
Of active centers, % that continuedimplementing following year 1
Level of Implementation Achieved by Trained Centers