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

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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 jlarsen2@health.nyc.gov

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